ID
42757
Description
Lung Cancer - SCLC Second Line On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DE3366B5-6F98-3BBE-E034-0003BA12F5E7
Link
Keywords
Versions (4)
- 9/19/12 9/19/12 -
- 1/9/15 1/9/15 - Martin Dugas
- 1/9/15 1/9/15 - Martin Dugas
- 9/17/21 9/17/21 -
Uploaded on
September 17, 2021
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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On-Study - Lung Cancer - SCLC Second Line On-Study Form - 2262433v3.0
No Instruction available.
- StudyEvent: Lung Cancer - SCLC Second Line On-Study Form
Description
Lung: Pre-treatment Characteristics
Description
Patient Height
Data type
float
Measurement units
- cm
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS CUI-1
- C0489786
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25347
Description
Patient Weight
Data type
float
Measurement units
- Kg
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS CUI-1
- C0005910
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25208
Description
Body Surface Area
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS CUI-1
- C0005902
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25157
Description
ECOG Performance Status
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS CUI-1
- C1520224
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ValueDomain-2
- C25491
- NCI Thesaurus ObjectClass
- C20641
Description
Weight Loss past six months
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS CUI-1
- C1262477
- NCI Thesaurus ObjectClass
- C16960
- UMLS CUI-2
- C3828652
- NCI Thesaurus Property
- C3445
- NCI Thesaurus ValueDomain-2
- C25613
Description
Lung: Disease Description - Sclc
Description
Measurable Disease
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C1513041
- NCI Thesaurus Property
- C25626
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus ObjectClass-2
- C37894
Description
Non-Measurable Disease
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C1334988
- NCI Thesaurus Property
- C25626
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus ObjectClass-2
- C25589
Description
MalignantNeoplasmMetastaticInvolvementType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C14174
- UMLS 2011AA Property
- C0036525
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus Property-2
- C25548
- UMLS 2011AA Property-2
- C1314939
Description
Pleural Effusion
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C0032227
- NCI Thesaurus ObjectClass
- C12468
- NCI Thesaurus Property
- C3003
- NCI Thesaurus Property-2
- C25223
Description
Malignant Pleural Effusion
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C12468
- UMLS CUI-1
- C0080032
- NCI Thesaurus Property
- C3003
- NCI Thesaurus Property-2
- C25223
- NCI Thesaurus ValueDomain
- C14143
- NCI Metathesaurus ValueDomain
- C0021212
Description
AssessmentMeasurableLabType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C20989
- UMLS 2011AA ObjectClass
- C0031809
- NCI Thesaurus Property
- C37984
- UMLS 2011AA Property
- C0022877
- NCI Thesaurus Property-2
- C37894
- UMLS 2011AA Property-2
- C1513040
Description
BloodSpecimenLaboratoryProcedureAlbuminValue
Data type
float
Alias
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus ValueDomain
- C214
- UMLS 2011AA ValueDomain
- C0001924
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus ValueDomain-2
- C25712
- UMLS 2011AA ValueDomain-2
- C1522609
Description
Hemoglobin
Data type
float
Measurement units
- g/dL
Alias
- NCI Thesaurus Property
- C16676
- UMLS CUI-1
- C0019046
- NCI Thesaurus Property-2
- C20200
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus ValueDomain
- C25712
Description
LDH
Data type
float
Measurement units
- U/L
Alias
- NCI Thesaurus Property
- C20200
- UMLS CUI-1
- C0202113
- NCI Thesaurus ObjectClass
- C25294
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus Property-2
- C25184
Description
LDH ULN
Data type
float
Measurement units
- U/L
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS CUI-1
- C0202113
- NCI Thesaurus Property
- C20200
- UMLS CUI-2
- C1519815
- NCI Thesaurus Property-2
- C25184
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus ValueDomain-2
- C38024
- NCI Thesaurus ValueDomain-3
- C25706
Description
Lung: Prior Treatment - 2nd Line
Description
Prior Surgery
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C0744961
- NCI Thesaurus Property
- C38000
- NCI Thesaurus ObjectClass
- C15329
- NCI Thesaurus ObjectClass-2
- C25629
Description
Prior Radiation Therapy
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS CUI-1
- C1522449
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-2
- C0332152
- NCI Thesaurus ObjectClass-2
- C25629
- NCI Thesaurus Property
- C25382
Description
PriorChemotherapyAdministeredInd-3
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C15632
- UMLS 2011AA ObjectClass
- C0392920
- NCI Thesaurus ObjectClass-2
- C25629
- UMLS 2011AA ObjectClass-2
- C0332152
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
Description
Agent
Data type
text
Alias
- NCI Thesaurus Property
- C25364
- UMLS CUI-1
- C1521826
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ValueDomain
- C1708
- NCI Thesaurus ValueDomain-2
- C42614
Description
Medication Start Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1521826
- NCI Thesaurus ValueDomain-2
- C25431
- UMLS CUI-2
- C0808070
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus Property
- C25275
Description
Medication End Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1521826
- NCI Thesaurus ObjectClass
- C1708
- UMLS CUI-2
- C0806020
- NCI Thesaurus Property
- C25275
Description
Cumulative Dose Agent
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C1708
- UMLS CUI-1
- C2986497
- NCI Thesaurus ObjectClass-2
- C25470
- UMLS CUI-2
- C1521826
- NCI Thesaurus Property
- C25304
- NCI Thesaurus Property-2
- C25256
- NCI Thesaurus ValueDomain
- C25304
- NCI Thesaurus ValueDomain-2
- C25488
Description
Units
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C1708
- UMLS CUI-1
- C1519795
- NCI Thesaurus Property
- C25256
- NCI Thesaurus ValueDomain
- C25709
Description
Overall Response Duration
Data type
integer
Alias
- NCI Thesaurus ObjectClass
- C25755
- UMLS CUI-1
- C0237585
- NCI Thesaurus Property
- C25605
- NCI Thesaurus Property-2
- C25275
- NCI Thesaurus ValueDomain
- C25605
- NCI Thesaurus ValueDomain-2
- C25330
Description
Comments
Similar models
No Instruction available.
- StudyEvent: Lung Cancer - SCLC Second Line On-Study Form
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C25320 (NCI Thesaurus ObjectClass)
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C1262477 (UMLS CUI-1)
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C3828652 (UMLS CUI-2)
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C1314939 (UMLS 2011AA Property-2)
C0032227 (UMLS CUI-1)
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