0 Avaliações

ID

42993

Descrição

CALGB-40502 Registration Worksheet Form Paclitaxel, Paclitaxel Albumin-Stabilized Nanoparticle Formulation, or Ixabepilone With or Without Bevacizumab in Treating Patients With Stage IIIC or Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=51FACCD6-7472-0406-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=51FACCD6-7472-0406-E044-0003BA3F9857

Palavras-chave

  1. 26/08/2012 26/08/2012 -
  2. 09/01/2015 09/01/2015 - Martin Dugas
  3. 09/01/2015 09/01/2015 - Martin Dugas
  4. 17/09/2021 17/09/2021 -
Transferido a

17 de setembro de 2021

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0 Legacy

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :


    Sem comentários

    Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

    Breast Cancer NCT00785291 Registration - CALGB-40502 Registration Worksheet Form - 2765448v1.0

    Endocrine Therapy in Combination with Anti-VEGF Therapy: A Randomized, Double-Blind, Placebo-Controlled Phase III Trial of Endocrine Therapy Alone or Endocrine Therapy plus for Women with Hormone Receptor-Positive Advanced Breast Cancer

    Protocol Administration
    Descrição

    Protocol Administration

    IRB Approval Date
    Descrição

    IRB Approval Date

    Tipo de dados

    date

    Alias
    NCI Thesaurus ObjectClass
    C25320 (undefined)
    UMLS CUI-1
    C2346500 (Institutional Review Board Approval Date)
    NCI Thesaurus Property
    C16741 (undefined)
    NCI Thesaurus Property-2
    C25425 (undefined)
    NCI Thesaurus ValueDomain
    C25164 (undefined)
    NCI Thesaurus ValueDomain-2
    C25367 (undefined)
    Date Informed Consent Signed (MM DD YYYY)
    Descrição

    InformedConsentFormSignedDate

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164 (undefined)
    UMLS 2011AA ValueDomain
    C0011008 (Date in time)
    SNOMED
    410671006
    NCI Thesaurus ValueDomain-2
    C25367 (undefined)
    NCI Thesaurus ObjectClass
    C16468 (undefined)
    UMLS 2011AA ObjectClass
    C0009797 (Consent Forms)
    NCI Thesaurus Property
    C25679 (undefined)
    HIPAA Authorization Date (MM DD YYYY)
    Descrição

    PatientSignedDischargeMedicalRecordDate

    Tipo de dados

    date

    Alias
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    UMLS 2011AA ObjectClass
    C0030705 (Patients)
    SNOMED
    116154003
    NCI Thesaurus Property
    C25679 (undefined)
    NCI Metathesaurus Property
    C0012621 (Body Fluid Discharge)
    SNOMED
    75823008
    NCI Thesaurus Property-2
    C45258 (undefined)
    UMLS 2011AA Property
    C0025102 (Medical Records)
    SNOMED
    129465004
    NCI Thesaurus ValueDomain
    C25164 (undefined)
    UMLS 2011AA ValueDomain
    C0011008 (Date in time)
    SNOMED
    410671006
    Projected Start Date of Treatment (MM DD YYYY)
    Descrição

    Treatment Begin Date

    Tipo de dados

    date

    Alias
    NCI Thesaurus ObjectClass
    C15368 (undefined)
    NCI Thesaurus ObjectClass-2
    C25631 (undefined)
    NCI Thesaurus Property
    C25431 (undefined)
    UMLS CUI-1
    C3173309 (Date treatment or therapy started)
    LOINC
    LP262646-5
    NCI Thesaurus Property-2
    C25275 (undefined)
    NCI Thesaurus ValueDomain
    C25164 (undefined)
    NCI Thesaurus ValueDomain-2
    C25431 (undefined)
    Institution/Affiliate
    Descrição

    Institution Name

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25454 (undefined)
    UMLS CUI-1
    C1301943 (Institution name)
    SNOMED
    398321007
    NCI Thesaurus ObjectClass-2
    C21541 (undefined)
    NCI Thesaurus Property
    C25364 (undefined)
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    NCI Thesaurus ValueDomain-2
    C21541 (undefined)
    NCI Investigator Number
    Descrição

    NationalCancerInstitutePrincipalInvestigatorIdentifierNumber

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS 2011AA ValueDomain
    C0237753 (Numbers)
    SNOMED
    260299005
    LOINC
    LP6841-3
    NCI Thesaurus Property
    C25364 (undefined)
    UMLS 2011AA Property
    C0600091 (Identifier)
    SNOMED
    118522005
    LOINC
    LP31795-5
    NCI Thesaurus ObjectClass
    C19202 (undefined)
    UMLS 2011AA ObjectClass
    C1513882 (National Cancer Institute)
    LOINC
    LA4524-0
    NCI Thesaurus ObjectClass-2
    C19924 (undefined)
    UMLS 2011AA ObjectClass-2
    C1521895 (Principal Investigator)
    SNOMED
    768818001
    Physician of Record
    Descrição

    PhysicianPerformingImagingSeriesName

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25674 (undefined)
    UMLS 2011AA ObjectClass
    C0205549 (Series)
    SNOMED
    13039001
    NCI Thesaurus ObjectClass-2
    C18843 (undefined)
    UMLS 2011AA ObjectClass-2
    C1704382 (Imaging Technology)
    NCI Thesaurus Property
    C25741 (undefined)
    UMLS 2011AA Property
    C0031831 (Physicians)
    SNOMED
    158965000
    LOINC
    LA18968-0
    NCI Thesaurus Property-2
    C38000 (undefined)
    UMLS 2011AA Property-2
    C0884358 (Performed)
    SNOMED
    398166005
    LOINC
    LA19974-7
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS 2011AA ValueDomain
    C1547383 (Person Name)
    SNOMED
    734006007
    NCI Institution Number
    Descrição

    NCIInstitutionIdentifierCode

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162 (undefined)
    UMLS 2011AA ValueDomain
    C0805701 (Code)
    NCI Thesaurus ObjectClass
    C21541 (undefined)
    UMLS 2011AA ObjectClass
    C0018704 (Health care facility)
    SNOMED
    257622000
    LOINC
    LA30302-6
    NCI Thesaurus Property
    C25364 (undefined)
    UMLS 2011AA Property
    C0600091 (Identifier)
    SNOMED
    118522005
    LOINC
    LP31795-5
    NCI Thesaurus ObjectClass-2
    C19202 (undefined)
    UMLS 2011AA ObjectClass-2
    C1513882 (National Cancer Institute)
    LOINC
    LA4524-0
    Contact Person at Institution
    Descrição

    InstitutionContactPersonName

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS 2011AA ValueDomain
    C1547383 (Person Name)
    SNOMED
    734006007
    NCI Thesaurus ObjectClass
    C21541 (undefined)
    UMLS 2011AA ObjectClass
    C0018704 (Health care facility)
    SNOMED
    257622000
    LOINC
    LA30302-6
    NCI Thesaurus Property
    C25364 (undefined)
    UMLS 2011AA Property
    C0600091 (Identifier)
    SNOMED
    118522005
    LOINC
    LP31795-5
    NCI Thesaurus ObjectClass-2
    C25461 (undefined)
    UMLS 2011AA ObjectClass-2
    C0337611 (contact person)
    SNOMED
    70862002
    Phone
    Descrição

    ContactPersonTelephoneNumber

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS 2011AA ValueDomain
    C0237753 (Numbers)
    SNOMED
    260299005
    LOINC
    LP6841-3
    NCI Thesaurus ObjectClass
    C25190 (undefined)
    UMLS 2011AA ObjectClass
    C0027361 (Persons)
    SNOMED
    125676002
    NCI Thesaurus Property
    C25395 (undefined)
    UMLS 2011AA Property
    C0039457 (Telephone)
    SNOMED
    359993007
    LOINC
    LA26664-5
    NCI Thesaurus ObjectClass-2
    C25461 (undefined)
    UMLS 2011AA ObjectClass-2
    C0337611 (contact person)
    SNOMED
    70862002
    Fax
    Descrição

    ContactPersonFaxNumber

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS 2011AA ValueDomain
    C0237753 (Numbers)
    SNOMED
    260299005
    LOINC
    LP6841-3
    NCI Thesaurus ObjectClass
    C25190 (undefined)
    UMLS 2011AA ObjectClass
    C0027361 (Persons)
    SNOMED
    125676002
    NCI Thesaurus ObjectClass-2
    C25461 (undefined)
    UMLS 2011AA ObjectClass-2
    C0337611 (contact person)
    SNOMED
    70862002
    NCI Thesaurus Property
    C25210 (undefined)
    UMLS 2011AA Property
    C0085205 (Telefacsimile)
    Patient Demographics/pre-treatment Characteristics
    Descrição

    Patient Demographics/pre-treatment Characteristics

    Patient Initials (Last, First Middle)
    Descrição

    Patient Initials

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS CUI-1
    C2986440 (Person Initials)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25536 (undefined)
    Patient's Date of Birth (MM DD YYYY)
    Descrição

    Patient Birth Date

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164 (undefined)
    UMLS CUI-1
    C0421451 (Patient date of birth)
    SNOMED
    184099003
    LOINC
    LP57552-9
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus ValueDomain-2
    C25367 (undefined)
    NCI Thesaurus Property
    C25155 (undefined)
    Patient Social Security Number
    Descrição

    PatientPersonSocialSecurityNumber

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS 2011AA ValueDomain
    C0237753 (Numbers)
    SNOMED
    260299005
    LOINC
    LP6841-3
    NCI Thesaurus ObjectClass
    C25190 (undefined)
    UMLS 2011AA ObjectClass
    C0027361 (Persons)
    SNOMED
    125676002
    NCI Thesaurus Property
    C25686 (undefined)
    UMLS 2011AA Property
    C1301821 (Social security number)
    SNOMED
    398093005
    Patient Hospital No.
    Descrição

    Medical Record Number

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C1301894 (Medical record number)
    SNOMED
    398225001
    LOINC
    MTHU047637
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25261 (undefined)
    NCI Thesaurus Property-2
    C25198 (undefined)
    Gender
    Descrição

    Gender

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25372 (undefined)
    UMLS CUI-1
    C0079399 (Gender)
    SNOMED
    263495000
    LOINC
    LP61312-2
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C17357 (undefined)
    Patient Demographics/pre-treatment Characteristics
    Descrição

    Patient Demographics/pre-treatment Characteristics

    Race (Mark all that apply)
    Descrição

    Racial Group

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25372 (undefined)
    UMLS CUI-1
    C0034510 (Racial group)
    SNOMED
    415229000
    LOINC
    LP7528-5
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C17049 (undefined)
    Ethnicity (Mark one)
    Descrição

    Ethnic Group

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25372 (undefined)
    UMLS CUI-1
    C0015031 (Ethnic group)
    SNOMED
    398089004
    LOINC
    LP36231-6
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C16564 (undefined)
    Patient Demographics/pre-treatment Characteristics2
    Descrição

    Patient Demographics/pre-treatment Characteristics2

    Patient Zip Code
    Descrição

    PatientAddressPostalCode

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162 (undefined)
    UMLS 2011AA ValueDomain
    C0805701 (Code)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    UMLS 2011AA ObjectClass
    C0030705 (Patients)
    SNOMED
    116154003
    NCI Thesaurus Property
    C25407 (undefined)
    UMLS 2011AA Property
    C1442065 (Address)
    SNOMED
    397635003
    LOINC
    LP96251-1
    Country of Residence (if not USA)
    Descrição

    Country of current residence

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    UMLS CUI-1
    C3258975 (Country of current residence:Find:Pt:^Patient:Nom)
    LOINC
    66477-1
    NCI Thesaurus ValueDomain
    C25464 (undefined)
    NCI Thesaurus Property
    C25407 (undefined)
    NCI Thesaurus ValueDomain-2
    C42614 (undefined)
    Patient Demographics/pre-treatment Characteristics2
    Descrição

    Patient Demographics/pre-treatment Characteristics2

    Performance Status (ECOG/Zubrod scale)
    Descrição

    ECOG Performance Status

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25664 (undefined)
    UMLS CUI-1
    C1520224 (ECOG performance status)
    SNOMED
    423740007
    NCI Thesaurus Property
    C25367 (undefined)
    NCI Thesaurus ValueDomain-2
    C25491 (undefined)
    NCI Thesaurus ObjectClass
    C20641 (undefined)
    Height (cm)
    Descrição

    Patient Height

    Tipo de dados

    float

    Unidades de medida
    • cm
    Alias
    NCI Thesaurus ValueDomain
    C25209 (undefined)
    UMLS CUI-1
    C0489786 (Height)
    LOINC
    LP72681-7
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25347 (undefined)
    cm
    Weight (kg)
    Descrição

    Patient Weight

    Tipo de dados

    float

    Unidades de medida
    • Kg
    Alias
    NCI Thesaurus ValueDomain
    C25209 (undefined)
    UMLS CUI-1
    C0005910 (Body Weight)
    SNOMED
    27113001
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25208 (undefined)
    Kg
    Disease name
    Descrição

    PatientDiseaseName

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS 2011AA ValueDomain
    C1547383 (Person Name)
    SNOMED
    734006007
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    UMLS 2011AA ObjectClass
    C0030705 (Patients)
    SNOMED
    116154003
    NCI Thesaurus Property
    C2991 (undefined)
    UMLS 2011AA Property
    C0012634 (Disease)
    SNOMED
    64572001
    LOINC
    LP21006-9
    Stage
    Descrição

    BreastTumorStageGroupingStage

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C3262 (undefined)
    UMLS 2011AA ObjectClass
    C0027651 (Neoplasms)
    SNOMED
    108369006
    NCI Thesaurus ObjectClass-2
    C12971 (undefined)
    UMLS 2011AA ObjectClass-2
    C0006141 (Breast)
    SNOMED
    76752008
    LOINC
    LP29849-4
    NCI Thesaurus ValueDomain
    C16899 (undefined)
    UMLS 2011AA ValueDomain
    C1300072 (Tumor stage)
    SNOMED
    371508000
    NCI Thesaurus Property
    C38027 (undefined)
    UMLS 2011AA Property
    C1519504 (Stage Grouping)
    Pathologic type
    Descrição

    DiseasesandDisordersPathologyDescriptionText

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704 (undefined)
    UMLS 2011AA ValueDomain
    C1527021 (Text)
    LOINC
    LP6885-0
    NCI Thesaurus ObjectClass
    C2991 (undefined)
    UMLS 2011AA ObjectClass
    C0012634 (Disease)
    SNOMED
    64572001
    LOINC
    LP21006-9
    NCI Thesaurus Property
    C18189 (undefined)
    UMLS 2011AA Property
    C0030664 (Pathology)
    SNOMED
    394595002
    NCI Thesaurus Property-2
    C25365 (undefined)
    UMLS 2011AA Property-2
    C0678257 (Description)
    LOINC
    LP6800-9
    Certification Of Eligibility And Protocol Design
    Descrição

    Certification Of Eligibility And Protocol Design

    In the opinion of the investigator, is the patient eligible
    Descrição

    Eligibility for trial

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148 (undefined)
    UMLS CUI-1
    C1302261 (Patient eligible for clinical trial)
    SNOMED
    399223003
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25171 (undefined)
    Certification Of Eligibility And Protocol Design
    Descrição

    Certification Of Eligibility And Protocol Design

    Prior Taxane as Adjuvant therapy or Neoadjuvant therapy
    Descrição

    PriorChemotherapyTaxaneCompoundAdministeredInd-2

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C15632 (undefined)
    UMLS 2011AA ObjectClass
    C0392920 (Chemotherapy Regimen)
    SNOMED
    716872004
    NCI Thesaurus ObjectClass-2
    C25629 (undefined)
    UMLS 2011AA ObjectClass-2
    C0332152 (Before)
    SNOMED
    236874000
    NCI Thesaurus Property
    C25382 (undefined)
    UMLS 2011AA Property
    C1521801 (Having administered)
    NCI Thesaurus Property-2
    C1490 (undefined)
    UMLS 2011AA Property-2
    C0796419 (Taxanes)
    NCI Thesaurus ValueDomain
    C38147 (undefined)
    UMLS 2011AA ValueDomain
    C1512698 (Yes or No Response)
    Receptor Status (ER/PgR status)
    Descrição

    BreastHormoneReceptorTumorMarkerFinalDiagnosisResultType

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C12971 (undefined)
    UMLS 2011AA ObjectClass
    C0006141 (Breast)
    SNOMED
    76752008
    LOINC
    LP29849-4
    NCI Thesaurus ObjectClass-2
    C17220 (undefined)
    UMLS 2011AA ObjectClass-2
    C0041365 (Tumor Markers)
    NCI Thesaurus ObjectClass-3
    C28154 (undefined)
    UMLS 2011AA ObjectClass-3
    C0019929 (Hormone Receptor)
    NCI Thesaurus Property
    C20200 (undefined)
    UMLS 2011AA Property
    C1274040 (Result)
    SNOMED
    394617004
    NCI Thesaurus Property-2
    C15220 (undefined)
    UMLS 2011AA Property-2
    C0011900 (Diagnosis)
    SNOMED
    439401001
    LOINC
    LP30831-9
    NCI Thesaurus Property-3
    C25508 (undefined)
    UMLS 2011AA Property-3
    C0205088 (End-stage)
    SNOMED
    42796001
    NCI Thesaurus ValueDomain
    C25284 (undefined)
    UMLS 2011AA ValueDomain
    C0332307 (Type - attribute)
    SNOMED
    261664005
    Physician's decision to use bevacizumab
    Descrição

    ClinicalStudyProtocolPhysicianPrescriptionBevacizumabStratificationInd-2

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25320 (undefined)
    UMLS 2011AA ObjectClass
    C1507394 (Clinical trial protocol document)
    LOINC
    LP33258-2
    NCI Thesaurus Property
    C25741 (undefined)
    UMLS 2011AA Property
    C0031831 (Physicians)
    SNOMED
    158965000
    LOINC
    LA18968-0
    NCI Thesaurus Property-2
    C2039 (undefined)
    UMLS 2011AA Property-2
    C0796392 (bevacizumab)
    SNOMED
    409405006
    NCI Thesaurus Property-3
    C28180 (undefined)
    UMLS 2011AA Property-3
    C1521941 (prescription document)
    LOINC
    LP100620-6
    NCI Thesaurus Property-4
    C25689 (undefined)
    UMLS 2011AA Property-4
    C1514983 (Stratification)
    NCI Thesaurus ValueDomain
    C38147 (undefined)
    UMLS 2011AA ValueDomain
    C1512698 (Yes or No Response)
    Assigned Treatment Arm
    Descrição

    Protocol Treatment Arm

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C15368 (undefined)
    NCI Thesaurus ObjectClass-2
    C42651 (undefined)
    UMLS CUI-1
    C1522541 (Protocol Treatment Arm)
    NCI Thesaurus Property
    C32141 (undefined)
    NCI Thesaurus Property-2
    C25426 (undefined)
    NCI Thesaurus ValueDomain
    C25284 (undefined)
    Companion Study Calgb - 150714
    Descrição

    Companion Study Calgb - 150714

    Patient's Initial Consent given for specimen use for research on the patient's cancer (150714 If a patient answers "yes" to "My specimens may be used for the research described above." question #1 in the model consent, they have consented to participate in the substudy described in Appendix I. The patient should be registered to CALGB - 150714)
    Descrição

    TissueSpecimenMalignantNeoplasmRelatedResearchConsentInd-3

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12801 (undefined)
    UMLS 2011AA ObjectClass
    C0040300 (Body tissue)
    SNOMED
    85756007
    LOINC
    LP7641-6
    NCI Thesaurus ObjectClass-2
    C19157 (undefined)
    UMLS 2011AA ObjectClass-2
    C0370003 (Specimen)
    SNOMED
    123038009
    LOINC
    LP7593-9
    NCI Thesaurus Property
    C15319 (undefined)
    NCI Thesaurus Property-2
    C25648 (undefined)
    UMLS 2011AA Property
    C0439849 (Relationships)
    SNOMED
    263498003
    LOINC
    LP146886-9
    NCI Thesaurus Property-3
    C9305 (undefined)
    UMLS 2011AA Property-2
    C0006826 (Malignant Neoplasms)
    SNOMED
    363346000
    LOINC
    LP100805-3
    NCI Thesaurus Property-4
    C25460 (undefined)
    UMLS 2011AA Property-3
    C1511481 (Consent)
    LOINC
    LP100037-3
    NCI Thesaurus ValueDomain
    C38148 (undefined)
    UMLS 2011AA ValueDomain
    C1512699 (Yes, No, or Unknown Response)
    In the opinion of the investigator, is the patient eligible
    Descrição

    Eligibility for trial

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148 (undefined)
    UMLS CUI-1
    C1302261 (Patient eligible for clinical trial)
    SNOMED
    399223003
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25171 (undefined)
    Initial Patient Consent For Specimen Use
    Descrição

    Initial Patient Consent For Specimen Use

    Patient's initial consent given for blood specimen use for genetic research on patient's cancer?
    Descrição

    BloodSpecimenRelatedGeneticResearchConsentInd-2

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12434 (undefined)
    UMLS 2011AA ObjectClass
    C0229664 (peripheral blood)
    SNOMED
    119273009
    NCI Thesaurus ObjectClass-2
    C19157 (undefined)
    UMLS 2011AA ObjectClass-2
    C0370003 (Specimen)
    SNOMED
    123038009
    LOINC
    LP7593-9
    NCI Thesaurus Property
    C15319 (undefined)
    NCI Thesaurus Property-2
    C25648 (undefined)
    UMLS 2011AA Property
    C0439849 (Relationships)
    SNOMED
    263498003
    LOINC
    LP146886-9
    NCI Thesaurus Property-3
    C17938 (undefined)
    UMLS 2011AA Property-2
    C0314603 (Genetic)
    LOINC
    LP247965-9
    NCI Thesaurus Property-4
    C25460 (undefined)
    UMLS 2011AA Property-3
    C1511481 (Consent)
    LOINC
    LP100037-3
    NCI Thesaurus ValueDomain
    C38147 (undefined)
    UMLS 2011AA ValueDomain
    C1512698 (Yes or No Response)
    In the opinion of the investigator, is the patient eligible
    Descrição

    Eligibility for trial

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148 (undefined)
    UMLS CUI-1
    C1302261 (Patient eligible for clinical trial)
    SNOMED
    399223003
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25171 (undefined)
    Patient's Initial Consent given for specimen kept for future use in research to learn about, prevent, or treat cancer (model consent question #3)
    Descrição

    PersonSpecimenMalignantNeoplasmResearchConsentInd-2

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25190 (undefined)
    UMLS 2011AA ObjectClass
    C0027361 (Persons)
    SNOMED
    125676002
    NCI Thesaurus Property
    C15319 (undefined)
    NCI Thesaurus Property-2
    C9305 (undefined)
    UMLS 2011AA Property
    C0006826 (Malignant Neoplasms)
    SNOMED
    363346000
    LOINC
    LP100805-3
    NCI Thesaurus Property-3
    C19157 (undefined)
    UMLS 2011AA Property-2
    C0370003 (Specimen)
    SNOMED
    123038009
    LOINC
    LP7593-9
    NCI Thesaurus Property-4
    C25460 (undefined)
    UMLS 2011AA Property-3
    C1511481 (Consent)
    LOINC
    LP100037-3
    NCI Thesaurus ValueDomain
    C38147 (undefined)
    UMLS 2011AA ValueDomain
    C1512698 (Yes or No Response)
    Patient's Initial Consent given for specimen use for research unrelated to the patient's cancer? (model consent question #4)
    Descrição

    BloodTissueSpecimenOtherDiseasesandDisordersResearchConsentInd-3

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12801 (undefined)
    UMLS 2011AA ObjectClass
    C0040300 (Body tissue)
    SNOMED
    85756007
    LOINC
    LP7641-6
    NCI Thesaurus ObjectClass-2
    C12434 (undefined)
    UMLS 2011AA ObjectClass-2
    C0229664 (peripheral blood)
    SNOMED
    119273009
    NCI Thesaurus ObjectClass-3
    C19157 (undefined)
    UMLS 2011AA ObjectClass-3
    C0370003 (Specimen)
    SNOMED
    123038009
    LOINC
    LP7593-9
    NCI Thesaurus Property
    C17649 (undefined)
    UMLS 2011AA Property
    C0205394 (Other)
    SNOMED
    74964007
    LOINC
    LP21049-9
    NCI Thesaurus Property-2
    C15319 (undefined)
    NCI Thesaurus Property-3
    C2991 (undefined)
    UMLS 2011AA Property-2
    C0012634 (Disease)
    SNOMED
    64572001
    LOINC
    LP21006-9
    NCI Thesaurus Property-4
    C25460 (undefined)
    UMLS 2011AA Property-3
    C1511481 (Consent)
    LOINC
    LP100037-3
    NCI Thesaurus ValueDomain
    C38148 (undefined)
    UMLS 2011AA ValueDomain
    C1512699 (Yes, No, or Unknown Response)
    Patient's initial consent given for further contact regarding specimen?
    Descrição

    Permission to contact Patient

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    UMLS CUI-1
    C1522577 (follow-up)
    NCI Thesaurus Property
    C67527 (undefined)
    UMLS CUI-2
    C0521104 (permission)
    SNOMED
    75554001
    NCI Thesaurus Property-2
    C25460 (undefined)
    NCI Thesaurus Property-3
    C16452 (undefined)
    NCI Thesaurus ValueDomain
    C38148 (undefined)
    Companion Study Calgb - 70501
    Descrição

    Companion Study Calgb - 70501

    Did the patient consent to participate in 70501
    Descrição

    PersonAncillaryStudyRegistrationInd-2

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147 (undefined)
    UMLS 2011AA ValueDomain
    C1512698 (Yes or No Response)
    NCI Thesaurus ObjectClass
    C25190 (undefined)
    UMLS 2011AA ObjectClass
    C0027361 (Persons)
    SNOMED
    125676002
    NCI Thesaurus Property
    C25646 (undefined)
    UMLS 2011AA Property
    C1514821 (Registration)
    NCI Thesaurus Property-2
    C16041 (undefined)
    UMLS 2011AA Property-2
    C1515980 (Ancillary Study)
    In the opinion of the investigator, is the patient eligible
    Descrição

    Eligibility for trial

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148 (undefined)
    UMLS CUI-1
    C1302261 (Patient eligible for clinical trial)
    SNOMED
    399223003
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25171 (undefined)
    Registration Information
    Descrição

    Registration Information

    CALGB Patient ID (Assigned)
    Descrição

    Trial subject ID CALGB

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C2348585 (Clinical Trial Subject Unique Identifier)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    UMLS CUI-2
    C1516238 (Cancer and Leukemia Group B)
    LOINC
    LA4261-9
    NCI Thesaurus Property
    C25364 (undefined)
    NCI Thesaurus Property-2
    C25442 (undefined)
    Registration Date
    Descrição

    PatientRegistrationDate

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164 (undefined)
    UMLS 2011AA ValueDomain
    C0011008 (Date in time)
    SNOMED
    410671006
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    UMLS 2011AA ObjectClass
    C0030705 (Patients)
    SNOMED
    116154003
    NCI Thesaurus ValueDomain-2
    C25367 (undefined)
    NCI Thesaurus Property
    C25646 (undefined)
    UMLS 2011AA Property
    C1514821 (Registration)
    Participating Group Patient ID (Assigned)
    Descrição

    Trial subject ID Participating Group

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C2348585 (Clinical Trial Subject Unique Identifier)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    UMLS CUI-2
    C2347449 (Participating Clinical Study Organization)
    NCI Thesaurus Property
    C25608 (undefined)
    NCI Thesaurus Property-2
    C25364 (undefined)
    Registrar's Signature
    Descrição

    RegisteringPersonIdentifierSignatureName

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25190 (undefined)
    UMLS 2011AA ObjectClass
    C0027361 (Persons)
    SNOMED
    125676002
    NCI Thesaurus ObjectClass-2
    C25645 (undefined)
    NCI Thesaurus Property
    C25364 (undefined)
    UMLS 2011AA Property
    C0600091 (Identifier)
    SNOMED
    118522005
    LOINC
    LP31795-5
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS 2011AA ValueDomain
    C1547383 (Person Name)
    SNOMED
    734006007
    NCI Thesaurus ValueDomain-2
    C25678 (undefined)
    UMLS 2011AA ValueDomain-2
    C1519316 (Signature)
    LOINC
    LP248948-4

    Similar models

    Endocrine Therapy in Combination with Anti-VEGF Therapy: A Randomized, Double-Blind, Placebo-Controlled Phase III Trial of Endocrine Therapy Alone or Endocrine Therapy plus for Women with Hormone Receptor-Positive Advanced Breast Cancer

    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de dados
    Alias
    Item Group
    Protocol Administration
    IRB Approval Date
    Item
    IRB Approval Date
    date
    C25320 (NCI Thesaurus ObjectClass)
    C2346500 (UMLS CUI-1)
    C16741 (NCI Thesaurus Property)
    C25425 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    InformedConsentFormSignedDate
    Item
    Date Informed Consent Signed (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    C16468 (NCI Thesaurus ObjectClass)
    C0009797 (UMLS 2011AA ObjectClass)
    C25679 (NCI Thesaurus Property)
    PatientSignedDischargeMedicalRecordDate
    Item
    HIPAA Authorization Date (MM DD YYYY)
    date
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25679 (NCI Thesaurus Property)
    C0012621 (NCI Metathesaurus Property)
    C45258 (NCI Thesaurus Property-2)
    C0025102 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    Treatment Begin Date
    Item
    Projected Start Date of Treatment (MM DD YYYY)
    date
    C15368 (NCI Thesaurus ObjectClass)
    C25631 (NCI Thesaurus ObjectClass-2)
    C25431 (NCI Thesaurus Property)
    C3173309 (UMLS CUI-1)
    C25275 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25431 (NCI Thesaurus ValueDomain-2)
    Institution Name
    Item
    Institution/Affiliate
    text
    C25454 (NCI Thesaurus ObjectClass)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C25191 (NCI Thesaurus ValueDomain)
    C21541 (NCI Thesaurus ValueDomain-2)
    NationalCancerInstitutePrincipalInvestigatorIdentifierNumber
    Item
    NCI Investigator Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C19202 (NCI Thesaurus ObjectClass)
    C1513882 (UMLS 2011AA ObjectClass)
    C19924 (NCI Thesaurus ObjectClass-2)
    C1521895 (UMLS 2011AA ObjectClass-2)
    PhysicianPerformingImagingSeriesName
    Item
    Physician of Record
    text
    C25674 (NCI Thesaurus ObjectClass)
    C0205549 (UMLS 2011AA ObjectClass)
    C18843 (NCI Thesaurus ObjectClass-2)
    C1704382 (UMLS 2011AA ObjectClass-2)
    C25741 (NCI Thesaurus Property)
    C0031831 (UMLS 2011AA Property)
    C38000 (NCI Thesaurus Property-2)
    C0884358 (UMLS 2011AA Property-2)
    C25191 (NCI Thesaurus ValueDomain)
    C1547383 (UMLS 2011AA ValueDomain)
    NCIInstitutionIdentifierCode
    Item
    NCI Institution Number
    text
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C21541 (NCI Thesaurus ObjectClass)
    C0018704 (UMLS 2011AA ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C19202 (NCI Thesaurus ObjectClass-2)
    C1513882 (UMLS 2011AA ObjectClass-2)
    InstitutionContactPersonName
    Item
    Contact Person at Institution
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1547383 (UMLS 2011AA ValueDomain)
    C21541 (NCI Thesaurus ObjectClass)
    C0018704 (UMLS 2011AA ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25461 (NCI Thesaurus ObjectClass-2)
    C0337611 (UMLS 2011AA ObjectClass-2)
    ContactPersonTelephoneNumber
    Item
    Phone
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C25395 (NCI Thesaurus Property)
    C0039457 (UMLS 2011AA Property)
    C25461 (NCI Thesaurus ObjectClass-2)
    C0337611 (UMLS 2011AA ObjectClass-2)
    ContactPersonFaxNumber
    Item
    Fax
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C25461 (NCI Thesaurus ObjectClass-2)
    C0337611 (UMLS 2011AA ObjectClass-2)
    C25210 (NCI Thesaurus Property)
    C0085205 (UMLS 2011AA Property)
    Item Group
    Patient Demographics/pre-treatment Characteristics
    Patient Initials
    Item
    Patient Initials (Last, First Middle)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Patient Birth Date
    Item
    Patient's Date of Birth (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0421451 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25367 (NCI Thesaurus ValueDomain-2)
    C25155 (NCI Thesaurus Property)
    PatientPersonSocialSecurityNumber
    Item
    Patient Social Security Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C25686 (NCI Thesaurus Property)
    C1301821 (UMLS 2011AA Property)
    Medical Record Number
    Item
    Patient Hospital No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1301894 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25261 (NCI Thesaurus Property)
    C25198 (NCI Thesaurus Property-2)
    Item
    Gender
    text
    C25372 (NCI Thesaurus ValueDomain)
    C0079399 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C17357 (NCI Thesaurus Property)
    Code List
    Gender
    CL Item
    Female (FEMALE)
    C46110 (NCI Thesaurus)
    C0086287 (UMLS 2011AA)
    CL Item
    Male (MALE)
    C46109 (NCI Thesaurus)
    C1706180 (UMLS 2011AA)
    Item Group
    Patient Demographics/pre-treatment Characteristics
    Item
    Race (Mark all that apply)
    text
    C25372 (NCI Thesaurus ValueDomain)
    C0034510 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C17049 (NCI Thesaurus Property)
    Code List
    Race (Mark all that apply)
    CL Item
    A Person Having Origins In Any Of The Original Peoples Of North And South America (including Central America), And Who Maintains Tribal Affiliation Or Community Attachment. (American Indian or Alaska Native)
    C41259 (NCI Thesaurus)
    C1515945 (UMLS 2011AA)
    CL Item
    A Person Having Origins In Any Of The Original Peoples Of The Far East, Southeast Asia, Or The Indian Subcontinent Including, For Example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, The Philippine Islands, Thailand, And Vietnam. (Asian)
    C41260 (NCI Thesaurus)
    C0078988 (UMLS 2011AA)
    CL Item
    A Person Having Origins In Any Of The Black Racial Groups Of Africa. Terms Such As "haitian" Or "negro" Can Be Used In Addition To "black Or African American." (Black or African American)
    C16352 (NCI Thesaurus)
    C0085756 (UMLS 2011AA)
    CL Item
    A Person Having Origins In Any Of The Original Peoples Of Hawaii, Guam, Samoa, Or Other Pacific Islands. (Native Hawaiian or other Pacific Islander)
    C41219 (NCI Thesaurus)
    C1513907 (UMLS 2011AA)
    CL Item
    Could Not Be Determined Or Unsure (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    A Person Having Origins In Any Of The Original Peoples Of Europe, The Middle East, Or North Africa. (White)
    C41261 (NCI Thesaurus)
    C0007457 (UMLS 2011AA)
    Item
    Ethnicity (Mark one)
    text
    C25372 (NCI Thesaurus ValueDomain)
    C0015031 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C16564 (NCI Thesaurus Property)
    Code List
    Ethnicity (Mark one)
    CL Item
    A Person Of Mexican, Puerto Rican, Cuban, Central Or South American Or Other Spanish Culture Or Origin, Regardless Of Race. (Hispanic or Latino)
    C17459 (NCI Thesaurus)
    C0086409 (UMLS 2011AA)
    CL Item
    A Person Not Meeting The Definition For Hispanic Or Latino. (Not Hispanic or Latino)
    C41222 (NCI Thesaurus)
    C1518424 (UMLS 2011AA)
    CL Item
    Could Not Be Determined Or Unsure (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item Group
    Patient Demographics/pre-treatment Characteristics2
    PatientAddressPostalCode
    Item
    Patient Zip Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25407 (NCI Thesaurus Property)
    C1442065 (UMLS 2011AA Property)
    Country of current residence
    Item
    Country of Residence (if not USA)
    text
    C16960 (NCI Thesaurus ObjectClass)
    C3258975 (UMLS CUI-1)
    C25464 (NCI Thesaurus ValueDomain)
    C25407 (NCI Thesaurus Property)
    C42614 (NCI Thesaurus ValueDomain-2)
    Item Group
    Patient Demographics/pre-treatment Characteristics2
    Item
    Performance Status (ECOG/Zubrod scale)
    text
    C25664 (NCI Thesaurus ValueDomain)
    C1520224 (UMLS CUI-1)
    C25367 (NCI Thesaurus Property)
    C25491 (NCI Thesaurus ValueDomain-2)
    C20641 (NCI Thesaurus ObjectClass)
    Code List
    Performance Status (ECOG/Zubrod scale)
    CL Item
    Fully Active, Able To Carry On All Pre-disease Performance Without Restriction. (0)
    CL Item
    Restricted In Physically Strenuous Activity But Ambulatory And Able To Carry Out Work Of A Light Or Sedentary Nature, E.g., Light Housework, Office Work. (1)
    Patient Height
    Item
    Height (cm)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0489786 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25347 (NCI Thesaurus Property)
    Patient Weight
    Item
    Weight (kg)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0005910 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25208 (NCI Thesaurus Property)
    Item
    Disease name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1547383 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus Property)
    C0012634 (UMLS 2011AA Property)
    Code List
    Disease name
    CL Item
    Breast Neoplasm Nos (Breast Neoplasm NOS)
    Item
    Stage
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C12971 (NCI Thesaurus ObjectClass-2)
    C0006141 (UMLS 2011AA ObjectClass-2)
    C16899 (NCI Thesaurus ValueDomain)
    C1300072 (UMLS 2011AA ValueDomain)
    C38027 (NCI Thesaurus Property)
    C1519504 (UMLS 2011AA Property)
    Code List
    Stage
    CL Item
    Any T, N3, M0 (IIIC)
    CL Item
    Any T, Any N, M1 (IV)
    DiseasesandDisordersPathologyDescriptionText
    Item
    Pathologic type
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C18189 (NCI Thesaurus Property)
    C0030664 (UMLS 2011AA Property)
    C25365 (NCI Thesaurus Property-2)
    C0678257 (UMLS 2011AA Property-2)
    Item Group
    Certification Of Eligibility And Protocol Design
    Eligibility for trial
    Item
    In the opinion of the investigator, is the patient eligible
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1302261 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25171 (NCI Thesaurus Property)
    Item Group
    Certification Of Eligibility And Protocol Design
    PriorChemotherapyTaxaneCompoundAdministeredInd-2
    Item
    Prior Taxane as Adjuvant therapy or Neoadjuvant therapy
    boolean
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    C1490 (NCI Thesaurus Property-2)
    C0796419 (UMLS 2011AA Property-2)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Item
    Receptor Status (ER/PgR status)
    text
    C12971 (NCI Thesaurus ObjectClass)
    C0006141 (UMLS 2011AA ObjectClass)
    C17220 (NCI Thesaurus ObjectClass-2)
    C0041365 (UMLS 2011AA ObjectClass-2)
    C28154 (NCI Thesaurus ObjectClass-3)
    C0019929 (UMLS 2011AA ObjectClass-3)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C15220 (NCI Thesaurus Property-2)
    C0011900 (UMLS 2011AA Property-2)
    C25508 (NCI Thesaurus Property-3)
    C0205088 (UMLS 2011AA Property-3)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    Code List
    Receptor Status (ER/PgR status)
    CL Item
    Er Or Pgr Positive (ER or PgR positive)
    CL Item
    Er And Pgr Negative (ER and PgR negative)
    ClinicalStudyProtocolPhysicianPrescriptionBevacizumabStratificationInd-2
    Item
    Physician's decision to use bevacizumab
    boolean
    C25320 (NCI Thesaurus ObjectClass)
    C1507394 (UMLS 2011AA ObjectClass)
    C25741 (NCI Thesaurus Property)
    C0031831 (UMLS 2011AA Property)
    C2039 (NCI Thesaurus Property-2)
    C0796392 (UMLS 2011AA Property-2)
    C28180 (NCI Thesaurus Property-3)
    C1521941 (UMLS 2011AA Property-3)
    C25689 (NCI Thesaurus Property-4)
    C1514983 (UMLS 2011AA Property-4)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Item
    Assigned Treatment Arm
    text
    C15368 (NCI Thesaurus ObjectClass)
    C42651 (NCI Thesaurus ObjectClass-2)
    C1522541 (UMLS CUI-1)
    C32141 (NCI Thesaurus Property)
    C25426 (NCI Thesaurus Property-2)
    C25284 (NCI Thesaurus ValueDomain)
    Code List
    Assigned Treatment Arm
    CL Item
    Arm A = Paclitaxel +/- Bevacizumab (Arm A = Paclitaxel +/- Bevacizumab)
    CL Item
    Arm B = Nab-paclitaxel +/- Bevacizumab (Arm B = Nab-Paclitaxel +/- Bevacizumab)
    TissueSpecimenMalignantNeoplasmRelatedResearchConsentInd-3
    Item
    Patient's Initial Consent given for specimen use for research on the patient's cancer (150714 If a patient answers "yes" to "My specimens may be used for the research described above." question #1 in the model consent, they have consented to participate in the substudy described in Appendix I. The patient should be registered to CALGB - 150714)
    boolean
    C12801 (NCI Thesaurus ObjectClass)
    C0040300 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    C15319 (NCI Thesaurus Property)
    C25648 (NCI Thesaurus Property-2)
    C0439849 (UMLS 2011AA Property)
    C9305 (NCI Thesaurus Property-3)
    C0006826 (UMLS 2011AA Property-2)
    C25460 (NCI Thesaurus Property-4)
    C1511481 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    Eligibility for trial
    Item
    In the opinion of the investigator, is the patient eligible
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1302261 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25171 (NCI Thesaurus Property)
    BloodSpecimenRelatedGeneticResearchConsentInd-2
    Item
    Patient's initial consent given for blood specimen use for genetic research on patient's cancer?
    boolean
    C12434 (NCI Thesaurus ObjectClass)
    C0229664 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    C15319 (NCI Thesaurus Property)
    C25648 (NCI Thesaurus Property-2)
    C0439849 (UMLS 2011AA Property)
    C17938 (NCI Thesaurus Property-3)
    C0314603 (UMLS 2011AA Property-2)
    C25460 (NCI Thesaurus Property-4)
    C1511481 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Eligibility for trial
    Item
    In the opinion of the investigator, is the patient eligible
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1302261 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25171 (NCI Thesaurus Property)
    PersonSpecimenMalignantNeoplasmResearchConsentInd-2
    Item
    Patient's Initial Consent given for specimen kept for future use in research to learn about, prevent, or treat cancer (model consent question #3)
    boolean
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C15319 (NCI Thesaurus Property)
    C9305 (NCI Thesaurus Property-2)
    C0006826 (UMLS 2011AA Property)
    C19157 (NCI Thesaurus Property-3)
    C0370003 (UMLS 2011AA Property-2)
    C25460 (NCI Thesaurus Property-4)
    C1511481 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    BloodTissueSpecimenOtherDiseasesandDisordersResearchConsentInd-3
    Item
    Patient's Initial Consent given for specimen use for research unrelated to the patient's cancer? (model consent question #4)
    boolean
    C12801 (NCI Thesaurus ObjectClass)
    C0040300 (UMLS 2011AA ObjectClass)
    C12434 (NCI Thesaurus ObjectClass-2)
    C0229664 (UMLS 2011AA ObjectClass-2)
    C19157 (NCI Thesaurus ObjectClass-3)
    C0370003 (UMLS 2011AA ObjectClass-3)
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C15319 (NCI Thesaurus Property-2)
    C2991 (NCI Thesaurus Property-3)
    C0012634 (UMLS 2011AA Property-2)
    C25460 (NCI Thesaurus Property-4)
    C1511481 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    Permission to contact Patient
    Item
    Patient's initial consent given for further contact regarding specimen?
    boolean
    C16960 (NCI Thesaurus ObjectClass)
    C1522577 (UMLS CUI-1)
    C67527 (NCI Thesaurus Property)
    C0521104 (UMLS CUI-2)
    C25460 (NCI Thesaurus Property-2)
    C16452 (NCI Thesaurus Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    PersonAncillaryStudyRegistrationInd-2
    Item
    Did the patient consent to participate in 70501
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C25646 (NCI Thesaurus Property)
    C1514821 (UMLS 2011AA Property)
    C16041 (NCI Thesaurus Property-2)
    C1515980 (UMLS 2011AA Property-2)
    Eligibility for trial
    Item
    In the opinion of the investigator, is the patient eligible
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1302261 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25171 (NCI Thesaurus Property)
    Item Group
    Registration Information
    Trial subject ID CALGB
    Item
    CALGB Patient ID (Assigned)
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C1516238 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25442 (NCI Thesaurus Property-2)
    PatientRegistrationDate
    Item
    Registration Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus ValueDomain-2)
    C25646 (NCI Thesaurus Property)
    C1514821 (UMLS 2011AA Property)
    Trial subject ID Participating Group
    Item
    Participating Group Patient ID (Assigned)
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    RegisteringPersonIdentifierSignatureName
    Item
    Registrar's Signature
    text
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C25645 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25191 (NCI Thesaurus ValueDomain)
    C1547383 (UMLS 2011AA ValueDomain)
    C25678 (NCI Thesaurus ValueDomain-2)
    C1519316 (UMLS 2011AA ValueDomain-2)

    Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

    Watch Tutorial