ID
43144
Beschrijving
TX5 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF1AAC43-4B80-4030-E034-0003BA3F9857
Link
Trefwoorden
Versies (4)
- 19-09-12 19-09-12 -
- 07-08-14 07-08-14 - Martin Dugas
- 02-06-15 02-06-15 -
- 20-09-21 20-09-21 -
Geüploaded op
20 september 2021
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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TX5
No Instruction available.
- StudyEvent: TX5
Beschrijving
Record The Highest Grade Of Toxicity Diagnosed Since The Previous Evaluation. If This Is The First Evaluation, Record The Highest Toxicity Diagnosed Since Day 0. The Toxicity Grades Are Based On The Nci Ctcae Version 3.0.
Beschrijving
Allergy/immunologic Toxicity
Beschrijving
CTCAdverseEventHypersensitivityDescriptionGrade
Datatype
double
Alias
- NCI Thesaurus Property
- C3114
- UMLS 2011AA Property
- C0020517
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Beschrijving
CTCAdverseEventAutoimmuneReactionGrade
Datatype
double
Alias
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
- NCI Metathesaurus Property
- CL141183
Beschrijving
Gi Toxicity
Beschrijving
CommonToxicityCriteriaAdverseEventGastrointestinalStomatitisGrade
Datatype
double
Alias
- NCI Thesaurus Property
- C13359
- UMLS 2011AA Property
- C0521362
- NCI Thesaurus Property
- C26887
- UMLS 2011AA Property
- C0038362
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
Beschrijving
Renal Toxicity
Beschrijving
CommonToxicityCriteriaAdverseEventGenitourinaryHemorrhageGrade
Datatype
double
Alias
- NCI Thesaurus Property
- C26791
- UMLS 2011AA Property
- C0019080
- NCI Thesaurus Property
- C25350
- UMLS 2011AA Property
- C0042066
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
Beschrijving
Didthepatientexperiencerenalfailuresevereenoughtowarrantdialysis
Datatype
text
Beschrijving
Didthepatientreceivedialysis
Datatype
text
Beschrijving
Hemorrhagic Toxicity
Beschrijving
CommonToxicityCriteriaAdverseEventGastrointestinalHemorrhageGrade
Datatype
double
Alias
- NCI Thesaurus Property
- C13359
- UMLS 2011AA Property
- C0521362
- NCI Thesaurus Property
- C26791
- UMLS 2011AA Property
- C0019080
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
Beschrijving
Cardiovascular Toxicity
Beschrijving
CommonToxicityCriteriaAdverseEventHypotensionGrade
Datatype
double
Alias
- NCI Thesaurus Property
- C3128
- UMLS 2011AA Property
- C0020649
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
Beschrijving
CommonToxicityCriteriaAdverseEventOtherArrhythmiaGrade
Datatype
double
Alias
- NCI Thesaurus Property
- C17649
- UMLS 2011AA Property
- C0205394
- NCI Thesaurus Property
- C2881
- UMLS 2011AA Property
- C0003811
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
Beschrijving
CommonToxicityCriteriaAdverseEventLeftVentricularSystolicDysfunctionGrade
Datatype
double
Alias
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
- NCI Metathesaurus Property
- CL286022
Beschrijving
Neurologic Toxicity
Beschrijving
CommonToxicityCriteriaAdverseEventSomnolenceGrade
Datatype
double
Alias
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
- NCI Thesaurus Property
- C26754
- UMLS 2011AA Property
- C2830004
Beschrijving
CommonToxicityCriteriaAdverseEventSeizureGrade
Datatype
double
Alias
- NCI Thesaurus Property
- C2962
- UMLS 2011AA Property
- C0036572
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
Beschrijving
Didthepatientexperienceanyseizuresduringthisassessmentperiod
Datatype
text
Beschrijving
Coagulation Toxicity
Beschrijving
Vascular Toxicity
Beschrijving
Pulmonary Toxicity
Beschrijving
CommonToxicityCriteriaAdverseEventHypoxiaGrade
Datatype
double
Alias
- NCI Thesaurus Property
- C3890
- UMLS 2011AA Property
- C0242184
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
Beschrijving
CommonToxicityCriteriaAdverseEventDyspneaGrade
Datatype
double
Alias
- NCI Thesaurus Property
- C2998
- UMLS 2011AA Property
- C0013404
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
Beschrijving
Lab,Pulmonary,FEV1
Datatype
text
Beschrijving
Duringthisassessmentperiod,wasanFEV1performed
Datatype
text
Beschrijving
Duringthisassessmentperiod,wasanFVCperformed
Datatype
text
Beschrijving
RecordFVCvalue
Datatype
text
Beschrijving
Hepatic Toxicity
Beschrijving
Did The Patient Develop Any Of The Following Clinical Sugns/symptoms Of Abnormal Liver Function During This Assessment Period
Beschrijving
HepatomegalyPresentInd
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus ObjectClass
- C3100
- UMLS 2011AA ObjectClass
- C0017924
Beschrijving
Weight gain
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS
- C0043094
Beschrijving
PatientPhysicalExaminationOtherSpecify
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ValueDomain
- C17649
- UMLS 2011AA ValueDomain
- C0205394
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
Beschrijving
Jaundice
Datatype
text
Beschrijving
Rightupperquadrantpain
Datatype
text
Beschrijving
Otherclinicalsigns/symptoms
Datatype
text
Beschrijving
Indicated The Etiology Of The Abnormal Liver Function
Beschrijving
Vod
Beschrijving
Gvhd
Beschrijving
Infection
Beschrijving
AdverseEventInfectionInd-3
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C41331
- UMLS 2011AA ObjectClass
- C0877248
- NCI Thesaurus Property
- C26726
- UMLS 2011AA Property
- C0009450
Beschrijving
Biopsyresults
Datatype
text
Beschrijving
Dopplerultrasoundresults
Datatype
text
Beschrijving
Other
Beschrijving
Unknown
Beschrijving
ResearchCommentsText
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C15319
- NCI Thesaurus Property
- C25393
- UMLS 2011AA Property
- C0282411
Beschrijving
Etiology
Datatype
text
Beschrijving
Specifyotheretiology
Datatype
text
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C0237753 (UMLS 2011AA ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C0019994 (UMLS 2011AA ObjectClass)
C25385 (NCI Thesaurus Property)
C0809949 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C19464 (NCI Thesaurus ObjectClass)
C0376315 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C0020517 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C0011065 (UMLS 2011AA)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
CL141183 (NCI Metathesaurus Property)
C0011065 (UMLS 2011AA)
C0521362 (UMLS 2011AA Property)
C26887 (NCI Thesaurus Property)
C0038362 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C0011065 (UMLS 2011AA)
C0019080 (UMLS 2011AA Property)
C25350 (NCI Thesaurus Property)
C0042066 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C0011065 (UMLS 2011AA)
C0521362 (UMLS 2011AA Property)
C26791 (NCI Thesaurus Property)
C0019080 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C0011065 (UMLS 2011AA)
C0020649 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C0011065 (UMLS 2011AA)
C0205394 (UMLS 2011AA Property)
C2881 (NCI Thesaurus Property)
C0003811 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C0011065 (UMLS 2011AA)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
CL286022 (NCI Metathesaurus Property)
C0011065 (UMLS 2011AA)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C26754 (NCI Thesaurus Property)
C2830004 (UMLS 2011AA Property)
C0009421 (UMLS 2011AA)
C0011065 (UMLS 2011AA)
C0036572 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C0011065 (UMLS 2011AA)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C0011065 (UMLS 2011AA)
C0877248 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C48309 (NCI Thesaurus ValueDomain)
C0441800 (UMLS 2011AA ValueDomain)
C0011065 (UMLS 2011AA)
C0242184 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C0011065 (UMLS 2011AA)
C0013404 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C0011065 (UMLS 2011AA)
C1522602 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C3100 (NCI Thesaurus ObjectClass)
C0017924 (UMLS 2011AA ObjectClass)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0043094 (UMLS)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1521902 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ValueDomain)
C0205394 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C1512699 (UMLS 2011AA ValueDomain)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C26726 (NCI Thesaurus Property)
C0009450 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)