ID

43164

Beschreibung

On-Study Form NCT00058149 A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A65D6B91-79C6-4288-E034-0003BA0B1A09

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A65D6B91-79C6-4288-E034-0003BA0B1A09

Stichworte

Versionen (4)
  1. 19.09.12 19.09.12 -
  2. 28.05.15 28.05.15 -
  3. 03.06.15 03.06.15 -
  4. 20.09.21 20.09.21 -
Hochgeladen am

20. September 2021

DOI

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Lizenz

Creative Commons BY-NC 3.0 Legacy
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On-Study Form NCT00058149

Englisch

No Instruction available.

1 Formulare  
  1. StudyEvent: On-Study Form
    1. No Instruction available.
ECOG clinical trial administrative data
Beschreibung

ECOG clinical trial administrative data

ECOG Protocol No.
Beschreibung

ECOGProtocolNo.

Datentyp

text

ECOG Patient ID
Beschreibung

ECOGPatientID

Datentyp

text

Registration Step
Beschreibung

RegistrationStep

Datentyp

text

Patient?s Name
Beschreibung

Patient'sName

Datentyp

text

Participating Group Protocol No.
Beschreibung

ParticipatingGroupProtocolNo.

Datentyp

text

Participating Group Patient ID
Beschreibung

ParticipatingGroupPatientID

Datentyp

text

Institution/Affiliate
Beschreibung

MainMemberInstitution/Affiliate

Datentyp

text

Are data amended?
Beschreibung

AmendedDataInd

Datentyp

boolean

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Form No.
Beschreibung

FormNo.

Datentyp

text

Patient vital status
Beschreibung

Patient vital status

Performance status
Beschreibung

PerformanceStatus

Datentyp

text

Weight loss in previous 6 months (choose one)
Beschreibung

WeightLossPriorSixMonths

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C3445
UMLS 2011AA Property
C1262477
Disease Description
Beschreibung

Disease Description

Date of initial diagnosis of primary tumor (first positive biopsy date)
Beschreibung

FirstPositiveBiopsyDate

Datentyp

date

Date of most recent prior recurrence (if patient has responded to prior treatment)
Beschreibung

PriorRecentRecurrenceDate

Datentyp

date

Alias
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C25279
UMLS 2011AA Property
C0332162
Primary site (choose one)
Beschreibung

PrimarySite

Datentyp

text

Primary Site, other specify
Beschreibung

PrimarySite,Other

Datentyp

text

Histologic grade (choose one)
Beschreibung

HistologicGrade

Datentyp

text

Histologic Type (choose one)
Beschreibung

HistologicType

Datentyp

text

Other specify
Beschreibung

HistologicType,OtherName

Datentyp

text

Is there histologic proof of residual or metastatic malignant disease?
Beschreibung

Istherehistologicproofofresidualormetastaticmalignantdisease?

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ValueDomain-2
C25180
UMLS 2011AA ValueDomain-2
C1522602
Site(s) Of Involvement
Beschreibung

Site(s) Of Involvement

Pancreas
Beschreibung

Primarytumor/Pancreas

Datentyp

boolean

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ValueDomain-2
C25180
UMLS 2011AA ValueDomain-2
C1522602
Regional lymph nodes
Beschreibung

RegionalLymphNode(s)Ind

Datentyp

boolean

Distant lymph nodes
Beschreibung

DistantLymphNode(s)Ind

Datentyp

boolean

Adjacent viscera/vessels
Beschreibung

Adjacentviscera/vessels

Datentyp

boolean

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ValueDomain-2
C25180
UMLS 2011AA ValueDomain-2
C1522602
Liver
Beschreibung

LiverSiteInd

Datentyp

boolean

Peritoneum
Beschreibung

PeritoneumInd

Datentyp

boolean

Lung
Beschreibung

LungSiteInd

Datentyp

boolean

Bone
Beschreibung

BoneSiteInd

Datentyp

boolean

Other
Beschreibung

OtherSiteInd

Datentyp

boolean

Other specify
Beschreibung

OtherSiteName

Datentyp

text

Advanced Disease Status at Registration
Beschreibung

AdvancedDiseaseRegistrationStatus

Datentyp

text

CEA (ng/dl)
Beschreibung

CEA

Datentyp

text

CEA ULN
Beschreibung

LaboratoryProcedureCarcinoembryonicAntigenOutcomeUpperLimitNormalValue

Datentyp

float

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25159
UMLS 2011AA Property
C0007082
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25706
UMLS 2011AA ValueDomain-2
C1519815
Date CEA obtained (M D Y)
Beschreibung

CarcinoembryonicAntigenSpecimenCollectionDate

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25159
UMLS 2011AA ObjectClass
C0007082
NCI Thesaurus Property
C25453
UMLS 2011AA Property
C1516698
NCI Thesaurus ObjectClass-2
C19157
UMLS 2011AA ObjectClass-2
C0370003
CA19-9 (U/ml)
Beschreibung

CA19-9

Datentyp

text

Date CA19-9 obtained (M D Y)
Beschreibung

DateCA19-9obtained

Datentyp

text

Baseline Hematology/chemistry
Beschreibung

Baseline Hematology/chemistry

WBC count (x1000), LLN
Beschreibung

WBCcount(x1000),LLN

Datentyp

text

WBC count (x1000), Value
Beschreibung

Lab,Hematology,WBC

Datentyp

float

Date Obtained (M D Y)
Beschreibung

Lab,Hematology,SampleCollectionDate

Datentyp

date

Granulocyte count (AGC/ANC), Value
Beschreibung

Lab,Hematology,GranulocyteCount

Datentyp

float

Platelets count (x1000), LLN
Beschreibung

Plateletscount(x1000),LLN

Datentyp

float

Alias
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25555
UMLS 2011AA ValueDomain-2
C1518030
Platelets count (x1000), Value
Beschreibung

Lab,Hematology,Platelets

Datentyp

float

Hemoglobin (g/dl), LLN
Beschreibung

Hemoglobin(g/dl),LLN

Datentyp

text

Hemoglobin (g/dl), Value
Beschreibung

Lab,Hematology,Hemoglobin

Datentyp

float

Albumin (g/dl), LLN
Beschreibung

Albumin(g/dl),LLN

Datentyp

float

Alias
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25555
UMLS 2011AA ValueDomain-2
C1518030
Albumin (g/dl), Value
Beschreibung

Lab,Chemistry,Albumin

Datentyp

float

Creatinine (mg/dl), ULN
Beschreibung

Creatinine(mg/dl),ULN

Datentyp

text

Creatinine (mg/dl), Value
Beschreibung

Lab,Renal,Creatinine

Datentyp

float

SGOT (AST) (U/L), ULN
Beschreibung

SGOT(AST)ULN

Datentyp

float

Alias
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25706
UMLS 2011AA ValueDomain-2
C1519815
SGOT (AST) (U/L), Value
Beschreibung

Lab,Hepatic,SGOT

Datentyp

float

Bilirubin (mg/dl), ULN
Beschreibung

Bilirubin(mg/dl),ULN

Datentyp

float

Alias
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25706
UMLS 2011AA ValueDomain-2
C1519815
Bilirubin (mg/dl), Value
Beschreibung

Lab,Hepatic,Bilirubin

Datentyp

float

Prior Therapy
Beschreibung

Prior Therapy

Prior radiation therapy? (Choose one:)
Beschreibung

PriorRTInd

Datentyp

boolean

Prior RT begin date (M D Y)
Beschreibung

PriorRTBeginDate

Datentyp

date

Prior RT end date (M D Y)
Beschreibung

PriorRTEndDate

Datentyp

date

RT site:
Beschreibung

RTSite

Datentyp

text

Ccrr Module For On-study Form
Beschreibung

Ccrr Module For On-study Form

Site(s) of Involvement, Other specify
Beschreibung

DiseaseInvolvementSite,Other

Datentyp

text

Specify agents
Beschreibung

Specifyagents

Datentyp

text

Prior surgery
Beschreibung

PriorSurgeryInd

Datentyp

boolean

Specify prior thrombotic event
Beschreibung

Specifypriorthromboticevent

Datentyp

text

Does the patient have a prior history of deep vein thrombosis or pulmonary embolus?
Beschreibung

Doesthepatienthaveapriorhistoryofdeepveinthrombosisorpulmonaryembolus?

Datentyp

boolean

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Prior thrombosis?
Beschreibung

Priorthrombosis?

Datentyp

boolean

Time frame of thrombosis
Beschreibung

Timeframeofthrombosis

Datentyp

text

Prior embolus?
Beschreibung

Priorembolus?

Datentyp

boolean

Time frame of embolus
Beschreibung

Timeframeofembolus

Datentyp

text

date of prior surgery
Beschreibung

PriorSurgeryDate

Datentyp

date

Date of initial diagnosis of unresectable locally advanced disease
Beschreibung

InitialDiagnosisDate,LocallyAdvanced

Datentyp

date

Date of initial diagnosis of metastatic disease
Beschreibung

InitialDiagnosisDate,Metastatic

Datentyp

date

Is measurable disease present?
Beschreibung

DiseaseAssessment,MeasurableInd

Datentyp

boolean

Is non-measurable disease present?
Beschreibung

DiseaseAssessment,Non-measurableInd

Datentyp

boolean

Prior adjuvant chemotherapy end date
Beschreibung

PriorAdjuvantChemotherapyEndDate

Datentyp

date

Prior adjuvant chemotherapy begin date
Beschreibung

PriorAdjuvantChemotherapyBeginDate

Datentyp

date

Footer module
Beschreibung

Footer module

Comments
Beschreibung

Comments

Datentyp

text

Investigator Signature
Beschreibung

InvestigatorSignature

Datentyp

text

Alias
NCI Thesaurus Property
C25678
UMLS 2011AA Property
C1519316
NCI Thesaurus ObjectClass
C17089
UMLS 2011AA ObjectClass
C0035173
Date
Beschreibung

InvestigatorSignatureDate

Datentyp

date

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Ähnliche Modelle

No Instruction available.

1 Formulare
  1. StudyEvent: On-Study Form
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
ECOG clinical trial administrative data
ECOGProtocolNo.
Item
ECOG Protocol No.
text
ECOGPatientID
Item
ECOG Patient ID
text
RegistrationStep
Item
Registration Step
text
Patient'sName
Item
Patient?s Name
text
ParticipatingGroupProtocolNo.
Item
Participating Group Protocol No.
text
ParticipatingGroupPatientID
Item
Participating Group Patient ID
text
MainMemberInstitution/Affiliate
Item
Institution/Affiliate
text
AmendedDataInd
Item
Are data amended?
boolean
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
FormNo.
Item
Form No.
text
Item Group
Patient vital status
Item
Performance status
text
CL.2
Code List
Performance status
CL Item
0 (Fully active, able to carry on all pre-disease performance without restriction (Karnofsky 90-100))
C0919414 (NCI Metathesaurus)
CL Item
1 (Restricted in physically strenuous activity but ambulatory (K 70-80))
CL Item
2 (Ambulatory and capable of all selfcare but unable to carry out any work activities (K 50-60))
C66833 (NCI Thesaurus)
C0205448 (UMLS 2011AA)
CL Item
3 (Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours (K 30-40))
CL Item
4 (completely disabled (K 10-20))
Item
Weight loss in previous 6 months (choose one)
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C3445 (NCI Thesaurus Property)
C1262477 (UMLS 2011AA Property)
CL.3
Code List
Weight loss in previous 6 months (choose one)
CL Item
<5% Of Body Weight (less than 5% of body weight)
CL Item
5 To <10% Of Body Weight (5 - <10% of body weight)
CL Item
10 To <20% Of Body Weight (10 - <20% of body weight)
CL Item
> Or = 20% Of Body Weight (greater than or equal to 20% of body weight)
Item Group
Disease Description
FirstPositiveBiopsyDate
Item
Date of initial diagnosis of primary tumor (first positive biopsy date)
date
PriorRecentRecurrenceDate
Item
Date of most recent prior recurrence (if patient has responded to prior treatment)
date
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25279 (NCI Thesaurus Property)
C0332162 (UMLS 2011AA Property)
Item
Primary site (choose one)
text
CL.4
Code List
Primary site (choose one)
CL Item
Head Of Pancreas (Head of pancreas)
C0227579 (NCI Metathesaurus)
CL Item
Body Of Pancreas (Body of pancreas)
C0227582 (NCI Metathesaurus)
CL Item
Tail Of Pancreas (Tail of pancreas)
C0227590 (NCI Metathesaurus)
CL Item
Uncinate Process (Uncinate process)
CL Item
Diffuse (Diffuse)
C14175 (NCI Thesaurus)
C0205219 (UMLS 2011AA)
CL Item
Other, Specify (Other)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
PrimarySite,Other
Item
Primary Site, other specify
text
Item
Histologic grade (choose one)
text
CL.5
Code List
Histologic grade (choose one)
CL Item
Tumor Is Well Differentiated According To Who Grading System (Well differentiated)
CL Item
Tumor Is Moderately Differentiated According To Who Grading System (Moderately differentiated)
CL Item
Tumor Is Poorly Differentiated According To Who Grading System (Poorly differentiated)
CL Item
Tumor Is Undifferentiated According To Who Grading System (Undifferentiated)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Histologic Type (choose one)
text
CL.6
Code List
Histologic Type (choose one)
CL Item
Ductal Adenocarcinoma (Ductal adenocarcinoma)
CL Item
Neuroendocrine Carcinoma (Neuroendocrine carcinoma)
C3773 (NCI Thesaurus)
C0206695 (UMLS 2011AA)
CL Item
Mixed-type (ductal-endocrine Or Acinar-endocrine) (Mixed ductal - endocrine carcinoma)
CL Item
Undifferentiated (anaplastic) Carcinoma (Undifferentiated (anaplastic) carcinoma)
CL Item
Other, Specify (Other)
HistologicType,OtherName
Item
Other specify
text
Item
Is there histologic proof of residual or metastatic malignant disease?
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25180 (NCI Thesaurus ValueDomain-2)
C1522602 (UMLS 2011AA ValueDomain-2)
CL.7
Code List
Is there histologic proof of residual or metastatic malignant disease?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item Group
Site(s) Of Involvement
Primarytumor/Pancreas
Item
Pancreas
boolean
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25180 (NCI Thesaurus ValueDomain-2)
C1522602 (UMLS 2011AA ValueDomain-2)
RegionalLymphNode(s)Ind
Item
Regional lymph nodes
boolean
DistantLymphNode(s)Ind
Item
Distant lymph nodes
boolean
Adjacentviscera/vessels
Item
Adjacent viscera/vessels
boolean
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25180 (NCI Thesaurus ValueDomain-2)
C1522602 (UMLS 2011AA ValueDomain-2)
LiverSiteInd
Item
Liver
boolean
PeritoneumInd
Item
Peritoneum
boolean
LungSiteInd
Item
Lung
boolean
BoneSiteInd
Item
Bone
boolean
OtherSiteInd
Item
Other
boolean
OtherSiteName
Item
Other specify
text
Item
Advanced Disease Status at Registration
text
CL.17
Code List
Advanced Disease Status at Registration
CL Item
Initial Diagnosis (Initial diagnosis)
CL Item
Recurrence (Recurrence)
CEA
Item
CEA (ng/dl)
text
LaboratoryProcedureCarcinoembryonicAntigenOutcomeUpperLimitNormalValue
Item
CEA ULN
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25159 (NCI Thesaurus Property)
C0007082 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
CarcinoembryonicAntigenSpecimenCollectionDate
Item
Date CEA obtained (M D Y)
text
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25159 (NCI Thesaurus ObjectClass)
C0007082 (UMLS 2011AA ObjectClass)
C25453 (NCI Thesaurus Property)
C1516698 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass-2)
C0370003 (UMLS 2011AA ObjectClass-2)
CA19-9
Item
CA19-9 (U/ml)
text
DateCA19-9obtained
Item
Date CA19-9 obtained (M D Y)
text
Item Group
Baseline Hematology/chemistry
WBCcount(x1000),LLN
Item
WBC count (x1000), LLN
text
Lab,Hematology,WBC
Item
WBC count (x1000), Value
float
Lab,Hematology,SampleCollectionDate
Item
Date Obtained (M D Y)
date
Lab,Hematology,GranulocyteCount
Item
Granulocyte count (AGC/ANC), Value
float
Plateletscount(x1000),LLN
Item
Platelets count (x1000), LLN
float
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C1518030 (UMLS 2011AA ValueDomain-2)
Lab,Hematology,Platelets
Item
Platelets count (x1000), Value
float
Hemoglobin(g/dl),LLN
Item
Hemoglobin (g/dl), LLN
text
Lab,Hematology,Hemoglobin
Item
Hemoglobin (g/dl), Value
float
Albumin(g/dl),LLN
Item
Albumin (g/dl), LLN
float
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C1518030 (UMLS 2011AA ValueDomain-2)
Lab,Chemistry,Albumin
Item
Albumin (g/dl), Value
float
Creatinine(mg/dl),ULN
Item
Creatinine (mg/dl), ULN
text
Lab,Renal,Creatinine
Item
Creatinine (mg/dl), Value
float
SGOT(AST)ULN
Item
SGOT (AST) (U/L), ULN
float
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
Lab,Hepatic,SGOT
Item
SGOT (AST) (U/L), Value
float
Bilirubin(mg/dl),ULN
Item
Bilirubin (mg/dl), ULN
float
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
Lab,Hepatic,Bilirubin
Item
Bilirubin (mg/dl), Value
float
Item Group
Prior Therapy
PriorRTInd
Item
Prior radiation therapy? (Choose one:)
boolean
PriorRTBeginDate
Item
Prior RT begin date (M D Y)
date
PriorRTEndDate
Item
Prior RT end date (M D Y)
date
RTSite
Item
RT site:
text
Item Group
Ccrr Module For On-study Form
DiseaseInvolvementSite,Other
Item
Site(s) of Involvement, Other specify
text
Specifyagents
Item
Specify agents
text
PriorSurgeryInd
Item
Prior surgery
boolean
Item
Specify prior thrombotic event
text
CL.20
Code List
Specify prior thrombotic event
CL Item
Thrombosis (thrombosis)
C26891 (NCI Thesaurus)
C0040053 (UMLS 2011AA)
CL Item
Both Thrombosis And Embolus (both thrombosis and embolus)
CL Item
Embolus (embolus)
C0013932 (NCI Metathesaurus)
Doesthepatienthaveapriorhistoryofdeepveinthrombosisorpulmonaryembolus?
Item
Does the patient have a prior history of deep vein thrombosis or pulmonary embolus?
boolean
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Priorthrombosis?
Item
Prior thrombosis?
boolean
Item
Time frame of thrombosis
text
CL.23
Code List
Time frame of thrombosis
CL Item
> 1 Year Prior To Diagnosis Of Primary Cancer (> 1 year prior to diagnosis of primary cancer)
CL Item
Within 1 Year Of Diagnosis Of Primary Cancer (within 1 year of diagnosis of primary cancer)
Priorembolus?
Item
Prior embolus?
boolean
Item
Time frame of embolus
text
CL.25
Code List
Time frame of embolus
CL Item
> 1 Year Prior To Diagnosis Of Primary Cancer (> 1 year prior to diagnosis of primary cancer)
CL Item
Within 1 Year Of Diagnosis Of Primary Cancer (within 1 year of diagnosis of primary cancer)
PriorSurgeryDate
Item
date of prior surgery
date
InitialDiagnosisDate,LocallyAdvanced
Item
Date of initial diagnosis of unresectable locally advanced disease
date
InitialDiagnosisDate,Metastatic
Item
Date of initial diagnosis of metastatic disease
date
DiseaseAssessment,MeasurableInd
Item
Is measurable disease present?
boolean
DiseaseAssessment,Non-measurableInd
Item
Is non-measurable disease present?
boolean
PriorAdjuvantChemotherapyEndDate
Item
Prior adjuvant chemotherapy end date
date
PriorAdjuvantChemotherapyBeginDate
Item
Prior adjuvant chemotherapy begin date
date
Item Group
Footer module
Comments
Item
Comments
text
InvestigatorSignature
Item
Investigator Signature
text
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
InvestigatorSignatureDate
Item
Date
date
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