ID

43164

Descripción

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

Palabras clave

Versiones (4)
  1. 19/9/12 19/9/12 -
  2. 28/5/15 28/5/15 -
  3. 3/6/15 3/6/15 -
  4. 20/9/21 20/9/21 -
Subido en

20 de septiembre de 2021

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

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

Inglés

No Instruction available.

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

ECOG clinical trial administrative data

ECOG Protocol No.
Descripción

ECOGProtocolNo.

Tipo de datos

text

ECOG Patient ID
Descripción

ECOGPatientID

Tipo de datos

text

Registration Step
Descripción

RegistrationStep

Tipo de datos

text

Patient?s Name
Descripción

Patient'sName

Tipo de datos

text

Participating Group Protocol No.
Descripción

ParticipatingGroupProtocolNo.

Tipo de datos

text

Participating Group Patient ID
Descripción

ParticipatingGroupPatientID

Tipo de datos

text

Institution/Affiliate
Descripción

MainMemberInstitution/Affiliate

Tipo de datos

text

Are data amended?
Descripción

AmendedDataInd

Tipo de datos

boolean

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

FormNo.

Tipo de datos

text

Patient vital status
Descripción

Patient vital status

Performance status
Descripción

PerformanceStatus

Tipo de datos

text

Weight loss in previous 6 months (choose one)
Descripción

WeightLossPriorSixMonths

Tipo de datos

text

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

Disease Description

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

FirstPositiveBiopsyDate

Tipo de datos

date

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

PriorRecentRecurrenceDate

Tipo de datos

date

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

PrimarySite

Tipo de datos

text

Primary Site, other specify
Descripción

PrimarySite,Other

Tipo de datos

text

Histologic grade (choose one)
Descripción

HistologicGrade

Tipo de datos

text

Histologic Type (choose one)
Descripción

HistologicType

Tipo de datos

text

Other specify
Descripción

HistologicType,OtherName

Tipo de datos

text

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

Istherehistologicproofofresidualormetastaticmalignantdisease?

Tipo de datos

text

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

Site(s) Of Involvement

Pancreas
Descripción

Primarytumor/Pancreas

Tipo de datos

boolean

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

RegionalLymphNode(s)Ind

Tipo de datos

boolean

Distant lymph nodes
Descripción

DistantLymphNode(s)Ind

Tipo de datos

boolean

Adjacent viscera/vessels
Descripción

Adjacentviscera/vessels

Tipo de datos

boolean

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

LiverSiteInd

Tipo de datos

boolean

Peritoneum
Descripción

PeritoneumInd

Tipo de datos

boolean

Lung
Descripción

LungSiteInd

Tipo de datos

boolean

Bone
Descripción

BoneSiteInd

Tipo de datos

boolean

Other
Descripción

OtherSiteInd

Tipo de datos

boolean

Other specify
Descripción

OtherSiteName

Tipo de datos

text

Advanced Disease Status at Registration
Descripción

AdvancedDiseaseRegistrationStatus

Tipo de datos

text

CEA (ng/dl)
Descripción

CEA

Tipo de datos

text

CEA ULN
Descripción

LaboratoryProcedureCarcinoembryonicAntigenOutcomeUpperLimitNormalValue

Tipo de datos

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)
Descripción

CarcinoembryonicAntigenSpecimenCollectionDate

Tipo de datos

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)
Descripción

CA19-9

Tipo de datos

text

Date CA19-9 obtained (M D Y)
Descripción

DateCA19-9obtained

Tipo de datos

text

Baseline Hematology/chemistry
Descripción

Baseline Hematology/chemistry

WBC count (x1000), LLN
Descripción

WBCcount(x1000),LLN

Tipo de datos

text

WBC count (x1000), Value
Descripción

Lab,Hematology,WBC

Tipo de datos

float

Date Obtained (M D Y)
Descripción

Lab,Hematology,SampleCollectionDate

Tipo de datos

date

Granulocyte count (AGC/ANC), Value
Descripción

Lab,Hematology,GranulocyteCount

Tipo de datos

float

Platelets count (x1000), LLN
Descripción

Plateletscount(x1000),LLN

Tipo de datos

float

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

Lab,Hematology,Platelets

Tipo de datos

float

Hemoglobin (g/dl), LLN
Descripción

Hemoglobin(g/dl),LLN

Tipo de datos

text

Hemoglobin (g/dl), Value
Descripción

Lab,Hematology,Hemoglobin

Tipo de datos

float

Albumin (g/dl), LLN
Descripción

Albumin(g/dl),LLN

Tipo de datos

float

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

Lab,Chemistry,Albumin

Tipo de datos

float

Creatinine (mg/dl), ULN
Descripción

Creatinine(mg/dl),ULN

Tipo de datos

text

Creatinine (mg/dl), Value
Descripción

Lab,Renal,Creatinine

Tipo de datos

float

SGOT (AST) (U/L), ULN
Descripción

SGOT(AST)ULN

Tipo de datos

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
Descripción

Lab,Hepatic,SGOT

Tipo de datos

float

Bilirubin (mg/dl), ULN
Descripción

Bilirubin(mg/dl),ULN

Tipo de datos

float

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

Lab,Hepatic,Bilirubin

Tipo de datos

float

Prior Therapy
Descripción

Prior Therapy

Prior radiation therapy? (Choose one:)
Descripción

PriorRTInd

Tipo de datos

boolean

Prior RT begin date (M D Y)
Descripción

PriorRTBeginDate

Tipo de datos

date

Prior RT end date (M D Y)
Descripción

PriorRTEndDate

Tipo de datos

date

RT site:
Descripción

RTSite

Tipo de datos

text

Ccrr Module For On-study Form
Descripción

Ccrr Module For On-study Form

Site(s) of Involvement, Other specify
Descripción

DiseaseInvolvementSite,Other

Tipo de datos

text

Specify agents
Descripción

Specifyagents

Tipo de datos

text

Prior surgery
Descripción

PriorSurgeryInd

Tipo de datos

boolean

Specify prior thrombotic event
Descripción

Specifypriorthromboticevent

Tipo de datos

text

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

Doesthepatienthaveapriorhistoryofdeepveinthrombosisorpulmonaryembolus?

Tipo de datos

boolean

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

Priorthrombosis?

Tipo de datos

boolean

Time frame of thrombosis
Descripción

Timeframeofthrombosis

Tipo de datos

text

Prior embolus?
Descripción

Priorembolus?

Tipo de datos

boolean

Time frame of embolus
Descripción

Timeframeofembolus

Tipo de datos

text

date of prior surgery
Descripción

PriorSurgeryDate

Tipo de datos

date

Date of initial diagnosis of unresectable locally advanced disease
Descripción

InitialDiagnosisDate,LocallyAdvanced

Tipo de datos

date

Date of initial diagnosis of metastatic disease
Descripción

InitialDiagnosisDate,Metastatic

Tipo de datos

date

Is measurable disease present?
Descripción

DiseaseAssessment,MeasurableInd

Tipo de datos

boolean

Is non-measurable disease present?
Descripción

DiseaseAssessment,Non-measurableInd

Tipo de datos

boolean

Prior adjuvant chemotherapy end date
Descripción

PriorAdjuvantChemotherapyEndDate

Tipo de datos

date

Prior adjuvant chemotherapy begin date
Descripción

PriorAdjuvantChemotherapyBeginDate

Tipo de datos

date

Footer module
Descripción

Footer module

Comments
Descripción

Comments

Tipo de datos

text

Investigator Signature
Descripción

InvestigatorSignature

Tipo de datos

text

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

InvestigatorSignatureDate

Tipo de datos

date

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Similar models

No Instruction available.

1 formularios
  1. StudyEvent: On-Study Form
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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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