ID
6471
Description
Phase II Consortium - PHASE II LUNG CANCER - TREATMENT BY CYCLE SUMMARY FORM Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF93BE54-D125-5058-E034-0003BA3F9857
Link
Keywords
Versions (2)
- 9/19/12 9/19/12 -
- 12/30/14 12/30/14 - Martin Dugas
Uploaded on
December 30, 2014
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Treatment - PHASE II LUNG CANCER ¿ TREATMENT BY CYCLE SUMMARY FORM - 2400140v1.0
No Instruction available.
- StudyEvent: PHASE II LUNG CANCER TREATMENT BY CYCLE SUMMARY FORM
Description
Treatment Plan
Alias
- UMLS CUI-1
- C0599880
Description
Cycle Number
Data type
integer
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C2045829
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25379
Description
Body Surface Area
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS CUI-1
- C0005902
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25157
Description
Treatment Start Date
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus ObjectClass-2
- C25509
- UMLS CUI-1
- C3173309
- NCI Thesaurus Property
- C25431
- NCI Thesaurus Property-2
- C25275
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25431
Description
Treatment End Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1531784
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25275
- NCI Thesaurus Property-2
- C25496
Description
Agent Delayed
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- NCI Thesaurus Property
- C25477
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus Property-2
- C25409
- UMLS CUI-1
- C1521826
- UMLS CUI-2
- C0205421
Description
Reasons for treatment delay
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C1298642
- NCI Thesaurus Property
- C25477
- NCI Thesaurus Property-2
- C25472
- NCI Thesaurus ObjectClass
- C15368
Description
Concomitant Medications
Alias
- UMLS CUI-1
- C2347852
Description
Concomitant Medication used
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ObjectClass-2
- C25730
- NCI Thesaurus Property
- C25382
- UMLS CUI-1
- C2347852
- UMLS CUI-2
- C1521801
Description
Concomitant Medication Use Indication
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C459
- UMLS CUI-1
- C2826696
- NCI Thesaurus ObjectClass-2
- C25730
- NCI Thesaurus Property
- C25382
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus ValueDomain-2
- C25638
Description
Concomitant Agent
Data type
text
Alias
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ValueDomain
- C1708
- NCI Thesaurus ValueDomain-2
- C42614
- UMLS CUI-1
- C2347852
Description
GrowthFactorAdministeredInd-3
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus ObjectClass
- C20424
- NCI Thesaurus Property
- C25382
- UMLS CUI-1
- C0018284
- UMLS CUI-2
- C1521801
Description
Specify growth factor
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C0018284
- NCI Thesaurus ObjectClass
- C20424
- UMLS CUI-2
- C2360065
- NCI Thesaurus ObjectClass-2
- C25590
- NCI Thesaurus Property
- C25382
Description
Radiation Therapy
Alias
- UMLS CUI-1
- C1522449
Description
PatientRadiationTherapyReceivedInd-2
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C15313
- NCI Thesaurus Property-2
- C25639
- UMLS CUI-1
- C1522449
- UMLS CUI-2
- C1514756
Description
Reason for no radiation therapy
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- UMLS CUI-1
- C3846110
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-2
- C0566251
- NCI Thesaurus Property
- C25382
- NCI Metathesaurus Property
- CL052458
Description
Radiation Therapy Start Date
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-1
- C1522449
- NCI Thesaurus Property
- C25431
- UMLS CUI-2
- C0808070
- NCI Thesaurus Property-2
- C25275
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25367
Description
Radiation Therapy End Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1522449
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-2
- C0806020
- NCI Thesaurus Property
- C25275
- NCI Thesaurus Property-2
- C25496
Description
Radiation Therapy Type
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C1522449
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-2
- C0683312
- NCI Thesaurus Property
- C25382
Description
Radiation Therapy, other
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C0436308
- NCI Thesaurus ObjectClass
- C15313
- NCI Thesaurus Property
- C25382
Description
Radiation Therapy Body Site
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C1997599
- NCI Thesaurus Property
- C25341
- NCI Thesaurus ObjectClass
- C15313
Description
Radiation Therapy Total Dose
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25304
- UMLS CUI-1
- C2169193
- NCI Thesaurus ObjectClass
- C15313
- NCI Thesaurus ValueDomain-2
- C25488
- NCI Thesaurus Property
- C25382
Description
Unscheduled Interruptions in Radiation Therapy
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS CUI-1
- C1522449
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-2
- C1512900
- NCI Thesaurus Property
- C25542
Description
Radiation Therapy Interruption Reason
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-1
- C1522449
- NCI Thesaurus Property
- C25594
- UMLS CUI-2
- C3538832
- NCI Thesaurus Property-2
- C25211
- NCI Thesaurus Property-3
- C25542
- NCI Thesaurus ValueDomain
- C25685
Description
Systemic Therapy
Alias
- UMLS CUI-1
- C1515119
Description
Number of Prior Regimens
Data type
integer
Alias
- NCI Thesaurus ObjectClass
- C25629
- UMLS CUI-1
- C0750480
- NCI Thesaurus ObjectClass-2
- C15368
- NCI Thesaurus ValueDomain
- C25463
- UMLS CUI-2
- C0040808
- NCI Thesaurus Property
- C15697
- UMLS CUI-3
- C0332152
Description
Systemic Therapy Type
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C1515119
- NCI Thesaurus ObjectClass
- C15698
- UMLS CUI-2
- C0683312
- NCI Thesaurus Property
- C25365
Description
Therapy Name
Data type
text
Alias
- NCI Thesaurus Property
- C25364
- UMLS CUI-1
- C2826274
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus ValueDomain
- C42614
Description
Concomitant Agent
Data type
text
Alias
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus ValueDomain
- C1708
- NCI Thesaurus ValueDomain-2
- C42614
- UMLS CUI-1
- C2347852
Description
Concomitant Medication Start Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2826734
- NCI Thesaurus ValueDomain-2
- C25431
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus Property
- C25275
Description
Concomitant Medication End Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2826744
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus Property
- C25275
Description
Agent Total Dose
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25304
- UMLS CUI-1
- C2986497
- NCI Thesaurus Property
- C25379
- NCI Thesaurus ValueDomain-2
- C25488
- NCI Thesaurus ObjectClass
- C1708
Description
Units
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C1519795
- NCI Thesaurus ValueDomain-2
- C44278
- NCI Thesaurus ObjectClass
- C1708
- NCI Thesaurus Property
- C25256
Description
Overall Response Duration
Data type
integer
Alias
- NCI Thesaurus ObjectClass
- C25755
- UMLS CUI-1
- C0237585
- NCI Thesaurus Property
- C25605
- NCI Thesaurus Property-2
- C25275
- NCI Thesaurus ValueDomain
- C25605
- NCI Thesaurus ValueDomain-2
- C25330
Description
Dose Modification
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS CUI-1
- C1707811
- NCI Thesaurus ObjectClass
- C25256
- NCI Thesaurus Property
- C25572
- NCI Thesaurus ValueDomain-2
- C25572
Description
Therapy Modification
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C1299575
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25572
Description
Reason for Therapy Modification
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25572
- UMLS CUI-1
- C1299575
- UMLS CUI-2
- C0392360
Description
Comments
Alias
- UMLS CUI-1
- C0947611
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C1522449 (UMLS CUI-1)
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