ID

6893

Description

Advanced Melanoma-On-study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A996-3FA4-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A996-3FA4-E034-080020C9C0E0

Keywords

  1. 9/19/12 9/19/12 -
  2. 1/8/15 1/8/15 - Martin Dugas
Uploaded on

January 8, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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On-Study - Advanced Melanoma-On-study Form - 2020195v2.31

No Instruction available.

  1. StudyEvent: Advanced Melanoma-On-study Form
    1. No Instruction available.
Crf Header
Description

Crf Header

Coordinating Group Protocol Number
Description

CoordinatingGroupProtocolNumber

Data type

text

Coordinating Group Code
Description

CoordinatingGroupCode

Data type

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Protocol Title
Description

Protocol Title

Data type

text

Alias
NCI Thesaurus ObjectClass
C25320
UMLS CUI-1
C2986303
NCI Thesaurus Property
C42774
Patient Study ID, Coordinating Group
Description

PatientStudyID,CoordinatingGroup

Data type

text

Patient Study ID, Participating Group
Description

PatientStudyID,ParticipatingGroup

Data type

text

Participating Group Code
Description

ParticipatingGroupCode

Data type

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Institution Name
Description

InstitutionName

Data type

text

Affiliate Name
Description

AffiliateName

Data type

text

Patient Name, Last
Description

PatientName,Last

Data type

text

Patient Name, First
Description

PatientName,First

Data type

text

Patient Name, Middle
Description

PatientName,Middle

Data type

text

Melanoma: Form Administration
Description

Melanoma: Form Administration

Person Completing Form, Last Name
Description

PersonCompletingForm,LastName

Data type

text

Person Completing Form, First Name
Description

PersonCompletingForm,FirstName

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Amended Data Ind
Description

AmendedDataInd

Data type

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Melanoma (advanced): Disease Description
Description

Melanoma (advanced): Disease Description

Initial Diagnosis Date, Pathologic
Description

InitialDiagnosisDate,Pathologic

Data type

date

Primary Surgery Type
Description

PrimarySurgeryType

Data type

text

Primary Surgery, Other Type
Description

PrimarySurgery,OtherType

Data type

text

Primary Surgery Date
Description

PrimarySurgeryDate

Data type

date

Advanced Disease Registration Status
Description

AdvancedDiseaseRegistrationStatus

Data type

text

Primary Site
Description

PrimarySite

Data type

text

Primary Site, Other
Description

PrimarySite,Other

Data type

text

Primary Tumor Resection Status
Description

PrimaryTumorResectionStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus Property
C15232
UMLS 2011AA Property
C0728940
Involvement Pattern
Description

InvolvementPattern

Data type

text

Involvement Pattern, Other
Description

InvolvementPattern,Other

Data type

text

Breslow Depth
Description

BreslowDepth

Data type

float

Lab, Chemistry, Lactate Dehydrogenase
Description

Lab,Chemistry,LactateDehydrogenase

Data type

float

Clark Level
Description

ClarkLevel

Data type

text

Ulceration Ind
Description

UlcerationInd

Data type

text

Lymph Node(s) Examined Number
Description

LymphNode(s)ExaminedNumber

Data type

float

Alias
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus ObjectClass
C12745
UMLS 2011AA ObjectClass
C0024204
Lymph Node(s) Positive Number
Description

LymphNode(s)PositiveNumber

Data type

float

Alias
NCI Thesaurus Property
C25246
UMLS 2011AA Property
C1446409
NCI Thesaurus ObjectClass
C12745
UMLS 2011AA ObjectClass
C0024204
Lymph Node Involvement
Description

LymphNodeInvolvement

Data type

text

Intransit metastases/satellite lesions Ind
Description

Intransitmetastases/satellitelesionsInd

Data type

text

Lymph Nodes, Matted Ind
Description

LymphNodes,MattedInd

Data type

text

Metastatic Site
Description

MetastaticSite

Data type

text

Metastatic Site, Other Visceral
Description

MetastaticSite,OtherVisceral

Data type

text

Metastatic Site, Other Non-visceral
Description

MetastaticSite,OtherNon-visceral

Data type

text

T Stage, Pathologic
Description

TStage,Pathologic

Data type

text

N Stage, Pathologic
Description

NStage,Pathologic

Data type

text

M Stage, Pathologic
Description

MStage,Pathologic

Data type

text

Melanoma (advanced): Sentinel Node Biopsy
Description

Melanoma (advanced): Sentinel Node Biopsy

Sentinel Node Biopsy Ind
Description

SentinelNodeBiopsyInd

Data type

text

Sentinel Node Biopsy Date
Description

SentinelNodeBiopsyDate

Data type

date

Sentinel Node(s) Examined Number
Description

SentinelNode(s)ExaminedNumber

Data type

float

Sentinel Node(s) Positive Number
Description

SentinelNode(s)PositiveNumber

Data type

float

Sentinel Node Size
Description

SentinelNodeSize

Data type

float

Sentinel Node Biopsy Results
Description

SentinelNodeBiopsyResults

Data type

text

Alias
NCI Thesaurus Property
C15189
UMLS 2011AA Property
C0005558
NCI Thesaurus Property-2
C13363
UMLS 2011AA Property-2
C0555952
NCI Thesaurus ObjectClass
C12947
UMLS 2011AA ObjectClass
C1522495
Melanoma (advanced): Prior Treatment
Description

Melanoma (advanced): Prior Treatment

Prior Surgery Ind
Description

PriorSurgeryInd

Data type

text

Prior Surgery Type
Description

PriorSurgeryType

Data type

text

Prior Surgery Type, Other
Description

PriorSurgeryType,Other

Data type

text

Primary Surgery Date
Description

PrimarySurgeryDate

Data type

date

Prior RT Ind
Description

PriorRTInd

Data type

text

RT Site
Description

RTSite

Data type

text

Prior RT End Date
Description

PriorRTEndDate

Data type

date

RT Site, Other
Description

RTSite,Other

Data type

text

Prior Vaccine Ind
Description

PriorVaccineInd

Data type

text

Prior Vaccine Type
Description

PriorVaccineType

Data type

text

Prior Vaccination Date
Description

PriorVaccinationDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C25629
UMLS 2011AA ObjectClass
C0332152
NCI Thesaurus ObjectClass-2
C923
UMLS 2011AA ObjectClass-2
C0042210
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
Prior ILP Ind
Description

PriorILPInd

Data type

text

Prior ILP, specify
Description

PriorILP,specify

Data type

text

Prior ILP Date
Description

PriorILPDate

Data type

date

Prior Hormonal Therapy Ind
Description

PriorHormonalTherapyInd

Data type

text

Prior Chemotherapy Ind
Description

PriorChemotherapyInd

Data type

text

Prior Immunotherapy Ind
Description

PriorImmunotherapyInd

Data type

text

Melanoma: Prior Treatment-systemic Regimens
Description

Melanoma: Prior Treatment-systemic Regimens

Prior Treatment Regimen Name(s)
Description

PriorTreatmentRegimenName(s)

Data type

text

Prior Treatment Regimen Begin Date
Description

PriorTreatmentRegimenBeginDate

Data type

date

Prior Treatment Regimen End Date
Description

PriorTreatmentRegimenEndDate

Data type

date

Prior Treatment Regimen Type
Description

PriorTreatmentRegimenType

Data type

text

Allows Documentation Of Any Additional Cooments
Description

Allows Documentation Of Any Additional Cooments

Comments
Description

Comments

Data type

text

Similar models

No Instruction available.

  1. StudyEvent: Advanced Melanoma-On-study Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Crf Header
CoordinatingGroupProtocolNumber
Item
Coordinating Group Protocol Number
text
CoordinatingGroupCode
Item
Coordinating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
Protocol Title
Item
Protocol Title
text
C25320 (NCI Thesaurus ObjectClass)
C2986303 (UMLS CUI-1)
C42774 (NCI Thesaurus Property)
PatientStudyID,CoordinatingGroup
Item
Patient Study ID, Coordinating Group
text
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
ParticipatingGroupCode
Item
Participating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate Name
text
PatientName,Last
Item
Patient Name, Last
text
PatientName,First
Item
Patient Name, First
text
PatientName,Middle
Item
Patient Name, Middle
text
Item Group
Melanoma: Form Administration
PersonCompletingForm,LastName
Item
Person Completing Form, Last Name
text
PersonCompletingForm,FirstName
Item
Person Completing Form, First Name
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
Code List
Amended Data Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item Group
Melanoma (advanced): Disease Description
InitialDiagnosisDate,Pathologic
Item
Initial Diagnosis Date, Pathologic
date
Item
Primary Surgery Type
text
Code List
Primary Surgery Type
CL Item
Biopsy (Biopsy)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
CL Item
Excision Of Local Recurrence (Excision of local recurrence)
CL Item
Other, Specify (Other, specify)
CL Item
Excision/wide Excision Of Primary (Excision/wide excision of primary)
CL Item
Lymph Node Dissection (Lymph node dissection)
C15427 (NCI Thesaurus)
CL Item
Excision Of Satellite Or In-transit Metastases (Excision of satellite or in-transit metastases)
PrimarySurgery,OtherType
Item
Primary Surgery, Other Type
text
PrimarySurgeryDate
Item
Primary Surgery Date
date
Item
Advanced Disease Registration Status
text
Code List
Advanced Disease Registration Status
CL Item
Recurrence (Recurrence)
CL Item
Initial Diagnosis (Initial Diagnosis)
Item
Primary Site
text
Code List
Primary Site
CL Item
Anogenital (non-mucosal) (Anogenital (non-mucosal))
CL Item
Head (Head)
C12419 (NCI Thesaurus)
C0018670 (UMLS 2011AA)
CL Item
Lower Extremity (Lower extremity)
C12742 (NCI Thesaurus)
C0023216 (UMLS 2011AA)
CL Item
Mucosal (Mucosal)
CL Item
Neck (Neck)
C13063 (NCI Thesaurus)
C0027530 (UMLS 2011AA)
CL Item
Upper Extremity (Upper extremity)
C12671 (NCI Thesaurus)
C1140618 (UMLS 2011AA)
CL Item
Other, Specify (Other, specify)
CL Item
Subungual (Subungual)
CL Item
Trunk (Trunk)
C33816 (NCI Thesaurus)
C0460005 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Ocular (Ocular)
C0521414 (NCI Metathesaurus)
PrimarySite,Other
Item
Primary Site, Other
text
Item
Primary Tumor Resection Status
text
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C15232 (NCI Thesaurus Property)
C0728940 (UMLS 2011AA Property)
Code List
Primary Tumor Resection Status
CL Item
Not Recurrent, Resected, No Residual Tumor (Not recurrent, resected, no residual tumor)
CL Item
Unresected (Unresected)
CL Item
Recurrent (Recurrent)
C14173 (NCI Thesaurus)
C2945760 (UMLS 2011AA)
CL Item
Not Recurrent, Resected, Residual Tumor (Not recurrent, resected, residual tumor)
Item
Involvement Pattern
text
Code List
Involvement Pattern
CL Item
Acral Lentiginous (acral lentiginous)
CL Item
Lentigo Maligna Melanoma (lentigo maligna melanoma)
C9151 (NCI Thesaurus)
C2739810 (UMLS 2011AA)
CL Item
Superficial Spreading (superficial spreading)
CL Item
Other, Specify (other, specify)
CL Item
Nodular (nodular)
InvolvementPattern,Other
Item
Involvement Pattern, Other
text
BreslowDepth
Item
Breslow Depth
float
Lab,Chemistry,LactateDehydrogenase
Item
Lab, Chemistry, Lactate Dehydrogenase
float
Item
Clark Level
text
Code List
Clark Level
CL Item
I-above Basal Lamina (in Situ) (I-above basal lamina (in situ))
CL Item
Ii- Extension Into Papillary Dermis (II- extension into papillary dermis)
CL Item
V-subcutaneous Fat (V-subcutaneous fat)
CL Item
Iv-reticular Dermis (IV-reticular dermis)
CL Item
Iii-interface Papillary-reticular Dermis (III-interface papillary-reticular dermis)
Item
Ulceration Ind
text
Code List
Ulceration Ind
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
LymphNode(s)ExaminedNumber
Item
Lymph Node(s) Examined Number
float
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
LymphNode(s)PositiveNumber
Item
Lymph Node(s) Positive Number
float
C25246 (NCI Thesaurus Property)
C1446409 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
Item
Lymph Node Involvement
text
Code List
Lymph Node Involvement
CL Item
Lymph Node(s) With Any Macroscopic/gross Metastases (Lymph node(s) with any macroscopic/gross metastases)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No Lymph Node Involvement (No lymph node involvement)
CL Item
Lymph Node(s) With Only Microscopic Metastases (Lymph node(s) with only microscopic metastases)
Item
Intransit metastases/satellite lesions Ind
text
Code List
Intransit metastases/satellite lesions Ind
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
Lymph Nodes, Matted Ind
text
Code List
Lymph Nodes, Matted Ind
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
Metastatic Site
text
Code List
Metastatic Site
CL Item
Bone (Bone)
C12366 (NCI Thesaurus)
C0262950 (UMLS 2011AA)
CL Item
Brain (Brain)
C12439 (NCI Thesaurus)
C0006104 (UMLS 2011AA)
CL Item
Distant Lymph Nodes (Distant lymph nodes)
CL Item
Distant Skin/subcutaneous Tissue (Distant skin/subcutaneous tissue)
CL Item
Distant Soft Tissue Metastasis (Distant soft tissue metastasis)
CL Item
Other Visceral, Specify (Other visceral, specify)
CL Item
Lung (Lung)
C12468 (NCI Thesaurus)
C0024109 (UMLS 2011AA)
CL Item
None (None)
C41132 (NCI Thesaurus)
C0549184 (UMLS 2011AA)
CL Item
Other Cns (Other CNS)
CL Item
Other Non-visceral, Specify (Other non-visceral, specify)
CL Item
Liver (Liver)
C12392 (NCI Thesaurus)
C0023884 (UMLS 2011AA)
MetastaticSite,OtherVisceral
Item
Metastatic Site, Other Visceral
text
MetastaticSite,OtherNon-visceral
Item
Metastatic Site, Other Non-visceral
text
Item
T Stage, Pathologic
text
Code List
T Stage, Pathologic
CL Item
T1a, According To Ajcc Guidelines (T1a)
CL Item
T1b, According To Ajcc Guidelines (T1b)
CL Item
T2a, According To Ajcc Guidelines (T2a)
CL Item
T2b, According To Ajcc Guidelines (T2b)
CL Item
Tx, According To Ajcc Guidelines (TX)
CL Item
T3b, According To Ajcc Guidelines (T3b)
CL Item
T4a, According To Ajcc Guidelines (T4a)
CL Item
T4b, According To Ajcc Guidelines (T4b)
CL Item
T3a, According To Ajcc Guidelines (T3a)
Item
N Stage, Pathologic
text
Code List
N Stage, Pathologic
CL Item
N0, According To Ajcc Guidelines (N0)
CL Item
N1a, According To Ajcc Guidelines (N1a)
CL Item
N1b, According To Ajcc Guidelines (N1b)
CL Item
Nx, According To Ajcc Guidelines (NX)
CL Item
N2b, According To Ajcc Guidelines (N2b)
CL Item
N2c, According To Ajcc Guidelines (N2c)
CL Item
N3, According To Ajcc Guidelines (N3)
CL Item
N2a, According To Ajcc Guidelines (N2a)
Item
M Stage, Pathologic
text
Code List
M Stage, Pathologic
CL Item
M0, According To Ajcc Guidelines (M0)
CL Item
M1a, According To Ajcc Guidelines (M1a)
CL Item
Mx, According To Ajcc Guidelines (MX)
CL Item
M1c, According To Ajcc Guidelines (M1c)
CL Item
M1b, According To Ajcc Guidelines (M1b)
Item Group
Melanoma (advanced): Sentinel Node Biopsy
Item
Sentinel Node Biopsy Ind
text
Code List
Sentinel Node Biopsy Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
SentinelNodeBiopsyDate
Item
Sentinel Node Biopsy Date
date
SentinelNode(s)ExaminedNumber
Item
Sentinel Node(s) Examined Number
float
SentinelNode(s)PositiveNumber
Item
Sentinel Node(s) Positive Number
float
SentinelNodeSize
Item
Sentinel Node Size
float
Item
Sentinel Node Biopsy Results
text
C15189 (NCI Thesaurus Property)
C0005558 (UMLS 2011AA Property)
C13363 (NCI Thesaurus Property-2)
C0555952 (UMLS 2011AA Property-2)
C12947 (NCI Thesaurus ObjectClass)
C1522495 (UMLS 2011AA ObjectClass)
Code List
Sentinel Node Biopsy Results
CL Item
Positive (Positive)
CL Item
Negative (Negative)
Item Group
Melanoma (advanced): Prior Treatment
Item
Prior Surgery Ind
text
Code List
Prior Surgery Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Prior Surgery Type
text
Code List
Prior Surgery Type
CL Item
Biopsy (Biopsy)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
CL Item
Excision Of Distant Metastases (Excision of distant metastases)
CL Item
Excision Of Local Recurrence (Excision of local recurrence)
CL Item
Sentinel Lymph Node Biopsy (Sentinel lymph node biopsy)
C15667 (NCI Thesaurus)
C0796693 (UMLS 2011AA)
CL Item
Excision/wide Excision Of Primary (Excision/wide excision of primary)
CL Item
Lymph Node Dissection (Lymph node dissection)
C15427 (NCI Thesaurus)
CL Item
Other, Specify (Other, specify)
CL Item
Excision Of Satellite Or In-transit Metastases (Excision of satellite or in-transit metastases)
PriorSurgeryType,Other
Item
Prior Surgery Type, Other
text
PrimarySurgeryDate
Item
Primary Surgery Date
date
Item
Prior RT Ind
text
Code List
Prior RT Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
RT Site
text
Code List
RT Site
CL Item
Bone (Bone)
C12366 (NCI Thesaurus)
C0262950 (UMLS 2011AA)
CL Item
Brain (Brain)
C12439 (NCI Thesaurus)
C0006104 (UMLS 2011AA)
CL Item
Other, Specify (Other, specify)
CL Item
Lymph Nodes (soft Tissue) (Lymph nodes (soft tissue))
CL Item
Head And Neck (Head and Neck)
C12418 (NCI Thesaurus)
C0460004 (UMLS 2011AA)
PriorRTEndDate
Item
Prior RT End Date
date
RTSite,Other
Item
RT Site, Other
text
Item
Prior Vaccine Ind
text
Code List
Prior Vaccine Ind
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
PriorVaccineType
Item
Prior Vaccine Type
text
PriorVaccinationDate
Item
Prior Vaccination Date
date
C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C923 (NCI Thesaurus ObjectClass-2)
C0042210 (UMLS 2011AA ObjectClass-2)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Item
Prior ILP Ind
text
Code List
Prior ILP Ind
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
PriorILP,specify
Item
Prior ILP, specify
text
PriorILPDate
Item
Prior ILP Date
date
Item
Prior Hormonal Therapy Ind
text
Code List
Prior Hormonal Therapy Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Prior Chemotherapy Ind
text
Code List
Prior Chemotherapy Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Prior Immunotherapy Ind
text
Code List
Prior Immunotherapy Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item Group
Melanoma: Prior Treatment-systemic Regimens
PriorTreatmentRegimenName(s)
Item
Prior Treatment Regimen Name(s)
text
PriorTreatmentRegimenBeginDate
Item
Prior Treatment Regimen Begin Date
date
PriorTreatmentRegimenEndDate
Item
Prior Treatment Regimen End Date
date
PriorTreatmentRegimenType
Item
Prior Treatment Regimen Type
text
Item Group
Allows Documentation Of Any Additional Cooments
Comments
Item
Comments
text

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