ID

6893

Descrição

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

Palavras-chave

Versões (2)
  1. 19/09/2012 19/09/2012 -
  2. 08/01/2015 08/01/2015 - Martin Dugas
Transferido a

8 de janeiro de 2015

DOI

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Licença

Creative Commons BY-NC 3.0 Legacy
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On-Study - Advanced Melanoma-On-study Form - 2020195v2.31

Inglês

No Instruction available.

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

Crf Header

Coordinating Group Protocol Number
Descrição

CoordinatingGroupProtocolNumber

Tipo de dados

text

Coordinating Group Code
Descrição

CoordinatingGroupCode

Tipo de dados

text

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

Protocol Title

Tipo de dados

text

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

PatientStudyID,CoordinatingGroup

Tipo de dados

text

Patient Study ID, Participating Group
Descrição

PatientStudyID,ParticipatingGroup

Tipo de dados

text

Participating Group Code
Descrição

ParticipatingGroupCode

Tipo de dados

text

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

InstitutionName

Tipo de dados

text

Affiliate Name
Descrição

AffiliateName

Tipo de dados

text

Patient Name, Last
Descrição

PatientName,Last

Tipo de dados

text

Patient Name, First
Descrição

PatientName,First

Tipo de dados

text

Patient Name, Middle
Descrição

PatientName,Middle

Tipo de dados

text

Melanoma: Form Administration
Descrição

Melanoma: Form Administration

Person Completing Form, Last Name
Descrição

PersonCompletingForm,LastName

Tipo de dados

text

Person Completing Form, First Name
Descrição

PersonCompletingForm,FirstName

Tipo de dados

text

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

AmendedDataInd

Tipo de dados

text

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

Melanoma (advanced): Disease Description

Initial Diagnosis Date, Pathologic
Descrição

InitialDiagnosisDate,Pathologic

Tipo de dados

date

Primary Surgery Type
Descrição

PrimarySurgeryType

Tipo de dados

text

Primary Surgery, Other Type
Descrição

PrimarySurgery,OtherType

Tipo de dados

text

Primary Surgery Date
Descrição

PrimarySurgeryDate

Tipo de dados

date

Advanced Disease Registration Status
Descrição

AdvancedDiseaseRegistrationStatus

Tipo de dados

text

Primary Site
Descrição

PrimarySite

Tipo de dados

text

Primary Site, Other
Descrição

PrimarySite,Other

Tipo de dados

text

Primary Tumor Resection Status
Descrição

PrimaryTumorResectionStatus

Tipo de dados

text

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

InvolvementPattern

Tipo de dados

text

Involvement Pattern, Other
Descrição

InvolvementPattern,Other

Tipo de dados

text

Breslow Depth
Descrição

BreslowDepth

Tipo de dados

float

Lab, Chemistry, Lactate Dehydrogenase
Descrição

Lab,Chemistry,LactateDehydrogenase

Tipo de dados

float

Clark Level
Descrição

ClarkLevel

Tipo de dados

text

Ulceration Ind
Descrição

UlcerationInd

Tipo de dados

text

Lymph Node(s) Examined Number
Descrição

LymphNode(s)ExaminedNumber

Tipo de dados

float

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

LymphNode(s)PositiveNumber

Tipo de dados

float

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

LymphNodeInvolvement

Tipo de dados

text

Intransit metastases/satellite lesions Ind
Descrição

Intransitmetastases/satellitelesionsInd

Tipo de dados

text

Lymph Nodes, Matted Ind
Descrição

LymphNodes,MattedInd

Tipo de dados

text

Metastatic Site
Descrição

MetastaticSite

Tipo de dados

text

Metastatic Site, Other Visceral
Descrição

MetastaticSite,OtherVisceral

Tipo de dados

text

Metastatic Site, Other Non-visceral
Descrição

MetastaticSite,OtherNon-visceral

Tipo de dados

text

T Stage, Pathologic
Descrição

TStage,Pathologic

Tipo de dados

text

N Stage, Pathologic
Descrição

NStage,Pathologic

Tipo de dados

text

M Stage, Pathologic
Descrição

MStage,Pathologic

Tipo de dados

text

Melanoma (advanced): Sentinel Node Biopsy
Descrição

Melanoma (advanced): Sentinel Node Biopsy

Sentinel Node Biopsy Ind
Descrição

SentinelNodeBiopsyInd

Tipo de dados

text

Sentinel Node Biopsy Date
Descrição

SentinelNodeBiopsyDate

Tipo de dados

date

Sentinel Node(s) Examined Number
Descrição

SentinelNode(s)ExaminedNumber

Tipo de dados

float

Sentinel Node(s) Positive Number
Descrição

SentinelNode(s)PositiveNumber

Tipo de dados

float

Sentinel Node Size
Descrição

SentinelNodeSize

Tipo de dados

float

Sentinel Node Biopsy Results
Descrição

SentinelNodeBiopsyResults

Tipo de dados

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
Descrição

Melanoma (advanced): Prior Treatment

Prior Surgery Ind
Descrição

PriorSurgeryInd

Tipo de dados

text

Prior Surgery Type
Descrição

PriorSurgeryType

Tipo de dados

text

Prior Surgery Type, Other
Descrição

PriorSurgeryType,Other

Tipo de dados

text

Primary Surgery Date
Descrição

PrimarySurgeryDate

Tipo de dados

date

Prior RT Ind
Descrição

PriorRTInd

Tipo de dados

text

RT Site
Descrição

RTSite

Tipo de dados

text

Prior RT End Date
Descrição

PriorRTEndDate

Tipo de dados

date

RT Site, Other
Descrição

RTSite,Other

Tipo de dados

text

Prior Vaccine Ind
Descrição

PriorVaccineInd

Tipo de dados

text

Prior Vaccine Type
Descrição

PriorVaccineType

Tipo de dados

text

Prior Vaccination Date
Descrição

PriorVaccinationDate

Tipo de dados

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
Descrição

PriorILPInd

Tipo de dados

text

Prior ILP, specify
Descrição

PriorILP,specify

Tipo de dados

text

Prior ILP Date
Descrição

PriorILPDate

Tipo de dados

date

Prior Hormonal Therapy Ind
Descrição

PriorHormonalTherapyInd

Tipo de dados

text

Prior Chemotherapy Ind
Descrição

PriorChemotherapyInd

Tipo de dados

text

Prior Immunotherapy Ind
Descrição

PriorImmunotherapyInd

Tipo de dados

text

Melanoma: Prior Treatment-systemic Regimens
Descrição

Melanoma: Prior Treatment-systemic Regimens

Prior Treatment Regimen Name(s)
Descrição

PriorTreatmentRegimenName(s)

Tipo de dados

text

Prior Treatment Regimen Begin Date
Descrição

PriorTreatmentRegimenBeginDate

Tipo de dados

date

Prior Treatment Regimen End Date
Descrição

PriorTreatmentRegimenEndDate

Tipo de dados

date

Prior Treatment Regimen Type
Descrição

PriorTreatmentRegimenType

Tipo de dados

text

Allows Documentation Of Any Additional Cooments
Descrição

Allows Documentation Of Any Additional Cooments

Comments
Descrição

Comments

Tipo de dados

text

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1 Formulários
  1. StudyEvent: Advanced Melanoma-On-study Form
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
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)
CL.1
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
CL.2
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
CL.3
Code List
Advanced Disease Registration Status
CL Item
Recurrence (Recurrence)
CL Item
Initial Diagnosis (Initial Diagnosis)
Item
Primary Site
text
CL.4
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)
CL.5
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
CL.6
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
CL.7
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
CL.8
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
CL.9
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
CL.10
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
CL.11
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
CL.12
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
CL.13
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
CL.14
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
CL.15
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
CL.16
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)
CL.17
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
CL.18
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
CL.19
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
CL.20
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
CL.21
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
CL.22
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
CL.23
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
CL.24
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
CL.25
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
CL.26
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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