ID
6899
Description
Muscle Invasive Bladder Cancer - On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A95D-3FA4-E034-080020C9C0E0
Link
Keywords
Versions (2)
- 9/19/12 9/19/12 -
- 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 - Muscle Invasive Bladder Cancer - On-Study Form - 2019331v2.31
No Instruction available.
- StudyEvent: Muscle Invasive Bladder Cancer - On-Study Form
Description
Bladder: Form Administration
Description
PersonCompletingForm,LastName
Data type
text
Description
PersonCompletingForm,FirstName
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Description
AmendedDataInd
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
Description
Bladder: Disease Description For Muscle Invasive Bladder Cancer
Description
PriorSuperficialDiseaseInd
Data type
text
Description
PriorPapillaryOccurrences
Data type
float
Description
PriorCISOccurrences
Data type
float
Description
InitialDiagnosisDate,Pathologic
Data type
date
Description
InitialDiagnosisDate,Pathologic
Data type
date
Description
PathologicDiagnosisDate
Data type
date
Description
PriorRecentRecurrenceDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25279
- UMLS 2011AA Property
- C0332162
Description
HistologicType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ValueDomain-2
- C25526
- UMLS 2011AA ValueDomain-2
- C0205462
Description
HistologicType,OtherName
Data type
text
Description
HistologicGrade
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25526
- UMLS 2011AA ValueDomain
- C0205462
- NCI Thesaurus ValueDomain-2
- C18000
- UMLS 2011AA ValueDomain-2
- C0919553
Description
TStage,Pathologic
Data type
text
Description
TStage,Clinical
Data type
text
Description
NStage,Pathologic
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C16899
- UMLS 2011AA ValueDomain
- C1300072
Description
NStage,Clinical
Data type
text
Description
LymphNode(s)ExaminedNumber
Data type
float
Alias
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
Description
LymphNode(s)PositiveNumber
Data type
float
Alias
- NCI Thesaurus Property
- C25246
- UMLS 2011AA Property
- C1446409
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
Description
LymphNodesType
Data type
text
Description
LymphNodeInvolvement
Data type
text
Description
AssessmentType
Data type
text
Description
LymphNodeType,Other
Data type
text
Description
TumorMarginInd
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus Property
- C25563
- UMLS 2011AA Property
- C0205284
Description
TumorAdherenceInd
Data type
text
Description
Muscle Invasive Bladder Disease: Prior Treatment Affecting The Bladder
Description
PriorIntravesicalTherapyInd
Data type
text
Description
PriorImmunotherapyType
Data type
text
Description
PriorImmunotherapyCount
Data type
float
Description
PriorImmunotherapyOtherAgent
Data type
text
Description
PriorIntravesicalChemotherapyType
Data type
text
Description
PriorIntravesicalChemotherapyCount
Data type
float
Description
PriorIntravesicalChemotherapyOtherAgent
Data type
text
Description
PriorChemotherapyInd
Data type
text
Description
PriorNeoadjuvantChemotherapyInd
Data type
text
Description
PriorNeoadjuvantChemotherapyType
Data type
text
Description
PriorNeoadjuvantChemotherapyCount
Data type
float
Description
PriorNeoadjuvantChemotherapyOtherType
Data type
text
Description
PriorAdjuvantChemotherapyInd
Data type
text
Description
PriorAdjuvantChemotherapyType
Data type
text
Description
PriorAdjuvantChemotherapyCount
Data type
float
Description
PriorAdjuvantChemotherapyOtherAgent
Data type
text
Description
PriorPelvicRTInd
Data type
text
Description
PriorSurgeryInd
Data type
text
Description
PriorSurgeryType
Data type
text
Description
PriorSurgery,TURBTCount
Data type
float
Description
PriorSurgery,OtherType
Data type
text
Description
PriorOtherTherapyInd
Data type
text
Description
PriorOtherTherapyName
Data type
text
Description
Allows Documentation Of Any Additional Cooments
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