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ID

6968

Descrição

North Central Cancer Treatment Group N0723 CTEP Report Variables Prior Therapy Pemetrexed or Erlotinib as Second-Line Therapy in Treating Patients With Advanced Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=46FF6C2D-039A-18FF-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=46FF6C2D-039A-18FF-E044-0003BA3F9857

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

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Creative Commons BY-NC 3.0 Legacy
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    Lung Cancer NCT00738881 Treatment - North Central Cancer Treatment Group N0723 CTEP Report Variables Prior Therapy - 2731647v1.0

    Inglês

    ALL ITEMS MUST BE COMPLETED

    1 Formulários  
    1. StudyEvent: North Central Cancer Treatment Group N0723 CTEP Report Variables Prior Therapy
      1. ALL ITEMS MUST BE COMPLETED
    Header
    Descrição

    Header

    Protocol Number
    Descrição

    Protocol ID NCCTG

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C3274381 (Clinical Trial Registry Identifier)
    NCI Thesaurus ObjectClass
    C25320 (undefined)
    UMLS CUI-2
    C1518419 (North Central Cancer Treatment Group)
    NCI Thesaurus Property
    C25364 (undefined)
    NCI Thesaurus Property-2
    C25581 (undefined)
    Patient ID
    Descrição

    PatientNorthCentralCancerTreatmentGroupIdentifierNumber

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS 2011AA ValueDomain
    C0237753 (Numbers)
    SNOMED
    260299005
    LOINC
    LP6841-3
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    UMLS 2011AA ObjectClass
    C0030705 (Patients)
    SNOMED
    116154003
    NCI Thesaurus Property
    C25364 (undefined)
    UMLS 2011AA Property
    C0600091 (Identifier)
    SNOMED
    118522005
    LOINC
    LP31795-5
    NCI Thesaurus Property-2
    C25581 (undefined)
    UMLS 2011AA Property-2
    C1518419 (North Central Cancer Treatment Group)
    Patient Initials (L F M)
    Descrição

    Patient Initials

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS CUI-1
    C2986440 (Person Initials)
    NCI Thesaurus ObjectClass
    C16960 (undefined)
    NCI Thesaurus Property
    C25536 (undefined)
    Institution Number
    Descrição

    Institution Number

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS CUI-1
    C1301943 (Institution name)
    SNOMED
    398321007
    NCI Thesaurus ObjectClass
    C21541 (undefined)
    UMLS CUI-2
    C0805701 (Code)
    NCI Thesaurus Property
    C25364 (undefined)
    Institution
    Descrição

    Institution Name

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191 (undefined)
    UMLS CUI-1
    C1301943 (Institution name)
    SNOMED
    398321007
    NCI Thesaurus ObjectClass
    C21541 (undefined)
    NCI Thesaurus ValueDomain-2
    C21541 (undefined)
    NCI Thesaurus Property
    C25364 (undefined)
    Are data amended (If yes, highlight amended areas)
    Descrição

    Data amended

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148 (undefined)
    UMLS CUI-1
    C0680532 (Amendment)
    NCI Thesaurus ObjectClass
    C25474 (undefined)
    NCI Thesaurus Property
    C25416 (undefined)
    Prior Therapy
    Descrição

    Prior Therapy

    Prior therapy type
    Descrição

    Prior therapy type

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284 (undefined)
    UMLS CUI-1
    C1514463 (Prior Therapy)
    NCI Thesaurus ObjectClass
    C25629 (undefined)
    NCI Thesaurus ObjectClass-2
    C15368 (undefined)
    NCI Thesaurus Property
    C25365 (undefined)
    Number of prior chemotherapy regimens
    Descrição

    PriorChemotherapyRegimenNumber

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337 (undefined)
    UMLS 2011AA ValueDomain
    C0237753 (Numbers)
    SNOMED
    260299005
    LOINC
    LP6841-3
    NCI Thesaurus ObjectClass
    C15632 (undefined)
    UMLS 2011AA ObjectClass
    C0392920 (Chemotherapy Regimen)
    SNOMED
    716872004
    NCI Thesaurus ObjectClass-2
    C25629 (undefined)
    UMLS 2011AA ObjectClass-2
    C0332152 (Before)
    SNOMED
    236874000
    NCI Thesaurus Property
    C15697 (undefined)
    UMLS 2011AA Property
    C0040808 (Treatment Protocols)
    MedDRA disease code (for primary tumor site: 10029514 [Non-small cell lung cancer, NOS])
    Descrição

    MedDRACode

    Tipo de dados

    float

    Alias
    NCI Thesaurus ValueDomain
    C25162 (undefined)
    UMLS 2011AA ValueDomain
    C0805701 (Code)
    NCI Thesaurus Property
    C25364 (undefined)
    UMLS 2011AA Property
    C0600091 (Identifier)
    SNOMED
    118522005
    LOINC
    LP31795-5
    NCI Metathesaurus ObjectClass
    CL104089 (undefined)
    Assigned Treatment Arm
    Descrição

    Protocol Treatment Arm

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C15368 (undefined)
    NCI Thesaurus ObjectClass-2
    C42651 (undefined)
    UMLS CUI-1
    C1522541 (Protocol Treatment Arm)
    NCI Thesaurus Property
    C32141 (undefined)
    NCI Thesaurus Property-2
    C25426 (undefined)
    NCI Thesaurus ValueDomain
    C25284 (undefined)
    Voltar ao início da página

    Similar models

    ALL ITEMS MUST BE COMPLETED

    1 Formulários
    1. StudyEvent: North Central Cancer Treatment Group N0723 CTEP Report Variables Prior Therapy
      1. ALL ITEMS MUST BE COMPLETED
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de dados
    Alias
    Item Group
    Header
    Protocol ID NCCTG
    Item
    Protocol Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1518419 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25581 (NCI Thesaurus Property-2)
    PatientNorthCentralCancerTreatmentGroupIdentifierNumber
    Item
    Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25581 (NCI Thesaurus Property-2)
    C1518419 (UMLS 2011AA Property-2)
    Patient Initials
    Item
    Patient Initials (L F M)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Institution Number
    Item
    Institution Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    Institution Name
    Item
    Institution
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C21541 (NCI Thesaurus ValueDomain-2)
    C25364 (NCI Thesaurus Property)
    Data amended
    Item
    Are data amended (If yes, highlight amended areas)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25474 (NCI Thesaurus ObjectClass)
    C25416 (NCI Thesaurus Property)
    Item Group
    Prior Therapy
    Item
    Prior therapy type
    text
    C25284 (NCI Thesaurus ValueDomain)
    C1514463 (UMLS CUI-1)
    C25629 (NCI Thesaurus ObjectClass)
    C15368 (NCI Thesaurus ObjectClass-2)
    C25365 (NCI Thesaurus Property)
    CL.2
    Code List
    Prior therapy type
    CL Item
    No Previous Exposure To Drug (nos) (No prior therapy)
    CL Item
    Systemic Chemotherapy With A Single Agent Regimen (Chemotherapy single agent systemic)
    CL Item
    Systemic Chemotherapy With A Regimen Containing Multiple Agents (Chemotherapy multiple agents systemic)
    CL Item
    Non-systemic Chemotherapy Treatment Or Chemotherapy Not Described By Chemotherapy Single Agent Systemic Or Multi-agent Systemic (Chemotherapy (NOS))
    CL Item
    Prior Therapy With Agents That Are Not Known To Cause Damage To Cycling Cells (Chemotherapy non-cytotoxic)
    CL Item
    Drug And/or Immunotherapy (Drug and/or Immunotherapy)
    CL Item
    Cancer Therapy Which Incorporates Hormonal Manipulation (Hormonal therapy)
    CL Item
    Surgical Procedure, Or Operation, With Therapeutic Intent (Surgery)
    CL Item
    Targeted Ionizing Radiation Therapy Utilizing Radioactive Implants Or Seeds (Radiation therapy)
    CL Item
    High Dose Chemotherapy Combined With Transplantation Of Bone Marrow Cells (Bone marrow transplant)
    CL Item
    Prior Therapy (nos) (Prior therapy NOS)
    CL Item
    Treatment Of Human Disease By Gene Transfer (Gene transfer)
    CL Item
    Agents Administered To Control The Replication And/or Spread Of Viruses (Anti-retroviral therapy)
    CL Item
    Treatment With An Agent That Prevents Or Impairs The Translation Of The Genetic Message For Production Of A Specific Protein (Antisense)
    CL Item
    Anticancer Treatment With A Live, Replication-competent Virus (Oncolytic virotherapy)
    CL Item
    Substance Or Group Of Substances Administered To Induce The Immune System To Recognize And Destroy Tumors Or Microorganisms (Vaccine)
    CL Item
    Therapy Nos (Therapy (NOS))
    CL Item
    Hematopoietic Stem Cell Transplantation (Hematopoietic Stem Cell Transplantation)
    CL Item
    Image Directed Local Therapy (Image Directed Local Therapy)
    PriorChemotherapyRegimenNumber
    Item
    Number of prior chemotherapy regimens
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C15697 (NCI Thesaurus Property)
    C0040808 (UMLS 2011AA Property)
    MedDRACode
    Item
    MedDRA disease code (for primary tumor site: 10029514 [Non-small cell lung cancer, NOS])
    float
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    CL104089 (NCI Metathesaurus ObjectClass)
    Item
    Assigned Treatment Arm
    text
    C15368 (NCI Thesaurus ObjectClass)
    C42651 (NCI Thesaurus ObjectClass-2)
    C1522541 (UMLS CUI-1)
    C32141 (NCI Thesaurus Property)
    C25426 (NCI Thesaurus Property-2)
    C25284 (NCI Thesaurus ValueDomain)
    CL.3
    Code List
    Assigned Treatment Arm
    CL Item
    Arm A (Arm A)
    CL Item
    Arm B (Arm B)
    Voltar ao início da página 

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