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7251

Description

Lung Cancer - NSCLC Advanced On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DE93D710-5D45-22F0-E034-0003BA12F5E7

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DE93D710-5D45-22F0-E034-0003BA12F5E7

Mots-clés

Versions (4)
  1. 18/12/14 18/12/14 - Martin Dugas
  2. 09/01/15 09/01/15 - Martin Dugas
  3. 09/01/15 09/01/15 - Martin Dugas
  4. 17/09/21 17/09/21 -
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9 gennaio 2015

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    On-Study - Lung Cancer - NSCLC Advanced On-Study Form - 2263427v3.0

    Anglais

    No Instruction available.

    1 Formulaires  
    1. StudyEvent: Lung Cancer - NSCLC Advanced On-Study Form
      1. No Instruction available.
    Crf Header
    Description

    Crf Header

    Coordinating Group Protocol No.
    Description

    Protocol ID Coordinating Group

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1711341
    NCI Thesaurus Property
    C25462
    NCI Thesaurus Property-2
    C25364
    Coordinating Group Code
    Description

    Coordinating Group Code

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS CUI-1
    C1711341
    NCI Thesaurus ObjectClass
    C17005
    UMLS CUI-2
    C0805701
    NCI Thesaurus ObjectClass-2
    C25462
    NCI Thesaurus Property
    C25364
    Protocol Title
    Description

    Protocol Title

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986303
    NCI Thesaurus ObjectClass
    C25320
    NCI Thesaurus Property
    C42774
    Patient Study ID
    Description

    Patient Study ID

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25462
    NCI Thesaurus Property-2
    C25364
    Institution/Affiliate
    Description

    Institution Name

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25454
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass-2
    C21541
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ValueDomain
    C25191
    NCI Thesaurus ValueDomain-2
    C21541
    Other Patient ID
    Description

    Trial subject ID Participating Group

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Participating Group Code
    Description

    ParticipatingGroupIdentifierCode

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS 2011AA ValueDomain
    C0805701
    NCI Thesaurus ObjectClass
    C25608
    UMLS 2011AA ObjectClass
    C0679823
    NCI Thesaurus ObjectClass-2
    C17005
    UMLS 2011AA ObjectClass-2
    C1257890
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Patient Name (initials acceptable)
    Description

    PatientName

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Lung: Pre-treatment Characteristics
    Description

    Lung: Pre-treatment Characteristics

    Patient Height (cm)
    Description

    Patient Height

    Type de données

    float

    Unités de mesure
    • cm
    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS CUI-1
    C0489786
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25347
    cm
    Patient Weight (kg)
    Description

    Patient Weight

    Type de données

    float

    Unités de mesure
    • Kg
    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS CUI-1
    C0005910
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25208
    Kg
    Body Surface Area (m^2)
    Description

    Body Surface Area

    Type de données

    float

    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS CUI-1
    C0005902
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25157
    Performance Status (check one)
    Description

    ECOG Performance Status

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25664
    UMLS CUI-1
    C1520224
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain-2
    C25491
    NCI Thesaurus ObjectClass
    C20641
    Weight loss in previous six months (check one)
    Description

    Weight Loss past six months

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25664
    UMLS CUI-1
    C0043096
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C3828652
    NCI Thesaurus Property
    C3445
    NCI Thesaurus ValueDomain-2
    C25613
    Lung: Disease Description - Nsclc Advanced
    Description

    Lung: Disease Description - Nsclc Advanced

    Stage
    Description

    Tumor Stage

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS CUI-1
    C1300072
    NCI Thesaurus ObjectClass-2
    C12468
    NCI Thesaurus ValueDomain
    C16899
    NCI Thesaurus Property
    C25523
    Histologic Type
    Description

    Histologic Type

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS CUI-1
    C0449574
    NCI Thesaurus ObjectClass-2
    C12468
    NCI Thesaurus Property
    C25526
    NCI Thesaurus Property-2
    C25161
    NCI Thesaurus ValueDomain
    C25372
    NCI Thesaurus ValueDomain-2
    C25526
    Specify Other Histologic Type
    Description

    Histologic Type, other

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C1299220
    NCI Thesaurus ObjectClass
    C3262
    NCI Thesaurus Property
    C25526
    NCI Thesaurus Property-2
    C25161
    Is measurable disease present? (only applicable in studies where there is residual disease at baseline)
    Description

    Measurable Disease

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C1513041
    NCI Thesaurus Property
    C25626
    NCI Thesaurus ObjectClass
    C2991
    NCI Thesaurus ObjectClass-2
    C37894
    Is non-measurable disease present? (only applicable in studies where there is residual disease at baseline)
    Description

    Non-Measurable Disease

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C1334988
    NCI Thesaurus Property
    C25626
    NCI Thesaurus ObjectClass
    C2991
    NCI Thesaurus ObjectClass-2
    C25589
    Metastatic Sites (check all that apply)
    Description

    Metastatic Sites

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C12468
    UMLS CUI-1
    C0280457
    NCI Thesaurus ObjectClass-2
    C9305
    NCI Thesaurus Property
    C14174
    NCI Thesaurus Property-2
    C25548
    NCI Thesaurus ValueDomain
    C13717
    Is pleural effusion present?
    Description

    Pleural Effusion

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0032227
    NCI Thesaurus ObjectClass
    C12468
    NCI Thesaurus Property
    C3003
    NCI Thesaurus Property-2
    C25223
    Is it Malignant? (If yes,)
    Description

    Malignant Pleural Effusion

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C12468
    UMLS CUI-1
    C0080032
    NCI Thesaurus Property
    C3003
    NCI Thesaurus Property-2
    C25223
    NCI Thesaurus ValueDomain
    C14143
    NCI Metathesaurus ValueDomain
    C0021212
    Units used for labs
    Description

    AssessmentMeasurableLabType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C37984
    UMLS 2011AA Property
    C0022877
    NCI Thesaurus Property-2
    C37894
    UMLS 2011AA Property-2
    C1513040
    Albumin (g/dl)
    Description

    BloodSpecimenLaboratoryProcedureAlbuminValue

    Type de données

    float

    Alias
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ValueDomain
    C214
    UMLS 2011AA ValueDomain
    C0001924
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    Hemoglobin (g/dl)
    Description

    LaboratoryProcedureHemoglobinResultSpecifiedValue

    Type de données

    float

    Unités de mesure
    • g/dL
    Alias
    NCI Thesaurus Property
    C16676
    UMLS 2011AA Property
    C0019046
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    g/dL
    Lactate Dehydrogenase (LDH) (U/L only collect if RT study)
    Description

    LaboratoryProcedureLactateDehydrogenaseResultSpecifiedValue

    Type de données

    float

    Unités de mesure
    • U/L
    Alias
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus Property-2
    C25184
    UMLS 2011AA Property-2
    C0022917
    U/L
    Lactate Dehydrogenase ULN (U/L Provide laboratory's upper limit of normal)
    Description

    LaboratoryProcedureLactateDehydrogenaseResultSpecifiedUpperLimitofNormalValue

    Type de données

    float

    Unités de mesure
    • U/L
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C25184
    UMLS 2011AA Property-2
    C0022917
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ValueDomain-2
    C38024
    UMLS 2011AA ValueDomain-2
    C0205369
    NCI Thesaurus ValueDomain-3
    C25706
    UMLS 2011AA ValueDomain-3
    C1519815
    U/L
    Lung: Prior Treatment - Nsclc Advanced
    Description

    Lung: Prior Treatment - Nsclc Advanced

    Prior Surgery (Code "No" if incisional/needle biopsy is the only prior surgery)
    Description

    Prior Surgery

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0744961
    NCI Thesaurus Property
    C38000
    NCI Thesaurus ObjectClass
    C15329
    NCI Thesaurus ObjectClass-2
    C25629
    Prior Radiation Therapy
    Description

    Prior Radiation Therapy

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C1522449
    NCI Thesaurus ObjectClass
    C15313
    UMLS CUI-2
    C0332152
    NCI Thesaurus ObjectClass-2
    C25629
    NCI Thesaurus Property
    C25382
    Prior Systemic Chemotherapy
    Description

    PriorChemotherapyAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Comments
    Description

    Comments

    Comments
    Description

    Research Comments

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
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    1 Formulaires
    1. StudyEvent: Lung Cancer - NSCLC Advanced On-Study Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Crf Header
    Protocol ID Coordinating Group
    Item
    Coordinating Group Protocol No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1711341 (UMLS CUI-2)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Coordinating Group Code
    Item
    Coordinating Group Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C1711341 (UMLS CUI-1)
    C17005 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25462 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    Protocol Title
    Item
    Protocol Title
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986303 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C42774 (NCI Thesaurus Property)
    Patient Study ID
    Item
    Patient Study ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Institution Name
    Item
    Institution/Affiliate
    text
    C25454 (NCI Thesaurus ObjectClass)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C25191 (NCI Thesaurus ValueDomain)
    C21541 (NCI Thesaurus ValueDomain-2)
    Trial subject ID Participating Group
    Item
    Other Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    ParticipatingGroupIdentifierCode
    Item
    Participating Group Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C25608 (NCI Thesaurus ObjectClass)
    C0679823 (UMLS 2011AA ObjectClass)
    C17005 (NCI Thesaurus ObjectClass-2)
    C1257890 (UMLS 2011AA ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    PatientName
    Item
    Patient Name (initials acceptable)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1547383 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    Item Group
    Lung: Pre-treatment Characteristics
    Patient Height
    Item
    Patient Height (cm)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0489786 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25347 (NCI Thesaurus Property)
    Patient Weight
    Item
    Patient Weight (kg)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0005910 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25208 (NCI Thesaurus Property)
    Body Surface Area
    Item
    Body Surface Area (m^2)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0005902 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25157 (NCI Thesaurus Property)
    Item
    Performance Status (check one)
    text
    C25664 (NCI Thesaurus ValueDomain)
    C1520224 (UMLS CUI-1)
    C25367 (NCI Thesaurus Property)
    C25491 (NCI Thesaurus ValueDomain-2)
    C20641 (NCI Thesaurus ObjectClass)
    CL.1
    Code List
    Performance Status (check one)
    CL Item
    Fully Active, Able To Carry On All Pre-disease Performance Without Restriction. (0)
    CL Item
    Restricted In Physically Strenuous Activity But Ambulatory And Able To Carry Out Work Of A Light Or Sedentary Nature, E.g., Light Housework, Office Work. (1)
    CL Item
    Ambulatory And Capable Of All Selfcare But Unable To Carry Out Any Work Activities. Up And About More Than 50% Of Waking Hours. (2)
    CL Item
    Capable Of Only Limited Selfcare, Confined To Bed Or Chair More Than 50% Of Waking Hours. (3)
    CL Item
    Completely Disabled. Cannot Carry On Any Selfcare. Totally Confined To Bed Or Chair. (4)
    Item
    Weight loss in previous six months (check one)
    text
    C25664 (NCI Thesaurus ValueDomain)
    C0043096 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C3828652 (UMLS CUI-2)
    C3445 (NCI Thesaurus Property)
    C25613 (NCI Thesaurus ValueDomain-2)
    CL.2
    Code List
    Weight loss in previous six months (check one)
    CL Item
    <5% Of Body Weight (< 5% of body weight)
    CL Item
    5 To <10% Of Body Weight (5 to < 10% of body weight)
    CL Item
    10 To <20% Of Body Weight (10 to <20% of body weight)
    CL Item
    > Or = 20% Of Body Weight (> or = 20% of body weight)
    Item Group
    Lung: Disease Description - Nsclc Advanced
    Item
    Stage
    text
    C3262 (NCI Thesaurus ObjectClass)
    C1300072 (UMLS CUI-1)
    C12468 (NCI Thesaurus ObjectClass-2)
    C16899 (NCI Thesaurus ValueDomain)
    C25523 (NCI Thesaurus Property)
    CL.3
    Code List
    Stage
    CL Item
    Stage Iiib (IIIB (not recurrent))
    C27978 (NCI Thesaurus)
    C0456599 (UMLS 2011AA)
    CL Item
    Stage Iv (IV (not recurrent))
    C27971 (NCI Thesaurus)
    C0441772 (UMLS 2011AA)
    CL Item
    Recurrent (Recurrent)
    C14173 (NCI Thesaurus)
    C2945760 (UMLS 2011AA)
    Item
    Histologic Type
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0449574 (UMLS CUI-1)
    C12468 (NCI Thesaurus ObjectClass-2)
    C25526 (NCI Thesaurus Property)
    C25161 (NCI Thesaurus Property-2)
    C25372 (NCI Thesaurus ValueDomain)
    C25526 (NCI Thesaurus ValueDomain-2)
    CL.4
    Code List
    Histologic Type
    CL Item
    Squamous Cell Carcinoma (Squamous cell carcinoma)
    C2929 (NCI Thesaurus)
    C0007137 (UMLS 2011AA)
    CL Item
    Adenocarcinoma (Adenocarcinoma)
    C2852 (NCI Thesaurus)
    C0001418 (UMLS 2011AA)
    CL Item
    Large Cell Undifferentiated (Large cell undifferentiated)
    CL Item
    Bronchoalveolar (bac) (Bronchoalveolar carcinoma (BAC))
    CL Item
    Non-small Cell Lung Cancer (nsclc), Nos (Non-small cell lung cancer NOS)
    CL Item
    Other (Other specify)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    C17649 (NCI Thesaurus-3)
    C0205394 (UMLS 2011AA-4)
    Histologic Type, other
    Item
    Specify Other Histologic Type
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1299220 (UMLS CUI-1)
    C3262 (NCI Thesaurus ObjectClass)
    C25526 (NCI Thesaurus Property)
    C25161 (NCI Thesaurus Property-2)
    Measurable Disease
    Item
    Is measurable disease present? (only applicable in studies where there is residual disease at baseline)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1513041 (UMLS CUI-1)
    C25626 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C37894 (NCI Thesaurus ObjectClass-2)
    Non-Measurable Disease
    Item
    Is non-measurable disease present? (only applicable in studies where there is residual disease at baseline)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1334988 (UMLS CUI-1)
    C25626 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C25589 (NCI Thesaurus ObjectClass-2)
    Item
    Metastatic Sites (check all that apply)
    text
    C12468 (NCI Thesaurus ObjectClass)
    C0280457 (UMLS CUI-1)
    C9305 (NCI Thesaurus ObjectClass-2)
    C14174 (NCI Thesaurus Property)
    C25548 (NCI Thesaurus Property-2)
    C13717 (NCI Thesaurus ValueDomain)
    CL.7
    Code List
    Metastatic Sites (check all that apply)
    CL Item
    Hilar Nodes (Hilar nodes)
    CL Item
    Mediastinal Nodes (Mediastinal nodes)
    CL Item
    Supraclavicular Or Scalene Nodes (Supraclavicular/scalene nodes)
    CL Item
    Ipsilateral Lung (Ipsilateral lung)
    CL Item
    Contralateral Lung (Contralateral lung)
    CL Item
    Pleura (Pleura)
    C12469 (NCI Thesaurus)
    C0032225 (UMLS 2011AA)
    CL Item
    Liver (Liver)
    C12392 (NCI Thesaurus)
    C0023884 (UMLS 2011AA)
    CL Item
    Adrenal Gland (Adrenal(s))
    C12666 (NCI Thesaurus)
    C0001625 (UMLS 2011AA)
    CL Item
    Bone (Bone)
    C12366 (NCI Thesaurus)
    C0262950 (UMLS 2011AA)
    CL Item
    Bone Marrow (Bone marrow)
    C12431 (NCI Thesaurus)
    C0005953 (UMLS 2011AA)
    CL Item
    Brain (Brain)
    C12439 (NCI Thesaurus)
    C0006104 (UMLS 2011AA)
    CL Item
    Skin (Skin)
    C12470 (NCI Thesaurus)
    C1123023 (UMLS 2011AA)
    Pleural Effusion
    Item
    Is pleural effusion present?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C0032227 (UMLS CUI-1)
    C12468 (NCI Thesaurus ObjectClass)
    C3003 (NCI Thesaurus Property)
    C25223 (NCI Thesaurus Property-2)
    Item
    Is it Malignant? (If yes,)
    text
    C12468 (NCI Thesaurus ObjectClass)
    C0080032 (UMLS CUI-1)
    C3003 (NCI Thesaurus Property)
    C25223 (NCI Thesaurus Property-2)
    C14143 (NCI Thesaurus ValueDomain)
    C0021212 (NCI Metathesaurus ValueDomain)
    CL.9
    Code List
    Is it Malignant? (If yes,)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Unknown (Unknown (not tapped))
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item
    Units used for labs
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C37984 (NCI Thesaurus Property)
    C0022877 (UMLS 2011AA Property)
    C37894 (NCI Thesaurus Property-2)
    C1513040 (UMLS 2011AA Property-2)
    CL.10
    Code List
    Units used for labs
    CL Item
    Scientific/international (S/I)
    CL Item
    Imperial (Imperial)
    BloodSpecimenLaboratoryProcedureAlbuminValue
    Item
    Albumin (g/dl)
    float
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C214 (NCI Thesaurus ValueDomain)
    C0001924 (UMLS 2011AA ValueDomain)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    LaboratoryProcedureHemoglobinResultSpecifiedValue
    Item
    Hemoglobin (g/dl)
    float
    C16676 (NCI Thesaurus Property)
    C0019046 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    LaboratoryProcedureLactateDehydrogenaseResultSpecifiedValue
    Item
    Lactate Dehydrogenase (LDH) (U/L only collect if RT study)
    float
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C25184 (NCI Thesaurus Property-2)
    C0022917 (UMLS 2011AA Property-2)
    LaboratoryProcedureLactateDehydrogenaseResultSpecifiedUpperLimitofNormalValue
    Item
    Lactate Dehydrogenase ULN (U/L Provide laboratory's upper limit of normal)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25184 (NCI Thesaurus Property-2)
    C0022917 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C38024 (NCI Thesaurus ValueDomain-2)
    C0205369 (UMLS 2011AA ValueDomain-2)
    C25706 (NCI Thesaurus ValueDomain-3)
    C1519815 (UMLS 2011AA ValueDomain-3)
    Item Group
    Lung: Prior Treatment - Nsclc Advanced
    Prior Surgery
    Item
    Prior Surgery (Code "No" if incisional/needle biopsy is the only prior surgery)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C0744961 (UMLS CUI-1)
    C38000 (NCI Thesaurus Property)
    C15329 (NCI Thesaurus ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    Prior Radiation Therapy
    Item
    Prior Radiation Therapy
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1522449 (UMLS CUI-1)
    C15313 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS CUI-2)
    C25629 (NCI Thesaurus ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    PriorChemotherapyAdministeredInd-3
    Item
    Prior Systemic Chemotherapy
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Item Group
    Comments
    Research Comments
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
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