ID

7465

Beskrivning

S0502 Advanced GIST PreStudy Form S0502 Imatinib Mesylate With or Without Bevacizumab in Treating Patients With Metastatic or Unresectable Gastrointestinal Stromal Tumor Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FCBF6A0D-F933-70F8-E034-0003BA3F9857

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FCBF6A0D-F933-70F8-E034-0003BA3F9857

Nyckelord

Versioner (4)
  1. 2012-09-19 2012-09-19 -
  2. 2014-08-08 2014-08-08 - Martin Dugas
  3. 2015-01-09 2015-01-09 - Martin Dugas
  4. 2015-06-12 2015-06-12 -
Uppladdad den

9 januari 2015

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy
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    Gastrointestinal Stromal Tumor NCT00324987 Pre-Study - S0502 Advanced GIST PreStudy Form - 2320300v1.0

    Engelsk

    No Instruction available.

    1 Formulär  
    1. StudyEvent: S0502 Advanced GIST PreStudy Form
      1. No Instruction available.
    Header
    Beskrivning

    Header

    SWOG Patient ID
    Beskrivning

    Trial subject ID SWOG

    Datatyp

    float

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C1519429
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25699
    SWOG Study No.
    Beskrivning

    Protocol ID SWOG

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1519429
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25699
    Registration Step
    Beskrivning

    Registration Number

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1514821
    NCI Thesaurus ObjectClass
    C25646
    UMLS CUI-2
    C0237753
    NCI Thesaurus Property
    C16154
    NCI Thesaurus ValueDomain-2
    C16154
    Patient Initials (L, F M)
    Beskrivning

    Patient Initials

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    Institution/Affiliate
    Beskrivning

    Institution Name

    Datatyp

    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
    Physician
    Beskrivning

    Investigator Name

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2826892
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ObjectClass
    C17089
    NCI Thesaurus ObjectClass-2
    C25644
    Participating Group Name
    Beskrivning

    Participating Group

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2347449
    NCI Thesaurus ObjectClass
    C25608
    NCI Thesaurus ObjectClass-2
    C17005
    NCI Thesaurus Property
    C25364
    Participating Group Study No.
    Beskrivning

    Study Number Participating Group

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Participating Group Patient ID
    Beskrivning

    Trial subject ID Participating Group

    Datatyp

    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
    Eligibility Verification
    Beskrivning

    Eligibility Verification

    Performance Status
    Beskrivning

    ECOG Performance Status

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25664
    UMLS CUI-1
    C1520224
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain-2
    C25491
    NCI Thesaurus ObjectClass
    C20641
    Hemoglobin (g/dl Document values in units listed Hematologic)
    Beskrivning

    LaboratoryProcedureHemoglobinResultSpecifiedValue

    Datatyp

    float

    Måttenheter
    • 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
    ANC (mcL)
    Beskrivning

    Neutrophil count

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0200633
    NCI Thesaurus Property
    C12533
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ValueDomain
    C25304
    NCI Thesaurus ValueDomain-2
    C25712
    Peripheral Platelet Count (mcL)
    Beskrivning

    Platelets

    Datatyp

    float

    Måttenheter
    • 1000/uL
    Alias
    NCI Thesaurus Property
    C20200
    UMLS CUI-1
    C0005821
    NCI Thesaurus Property-2
    C12520
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    1000/uL
    Liver metastases (Hepatic)
    Beskrivning

    LiverMetastaticInvolvementInd-3

    Datatyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C14174
    UMLS 2011AA Property
    C0036525
    NCI Thesaurus ObjectClass
    C12392
    UMLS 2011AA ObjectClass
    C0023884
    NCI Thesaurus Property-2
    C25548
    UMLS 2011AA Property-2
    C1314939
    Collection Date
    Beskrivning

    SpecimenCollectedDate

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C25452
    NCI Thesaurus Property-2
    C25275
    UMLS 2011AA Property
    C2745955
    Collection Date
    Beskrivning

    SpecimenCollectedDate

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C25452
    NCI Thesaurus Property-2
    C25275
    UMLS 2011AA Property
    C2745955
    Total Bilirubin (gm%)
    Beskrivning

    TotalBilirubinHepaticLabUnspecifiedValue

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C25304
    UMLS 2011AA ObjectClass
    C0439810
    NCI Thesaurus ObjectClass-2
    C305
    UMLS 2011AA ObjectClass-2
    C0005437
    NCI Thesaurus Property
    C13308
    UMLS 2011AA Property
    C0205054
    NCI Thesaurus Property-2
    C37984
    UMLS 2011AA Property-2
    C0022877
    NCI Thesaurus ValueDomain
    C38046
    UMLS 2011AA ValueDomain
    C0205370
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    Total bilirubin (mg/dl), ULN (gm%)
    Beskrivning

    Bilirubin, Total ULN

    Datatyp

    float

    Måttenheter
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0201913
    NCI Thesaurus Property
    C20200
    UMLS CUI-2
    C1519815
    NCI Thesaurus Property-2
    C38037
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C38024
    NCI Thesaurus ValueDomain-3
    C25706
    mg/dL
    SGOT (gm%)
    Beskrivning

    HepaticSGOT(AST)LabUnspecifiedValue

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C13308
    UMLS 2011AA ObjectClass
    C0205054
    NCI Thesaurus Property
    C25202
    UMLS 2011AA Property
    C0242192
    NCI Thesaurus Property-2
    C37984
    UMLS 2011AA Property-2
    C0022877
    NCI Thesaurus ValueDomain
    C38046
    UMLS 2011AA ValueDomain
    C0205370
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    SGOT (AST) ULN (IU)
    Beskrivning

    LaboratoryProcedureSerumGlutamicOxaloaceticTransferaseResultUnspecifiedUpperLimitofNormalValue

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C25202
    UMLS 2011AA Property
    C0242192
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ValueDomain-2
    C25706
    UMLS 2011AA ValueDomain-2
    C1519815
    SGPT (U/L)
    Beskrivning

    SGPT (ALT)

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0201836
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C25293
    NCI Thesaurus ValueDomain
    C38046
    NCI Thesaurus ValueDomain-2
    C25712
    SGPT (ALT) ULN (U/L)
    Beskrivning

    LaboratoryProcedureSerumGlutamicPyruvicTransaminaseResultUpperLimitofNormalValue

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C25293
    UMLS 2011AA Property-2
    C0376147
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ValueDomain-2
    C25706
    UMLS 2011AA ValueDomain-2
    C1519815
    PTT (S Coagulation)
    Beskrivning

    LaboratoryProcedurePartialThromboplastinTimeResultValue

    Datatyp

    float

    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
    C38462
    UMLS 2011AA Property-2
    C0030605
    PTT ULN (S)
    Beskrivning

    LaboratoryProcedurePartialThromboplastinTimeResultUpperLimitofNormalValue

    Datatyp

    float

    Måttenheter
    • seconds
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C38462
    UMLS 2011AA Property-2
    C0030605
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ValueDomain-2
    C25706
    UMLS 2011AA ValueDomain-2
    C1519815
    seconds
    International Normalization Ratio (INR)
    Beskrivning

    INR

    Datatyp

    float

    Alias
    NCI Thesaurus Property
    C20200
    UMLS CUI-1
    C0525032
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property-2
    C25352
    NCI Thesaurus ValueDomain
    C25712
    Serum Creatinine (mg% Renal)
    Beskrivning

    PatientCreatinineSerumValue

    Datatyp

    float

    Måttenheter
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C13325
    UMLS 2011AA Property
    C0229671
    NCI Thesaurus Property-2
    C399
    UMLS 2011AA Property-2
    C0010294
    mg/dL
    Serum Creatinine ULN (mg%)
    Beskrivning

    Creatinine, serum ULN

    Datatyp

    float

    Måttenheter
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0201976
    NCI Thesaurus Property
    C20200
    UMLS CUI-2
    C1519815
    NCI Thesaurus Property-2
    C399
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25706
    mg/dL
    Urine Protein/Creatinine Ratio
    Beskrivning

    UrinaryCreatinineProteinAssessmentValue

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C25711
    UMLS 2011AA ObjectClass
    C1524119
    NCI Thesaurus ObjectClass-2
    C17021
    UMLS 2011AA ObjectClass-2
    C0033684
    NCI Metathesaurus ObjectClass
    C0010294
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    Blood Pressure (Cardiovascular)
    Beskrivning

    Systolic blood pressure

    Datatyp

    float

    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS CUI-1
    C0871470
    NCI Thesaurus Property
    C25214
    NCI Thesaurus ObjectClass
    C25298
    Blood Pressure
    Beskrivning

    Diastolic blood pressure

    Datatyp

    float

    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS CUI-1
    C0428883
    NCI Thesaurus Property
    C25214
    NCI Thesaurus ObjectClass
    C25299
    Unnamed 3
    Beskrivning

    Unnamed 3

    Date of last CVA, TIA, MI or unstable angina (if applicable)
    Beskrivning

    LastCardiovascularEventDate

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C25499
    UMLS 2011AA Property
    C0441471
    NCI Thesaurus ObjectClass
    C25292
    UMLS 2011AA ObjectClass
    C0007226
    NCI Thesaurus ObjectClass-2
    C25551
    UMLS 2011AA ObjectClass-2
    C1517741
    Date of last abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess (if applicable)
    Beskrivning

    LastGastrointestinalEventDate

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C25499
    UMLS 2011AA Property
    C0441471
    NCI Thesaurus ObjectClass
    C13359
    UMLS 2011AA ObjectClass
    C0521362
    NCI Thesaurus ObjectClass-2
    C25551
    UMLS 2011AA ObjectClass-2
    C1517741
    Current Disease Status
    Beskrivning

    Current Disease Status

    Site(s) of Disease (recommend to replace SWOG term "Fill in the box for each involved site" select all that apply)
    Beskrivning

    DiseaseSite

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS 2011AA ValueDomain
    C1515974
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Was a complete resection done? (recommend to replace SWOG term "Was primary completely resected?")
    Beskrivning

    PriorResectionSurgicalPerformedInd-3

    Datatyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C15232
    UMLS 2011AA ObjectClass-2
    C0728940
    NCI Thesaurus Property
    C25698
    NCI Thesaurus Property-2
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Recurrent disease?
    Beskrivning

    DiseaseRecurrenceInd-3

    Datatyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C3352
    UMLS 2011AA Property
    C0034897
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Tumor Grade
    Beskrivning

    GastrointestinalSarcomaHistologicGrade

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C13359
    UMLS 2011AA ObjectClass
    C0521362
    NCI Thesaurus ObjectClass-2
    C9118
    UMLS 2011AA ObjectClass-2
    C1261473
    NCI Thesaurus Property
    C25526
    UMLS 2011AA Property
    C0205462
    NCI Thesaurus Property-2
    C25365
    UMLS 2011AA Property-2
    C0678257
    NCI Thesaurus ValueDomain
    C18000
    UMLS 2011AA ValueDomain
    C0919553
    Distant metastases present?
    Beskrivning

    DistantMetastasisPresentInd-2

    Datatyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ObjectClass
    C25321
    UMLS 2011AA ObjectClass
    C0443203
    NCI Thesaurus ObjectClass-2
    C19151
    UMLS 2011AA ObjectClass-2
    C0027627
    Sarcoma Histologic Category
    Beskrivning

    SarcomaHistologicCategory

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C9118
    UMLS 2011AA ObjectClass
    C1261473
    NCI Thesaurus Property
    C25526
    UMLS 2011AA Property
    C0205462
    NCI Thesaurus Property-2
    C25161
    UMLS 2011AA Property-2
    C0008902
    NCI Thesaurus ValueDomain
    C25372
    UMLS 2011AA ValueDomain
    C0683312
    NCI Thesaurus ValueDomain-2
    C25526
    UMLS 2011AA ValueDomain-2
    C0205462
    Date of Initial Pathologic Diagnosis (mm/dd/yyyy)
    Beskrivning

    CancerInitialDiagnosisDate

    Datatyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus Property
    C25509
    UMLS 2011AA Property
    C1279901
    NCI Thesaurus Property-2
    C15220
    UMLS 2011AA Property-2
    C0011900
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    Height (cm)
    Beskrivning

    Patient Height

    Datatyp

    float

    Måttenheter
    • cm
    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS CUI-1
    C0489786
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25347
    cm
    Unnamed 2
    Beskrivning

    Unnamed 2

    Does patient have history of adrenal cancer (Patient History indicative of Carney's triad)
    Beskrivning

    AdrenalGlandCancerHistoryInd-3

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C12666
    UMLS 2011AA ObjectClass
    C0001625
    NCI Thesaurus ObjectClass-2
    C9305
    UMLS 2011AA ObjectClass-2
    C0006826
    NCI Thesaurus Property
    C18772
    UMLS 2011AA Property
    C0262926
    Prior Treatment Related To This Cancer
    Beskrivning

    Prior Treatment Related To This Cancer

    Prior Therapy Type (s select ALL that apply)
    Beskrivning

    PriorTherapyType

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C15368
    NCI Thesaurus Property
    C25365
    UMLS 2011AA Property
    C0678257
    Number of prior chemotherapy regimens
    Beskrivning

    PriorChemotherapyRegimenNumber

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    Date Prior Chemotherapy Ended (traditional)
    Beskrivning

    PriorChemotherapyAdministeredEndDate

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    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
    Setting of prior agent targeting VEGF, VEGFR, or PDGFR
    Beskrivning

    ChemotherapyTargetGrowthFactorAgentPriorAdministeredType

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus Property-2
    C20424
    UMLS 2011AA Property-2
    C0018284
    NCI Thesaurus Property-3
    C1708
    UMLS 2011AA Property-3
    C0450442
    NCI Thesaurus Property-4
    C25702
    UMLS 2011AA Property-4
    C1521840
    NCI Thesaurus Property-5
    C25382
    UMLS 2011AA Property-5
    C1521801
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Date of prior VEGF, VEGFR, PDGF targeted agent ended
    Beskrivning

    ChemotherapyTargetGrowthFactorAgentPriorAdministeredEndDate

    Datatyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus Property-2
    C20424
    UMLS 2011AA Property-2
    C0018284
    NCI Thesaurus Property-3
    C1708
    UMLS 2011AA Property-3
    C0450442
    NCI Thesaurus Property-4
    C25702
    UMLS 2011AA Property-4
    C1521840
    NCI Thesaurus Property-5
    C25382
    UMLS 2011AA Property-5
    C1521801
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Date of first recurrence following adjuvant therapy using agents targeting VEGF, VEGFR, PDGFR
    Beskrivning

    GastrointestinalStromalTumorGrowthFactorAdjuvantTherapyFirstRecurrenceDate

    Datatyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C3868
    UMLS 2011AA ObjectClass
    C0238198
    NCI Thesaurus Property
    C3352
    UMLS 2011AA Property
    C0034897
    NCI Thesaurus Property-2
    C20424
    UMLS 2011AA Property-2
    C0018284
    NCI Thesaurus Property-3
    C25509
    UMLS 2011AA Property-3
    C1279901
    NCI Thesaurus Property-4
    C15675
    UMLS 2011AA Property-4
    C0677850
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Setting of prior imatinib (select all that apply)
    Beskrivning

    ChemotherapyPriorImatinibOncogeneKITAdministeredType

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus Property-3
    C62035
    UMLS 2011AA Property-3
    C0935989
    NCI Thesaurus Property-4
    C18348
    UMLS 2011AA Property-4
    C1416655
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Date of prior KIT targeted agent ended (If imatinib or other KIT targeted agent used in Adjuvant Setting, complete the following: )
    Beskrivning

    ChemotherapyPriorImatinibOncogeneKITAdministeredEndDate

    Datatyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus Property-3
    C62035
    UMLS 2011AA Property-3
    C0935989
    NCI Thesaurus Property-4
    C18348
    UMLS 2011AA Property-4
    C1416655
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Date of first recurrence following adjuvant therapy using agents targeting KIT
    Beskrivning

    GastrointestinalStromalTumorOncogeneKITAdjuvantTherapyFirstRecurrenceDate

    Datatyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C3868
    UMLS 2011AA ObjectClass
    C0238198
    NCI Thesaurus Property
    C3352
    UMLS 2011AA Property
    C0034897
    NCI Thesaurus Property-2
    C25509
    UMLS 2011AA Property-2
    C1279901
    NCI Thesaurus Property-3
    C15675
    UMLS 2011AA Property-3
    C0677850
    NCI Thesaurus Property-4
    C18348
    UMLS 2011AA Property-4
    C1416655
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Date prior imatinib therapy started (If imatinib used in Advanced Disease Setting, complete the following:)
    Beskrivning

    ChemotherapyPriorImatinibAdvancedGastrointestinalStromalTumorAdministeredStartDate

    Datatyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus Property
    C25411
    UMLS 2011AA Property
    C0205179
    NCI Thesaurus Property-2
    C25629
    UMLS 2011AA Property-2
    C0332152
    NCI Thesaurus Property-3
    C25382
    UMLS 2011AA Property-3
    C1521801
    NCI Thesaurus Property-4
    C3868
    UMLS 2011AA Property-4
    C0238198
    NCI Thesaurus Property-5
    C62035
    UMLS 2011AA Property-5
    C0935989
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Was patient restaged after initiation of imatinib therapy
    Beskrivning

    PatientPriorImatinibAdvancedGastrointestinalStromalTumorRepeatStagingInd-3

    Datatyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25411
    UMLS 2011AA Property
    C0205179
    NCI Thesaurus Property-2
    C25629
    UMLS 2011AA Property-2
    C0332152
    NCI Thesaurus Property-3
    C15608
    UMLS 2011AA Property-3
    C0332305
    NCI Thesaurus Property-4
    C3868
    UMLS 2011AA Property-4
    C0238198
    NCI Thesaurus Property-5
    C47886
    UMLS 2011AA Property-5
    C0205341
    NCI Thesaurus Property-6
    C62035
    UMLS 2011AA Property-6
    C0935989
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Does patient have clinical evidence of progressive disease
    Beskrivning

    GastrointestinalStromalTumorPriorImatinibClinicalProgressiveDiseaseInd-3

    Datatyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C3868
    UMLS 2011AA ObjectClass
    C0238198
    NCI Thesaurus Property
    C25398
    UMLS 2011AA Property
    C0205210
    NCI Thesaurus Property-2
    C35571
    UMLS 2011AA Property-2
    C1335499
    NCI Thesaurus Property-3
    C25629
    UMLS 2011AA Property-3
    C0332152
    NCI Thesaurus Property-4
    C62035
    UMLS 2011AA Property-4
    C0935989
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Prior radiation therapy stop date (if applicable)
    Beskrivning

    PriorRadiationTherapyAdministeredEndDate

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C15313
    UMLS 2011AA ObjectClass
    C1522449
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Date of Most Recent Surgery (including open biopsy or significant traumatic injury, if applicable)
    Beskrivning

    RecentSurgeryDate

    Datatyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C15329
    UMLS 2011AA ObjectClass
    C0543467
    NCI Thesaurus ObjectClass-2
    C25280
    UMLS 2011AA ObjectClass-2
    C0332185
    NCI Thesaurus Property
    C25275
    UMLS 2011AA Property
    C2745955
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    Date of last fine needle aspiration or core biopsy (if applicable)
    Beskrivning

    SurgicalProcedureFine-NeedleAspirationCoreBiopsyPerformedDate

    Datatyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C15329
    UMLS 2011AA ObjectClass
    C0543467
    NCI Thesaurus Property
    C15680
    UMLS 2011AA Property
    C1318309
    NCI Thesaurus Property-2
    C38000
    UMLS 2011AA Property-2
    C0884358
    NCI Thesaurus Property-3
    C15361
    UMLS 2011AA Property-3
    C1510483
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25577
    UMLS 2011AA ValueDomain-2
    C1513491
    Therapy specify (other)
    Beskrivning

    SWOGPriorTherapyAdministrationSpecify

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C25699
    UMLS 2011AA ObjectClass
    C1519429
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus ObjectClass-3
    C15368
    NCI Thesaurus Property
    C25409
    UMLS 2011AA Property
    C1533734
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    Comments
    Beskrivning

    Comments

    Comments
    Beskrivning

    Research Comments

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    Tillbaka till toppen

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    1 Formulär
    1. StudyEvent: S0502 Advanced GIST PreStudy Form
      1. No Instruction available.
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    Alias
    Item Group
    Header
    Trial subject ID SWOG
    Item
    SWOG Patient ID
    float
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C1519429 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25699 (NCI Thesaurus Property-2)
    Protocol ID SWOG
    Item
    SWOG Study No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1519429 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25699 (NCI Thesaurus Property-2)
    Registration Number
    Item
    Registration Step
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1514821 (UMLS CUI-1)
    C25646 (NCI Thesaurus ObjectClass)
    C0237753 (UMLS CUI-2)
    C16154 (NCI Thesaurus Property)
    C16154 (NCI Thesaurus ValueDomain-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 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)
    Investigator Name
    Item
    Physician
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2826892 (UMLS CUI-1)
    C25364 (NCI Thesaurus Property)
    C17089 (NCI Thesaurus ObjectClass)
    C25644 (NCI Thesaurus ObjectClass-2)
    Participating Group
    Item
    Participating Group Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2347449 (UMLS CUI-1)
    C25608 (NCI Thesaurus ObjectClass)
    C17005 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    Study Number Participating Group
    Item
    Participating Group Study No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Trial subject ID Participating Group
    Item
    Participating Group 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)
    Item Group
    Eligibility Verification
    Item
    Performance Status
    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
    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)
    LaboratoryProcedureHemoglobinResultSpecifiedValue
    Item
    Hemoglobin (g/dl Document values in units listed Hematologic)
    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)
    Neutrophil count
    Item
    ANC (mcL)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0200633 (UMLS CUI-1)
    C12533 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25304 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    Platelets
    Item
    Peripheral Platelet Count (mcL)
    float
    C20200 (NCI Thesaurus Property)
    C0005821 (UMLS CUI-1)
    C12520 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    LiverMetastaticInvolvementInd-3
    Item
    Liver metastases (Hepatic)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C14174 (NCI Thesaurus Property)
    C0036525 (UMLS 2011AA Property)
    C12392 (NCI Thesaurus ObjectClass)
    C0023884 (UMLS 2011AA ObjectClass)
    C25548 (NCI Thesaurus Property-2)
    C1314939 (UMLS 2011AA Property-2)
    SpecimenCollectedDate
    Item
    Collection Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25452 (NCI Thesaurus Property)
    C25275 (NCI Thesaurus Property-2)
    C2745955 (UMLS 2011AA Property)
    SpecimenCollectedDate
    Item
    Collection Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25452 (NCI Thesaurus Property)
    C25275 (NCI Thesaurus Property-2)
    C2745955 (UMLS 2011AA Property)
    TotalBilirubinHepaticLabUnspecifiedValue
    Item
    Total Bilirubin (gm%)
    float
    C25304 (NCI Thesaurus ObjectClass)
    C0439810 (UMLS 2011AA ObjectClass)
    C305 (NCI Thesaurus ObjectClass-2)
    C0005437 (UMLS 2011AA ObjectClass-2)
    C13308 (NCI Thesaurus Property)
    C0205054 (UMLS 2011AA Property)
    C37984 (NCI Thesaurus Property-2)
    C0022877 (UMLS 2011AA Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C0205370 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    Bilirubin, Total ULN
    Item
    Total bilirubin (mg/dl), ULN (gm%)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0201913 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property)
    C1519815 (UMLS CUI-2)
    C38037 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C38024 (NCI Thesaurus ValueDomain-2)
    C25706 (NCI Thesaurus ValueDomain-3)
    HepaticSGOT(AST)LabUnspecifiedValue
    Item
    SGOT (gm%)
    float
    C13308 (NCI Thesaurus ObjectClass)
    C0205054 (UMLS 2011AA ObjectClass)
    C25202 (NCI Thesaurus Property)
    C0242192 (UMLS 2011AA Property)
    C37984 (NCI Thesaurus Property-2)
    C0022877 (UMLS 2011AA Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C0205370 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    LaboratoryProcedureSerumGlutamicOxaloaceticTransferaseResultUnspecifiedUpperLimitofNormalValue
    Item
    SGOT (AST) ULN (IU)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25202 (NCI Thesaurus Property)
    C0242192 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    C1519815 (UMLS 2011AA ValueDomain-2)
    SGPT (ALT)
    Item
    SGPT (U/L)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0201836 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property)
    C25293 (NCI Thesaurus Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    LaboratoryProcedureSerumGlutamicPyruvicTransaminaseResultUpperLimitofNormalValue
    Item
    SGPT (ALT) ULN (U/L)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25293 (NCI Thesaurus Property-2)
    C0376147 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    C1519815 (UMLS 2011AA ValueDomain-2)
    LaboratoryProcedurePartialThromboplastinTimeResultValue
    Item
    PTT (S Coagulation)
    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)
    C38462 (NCI Thesaurus Property-2)
    C0030605 (UMLS 2011AA Property-2)
    LaboratoryProcedurePartialThromboplastinTimeResultUpperLimitofNormalValue
    Item
    PTT ULN (S)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C38462 (NCI Thesaurus Property-2)
    C0030605 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    C1519815 (UMLS 2011AA ValueDomain-2)
    INR
    Item
    International Normalization Ratio (INR)
    float
    C20200 (NCI Thesaurus Property)
    C0525032 (UMLS CUI-1)
    C25294 (NCI Thesaurus ObjectClass)
    C25352 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    PatientCreatinineSerumValue
    Item
    Serum Creatinine (mg% Renal)
    float
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C13325 (NCI Thesaurus Property)
    C0229671 (UMLS 2011AA Property)
    C399 (NCI Thesaurus Property-2)
    C0010294 (UMLS 2011AA Property-2)
    Creatinine, serum ULN
    Item
    Serum Creatinine ULN (mg%)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0201976 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property)
    C1519815 (UMLS CUI-2)
    C399 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    UrinaryCreatinineProteinAssessmentValue
    Item
    Urine Protein/Creatinine Ratio
    float
    C25711 (NCI Thesaurus ObjectClass)
    C1524119 (UMLS 2011AA ObjectClass)
    C17021 (NCI Thesaurus ObjectClass-2)
    C0033684 (UMLS 2011AA ObjectClass-2)
    C0010294 (NCI Metathesaurus ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    Systolic blood pressure
    Item
    Blood Pressure (Cardiovascular)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0871470 (UMLS CUI-1)
    C25214 (NCI Thesaurus Property)
    C25298 (NCI Thesaurus ObjectClass)
    Diastolic blood pressure
    Item
    Blood Pressure
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0428883 (UMLS CUI-1)
    C25214 (NCI Thesaurus Property)
    C25299 (NCI Thesaurus ObjectClass)
    Item Group
    Unnamed 3
    LastCardiovascularEventDate
    Item
    Date of last CVA, TIA, MI or unstable angina (if applicable)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25499 (NCI Thesaurus Property)
    C0441471 (UMLS 2011AA Property)
    C25292 (NCI Thesaurus ObjectClass)
    C0007226 (UMLS 2011AA ObjectClass)
    C25551 (NCI Thesaurus ObjectClass-2)
    C1517741 (UMLS 2011AA ObjectClass-2)
    LastGastrointestinalEventDate
    Item
    Date of last abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess (if applicable)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25499 (NCI Thesaurus Property)
    C0441471 (UMLS 2011AA Property)
    C13359 (NCI Thesaurus ObjectClass)
    C0521362 (UMLS 2011AA ObjectClass)
    C25551 (NCI Thesaurus ObjectClass-2)
    C1517741 (UMLS 2011AA ObjectClass-2)
    Item Group
    Current Disease Status
    Item
    Site(s) of Disease (recommend to replace SWOG term "Fill in the box for each involved site" select all that apply)
    text
    C13717 (NCI Thesaurus ValueDomain)
    C1515974 (UMLS 2011AA ValueDomain)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    CL.3
    Code List
    Site(s) of Disease (recommend to replace SWOG term "Fill in the box for each involved site" select all that apply)
    CL Item
    Lymph Nodes (Lymph nodes)
    CL Item
    Soft Tissue (Soft Tissue)
    C12471 (NCI Thesaurus)
    C0225317 (UMLS 2011AA)
    CL Item
    Retroperitoneum (Retroperitoneum)
    C12298 (NCI Thesaurus)
    C0035359 (UMLS 2011AA)
    CL Item
    Bone (Bone)
    C12366 (NCI Thesaurus)
    C0262950 (UMLS 2011AA)
    CL Item
    Abdominal Organs (Abdominal organs)
    CL Item
    Pleura (Pleura)
    C12469 (NCI Thesaurus)
    C0032225 (UMLS 2011AA)
    CL Item
    Lung (Lung)
    C12468 (NCI Thesaurus)
    C0024109 (UMLS 2011AA)
    CL Item
    Mediastinum (Mediastinum)
    C12748 (NCI Thesaurus)
    C0025066 (UMLS 2011AA)
    CL Item
    Peritoneum (Peritoneum)
    C12770 (NCI Thesaurus)
    C0031153 (UMLS 2011AA)
    CL Item
    Ascites (Ascites)
    C2885 (NCI Thesaurus)
    C0003962 (UMLS 2011AA)
    CL Item
    Mesentery (Mesentery)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    PriorResectionSurgicalPerformedInd-3
    Item
    Was a complete resection done? (recommend to replace SWOG term "Was primary completely resected?")
    boolean
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15232 (NCI Thesaurus ObjectClass-2)
    C0728940 (UMLS 2011AA ObjectClass-2)
    C25698 (NCI Thesaurus Property)
    C38000 (NCI Thesaurus Property-2)
    C0884358 (UMLS 2011AA Property)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    DiseaseRecurrenceInd-3
    Item
    Recurrent disease?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C3352 (NCI Thesaurus Property)
    C0034897 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    Item
    Tumor Grade
    text
    C13359 (NCI Thesaurus ObjectClass)
    C0521362 (UMLS 2011AA ObjectClass)
    C9118 (NCI Thesaurus ObjectClass-2)
    C1261473 (UMLS 2011AA ObjectClass-2)
    C25526 (NCI Thesaurus Property)
    C0205462 (UMLS 2011AA Property)
    C25365 (NCI Thesaurus Property-2)
    C0678257 (UMLS 2011AA Property-2)
    C18000 (NCI Thesaurus ValueDomain)
    C0919553 (UMLS 2011AA ValueDomain)
    CL.6
    Code List
    Tumor Grade
    CL Item
    High Grade (High)
    C14158 (NCI Thesaurus)
    C0205082 (UMLS 2011AA)
    CL Item
    Low Grade (Low)
    C14161 (NCI Thesaurus)
    C1282907 (UMLS 2011AA)
    CL Item
    Not Assessed (Ungraded)
    DistantMetastasisPresentInd-2
    Item
    Distant metastases present?
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C25321 (NCI Thesaurus ObjectClass)
    C0443203 (UMLS 2011AA ObjectClass)
    C19151 (NCI Thesaurus ObjectClass-2)
    C0027627 (UMLS 2011AA ObjectClass-2)
    Item
    Sarcoma Histologic Category
    text
    C9118 (NCI Thesaurus ObjectClass)
    C1261473 (UMLS 2011AA ObjectClass)
    C25526 (NCI Thesaurus Property)
    C0205462 (UMLS 2011AA Property)
    C25161 (NCI Thesaurus Property-2)
    C0008902 (UMLS 2011AA Property-2)
    C25372 (NCI Thesaurus ValueDomain)
    C0683312 (UMLS 2011AA ValueDomain)
    C25526 (NCI Thesaurus ValueDomain-2)
    C0205462 (UMLS 2011AA ValueDomain-2)
    CL.8
    Code List
    Sarcoma Histologic Category
    CL Item
    Epithelioid Carcinoma (Epithelioid)
    CL Item
    Spindle Cell Carcinoma (Spindle cell)
    CL Item
    Mixed Spindle Cell And Epithelioid Carcinoma (Mixed)
    CancerInitialDiagnosisDate
    Item
    Date of Initial Pathologic Diagnosis (mm/dd/yyyy)
    date
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C25509 (NCI Thesaurus Property)
    C1279901 (UMLS 2011AA Property)
    C15220 (NCI Thesaurus Property-2)
    C0011900 (UMLS 2011AA Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    Patient Height
    Item
    Height (cm)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0489786 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25347 (NCI Thesaurus Property)
    Item Group
    Unnamed 2
    Item
    Does patient have history of adrenal cancer (Patient History indicative of Carney's triad)
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C12666 (NCI Thesaurus ObjectClass)
    C0001625 (UMLS 2011AA ObjectClass)
    C9305 (NCI Thesaurus ObjectClass-2)
    C0006826 (UMLS 2011AA ObjectClass-2)
    C18772 (NCI Thesaurus Property)
    C0262926 (UMLS 2011AA Property)
    CL.9
    Code List
    Does patient have history of adrenal cancer (Patient History indicative of Carney's triad)
    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)
    Item Group
    Prior Treatment Related To This Cancer
    Item
    Prior Therapy Type (s select ALL that apply)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass-2)
    C25365 (NCI Thesaurus Property)
    C0678257 (UMLS 2011AA Property)
    CL.10
    Code List
    Prior Therapy Type (s select ALL that apply)
    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
    Prior Therapy With Agents That Are Not Known To Cause Damage To Cycling Cells (Chemotherapy non-cytotoxic)
    CL Item
    Non-systemic Chemotherapy Treatment Or Chemotherapy Not Described By Chemotherapy Single Agent Systemic Or Multi-agent Systemic (Chemotherapy NOS)
    CL Item
    Targeted Ionizing Radiation Therapy Utilizing Radioactive Implants Or Seeds (Radiotherapy)
    CL Item
    Biologic Cancer Therapy (Immunotherapy)
    CL Item
    Cancer Therapy Which Incorporates Hormonal Manipulation (Hormonal therapy)
    CL Item
    Surgical Procedure, Or Operation, With Therapeutic Intent (Surgery)
    CL Item
    High Dose Chemotherapy Combined With Transplantation Of Bone Marrow Cells (Bone marrow transplant)
    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)
    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)
    PriorChemotherapyAdministeredEndDate
    Item
    Date Prior Chemotherapy Ended (traditional)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (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
    Setting of prior agent targeting VEGF, VEGFR, or PDGFR
    text
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus Property)
    C0332152 (UMLS 2011AA Property)
    C20424 (NCI Thesaurus Property-2)
    C0018284 (UMLS 2011AA Property-2)
    C1708 (NCI Thesaurus Property-3)
    C0450442 (UMLS 2011AA Property-3)
    C25702 (NCI Thesaurus Property-4)
    C1521840 (UMLS 2011AA Property-4)
    C25382 (NCI Thesaurus Property-5)
    C1521801 (UMLS 2011AA Property-5)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.11
    Code List
    Setting of prior agent targeting VEGF, VEGFR, or PDGFR
    CL Item
    Advanced (Advanced disease)
    C25411 (NCI Thesaurus)
    C0205179 (UMLS 2011AA)
    CL Item
    Adjuvant (Adjuvant)
    C25722 (NCI Thesaurus)
    C1522673 (UMLS 2011AA)
    CL Item
    None (No prior targeting agent)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    ChemotherapyTargetGrowthFactorAgentPriorAdministeredEndDate
    Item
    Date of prior VEGF, VEGFR, PDGF targeted agent ended
    date
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus Property)
    C0332152 (UMLS 2011AA Property)
    C20424 (NCI Thesaurus Property-2)
    C0018284 (UMLS 2011AA Property-2)
    C1708 (NCI Thesaurus Property-3)
    C0450442 (UMLS 2011AA Property-3)
    C25702 (NCI Thesaurus Property-4)
    C1521840 (UMLS 2011AA Property-4)
    C25382 (NCI Thesaurus Property-5)
    C1521801 (UMLS 2011AA Property-5)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    GastrointestinalStromalTumorGrowthFactorAdjuvantTherapyFirstRecurrenceDate
    Item
    Date of first recurrence following adjuvant therapy using agents targeting VEGF, VEGFR, PDGFR
    date
    C3868 (NCI Thesaurus ObjectClass)
    C0238198 (UMLS 2011AA ObjectClass)
    C3352 (NCI Thesaurus Property)
    C0034897 (UMLS 2011AA Property)
    C20424 (NCI Thesaurus Property-2)
    C0018284 (UMLS 2011AA Property-2)
    C25509 (NCI Thesaurus Property-3)
    C1279901 (UMLS 2011AA Property-3)
    C15675 (NCI Thesaurus Property-4)
    C0677850 (UMLS 2011AA Property-4)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    Item
    Setting of prior imatinib (select all that apply)
    text
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus Property)
    C0332152 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C62035 (NCI Thesaurus Property-3)
    C0935989 (UMLS 2011AA Property-3)
    C18348 (NCI Thesaurus Property-4)
    C1416655 (UMLS 2011AA Property-4)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.12
    Code List
    Setting of prior imatinib (select all that apply)
    CL Item
    Adjuvant (Adjuvant)
    C25722 (NCI Thesaurus)
    C1522673 (UMLS 2011AA)
    CL Item
    Advanced (Advanced disease)
    C25411 (NCI Thesaurus)
    C0205179 (UMLS 2011AA)
    CL Item
    None (No prior targeting agent)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    ChemotherapyPriorImatinibOncogeneKITAdministeredEndDate
    Item
    Date of prior KIT targeted agent ended (If imatinib or other KIT targeted agent used in Adjuvant Setting, complete the following: )
    date
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus Property)
    C0332152 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C62035 (NCI Thesaurus Property-3)
    C0935989 (UMLS 2011AA Property-3)
    C18348 (NCI Thesaurus Property-4)
    C1416655 (UMLS 2011AA Property-4)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    GastrointestinalStromalTumorOncogeneKITAdjuvantTherapyFirstRecurrenceDate
    Item
    Date of first recurrence following adjuvant therapy using agents targeting KIT
    date
    C3868 (NCI Thesaurus ObjectClass)
    C0238198 (UMLS 2011AA ObjectClass)
    C3352 (NCI Thesaurus Property)
    C0034897 (UMLS 2011AA Property)
    C25509 (NCI Thesaurus Property-2)
    C1279901 (UMLS 2011AA Property-2)
    C15675 (NCI Thesaurus Property-3)
    C0677850 (UMLS 2011AA Property-3)
    C18348 (NCI Thesaurus Property-4)
    C1416655 (UMLS 2011AA Property-4)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    ChemotherapyPriorImatinibAdvancedGastrointestinalStromalTumorAdministeredStartDate
    Item
    Date prior imatinib therapy started (If imatinib used in Advanced Disease Setting, complete the following:)
    date
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25411 (NCI Thesaurus Property)
    C0205179 (UMLS 2011AA Property)
    C25629 (NCI Thesaurus Property-2)
    C0332152 (UMLS 2011AA Property-2)
    C25382 (NCI Thesaurus Property-3)
    C1521801 (UMLS 2011AA Property-3)
    C3868 (NCI Thesaurus Property-4)
    C0238198 (UMLS 2011AA Property-4)
    C62035 (NCI Thesaurus Property-5)
    C0935989 (UMLS 2011AA Property-5)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    PatientPriorImatinibAdvancedGastrointestinalStromalTumorRepeatStagingInd-3
    Item
    Was patient restaged after initiation of imatinib therapy
    boolean
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25411 (NCI Thesaurus Property)
    C0205179 (UMLS 2011AA Property)
    C25629 (NCI Thesaurus Property-2)
    C0332152 (UMLS 2011AA Property-2)
    C15608 (NCI Thesaurus Property-3)
    C0332305 (UMLS 2011AA Property-3)
    C3868 (NCI Thesaurus Property-4)
    C0238198 (UMLS 2011AA Property-4)
    C47886 (NCI Thesaurus Property-5)
    C0205341 (UMLS 2011AA Property-5)
    C62035 (NCI Thesaurus Property-6)
    C0935989 (UMLS 2011AA Property-6)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    GastrointestinalStromalTumorPriorImatinibClinicalProgressiveDiseaseInd-3
    Item
    Does patient have clinical evidence of progressive disease
    boolean
    C3868 (NCI Thesaurus ObjectClass)
    C0238198 (UMLS 2011AA ObjectClass)
    C25398 (NCI Thesaurus Property)
    C0205210 (UMLS 2011AA Property)
    C35571 (NCI Thesaurus Property-2)
    C1335499 (UMLS 2011AA Property-2)
    C25629 (NCI Thesaurus Property-3)
    C0332152 (UMLS 2011AA Property-3)
    C62035 (NCI Thesaurus Property-4)
    C0935989 (UMLS 2011AA Property-4)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    PriorRadiationTherapyAdministeredEndDate
    Item
    Prior radiation therapy stop date (if applicable)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C15313 (NCI Thesaurus ObjectClass)
    C1522449 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    RecentSurgeryDate
    Item
    Date of Most Recent Surgery (including open biopsy or significant traumatic injury, if applicable)
    date
    C15329 (NCI Thesaurus ObjectClass)
    C0543467 (UMLS 2011AA ObjectClass)
    C25280 (NCI Thesaurus ObjectClass-2)
    C0332185 (UMLS 2011AA ObjectClass-2)
    C25275 (NCI Thesaurus Property)
    C2745955 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    SurgicalProcedureFine-NeedleAspirationCoreBiopsyPerformedDate
    Item
    Date of last fine needle aspiration or core biopsy (if applicable)
    date
    C15329 (NCI Thesaurus ObjectClass)
    C0543467 (UMLS 2011AA ObjectClass)
    C15680 (NCI Thesaurus Property)
    C1318309 (UMLS 2011AA Property)
    C38000 (NCI Thesaurus Property-2)
    C0884358 (UMLS 2011AA Property-2)
    C15361 (NCI Thesaurus Property-3)
    C1510483 (UMLS 2011AA Property-3)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25577 (NCI Thesaurus ValueDomain-2)
    C1513491 (UMLS 2011AA ValueDomain-2)
    SWOGPriorTherapyAdministrationSpecify
    Item
    Therapy specify (other)
    text
    C25699 (NCI Thesaurus ObjectClass)
    C1519429 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C15368 (NCI Thesaurus ObjectClass-3)
    C25409 (NCI Thesaurus Property)
    C1533734 (UMLS 2011AA Property)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    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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