ID

7485

Descripción

S0205 PAIN MEDICATION LOG S0205 Gemcitabine With or Without Cetuximab as First-Line Therapy in Treating Patients With Locally Advanced Unresectable or Metastatic Adenocarcinoma of the Pancreas Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E30D7C36-2312-0722-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E30D7C36-2312-0722-E034-0003BA12F5E7

Palabras clave

  1. 19/9/12 19/9/12 -
  2. 26/11/14 26/11/14 - Martin Dugas
  3. 26/11/14 26/11/14 - Martin Dugas
  4. 9/1/15 9/1/15 - Martin Dugas
Subido en

9 de enero de 2015

DOI

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Licencia

Creative Commons BY-NC 3.0 Legacy

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Pancreatic Cancer NCT00075686 Treatment - S0205 PAIN MEDICATION LOG - 2291766v3.0

No Instruction available.

  1. StudyEvent: S0205 PAIN MEDICATION LOG
    1. No Instruction available.
Administrative documentation
Descripción

Administrative documentation

Alias
UMLS CUI-1
C1320722 (Administrative documentation)
SNOMED
405624007
SWOG Patient ID
Descripción

Trial subject ID SWOG

Tipo de datos

float

Alias
NCI Thesaurus ValueDomain
C25337 (undefined)
UMLS CUI-1
C2348585 (Clinical Trial Subject Unique Identifier)
NCI Thesaurus ObjectClass
C16960 (undefined)
UMLS CUI-2
C1519429 (SWOG)
LOINC
LA4458-1
NCI Thesaurus Property
C25364 (undefined)
NCI Thesaurus Property-2
C25699 (undefined)
SWOG Study No.
Descripción

Protocol ID SWOG

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25337 (undefined)
UMLS CUI-1
C3274381 (Clinical Trial Registry Identifier)
NCI Thesaurus ObjectClass
C25320 (undefined)
UMLS CUI-2
C1519429 (SWOG)
LOINC
LA4458-1
NCI Thesaurus Property
C25364 (undefined)
NCI Thesaurus Property-2
C25699 (undefined)
Registration Step
Descripción

Registration Number

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25337 (undefined)
UMLS CUI-1
C1514821 (Registration)
NCI Thesaurus ObjectClass
C25646 (undefined)
UMLS CUI-2
C0237753 (Numbers)
SNOMED
260299005
LOINC
LP6841-3
NCI Thesaurus Property
C16154 (undefined)
NCI Thesaurus ValueDomain-2
C16154 (undefined)
Patient Initials (L, F M)
Descripción

Patient Initials

Tipo de datos

text

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

Institution Name

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25454 (undefined)
UMLS CUI-1
C1301943 (Institution name)
SNOMED
398321007
NCI Thesaurus ObjectClass-2
C21541 (undefined)
NCI Thesaurus Property
C25364 (undefined)
NCI Thesaurus ValueDomain
C25191 (undefined)
NCI Thesaurus ValueDomain-2
C21541 (undefined)
Physician
Descripción

Investigator Name

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25191 (undefined)
UMLS CUI-1
C2826892 (Investigator Name)
NCI Thesaurus Property
C25364 (undefined)
NCI Thesaurus ObjectClass
C17089 (undefined)
NCI Thesaurus ObjectClass-2
C25644 (undefined)
Treatment Number
Descripción

PlannedAssessmentPeriodType

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25284 (undefined)
UMLS 2011AA ValueDomain
C0332307 (Type - attribute)
SNOMED
261664005
NCI Thesaurus ObjectClass
C20989 (undefined)
UMLS 2011AA ObjectClass
C0031809 (Physical Examination)
SNOMED
5880005
LOINC
MTHU028014
NCI Thesaurus Property
C25616 (undefined)
UMLS 2011AA Property
C1948053 (Period (temporal qualifier))
SNOMED
272117007
Date Log Started
Descripción

DiaryMedicationPainBeginDate

Tipo de datos

date

Alias
NCI Thesaurus ValueDomain
C25164 (undefined)
UMLS 2011AA ValueDomain
C0011008 (Date in time)
SNOMED
410671006
NCI Thesaurus Property
C3303 (undefined)
UMLS 2011AA Property
C0030193 (Pain)
SNOMED
22253000
LOINC
MTHU029813
NCI Thesaurus ObjectClass
C459 (undefined)
UMLS 2011AA ObjectClass
C0013227 (Pharmaceutical Preparations)
SNOMED
763158003
LOINC
LP100609-9
Analgesics
Descripción

Analgesics

Alias
UMLS CUI-1
C0002771 (Analgesics)
SNOMED
53009005
LOINC
LP31483-8
Name of Pain Medication (Nurse and Patient)
Descripción

Analgesics

Tipo de datos

text

Alias
NCI Thesaurus Property
C3303 (undefined)
UMLS CUI-1
C0002771 (Analgesics)
SNOMED
53009005
LOINC
LP31483-8
NCI Thesaurus ObjectClass
C459 (undefined)
NCI Thesaurus ValueDomain
C42614 (undefined)
Medication Type
Descripción

MedicationPainAdministeredType

Tipo de datos

integer

Alias
NCI Thesaurus ValueDomain
C25284 (undefined)
NCI Thesaurus Property
C3303 (undefined)
NCI Thesaurus ObjectClass
C459 (undefined)
UMLS CUI-1
C0332307 (Type - attribute)
SNOMED
261664005
UMLS CUI-2
C0030193 (Pain)
SNOMED
22253000
LOINC
MTHU029813
UMLS CUI-3
C0013227 (Pharmaceutical Preparations)
SNOMED
763158003
LOINC
LP100609-9
Analgesic Code (+)
Descripción

AnalgesicsMedicationPainType

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25284 (undefined)
UMLS 2011AA ValueDomain
C0332307 (Type - attribute)
SNOMED
261664005
NCI Thesaurus Property
C3303 (undefined)
UMLS 2011AA Property
C0030193 (Pain)
SNOMED
22253000
LOINC
MTHU029813
NCI Thesaurus ObjectClass
C459 (undefined)
UMLS 2011AA ObjectClass
C0013227 (Pharmaceutical Preparations)
SNOMED
763158003
LOINC
LP100609-9
Dose (Units ^)
Descripción

Medication Dose

Tipo de datos

float

Alias
NCI Thesaurus ValueDomain
C25488 (undefined)
UMLS CUI-1
C3174092 (Medication dose)
LOINC
LP116765-1
NCI Thesaurus ObjectClass
C1708 (undefined)
NCI Thesaurus ValueDomain-2
C1708 (undefined)
NCI Thesaurus Property
C25382 (undefined)
Number of pain meds taken at this dose Tallies (/)
Descripción

TotalMedicationPainText

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25704 (undefined)
UMLS 2011AA ValueDomain
C1527021 (Text)
LOINC
LP6885-0
NCI Thesaurus Property
C3303 (undefined)
UMLS 2011AA Property
C0030193 (Pain)
SNOMED
22253000
LOINC
MTHU029813
NCI Thesaurus ObjectClass
C459 (undefined)
UMLS 2011AA ObjectClass
C0013227 (Pharmaceutical Preparations)
SNOMED
763158003
LOINC
LP100609-9
Number of pain meds taken at this dose Total
Descripción

TotalMedicationPainCount

Tipo de datos

float

Alias
NCI Thesaurus Property
C3303 (undefined)
UMLS 2011AA Property
C0030193 (Pain)
SNOMED
22253000
LOINC
MTHU029813
NCI Thesaurus ObjectClass
C459 (undefined)
UMLS 2011AA ObjectClass
C0013227 (Pharmaceutical Preparations)
SNOMED
763158003
LOINC
LP100609-9
NCI Thesaurus ValueDomain
C25463 (undefined)
UMLS 2011AA ValueDomain
C0750480 (Count)

Similar models

No Instruction available.

  1. StudyEvent: S0205 PAIN MEDICATION LOG
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative documentation
C1320722 (UMLS CUI-1)
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)
Item
Treatment Number
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
Code List
Treatment Number
CL Item
Prestudy (Prestudy)
CL Item
Week 5 (Week 5)
CL Item
Week 9 (Week 9)
CL Item
Week 13 (Week 13)
CL Item
Week 17 (Week 17)
DiaryMedicationPainBeginDate
Item
Date Log Started
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C3303 (NCI Thesaurus Property)
C0030193 (UMLS 2011AA Property)
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
Item Group
Analgesics
C0002771 (UMLS CUI-1)
Analgesics
Item
Name of Pain Medication (Nurse and Patient)
text
C3303 (NCI Thesaurus Property)
C0002771 (UMLS CUI-1)
C459 (NCI Thesaurus ObjectClass)
C42614 (NCI Thesaurus ValueDomain)
Item
Medication Type
integer
C25284 (NCI Thesaurus ValueDomain)
C3303 (NCI Thesaurus Property)
C459 (NCI Thesaurus ObjectClass)
C0332307 (UMLS CUI-1)
C0030193 (UMLS CUI-2)
C0013227 (UMLS CUI-3)
Code List
Medication Type
CL Item
Pill (1)
CL Item
Liquid (2)
CL Item
Pump (3)
CL Item
Patch (4)
Item
Analgesic Code (+)
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C3303 (NCI Thesaurus Property)
C0030193 (UMLS 2011AA Property)
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
Code List
Analgesic Code (+)
CL Item
No Analgesic (No analgesic)
CL Item
Non-narcotic (Non-narcotic)
CL Item
Weak Opioid (Weak opioid)
CL Item
Strong Opioid (Strong opioid)
Medication Dose
Item
Dose (Units ^)
float
C25488 (NCI Thesaurus ValueDomain)
C3174092 (UMLS CUI-1)
C1708 (NCI Thesaurus ObjectClass)
C1708 (NCI Thesaurus ValueDomain-2)
C25382 (NCI Thesaurus Property)
TotalMedicationPainText
Item
Number of pain meds taken at this dose Tallies (/)
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C3303 (NCI Thesaurus Property)
C0030193 (UMLS 2011AA Property)
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
TotalMedicationPainCount
Item
Number of pain meds taken at this dose Total
float
C3303 (NCI Thesaurus Property)
C0030193 (UMLS 2011AA Property)
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)

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