ID

8095

Description

CALGB: 140503 Imaging Form Comparison of Different Types of Surgery in Treating Patients With Stage IA Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=46856687-F39F-1DA6-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=46856687-F39F-1DA6-E044-0003BA3F9857

Keywords

  1. 12/18/14 12/18/14 - Martin Dugas
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/21/15 6/21/15 -
Uploaded on

January 9, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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    Lung Cancer NCT00499330 On-Study - CALGB: 140503 Imaging Form - 2730171v1.0

    No Instruction available.

    1. StudyEvent: CALGB: 140503 Imaging Form
      1. No Instruction available.
    Header
    Description

    Header

    CALGB Form
    Description

    Form ID CALGB

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3262252
    NCI Thesaurus ObjectClass
    C19464
    UMLS CUI-2
    C1516238
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ObjectClass-2
    C25442
    CALGB Study No
    Description

    Protocol ID CALGB

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1516238
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25442
    CALGB Patient ID
    Description

    Trial subject ID CALGB

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C1516238
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25442
    Date of CT Scan
    Description

    DiagnosticComputedTomographyPerformedDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C17204
    UMLS 2011AA ObjectClass
    C0040405
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus ObjectClass-2
    C25482
    UMLS 2011AA ObjectClass-2
    C0348026
    Are data amended
    Description

    Data amended

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus Property
    C25416
    Unnamed2
    Description

    Unnamed2

    Patient Initials (Last, First Middle)
    Description

    Patient Initials

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    Patient Hospital No.
    Description

    Medical Record Number

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1301894
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25261
    NCI Thesaurus Property-2
    C25198
    Institution/Affiliate
    Description

    Institution Name

    Data type

    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
    Participating Group
    Description

    Participating Group

    Data type

    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.
    Description

    Study Number Participating Group

    Data type

    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
    Description

    Trial subject ID Participating Group

    Data type

    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
    Unnamed3
    Description

    Unnamed3

    Hospital Name (or imaging center performing chest CT)
    Description

    TreatingHospitalName

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ObjectClass
    C16696
    UMLS 2011AA ObjectClass
    C0019994
    NCI Thesaurus ObjectClass-2
    C25705
    UMLS 2011AA ObjectClass-2
    C1522326
    Reporting Period
    Description

    Clinical Trial Period

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2347804
    NCI Thesaurus ObjectClass
    C25214
    NCI Thesaurus Property
    C25616
    NCI Thesaurus ObjectClass-2
    C25651
    Tumor Features
    Description

    Tumor Features

    Tumor Location Area (Mark one)
    Description

    TumorLungAreaType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus Property
    C12468
    UMLS 2011AA Property
    C0024109
    NCI Thesaurus Property-2
    C25244
    UMLS 2011AA Property-2
    C0205146
    Series number
    Description

    RadiologyMedicalImageIdentifierSeriesNumber

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C17059
    UMLS 2011AA ObjectClass
    C0034599
    NCI Thesaurus ObjectClass-2
    C19477
    UMLS 2011AA ObjectClass-2
    C1704254
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ValueDomain-2
    C25674
    UMLS 2011AA ValueDomain-2
    C0205549
    Section number
    Description

    RadiologyMedicalImageAnatomicSectionIdentifierNumber

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C17059
    UMLS 2011AA ObjectClass
    C0034599
    NCI Thesaurus ObjectClass-2
    C19477
    UMLS 2011AA ObjectClass-2
    C1704254
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus Property-2
    C25421
    UMLS 2011AA Property-2
    C0002808
    NCI Thesaurus Property-3
    C54091
    UMLS 2011AA Property-3
    C1705191
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    Maximum diameter of tumor using the lung window settings
    Description

    ChestComputedTomographyNeoplasmMaximumDiameterLengthMeasurement

    Data type

    text

    Measurement units
    • cm
    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C17204
    UMLS 2011AA ObjectClass-2
    C0040405
    NCI Thesaurus ObjectClass-3
    C25389
    UMLS 2011AA ObjectClass-3
    C0817096
    NCI Thesaurus Property
    C25285
    UMLS 2011AA Property
    C1301886
    NCI Thesaurus Property-2
    C25564
    UMLS 2011AA Property-2
    C0806909
    NCI Thesaurus Property-3
    C25334
    UMLS 2011AA Property-3
    C1444754
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    cm
    Unnamed3
    Description

    Unnamed3

    Are any non-calcified lung nodules or masses present
    Description

    LungNon-CalcifiedNodulePresentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25594
    UMLS 2011AA ObjectClass
    C1518422
    NCI Thesaurus ObjectClass-2
    C12468
    UMLS 2011AA ObjectClass-2
    C0024109
    NCI Thesaurus ObjectClass-3
    C25441
    UMLS 2011AA ObjectClass-3
    C0175895
    NCI Thesaurus ObjectClass-4
    C3280
    UMLS 2011AA ObjectClass-4
    C0028259
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Lesion Number
    Description

    LesionSiteNumber

    Data type

    float

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    Series number
    Description

    RadiologyMedicalImageIdentifierSeriesNumber

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C17059
    UMLS 2011AA ObjectClass
    C0034599
    NCI Thesaurus ObjectClass-2
    C19477
    UMLS 2011AA ObjectClass-2
    C1704254
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ValueDomain-2
    C25674
    UMLS 2011AA ValueDomain-2
    C0205549
    Lesion Anatomic Site
    Description

    Lesion Site, Primary

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS CUI-1
    C0449695
    NCI Thesaurus ObjectClass
    C3824
    NCI Thesaurus Property
    C25341
    Section number
    Description

    RadiologyMedicalImageAnatomicSectionIdentifierNumber

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C17059
    UMLS 2011AA ObjectClass
    C0034599
    NCI Thesaurus ObjectClass-2
    C19477
    UMLS 2011AA ObjectClass-2
    C1704254
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus Property-2
    C25421
    UMLS 2011AA Property-2
    C0002808
    NCI Thesaurus Property-3
    C54091
    UMLS 2011AA Property-3
    C1705191
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    Maximum diameter of tumor using the lung window settings
    Description

    ChestComputedTomographyNeoplasmMaximumDiameterLengthMeasurement

    Data type

    text

    Measurement units
    • cm
    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C17204
    UMLS 2011AA ObjectClass-2
    C0040405
    NCI Thesaurus ObjectClass-3
    C25389
    UMLS 2011AA ObjectClass-3
    C0817096
    NCI Thesaurus Property
    C25285
    UMLS 2011AA Property
    C1301886
    NCI Thesaurus Property-2
    C25564
    UMLS 2011AA Property-2
    C0806909
    NCI Thesaurus Property-3
    C25334
    UMLS 2011AA Property-3
    C1444754
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    cm
    Present on previous CT scan
    Description

    LesionPriorComputedTomographyPresentIndicator

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus Property-2
    C17204
    UMLS 2011AA Property-2
    C0040405
    NCI Thesaurus Property-3
    C25629
    UMLS 2011AA Property-3
    C0332152
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Is lesion on a staple line (Arm B Patients only)
    Description

    SurgicalMarginSurgicalStaplingLungLesionPresentINd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C41227
    UMLS 2011AA ObjectClass
    C0229985
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus Property-2
    C12468
    UMLS 2011AA Property-2
    C0024109
    NCI Thesaurus Property-3
    C71163
    NCI Metathesaurus Property
    C0206263
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Footer
    Description

    Footer

    Completed by (Last name, First name)
    Description

    Person Completing Form

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1550483
    NCI Thesaurus ObjectClass
    C25657
    NCI Thesaurus Property
    C25364
    Date Form Originally Completed
    Description

    Form Completion Date

    Data type

    date

    Alias
    NCI Thesaurus ObjectClass
    C19464
    UMLS CUI-1
    C1549507
    NCI Thesaurus Property
    C25250
    NCI Thesaurus Property-2
    C25604
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25367

    Similar models

    No Instruction available.

    1. StudyEvent: CALGB: 140503 Imaging Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Header
    Form ID CALGB
    Item
    CALGB Form
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3262252 (UMLS CUI-1)
    C19464 (NCI Thesaurus ObjectClass)
    C1516238 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25442 (NCI Thesaurus ObjectClass-2)
    Protocol ID CALGB
    Item
    CALGB Study No
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1516238 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25442 (NCI Thesaurus Property-2)
    Trial subject ID CALGB
    Item
    CALGB Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C1516238 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25442 (NCI Thesaurus Property-2)
    DiagnosticComputedTomographyPerformedDate
    Item
    Date of CT Scan
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C17204 (NCI Thesaurus ObjectClass)
    C0040405 (UMLS 2011AA ObjectClass)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C25482 (NCI Thesaurus ObjectClass-2)
    C0348026 (UMLS 2011AA ObjectClass-2)
    Data amended
    Item
    Are data amended
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25474 (NCI Thesaurus ObjectClass)
    C25416 (NCI Thesaurus Property)
    Item Group
    Unnamed2
    Patient Initials
    Item
    Patient Initials (Last, First Middle)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Medical Record Number
    Item
    Patient Hospital No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1301894 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25261 (NCI Thesaurus Property)
    C25198 (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)
    Participating Group
    Item
    Participating Group
    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
    Unnamed3
    TreatingHospitalName
    Item
    Hospital Name (or imaging center performing chest CT)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1547383 (UMLS 2011AA ValueDomain)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C16696 (NCI Thesaurus ObjectClass)
    C0019994 (UMLS 2011AA ObjectClass)
    C25705 (NCI Thesaurus ObjectClass-2)
    C1522326 (UMLS 2011AA ObjectClass-2)
    Item
    Reporting Period
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2347804 (UMLS CUI-1)
    C25214 (NCI Thesaurus ObjectClass)
    C25616 (NCI Thesaurus Property)
    C25651 (NCI Thesaurus ObjectClass-2)
    Code List
    Reporting Period
    CL Item
    Postoperative (Postoperative)
    C28006 (NCI Thesaurus)
    C0032790 (UMLS 2011AA)
    CL Item
    Preoperative (Preoperative)
    C54732 (NCI Thesaurus)
    C0445204 (UMLS 2011AA)
    Item Group
    Tumor Features
    Item
    Tumor Location Area (Mark one)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C12468 (NCI Thesaurus Property)
    C0024109 (UMLS 2011AA Property)
    C25244 (NCI Thesaurus Property-2)
    C0205146 (UMLS 2011AA Property-2)
    Code List
    Tumor Location Area (Mark one)
    CL Item
    Upper Lobe (right) (Upper Lobe (right))
    CL Item
    Middle Lobe (right) (Middle Lobe (right))
    CL Item
    Lower Lobe (right) (Lower Lobe (right))
    CL Item
    Upper Lobe (left) (Upper Lobe (left))
    CL Item
    Lower Lobe (left) (Lower Lobe (left))
    RadiologyMedicalImageIdentifierSeriesNumber
    Item
    Series number
    text
    C17059 (NCI Thesaurus ObjectClass)
    C0034599 (UMLS 2011AA ObjectClass)
    C19477 (NCI Thesaurus ObjectClass-2)
    C1704254 (UMLS 2011AA ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25674 (NCI Thesaurus ValueDomain-2)
    C0205549 (UMLS 2011AA ValueDomain-2)
    RadiologyMedicalImageAnatomicSectionIdentifierNumber
    Item
    Section number
    text
    C17059 (NCI Thesaurus ObjectClass)
    C0034599 (UMLS 2011AA ObjectClass)
    C19477 (NCI Thesaurus ObjectClass-2)
    C1704254 (UMLS 2011AA ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25421 (NCI Thesaurus Property-2)
    C0002808 (UMLS 2011AA Property-2)
    C54091 (NCI Thesaurus Property-3)
    C1705191 (UMLS 2011AA Property-3)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    ChestComputedTomographyNeoplasmMaximumDiameterLengthMeasurement
    Item
    Maximum diameter of tumor using the lung window settings
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C17204 (NCI Thesaurus ObjectClass-2)
    C0040405 (UMLS 2011AA ObjectClass-2)
    C25389 (NCI Thesaurus ObjectClass-3)
    C0817096 (UMLS 2011AA ObjectClass-3)
    C25285 (NCI Thesaurus Property)
    C1301886 (UMLS 2011AA Property)
    C25564 (NCI Thesaurus Property-2)
    C0806909 (UMLS 2011AA Property-2)
    C25334 (NCI Thesaurus Property-3)
    C1444754 (UMLS 2011AA Property-3)
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    Item Group
    Unnamed3
    LungNon-CalcifiedNodulePresentInd-2
    Item
    Are any non-calcified lung nodules or masses present
    boolean
    C25594 (NCI Thesaurus ObjectClass)
    C1518422 (UMLS 2011AA ObjectClass)
    C12468 (NCI Thesaurus ObjectClass-2)
    C0024109 (UMLS 2011AA ObjectClass-2)
    C25441 (NCI Thesaurus ObjectClass-3)
    C0175895 (UMLS 2011AA ObjectClass-3)
    C3280 (NCI Thesaurus ObjectClass-4)
    C0028259 (UMLS 2011AA ObjectClass-4)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    LesionSiteNumber
    Item
    Lesion Number
    float
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    RadiologyMedicalImageIdentifierSeriesNumber
    Item
    Series number
    text
    C17059 (NCI Thesaurus ObjectClass)
    C0034599 (UMLS 2011AA ObjectClass)
    C19477 (NCI Thesaurus ObjectClass-2)
    C1704254 (UMLS 2011AA ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25674 (NCI Thesaurus ValueDomain-2)
    C0205549 (UMLS 2011AA ValueDomain-2)
    Lesion Site, Primary
    Item
    Lesion Anatomic Site
    text
    C13717 (NCI Thesaurus ValueDomain)
    C0449695 (UMLS CUI-1)
    C3824 (NCI Thesaurus ObjectClass)
    C25341 (NCI Thesaurus Property)
    RadiologyMedicalImageAnatomicSectionIdentifierNumber
    Item
    Section number
    text
    C17059 (NCI Thesaurus ObjectClass)
    C0034599 (UMLS 2011AA ObjectClass)
    C19477 (NCI Thesaurus ObjectClass-2)
    C1704254 (UMLS 2011AA ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25421 (NCI Thesaurus Property-2)
    C0002808 (UMLS 2011AA Property-2)
    C54091 (NCI Thesaurus Property-3)
    C1705191 (UMLS 2011AA Property-3)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    ChestComputedTomographyNeoplasmMaximumDiameterLengthMeasurement
    Item
    Maximum diameter of tumor using the lung window settings
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C17204 (NCI Thesaurus ObjectClass-2)
    C0040405 (UMLS 2011AA ObjectClass-2)
    C25389 (NCI Thesaurus ObjectClass-3)
    C0817096 (UMLS 2011AA ObjectClass-3)
    C25285 (NCI Thesaurus Property)
    C1301886 (UMLS 2011AA Property)
    C25564 (NCI Thesaurus Property-2)
    C0806909 (UMLS 2011AA Property-2)
    C25334 (NCI Thesaurus Property-3)
    C1444754 (UMLS 2011AA Property-3)
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    Item
    Present on previous CT scan
    text
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C17204 (NCI Thesaurus Property-2)
    C0040405 (UMLS 2011AA Property-2)
    C25629 (NCI Thesaurus Property-3)
    C0332152 (UMLS 2011AA Property-3)
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Code List
    Present on previous CT scan
    CL Item
    No, New Lesion (No, new lesion)
    CL Item
    Yes, Same Size As Previous Scan (Yes, same size as previous scan)
    CL Item
    Yes, Size Decreased From Previous Scan (Yes, size decreased from previous scan)
    CL Item
    Yes, Size Increased From Previous Scan (Yes, size increased from previous scan)
    SurgicalMarginSurgicalStaplingLungLesionPresentINd-2
    Item
    Is lesion on a staple line (Arm B Patients only)
    boolean
    C41227 (NCI Thesaurus ObjectClass)
    C0229985 (UMLS 2011AA ObjectClass)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C12468 (NCI Thesaurus Property-2)
    C0024109 (UMLS 2011AA Property-2)
    C71163 (NCI Thesaurus Property-3)
    C0206263 (NCI Metathesaurus Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Item Group
    Footer
    Person Completing Form
    Item
    Completed by (Last name, First name)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1550483 (UMLS CUI-1)
    C25657 (NCI Thesaurus ObjectClass)
    C25364 (NCI Thesaurus Property)
    Form Completion Date
    Item
    Date Form Originally Completed
    date
    C19464 (NCI Thesaurus ObjectClass)
    C1549507 (UMLS CUI-1)
    C25250 (NCI Thesaurus Property)
    C25604 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)

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