ID

8344

Description

Follow-Up Brain Tumor Evaluation Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E12EA69C-FEB7-54BA-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E12EA69C-FEB7-54BA-E034-0003BA12F5E7

Keywords

Versions (3)
  1. 9/19/12 9/19/12 -
  2. 1/8/15 1/8/15 - Martin Dugas
  3. 1/9/15 1/9/15 - Martin Dugas
Uploaded on

January 9, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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    Follow-Up - Follow-Up Brain Tumor Evaluation Form - 2290890v3.0

    English

    No Instruction available.

    1 forms  
    1. StudyEvent: Follow-Up Brain Tumor Evaluation Form
      1. No Instruction available.
    Crf Header
    Description

    Crf Header

    Coordinating Group Protocol No.
    Description

    Protocol ID Coordinating Group

    Data type

    text

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

    Coordinating Group Code

    Data type

    text

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

    Protocol Title

    Data type

    text

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

    Patient Study ID

    Data type

    text

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

    Institution Name

    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
    Other 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
    Participating Group Code
    Description

    ParticipatingGroupIdentifierCode

    Data type

    text

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

    Patient Name

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1299487
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25364
    Brain: Follow-up Form Administration
    Description

    Brain: Follow-up Form Administration

    Reporting Period Start Date (MM DD YYYY)
    Description

    Reporting Period Start Date

    Data type

    date

    Alias
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25616
    UMLS CUI-1
    C2361257
    NCI Thesaurus Property-2
    C25651
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25431
    Reporting Period End Date (MM DD YYYY)
    Description

    Reporting Period End Date

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C2361259
    NCI Thesaurus Property
    C25616
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property-2
    C25651
    Date of Last Clinical Assessment (MM DD YYYY)
    Description

    Follow-Up Date

    Data type

    date

    Alias
    NCI Thesaurus ObjectClass
    C9305
    UMLS CUI-1
    C3694716
    NCI Thesaurus Property
    C16033
    NCI Thesaurus Property-2
    C25365
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25367
    Brain: Baseline Status
    Description

    Brain: Baseline Status

    Was the patient NED at baseline?
    Description

    BrainTumorBaselineNEDInd-3

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C12439
    UMLS 2011AA ObjectClass-2
    C0006104
    NCI Thesaurus Property
    C25213
    UMLS 2011AA Property
    C1442488
    NCI Thesaurus Property-2
    C40413
    UMLS 2011AA Property-2
    C1518340
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Brain: Measurable Lesion(s) Follow-up Evaluation
    Description

    Brain: Measurable Lesion(s) Follow-up Evaluation

    Is measurable disease present?
    Description

    Measurable Disease

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C1513041
    NCI Thesaurus Property
    C25626
    NCI Thesaurus ObjectClass
    C2991
    NCI Thesaurus ObjectClass-2
    C37894
    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
    Site of Lesion (New)
    Description

    Lesion Site, Primary

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS CUI-1
    C0449695
    NCI Thesaurus ObjectClass
    C3824
    NCI Thesaurus Property
    C25341
    Longest Bidimensional Measurements of Lesions (cm)
    Description

    LesionLongestDiameterMeasurement

    Data type

    float

    Measurement units
    • cm
    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    NCI Thesaurus Property
    C25285
    UMLS 2011AA Property
    C1301886
    NCI Thesaurus Property-2
    C25558
    UMLS 2011AA Property-2
    C1522425
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    cm
    Longest Bidimensional Measurements of Lesions (x cm)
    Description

    LesionLongestDimensionPerpendicularMeasurement

    Data type

    float

    Alias
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C25285
    UMLS 2011AA Property
    C1301886
    NCI Thesaurus Property-2
    C25558
    UMLS 2011AA Property-2
    C1522425
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    NCI Thesaurus ValueDomain-2
    C54649
    UMLS 2011AA ValueDomain-2
    C1295725
    Method of Evaluation
    Description

    Evaluation method

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    NCI Thesaurus Property
    C16847
    Other Specify (If)
    Description

    Evaluation method, specify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    UMLS CUI-2
    C1521902
    NCI Thesaurus Property
    C16847
    Date of Evaluation (MM DD YYYY)
    Description

    LesionAssessmentDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain-2
    C25367
    Sum of Longest Transverse Diameters (of All Measureable Lesions)
    Description

    LongestLesionTransverseDiameterMeasurement

    Data type

    float

    Alias
    NCI Thesaurus ObjectClass
    C25558
    UMLS 2011AA ObjectClass
    C1522425
    NCI Thesaurus ObjectClass-2
    C3824
    UMLS 2011AA ObjectClass-2
    C0221198
    NCI Thesaurus Property
    C25285
    UMLS 2011AA Property
    C1301886
    NCI Metathesaurus Property
    C0205106
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    Sum of Products of Greatest Diameters (of All Measurable Lesions)
    Description

    SumLesionDiameterProductMeasurement

    Data type

    float

    Alias
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus ObjectClass-2
    C25697
    UMLS 2011AA ObjectClass-2
    C1515051
    NCI Thesaurus Property
    C25285
    UMLS 2011AA Property
    C1301886
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    NCI Thesaurus ValueDomain-2
    C40352
    UMLS 2011AA ValueDomain-2
    C1704444
    Response Status at This Assessment, Imaging (mark one)
    Description

    RadiologyDiseaseResponseStatus

    Data type

    text

    Alias
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass
    C17059
    UMLS 2011AA ObjectClass
    C0034599
    NCI Thesaurus Property-2
    C2991
    UMLS 2011AA Property-2
    C0012634
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    Response Status at This Assessment, Treating Physician (mark one)
    Description

    PhysicianDiseaseResponseStatus

    Data type

    text

    Alias
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass
    C25741
    UMLS 2011AA ObjectClass
    C0031831
    NCI Thesaurus Property-2
    C2991
    UMLS 2011AA Property-2
    C0012634
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    Brain: Non-measureable/evaluable Lesion(s) Follow-up Evaluation
    Description

    Brain: Non-measureable/evaluable Lesion(s) Follow-up Evaluation

    Is non-measurable disease present?
    Description

    Non-Measurable Disease

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C1334988
    NCI Thesaurus Property
    C25626
    NCI Thesaurus ObjectClass
    C2991
    NCI Thesaurus ObjectClass-2
    C25589
    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
    Site of Lesion (New)
    Description

    Lesion Site, Primary

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS CUI-1
    C0449695
    NCI Thesaurus ObjectClass
    C3824
    NCI Thesaurus Property
    C25341
    Method of Evaluation
    Description

    Evaluation method

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    NCI Thesaurus Property
    C16847
    Other Specify (If)
    Description

    Evaluation method, specify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    UMLS CUI-2
    C1521902
    NCI Thesaurus Property
    C16847
    Follow-up Status of Lesion (s)
    Description

    LesionResponseType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    Date of Evaluation (MM DD YYYY)
    Description

    LesionAssessmentDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain-2
    C25367
    Response Status at This Assessment, Imaging (mark one)
    Description

    RadiologyDiseaseResponseStatus

    Data type

    text

    Alias
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass
    C17059
    UMLS 2011AA ObjectClass
    C0034599
    NCI Thesaurus Property-2
    C2991
    UMLS 2011AA Property-2
    C0012634
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    Response Status at This Assessment, Treating Physician (mark one)
    Description

    PhysicianDiseaseResponseStatus

    Data type

    text

    Alias
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass
    C25741
    UMLS 2011AA ObjectClass
    C0031831
    NCI Thesaurus Property-2
    C2991
    UMLS 2011AA Property-2
    C0012634
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    Brain: New Lesion(s) At Follow-up Evaluation
    Description

    Brain: New Lesion(s) At Follow-up Evaluation

    Was the appearance of any new lesions documented (since the baseline evaluation?)
    Description

    NewLesionAppearanceInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus ObjectClass-2
    C25586
    UMLS 2011AA ObjectClass-2
    C0205314
    NCI Thesaurus Property
    C25377
    UMLS 2011AA Property
    C0700364
    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
    Site of Lesion (New)
    Description

    Lesion Site, Primary

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS CUI-1
    C0449695
    NCI Thesaurus ObjectClass
    C3824
    NCI Thesaurus Property
    C25341
    Method of Evaluation
    Description

    Evaluation method

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    NCI Thesaurus Property
    C16847
    Other Specify (If)
    Description

    Evaluation method, specify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    UMLS CUI-2
    C1521902
    NCI Thesaurus Property
    C16847
    Date of Evaluation (MM DD YYYY)
    Description

    LesionAssessmentDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain-2
    C25367
    Brain: Evaluation Summary
    Description

    Brain: Evaluation Summary

    Neurologic Exam Score
    Description

    NeurologicalBrainExamScore

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C12439
    UMLS 2011AA ObjectClass
    C0006104
    NCI Thesaurus ObjectClass-2
    C25262
    UMLS 2011AA ObjectClass-2
    C0205494
    NCI Thesaurus Property
    C25305
    UMLS 2011AA Property
    C0582103
    NCI Thesaurus ValueDomain
    C25338
    UMLS 2011AA ValueDomain
    C0449820
    Is there Symptomatic Deterioration of the patient's health status requiring discontinuation of treatment?
    Description

    ResponseSymptomaticDeteriorationInd-3

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C25755
    UMLS 2011AA ObjectClass
    C0871261
    NCI Thesaurus Property
    C25269
    UMLS 2011AA Property
    C0231220
    NCI Thesaurus Property-2
    C25751
    UMLS 2011AA Property-2
    C0868945
    Yes specify
    Description

    ResponseSymptomaticDeteriorationSpecify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C25755
    UMLS 2011AA ObjectClass
    C0871261
    NCI Thesaurus Property
    C25269
    UMLS 2011AA Property
    C0231220
    NCI Thesaurus Property-2
    C25751
    UMLS 2011AA Property-2
    C0868945
    Overall Response Status at This Assessment (mark one)
    Description

    OverallTumorResponseType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C25605
    UMLS 2011AA ObjectClass-2
    C1561607
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    Comments
    Description

    Comments

    Comments
    Description

    Research Comments

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
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    1 forms
    1. StudyEvent: Follow-Up Brain Tumor Evaluation Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Crf Header
    Protocol ID Coordinating Group
    Item
    Coordinating Group Protocol No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1711341 (UMLS CUI-2)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Coordinating Group Code
    Item
    Coordinating Group Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C1711341 (UMLS CUI-1)
    C17005 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25462 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    Protocol Title
    Item
    Protocol Title
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986303 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C42774 (NCI Thesaurus Property)
    Patient Study ID
    Item
    Patient Study ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Institution Name
    Item
    Institution/Affiliate
    text
    C25454 (NCI Thesaurus ObjectClass)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C25191 (NCI Thesaurus ValueDomain)
    C21541 (NCI Thesaurus ValueDomain-2)
    Trial subject ID Participating Group
    Item
    Other Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    ParticipatingGroupIdentifierCode
    Item
    Participating Group Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C25608 (NCI Thesaurus ObjectClass)
    C0679823 (UMLS 2011AA ObjectClass)
    C17005 (NCI Thesaurus ObjectClass-2)
    C1257890 (UMLS 2011AA ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    Patient Name
    Item
    Patient Name (initials acceptable)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1299487 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25364 (NCI Thesaurus Property)
    Item Group
    Brain: Follow-up Form Administration
    Reporting Period Start Date
    Item
    Reporting Period Start Date (MM DD YYYY)
    date
    C15368 (NCI Thesaurus ObjectClass)
    C25616 (NCI Thesaurus Property)
    C2361257 (UMLS CUI-1)
    C25651 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25431 (NCI Thesaurus ValueDomain-2)
    Reporting Period End Date
    Item
    Reporting Period End Date (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C2361259 (UMLS CUI-1)
    C25616 (NCI Thesaurus Property)
    C15368 (NCI Thesaurus ObjectClass)
    C25651 (NCI Thesaurus Property-2)
    Follow-Up Date
    Item
    Date of Last Clinical Assessment (MM DD YYYY)
    date
    C9305 (NCI Thesaurus ObjectClass)
    C3694716 (UMLS CUI-1)
    C16033 (NCI Thesaurus Property)
    C25365 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    Item Group
    Brain: Baseline Status
    Item
    Was the patient NED at baseline?
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C12439 (NCI Thesaurus ObjectClass-2)
    C0006104 (UMLS 2011AA ObjectClass-2)
    C25213 (NCI Thesaurus Property)
    C1442488 (UMLS 2011AA Property)
    C40413 (NCI Thesaurus Property-2)
    C1518340 (UMLS 2011AA Property-2)
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    CL.1
    Code List
    Was the patient NED at baseline?
    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
    Brain: Measurable Lesion(s) Follow-up Evaluation
    Measurable Disease
    Item
    Is measurable disease present?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1513041 (UMLS CUI-1)
    C25626 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C37894 (NCI Thesaurus ObjectClass-2)
    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)
    Lesion Site, Primary
    Item
    Site of Lesion (New)
    text
    C13717 (NCI Thesaurus ValueDomain)
    C0449695 (UMLS CUI-1)
    C3824 (NCI Thesaurus ObjectClass)
    C25341 (NCI Thesaurus Property)
    LesionLongestDiameterMeasurement
    Item
    Longest Bidimensional Measurements of Lesions (cm)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    C25285 (NCI Thesaurus Property)
    C1301886 (UMLS 2011AA Property)
    C25558 (NCI Thesaurus Property-2)
    C1522425 (UMLS 2011AA Property-2)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    LesionLongestDimensionPerpendicularMeasurement
    Item
    Longest Bidimensional Measurements of Lesions (x cm)
    float
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C25285 (NCI Thesaurus Property)
    C1301886 (UMLS 2011AA Property)
    C25558 (NCI Thesaurus Property-2)
    C1522425 (UMLS 2011AA Property-2)
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    C54649 (NCI Thesaurus ValueDomain-2)
    C1295725 (UMLS 2011AA ValueDomain-2)
    Item
    Method of Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C16847 (NCI Thesaurus Property)
    CL.12
    Code List
    Method of Evaluation
    CL Item
    Clinical Examination (pe) (Clinical examination)
    CL Item
    Ct Scan (CT Scan)
    CL Item
    Mri (MRI (NMR))
    CL Item
    Pet Scan (PET scan)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    Evaluation method, specify
    Item
    Other Specify (If)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C1521902 (UMLS CUI-2)
    C16847 (NCI Thesaurus Property)
    LesionAssessmentDate
    Item
    Date of Evaluation (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25367 (NCI Thesaurus ValueDomain-2)
    LongestLesionTransverseDiameterMeasurement
    Item
    Sum of Longest Transverse Diameters (of All Measureable Lesions)
    float
    C25558 (NCI Thesaurus ObjectClass)
    C1522425 (UMLS 2011AA ObjectClass)
    C3824 (NCI Thesaurus ObjectClass-2)
    C0221198 (UMLS 2011AA ObjectClass-2)
    C25285 (NCI Thesaurus Property)
    C1301886 (UMLS 2011AA Property)
    C0205106 (NCI Metathesaurus Property)
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    SumLesionDiameterProductMeasurement
    Item
    Sum of Products of Greatest Diameters (of All Measurable Lesions)
    float
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C25697 (NCI Thesaurus ObjectClass-2)
    C1515051 (UMLS 2011AA ObjectClass-2)
    C25285 (NCI Thesaurus Property)
    C1301886 (UMLS 2011AA Property)
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    C40352 (NCI Thesaurus ValueDomain-2)
    C1704444 (UMLS 2011AA ValueDomain-2)
    Item
    Response Status at This Assessment, Imaging (mark one)
    text
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C17059 (NCI Thesaurus ObjectClass)
    C0034599 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus Property-2)
    C0012634 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.9
    Code List
    Response Status at This Assessment, Imaging (mark one)
    CL Item
    Complete Response (CR)
    CL Item
    Stable Disease (SD)
    C18213 (NCI Thesaurus)
    C0677946 (UMLS 2011AA)
    CL Item
    Regr (REGR)
    CL Item
    Progressive Disease (PD)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS 2011AA)
    CL Item
    Insufficient Evaluation To Determine Response Status (Insufficient evaluation to determine response status)
    Item
    Response Status at This Assessment, Treating Physician (mark one)
    text
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C25741 (NCI Thesaurus ObjectClass)
    C0031831 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus Property-2)
    C0012634 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.10
    Code List
    Response Status at This Assessment, Treating Physician (mark one)
    CL Item
    Complete Response (CR)
    CL Item
    Stable Disease (SD)
    C18213 (NCI Thesaurus)
    C0677946 (UMLS 2011AA)
    CL Item
    Regr (REGR)
    CL Item
    Progressive Disease (PD)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS 2011AA)
    CL Item
    Insufficient Evaluation To Determine Response Status (Insufficient evaluation to determine response status)
    Item Group
    Brain: Non-measureable/evaluable Lesion(s) Follow-up Evaluation
    Non-Measurable Disease
    Item
    Is non-measurable disease present?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1334988 (UMLS CUI-1)
    C25626 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C25589 (NCI Thesaurus ObjectClass-2)
    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)
    Lesion Site, Primary
    Item
    Site of Lesion (New)
    text
    C13717 (NCI Thesaurus ValueDomain)
    C0449695 (UMLS CUI-1)
    C3824 (NCI Thesaurus ObjectClass)
    C25341 (NCI Thesaurus Property)
    Item
    Method of Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C16847 (NCI Thesaurus Property)
    CL.12
    Code List
    Method of Evaluation
    CL Item
    Clinical Examination (pe) (Clinical examination)
    CL Item
    Ct Scan (CT Scan)
    CL Item
    Mri (MRI (NMR))
    CL Item
    Pet Scan (PET scan)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    Evaluation method, specify
    Item
    Other Specify (If)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C1521902 (UMLS CUI-2)
    C16847 (NCI Thesaurus Property)
    Item
    Follow-up Status of Lesion (s)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    CL.8
    Code List
    Follow-up Status of Lesion (s)
    CL Item
    Complete Response (CR)
    CL Item
    Regr (REGR)
    CL Item
    Stable Disease (SD)
    C18213 (NCI Thesaurus)
    C0677946 (UMLS 2011AA)
    C18213 (NCI Thesaurus-3)
    C0677946 (UMLS 2011AA-4)
    CL Item
    Progressive Disease (PD)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS 2011AA)
    C35571 (NCI Thesaurus-3)
    C1335499 (UMLS 2011AA-4)
    LesionAssessmentDate
    Item
    Date of Evaluation (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25367 (NCI Thesaurus ValueDomain-2)
    Item
    Response Status at This Assessment, Imaging (mark one)
    text
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C17059 (NCI Thesaurus ObjectClass)
    C0034599 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus Property-2)
    C0012634 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.9
    Code List
    Response Status at This Assessment, Imaging (mark one)
    CL Item
    Complete Response (CR)
    CL Item
    Stable Disease (SD)
    C18213 (NCI Thesaurus)
    C0677946 (UMLS 2011AA)
    CL Item
    Regr (REGR)
    CL Item
    Progressive Disease (PD)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS 2011AA)
    CL Item
    Insufficient Evaluation To Determine Response Status (Insufficient evaluation to determine response status)
    Item
    Response Status at This Assessment, Treating Physician (mark one)
    text
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C25741 (NCI Thesaurus ObjectClass)
    C0031831 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus Property-2)
    C0012634 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.10
    Code List
    Response Status at This Assessment, Treating Physician (mark one)
    CL Item
    Complete Response (CR)
    CL Item
    Stable Disease (SD)
    C18213 (NCI Thesaurus)
    C0677946 (UMLS 2011AA)
    CL Item
    Regr (REGR)
    CL Item
    Progressive Disease (PD)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS 2011AA)
    CL Item
    Insufficient Evaluation To Determine Response Status (Insufficient evaluation to determine response status)
    Item Group
    Brain: New Lesion(s) At Follow-up Evaluation
    NewLesionAppearanceInd-2
    Item
    Was the appearance of any new lesions documented (since the baseline evaluation?)
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C25586 (NCI Thesaurus ObjectClass-2)
    C0205314 (UMLS 2011AA ObjectClass-2)
    C25377 (NCI Thesaurus Property)
    C0700364 (UMLS 2011AA Property)
    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)
    Lesion Site, Primary
    Item
    Site of Lesion (New)
    text
    C13717 (NCI Thesaurus ValueDomain)
    C0449695 (UMLS CUI-1)
    C3824 (NCI Thesaurus ObjectClass)
    C25341 (NCI Thesaurus Property)
    Item
    Method of Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C16847 (NCI Thesaurus Property)
    CL.12
    Code List
    Method of Evaluation
    CL Item
    Clinical Examination (pe) (Clinical examination)
    CL Item
    Ct Scan (CT Scan)
    CL Item
    Mri (MRI (NMR))
    CL Item
    Pet Scan (PET scan)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    Evaluation method, specify
    Item
    Other Specify (If)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C1521902 (UMLS CUI-2)
    C16847 (NCI Thesaurus Property)
    LesionAssessmentDate
    Item
    Date of Evaluation (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25367 (NCI Thesaurus ValueDomain-2)
    Item Group
    Brain: Evaluation Summary
    Item
    Neurologic Exam Score
    text
    C12439 (NCI Thesaurus ObjectClass)
    C0006104 (UMLS 2011AA ObjectClass)
    C25262 (NCI Thesaurus ObjectClass-2)
    C0205494 (UMLS 2011AA ObjectClass-2)
    C25305 (NCI Thesaurus Property)
    C0582103 (UMLS 2011AA Property)
    C25338 (NCI Thesaurus ValueDomain)
    C0449820 (UMLS 2011AA ValueDomain)
    CL.13
    Code List
    Neurologic Exam Score
    CL Item
    Better (Better)
    CL Item
    Same (Same)
    CL Item
    Worse (Worse)
    C71686 (NCI Thesaurus)
    C1457868 (UMLS 2011AA)
    CL Item
    Not Done (Not Done)
    CL281691 (NCI Metathesaurus)
    ResponseSymptomaticDeteriorationInd-3
    Item
    Is there Symptomatic Deterioration of the patient's health status requiring discontinuation of treatment?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25755 (NCI Thesaurus ObjectClass)
    C0871261 (UMLS 2011AA ObjectClass)
    C25269 (NCI Thesaurus Property)
    C0231220 (UMLS 2011AA Property)
    C25751 (NCI Thesaurus Property-2)
    C0868945 (UMLS 2011AA Property-2)
    ResponseSymptomaticDeteriorationSpecify
    Item
    Yes specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25755 (NCI Thesaurus ObjectClass)
    C0871261 (UMLS 2011AA ObjectClass)
    C25269 (NCI Thesaurus Property)
    C0231220 (UMLS 2011AA Property)
    C25751 (NCI Thesaurus Property-2)
    C0868945 (UMLS 2011AA Property-2)
    Item
    Overall Response Status at This Assessment (mark one)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25605 (NCI Thesaurus ObjectClass-2)
    C1561607 (UMLS 2011AA ObjectClass-2)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    CL.15
    Code List
    Overall Response Status at This Assessment (mark one)
    CL Item
    Not An Approved Recist Value (NED)
    CL Item
    Complete Response (CR)
    CL Item
    Partial Response (PR)
    C18212 (NCI Thesaurus)
    CL Item
    Not An Approved Recist Value (REGR)
    CL Item
    Stable Disease (SD)
    C18213 (NCI Thesaurus)
    C0677946 (UMLS 2011AA)
    CL Item
    Progressive Disease (PD)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS 2011AA)
    CL Item
    Death Prior To Completion Of Protocol Criteria (Early death)
    CL Item
    Insufficient Evaluation (Insufficient evaluation to determine response status)
    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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