ID

8968

Description

NSABP PROTOCOL R-04: SURGERY FORM Radiation Therapy and Either Capecitabine or Fluorouracil With or Without Oxaliplatin Before Surgery in Treating Patients With Resectable Rectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B7ABE177-6C54-3DC5-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B7ABE177-6C54-3DC5-E034-0003BA12F5E7

Keywords

Versions (2)
  1. 8/27/12 8/27/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
Uploaded on

January 9, 2015

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0 Legacy
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Colorectal Cancer NCT00058474 Treatment - NSABP PROTOCOL R-04: SURGERY FORM - 2086952v3.0

English

(If a resection was not performed, submit supporting documentation and leave the remainder of the form blank.)

1 forms  
Ccrr Module For Nsabp Protocol R-04: Surgery Form
Description

Ccrr Module For Nsabp Protocol R-04: Surgery Form

Last
Description

Patient Initials Last

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C1517741
NCI Thesaurus Property
C25536
NCI Thesaurus Property-2
C25551
First
Description

Patient Initials First

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C0205435
NCI Thesaurus Property
C25536
NCI Thesaurus Property-2
C25509
Middle
Description

PatientMiddleInitialsName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25536
UMLS 2011AA Property
C1555582
NCI Thesaurus Property-2
C25569
UMLS 2011AA Property-2
C0444598
NSABP Patient ID
Description

Patient ID NSABP

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C1513905
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C15818
Person Completing Form, Last Name (Person Completing Form, First Name)
Description

Person Completing Form Last Name

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS CUI-1
C1550483
NCI Thesaurus ObjectClass-2
C25657
UMLS CUI-2
C1301584
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25551
NCI Thesaurus ValueDomain
C25191
Person Completing Form, First Name
Description

Person Completing Form First Name

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS CUI-1
C1550483
NCI Thesaurus ObjectClass-2
C25657
UMLS CUI-2
C1443235
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25509
NCI Thesaurus ValueDomain
C25191
Person Completing Form, Phone
Description

Person Completing Form Phone

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C1550483
NCI Thesaurus ObjectClass
C25190
UMLS CUI-2
C1515258
NCI Thesaurus ObjectClass-2
C25657
NCI Thesaurus Property
C25395
Institution Name / Affiliate
Description

Affiliate Name

Data type

text

Alias
NCI Thesaurus ObjectClass
C21541
UMLS CUI-1
C1510825
NCI Thesaurus ObjectClass-2
C25413
NCI Thesaurus Property
C25364
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ValueDomain-2
C21541
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
Perioperative Tumor Assessment Of Clinical Response
Description

Perioperative Tumor Assessment Of Clinical Response

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
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
Date of Assessment
Description

Assessment Date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C2985720
NCI Thesaurus ObjectClass
C25367
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus Property
C38000
Date of Assessment
Description

Assessment Date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C2985720
NCI Thesaurus ObjectClass
C25367
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus Property
C38000
Clinical response
Description

ColorectalCarcinomaPerioperativeClinicalResponseStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C2955
UMLS 2011AA ObjectClass
C0009402
NCI Thesaurus Property
C25398
UMLS 2011AA Property
C0205210
NCI Thesaurus Property-2
C50995
UMLS 2011AA Property-2
C1704632
NCI Thesaurus Property-3
C28374
UMLS 2011AA Property-3
C1518988
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Clinical response
Description

ColorectalCarcinomaPerioperativeClinicalResponseStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C2955
UMLS 2011AA ObjectClass
C0009402
NCI Thesaurus Property
C25398
UMLS 2011AA Property
C0205210
NCI Thesaurus Property-2
C50995
UMLS 2011AA Property-2
C1704632
NCI Thesaurus Property-3
C28374
UMLS 2011AA Property-3
C1518988
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Vascular Access Device
Description

Vascular Access Device

Date of placement
Description

CentralVenousAccessCatheterMedicalDeviceImplantationDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C17612
UMLS 2011AA ObjectClass
C1145640
NCI Thesaurus ObjectClass-2
C16830
UMLS 2011AA ObjectClass-2
C0025080
NCI Thesaurus Property
C51982
UMLS 2011AA Property
C0021107
Type (MARK ONE)
Description

CentralVenousAccessCatheterMedicalDeviceImplantationType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C17612
UMLS 2011AA ObjectClass
C1145640
NCI Thesaurus ObjectClass-2
C16830
UMLS 2011AA ObjectClass-2
C0025080
NCI Thesaurus Property
C51982
UMLS 2011AA Property
C0021107
Blood Transfusions
Description

Blood Transfusions

Blood transfusion
Description

BloodTransfusionTimepointAdministeredType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C68568
UMLS 2011AA Property
C2348792
NCI Thesaurus ObjectClass
C15192
UMLS 2011AA ObjectClass
C0005841
NCI Thesaurus Property-2
C25382
UMLS 2011AA Property-2
C1521801
Total units whole blood
Description

WholeBloodTransfusionCount

Data type

float

Alias
NCI Metathesaurus ObjectClass
C0370231
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus Property
C25256
UMLS 2011AA Property
C1265611
NCI Thesaurus ObjectClass
C15408
Total number of units PRBC
Description

PackedRedBloodCellTransfusionReceivedUnitCount

Data type

float

Alias
NCI Thesaurus ValueDomain
C44278
UMLS 2011AA ValueDomain
C0439148
NCI Thesaurus Property
C25639
UMLS 2011AA Property
C1514756
NCI Thesaurus ValueDomain-2
C25463
UMLS 2011AA ValueDomain-2
C0750480
NCI Thesaurus ObjectClass
C15409
UMLS 2011AA ObjectClass
C0199962
Surgery
Description

Surgery

Did patient undergo surgical resection?
Description

SurgicalProcedureExcisionPerformedInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ObjectClass
C15329
UMLS 2011AA ObjectClass
C0543467
NCI Thesaurus Property-2
C15232
UMLS 2011AA Property-2
C0728940
Date of Resection (month day year)
Description

PatientSurgicalResectionDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25698
NCI Thesaurus Property-2
C15232
UMLS 2011AA Property
C0728940
Reason for no resection
Description

ResectionNotPerformedReason

Data type

text

Alias
NCI Thesaurus ValueDomain
C25638
UMLS 2011AA ValueDomain
C0392360
NCI Thesaurus Property
C25594
UMLS 2011AA Property
C1518422
NCI Thesaurus Property-2
C38000
UMLS 2011AA Property-2
C0884358
NCI Thesaurus ObjectClass
C15232
UMLS 2011AA ObjectClass
C0728940
Other, specify
Description

ResectionNotPerformedSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus Property
C25594
UMLS 2011AA Property
C1518422
NCI Thesaurus Property-2
C38000
UMLS 2011AA Property-2
C0884358
NCI Thesaurus ObjectClass
C15232
UMLS 2011AA ObjectClass
C0728940
Found on
Description

CancerProgressionTimepointDiagnosisType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C68568
UMLS 2011AA Property
C2348792
NCI Thesaurus Property-2
C15220
UMLS 2011AA Property-2
C0011900
NCI Thesaurus ObjectClass
C19987
UMLS 2011AA ObjectClass
C0242656
Is there adherence to adjacent organs?
Description

TumorAdherenceInd-3

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus Property
C25729
UMLS 2011AA Property
C1510802
Was an "en bloc" resection performed?
Description

EnBlocResectionPerformedInd-3

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ObjectClass
C15232
UMLS 2011AA ObjectClass
C0728940
NCI Thesaurus ObjectClass-2
C25733
UMLS 2011AA ObjectClass-2
C1516835
Residual Primary Tumor
Description

PrimaryTumorPostExcisionRemainingInd-3

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass-2
C25251
UMLS 2011AA ObjectClass-2
C0205225
NCI Thesaurus Property
C38008
UMLS 2011AA Property
C0687676
NCI Thesaurus Property-2
C15232
UMLS 2011AA Property-2
C0728940
NCI Thesaurus Property-3
C25649
UMLS 2011AA Property-3
C1527428
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Was an abdominal exploration carried out?
Description

ExploratorySurgeryAbdominalCavityPerformedInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C12664
UMLS 2011AA Property
C0230168
NCI Thesaurus Property-2
C38000
UMLS 2011AA Property-2
C0884358
NCI Thesaurus ObjectClass
C66747
UMLS 2011AA ObjectClass
C1880637
Was there tumor spillage?
Description

TumorLeakagePresentInd-3

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ObjectClass
C40417
UMLS 2011AA ObjectClass
C1519683
Was sphincter preserved
Description

ColorectalSurgicalProcedureSphincterPreservedInd-2

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C13363
UMLS 2011AA ObjectClass
C0555952
NCI Thesaurus ObjectClass-2
C15329
UMLS 2011AA ObjectClass-2
C0543467
NCI Thesaurus Property
C28381
UMLS 2011AA Property
C1409894
NCI Metathesaurus Property
C0456735
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Was a total mesorectal excision performed?
Description

TotalMesorectalExcisionPerformedInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ObjectClass
C16180
UMLS 2011AA ObjectClass
C1273428
Were all suspicious lymph nodes removed?
Description

LymphNodeRemovedInd-3

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C12745
UMLS 2011AA ObjectClass
C0024204
NCI Thesaurus Property
C25650
UMLS 2011AA Property
C0849355
Were there any isolated distant or non-contiguous intra-abdominal mets (other than peri-rectal lymph node involvement)?
Description

AbdominalCavityMetastasisPresentInd-3

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ObjectClass
C12664
UMLS 2011AA ObjectClass
C0230168
NCI Thesaurus Property-2
C19151
UMLS 2011AA Property-2
C0027627
Metastasis completely resected
Description

MetastaticNeoplasmCompleteSurgicalResectionIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C3261
UMLS 2011AA ObjectClass
C2939420
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property-2
C25698
NCI Thesaurus Property-3
C15232
UMLS 2011AA Property-2
C0728940
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Was there bowel perforation
Description

TumorPerforationInd

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus Property
C4080
UMLS 2011AA Property
C0549099
Indicate the type (perforation)
Description

PerforationOutsideTumorInd

Data type

text

Was there bowel obstruction
Description

ObstructionPresentInd-3

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Metathesaurus ObjectClass
C0028778
Indicate the type (tumor)
Description

Indicatethetype(tumor)

Data type

text

Was an ostomy created at the time of resection?
Description

OstomyExcisionPerformedIndicator

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus Property-2
C15232
UMLS 2011AA Property-2
C0728940
NCI Thesaurus ObjectClass
C15290
UMLS 2011AA ObjectClass
C0029473
Number of primary tumors
Description

LesionCount

Data type

float

Alias
NCI Thesaurus ObjectClass
C3824
UMLS 2011AA ObjectClass
C0221198
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus Property
C25256
UMLS 2011AA Property
C1265611
Location of distal edge of tumor
Description

DistalBorderColorectalCarcinomaAnatomicSite

Data type

text

Alias
NCI Thesaurus ObjectClass
C25237
UMLS 2011AA ObjectClass
C0205108
NCI Thesaurus ObjectClass-2
C2955
UMLS 2011AA ObjectClass-2
C0009402
NCI Thesaurus ObjectClass-3
C25439
UMLS 2011AA ObjectClass-3
C1522411
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus ValueDomain
C13717
UMLS 2011AA ValueDomain
C1515974
Were there any Post-operative and Early Complications
Description

SurgeryPost-OperativeComplicationsInd-3

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C15329
UMLS 2011AA ObjectClass
C0543467
NCI Thesaurus Property
C2959
UMLS 2011AA Property
C0009566
NCI Thesaurus Property-2
C25623
Mark all that apply
Description

SurgicalProcedureComplicationType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C15329
UMLS 2011AA ObjectClass
C0543467
NCI Thesaurus Property
C2959
UMLS 2011AA Property
C0009566
Other, specify
Description

SurgicalProcedureComplicationSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C15329
UMLS 2011AA ObjectClass
C0543467
NCI Thesaurus Property
C2959
UMLS 2011AA Property
C0009566
Wound infection, mark type
Description

SurgicalProcedureWoundInfectionAdverseEventAnatomicSite

Data type

text

Alias
NCI Thesaurus ValueDomain
C13717
UMLS 2011AA ValueDomain
C1515974
NCI Thesaurus Property
C41331
UMLS 2011AA Property
C0877248
NCI Thesaurus Property-2
C45234
UMLS 2011AA Property-2
C0043241
NCI Thesaurus ObjectClass
C15329
UMLS 2011AA ObjectClass
C0543467
Urinary complication, choose type
Description

UrinarySystemAdverseEventPresentType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Thesaurus ObjectClass-2
C12413
UMLS 2011AA ObjectClass-2
C1508753
Was a re-operation necessary?
Description

Re-excisionPerformedInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C48600
UMLS 2011AA ObjectClass
C0184913
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Pathology
Description

Pathology

Pathology Accession Number
Description

SpecimenIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
Pathologic T Stage
Description

ColorectalTumorPathologicTStage

Data type

text

Alias
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass-2
C13363
UMLS 2011AA ObjectClass-2
C0555952
NCI Thesaurus Property
C25610
UMLS 2011AA Property
C1521733
NCI Thesaurus Property-2
C25728
UMLS 2011AA Property-2
C0475455
NCI Thesaurus ValueDomain
C16899
UMLS 2011AA ValueDomain
C1300072
Number of Lymph Nodes Examined
Description

LymphNodeExaminedCount

Data type

float

Alias
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus ObjectClass
C12745
UMLS 2011AA ObjectClass
C0024204
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Number of Positive Lymph Nodes
Description

LymphNodePositiveCount

Data type

float

Alias
NCI Thesaurus Property
C25246
UMLS 2011AA Property
C1446409
NCI Thesaurus ObjectClass
C12745
UMLS 2011AA ObjectClass
C0024204
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Pathologic response
Description

TissueSpecimenPathologyReportType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C12801
UMLS 2011AA ObjectClass
C0040300
NCI Thesaurus Property
C28277
UMLS 2011AA Property
C0807321
NCI Thesaurus ObjectClass-2
C19157
UMLS 2011AA ObjectClass-2
C0370003
Longest Dimension of Tumor (cm)
Description

Longest Diameter of Lesion

Data type

float

Measurement units
  • cm
Alias
NCI Thesaurus ObjectClass
C3824
UMLS CUI-1
C0221198
NCI Thesaurus Property
C25285
UMLS CUI-2
C1301886
NCI Thesaurus Property-2
C25558
UMLS CUI-3
C1522425
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ValueDomain-2
C25285
cm
Histologic Type (mark one)
Description

ProstateTumorHistologicCategory

Data type

text

Alias
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass-2
C12410
UMLS 2011AA ObjectClass-2
C0033572
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
Other, specify (histologic type)
Description

TumorHistologicVariationSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus Property
C25526
UMLS 2011AA Property
C0205462
NCI Thesaurus Property-2
C25713
UMLS 2011AA Property-2
C0205419
Venous Invasion
Description

VenousInvasionInd

Data type

text

Histologic Grade (Differentiation)
Description

ColorectalTumorHistologicGrade

Data type

text

Alias
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus ObjectClass-2
C13363
UMLS 2011AA ObjectClass-2
C0555952
NCI Thesaurus Property
C25526
UMLS 2011AA Property
C0205462
NCI Thesaurus Property-2
C25365
UMLS 2011AA Property-2
C0678257
NCI Thesaurus ValueDomain
C25526
UMLS 2011AA ValueDomain
C0205462
NCI Thesaurus ValueDomain-2
C18000
UMLS 2011AA ValueDomain-2
C0919553
All surgical margins of resection are negative for tumor
Description

SurgicalResectionNegativeFindingMarginPerformedInd-2

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C25698
NCI Thesaurus ObjectClass-2
C15232
UMLS 2011AA ObjectClass
C0728940
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus Property-2
C38757
UMLS 2011AA Property-2
C1513916
NCI Thesaurus Property-3
C25563
UMLS 2011AA Property-3
C0205284
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Which margin was involved?
Description

NeoplasmMarginInvolvedType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C3262
UMLS 2011AA ObjectClass
C0027651
NCI Thesaurus Property
C25547
NCI Thesaurus ObjectClass-2
C25563
UMLS 2011AA ObjectClass-2
C0205284
Distance from Primary Tumor to Distal Margin of Resection
Description

ColorectalSurgicalMarginDistalDistanceMeasurement

Data type

float

Measurement units
  • cm
Alias
NCI Thesaurus ObjectClass
C13363
UMLS 2011AA ObjectClass
C0555952
NCI Thesaurus ObjectClass-2
C41227
UMLS 2011AA ObjectClass-2
C0229985
NCI Thesaurus Property
C25237
UMLS 2011AA Property
C0205108
NCI Thesaurus Property-2
C25167
UMLS 2011AA Property-2
C0012751
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
cm
Distance from Primary Tumor to Proximal Margin of Resection
Description

ColorectalSurgicalMarginProximalDistanceMeasurement

Data type

float

Measurement units
  • cm
Alias
NCI Thesaurus ObjectClass
C13363
UMLS 2011AA ObjectClass
C0555952
NCI Thesaurus ObjectClass-2
C41227
UMLS 2011AA ObjectClass-2
C0229985
NCI Thesaurus Property
C25236
UMLS 2011AA Property
C0205107
NCI Thesaurus Property-2
C25167
UMLS 2011AA Property-2
C0012751
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
cm
Distance to Nearest Radial Margin (Circumferential)
Description

ColorectalSurgicalMarginCircumferentialDistanceMeasurement

Data type

float

Measurement units
  • mm
Alias
NCI Thesaurus ObjectClass
C13363
UMLS 2011AA ObjectClass
C0555952
NCI Thesaurus ObjectClass-2
C41227
UMLS 2011AA ObjectClass-2
C0229985
NCI Metathesaurus Property
CL124270
NCI Thesaurus Property
C25167
UMLS 2011AA Property
C0012751
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
NCI Thesaurus ValueDomain-2
C25252
UMLS 2011AA ValueDomain-2
C0205288
mm
Back to the top of the page

Similar models

(If a resection was not performed, submit supporting documentation and leave the remainder of the form blank.)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Ccrr Module For Nsabp Protocol R-04: Surgery Form
Patient Initials Last
Item
Last
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1517741 (UMLS CUI-2)
C25536 (NCI Thesaurus Property)
C25551 (NCI Thesaurus Property-2)
Patient Initials First
Item
First
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C0205435 (UMLS CUI-2)
C25536 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property-2)
PatientMiddleInitialsName
Item
Middle
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C25569 (NCI Thesaurus Property-2)
C0444598 (UMLS 2011AA Property-2)
Patient ID NSABP
Item
NSABP Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1513905 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C15818 (NCI Thesaurus Property-2)
Person Completing Form Last Name
Item
Person Completing Form, Last Name (Person Completing Form, First Name)
text
C25190 (NCI Thesaurus ObjectClass)
C1550483 (UMLS CUI-1)
C25657 (NCI Thesaurus ObjectClass-2)
C1301584 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25551 (NCI Thesaurus Property-2)
C25191 (NCI Thesaurus ValueDomain)
Person Completing Form First Name
Item
Person Completing Form, First Name
text
C25190 (NCI Thesaurus ObjectClass)
C1550483 (UMLS CUI-1)
C25657 (NCI Thesaurus ObjectClass-2)
C1443235 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property-2)
C25191 (NCI Thesaurus ValueDomain)
Person Completing Form Phone
Item
Person Completing Form, Phone
text
C25337 (NCI Thesaurus ValueDomain)
C1550483 (UMLS CUI-1)
C25190 (NCI Thesaurus ObjectClass)
C1515258 (UMLS CUI-2)
C25657 (NCI Thesaurus ObjectClass-2)
C25395 (NCI Thesaurus Property)
Affiliate Name
Item
Institution Name / Affiliate
text
C21541 (NCI Thesaurus ObjectClass)
C1510825 (UMLS CUI-1)
C25413 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-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
Perioperative Tumor Assessment Of Clinical Response
Evaluation method
Item
Method of Evaluation
text
C25284 (NCI Thesaurus ValueDomain)
C2911685 (UMLS CUI-1)
C20989 (NCI Thesaurus ObjectClass)
C16847 (NCI Thesaurus Property)
Evaluation method
Item
Method of Evaluation
text
C25284 (NCI Thesaurus ValueDomain)
C2911685 (UMLS CUI-1)
C20989 (NCI Thesaurus ObjectClass)
C16847 (NCI Thesaurus Property)
Assessment Date
Item
Date of Assessment
date
C25164 (NCI Thesaurus ValueDomain)
C2985720 (UMLS CUI-1)
C25367 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain-2)
C38000 (NCI Thesaurus Property)
Assessment Date
Item
Date of Assessment
date
C25164 (NCI Thesaurus ValueDomain)
C2985720 (UMLS CUI-1)
C25367 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain-2)
C38000 (NCI Thesaurus Property)
Item
Clinical response
text
C2955 (NCI Thesaurus ObjectClass)
C0009402 (UMLS 2011AA ObjectClass)
C25398 (NCI Thesaurus Property)
C0205210 (UMLS 2011AA Property)
C50995 (NCI Thesaurus Property-2)
C1704632 (UMLS 2011AA Property-2)
C28374 (NCI Thesaurus Property-3)
C1518988 (UMLS 2011AA Property-3)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.3
Code List
Clinical response
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Tumor Absent (Tumor absent)
CL Item
Tumor Present (Tumor present)
Item
Clinical response
text
C2955 (NCI Thesaurus ObjectClass)
C0009402 (UMLS 2011AA ObjectClass)
C25398 (NCI Thesaurus Property)
C0205210 (UMLS 2011AA Property)
C50995 (NCI Thesaurus Property-2)
C1704632 (UMLS 2011AA Property-2)
C28374 (NCI Thesaurus Property-3)
C1518988 (UMLS 2011AA Property-3)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.3
Code List
Clinical response
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Tumor Absent (Tumor absent)
CL Item
Tumor Present (Tumor present)
Item Group
Vascular Access Device
CentralVenousAccessCatheterMedicalDeviceImplantationDate
Item
Date of placement
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C17612 (NCI Thesaurus ObjectClass)
C1145640 (UMLS 2011AA ObjectClass)
C16830 (NCI Thesaurus ObjectClass-2)
C0025080 (UMLS 2011AA ObjectClass-2)
C51982 (NCI Thesaurus Property)
C0021107 (UMLS 2011AA Property)
Item
Type (MARK ONE)
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C17612 (NCI Thesaurus ObjectClass)
C1145640 (UMLS 2011AA ObjectClass)
C16830 (NCI Thesaurus ObjectClass-2)
C0025080 (UMLS 2011AA ObjectClass-2)
C51982 (NCI Thesaurus Property)
C0021107 (UMLS 2011AA Property)
CL.4
Code List
Type (MARK ONE)
CL Item
Port-a-cath (Implanted port)
CL Item
Percutaneous Catheter (Percutaneous catheter)
CL Item
Peripherally Inserted Central Venous Catheter (PIC line)
Item Group
Blood Transfusions
Item
Blood transfusion
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C68568 (NCI Thesaurus Property)
C2348792 (UMLS 2011AA Property)
C15192 (NCI Thesaurus ObjectClass)
C0005841 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
CL.5
Code List
Blood transfusion
CL Item
Intraoperative (Intraoperative)
CL Item
Preoperative (Preoperative)
C54732 (NCI Thesaurus)
C0445204 (UMLS 2011AA)
CL Item
Within 30 Days Post-operative (Within 30 days post-operative)
WholeBloodTransfusionCount
Item
Total units whole blood
float
C0370231 (NCI Metathesaurus ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)
C15408 (NCI Thesaurus ObjectClass)
PackedRedBloodCellTransfusionReceivedUnitCount
Item
Total number of units PRBC
float
C44278 (NCI Thesaurus ValueDomain)
C0439148 (UMLS 2011AA ValueDomain)
C25639 (NCI Thesaurus Property)
C1514756 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
C15409 (NCI Thesaurus ObjectClass)
C0199962 (UMLS 2011AA ObjectClass)
Item Group
Surgery
SurgicalProcedureExcisionPerformedInd-2
Item
Did patient undergo surgical resection?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C15329 (NCI Thesaurus ObjectClass)
C0543467 (UMLS 2011AA ObjectClass)
C15232 (NCI Thesaurus Property-2)
C0728940 (UMLS 2011AA Property-2)
PatientSurgicalResectionDate
Item
Date of Resection (month day year)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25698 (NCI Thesaurus Property)
C15232 (NCI Thesaurus Property-2)
C0728940 (UMLS 2011AA Property)
Item
Reason for no resection
text
C25638 (NCI Thesaurus ValueDomain)
C0392360 (UMLS 2011AA ValueDomain)
C25594 (NCI Thesaurus Property)
C1518422 (UMLS 2011AA Property)
C38000 (NCI Thesaurus Property-2)
C0884358 (UMLS 2011AA Property-2)
C15232 (NCI Thesaurus ObjectClass)
C0728940 (UMLS 2011AA ObjectClass)
CL.7
Code List
Reason for no resection
CL Item
Death (Death)
C28554 (NCI Thesaurus)
C0011065 (UMLS 2011AA)
CL Item
Local Regional Tumor Growth (Local regional tumor growth)
CL Item
Metastatic Disease (Metastatic disease)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Patient Refused (Patient refused)
CL Item
Second Primary Cancer (Second primary cancer)
ResectionNotPerformedSpecify
Item
Other, specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25594 (NCI Thesaurus Property)
C1518422 (UMLS 2011AA Property)
C38000 (NCI Thesaurus Property-2)
C0884358 (UMLS 2011AA Property-2)
C15232 (NCI Thesaurus ObjectClass)
C0728940 (UMLS 2011AA ObjectClass)
Item
Found on
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C68568 (NCI Thesaurus Property)
C2348792 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property-2)
C0011900 (UMLS 2011AA Property-2)
C19987 (NCI Thesaurus ObjectClass)
C0242656 (UMLS 2011AA ObjectClass)
CL.8
Code List
Found on
CL Item
Intra-operatively (Intra-operatively)
CL Item
Pre-op Diagnostic Testing (Pre-op diagnostic testing)
TumorAdherenceInd-3
Item
Is there adherence to adjacent organs?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25729 (NCI Thesaurus Property)
C1510802 (UMLS 2011AA Property)
EnBlocResectionPerformedInd-3
Item
Was an "en bloc" resection performed?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C15232 (NCI Thesaurus ObjectClass)
C0728940 (UMLS 2011AA ObjectClass)
C25733 (NCI Thesaurus ObjectClass-2)
C1516835 (UMLS 2011AA ObjectClass-2)
PrimaryTumorPostExcisionRemainingInd-3
Item
Residual Primary Tumor
boolean
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25251 (NCI Thesaurus ObjectClass-2)
C0205225 (UMLS 2011AA ObjectClass-2)
C38008 (NCI Thesaurus Property)
C0687676 (UMLS 2011AA Property)
C15232 (NCI Thesaurus Property-2)
C0728940 (UMLS 2011AA Property-2)
C25649 (NCI Thesaurus Property-3)
C1527428 (UMLS 2011AA Property-3)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
ExploratorySurgeryAbdominalCavityPerformedInd-2
Item
Was an abdominal exploration carried out?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C12664 (NCI Thesaurus Property)
C0230168 (UMLS 2011AA Property)
C38000 (NCI Thesaurus Property-2)
C0884358 (UMLS 2011AA Property-2)
C66747 (NCI Thesaurus ObjectClass)
C1880637 (UMLS 2011AA ObjectClass)
TumorLeakagePresentInd-3
Item
Was there tumor spillage?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C40417 (NCI Thesaurus ObjectClass)
C1519683 (UMLS 2011AA ObjectClass)
ColorectalSurgicalProcedureSphincterPreservedInd-2
Item
Was sphincter preserved
boolean
C13363 (NCI Thesaurus ObjectClass)
C0555952 (UMLS 2011AA ObjectClass)
C15329 (NCI Thesaurus ObjectClass-2)
C0543467 (UMLS 2011AA ObjectClass-2)
C28381 (NCI Thesaurus Property)
C1409894 (UMLS 2011AA Property)
C0456735 (NCI Metathesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
TotalMesorectalExcisionPerformedInd-2
Item
Was a total mesorectal excision performed?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C16180 (NCI Thesaurus ObjectClass)
C1273428 (UMLS 2011AA ObjectClass)
LymphNodeRemovedInd-3
Item
Were all suspicious lymph nodes removed?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C25650 (NCI Thesaurus Property)
C0849355 (UMLS 2011AA Property)
AbdominalCavityMetastasisPresentInd-3
Item
Were there any isolated distant or non-contiguous intra-abdominal mets (other than peri-rectal lymph node involvement)?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C12664 (NCI Thesaurus ObjectClass)
C0230168 (UMLS 2011AA ObjectClass)
C19151 (NCI Thesaurus Property-2)
C0027627 (UMLS 2011AA Property-2)
Item
Metastasis completely resected
text
C3261 (NCI Thesaurus ObjectClass)
C2939420 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25698 (NCI Thesaurus Property-2)
C15232 (NCI Thesaurus Property-3)
C0728940 (UMLS 2011AA Property-2)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.18
Code List
Metastasis completely resected
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Not Applicable (Not Applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
TumorPerforationInd
Item
Was there bowel perforation
boolean
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C4080 (NCI Thesaurus Property)
C0549099 (UMLS 2011AA Property)
Item
Indicate the type (perforation)
text
CL.20
Code List
Indicate the type (perforation)
CL Item
Contained (Contained)
CL Item
Free (Free)
ObstructionPresentInd-3
Item
Was there bowel obstruction
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C0028778 (NCI Metathesaurus ObjectClass)
Item
Indicate the type (tumor)
text
CL.22
Code List
Indicate the type (tumor)
CL Item
Partial (Partial)
C25378 (NCI Thesaurus)
C0728938 (UMLS 2011AA)
CL Item
Complete (Complete)
C25250 (NCI Thesaurus)
C0205197 (UMLS 2011AA)
Item
Was an ostomy created at the time of resection?
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C15232 (NCI Thesaurus Property-2)
C0728940 (UMLS 2011AA Property-2)
C15290 (NCI Thesaurus ObjectClass)
C0029473 (UMLS 2011AA ObjectClass)
CL.23
Code List
Was an ostomy created at the time of resection?
CL Item
Yes, Colostomy (Yes, colostomy)
CL Item
Yes, Ileostomy (Yes, ileostomy)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
LesionCount
Item
Number of primary tumors
float
C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS 2011AA ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)
Item
Location of distal edge of tumor
text
C25237 (NCI Thesaurus ObjectClass)
C0205108 (UMLS 2011AA ObjectClass)
C2955 (NCI Thesaurus ObjectClass-2)
C0009402 (UMLS 2011AA ObjectClass-2)
C25439 (NCI Thesaurus ObjectClass-3)
C1522411 (UMLS 2011AA ObjectClass-3)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
CL.24
Code List
Location of distal edge of tumor
CL Item
Upper Rectum (11 Or More Cm From The Anal Verge) (Upper rectum (11 or more cm from the anal verge))
CL Item
Middle Rectum (6-10 Cm From The Anal Verge) (Middle rectum (6-10 cm from the anal verge))
CL Item
Lower Rectum (0-5 Cm From The Anal Verge) (Lower rectum (0-5 cm from the anal verge))
SurgeryPost-OperativeComplicationsInd-3
Item
Were there any Post-operative and Early Complications
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15329 (NCI Thesaurus ObjectClass)
C0543467 (UMLS 2011AA ObjectClass)
C2959 (NCI Thesaurus Property)
C0009566 (UMLS 2011AA Property)
C25623 (NCI Thesaurus Property-2)
Item
Mark all that apply
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C15329 (NCI Thesaurus ObjectClass)
C0543467 (UMLS 2011AA ObjectClass)
C2959 (NCI Thesaurus Property)
C0009566 (UMLS 2011AA Property)
CL.26
Code List
Mark all that apply
CL Item
Anastomotic Leak (Anastomotic leak)
CL048064 (NCI Metathesaurus)
CL Item
Bowel Obstruction/ileus (Bowel obstruction/ileus)
CL Item
Cardiopulmonary Complication (Cardiopulmonary complication)
CL Item
Death (Death)
C28554 (NCI Thesaurus)
C0011065 (UMLS 2011AA)
CL Item
Heart/lung Bypass (heart/lung bypass)
CL Item
Hemorrhage (HEMORRHAGE)
C26791 (NCI Thesaurus)
C0019080 (UMLS 2011AA)
CL Item
Intra-abdominal Abscess (Intra-abdominal abscess)
CL Item
Other, Specify (Other, Specify)
CL Item
Pneumonia (PNEUMONIA)
C3333 (NCI Thesaurus)
C0032285 (UMLS 2011AA)
CL Item
Renal Failure (Renal failure)
CL Item
Urinary Complication, Choose Type (Urinary complication, choose type)
CL Item
Wound Dehiscence/fistula (Wound dehiscence/fistula)
CL Item
Wound Infection (Wound infection)
C0043241 (NCI Metathesaurus)
SurgicalProcedureComplicationSpecify
Item
Other, specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C15329 (NCI Thesaurus ObjectClass)
C0543467 (UMLS 2011AA ObjectClass)
C2959 (NCI Thesaurus Property)
C0009566 (UMLS 2011AA Property)
Item
Wound infection, mark type
text
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C41331 (NCI Thesaurus Property)
C0877248 (UMLS 2011AA Property)
C45234 (NCI Thesaurus Property-2)
C0043241 (UMLS 2011AA Property-2)
C15329 (NCI Thesaurus ObjectClass)
C0543467 (UMLS 2011AA ObjectClass)
CL.27
Code List
Wound infection, mark type
CL Item
Abdominal (Abdominal)
C25342 (NCI Thesaurus)
C0000726 (UMLS 2011AA)
CL Item
Perineal (Perineal)
C0442032 (NCI Metathesaurus)
Item
Urinary complication, choose type
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C12413 (NCI Thesaurus ObjectClass-2)
C1508753 (UMLS 2011AA ObjectClass-2)
CL.28
Code List
Urinary complication, choose type
CL Item
Retention (Retention)
C38016 (NCI Thesaurus)
C0333117 (UMLS 2011AA)
CL Item
Infection (Infection)
C0021311 (NCI Metathesaurus)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Re-excisionPerformedInd-2
Item
Was a re-operation necessary?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C48600 (NCI Thesaurus ObjectClass)
C0184913 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
Item Group
Pathology
SpecimenIdentifierNumber
Item
Pathology Accession Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
Item
Pathologic T Stage
text
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C13363 (NCI Thesaurus ObjectClass-2)
C0555952 (UMLS 2011AA ObjectClass-2)
C25610 (NCI Thesaurus Property)
C1521733 (UMLS 2011AA Property)
C25728 (NCI Thesaurus Property-2)
C0475455 (UMLS 2011AA Property-2)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
CL.30
Code List
Pathologic T Stage
CL Item
No Evidence Of Primary Tumor (T0)
CL Item
Tumor Invades Submucosa (T1)
CL Item
Tumor Invades Muscularis Propria (T2)
CL Item
Tumor Invades Through The Muscularis Propria Into The Subserosa, Or Into Nonperitonealized Pericolic Or Perirectal Tissues (T3)
CL Item
Tumor Directly Invades Other Organs Or Structures, And/or Perforates Visceral Peritoneum (T4)
CL Item
Carcinoma In Situ: Intraepithelial Or Invasion Of Lamina Propria (Tis)
CL Item
Primary Tumor Cannot Be Assessed (TX)
LymphNodeExaminedCount
Item
Number of Lymph Nodes Examined
float
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
LymphNodePositiveCount
Item
Number of Positive Lymph Nodes
float
C25246 (NCI Thesaurus Property)
C1446409 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
Item
Pathologic response
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C12801 (NCI Thesaurus ObjectClass)
C0040300 (UMLS 2011AA ObjectClass)
C28277 (NCI Thesaurus Property)
C0807321 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass-2)
C0370003 (UMLS 2011AA ObjectClass-2)
CL.31
Code List
Pathologic response
CL Item
Evidence Of Invasive Tumor Cells (Evidence of invasive tumor cells)
CL Item
No Evidence Of Invasive Tumor Cells (No evidence of invasive tumor cells)
Longest Diameter of Lesion
Item
Longest Dimension of Tumor (cm)
float
C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS CUI-1)
C25285 (NCI Thesaurus Property)
C1301886 (UMLS CUI-2)
C25558 (NCI Thesaurus Property-2)
C1522425 (UMLS CUI-3)
C25209 (NCI Thesaurus ValueDomain)
C25285 (NCI Thesaurus ValueDomain-2)
Item
Histologic Type (mark one)
text
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C12410 (NCI Thesaurus ObjectClass-2)
C0033572 (UMLS 2011AA ObjectClass-2)
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.32
Code List
Histologic Type (mark one)
CL Item
Adenocarcinoma (Adenocarcinoma)
C2852 (NCI Thesaurus)
C0001418 (UMLS 2011AA)
CL Item
Adenosquamous carcinoma (Adenosquamous carcinoma)
CL Item
Medullary carcinoma (Medullary carcinoma)
CL Item
Mucinous (colloid) carcinoma (Mucinous (colloid) carcinoma)
CL Item
Signet-ring cell adenocarcinoma (Signet-ring cell adenocarcinoma)
CL Item
Small cell carcinoma (oat cell) (Small cell carcinoma (oat cell))
CL Item
Squamous cell carcinoma (Squamous cell carcinoma)
C2929 (NCI Thesaurus)
C0007137 (UMLS 2011AA)
CL Item
Undifferentiated or solid (Undifferentiated or solid)
CL Item
Other, specify (Other, specify)
TumorHistologicVariationSpecify
Item
Other, specify (histologic type)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25526 (NCI Thesaurus Property)
C0205462 (UMLS 2011AA Property)
C25713 (NCI Thesaurus Property-2)
C0205419 (UMLS 2011AA Property-2)
Item
Venous Invasion
text
CL.33
Code List
Venous Invasion
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)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
Item
Histologic Grade (Differentiation)
text
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C13363 (NCI Thesaurus ObjectClass-2)
C0555952 (UMLS 2011AA ObjectClass-2)
C25526 (NCI Thesaurus Property)
C0205462 (UMLS 2011AA Property)
C25365 (NCI Thesaurus Property-2)
C0678257 (UMLS 2011AA Property-2)
C25526 (NCI Thesaurus ValueDomain)
C0205462 (UMLS 2011AA ValueDomain)
C18000 (NCI Thesaurus ValueDomain-2)
C0919553 (UMLS 2011AA ValueDomain-2)
CL.34
Code List
Histologic Grade (Differentiation)
CL Item
High Grade (poor Differentiation And/or Undifferentiated) (High grade)
CL Item
Low Grade (well And/or Moderate Differentiation) (Low grade)
SurgicalResectionNegativeFindingMarginPerformedInd-2
Item
All surgical margins of resection are negative for tumor
boolean
C25698 (NCI Thesaurus ObjectClass)
C15232 (NCI Thesaurus ObjectClass-2)
C0728940 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C38757 (NCI Thesaurus Property-2)
C1513916 (UMLS 2011AA Property-2)
C25563 (NCI Thesaurus Property-3)
C0205284 (UMLS 2011AA Property-3)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
Item
Which margin was involved?
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)
C25563 (NCI Thesaurus ObjectClass-2)
C0205284 (UMLS 2011AA ObjectClass-2)
CL.36
Code List
Which margin was involved?
CL Item
Circumferential (Circumferential)
CL Item
Distal (Distal)
C25237 (NCI Thesaurus)
C0205108 (UMLS 2011AA)
CL Item
Proximal (Proximal)
C25236 (NCI Thesaurus)
C0205107 (UMLS 2011AA)
ColorectalSurgicalMarginDistalDistanceMeasurement
Item
Distance from Primary Tumor to Distal Margin of Resection
float
C13363 (NCI Thesaurus ObjectClass)
C0555952 (UMLS 2011AA ObjectClass)
C41227 (NCI Thesaurus ObjectClass-2)
C0229985 (UMLS 2011AA ObjectClass-2)
C25237 (NCI Thesaurus Property)
C0205108 (UMLS 2011AA Property)
C25167 (NCI Thesaurus Property-2)
C0012751 (UMLS 2011AA Property-2)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
ColorectalSurgicalMarginProximalDistanceMeasurement
Item
Distance from Primary Tumor to Proximal Margin of Resection
float
C13363 (NCI Thesaurus ObjectClass)
C0555952 (UMLS 2011AA ObjectClass)
C41227 (NCI Thesaurus ObjectClass-2)
C0229985 (UMLS 2011AA ObjectClass-2)
C25236 (NCI Thesaurus Property)
C0205107 (UMLS 2011AA Property)
C25167 (NCI Thesaurus Property-2)
C0012751 (UMLS 2011AA Property-2)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
ColorectalSurgicalMarginCircumferentialDistanceMeasurement
Item
Distance to Nearest Radial Margin (Circumferential)
float
C13363 (NCI Thesaurus ObjectClass)
C0555952 (UMLS 2011AA ObjectClass)
C41227 (NCI Thesaurus ObjectClass-2)
C0229985 (UMLS 2011AA ObjectClass-2)
CL124270 (NCI Metathesaurus Property)
C25167 (NCI Thesaurus Property)
C0012751 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25252 (NCI Thesaurus ValueDomain-2)
C0205288 (UMLS 2011AA ValueDomain-2)
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial