ID
9208
Beschreibung
Form 1 - Eligibility Checklist and Initial Evaluation Gefitinib in Treating Patients With Non-Small Cell Lung Cancer That Has Been Surgically Removed Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A7422C05-78BD-5678-E034-0003BA0B1A09
Link
Stichworte
Versionen (4)
- 19.09.12 19.09.12 -
- 09.01.15 09.01.15 - Martin Dugas
- 22.03.15 22.03.15 - Martin Dugas
- 20.09.21 20.09.21 -
Hochgeladen am
9. Januar 2015
DOI
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Lung Cancer NCT00049543 On-Study - Form 1 - Eligibility Checklist and Initial Evaluation - 2055363v3.0
No Instruction available.
- StudyEvent: Form 1 - Eligibility Checklist and Initial Evaluation
Beschreibung
Ncic Ctg Use Only
Beschreibung
LoggedEntryInitials
Datentyp
text
Beschreibung
LoggedEntryDate
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschreibung
RegulatoryAffairsReviewInitials
Datentyp
text
Beschreibung
RegulatoryAffairsReviewDate
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschreibung
CoordinatorReviewInitials
Datentyp
text
Beschreibung
CoordinatorReviewDate
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschreibung
PhysicianReviewInitials
Datentyp
text
Beschreibung
DataEntryInitials
Datentyp
text
Beschreibung
DataVerificationInitials
Datentyp
text
Beschreibung
Header
Beschreibung
Eligibility Checklist
Beschreibung
LungCancerProofInd
Datentyp
text
Beschreibung
HistologicType
Datentyp
text
Beschreibung
PathologicStagePostoperativeInd
Datentyp
text
Beschreibung
StageGrouping
Datentyp
text
Beschreibung
LymphNodeAdequateSamplingInd
Datentyp
text
Beschreibung
LymphNodeSamplingExtent
Datentyp
text
Beschreibung
LymphNodeSamplingExtentLargeSite
Datentyp
text
Beschreibung
LymphNodeSamplingOtherExtent
Datentyp
text
Beschreibung
LungCarcinomaSurgicalProcedureTherapyInd-3
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus Property
- C15329
- UMLS 2011AA Property
- C0543467
- NCI Thesaurus ObjectClass
- C4878
- UMLS 2011AA ObjectClass
- C0684249
Beschreibung
GrossDiseaseRemovedInd
Datentyp
text
Beschreibung
SurgicalResectionNegativeMarginIndicator
Datentyp
text
Beschreibung
MaximumTimePostSurgeryIndicator
Datentyp
text
Beschreibung
SurgeryDate
Datentyp
date
Beschreibung
TumorBlocksSentIndicator
Datentyp
text
Beschreibung
MinimumPerformanceStatusIndicator
Datentyp
text
Beschreibung
RequiredHematology14DaysIndicator
Datentyp
text
Beschreibung
Lab,Hematology,SampleCollectionDate
Datentyp
date
Beschreibung
Lab,Hematology,WBC
Datentyp
float
Beschreibung
Lab,Hematology,NeutrophilCount
Datentyp
float
Beschreibung
Lab,Hematology,Platelets
Datentyp
float
Beschreibung
Lab,UnitsofMeasure
Datentyp
text
Beschreibung
Ncic Ctg Use Only
Beschreibung
PatientGender
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C17357
- UMLS 2011AA Property
- C0079399
Beschreibung
HistologicType
Datentyp
text
Beschreibung
StageGrouping
Datentyp
text
Beschreibung
Unnamed2
Beschreibung
Eligibility Checklist Continued
Beschreibung
SpecimenCollectionDate
Datentyp
date
Beschreibung
RequiredBiochemistry14DaysIndicator
Datentyp
text
Beschreibung
Lab,Hepatic,Bilirubin
Datentyp
float
Beschreibung
HepaticBilirubinLabUpperLimitNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C305
- UMLS 2011AA Property-2
- C0005437
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
AdjuvantRTEndDate
Datentyp
date
Beschreibung
Lab,Hepatic,SGOT
Datentyp
float
Beschreibung
SGOTLabUpperLimitNormalValue
Datentyp
float
Alias
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
Lab,Hepatic,SGPT
Datentyp
float
Beschreibung
SGPTLabUpperLimitNormalValue
Datentyp
float
Alias
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
Lab,Hepatic,AlkalinePhosphatase
Datentyp
float
Beschreibung
Alkaline Phosphatase ULN
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS CUI-1
- C0151420
- NCI Thesaurus Property
- C20200
- NCI Thesaurus Property-2
- C16276
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus ValueDomain-2
- C25706
Beschreibung
Lab,Renal,Creatinine
Datentyp
float
Beschreibung
Creatinine, serum ULN
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS CUI-1
- C0201976
- NCI Thesaurus Property
- C20200
- UMLS CUI-2
- C1519815
- NCI Thesaurus Property-2
- C399
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus ValueDomain-2
- C25706
Beschreibung
PatientAge18YearsIndicator
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beschreibung
PrestudyChestX-RayIndicator
Datentyp
text
Beschreibung
ChestX-RayAssessmentDate
Datentyp
date
Beschreibung
PrestudyChestCTIndicator
Datentyp
text
Beschreibung
ChestComputedTomographyMagneticResonanceImagingDiagnosticImagingPerformedDate
Datentyp
date
Alias
- NCI Thesaurus ObjectClass
- C16502
- UMLS 2011AA ObjectClass
- C0011923
- NCI Thesaurus ObjectClass-2
- C17204
- UMLS 2011AA ObjectClass-2
- C0040405
- NCI Thesaurus ObjectClass-3
- C25389
- UMLS 2011AA ObjectClass-3
- C0817096
- NCI Thesaurus ObjectClass-4
- C16809
- UMLS 2011AA ObjectClass-4
- C0024485
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschreibung
PrestudyEKGIndicator
Datentyp
text
Beschreibung
DiagnosticElectrocardiogramPerformedDate
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus ObjectClass
- C25482
- UMLS 2011AA ObjectClass
- C0348026
- NCI Metathesaurus ObjectClass
- C0013798
Beschreibung
Lab,UnitsofMeasure
Datentyp
text
Beschreibung
EligibilityContraceptionIndicator
Datentyp
text
Beschreibung
PrestudyPostoperativeRadiationTherapyIndicator
Datentyp
boolean
Beschreibung
PrestudyRadiationTherapyCompleteIndicator
Datentyp
text
Beschreibung
RadiationTherapyToxicityRecoveryIndicator
Datentyp
text
Beschreibung
PatientConsentSignedIndicator
Datentyp
text
Beschreibung
InformedConsentDateSigned
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beschreibung
PatientTherapeuticProcedureFollow-upEligibilityDeterminationInd-2
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C16033
- UMLS 2011AA Property
- C1522577
- NCI Thesaurus Property-2
- C49236
- UMLS 2011AA Property-2
- C0087111
- NCI Thesaurus Property-3
- C25171
- UMLS 2011AA Property-3
- C0013893
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beschreibung
TreatmentRequirementBeginIndicator
Datentyp
text
Beschreibung
Ncic Ctg Use Only2
Beschreibung
Unnamed3
Beschreibung
Eligibility Checklist Continued2
Beschreibung
NoOtherMalignancyIndicator
Datentyp
text
Beschreibung
NoCombinationLungCancerIndicator
Datentyp
text
Beschreibung
OneDiscretePrimaryCancerIndicator
Datentyp
text
Beschreibung
NoOphthalmologicGastrointestinalDiseaseIndicator
Datentyp
text
Beschreibung
NoPathologicRiskConditionIndicator
Datentyp
text
Beschreibung
NoPsychiatricImpairmentHistoryIndicator
Datentyp
text
Beschreibung
FemalePatientNotPregnantIndicator
Datentyp
text
Beschreibung
NoPriorLungChemotherapyIndicator
Datentyp
text
Beschreibung
NoAgentAllergyHistoryIndicator
Datentyp
text
Beschreibung
NoCYP3A4EnzymeMedicationsIndicator
Datentyp
text
Beschreibung
AdequateSurgicalHealingIndicator
Datentyp
text
Beschreibung
Randomization
Beschreibung
RandomizationDate
Datentyp
date
Beschreibung
InvestigatorSignature
Datentyp
text
Alias
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
Beschreibung
PersonCompletingForm,LastName
Datentyp
text
Beschreibung
InvestigatorSignatureDate
Datentyp
date
Beschreibung
PersonCompletingForm,FirstName
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Beschreibung
FormCompletionDate,Original
Datentyp
date
Beschreibung
Unnamed4
Beschreibung
History And Physical Exam
Beschreibung
PatientCurrentSmokerIndicator
Datentyp
text
Beschreibung
AssessmentDate
Datentyp
date
Beschreibung
PatientPreviousSmokerIndicator
Datentyp
text
Beschreibung
PerformanceStatus
Datentyp
text
Beschreibung
PatientHeight
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25347
- UMLS 2011AA Property
- C0489786
Beschreibung
PatientWeight
Datentyp
float
Beschreibung
Investigations
Beschreibung
DiagnosticImagingAnatomicSite
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
- NCI Thesaurus ObjectClass
- C16502
- UMLS 2011AA ObjectClass
- C0011923
- NCI Thesaurus Property-2
- C25421
- UMLS 2011AA Property-2
- C0002808
Beschreibung
AssessmentType
Datentyp
text
Beschreibung
AssessmentDate
Datentyp
date
Beschreibung
PregnancyTestResult
Datentyp
text
Beschreibung
Unnamed5
Beschreibung
Baseline Hematology/biochemistry Values
Beschreibung
Lab,Hematology,Hemoglobin
Datentyp
float
Beschreibung
Lab,Hematology,Neutrophils,CellPercentage
Datentyp
float
Beschreibung
Lab,Hematology,SampleCollectionDate
Datentyp
date
Beschreibung
Lab,Hematology,WBC
Datentyp
float
Beschreibung
Lab,Hematology,Platelets
Datentyp
float
Beschreibung
Lab,UnitsofMeasure
Datentyp
text
Beschreibung
Biochemistry
Beschreibung
SpecimenCollectionDate
Datentyp
date
Beschreibung
Lab,Hepatic,Bilirubin
Datentyp
float
Beschreibung
HepaticBilirubinLabUpperLimitNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C305
- UMLS 2011AA Property-2
- C0005437
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
Lab,Hepatic,SGOT
Datentyp
float
Beschreibung
SGOTLabUpperLimitNormalValue
Datentyp
float
Alias
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
Lab,Hepatic,SGPT
Datentyp
float
Beschreibung
SGPTLabUpperLimitNormalValue
Datentyp
float
Alias
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
Lab,Hepatic,AlkalinePhosphatase
Datentyp
float
Beschreibung
Alkaline Phosphatase ULN
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS CUI-1
- C0151420
- NCI Thesaurus Property
- C20200
- NCI Thesaurus Property-2
- C16276
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus ValueDomain-2
- C25706
Beschreibung
Lab,Chemistry,LactateDehydrogenase
Datentyp
float
Beschreibung
Lab,Chemistry,LactateDehydrogenase,ULN
Datentyp
float
Beschreibung
Lab,Renal,Creatinine
Datentyp
float
Beschreibung
Creatinine, serum ULN
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS CUI-1
- C0201976
- NCI Thesaurus Property
- C20200
- UMLS CUI-2
- C1519815
- NCI Thesaurus Property-2
- C399
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus ValueDomain-2
- C25706
Beschreibung
Lab,Renal,BUN
Datentyp
float
Beschreibung
LaboratoryProcedureBloodUreaNitrogenResultUpperLimitNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C61019
- UMLS 2011AA Property-2
- C0005845
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
Lab,Electrolytes,Potassium
Datentyp
float
Beschreibung
LaboratoryProcedurePotassiumElectrolytesOutcomeLowerLimitNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C464
- UMLS 2011AA Property-2
- C0013832
- NCI Thesaurus Property-3
- C765
- UMLS 2011AA Property-3
- C0032821
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25555
- UMLS 2011AA ValueDomain-2
- C1518030
Beschreibung
LaboratoryProcedurePotassiumElectrolytesOutcomeUpperLimitNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C464
- UMLS 2011AA Property-2
- C0013832
- NCI Thesaurus Property-3
- C765
- UMLS 2011AA Property-3
- C0032821
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
Lab,Electrolytes,Sodium
Datentyp
float
Beschreibung
LaboratoryProcedureSodiumElectrolytesOutcomeLowerLimitofNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C830
- UMLS 2011AA Property-2
- C0037473
- NCI Thesaurus Property-3
- C464
- UMLS 2011AA Property-3
- C0013832
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25555
- UMLS 2011AA ValueDomain-2
- C1518030
Beschreibung
Lab,UnitsofMeasure
Datentyp
text
Beschreibung
LaboratoryProcedureSodiumElectrolytesOutcomeUpperLimitofNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C830
- UMLS 2011AA Property-2
- C0037473
- NCI Thesaurus Property-3
- C464
- UMLS 2011AA Property-3
- C0013832
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
Lab,Electrolytes,Chloride
Datentyp
float
Beschreibung
LaboratoryProcedureChlorideIonElectrolytesOutcomeLowerLimitofNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C464
- UMLS 2011AA Property-2
- C0013832
- NCI Thesaurus Property-3
- C1741
- UMLS 2011AA Property-3
- C0596019
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25555
- UMLS 2011AA ValueDomain-2
- C1518030
Beschreibung
LaboratoryProcedureChlorideIonElectrolytesOutcomeUpperLimitofNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C464
- UMLS 2011AA Property-2
- C0013832
- NCI Thesaurus Property-3
- C1741
- UMLS 2011AA Property-3
- C0596019
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
Lab,Electrolytes,Calcium
Datentyp
float
Beschreibung
LaboratoryProcedureCalciumElectrolytesOutcomeLowerLimitofNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C331
- UMLS 2011AA Property
- C0006675
- NCI Thesaurus Property-2
- C20200
- UMLS 2011AA Property-2
- C1274040
- NCI Thesaurus Property-3
- C464
- UMLS 2011AA Property-3
- C0013832
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25555
- UMLS 2011AA ValueDomain-2
- C1518030
Beschreibung
LaboratoryProcedureCalciumElectrolytesOutcomeUpperLimitofNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C331
- UMLS 2011AA Property
- C0006675
- NCI Thesaurus Property-2
- C20200
- UMLS 2011AA Property-2
- C1274040
- NCI Thesaurus Property-3
- C464
- UMLS 2011AA Property-3
- C0013832
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
Chemistry,BloodAlbumin
Datentyp
float
Beschreibung
LaboratoryProcedureAlbuminResultLowerLimitofNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C214
- UMLS 2011AA Property-2
- C0001924
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25555
- UMLS 2011AA ValueDomain-2
- C1518030
Beschreibung
LaboratoryProcedureAlbuminResultUpperLimitNormalValue
Datentyp
float
Alias
- NCI Thesaurus ObjectClass
- C25294
- UMLS 2011AA ObjectClass
- C0022885
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
- NCI Thesaurus Property-2
- C214
- UMLS 2011AA Property-2
- C0001924
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus ValueDomain-2
- C25706
- UMLS 2011AA ValueDomain-2
- C1519815
Beschreibung
Unnamed6
Beschreibung
Disease History/prior Treatment
Beschreibung
PrimarySurgeryDate
Datentyp
date
Beschreibung
NStage,Pathologic
Datentyp
text
Beschreibung
HistologicType
Datentyp
text
Beschreibung
TStage,Pathologic
Datentyp
text
Beschreibung
StageGrouping,Pathologic
Datentyp
text
Beschreibung
HistologicType,OtherName
Datentyp
text
Beschreibung
HistologicGrade
Datentyp
text
Beschreibung
VascularInvasionInd
Datentyp
text
Beschreibung
ParietalPleuralMarginInvolvedInd
Datentyp
text
Beschreibung
LymphNodeSamplingInd
Datentyp
text
Beschreibung
LymphNode(s)ExaminedNumber
Datentyp
float
Alias
- NCI Thesaurus Property
- C25500
- UMLS 2011AA Property
- C0332128
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
Beschreibung
LymphNode(s)PositiveNumber
Datentyp
float
Alias
- NCI Thesaurus Property
- C25246
- UMLS 2011AA Property
- C1446409
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
Beschreibung
LymphNodesType
Datentyp
text
Beschreibung
LymphNodeInvolvement
Datentyp
text
Beschreibung
Unnamed7
Beschreibung
Disease History/prior Treatment Continued
Beschreibung
SurgicalProcedureType
Datentyp
text
Beschreibung
TumorSize,MaximumDiameter
Datentyp
float
Beschreibung
TumorLocation,Side
Datentyp
text
Beschreibung
TumorLocation,Area
Datentyp
text
Beschreibung
TumorLocation,AreaOther
Datentyp
text
Beschreibung
TumorLocation,Zone
Datentyp
text
Beschreibung
PleuraInvolvedInd
Datentyp
text
Beschreibung
TumorMarginInd
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus Property
- C25563
- UMLS 2011AA Property
- C0205284
Beschreibung
TumorExtension
Datentyp
text
Beschreibung
TumorExtension,OtherStructures
Datentyp
text
Beschreibung
Prior Treatment
Beschreibung
PriorAdjuvantRTInd
Datentyp
text
Beschreibung
AdjuvantRTBeginDate
Datentyp
date
Beschreibung
AdjuvantRTEndDate
Datentyp
date
Beschreibung
RTTotalDose
Datentyp
float
Beschreibung
PriorAdjuvantChemotherapyInd
Datentyp
text
Beschreibung
Unnamed8
Beschreibung
Baseline Symptoms/"toxicity" Status
Beschreibung
Comments
Datentyp
text
Beschreibung
CTCAdverseEventTerm
Datentyp
text
Beschreibung
CTCAdverseEventTerm,Other
Datentyp
text
Beschreibung
CTCAdverseEventCategory
Datentyp
text
Beschreibung
CTCAdverseEventGrade
Datentyp
text
Beschreibung
Concomitant Medications
Beschreibung
Unnamed9
Beschreibung
Other Major Medical Problems
Beschreibung
PatientMedicalConditionDate
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25261
- UMLS 2011AA Property
- C0205476
- NCI Thesaurus Property-2
- C25457
- UMLS 2011AA Property-2
- C0348080
Beschreibung
PatientMedicalConditionText
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25261
- UMLS 2011AA Property
- C0205476
- NCI Thesaurus Property-2
- C25457
- UMLS 2011AA Property-2
- C0348080
Beschreibung
PatientHistoryText
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C18772
- UMLS 2011AA Property
- C0262926
Beschreibung
Comments
Beschreibung
Investigator Signature
Beschreibung
InvestigatorSignature
Datentyp
text
Alias
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
Beschreibung
PersonCompletingForm,LastName
Datentyp
text
Beschreibung
PersonCompletingForm,FirstName
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Beschreibung
FormCompletionDate,Original
Datentyp
date
Beschreibung
Ccrr Module For Form 1 - Eligibility Checklist And Initial Evaluation
Ähnliche Modelle
No Instruction available.
- StudyEvent: Form 1 - Eligibility Checklist and Initial Evaluation
C0683312 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C17357 (NCI Thesaurus Property)
C0079399 (UMLS 2011AA Property)
C1706180 (UMLS 2011AA)
C0015780 (UMLS 2011AA)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C0030705 (UMLS 2011AA ObjectClass)
C17049 (NCI Thesaurus Property)
C0034510 (UMLS 2011AA Property)
C0439673 (UMLS 2011AA)
C0030705 (UMLS 2011AA ObjectClass)
C17049 (NCI Thesaurus Property)
C0034510 (UMLS 2011AA Property)
C0439673 (UMLS 2011AA)
C0018717 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1507394 (UMLS 2011AA ObjectClass)
C25425 (NCI Thesaurus Property)
C0205540 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C0007137 (UMLS 2011AA)
C0001418 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C15329 (NCI Thesaurus Property)
C0543467 (UMLS 2011AA Property)
C4878 (NCI Thesaurus ObjectClass)
C0684249 (UMLS 2011AA ObjectClass)
C0683312 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C17357 (NCI Thesaurus Property)
C0079399 (UMLS 2011AA Property)
C1706180 (UMLS 2011AA)
C0015780 (UMLS 2011AA)
C0007137 (UMLS 2011AA)
C0001418 (UMLS 2011AA)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C305 (NCI Thesaurus Property-2)
C0005437 (UMLS 2011AA Property-2)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C0151420 (UMLS CUI-1)
C20200 (NCI Thesaurus Property)
C16276 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C0201976 (UMLS CUI-1)
C20200 (NCI Thesaurus Property)
C1519815 (UMLS CUI-2)
C399 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1512698 (UMLS 2011AA ValueDomain)
C0011923 (UMLS 2011AA ObjectClass)
C17204 (NCI Thesaurus ObjectClass-2)
C0040405 (UMLS 2011AA ObjectClass-2)
C25389 (NCI Thesaurus ObjectClass-3)
C0817096 (UMLS 2011AA ObjectClass-3)
C16809 (NCI Thesaurus ObjectClass-4)
C0024485 (UMLS 2011AA ObjectClass-4)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25482 (NCI Thesaurus ObjectClass)
C0348026 (UMLS 2011AA ObjectClass)
C0013798 (NCI Metathesaurus ObjectClass)
C0011008 (UMLS 2011AA ValueDomain)
C0030705 (UMLS 2011AA ObjectClass)
C16033 (NCI Thesaurus Property)
C1522577 (UMLS 2011AA Property)
C49236 (NCI Thesaurus Property-2)
C0087111 (UMLS 2011AA Property-2)
C25171 (NCI Thesaurus Property-3)
C0013893 (UMLS 2011AA Property-3)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0205448 (UMLS 2011AA)
C0030705 (UMLS 2011AA ObjectClass)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS 2011AA Property)
C1515974 (UMLS 2011AA ValueDomain)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C16502 (NCI Thesaurus ObjectClass)
C0011923 (UMLS 2011AA ObjectClass)
C25421 (NCI Thesaurus Property-2)
C0002808 (UMLS 2011AA Property-2)
C0817096 (UMLS 2011AA)
C0006104 (UMLS 2011AA)
C0230168 (UMLS 2011AA)
C0262950 (UMLS 2011AA)
C1522601 (UMLS 2011AA)
C1456803 (UMLS 2011AA)
C0203668 (UMLS 2011AA)
C1446409 (UMLS 2011AA)
C0205160 (UMLS 2011AA)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C305 (NCI Thesaurus Property-2)
C0005437 (UMLS 2011AA Property-2)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C0151420 (UMLS CUI-1)
C20200 (NCI Thesaurus Property)
C16276 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C0201976 (UMLS CUI-1)
C20200 (NCI Thesaurus Property)
C1519815 (UMLS CUI-2)
C399 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C61019 (NCI Thesaurus Property-2)
C0005845 (UMLS 2011AA Property-2)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C464 (NCI Thesaurus Property-2)
C0013832 (UMLS 2011AA Property-2)
C765 (NCI Thesaurus Property-3)
C0032821 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C1518030 (UMLS 2011AA ValueDomain-2)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C464 (NCI Thesaurus Property-2)
C0013832 (UMLS 2011AA Property-2)
C765 (NCI Thesaurus Property-3)
C0032821 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C830 (NCI Thesaurus Property-2)
C0037473 (UMLS 2011AA Property-2)
C464 (NCI Thesaurus Property-3)
C0013832 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C1518030 (UMLS 2011AA ValueDomain-2)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C830 (NCI Thesaurus Property-2)
C0037473 (UMLS 2011AA Property-2)
C464 (NCI Thesaurus Property-3)
C0013832 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C464 (NCI Thesaurus Property-2)
C0013832 (UMLS 2011AA Property-2)
C1741 (NCI Thesaurus Property-3)
C0596019 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C1518030 (UMLS 2011AA ValueDomain-2)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C464 (NCI Thesaurus Property-2)
C0013832 (UMLS 2011AA Property-2)
C1741 (NCI Thesaurus Property-3)
C0596019 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C0022885 (UMLS 2011AA ObjectClass)
C331 (NCI Thesaurus Property)
C0006675 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C464 (NCI Thesaurus Property-3)
C0013832 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C1518030 (UMLS 2011AA ValueDomain-2)
C0022885 (UMLS 2011AA ObjectClass)
C331 (NCI Thesaurus Property)
C0006675 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C464 (NCI Thesaurus Property-3)
C0013832 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C214 (NCI Thesaurus Property-2)
C0001924 (UMLS 2011AA Property-2)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C1518030 (UMLS 2011AA ValueDomain-2)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C214 (NCI Thesaurus Property-2)
C0001924 (UMLS 2011AA Property-2)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C0007137 (UMLS 2011AA)
C0001418 (UMLS 2011AA)
C0205615 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0332128 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C1446409 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C0475302 (UMLS 2011AA)
C0332241 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C0023928 (UMLS 2011AA)
C0032284 (UMLS 2011AA)
C0205091 (UMLS 2011AA)
C0205090 (UMLS 2011AA)
C0225594 (UMLS 2011AA)
C0205258 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0027651 (UMLS 2011AA ObjectClass)
C25563 (NCI Thesaurus Property)
C0205284 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C62484 (NCI Thesaurus)
C0205076 (UMLS 2011AA)
C0031050 (UMLS 2011AA)
C0025066 (UMLS 2011AA)
C0011980 (UMLS 2011AA)
C0014876 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25261 (NCI Thesaurus Property)
C0205476 (UMLS 2011AA Property)
C25457 (NCI Thesaurus Property-2)
C0348080 (UMLS 2011AA Property-2)
C1527021 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25261 (NCI Thesaurus Property)
C0205476 (UMLS 2011AA Property)
C25457 (NCI Thesaurus Property-2)
C0348080 (UMLS 2011AA Property-2)
C1527021 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C18772 (NCI Thesaurus Property)
C0262926 (UMLS 2011AA Property)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)