ID

9995

Descrizione

ADVL0212: Reporting Period Worksheet (Leukemia) FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia NCT00053963 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C0F387DC-C9D3-5664-E034-0003BA12F5E7

collegamento

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C0F387DC-C9D3-5664-E034-0003BA12F5E7

Keywords

  1. 26/08/12 26/08/12 -
  2. 08/01/15 08/01/15 - Martin Dugas
  3. 09/01/15 09/01/15 - Martin Dugas
  4. 09/01/15 09/01/15 - Martin Dugas
  5. 12/03/15 12/03/15 - Martin Dugas
Caricato su

12 marzo 2015

DOI

Per favore, per richiedere un accesso.

Licenza

Creative Commons BY-NC 3.0 Legacy

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Brain and Central Nervous System Tumors NCT00053963 Treatment - ADVL0212: Reporting Period Worksheet (Leukemia) - 2172521v3.0

No Instruction available.

  1. StudyEvent: ADVL0212: Reporting Period Worksheet (Leukemia)
    1. No Instruction available.
Header
Descrizione

Header

COG Study Number
Descrizione

Protocol ID COG

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C1516477
NCI Thesaurus Property
C25364
Institution Name
Descrizione

Institution Name

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
NCI Thesaurus ValueDomain-2
C21541
NCI Thesaurus Property
C25364
COG Patient ID
Descrizione

PatientCOGIdentifierNumber

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C39353
UMLS CUI-1
C2348585
Patient's Initials
Descrizione

Patient Initials

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Reporting Period Number
Descrizione

TreatmentReportingPeriodNumber

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus Property
C25616
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property-2
C25651
UMLS CUI-1
C0237753
UMLS CUI-2
C1948053
UMLS CUI-3
C0700287
Reporting Period start date
Descrizione

Reporting Period Start Date

Tipo di dati

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
Descrizione

Reporting Period End Date

Tipo di dati

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C2361259
NCI Thesaurus Property
C25616
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property-2
C25651
Comments
Descrizione

Research Comments

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0947611
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
Patient characteristics
Descrizione

Patient characteristics

Alias
UMLS CUI-1
C0815172
Height
Descrizione

Patient Height

Tipo di dati

float

Unità di misura
  • cm
Alias
NCI Thesaurus ValueDomain
C25209
UMLS CUI-1
C0489786
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25347
cm
Weight
Descrizione

Patient Weight

Tipo di dati

float

Unità di misura
  • Kg
Alias
NCI Thesaurus ValueDomain
C25209
UMLS CUI-1
C0005910
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25208
Kg
Was patient's bone marrow status evaluated during this reporting interval?
Descrizione

BoneMarrowEvaluationInd-3

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus Property
C25214
NCI Thesaurus ObjectClass
C12431
UMLS CUI-1
C0005953
what was the date of exam?
Descrizione

BoneMarrowEvaluationDate

Tipo di dati

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus Property
C25214
NCI Thesaurus ObjectClass
C12431
UMLS CUI-1
C0005953
UMLS CUI-2
C0011008
does patient have bone marrow involvement?
Descrizione

BoneMarrowInvolvementInd-3

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus ObjectClass
C12431
NCI Thesaurus Property
C25548
UMLS CUI-1
C0005953
UMLS CUI-2
C1314939
Was patients shortening fraction determined by echocardiogram?
Descrizione

ShorteningFractionEchocardiogramAssessedInd-2

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus Property
C25217
UMLS CUI-1
C0232174
what is the percentage?
Descrizione

ShorteningFractionResultPercentageValue

Tipo di dati

float

Unità di misura
  • %
Alias
NCI Thesaurus Property
C20200
NCI Thesaurus ObjectClass
C38020
UMLS CUI-1
C0232174
%
Is patient off protocol therapy at the end of this reporting period?
Descrizione

PatientOff-treatmentInd-3

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25601
UMLS CUI-1
C1518544
date of last dose for this reporting period
Descrizione

Date Last Dose

Tipo di dati

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C1762893
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25509
NCI Thesaurus Property-2
C25256
reason treatment ended
Descrizione

reason treatment ended

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C25601
NCI Thesaurus Property
C25365
UMLS CUI-1
C1518544
Did resting heart rate increase by 35%?
Descrizione

RestingHeartRate

Tipo di dati

boolean

Did patient experience any of the following: SVT, atrial fibrillation, or atrial flutter?
Descrizione

CTCAdverseEventArrhythmiaAtrialGrade

Tipo di dati

float

Alias
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Thesaurus Property
C25365
UMLS 2011AA Property
C0678257
check all that apply
Descrizione

CTCAdverseEventOtherArrhythmiaSpecify

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C41331
NCI Thesaurus Property
C25365
UMLS CUI-1
C0877248
UMLS CUI-2
C0678257
Did patient experience prolonged QTc compared to baseline?
Descrizione

CTCAdverseEventIntervalGrade

Tipo di dati

float

Alias
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Thesaurus Property
C25365
UMLS 2011AA Property
C0678257
check all that apply
Descrizione

ArrhythmiaType

Tipo di dati

integer

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0003811
UMLS CUI-2
C0683312
Was there a T wave inversion in leads II, III, AVF (inferior leads) or V4, V5, and V6 (lateral leads)?
Descrizione

TWaveInversionInd

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Was ST segment at the J-point greater than or equal to 2 mm below baseline in leads II, II AVF (inferior leads), V4, V5, V6 (lateral leads)?
Descrizione

STSegmentInd-2

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Did patient experience ventricular arrhythmia?
Descrizione

CTCAdverseEventArrhythmiaVentricularGrade

Tipo di dati

integer

Alias
NCI Thesaurus ObjectClass
C41331
NCI Thesaurus Property
C25365
UMLS CUI-1
C0877248
UMLS CUI-2
C0678257
Was there a change in Troponin I?
Descrizione

CTCAdverseEventTroponinIGrade

Tipo di dati

float

Alias
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Thesaurus Property
C25365
UMLS 2011AA Property
C0678257
Was there a change to LVEF?
Descrizione

LVEF change

Tipo di dati

integer

Alias
UMLS CUI-1
C2061502
What was the patient's bone marrow status at the end of this reporting period?
Descrizione

Blasts, Bone Marrow

Tipo di dati

float

Unità di misura
  • %
Alias
NCI Thesaurus ObjectClass
C25294
UMLS CUI-1
C1982687
NCI Thesaurus Property
C12431
NCI Thesaurus Property-2
C20200
NCI Thesaurus Property-3
C12918
NCI Thesaurus ValueDomain
C25613
NCI Thesaurus ValueDomain-2
C25712
%
Treatment
Descrizione

Treatment

Alias
UMLS CUI-1
C0087111
Agent name
Descrizione

Agent name

Tipo di dati

text

Alias
NCI Thesaurus Property
C25364
NCI Thesaurus ObjectClass
C1708
NCI Thesaurus ValueDomain
C1708
NCI Thesaurus ValueDomain-2
C42614
UMLS CUI-1
C1521826
Total mg dose of Depsipeptide received during this reporting period
Descrizione

Agent Total Dose

Tipo di dati

float

Alias
NCI Thesaurus ValueDomain
C25304
UMLS CUI-1
C2986497
NCI Thesaurus Property
C25379
NCI Thesaurus ValueDomain-2
C25488
NCI Thesaurus ObjectClass
C1708
Were any of the infusions of Depsipeptide interrupted for any reason?
Descrizione

DoseInterruptionInd-3

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus ObjectClass
C25488
NCI Thesaurus Property
C25542
UMLS CUI-1
C0178602
UMLS CUI-2
C1512900
please state the time point of the interruption
Descrizione

TreatmentInterruptionDayDuration

Tipo di dati

float

Alias
NCI Thesaurus ValueDomain
C25301
UMLS 2011AA ValueDomain
C0439228
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ValueDomain-2
C25330
UMLS 2011AA ValueDomain-2
C0449238
NCI Thesaurus Property
C25542
UMLS 2011AA Property
C1512900
Was there a deviation from protocol therapy?
Descrizione

Was there a deviation from protocol therapy?

Tipo di dati

integer

Alias
NCI Thesaurus ValueDomain
C25180
NCI Thesaurus ObjectClass
C25256
NCI Thesaurus Property
C25572
NCI Thesaurus ValueDomain-2
C25572
UMLS CUI-1
C1707811
Did the patient receive radiation therapy during this reporting period?
Descrizione

RTTreatmentInd-3

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C15313
UMLS 2011AA ObjectClass
C1522449
NCI Thesaurus Property
C15368
Specify sites
Descrizione

Radiation Therapy Body Site

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C1997599
NCI Thesaurus Property
C25341
NCI Thesaurus ObjectClass
C15313
Was tumor tissue surgically obtained for biology studies (e.g. biopsy, resection, fine needle aspiration)?
Descrizione

TissueBiologicalSourceSurgicalInd-2

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C12801
UMLS 2011AA ObjectClass
C0040300
NCI Thesaurus Property
C25683
UMLS 2011AA Property
C0449416
please describe.
Descrizione

DoseModificationText

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C25256
UMLS 2011AA ObjectClass
C1265611
NCI Thesaurus Property
C25572
Concomitant Medication
Descrizione

Concomitant Medication

Alias
UMLS CUI-1
C2347852
Did patient receive concomitant medications while on protocol therapy?
Descrizione

ConcomitantMedicationReceivedInd-2

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C459
NCI Thesaurus Property
C25639
UMLS CUI-1
C2347852
Type
Descrizione

ConcomitantMedicationReceivedType

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C459
NCI Thesaurus Property
C25639
UMLS CUI-1
C0332307
UMLS CUI-2
C0013227
please list type
Descrizione

ConcomitantMedicationUseSpecify

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C459
UMLS 2011AA ObjectClass
C0013227
NCI Thesaurus ObjectClass-2
C25730
UMLS 2011AA ObjectClass-2
C0521115
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
Start Date
Descrizione

Treatment Begin Date

Tipo di dati

date

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25431
UMLS CUI-1
C3173309
NCI Thesaurus Property-2
C25275
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25431
End Date
Descrizione

Treatment End Date

Tipo di dati

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C1531784
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25275
Description
Descrizione

ConcomitantMedicationReceivedText

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C459
UMLS 2011AA ObjectClass
C0013227
NCI Thesaurus Property
C25639
UMLS 2011AA Property
C1514756
Reason for Administration
Descrizione

Concomitant Medication Use Indication

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C459
UMLS CUI-1
C2826696
NCI Thesaurus ObjectClass-2
C25730
NCI Thesaurus Property
C25382
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ValueDomain-2
C25638
New Cancer
Descrizione

New Cancer

Has a new primary cancer of MDS been diagnosed that has not been previously reported?
Descrizione

NewCancerDiagnosisInd-3

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C25586
UMLS 2011AA ObjectClass
C0205314
NCI Thesaurus ObjectClass-2
C9305
UMLS 2011AA ObjectClass-2
C0006826
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
New Cancer Diagnosis Date
Descrizione

NewCancerDiagnosisDate

Tipo di dati

date

Alias
NCI Thesaurus ObjectClass
C25586
UMLS 2011AA ObjectClass
C0205314
NCI Thesaurus ObjectClass-2
C9305
UMLS 2011AA ObjectClass-2
C0006826
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain-2
C25367
Follow-Up
Descrizione

Follow-Up

Alias
UMLS CUI-1
C1522577
Vital Status
Descrizione

Vital Status

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus ValueDomain
C18003
NCI Thesaurus ValueDomain-2
C25688
NCI Thesaurus Property
C25365
UMLS CUI-1
C3846084
Was the patient unable to be contacted for current scheduled follow-up?
Descrizione

PatientLostFollow-upInd-2

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25560
UMLS 2011AA Property
C0745777
NCI Thesaurus Property-2
C16033
UMLS 2011AA Property-2
C1522577
Was patient enrolled on another COG therapeutic study at the end of this reporting period?
Descrizione

PatientOtherEnrollmentInd-2

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25171
UMLS 2011AA Property
C0013893
Was patient's consent withdrawn?
Descrizione

PatientWithdrawFollow-upConsentInd-2

Tipo di dati

boolean

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C16033
UMLS 2011AA Property
C1522577
NCI Thesaurus Property-2
C25460
UMLS 2011AA Property-2
C1511481
NCI Thesaurus Property-3
C38061
UMLS 2011AA Property-3
C2349954
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Did patient relapse or experience disease progression during this reporting period?
Descrizione

DiseaseProgressionInd-3

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25331
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
date of relapse or progression
Descrizione

DiseaseProgressionDate

Tipo di dati

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus Property
C25331
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
Adverse event
Descrizione

Adverse event

Alias
UMLS CUI-1
C0877248
Category
Descrizione

Category

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C41331
NCI Thesaurus Property
C25161
UMLS CUI-1
C0877248
UMLS CUI-2
C0008902
Other, specify [unnamed category]
Descrizione

CTC Adverse Event Reported Term

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS CUI-1
C1516728
NCI Thesaurus ObjectClass
C49704
UMLS CUI-2
C2699044
NCI Thesaurus Property
C25161
Type
Descrizione

Type

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C41331
NCI Thesaurus Property
C25703
UMLS CUI-1
C1516728
UMLS CUI-2
C2826934
Other, specify [unnamed type]
Descrizione

CTCAdverseEventTermSpecify

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Thesaurus Property
C25703
UMLS 2011AA Property
C1515273
Code
Descrizione

CommonTerminologyCriteriaAdverseEventTermCOGCode

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C49704
NCI Thesaurus Property
C45559
UMLS CUI-1
C1516728
Other, specify [unnamed code]
Descrizione

CTCAdverseEventCOGCodeSpecify

Tipo di dati

text

Alias
NCI Thesaurus Property
C25364
NCI Thesaurus ObjectClass
C41331
UMLS CUI-1
C0600091
UMLS CUI-2
C0877248
Grade
Descrizione

Grade

Tipo di dati

integer

Alias
NCI Thesaurus ObjectClass
C41331
NCI Thesaurus Property
C25365
UMLS CUI-1
C0877248
UMLS CUI-2
C0678257
Attribution
Descrizione

Attribution

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25664
NCI Thesaurus ObjectClass
C49704
NCI Thesaurus Property
C25358
UMLS CUI-1
C1706735
Adverse Drug Experience?
Descrizione

ADRFiledInd-3

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C25410
UMLS 2011AA ObjectClass
C1521800
NCI Thesaurus Property
C25175
UMLS 2011AA Property
C1522646
Dose Limiting Toxicity?
Descrizione

ToxicityReportInd-2

Tipo di dati

boolean

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C27990
UMLS 2011AA ObjectClass
C0600688
NCI Thesaurus Property
C25375
UMLS 2011AA Property
C0684224
Date Onset
Descrizione

Adverse Event Onset Date

Tipo di dati

date

Alias
NCI Thesaurus ObjectClass
C41331
UMLS CUI-1
C2985916
NCI Thesaurus Property
C25279
Date of test or evaluation showing toxicity resolved to eligibility requirements or baseline
Descrizione

Adverse Event Resolution Date

Tipo di dati

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C2985918
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus ObjectClass
C49704
NCI Thesaurus Property
C25655
check box if not resolved [toxicity]
Descrizione

CTCAdverseEventResolutionInd

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
NCI Thesaurus ObjectClass
C49704
NCI Thesaurus Property
C25655
UMLS CUI-1
C1516728
UMLS CUI-2
C1514893

Similar models

No Instruction available.

  1. StudyEvent: ADVL0212: Reporting Period Worksheet (Leukemia)
    1. No Instruction available.
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Header
Protocol ID COG
Item
COG Study Number
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1516477 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
Institution Name
Item
Institution Name
text
C25191 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
Patient ID COG
Item
COG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C39353 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI-1)
Patient Initials
Item
Patient's Initials
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Reporting Period Number
Item
Reporting Period Number
text
C25337 (NCI Thesaurus ValueDomain)
C25616 (NCI Thesaurus Property)
C15368 (NCI Thesaurus ObjectClass)
C25651 (NCI Thesaurus Property-2)
C0237753 (UMLS CUI-1)
C1948053 (UMLS CUI-2)
C0700287 (UMLS CUI-3)
Reporting Period Start Date
Item
Reporting Period start date
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
date
C25164 (NCI Thesaurus ValueDomain)
C2361259 (UMLS CUI-1)
C25616 (NCI Thesaurus Property)
C15368 (NCI Thesaurus ObjectClass)
C25651 (NCI Thesaurus Property-2)
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
Item Group
Patient characteristics
C0815172 (UMLS CUI-1)
Patient Height
Item
Height
float
C25209 (NCI Thesaurus ValueDomain)
C0489786 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25347 (NCI Thesaurus Property)
Patient Weight
Item
Weight
float
C25209 (NCI Thesaurus ValueDomain)
C0005910 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25208 (NCI Thesaurus Property)
Bone marrow
Item
Was patient's bone marrow status evaluated during this reporting interval?
boolean
C38148 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus Property)
C12431 (NCI Thesaurus ObjectClass)
C0005953 (UMLS CUI-1)
Bone marrow date
Item
what was the date of exam?
date
C25164 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus Property)
C12431 (NCI Thesaurus ObjectClass)
C0005953 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Bone Marrow Involvement
Item
does patient have bone marrow involvement?
boolean
C38148 (NCI Thesaurus ValueDomain)
C12431 (NCI Thesaurus ObjectClass)
C25548 (NCI Thesaurus Property)
C0005953 (UMLS CUI-1)
C1314939 (UMLS CUI-2)
EF
Item
Was patients shortening fraction determined by echocardiogram?
boolean
C38147 (NCI Thesaurus ValueDomain)
C25217 (NCI Thesaurus Property)
C0232174 (UMLS CUI-1)
EF
Item
what is the percentage?
float
C20200 (NCI Thesaurus Property)
C38020 (NCI Thesaurus ObjectClass)
C0232174 (UMLS CUI-1)
off protocoll therapy
Item
Is patient off protocol therapy at the end of this reporting period?
boolean
C38148 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25601 (NCI Thesaurus Property)
C1518544 (UMLS CUI-1)
Date Last Dose
Item
date of last dose for this reporting period
date
C25164 (NCI Thesaurus ValueDomain)
C1762893 (UMLS CUI-1)
C15368 (NCI Thesaurus ObjectClass)
C25509 (NCI Thesaurus Property)
C25256 (NCI Thesaurus Property-2)
Item
reason treatment ended
text
C25601 (NCI Thesaurus ObjectClass)
C25365 (NCI Thesaurus Property)
C1518544 (UMLS CUI-1)
Code List
reason treatment ended
CL Item
Progressive disease (1)
CL Item
Irreversible dose-limiting toxicity (2)
CL Item
Patient withdrawal from protocol (3)
CL Item
Off Study (4)
CL Item
Alternative Therapy (5)
CL Item
Lost To Follow-up (6)
CL Item
Death On Study (7)
CL Item
Cytogenetic Resistance (8)
CL Item
Disease Progression, Relapse During Active Treatment (9)
CL Item
Disease Progression Before Active Treatment (10)
CL Item
Other (11)
CL Item
Patient Off-treatment For Other Complicating Disease (12)
CL Item
Patient Withdrawal Or Refusal After Beginning Protocol Therapy (13)
CL Item
Patient Withdrawal Or Refusal Before Beginning Protocol Therapy (14)
CL Item
Treatment Completed Per Protocol Criteria (15)
RestingHeartRate
Item
Did resting heart rate increase by 35%?
boolean
CTCAdverseEventArrhythmiaAtrialGrade
Item
Did patient experience any of the following: SVT, atrial fibrillation, or atrial flutter?
float
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
Item
check all that apply
text
C41331 (NCI Thesaurus ObjectClass)
C25365 (NCI Thesaurus Property)
C0877248 (UMLS CUI-1)
C0678257 (UMLS CUI-2)
Code List
check all that apply
CL Item
SVT (SVT)
CL Item
Atrial fibrillation (Atrial fibrillation)
CL Item
Atrial flutter (Atrial flutter)
CTCAdverseEventIntervalGrade
Item
Did patient experience prolonged QTc compared to baseline?
float
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
Item
check all that apply
integer
C25284 (NCI Thesaurus ValueDomain)
C0003811 (UMLS CUI-1)
C0683312 (UMLS CUI-2)
Code List
check all that apply
CL Item
To greater than or equal to 480 msec (1)
CL Item
Increase of greater than or equal to 50 msec (2)
CL Item
Increase by 15 % (3)
TWaveInversionInd
Item
Was there a T wave inversion in leads II, III, AVF (inferior leads) or V4, V5, and V6 (lateral leads)?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
STSegmentInd-2
Item
Was ST segment at the J-point greater than or equal to 2 mm below baseline in leads II, II AVF (inferior leads), V4, V5, V6 (lateral leads)?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
CTC AE Arrhythmia Ventricular Grade
Item
Did patient experience ventricular arrhythmia?
integer
C41331 (NCI Thesaurus ObjectClass)
C25365 (NCI Thesaurus Property)
C0877248 (UMLS CUI-1)
C0678257 (UMLS CUI-2)
CTCAdverseEventTroponinIGrade
Item
Was there a change in Troponin I?
float
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
Item
Was there a change to LVEF?
integer
C2061502 (UMLS CUI-1)
Code List
Was there a change to LVEF?
CL Item
Yes, decrease to less than or equal to 40% (2)
CL Item
Yes, decrease by greater than or equal to 25%, but not below 40% (1)
CL Item
No (0)
Blasts, Bone Marrow
Item
What was the patient's bone marrow status at the end of this reporting period?
float
C25294 (NCI Thesaurus ObjectClass)
C1982687 (UMLS CUI-1)
C12431 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C12918 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
Item Group
Treatment
C0087111 (UMLS CUI-1)
Agent name
Item
Agent name
text
C25364 (NCI Thesaurus Property)
C1708 (NCI Thesaurus ObjectClass)
C1708 (NCI Thesaurus ValueDomain)
C42614 (NCI Thesaurus ValueDomain-2)
C1521826 (UMLS CUI-1)
Agent Total Dose
Item
Total mg dose of Depsipeptide received during this reporting period
float
C25304 (NCI Thesaurus ValueDomain)
C2986497 (UMLS CUI-1)
C25379 (NCI Thesaurus Property)
C25488 (NCI Thesaurus ValueDomain-2)
C1708 (NCI Thesaurus ObjectClass)
Dose Interruption
Item
Were any of the infusions of Depsipeptide interrupted for any reason?
boolean
C38148 (NCI Thesaurus ValueDomain)
C25488 (NCI Thesaurus ObjectClass)
C25542 (NCI Thesaurus Property)
C0178602 (UMLS CUI-1)
C1512900 (UMLS CUI-2)
TreatmentInterruptionDayDuration
Item
please state the time point of the interruption
float
C25301 (NCI Thesaurus ValueDomain)
C0439228 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25330 (NCI Thesaurus ValueDomain-2)
C0449238 (UMLS 2011AA ValueDomain-2)
C25542 (NCI Thesaurus Property)
C1512900 (UMLS 2011AA Property)
Item
Was there a deviation from protocol therapy?
integer
C25180 (NCI Thesaurus ValueDomain)
C25256 (NCI Thesaurus ObjectClass)
C25572 (NCI Thesaurus Property)
C25572 (NCI Thesaurus ValueDomain-2)
C1707811 (UMLS CUI-1)
Code List
Was there a deviation from protocol therapy?
CL Item
Yes, protocol specified modification for toxicity (1)
CL Item
Yes non-protocol specified modification for toxicity (2)
CL Item
Yes, other reason for deviation (3)
CL Item
No (0)
CL Item
Unknown (-1)
CL Item
Yes, Planned (i.e., The Treatment Was Changed According To Protocol Guidelines) (4)
CL Item
Yes, Unplanned (i.e., The Treatment Change Was Not Part Of Protocol Guidelines) (5)
RTTreatmentInd-3
Item
Did the patient receive radiation therapy during this reporting period?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)
Radiation Therapy Body Site
Item
Specify sites
text
C25191 (NCI Thesaurus ValueDomain)
C1997599 (UMLS CUI-1)
C25341 (NCI Thesaurus Property)
C15313 (NCI Thesaurus ObjectClass)
TissueBiologicalSourceSurgicalInd-2
Item
Was tumor tissue surgically obtained for biology studies (e.g. biopsy, resection, fine needle aspiration)?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C12801 (NCI Thesaurus ObjectClass)
C0040300 (UMLS 2011AA ObjectClass)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
DoseModificationText
Item
please describe.
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25256 (NCI Thesaurus ObjectClass)
C1265611 (UMLS 2011AA ObjectClass)
C25572 (NCI Thesaurus Property)
Item Group
Concomitant Medication
C2347852 (UMLS CUI-1)
Concomitant Medication
Item
Did patient receive concomitant medications while on protocol therapy?
boolean
C38147 (NCI Thesaurus ValueDomain)
C459 (NCI Thesaurus ObjectClass)
C25639 (NCI Thesaurus Property)
C2347852 (UMLS CUI-1)
Item
Type
text
C25284 (NCI Thesaurus ValueDomain)
C459 (NCI Thesaurus ObjectClass)
C25639 (NCI Thesaurus Property)
C0332307 (UMLS CUI-1)
C0013227 (UMLS CUI-2)
Code List
Type
CL Item
Corticosteroid (Corticosteroid)
C2322 (NCI Thesaurus)
C0001617 (UMLS CUI-1)
CL Item
Anti-convulsant (Anti-Convulsant)
C0003286 (UMLS CUI-1)
CL Item
Anti-fungal (Anti-Fungal)
C0718566 (NCI Metathesaurus)
C0003308 (UMLS CUI-1)
CL Item
Growth Factor (Growth factor)
C20424 (NCI Thesaurus)
C0018284 (UMLS CUI-1)
CL Item
Other Specify (Other, specify)
C3844311 (UMLS CUI-1)
ConcomitantMedicationUseSpecify
Item
please list type
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
C25730 (NCI Thesaurus ObjectClass-2)
C0521115 (UMLS 2011AA ObjectClass-2)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
Treatment Begin Date
Item
Start Date
date
C15368 (NCI Thesaurus ObjectClass)
C25431 (NCI Thesaurus Property)
C3173309 (UMLS CUI-1)
C25275 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
Treatment End Date
Item
End Date
date
C25164 (NCI Thesaurus ValueDomain)
C1531784 (UMLS CUI-1)
C15368 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
ConcomitantMedicationReceivedText
Item
Description
text
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
C25639 (NCI Thesaurus Property)
C1514756 (UMLS 2011AA Property)
Concomitant Medication Use Indication
Item
Reason for Administration
text
C459 (NCI Thesaurus ObjectClass)
C2826696 (UMLS CUI-1)
C25730 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C25704 (NCI Thesaurus ValueDomain)
C25638 (NCI Thesaurus ValueDomain-2)
Item Group
New Cancer
NewCancerDiagnosisInd-3
Item
Has a new primary cancer of MDS been diagnosed that has not been previously reported?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25586 (NCI Thesaurus ObjectClass)
C0205314 (UMLS 2011AA ObjectClass)
C9305 (NCI Thesaurus ObjectClass-2)
C0006826 (UMLS 2011AA ObjectClass-2)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
NewCancerDiagnosisDate
Item
New Cancer Diagnosis Date
date
C25586 (NCI Thesaurus ObjectClass)
C0205314 (UMLS 2011AA ObjectClass)
C9305 (NCI Thesaurus ObjectClass-2)
C0006826 (UMLS 2011AA ObjectClass-2)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
Item Group
Follow-Up
C1522577 (UMLS CUI-1)
Item
Vital Status
text
C16960 (NCI Thesaurus ObjectClass)
C18003 (NCI Thesaurus ValueDomain)
C25688 (NCI Thesaurus ValueDomain-2)
C25365 (NCI Thesaurus Property)
C3846084 (UMLS CUI-1)
Code List
Vital Status
CL Item
Alive (Alive)
C2584946 (UMLS CUI-1)
CL Item
Dead (Dead)
C0011065 (UMLS CUI-1)
PatientLostFollow-upInd-2
Item
Was the patient unable to be contacted for current scheduled follow-up?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25560 (NCI Thesaurus Property)
C0745777 (UMLS 2011AA Property)
C16033 (NCI Thesaurus Property-2)
C1522577 (UMLS 2011AA Property-2)
PatientOtherEnrollmentInd-2
Item
Was patient enrolled on another COG therapeutic study at the end of this reporting period?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25171 (NCI Thesaurus Property)
C0013893 (UMLS 2011AA Property)
PatientWithdrawFollow-upConsentInd-2
Item
Was patient's consent withdrawn?
boolean
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C16033 (NCI Thesaurus Property)
C1522577 (UMLS 2011AA Property)
C25460 (NCI Thesaurus Property-2)
C1511481 (UMLS 2011AA Property-2)
C38061 (NCI Thesaurus Property-3)
C2349954 (UMLS 2011AA Property-3)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
DiseaseProgressionInd-3
Item
Did patient relapse or experience disease progression during this reporting period?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
DiseaseProgressionDate
Item
date of relapse or progression
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C25331 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
Item Group
Adverse event
C0877248 (UMLS CUI-1)
Item
Category
text
C41331 (NCI Thesaurus ObjectClass)
C25161 (NCI Thesaurus Property)
C0877248 (UMLS CUI-1)
C0008902 (UMLS CUI-2)
Code List
Category
CL Item
Gastrointestinal (Gastrointestinal)
C13359 (NCI Thesaurus)
C0521362 (UMLS 2011AA)
CL Item
Infection Febrile Neutropenia (Infection/Febrile Neutropenia)
CL Item
Blood/bone Marrow (Blood/Bone Marrow)
CL324677 (NCI Metathesaurus)
CL Item
Hepatic (Hepatic)
C13308 (NCI Thesaurus)
C0205054 (UMLS 2011AA)
CL Item
Renal/genitourinary (Renal/Genitourinary)
CL328688 (NCI Metathesaurus)
CL Item
Cardiovascular (arrhythmia) (Cardiovascular (Arrhythmia))
CL Item
Constitutional Symptoms (Constitutional Symptoms)
CL Item
Metabolic/laboratory (Metabolic/Laboratory)
CL Item
Other, specify [unnamed category] (Other)
CTC Adverse Event Reported Term
Item
Other, specify [unnamed category]
text
C25685 (NCI Thesaurus ValueDomain)
C1516728 (UMLS CUI-1)
C49704 (NCI Thesaurus ObjectClass)
C2699044 (UMLS CUI-2)
C25161 (NCI Thesaurus Property)
Item
Type
text
C41331 (NCI Thesaurus ObjectClass)
C25703 (NCI Thesaurus Property)
C1516728 (UMLS CUI-1)
C2826934 (UMLS CUI-2)
Code List
Type
CL Item
Nausea (0)
C0027497 (UMLS CUI-1)
CL Item
Vomiting Nos (1)
C1963281 (UMLS CUI-1)
CL Item
Febrile Neutropenia (2)
C0746883 (UMLS CUI-1)
CL Item
Neutropenia (3)
C0027947 (UMLS CUI-1)
CL Item
Aspartate Aminotransferase Increased (4)
C0151904 (UMLS CUI-1)
CL Item
Alanine Aminotransferase Increased (5)
C0151905 (UMLS CUI-1)
CL Item
Blood Creatinine Increased (6)
C1561535 (UMLS CUI-1)
CL Item
Platelet Count Decreased (7)
C1963076 (UMLS CUI-1)
CL Item
Ventricular Arrhythmia Nos (8)
C0085612 (UMLS CUI-1)
CL Item
Fatigue (9)
C0015672 (UMLS CUI-1)
CL Item
Blood Creatine Phosphokinase Increased (10)
C0151576 (UMLS CUI-1)
CL Item
Other, specify [unnamed type] (11)
C0205394 (UMLS CUI-1)
CTCAdverseEventTermSpecify
Item
Other, specify [unnamed type]
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C25703 (NCI Thesaurus Property)
C1515273 (UMLS 2011AA Property)
Item
Code
text
C49704 (NCI Thesaurus ObjectClass)
C45559 (NCI Thesaurus Property)
C1516728 (UMLS CUI-1)
Code List
Code
CL Item
Nausea (408)
C3258 (NCI Thesaurus)
C0027497 (UMLS CUI-1)
CL Item
Vomiting (426)
C3442 (NCI Thesaurus)
C0042963 (UMLS CUI-1)
CL Item
Febrile Neutropenia (494)
C0746883 (NCI Metathesaurus)
C0746883 (UMLS CUI-1)
CL Item
Neutrophils/granulocytes (anc/agc) (146)
CL Item
Sgot (ast) (481)
C0201899 (UMLS CUI-1)
CL Item
Sgpt (alt) (482)
C0201836 (UMLS CUI-1)
CL Item
Creatinine (784)
C0201976 (UMLS CUI-1)
CL Item
Platelets (148)
C0005821 (UMLS CUI-1)
CL Item
Ventricular Arrhythmia Nos (181)
CL Item
Fatigue (262)
C3036 (NCI Thesaurus)
C0015672 (UMLS CUI-1)
CL Item
Creatinine Phosphokinase (cpk) (532)
CL Item
Other, Specify (Other)
CTC Adverse Event COG Code
Item
Other, specify [unnamed code]
text
C25364 (NCI Thesaurus Property)
C41331 (NCI Thesaurus ObjectClass)
C0600091 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
CTCAdverseEventGrade2
Item
Grade
integer
C41331 (NCI Thesaurus ObjectClass)
C25365 (NCI Thesaurus Property)
C0877248 (UMLS CUI-1)
C0678257 (UMLS CUI-2)
Item
Attribution
text
C25664 (NCI Thesaurus ValueDomain)
C49704 (NCI Thesaurus ObjectClass)
C25358 (NCI Thesaurus Property)
C1706735 (UMLS CUI-1)
Code List
Attribution
CL Item
Unrelated (1)
C0445356 (UMLS CUI-1)
CL Item
Unlikely (2)
C0750558 (UMLS CUI-1)
CL Item
Possible (3)
C0332149 (UMLS CUI-1)
CL Item
Probable (4)
C1709683 (UMLS CUI-1)
CL Item
Definite (5)
C1704787 (UMLS CUI-1)
ADRFiledInd-3
Item
Adverse Drug Experience?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25410 (NCI Thesaurus ObjectClass)
C1521800 (UMLS 2011AA ObjectClass)
C25175 (NCI Thesaurus Property)
C1522646 (UMLS 2011AA Property)
ToxicityReportInd-2
Item
Dose Limiting Toxicity?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C27990 (NCI Thesaurus ObjectClass)
C0600688 (UMLS 2011AA ObjectClass)
C25375 (NCI Thesaurus Property)
C0684224 (UMLS 2011AA Property)
Adverse Event Onset Date
Item
Date Onset
date
C41331 (NCI Thesaurus ObjectClass)
C2985916 (UMLS CUI-1)
C25279 (NCI Thesaurus Property)
Adverse Event Resolution Date
Item
Date of test or evaluation showing toxicity resolved to eligibility requirements or baseline
date
C25164 (NCI Thesaurus ValueDomain)
C2985918 (UMLS CUI-1)
C25367 (NCI Thesaurus ValueDomain-2)
C49704 (NCI Thesaurus ObjectClass)
C25655 (NCI Thesaurus Property)
Item
check box if not resolved [toxicity]
text
C25180 (NCI Thesaurus ValueDomain)
C49704 (NCI Thesaurus ObjectClass)
C25655 (NCI Thesaurus Property)
C1516728 (UMLS CUI-1)
C1514893 (UMLS CUI-2)
Code List
check box if not resolved [toxicity]
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)

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