No Instruction available.

  1. StudyEvent: Disease recurrence
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header
Birth Date
Item
Patient Birth Date
date
C25164 (NCI Thesaurus ValueDomain)
C0421451 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain-2)
C25155 (NCI Thesaurus Property)
Patient Hospital No
Item
Patient Hospital Number
text
C25337 (NCI Thesaurus ValueDomain)
C0421459 (UMLS CUI-1)
C16960 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C16696 (NCI Thesaurus ObjectClass)
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)
Institution Number
Item
Institution No.
text
C25337 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C0805701 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
Investigator Name
Item
Physician of Record
text
C25191 (NCI Thesaurus ValueDomain)
C2826892 (UMLS CUI-1)
C25364 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C25644 (NCI Thesaurus ObjectClass-2)
Item Group
Disease Recurrence
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)
MetastasisDiagnosisDate
Item
Metastasis Diagnosis Date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item Group
Loco-regional Recurrence
Item
Site of first local-regional recurrence
text
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C25388 (NCI Thesaurus Property)
C1947913 (UMLS 2011AA Property)
C38155 (NCI Thesaurus Property-2)
C0277556 (UMLS 2011AA Property-2)
C4872 (NCI Thesaurus ObjectClass)
C0678222 (UMLS 2011AA ObjectClass)
Code List
Site of first local-regional recurrence
CL Item
At The Site Of The Primary Tumor (At the site of the primary tumor)
CL Item
Ipsilateral Chest Wall (Ipsilateral chest wall)
CL Item
Ipsilateral Axillary Lymph Nodes And/or Soft Tissue (Ipsilateral axillary lymph nodes and/or soft tissue)
CL Item
Ipsilateral Infraclavicular Nodes (Ipsilateral infraclavicular nodes)
CL Item
Ipsilateral Supraclavicular Nodes (Ipsilateral suparclavicular nodes)
CL Item
Ipsilateral Internal Mammary Nodes (Ipsilateral internal mammary nodes)
CL Item
Elsewhere In The Breast (Elsewhere in the breast)
Item
Method of Evaluation
text
C25284 (NCI Thesaurus ValueDomain)
C2911685 (UMLS CUI-1)
C20989 (NCI Thesaurus ObjectClass)
C16847 (NCI Thesaurus Property)
Code List
Method of Evaluation
CL Item
Autopsy (Autopsy)
C25153 (NCI Thesaurus)
C0004398 (UMLS 2011AA)
CL Item
Axillary Dissection (Axillary dissection)
CL Item
Bilateral Mammogram (Bilateral mammogram)
CL Item
Bimanual Examination (Bimanual examination)
CL Item
Biopsy (Biopsy)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
C15189 (NCI Thesaurus-3)
C0005558 (UMLS 2011AA-4)
CL Item
Biopsy (Biopsy, other)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
C15189 (NCI Thesaurus-3)
C0005558 (UMLS 2011AA-4)
CL Item
Bone Scan (Bone scan)
C17646 (NCI Thesaurus)
C0203668 (UMLS 2011AA)
CL Item
Chest X-ray (Chest x-ray)
CL Item
Clinical (Clinical)
C25398 (NCI Thesaurus)
C0205210 (UMLS 2011AA)
CL Item
Clinical Examination (pe) (Clinical examination)
CL Item
Colposcopy (Colposcopy)
CL Item
Contrast Enhanced Ct Scan (Contrast enhanced CT scan/CT perfusion exam)
CL Item
Ct Scan (CT scan)
CL Item
Cystoscopy (Cystoscopy)
C16482 (NCI Thesaurus)
C0010702 (UMLS 2011AA)
CL Item
Cytologic Confirmation (Cytologic confirmation)
CL Item
Cytology (Cytology)
C16491 (NCI Thesaurus)
C0010819 (UMLS 2011AA)
CL Item
Cytoscopy (Cytoscopy)
CL Item
Differential (Differential)
CL Item
Direct Inspection (Direct inspection)
CL Item
Ductal Lavage (Ductal lavage)
CL054589 (NCI Metathesaurus)
CL Item
Ductoscopic Biopsy (Ductoscopic biopsy)
CL Item
Echocardiogram (Echocardiogram)
C37945 (NCI Thesaurus)
C2243117 (UMLS 2011AA)
CL Item
Ekg (EKG)
CL Item
Endoscopy (Endoscopy)
C16546 (NCI Thesaurus)
C0014245 (UMLS 2011AA)
CL Item
Excisional Biopsy Or Lumpectomy (Excisional biopsy or lumpectomy)
CL Item
Lumpectomy, With Wire Localization (Excisional biopsy or lumpectomy, with wire localization)
CL Item
Fine Needle Aspiration Biopsy (Fine needle aspiration biopsy)
CL Item
Fine Needle Aspiration Biopsy With Wire Localization (Fine needle aspiration biopsy, with wire localization)
CL Item
Fluid Cytology, Ascites (Fluid cytology, ascites)
CL Item
Fluid Cytology, Cerebrospinal Fluid (Fluid cytology, cerebrospinal fluid)
CL Item
Fluid Cytology, Pleural (Fluid cytology, pleural)
CL Item
Gallium Scan (Gallium scan)
C38087 (NCI Thesaurus)
C0521316 (UMLS 2011AA)
CL Item
Histologic (Histologic)
CL Item
Histologic Confirmation (Histologic confirmation)
CL Item
Histology (Histology)
C16681 (NCI Thesaurus)
C0019638 (UMLS 2011AA)
CL Item
Incisional Biopsy (Incisional biopsy)
C15386 (NCI Thesaurus)
C0184922 (UMLS 2011AA)
CL Item
Incisional Biopsy, With Wire Localization (Incisional biopsy, with wire localization)
CL Item
Intraoperative Ultrasound (Intraoperative ultrasound)
CL Item
Laparoscopy (Laparoscopy)
C16969 (NCI Thesaurus)
C0031150 (UMLS 2011AA)
CL Item
Laparotomy (Laparotomy)
C15266 (NCI Thesaurus)
C0023038 (UMLS 2011AA)
CL Item
Mammogram (Mammogram)
C20178 (NCI Thesaurus)
C0024671 (UMLS 2011AA)
CL Item
Mastectomy (Mastectomy)
C15277 (NCI Thesaurus)
C0024881 (UMLS 2011AA)
CL Item
Mri (MRI (NMR))
CL Item
Mri Scan (MRI scan)
CL Item
Nomograms (MSK Nomogram)
C1450294 (NCI Metathesaurus)
CL Item
Muga Scan (MUGA)
CL Item
Needle Biopsy (tru-cut Or Core) (Needle biopsy (tru-cut or core))
CL Item
Needle Biopsy (tru-cut Or Core), With Wire Localization (Needle biopsy (tru-cut or core), with wire localization))
CL Item
Nipple Fluid (Nipple fluid)
CL Item
Not Applicable (Not applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Not Evaluated (Not evaluated)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Other, Specify (Other, specify)
CL Item
Palpation (Palpation)
CL Item
Pathologic (Pathologic)
C25610 (NCI Thesaurus)
C1521733 (UMLS 2011AA)
CL Item
Pet Scan (PET scan)
CL Item
Physical Exam (Physical exam)
CL Item
Plain Film/x-ray With Contrast (Plain film/X-ray with contrast)
CL Item
Plain Film/x-ray Without Contrast (Plain film/X-ray without contrast)
CL Item
Ct Scan (Preoperative CT scan)
CL Item
Primary Surgery (Primary surgery)
CL Item
Prophalactic Mastectomy (Prophalactic mastectomy)
CL Item
Radiograph (Radiograph)
CL Item
Radiographic (Radiographic)
CL Item
Radioisotope Scan (Radioisotope scan)
CL Item
Resection/re-excision Of Lumpectomy Margins (Resection/re-excision of lumpectomy margins)
CL Item
Sentinel Node Biopsy (Sentinel node biopsy)
CL Item
Spiral Ct Scan (Spiral CT scan)
CL Item
Surgery (Surgery)
C17173 (NCI Thesaurus)
C0038894 (UMLS 2011AA)
CL Item
Tumor Marker (Tumor Marker)
CL Item
Tumor Markers (Tumor markers)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Visual Assessment (Visual assessment)
CL Item
Visualization (Visualization)
CL Item
X-ray (X-ray)
Evaluation method, specify
Item
Other Specify
text
C25685 (NCI Thesaurus ValueDomain)
C2911685 (UMLS CUI-1)
C20989 (NCI Thesaurus ObjectClass)
C1521902 (UMLS CUI-2)
C16847 (NCI Thesaurus Property)
Item Group
Distant Metastasis
Item
Metastatic Site
text
C12971 (NCI Thesaurus ObjectClass)
C0006141 (UMLS 2011AA ObjectClass)
C9305 (NCI Thesaurus ObjectClass-2)
C0006826 (UMLS 2011AA ObjectClass-2)
C14174 (NCI Thesaurus Property)
C0036525 (UMLS 2011AA Property)
C25548 (NCI Thesaurus Property-2)
C1314939 (UMLS 2011AA Property-2)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
Code List
Metastatic Site
CL Item
Lung (Lung)
C12468 (NCI Thesaurus)
C0024109 (UMLS 2011AA)
CL Item
Liver (Liver)
C12392 (NCI Thesaurus)
C0023884 (UMLS 2011AA)
CL Item
Bone (Bone)
C12366 (NCI Thesaurus)
C0262950 (UMLS 2011AA)
CL Item
Pleura (Pleura)
CL Item
Brain (Brain)
CL Item
Other Cns (Other Central Nervous System)
CL Item
Distant Skin/subcutaneous Tissue (Distant skin/subcutaneous tissue)
CL Item
Distant Nodes (Distant nodes)
CL Item
Other Specify (Other)
Metastatic Sites, other
Item
Other specify
text
C25685 (NCI Thesaurus ValueDomain)
C0280457 (UMLS CUI-1)
C14174 (NCI Thesaurus Property)
C3844311 (UMLS CUI-2)
C9305 (NCI Thesaurus ObjectClass)
C25548 (NCI Thesaurus Property-2)
Item
Method of Evaluation
text
C25284 (NCI Thesaurus ValueDomain)
C2911685 (UMLS CUI-1)
C20989 (NCI Thesaurus ObjectClass)
C16847 (NCI Thesaurus Property)
Code List
Method of Evaluation
CL Item
Autopsy (Autopsy)
C25153 (NCI Thesaurus)
C0004398 (UMLS 2011AA)
CL Item
Axillary Dissection (Axillary dissection)
CL Item
Bilateral Mammogram (Bilateral mammogram)
CL Item
Bimanual Examination (Bimanual examination)
CL Item
Biopsy (Biopsy)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
C15189 (NCI Thesaurus-3)
C0005558 (UMLS 2011AA-4)
CL Item
Biopsy (Biopsy, other)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
C15189 (NCI Thesaurus-3)
C0005558 (UMLS 2011AA-4)
CL Item
Bone Scan (Bone scan)
C17646 (NCI Thesaurus)
C0203668 (UMLS 2011AA)
CL Item
Chest X-ray (Chest x-ray)
CL Item
Clinical (Clinical)
C25398 (NCI Thesaurus)
C0205210 (UMLS 2011AA)
CL Item
Clinical Examination (pe) (Clinical examination)
CL Item
Colposcopy (Colposcopy)
CL Item
Contrast Enhanced Ct Scan (Contrast enhanced CT scan/CT perfusion exam)
CL Item
Ct Scan (CT scan)
CL Item
Cystoscopy (Cystoscopy)
C16482 (NCI Thesaurus)
C0010702 (UMLS 2011AA)
CL Item
Cytologic Confirmation (Cytologic confirmation)
CL Item
Cytology (Cytology)
C16491 (NCI Thesaurus)
C0010819 (UMLS 2011AA)
CL Item
Cytoscopy (Cytoscopy)
CL Item
Differential (Differential)
CL Item
Direct Inspection (Direct inspection)
CL Item
Ductal Lavage (Ductal lavage)
CL054589 (NCI Metathesaurus)
CL Item
Ductoscopic Biopsy (Ductoscopic biopsy)
CL Item
Echocardiogram (Echocardiogram)
C37945 (NCI Thesaurus)
C2243117 (UMLS 2011AA)
CL Item
Ekg (EKG)
CL Item
Endoscopy (Endoscopy)
C16546 (NCI Thesaurus)
C0014245 (UMLS 2011AA)
CL Item
Excisional Biopsy Or Lumpectomy (Excisional biopsy or lumpectomy)
CL Item
Lumpectomy, With Wire Localization (Excisional biopsy or lumpectomy, with wire localization)
CL Item
Fine Needle Aspiration Biopsy (Fine needle aspiration biopsy)
CL Item
Fine Needle Aspiration Biopsy With Wire Localization (Fine needle aspiration biopsy, with wire localization)
CL Item
Fluid Cytology, Ascites (Fluid cytology, ascites)
CL Item
Fluid Cytology, Cerebrospinal Fluid (Fluid cytology, cerebrospinal fluid)
CL Item
Fluid Cytology, Pleural (Fluid cytology, pleural)
CL Item
Gallium Scan (Gallium scan)
C38087 (NCI Thesaurus)
C0521316 (UMLS 2011AA)
CL Item
Histologic (Histologic)
CL Item
Histologic Confirmation (Histologic confirmation)
CL Item
Histology (Histology)
C16681 (NCI Thesaurus)
C0019638 (UMLS 2011AA)
CL Item
Incisional Biopsy (Incisional biopsy)
C15386 (NCI Thesaurus)
C0184922 (UMLS 2011AA)
CL Item
Incisional Biopsy, With Wire Localization (Incisional biopsy, with wire localization)
CL Item
Intraoperative Ultrasound (Intraoperative ultrasound)
CL Item
Laparoscopy (Laparoscopy)
C16969 (NCI Thesaurus)
C0031150 (UMLS 2011AA)
CL Item
Laparotomy (Laparotomy)
C15266 (NCI Thesaurus)
C0023038 (UMLS 2011AA)
CL Item
Mammogram (Mammogram)
C20178 (NCI Thesaurus)
C0024671 (UMLS 2011AA)
CL Item
Mastectomy (Mastectomy)
C15277 (NCI Thesaurus)
C0024881 (UMLS 2011AA)
CL Item
Mri (MRI (NMR))
CL Item
Mri Scan (MRI scan)
CL Item
Nomograms (MSK Nomogram)
C1450294 (NCI Metathesaurus)
CL Item
Muga Scan (MUGA)
CL Item
Needle Biopsy (tru-cut Or Core) (Needle biopsy (tru-cut or core))
CL Item
Needle Biopsy (tru-cut Or Core), With Wire Localization (Needle biopsy (tru-cut or core), with wire localization))
CL Item
Nipple Fluid (Nipple fluid)
CL Item
Not Applicable (Not applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Not Evaluated (Not evaluated)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Other, Specify (Other, specify)
CL Item
Palpation (Palpation)
CL Item
Pathologic (Pathologic)
C25610 (NCI Thesaurus)
C1521733 (UMLS 2011AA)
CL Item
Pet Scan (PET scan)
CL Item
Physical Exam (Physical exam)
CL Item
Plain Film/x-ray With Contrast (Plain film/X-ray with contrast)
CL Item
Plain Film/x-ray Without Contrast (Plain film/X-ray without contrast)
CL Item
Ct Scan (Preoperative CT scan)
CL Item
Primary Surgery (Primary surgery)
CL Item
Prophalactic Mastectomy (Prophalactic mastectomy)
CL Item
Radiograph (Radiograph)
CL Item
Radiographic (Radiographic)
CL Item
Radioisotope Scan (Radioisotope scan)
CL Item
Resection/re-excision Of Lumpectomy Margins (Resection/re-excision of lumpectomy margins)
CL Item
Sentinel Node Biopsy (Sentinel node biopsy)
CL Item
Spiral Ct Scan (Spiral CT scan)
CL Item
Surgery (Surgery)
C17173 (NCI Thesaurus)
C0038894 (UMLS 2011AA)
CL Item
Tumor Marker (Tumor Marker)
CL Item
Tumor Markers (Tumor markers)
CL Item
Ultrasound (Ultrasound)
C64384 (NCI Thesaurus)
C1456803 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Visual Assessment (Visual assessment)
CL Item
Visualization (Visualization)
CL Item
X-ray (X-ray)
Evaluation method, specify
Item
Other Specify
text
C25685 (NCI Thesaurus ValueDomain)
C2911685 (UMLS CUI-1)
C20989 (NCI Thesaurus ObjectClass)
C1521902 (UMLS CUI-2)
C16847 (NCI Thesaurus Property)
Item Group
Comments
Investigator Signature Date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
Investigator Signature
Item
Investigator Signature
text
C25704 (NCI Thesaurus ValueDomain)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)

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

Fields marked with * are required.

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