ProtocolCoordinatingIdentifierNumber
Item
Coordinating Group Protocol No.
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25462 (NCI Thesaurus Property)
C0700114 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
CoordinatingGroupIdentifierCode
Item
Coordinating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25462 (NCI Thesaurus ObjectClass)
C0700114 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
ProtocolTitleName
Item
Protocol Title
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C42774 (NCI Thesaurus Property)
C1705823 (UMLS 2011AA Property)
PatientCoordinatingIdentifierNumber
Item
Patient Study ID
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25462 (NCI Thesaurus Property)
C0700114 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
CombinedInstitutionName
Item
Institution/Affiliate
text
C25454 (NCI Thesaurus ObjectClass)
C0205195 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)
PatientParticipatingIdentifierNumber
Item
Other Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
ParticipatingGroupIdentifierCode
Item
Participating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25608 (NCI Thesaurus ObjectClass)
C0679823 (UMLS 2011AA ObjectClass)
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
PatientInitialsName
Item
Patient Initials
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)
ResponsiblePersonName
Item
Person Completing Form
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25657 (NCI Thesaurus ObjectClass)
C1273518 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
Item
Are data amended (If data are amended, please circle in red when using paper form)
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
Code List
Are data amended (If data are amended, please circle in red when using paper form)
CL Item
Yes (yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (no)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CancerInitialDiagnosisDate
Item
Date of Initial Pathologic Diagnosis (mm dd yyyy enter test date for first diagnosis of leukemia)
date
C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
SpecimenCollectedDate
Item
Date Specimen collected (s mm dd yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C25452 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
SpecimenLaboratoryReceivedDate
Item
Date of Receipt of Specimens ( mm dd yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25639 (NCI Thesaurus Property)
C1514756 (UMLS 2011AA Property)
C37984 (NCI Thesaurus Property)
C0022877 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
Item
Source of Cells used for Analysis
text
C3161 (NCI Thesaurus ObjectClass)
C0023418 (UMLS 2011AA ObjectClass)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
Code List
Source of Cells used for Analysis
CL Item
Peripheral Blood (Peripheral blood)
C0229664 (NCI Metathesaurus)
CL Item
Bone Marrow (Bone marrow)
C12431 (NCI Thesaurus)
C0005953 (UMLS 2011AA)
CL Item
Cerebrospinal Fluid (Cerebrospinal fluid)
C12692 (NCI Thesaurus)
C0007806 (UMLS 2011AA)
CL Item
Pleural Fluid (Pleural fluid)
C0225778 (NCI Metathesaurus)
CL Item
Peritoneal Fluid (Peritoneal fluid)
CL Item
Lymph Node (Lymph node)
C12745 (NCI Thesaurus)
C0024204 (UMLS 2011AA)
CL Item
Soft Tissue Mass (Soft tissue mass)
C0457193 (NCI Metathesaurus)
CL Item
Other Specify (Other)
SpecimenCellSourceSpecify
Item
Other specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
Item
Type of Sample Used for Immunophenotyping
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C19157 (NCI Thesaurus Property)
C0370003 (UMLS 2011AA Property)
Code List
Type of Sample Used for Immunophenotyping
CL Item
Fresh Cells (Fresh cells)
CL Item
Tissue Section (Tissue section)
CL Item
Other Specify (Other)
ImmunophenotypeCellSpecimenSpecify
Item
Other specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C19157 (NCI Thesaurus Property)
C0370003 (UMLS 2011AA Property)
Item
Specimen Condition
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C37984 (NCI Thesaurus ObjectClass)
C0022877 (UMLS 2011AA ObjectClass)
C19157 (NCI Thesaurus Property)
C0370003 (UMLS 2011AA Property)
C25457 (NCI Thesaurus Property)
C0348080 (UMLS 2011AA Property)
Code List
Specimen Condition
CL Item
Damaged Or Unusable (Damaged or unusable)
CL Item
No Specimen Received (No specimen received)
Item
Procedure Used for Immunophenotyping
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
Code List
Procedure Used for Immunophenotyping
CL Item
Flow Cytometry, Not Otherwise Specified (Flow cytometry, not otherwise specified)
CL Item
Flow Cytometry, 2 Color (Flow cytometry, 2 color)
CL Item
Flow Cytometry, 3 Color (Flow cytometry, 3 color)
CL Item
Flow Cytometry, 4 Or More Color (Flow cytometry, 4 or more color)
CL Item
Immunohistochemistry (Immunohistochemistry)
C16722 (NCI Thesaurus)
CL Item
Immunofluorescence (Immunofluorescence)
CL Item
Other Specify (Other)
ImmunophenotypeMethodSpecify
Item
Other specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
Item
How were cells prepared for immunophenotyping
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C25625 (NCI Thesaurus Property)
C1521827 (UMLS 2011AA Property)
Code List
How were cells prepared for immunophenotyping
CL Item
Whole Tissue (Whole tissue)
CL Item
Ficoll-isolated Mnc (Ficoll-isolated MNC)
Item
Antigen (Antigen Expression Note: In preparing this form for a new protocol, include only those questions relevant for study evaluation)
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
C0003320 (NCI Metathesaurus Property)
Code List
Antigen (Antigen Expression Note: In preparing this form for a new protocol, include only those questions relevant for study evaluation)
CL Item
Cd3 Surface (CD3 surface)
CL Item
Cd3 Intracytoplasmic (CD3 intracytoplasmic)
CL Item
Cd22 Surface (CD22 surface)
CL Item
Cd22 Intracytoplasmic (CD22 intracytoplasmic)
CL Item
Cd79a Surface (CD79a surface)
CL Item
Cd79a Intracytoplasmic (CD79a intracytoplasmic)
CL Item
Cd79b Surface (CD79b surface)
CL Item
Cd79b Intracytoplasmic (CD79b intracytoplasmic)
CL Item
Igm Surface (IgM surface)
CL Item
Igm Intracytoplasmic (IgM intracytoplasmic)
CL Item
Iga Surface (IgA surface)
CL Item
Igd Surface (IgD surface)
CL Item
Igg Surface (IgG surface)
CL Item
Ig-kappa Surface (Ig-kappa surface)
CL Item
Ig-kappa Intracytoplasmic (Ig-kappa intracytoplasmic)
CL Item
Ig-lambda Surface (Ig-lambda surface)
CL Item
Ig-lambda Intracytoplasmic (Ig-lambda intracytoplasmic)
CL Item
Glycophorin (Glycophorin)
C0017954 (NCI Metathesaurus)
CL Item
Myeloperoxidase (Myeloperoxidase)
C0027021 (NCI Metathesaurus)
CL Item
Lactoferrin (Lactoferrin)
C0022942 (NCI Metathesaurus)
CL Item
Terminal Transferase (tdt) (Terminal Transferase (TdT))
CL Item
Bromodeoxyuridine (Bromodeoxyuridine)
C318 (NCI Thesaurus)
C0006233 (UMLS 2011AA)
CL Item
P-glycoprotein (pgp/mdr1) (P-glycoprotein (Pgp/MDR1))
CL Item
Multidrug Resistance-associated Protein (mrp) (Multidrug resistance-associated protein (MRP))
CL Item
Lung-resistance-related Or Major Vault Protein (lrp/mvp) (Lung-resistance-related or major vault protein (LRP/MVP))
CL Item
Breast Cancer Resistance/mitoxantrone Resistance Protein (bcrp/mxr) (Breast cancer resistance/mitoxantrone resistance protein (BCRP/MXR))
Item
Was expression of the antigen detected on leukemic cells? (For each marker,)
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
C0003320 (NCI Metathesaurus Property)
Code List
Was expression of the antigen detected on leukemic cells? (For each marker,)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
TerminalDeoxyribonucleotidylTransferaseAntigenAssayAntibodySourceText
Item
For TdT, specify Antibody source
text
C16509 (NCI Thesaurus ObjectClass)
C0012881 (UMLS 2011AA ObjectClass)
CL201680 (NCI Metathesaurus ObjectClass)
C16295 (NCI Thesaurus Property)
C0003241 (UMLS 2011AA Property)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
ImmunophenotypeAntigenSpecify
Item
Antigen (Fluorochromes *Note: Groups may pre-print specific antigens being tested by flow cytometry relevant to protocol instructions.)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
C0003320 (NCI Metathesaurus Property)
Item
Identify the fluorochrome used for analysis (For each antigen tested by Flow Cytometry,)
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
C16585 (NCI Thesaurus Property)
C0016263 (UMLS 2011AA Property)
C503 (NCI Thesaurus Property)
C0016342 (UMLS 2011AA Property)
Code List
Identify the fluorochrome used for analysis (For each antigen tested by Flow Cytometry,)
CL Item
Pe/tandem (PE/tandem)
CL Item
Not Done (Not done)
CL281691 (NCI Metathesaurus)
CL Item
Other Specify (Other)
ImmunophenotypeFlowCytometryFluorochromeSpecify
Item
Other specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
C16585 (NCI Thesaurus Property)
C0016263 (UMLS 2011AA Property)
C503 (NCI Thesaurus Property)
C0016342 (UMLS 2011AA Property)
Item
How were leukemic cells gated?
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
Code List
How were leukemic cells gated?
CL Item
Not Gated (Not gated)
CL Item
Abnormal Cells Using Fals Versus Rals (Abnormal cells using FALS versus RALS)
CL Item
Lymphoctye Gate Using Fals Versus Rals (Lymphoctye gate using FALS versus RALS)
CL Item
Abnormal Cells Using Cd45 And Light Scatter (Abnormal cells using CD45 and light scatter)
CL Item
Abnormal Cells Using An Antibody Other Than Cd45 And Light Scatter (Abnormal cells using an antibody other than CD45 and light scatter)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
ImmunophenotypeGatingMethodOtherSpecify
Item
Other specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ValueDomain)
C0205394 (UMLS 2011AA ValueDomain)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C20072 (NCI Thesaurus ObjectClass)
C0079611 (UMLS 2011AA ObjectClass)
AntibodyNameOtherSpecify
Item
If an antibody other than CD45, indicate CD used
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C16295 (NCI Thesaurus ObjectClass)
C0003241 (UMLS 2011AA ObjectClass)
LaboratoryProcedureViableCellSpecimenOutcomePercentageValue
Item
Percent Cells Viable (%)
double
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C19157 (NCI Thesaurus Property)
C0370003 (UMLS 2011AA Property)
C25324 (NCI Thesaurus Property)
C0443348 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
Item
Was DNA ploidy tested by flow cytometry?
text
C17001 (NCI Thesaurus ObjectClass)
C0032246 (UMLS 2011AA ObjectClass)
C449 (NCI Thesaurus ObjectClass)
C0012854 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C16585 (NCI Thesaurus Property)
C0016263 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
Code List
Was DNA ploidy tested by flow cytometry?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Description of DNA Ploidy Results (If yes,)
text
C17001 (NCI Thesaurus ObjectClass)
C0032246 (UMLS 2011AA ObjectClass)
C449 (NCI Thesaurus ObjectClass)
C0012854 (UMLS 2011AA ObjectClass)
C16585 (NCI Thesaurus Property)
C0016263 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
Code List
Description of DNA Ploidy Results (If yes,)
CL Item
Diploid (Diploid)
CL Item
Near Diploid (Near diploid)
CL Item
Hyperdiploid (Hyperdiploid)
CL Item
Hypodiploid (Hypodiploid)
CL Item
Not Evaluable (Not evaluable)
DNAIndexValue
Item
Provide DNA Index of Leukemic Cells
double
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C449 (NCI Thesaurus ObjectClass)
C0012854 (UMLS 2011AA ObjectClass)
C25390 (NCI Thesaurus Property)
C0918012 (UMLS 2011AA Property)
LaboratoryProcedureS-PhaseFractionOutcomePercentageValue
Item
% Cells in S-phase
double
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C18456 (NCI Thesaurus Property)
C0812425 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
SpecimenCoefficientofVariationPercentageValue
Item
% Coefficient of Variation
double
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C0681921 (NCI Metathesaurus Property)