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10935

Beschreibung

ACNS0122: Relapse/Progression Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C3107FBD-6347-26E8-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C3107FBD-6347-26E8-E034-0003BA12F5E7

Stichworte

Versionen (3)
  1. 26.08.12 26.08.12 -
  2. 09.01.15 09.01.15 - Martin Dugas
  3. 16.06.15 16.06.15 -
Hochgeladen am

16. Juni 2015

DOI

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    ACNS0122: Relapse/Progression Worksheet NCT00047320

    Englisch

    No Instruction available.

    1 Formulare  
    1. StudyEvent: ACNS0122: Relapse/Progression Worksheet
      1. No Instruction available.
    Header
    Beschreibung

    Header

    Institution Name
    Beschreibung

    Institution Name

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass
    C21541
    NCI Thesaurus ValueDomain-2
    C21541
    NCI Thesaurus Property
    C25364
    Institution Personnel
    Beschreibung

    Person Completing Form

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1550483
    NCI Thesaurus ObjectClass
    C25657
    NCI Thesaurus Property
    C25364
    Date of Birth
    Beschreibung

    Patient Birth Date

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C0421451
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus Property
    C25155
    COG Study No
    Beschreibung

    Protocol ID COG

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1516477
    NCI Thesaurus Property
    C25364
    COG Patient ID
    Beschreibung

    PatientCOGIdentifierNumber

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus Property-2
    C39353
    UMLS 2011AA Property-2
    C1516477
    Patient Accession Number
    Beschreibung

    PatientAccessionNumber

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25402
    UMLS 2011AA Property
    C1510755
    Form Original Complete Date
    Beschreibung

    Form Completion Date

    Datentyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C19464
    UMLS CUI-1
    C1549507
    NCI Thesaurus Property
    C25250
    NCI Thesaurus Property-2
    C25604
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25367
    Date From Amended
    Beschreibung

    Amendment date

    Datentyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C19464
    UMLS CUI-1
    C0680532
    NCI Thesaurus Property
    C25250
    UMLS CUI-2
    C0011008
    NCI Thesaurus Property-2
    C25416
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25367
    Date of relapse or progression
    Beschreibung

    Date of relapse or progression

    Date of relapse or progression
    Beschreibung

    ProgressionRelapseBeginDate

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C25331
    NCI Thesaurus Property
    C25275
    UMLS 2011AA Property
    C2745955
    Type Of Recurrence/progression
    Beschreibung

    Type Of Recurrence/progression

    Recurrence/progression of original involved sites?
    Beschreibung

    Neoplasm recurrence, Local

    Datentyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C19987
    UMLS CUI-1
    C0027643
    NCI Thesaurus Property
    C67263
    NCI Thesaurus Property-2
    C25509
    NCI Thesaurus Property-3
    C15220
    NCI Thesaurus ValueDomain
    C38148
    Recurrence/progression in previously uninvolved neural site?
    Beschreibung

    Neoplasm Recurrence, locoregional

    Datentyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C19987
    UMLS CUI-1
    C0027643
    NCI Thesaurus Property
    C25388
    NCI Thesaurus Property-2
    C25509
    NCI Thesaurus Property-3
    C15220
    NCI Thesaurus ValueDomain
    C38148
    Extra-neural recurrence/progression?
    Beschreibung

    FirstProgressionDistantPresentInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C19987
    UMLS 2011AA ObjectClass
    C0242656
    NCI Thesaurus Property
    C25321
    UMLS 2011AA Property
    C0443203
    NCI Thesaurus Property-2
    C25509
    UMLS 2011AA Property-2
    C1279901
    NCI Thesaurus Property-3
    C15220
    UMLS 2011AA Property-3
    C0011900
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Sites Of Involvement
    Beschreibung

    Sites Of Involvement

    Supratentorial [involved?]
    Beschreibung

    SupratentorialInvolvementInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C25548
    UMLS 2011AA Property
    C1314939
    NCI Thesaurus ObjectClass
    C12923
    UMLS 2011AA ObjectClass
    C0441938
    Supratentorial [indicate sites involved]
    Beschreibung

    SupratentorialInvolvedSite

    Datentyp

    text

    Alias
    NCI Metathesaurus Property
    CL111053
    specify [other supratentorial site] (If 1, 2 or 3)
    Beschreibung

    SupratentorialInvolvedSiteSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Metathesaurus Property
    CL111053
    Infratentorial [involved?]
    Beschreibung

    InfratentorialInvolvementInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C25548
    UMLS 2011AA Property
    C1314939
    NCI Metathesaurus ObjectClass
    CL211504
    Infratentorial [indicate sites involved]
    Beschreibung

    InfratentorialInvolvedSite

    Datentyp

    text

    Alias
    NCI Metathesaurus Property
    CL111053
    specify [other infratentorial site] (If 1, 2 or 3)
    Beschreibung

    InfratentorialInvolvedSiteSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Metathesaurus Property
    CL111053
    Ttype of involvement?
    Beschreibung

    Ttype of involvement?

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    NCI Thesaurus ObjectClass
    C2991
    NCI Thesaurus Property
    C25548
    UMLS CUI-1
    C0332307
    UMLS CUI-2
    C0012634
    UMLS CUI-3
    C1314939
    Ttype of involvement?
    Beschreibung

    Ttype of involvement?

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    NCI Thesaurus ObjectClass
    C2991
    NCI Thesaurus Property
    C25548
    UMLS CUI-1
    C0332307
    UMLS CUI-2
    C0012634
    UMLS CUI-3
    C1314939
    Ttype of involvement?
    Beschreibung

    Ttype of involvement?

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    NCI Thesaurus ObjectClass
    C2991
    NCI Thesaurus Property
    C25548
    UMLS CUI-1
    C0332307
    UMLS CUI-2
    C0012634
    UMLS CUI-3
    C1314939
    Ttype of involvement?
    Beschreibung

    Ttype of involvement?

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    NCI Thesaurus ObjectClass
    C2991
    NCI Thesaurus Property
    C25548
    UMLS CUI-1
    C0332307
    UMLS CUI-2
    C0012634
    UMLS CUI-3
    C1314939
    SPINAL CORD [involved?]
    Beschreibung

    SpinalCordInvolvementInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C25548
    UMLS 2011AA Property
    C1314939
    SPINAL CORD [indicate sites involved]
    Beschreibung

    SpinalCordInvolvedSite

    Datentyp

    text

    Alias
    NCI Metathesaurus Property
    CL111053
    specify [other spinal cord site] (If 1, 2 or 3)
    Beschreibung

    SpinalCordInvolvedSiteSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Metathesaurus Property
    CL111053
    DURA [involved?] (Incl. Falx and Tentorium)
    Beschreibung

    DuraInvolvementInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C25548
    UMLS 2011AA Property
    C1314939
    DURA [indicate sites involved]
    Beschreibung

    DuraInvolvementType

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25548
    UMLS 2011AA Property
    C1314939
    Was CSF positive?
    Beschreibung

    CerebrospinalFluidInvolvementInd

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C12692
    UMLS 2011AA ObjectClass
    C0007806
    NCI Thesaurus Property
    C25548
    UMLS 2011AA Property
    C1314939
    Comments
    Beschreibung

    Comments

    Comments
    Beschreibung

    Research Comments

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    Ccrr Module For Acns0122: Relapse/progression Worksheet
    Beschreibung

    Ccrr Module For Acns0122: Relapse/progression Worksheet

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    1 Formulare
    1. StudyEvent: ACNS0122: Relapse/Progression Worksheet
      1. No Instruction available.
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    Header
    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)
    Person Completing Form
    Item
    Institution Personnel
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1550483 (UMLS CUI-1)
    C25657 (NCI Thesaurus ObjectClass)
    C25364 (NCI Thesaurus Property)
    Patient Birth Date
    Item
    Date of Birth
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0421451 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25367 (NCI Thesaurus ValueDomain-2)
    C25155 (NCI Thesaurus Property)
    Protocol ID COG
    Item
    COG Study No
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1516477 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    PatientCOGIdentifierNumber
    Item
    COG Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C39353 (NCI Thesaurus Property-2)
    C1516477 (UMLS 2011AA Property-2)
    PatientAccessionNumber
    Item
    Patient Accession Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25402 (NCI Thesaurus Property)
    C1510755 (UMLS 2011AA Property)
    Form Completion Date
    Item
    Form Original Complete Date
    date
    C19464 (NCI Thesaurus ObjectClass)
    C1549507 (UMLS CUI-1)
    C25250 (NCI Thesaurus Property)
    C25604 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    Amendment date
    Item
    Date From Amended
    date
    C19464 (NCI Thesaurus ObjectClass)
    C0680532 (UMLS CUI-1)
    C25250 (NCI Thesaurus Property)
    C0011008 (UMLS CUI-2)
    C25416 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    Item Group
    Date of relapse or progression
    ProgressionRelapseBeginDate
    Item
    Date of relapse or progression
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25331 (NCI Thesaurus ObjectClass)
    C25275 (NCI Thesaurus Property)
    C2745955 (UMLS 2011AA Property)
    Item Group
    Type Of Recurrence/progression
    Neoplasm recurrence, Local
    Item
    Recurrence/progression of original involved sites?
    boolean
    C19987 (NCI Thesaurus ObjectClass)
    C0027643 (UMLS CUI-1)
    C67263 (NCI Thesaurus Property)
    C25509 (NCI Thesaurus Property-2)
    C15220 (NCI Thesaurus Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    Neoplasm Recurrence, locoregional
    Item
    Recurrence/progression in previously uninvolved neural site?
    boolean
    C19987 (NCI Thesaurus ObjectClass)
    C0027643 (UMLS CUI-1)
    C25388 (NCI Thesaurus Property)
    C25509 (NCI Thesaurus Property-2)
    C15220 (NCI Thesaurus Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    FirstProgressionDistantPresentInd-3
    Item
    Extra-neural recurrence/progression?
    boolean
    C19987 (NCI Thesaurus ObjectClass)
    C0242656 (UMLS 2011AA ObjectClass)
    C25321 (NCI Thesaurus Property)
    C0443203 (UMLS 2011AA Property)
    C25509 (NCI Thesaurus Property-2)
    C1279901 (UMLS 2011AA Property-2)
    C15220 (NCI Thesaurus Property-3)
    C0011900 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    Item Group
    Sites Of Involvement
    SupratentorialInvolvementInd-3
    Item
    Supratentorial [involved?]
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25548 (NCI Thesaurus Property)
    C1314939 (UMLS 2011AA Property)
    C12923 (NCI Thesaurus ObjectClass)
    C0441938 (UMLS 2011AA ObjectClass)
    Item
    Supratentorial [indicate sites involved]
    text
    CL111053 (NCI Metathesaurus Property)
    CL.5
    Code List
    Supratentorial [indicate sites involved]
    CL Item
    Frontal Lobe (Frontal lobe)
    C12352 (NCI Thesaurus)
    C0016733 (UMLS 2011AA)
    CL Item
    Parietal Lobe (Parietal lobe)
    C12354 (NCI Thesaurus)
    C0030560 (UMLS 2011AA)
    CL Item
    Temporal Lobe (Temporal lobe)
    C12353 (NCI Thesaurus)
    C0039485 (UMLS 2011AA)
    CL Item
    Occipital Lobe (Occipital lobe)
    C12355 (NCI Thesaurus)
    C0028785 (UMLS 2011AA)
    CL Item
    Basal Ganglia-thalamus (Basal ganglia-thalamus)
    CL Item
    Hypothalamus-optic Chiasm (Hypothalamus-optic chiasm)
    CL Item
    Optic Nerve (Optic nerve)
    C12761 (NCI Thesaurus)
    C0029130 (UMLS 2011AA)
    CL Item
    Pineal (Pineal)
    CL Item
    Corpus Callosum (Corpus callosum)
    C12446 (NCI Thesaurus)
    C0010090 (UMLS 2011AA)
    CL Item
    Suprasellar (Suprasellar)
    CL095451 (NCI Metathesaurus)
    CL Item
    Lateral Ventricle (Lateral ventricle)
    C12834 (NCI Thesaurus)
    C0152279 (UMLS 2011AA)
    CL Item
    Third Ventricle (Third ventricle)
    C12827 (NCI Thesaurus)
    C0149555 (UMLS 2011AA)
    CL Item
    Aqueduct Of Sylvius (Aqueduct of sylvius)
    C32135 (NCI Thesaurus)
    C0007769 (UMLS 2011AA)
    CL Item
    Supratentorial Leptomeninges (Leptomeningeal)
    CL Item
    Other, Specify (Other)
    SupratentorialInvolvedSiteSpecify
    Item
    specify [other supratentorial site] (If 1, 2 or 3)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    CL111053 (NCI Metathesaurus Property)
    InfratentorialInvolvementInd-3
    Item
    Infratentorial [involved?]
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25548 (NCI Thesaurus Property)
    C1314939 (UMLS 2011AA Property)
    CL211504 (NCI Metathesaurus ObjectClass)
    Item
    Infratentorial [indicate sites involved]
    text
    CL111053 (NCI Metathesaurus Property)
    CL.8
    Code List
    Infratentorial [indicate sites involved]
    CL Item
    Midbrain (Midbrain)
    C0025462 (NCI Metathesaurus)
    CL Item
    Pons (Pons)
    C0032639 (NCI Metathesaurus)
    CL Item
    Medulla (Medulla)
    CL Item
    Dorsal Exophytic Brainstem (Dorsal exophytic brainstem)
    CL Item
    Cerebellar Peduncle (Cerebellar penducle)
    C0228515 (NCI Metathesaurus)
    CL Item
    Cerebellar Hemisphere (Cerebellar hemisphere)
    C0228465 (NCI Metathesaurus)
    CL Item
    Cerebellar Vermis (Cerebellar vermis)
    CL Item
    Fourth Ventricle (Fourth ventricle)
    C12828 (NCI Thesaurus)
    C0149556 (UMLS 2011AA)
    CL Item
    Cisterna Magna (Cisterna magna)
    C32324 (NCI Thesaurus)
    C0008841 (UMLS 2011AA)
    CL Item
    Infratentorial Leptomeninges (Leptomeningeal)
    CL Item
    Other, Specify (Other)
    InfratentorialInvolvedSiteSpecify
    Item
    specify [other infratentorial site] (If 1, 2 or 3)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    CL111053 (NCI Metathesaurus Property)
    Item
    Ttype of involvement?
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C25548 (NCI Thesaurus Property)
    C0332307 (UMLS CUI-1)
    C0012634 (UMLS CUI-2)
    C1314939 (UMLS CUI-3)
    CL.15
    Code List
    Ttype of involvement?
    CL Item
    Recurrence/progressive Disease (Recurrence/Progressive disease)
    CL Item
    New Tumor/lesion Site (New tumor site)
    CL Item
    Existing/non-progressive Tumor (Existing/Non-progressive tumor)
    CL Item
    Uninvolved (uninvolved)
    Item
    Ttype of involvement?
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C25548 (NCI Thesaurus Property)
    C0332307 (UMLS CUI-1)
    C0012634 (UMLS CUI-2)
    C1314939 (UMLS CUI-3)
    CL.15
    Code List
    Ttype of involvement?
    CL Item
    Recurrence/progressive Disease (Recurrence/Progressive disease)
    CL Item
    New Tumor/lesion Site (New tumor site)
    CL Item
    Existing/non-progressive Tumor (Existing/Non-progressive tumor)
    CL Item
    Uninvolved (uninvolved)
    Item
    Ttype of involvement?
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C25548 (NCI Thesaurus Property)
    C0332307 (UMLS CUI-1)
    C0012634 (UMLS CUI-2)
    C1314939 (UMLS CUI-3)
    CL.15
    Code List
    Ttype of involvement?
    CL Item
    Recurrence/progressive Disease (Recurrence/Progressive disease)
    CL Item
    New Tumor/lesion Site (New tumor site)
    CL Item
    Existing/non-progressive Tumor (Existing/Non-progressive tumor)
    CL Item
    Uninvolved (uninvolved)
    Item
    Ttype of involvement?
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C25548 (NCI Thesaurus Property)
    C0332307 (UMLS CUI-1)
    C0012634 (UMLS CUI-2)
    C1314939 (UMLS CUI-3)
    CL.15
    Code List
    Ttype of involvement?
    CL Item
    Recurrence/progressive Disease (Recurrence/Progressive disease)
    CL Item
    New Tumor/lesion Site (New tumor site)
    CL Item
    Existing/non-progressive Tumor (Existing/Non-progressive tumor)
    CL Item
    Uninvolved (uninvolved)
    SpinalCordInvolvementInd-3
    Item
    SPINAL CORD [involved?]
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25548 (NCI Thesaurus Property)
    C1314939 (UMLS 2011AA Property)
    Item
    SPINAL CORD [indicate sites involved]
    text
    CL111053 (NCI Metathesaurus Property)
    CL.11
    Code List
    SPINAL CORD [indicate sites involved]
    CL Item
    Cervical (Cervical)
    C12844 (NCI Thesaurus)
    C0205064 (UMLS 2011AA)
    CL Item
    Thoracic Lumbosacral (Thoracic)
    CL Item
    Conus (Conus)
    C0598489 (NCI Metathesaurus)
    CL Item
    Cauda Equina (Cauda equina)
    C12689 (NCI Thesaurus)
    C0007458 (UMLS 2011AA)
    CL Item
    Spinal Cord Leptomeninges (Leptomeningeal)
    CL Item
    Other, Specify (Other)
    SpinalCordInvolvedSiteSpecify
    Item
    specify [other spinal cord site] (If 1, 2 or 3)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    CL111053 (NCI Metathesaurus Property)
    DuraInvolvementInd-3
    Item
    DURA [involved?] (Incl. Falx and Tentorium)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25548 (NCI Thesaurus Property)
    C1314939 (UMLS 2011AA Property)
    Item
    DURA [indicate sites involved]
    text
    C25548 (NCI Thesaurus Property)
    C1314939 (UMLS 2011AA Property)
    CL.14
    Code List
    DURA [indicate sites involved]
    CL Item
    Nodular (Nodular)
    CL Item
    Diffuse (Diffuse)
    C14175 (NCI Thesaurus)
    C0205219 (UMLS 2011AA)
    Item
    Was CSF positive?
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C12692 (NCI Thesaurus ObjectClass)
    C0007806 (UMLS 2011AA ObjectClass)
    C25548 (NCI Thesaurus Property)
    C1314939 (UMLS 2011AA Property)
    CL.16
    Code List
    Was CSF positive?
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Unknown (Not done/Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item Group
    Comments
    Research Comments
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    Item Group
    Ccrr Module For Acns0122: Relapse/progression Worksheet
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