ID

10935

Description

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

Lien

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

Mots-clés

  1. 26/08/2012 26/08/2012 -
  2. 09/01/2015 09/01/2015 - Martin Dugas
  3. 16/06/2015 16/06/2015 -
Téléchargé le

16 juin 2015

DOI

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Licence

Creative Commons BY-NC 3.0 Legacy

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ACNS0122: Relapse/Progression Worksheet NCT00047320

No Instruction available.

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

Header

Institution Name
Description

Institution Name

Type de données

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
Description

Person Completing Form

Type de données

text

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

Patient Birth Date

Type de données

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
Description

Protocol ID COG

Type de données

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
Description

PatientCOGIdentifierNumber

Type de données

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
Description

PatientAccessionNumber

Type de données

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
Description

Form Completion Date

Type de données

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
Description

Amendment date

Type de données

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
Description

Date of relapse or progression

Date of relapse or progression
Description

ProgressionRelapseBeginDate

Type de données

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
Description

Type Of Recurrence/progression

Recurrence/progression of original involved sites?
Description

Neoplasm recurrence, Local

Type de données

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?
Description

Neoplasm Recurrence, locoregional

Type de données

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?
Description

FirstProgressionDistantPresentInd-3

Type de données

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
Description

Sites Of Involvement

Supratentorial [involved?]
Description

SupratentorialInvolvementInd-3

Type de données

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]
Description

SupratentorialInvolvedSite

Type de données

text

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

SupratentorialInvolvedSiteSpecify

Type de données

text

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

InfratentorialInvolvementInd-3

Type de données

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]
Description

InfratentorialInvolvedSite

Type de données

text

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

InfratentorialInvolvedSiteSpecify

Type de données

text

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

Ttype of involvement?

Type de données

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?
Description

Ttype of involvement?

Type de données

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?
Description

Ttype of involvement?

Type de données

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?
Description

Ttype of involvement?

Type de données

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?]
Description

SpinalCordInvolvementInd-3

Type de données

boolean

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

SpinalCordInvolvedSite

Type de données

text

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

SpinalCordInvolvedSiteSpecify

Type de données

text

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

DuraInvolvementInd-3

Type de données

boolean

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

DuraInvolvementType

Type de données

text

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

CerebrospinalFluidInvolvementInd

Type de données

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
Description

Comments

Comments
Description

Research Comments

Type de données

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
Description

Ccrr Module For Acns0122: Relapse/progression Worksheet

Similar models

No Instruction available.

  1. StudyEvent: ACNS0122: Relapse/Progression Worksheet
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Type de données
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)
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)
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)
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)
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)
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)
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)
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)
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)
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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