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11110

Beskrivning

CALGB-10501 Lymphoma Measurement Form NCT00513747 Early or Delayed Fludarabine and Rituximab in Treating Patients With Previously Untreated Chronic Lymphocytic Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3410554E-9E7A-2D64-E044-0003BA3F9857

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3410554E-9E7A-2D64-E044-0003BA3F9857

Nyckelord

  1. 2012-09-19 2012-09-19 -
  2. 2015-01-09 2015-01-09 - Martin Dugas
  3. 2015-06-18 2015-06-18 -
Uppladdad den

18 juni 2015

DOI

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Creative Commons BY-NC 3.0 Legacy

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    CALGB-10501 Lymphoma Measurement Form NCT00513747

    INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice

    Header
    Beskrivning

    Header

    CALGB Form
    Beskrivning

    Form ID CALGB

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3262252
    NCI Thesaurus ObjectClass
    C19464
    UMLS CUI-2
    C1516238
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ObjectClass-2
    C25442
    CALGB Study No
    Beskrivning

    Protocol ID CALGB

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1516238
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25442
    CALGB Patient ID
    Beskrivning

    Trial subject ID CALGB

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C1516238
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25442
    Are data amended
    Beskrivning

    Data amended

    Datatyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus Property
    C25416
    Patient demographics
    Beskrivning

    Patient demographics

    Patient Initials (Last, First Middle)
    Beskrivning

    Patient Initials

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    Patient Hospital No.
    Beskrivning

    Medical Record Number

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1301894
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25261
    NCI Thesaurus Property-2
    C25198
    Institution/Affiliate
    Beskrivning

    Institution Name

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C25454
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass-2
    C21541
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ValueDomain
    C25191
    NCI Thesaurus ValueDomain-2
    C21541
    Participating Group
    Beskrivning

    Participating Group

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2347449
    NCI Thesaurus ObjectClass
    C25608
    NCI Thesaurus ObjectClass-2
    C17005
    NCI Thesaurus Property
    C25364
    Participating Group Study No
    Beskrivning

    Study Number Participating Group

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Participating Group Patient ID
    Beskrivning

    Trial subject ID Participating Group

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Measurable Sites
    Beskrivning

    Measurable Sites

    Is measurable disease present?
    Beskrivning

    Measurable Disease

    Datatyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C1513041
    NCI Thesaurus Property
    C25626
    NCI Thesaurus ObjectClass
    C2991
    NCI Thesaurus ObjectClass-2
    C37894
    Lesion Number
    Beskrivning

    LesionSiteNumber

    Datatyp

    float

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    Site of Lesion
    Beskrivning

    Lesion Site, Primary

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS CUI-1
    C0449695
    NCI Thesaurus ObjectClass
    C3824
    NCI Thesaurus Property
    C25341
    Method of Evaluation
    Beskrivning

    Evaluation method

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    NCI Thesaurus Property
    C16847
    Other Specify
    Beskrivning

    Evaluation method, specify

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    UMLS CUI-2
    C1521902
    NCI Thesaurus Property
    C16847
    Greatest Perpendicular Measurements
    Beskrivning

    LymphomaLesionLongestDimensionMeasurement

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus ObjectClass-2
    C3208
    UMLS 2011AA ObjectClass-2
    C0024299
    NCI Thesaurus Property
    C25558
    UMLS 2011AA Property
    C1522425
    NCI Thesaurus Property-2
    C25483
    UMLS 2011AA Property-2
    C0439534
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    Greatest Perpendicular Measurements
    Beskrivning

    LymphomaLesionLongestDimensionPerpendicularMeasurement

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus ObjectClass-2
    C3208
    UMLS 2011AA ObjectClass-2
    C0024299
    NCI Thesaurus Property
    C25558
    UMLS 2011AA Property
    C1522425
    NCI Thesaurus Property-2
    C25483
    UMLS 2011AA Property-2
    C0439534
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    NCI Thesaurus ValueDomain-2
    C54649
    UMLS 2011AA ValueDomain-2
    C1295725
    Product of Measurements
    Beskrivning

    LymphomaLesionLongestDimensionProductMeasurement

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus ObjectClass-2
    C3208
    UMLS 2011AA ObjectClass-2
    C0024299
    NCI Thesaurus Property
    C25558
    UMLS 2011AA Property
    C1522425
    NCI Thesaurus Property-2
    C25483
    UMLS 2011AA Property-2
    C0439534
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    NCI Thesaurus ValueDomain-2
    C40352
    UMLS 2011AA ValueDomain-2
    C1704444
    Date of Evaluation (MM DD YYYY)
    Beskrivning

    LesionAssessmentDate

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain-2
    C25367
    Sum of Products of Measurements
    Beskrivning

    LymphomaLesionProductDimensionSumMeasurement

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus ObjectClass-2
    C3208
    UMLS 2011AA ObjectClass-2
    C0024299
    NCI Thesaurus Property
    C25483
    UMLS 2011AA Property
    C0439534
    NCI Thesaurus Property-2
    C40352
    UMLS 2011AA Property-2
    C1704444
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    NCI Thesaurus ValueDomain-2
    C25697
    UMLS 2011AA ValueDomain-2
    C1515051
    Measurable Sites
    Beskrivning

    Measurable Sites

    Is non-measurable disease present?
    Beskrivning

    Non-Measurable Disease

    Datatyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C1334988
    NCI Thesaurus Property
    C25626
    NCI Thesaurus ObjectClass
    C2991
    NCI Thesaurus ObjectClass-2
    C25589
    Lesion Number
    Beskrivning

    LesionSiteNumber

    Datatyp

    float

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    Site of Lesion
    Beskrivning

    Lesion Site, Primary

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS CUI-1
    C0449695
    NCI Thesaurus ObjectClass
    C3824
    NCI Thesaurus Property
    C25341
    Method of Evaluation
    Beskrivning

    Evaluation method

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    NCI Thesaurus Property
    C16847
    Other Specify
    Beskrivning

    Evaluation method, specify

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    UMLS CUI-2
    C1521902
    NCI Thesaurus Property
    C16847
    Lesion Assessment
    Beskrivning

    LesionFollow-UpAssessmentType

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    Date of Evaluation (MM DD YYYY)
    Beskrivning

    LesionAssessmentDate

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain-2
    C25367
    Bone Marrow Biopsy
    Beskrivning

    Bone Marrow Biopsy

    Date of Bone Marrow Biopsy (MM DD YYYY)
    Beskrivning

    BoneMarrowBiopsyDate

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus Property
    C15189
    UMLS 2011AA Property
    C0005558
    NCI Thesaurus ObjectClass
    C12431
    UMLS 2011AA ObjectClass
    C0005953
    Type of Biopsy Procedure
    Beskrivning

    BiopsyProcedure

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C15189
    UMLS 2011AA ObjectClass
    C0005558
    NCI Thesaurus Property
    C15368
    NCI Thesaurus ValueDomain
    C25218
    UMLS 2011AA ValueDomain
    C1948041
    Bone Marrow Biopsy Result
    Beskrivning

    BoneMarrowBiopsyResultType

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C15189
    UMLS 2011AA ObjectClass
    C0005558
    NCI Thesaurus ObjectClass-2
    C12431
    UMLS 2011AA ObjectClass-2
    C0005953
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    Marrow Malignant Cells (%)
    Beskrivning

    LaboratoryProcedureBoneMarrowMalignantNeoplasmOutcomePercentageValue

    Datatyp

    float

    Måttenheter
    • %
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C12431
    UMLS 2011AA Property
    C0005953
    NCI Thesaurus Property-2
    C9305
    UMLS 2011AA Property-2
    C0006826
    NCI Thesaurus Property-3
    C20200
    UMLS 2011AA Property-3
    C1274040
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    %
    Bone Marrow Pattern (Mark all that apply)
    Beskrivning

    LaboratoryProcedureBoneMarrowHistologyOutcomePatternType

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C16681
    UMLS 2011AA Property
    C0019638
    NCI Thesaurus Property-2
    C12431
    UMLS 2011AA Property-2
    C0005953
    NCI Thesaurus Property-3
    C20200
    UMLS 2011AA Property-3
    C1274040
    NCI Metathesaurus ValueDomain
    C0332307
    Other, specify
    Beskrivning

    LaboratoryProcedureBoneMarrowOutcomeSpecify

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C12431
    UMLS 2011AA Property
    C0005953
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    Percent Involved (If yes)
    Beskrivning

    TumorMalignantPresentPercentageAmount

    Datatyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus Property-2
    C14143
    UMLS 2011AA Property-2
    C0205282
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain-2
    C25417
    Objective Status at This Evaluation
    Beskrivning

    LymphomaResponseType

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass
    C3208
    UMLS 2011AA ObjectClass
    C0024299
    Footer Module
    Beskrivning

    Footer Module

    Completed by (print or type name)
    Beskrivning

    Person Completing Form

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1550483
    NCI Thesaurus ObjectClass
    C25657
    NCI Thesaurus Property
    C25364
    Date Form Completed (MM DD YYYY)
    Beskrivning

    Date Form Completed

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C1115437
    NCI Thesaurus ObjectClass
    C40988
    NCI Thesaurus Property
    C25250
    NCI Thesaurus ValueDomain-2
    C25367

    Similar models

    INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice

    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    Alias
    Item Group
    Header
    Form ID CALGB
    Item
    CALGB Form
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3262252 (UMLS CUI-1)
    C19464 (NCI Thesaurus ObjectClass)
    C1516238 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25442 (NCI Thesaurus ObjectClass-2)
    Protocol ID CALGB
    Item
    CALGB Study No
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1516238 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25442 (NCI Thesaurus Property-2)
    Trial subject ID CALGB
    Item
    CALGB Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C1516238 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25442 (NCI Thesaurus Property-2)
    Data amended
    Item
    Are data amended
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25474 (NCI Thesaurus ObjectClass)
    C25416 (NCI Thesaurus Property)
    Item Group
    Patient demographics
    Patient Initials
    Item
    Patient Initials (Last, First Middle)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Medical Record Number
    Item
    Patient Hospital No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1301894 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25261 (NCI Thesaurus Property)
    C25198 (NCI Thesaurus Property-2)
    Institution Name
    Item
    Institution/Affiliate
    text
    C25454 (NCI Thesaurus ObjectClass)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C25191 (NCI Thesaurus ValueDomain)
    C21541 (NCI Thesaurus ValueDomain-2)
    Participating Group
    Item
    Participating Group
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2347449 (UMLS CUI-1)
    C25608 (NCI Thesaurus ObjectClass)
    C17005 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    Study Number Participating Group
    Item
    Participating Group Study No
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Trial subject ID Participating Group
    Item
    Participating Group Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Item Group
    Measurable Sites
    Measurable Disease
    Item
    Is measurable disease present?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1513041 (UMLS CUI-1)
    C25626 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C37894 (NCI Thesaurus ObjectClass-2)
    LesionSiteNumber
    Item
    Lesion Number
    float
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    Lesion Site, Primary
    Item
    Site of Lesion
    text
    C13717 (NCI Thesaurus ValueDomain)
    C0449695 (UMLS CUI-1)
    C3824 (NCI Thesaurus ObjectClass)
    C25341 (NCI Thesaurus Property)
    Evaluation method
    Item
    Method of Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C16847 (NCI Thesaurus Property)
    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)
    LymphomaLesionLongestDimensionMeasurement
    Item
    Greatest Perpendicular Measurements
    float
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C3208 (NCI Thesaurus ObjectClass-2)
    C0024299 (UMLS 2011AA ObjectClass-2)
    C25558 (NCI Thesaurus Property)
    C1522425 (UMLS 2011AA Property)
    C25483 (NCI Thesaurus Property-2)
    C0439534 (UMLS 2011AA Property-2)
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    LymphomaLesionLongestDimensionPerpendicularMeasurement
    Item
    Greatest Perpendicular Measurements
    float
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C3208 (NCI Thesaurus ObjectClass-2)
    C0024299 (UMLS 2011AA ObjectClass-2)
    C25558 (NCI Thesaurus Property)
    C1522425 (UMLS 2011AA Property)
    C25483 (NCI Thesaurus Property-2)
    C0439534 (UMLS 2011AA Property-2)
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    C54649 (NCI Thesaurus ValueDomain-2)
    C1295725 (UMLS 2011AA ValueDomain-2)
    LymphomaLesionLongestDimensionProductMeasurement
    Item
    Product of Measurements
    float
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C3208 (NCI Thesaurus ObjectClass-2)
    C0024299 (UMLS 2011AA ObjectClass-2)
    C25558 (NCI Thesaurus Property)
    C1522425 (UMLS 2011AA Property)
    C25483 (NCI Thesaurus Property-2)
    C0439534 (UMLS 2011AA Property-2)
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    C40352 (NCI Thesaurus ValueDomain-2)
    C1704444 (UMLS 2011AA ValueDomain-2)
    LesionAssessmentDate
    Item
    Date of Evaluation (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25367 (NCI Thesaurus ValueDomain-2)
    LymphomaLesionProductDimensionSumMeasurement
    Item
    Sum of Products of Measurements
    float
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C3208 (NCI Thesaurus ObjectClass-2)
    C0024299 (UMLS 2011AA ObjectClass-2)
    C25483 (NCI Thesaurus Property)
    C0439534 (UMLS 2011AA Property)
    C40352 (NCI Thesaurus Property-2)
    C1704444 (UMLS 2011AA Property-2)
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    C25697 (NCI Thesaurus ValueDomain-2)
    C1515051 (UMLS 2011AA ValueDomain-2)
    Item Group
    Measurable Sites
    Non-Measurable Disease
    Item
    Is non-measurable disease present?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1334988 (UMLS CUI-1)
    C25626 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C25589 (NCI Thesaurus ObjectClass-2)
    LesionSiteNumber
    Item
    Lesion Number
    float
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    Lesion Site, Primary
    Item
    Site of Lesion
    text
    C13717 (NCI Thesaurus ValueDomain)
    C0449695 (UMLS CUI-1)
    C3824 (NCI Thesaurus ObjectClass)
    C25341 (NCI Thesaurus Property)
    Evaluation method
    Item
    Method of Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C16847 (NCI Thesaurus Property)
    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
    Lesion Assessment
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    Code List
    Lesion Assessment
    CL Item
    Disappearance (disappearance)
    CL Item
    Improvement (improvement)
    CL Item
    No Change (no change)
    CL Item
    Not Evaluated (not evaluated)
    CL Item
    Progression - Increase (progression - increase)
    CL Item
    Worsening (worsening)
    LesionAssessmentDate
    Item
    Date of Evaluation (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25367 (NCI Thesaurus ValueDomain-2)
    Item Group
    Bone Marrow Biopsy
    BoneMarrowBiopsyDate
    Item
    Date of Bone Marrow Biopsy (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    C15189 (NCI Thesaurus Property)
    C0005558 (UMLS 2011AA Property)
    C12431 (NCI Thesaurus ObjectClass)
    C0005953 (UMLS 2011AA ObjectClass)
    Item
    Type of Biopsy Procedure
    text
    C15189 (NCI Thesaurus ObjectClass)
    C0005558 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus Property)
    C25218 (NCI Thesaurus ValueDomain)
    C1948041 (UMLS 2011AA ValueDomain)
    Code List
    Type of Biopsy Procedure
    CL Item
    Unilateral (Unilateral)
    C28012 (NCI Thesaurus)
    C0205092 (UMLS 2011AA)
    CL Item
    Bilateral (Bilateral)
    C13332 (NCI Thesaurus)
    C0238767 (UMLS 2011AA)
    Item
    Bone Marrow Biopsy Result
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C15189 (NCI Thesaurus ObjectClass)
    C0005558 (UMLS 2011AA ObjectClass)
    C12431 (NCI Thesaurus ObjectClass-2)
    C0005953 (UMLS 2011AA ObjectClass-2)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    Code List
    Bone Marrow Biopsy Result
    CL Item
    Involved (involved)
    C25547 (NCI Thesaurus)
    CL Item
    Not Involved (not involved)
    CL Item
    Indeterminate (indeterminate)
    C48658 (NCI Thesaurus)
    C0205258 (UMLS 2011AA)
    LaboratoryProcedureBoneMarrowMalignantNeoplasmOutcomePercentageValue
    Item
    Marrow Malignant Cells (%)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C12431 (NCI Thesaurus Property)
    C0005953 (UMLS 2011AA Property)
    C9305 (NCI Thesaurus Property-2)
    C0006826 (UMLS 2011AA Property-2)
    C20200 (NCI Thesaurus Property-3)
    C1274040 (UMLS 2011AA Property-3)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    Item
    Bone Marrow Pattern (Mark all that apply)
    text
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C16681 (NCI Thesaurus Property)
    C0019638 (UMLS 2011AA Property)
    C12431 (NCI Thesaurus Property-2)
    C0005953 (UMLS 2011AA Property-2)
    C20200 (NCI Thesaurus Property-3)
    C1274040 (UMLS 2011AA Property-3)
    C0332307 (NCI Metathesaurus ValueDomain)
    Code List
    Bone Marrow Pattern (Mark all that apply)
    CL Item
    Chronic Lymphocytic Leukemia (Chronic Lymphocytic Leukemia)
    CL Item
    Diffuse Large Cell Lymphoma (Diffuse large cell lymphoma)
    CL Item
    Prolymphocyte (Prolymphocyte)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    LaboratoryProcedureBoneMarrowOutcomeSpecify
    Item
    Other, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C12431 (NCI Thesaurus Property)
    C0005953 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    TumorMalignantPresentPercentageAmount
    Item
    Percent Involved (If yes)
    float
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C14143 (NCI Thesaurus Property-2)
    C0205282 (UMLS 2011AA Property-2)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25417 (NCI Thesaurus ValueDomain-2)
    Item
    Objective Status at This Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C3208 (NCI Thesaurus ObjectClass)
    C0024299 (UMLS 2011AA ObjectClass)
    Code List
    Objective Status at This Evaluation
    CL Item
    Complete Response (complete response)
    CL Item
    Complete Response Uncertain (complete response uncertain)
    CL Item
    Partial Response (partial response)
    C18212 (NCI Thesaurus)
    CL Item
    Progressive Disease (progressive disease)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS 2011AA)
    CL Item
    Stable Disease (stable disease)
    C18213 (NCI Thesaurus)
    C0677946 (UMLS 2011AA)
    Item Group
    Footer Module
    Person Completing Form
    Item
    Completed by (print or type name)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1550483 (UMLS CUI-1)
    C25657 (NCI Thesaurus ObjectClass)
    C25364 (NCI Thesaurus Property)
    Date Form Completed
    Item
    Date Form Completed (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C1115437 (UMLS CUI-1)
    C40988 (NCI Thesaurus ObjectClass)
    C25250 (NCI Thesaurus Property)
    C25367 (NCI Thesaurus ValueDomain-2)

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