ID
2463
Description
E1A06 Adverse Event Form (CTCAE v3) Melphalan, Prednisone, and Thalidomide or Lenalidomide in Treating Patients With Newly Diagnosed Multiple Myeloma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=406515E8-0840-569A-E044-0003BA3F9857
Link
Keywords
Versions (6)
- 9/19/12 9/19/12 -
- 1/8/15 1/8/15 - Martin Dugas
- 1/9/15 1/9/15 - Martin Dugas
- 1/9/15 1/9/15 - Martin Dugas
- 4/20/15 4/20/15 - Martin Dugas
- 9/20/21 9/20/21 -
Uploaded on
September 19, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Multiple Myeloma and Plasma Cell Neoplasm NCT00602641 Toxicity - E1A06 Adverse Event Form (CTCAE v3) - 2705272v1.0
No Instruction available.
- StudyEvent: E1A06 Adverse Event Form (CTCAE v3)
Description
Unnamed2
Description
DataAmendedText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
Description
DataAmendedDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
- NCI Thesaurus ValueDomain
- C25367
Description
On Treatment
Description
TreatmentEvaluationPeriodType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus ObjectClass
- C15368
Description
TreatmentEvaluationPeriodType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus ObjectClass
- C15368
Description
TreatmentEvaluationPeriodCycleSpecify
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ValueDomain
- C25472
- UMLS 2011AA ValueDomain
- C1511572
- NCI Thesaurus ValueDomain
- C25275
- UMLS 2011AA ValueDomain
- C2745955
Description
Off Treatment
Description
PersonOff-TreatmentTimePeriodType
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus Property
- C25601
- UMLS 2011AA Property
- C1518544
- NCI Thesaurus Property
- C25207
- UMLS 2011AA Property
- C0040223
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Description
Unnamed4
Description
AdverseEventCurrentAssessmentInd
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus Property
- C25471
- UMLS 2011AA Property
- C0521116
- NCI Thesaurus ObjectClass
- C41331
- UMLS 2011AA ObjectClass
- C0877248
Description
CTCAdverseEventReportBeginDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25375
- UMLS 2011AA Property
- C0684224
- NCI Thesaurus ValueDomain
- C25431
- UMLS 2011AA ValueDomain
- C0439659
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
Description
CTCAdverseEventReportEndDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25375
- UMLS 2011AA Property
- C0684224
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
Description
Unnamed5
Description
CommonToxicityCriteriaAdverseEventTermType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus Property
- C45559
- UMLS 2011AA Property
- C1705313
Description
CommonToxicityCriteriaAdverseEventGrade
Data type
double
Alias
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Description
CTCAdverseEventAttributionScale
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus Property
- C25358
- UMLS 2011AA Property
- C0596130
Description
Unnamed6
Description
CommonToxicityCriteriaAdverseEventTermType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus Property
- C45559
- UMLS 2011AA Property
- C1705313
Description
CommonToxicityCriteriaAdverseEventGrade
Data type
double
Alias
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Description
CTCAdverseEventAttributionScale
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus Property
- C25358
- UMLS 2011AA Property
- C0596130
Description
Iii. Infections
Description
CommonToxicityCriteriaAdverseEventShortNameType
Data type
text
Alias
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Metathesaurus ValueDomain
- C0332307
- NCI Thesaurus Property
- C25249
- UMLS 2011AA Property
- C1806781
Description
CTCAdverseEventSpecifiedTermType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus Property
- C38024
- UMLS 2011AA Property
- C0205369
- NCI Thesaurus Property
- C45559
- UMLS 2011AA Property
- C1705313
Description
CommonToxicityCriteriaAdverseEventGrade
Data type
double
Alias
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Description
CTCAdverseEventAttributionScale
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus Property
- C25358
- UMLS 2011AA Property
- C0596130
Description
Other Adverse Events
Description
CommonToxicityCriteriaAdverseEventShortNameType
Data type
text
Alias
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Metathesaurus ValueDomain
- C0332307
- NCI Thesaurus Property
- C25249
- UMLS 2011AA Property
- C1806781
Description
CTCAdverseEventSpecifiedTermType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus Property
- C38024
- UMLS 2011AA Property
- C0205369
- NCI Thesaurus Property
- C45559
- UMLS 2011AA Property
- C1705313
Description
CommonToxicityCriteriaAdverseEventGrade
Data type
double
Alias
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus ValueDomain
- C18000
- UMLS 2011AA ValueDomain
- C0919553
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Description
CTCAdverseEventAttributionScale
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ObjectClass
- C49704
- UMLS 2011AA ObjectClass
- C1516728
- NCI Thesaurus Property
- C25358
- UMLS 2011AA Property
- C0596130
Description
Comments
Description
InvestigatorSignatureText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
Description
InvestigatorSignatureDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ValueDomain
- C25367
- NCI Thesaurus ObjectClass
- C17089
- UMLS 2011AA ObjectClass
- C0035173
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No Instruction available.
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C19464 (NCI Thesaurus Property)
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C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
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C25191 (NCI Thesaurus ValueDomain)
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C0018704 (UMLS 2011AA ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
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C0040223 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
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C0521116 (UMLS 2011AA Property)
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C25375 (NCI Thesaurus Property)
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C0027497 (UMLS 2011AA)
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C0678257 (UMLS 2011AA Property)
C1519275 (UMLS 2011AA)
C1705232 (UMLS 2011AA)
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C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C25358 (NCI Thesaurus Property)
C0596130 (UMLS 2011AA Property)
C0445356 (UMLS 2011AA)
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C1516728 (UMLS 2011AA ObjectClass)
C45559 (NCI Thesaurus Property)
C1705313 (UMLS 2011AA Property)
C0009676 (UMLS 2011AA)
C0009806 (UMLS 2011AA)
C0015672 (UMLS 2011AA)
C0027497 (UMLS 2011AA)
C0151313 (UMLS 2011AA)
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C0919553 (UMLS 2011AA ValueDomain)
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C0003962 (UMLS 2011AA)
C0151904 (UMLS 2011AA)
C0013491 (UMLS 2011AA)
C0009676 (UMLS 2011AA)
C0009806 (UMLS 2011AA)
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C0878661 (UMLS 2011AA)
C0011175 (UMLS 2011AA)
C0012739 (UMLS 2011AA)
C0012569 (UMLS 2011AA)
C0011168 (UMLS 2011AA)
C0242350 (UMLS 2011AA)
C0014742 (UMLS 2011AA)
C0015672 (UMLS 2011AA)
C0015799 (UMLS 2011AA)
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C0151662 (UMLS 2011AA)
C0013395 (UMLS 2011AA)
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C0242184 (UMLS 2011AA)
C0021167 (UMLS 2011AA)
C0085605 (UMLS 2011AA)
C0024312 (UMLS 2011AA)
C0026975 (UMLS 2011AA)
C0027121 (UMLS 2011AA)
C0028754 (UMLS 2011AA)
C0029456 (UMLS 2011AA)
C0031039 (UMLS 2011AA)
C0085636 (UMLS 2011AA)
C0021071 (UMLS 2011AA)
C0020541 (UMLS 2011AA)
C0034069 (UMLS 2011AA)
C0677481 (UMLS 2011AA)
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C0205369 (UMLS 2011AA Property)
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C1705313 (UMLS 2011AA Property)
C0006255 (UMLS 2011AA)
C0007531 (UMLS 2011AA)
C0007874 (UMLS 2011AA)
C62484 (NCI Thesaurus)
C0205076 (UMLS 2011AA)
C0009368 (UMLS 2011AA)
C0009758 (UMLS 2011AA)
C0011065 (UMLS 2011AA)
C0011570 (UMLS 2011AA)
C0013303 (UMLS 2011AA)
C0014876 (UMLS 2011AA)
C0013453 (UMLS 2011AA)
C0015392 (UMLS 2011AA)
C12401 (NCI Thesaurus)
C0015392 (UMLS 2011AA)
C0015392 (UMLS 2011AA)
C12401 (NCI Thesaurus)
C0015392 (UMLS 2011AA)
C0015450 (UMLS 2011AA)
C13071 (NCI Thesaurus)
C0015450 (UMLS 2011AA)
C0015450 (UMLS 2011AA)
C13071 (NCI Thesaurus)
C0015450 (UMLS 2011AA)
C0015560 (UMLS 2011AA)
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C0018670 (UMLS 2011AA)
C0018787 (UMLS 2011AA)
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C0021853 (UMLS 2011AA)
C0022378 (UMLS 2011AA)
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C0023078 (UMLS 2011AA)
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C0024109 (UMLS 2011AA)
C0024204 (UMLS 2011AA)
C0025066 (UMLS 2011AA)
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C0025066 (UMLS 2011AA)
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C12748 (NCI Thesaurus)
C0025066 (UMLS 2011AA)
C0026845 (UMLS 2011AA)
C0027423 (UMLS 2011AA)
C0027530 (UMLS 2011AA)
C0027530 (UMLS 2011AA)
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C0205394 (UMLS 2011AA)
C0029939 (UMLS 2011AA)
C0030193 (UMLS 2011AA)
C0030274 (UMLS 2011AA)
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C0031153 (UMLS 2011AA)
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C0032225 (UMLS 2011AA)
C0033572 (UMLS 2011AA)
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C0034896 (UMLS 2011AA)
C0035298 (UMLS 2011AA)
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C1516728 (UMLS 2011AA ObjectClass)
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C0596130 (UMLS 2011AA Property)
C0445356 (UMLS 2011AA)
C0600091 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C0332307 (NCI Metathesaurus ValueDomain)
C25249 (NCI Thesaurus Property)
C1806781 (UMLS 2011AA Property)
C0151905 (UMLS 2011AA)
C0003123 (UMLS 2011AA)
C0003708 (UMLS 2011AA)
C0035222 (UMLS 2011AA)
C0003962 (UMLS 2011AA)
C0151904 (UMLS 2011AA)
C0013491 (UMLS 2011AA)
C0009676 (UMLS 2011AA)
C0009806 (UMLS 2011AA)
C0010200 (UMLS 2011AA)
C0878661 (UMLS 2011AA)
C0011175 (UMLS 2011AA)
C0012739 (UMLS 2011AA)
C0012569 (UMLS 2011AA)
C0011168 (UMLS 2011AA)
C0242350 (UMLS 2011AA)
C0014742 (UMLS 2011AA)
C0015672 (UMLS 2011AA)
C0015799 (UMLS 2011AA)
C0016382 (UMLS 2011AA)
C0151662 (UMLS 2011AA)
C0013395 (UMLS 2011AA)
C0020676 (UMLS 2011AA)
C0242184 (UMLS 2011AA)
C0021167 (UMLS 2011AA)
C0085605 (UMLS 2011AA)
C0024312 (UMLS 2011AA)
C0026975 (UMLS 2011AA)
C0027121 (UMLS 2011AA)
C0028754 (UMLS 2011AA)
C0029456 (UMLS 2011AA)
C0031039 (UMLS 2011AA)
C0085636 (UMLS 2011AA)
C0021071 (UMLS 2011AA)
C0020541 (UMLS 2011AA)
C0034069 (UMLS 2011AA)
C0677481 (UMLS 2011AA)
C0085612 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C38024 (NCI Thesaurus Property)
C0205369 (UMLS 2011AA Property)
C45559 (NCI Thesaurus Property)
C1705313 (UMLS 2011AA Property)
C0006255 (UMLS 2011AA)
C0007531 (UMLS 2011AA)
C0007874 (UMLS 2011AA)
C62484 (NCI Thesaurus)
C0205076 (UMLS 2011AA)
C0009368 (UMLS 2011AA)
C0009758 (UMLS 2011AA)
C0011065 (UMLS 2011AA)
C0011570 (UMLS 2011AA)
C0013303 (UMLS 2011AA)
C0014876 (UMLS 2011AA)
C0013453 (UMLS 2011AA)
C0015392 (UMLS 2011AA)
C12401 (NCI Thesaurus)
C0015392 (UMLS 2011AA)
C0015392 (UMLS 2011AA)
C12401 (NCI Thesaurus)
C0015392 (UMLS 2011AA)
C0015450 (UMLS 2011AA)
C13071 (NCI Thesaurus)
C0015450 (UMLS 2011AA)
C0015450 (UMLS 2011AA)
C13071 (NCI Thesaurus)
C0015450 (UMLS 2011AA)
C0015560 (UMLS 2011AA)
C0016976 (UMLS 2011AA)
C0017562 (UMLS 2011AA)
C0018670 (UMLS 2011AA)
C0018787 (UMLS 2011AA)
C0205054 (UMLS 2011AA)
C0021853 (UMLS 2011AA)
C0022378 (UMLS 2011AA)
C0022646 (UMLS 2011AA)
C0023078 (UMLS 2011AA)
C0023759 (UMLS 2011AA)
C0023884 (UMLS 2011AA)
C0024109 (UMLS 2011AA)
C0024204 (UMLS 2011AA)
C0025066 (UMLS 2011AA)
C12748 (NCI Thesaurus)
C0025066 (UMLS 2011AA)
C0025066 (UMLS 2011AA)
C12748 (NCI Thesaurus)
C0025066 (UMLS 2011AA)
C0026845 (UMLS 2011AA)
C0027423 (UMLS 2011AA)
C0027530 (UMLS 2011AA)
C0027530 (UMLS 2011AA)
C1527415 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C0029939 (UMLS 2011AA)
C0030193 (UMLS 2011AA)
C0030274 (UMLS 2011AA)
C0030580 (UMLS 2011AA)
C0030797 (UMLS 2011AA)
C0030797 (UMLS 2011AA)
C0030851 (UMLS 2011AA)
C0031050 (UMLS 2011AA)
C0031066 (UMLS 2011AA)
C1704247 (UMLS 2011AA)
C0031153 (UMLS 2011AA)
C0031354 (UMLS 2011AA)
C0032225 (UMLS 2011AA)
C0033572 (UMLS 2011AA)
C1882536 (UMLS 2011AA)
C0034896 (UMLS 2011AA)
C0035298 (UMLS 2011AA)
C0035359 (UMLS 2011AA)
C0036098 (UMLS 2011AA)
C0036471 (UMLS 2011AA)
C0037052 (UMLS 2011AA)
C0085610 (UMLS 2011AA)
C0039239 (UMLS 2011AA)
C1123023 (UMLS 2011AA)
C0037925 (UMLS 2011AA)
C0037993 (UMLS 2011AA)
C0042993 (UMLS 2011AA)
C0043202 (UMLS 2011AA)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C1519275 (UMLS 2011AA)
C1705232 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C25358 (NCI Thesaurus Property)
C0596130 (UMLS 2011AA Property)
C0445356 (UMLS 2011AA)
C1527021 (UMLS 2011AA ValueDomain)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
C0011008 (UMLS 2011AA ValueDomain)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C25367 (NCI Thesaurus ValueDomain)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)