ID

2877

Beskrivning

Hodgkin's Lymphoma - On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D5EC9E8E-4085-0DC0-E034-0003BA12F5E7

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D5EC9E8E-4085-0DC0-E034-0003BA12F5E7

Nyckelord

Uppladdad den

19 september 2012

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy

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On-Study - Hodgkins Lymphoma - On-Study Form - 2271441v3.0

model
Detaljer

No Instruction available.

1 Formulär

StudyEvent: Hodgkins Lymphoma - On-Study Form
1. No Instruction available.

Name

Typ

Description | Question | Decode (Coded Value)

Datatyp

Alias

CRF Header

Item Group

Crf Header

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)

PatientName

Item

Patient Name (initials acceptable)

text

C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)

Lymphoma: Form Administration

Item Group

Lymphoma: Form Administration

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)

DataAmendedInd-3

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)

CL.1

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)

Hodgkin's Lymphoma: Disease Description

Item Group

Hodgkin's Lymphoma: Disease Description

CancerInitialDiagnosisDate

Item

Date of Initial Pathologic Diagnosis

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)

LymphomaAnnArborLymphomaStagingSystemClassificationStage

Item

Modified Ann Arbor Stage

text

C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25161 (NCI Thesaurus Property)
C0008902 (UMLS 2011AA Property)

CL.2

Code List

Modified Ann Arbor Stage

CL Item

I (I)

CL Item

Iii (III)

CL Item

Ie (IE)

CL Item

Iiie (IIIE)

CL Item

Ii (II)

CL Item

Iiis (IIIS)

CL Item

Iie (IIE)

CL Item

Iiie+s (IIIE+S)

CL Item

Iv (IV)

DiseaseRegisteringStatusType

Item

Disease Status at Registration (For advanced or recurrent studies,)

text

C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25645 (NCI Thesaurus Property)
C25688 (NCI Thesaurus Property)
C0449438 (UMLS 2011AA Property)

CL.3

Code List

Disease Status at Registration (For advanced or recurrent studies,)

CL Item

Initial Diagnosis (Initial Diagnosis)

CL Item

Relapsed (Relapsed)

CL Item

Refractory (Refractory)

C38014 (NCI Thesaurus)
C0205269 (UMLS 2011AA)

LymphomaDiagnosisHematopoieticType

Item

Hematopoietic Diagnosis

text

C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C13324 (NCI Thesaurus ValueDomain)
C0229601 (UMLS 2011AA ValueDomain)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)

CL.4

Code List

Hematopoietic Diagnosis

CL Item

Nodular Lymphocyte Predominant Hodgkin Lymphoma (Nodular lymphocyte predominant Hodgkin lymphoma)

CL Item

Composite Hodgkin Lymphoma (Composite Hodgkin lymphoma)

CL Item

Nodular Sclerosis Classical Hodgkin Lymphoma (Nodular sclerosis Classical Hodgkin lymphoma)

CL Item

Lymphocyte-rich Classical Hodgkin Lymphoma (Lymphocyte-rich Classical Hodgkin lymphoma)

CL Item

Mixed Cellularity Classical Hodgkin Lymphoma (Mixed cellularity Classical Hodgkin lymphoma)

CL Item

Lymphocyte-depleted Classical Hodgkin Lymphoma (Lymphocyte-depleted Classical Hodgkin lymphoma)

CL Item

Classical Hodgkin Lymphoma Not Further Classifiable (Classical Hodgkin lymphoma not further classifiable)

CL Item

Other (Other)

C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)

DiseaseDiagnosisHematopoieticSpecify

Item

Other specify

text

C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C13324 (NCI Thesaurus ValueDomain)
C0229601 (UMLS 2011AA ValueDomain)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)

HematopoieticLymphomaInternationalClassificationType

Item

REAL Lymphoma Classification

text

C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C13324 (NCI Thesaurus ObjectClass)
C0229601 (UMLS 2011AA ObjectClass)
C25161 (NCI Thesaurus Property)
C0008902 (UMLS 2011AA Property)
C25541 (NCI Thesaurus Property)
C1512888 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)

CL.5

Code List

REAL Lymphoma Classification

CL Item

Lymphocyte Predominance (Lymphocyte predominance)

CL Item

Nodular Sclerosis (Nodular sclerosis)

CL Item

Mixed Cellularity (Mixed cellularity)

CL Item

Lymphocyte Depletion (Lymphocyte depletion)

C0024257 (NCI Metathesaurus)

CL Item

Lymphocyte-rich Classical Hodgkin's Disease (provisional Category) (Lymphocyte-rich classical Hodgkin's disease (provisional category))

CL Item

Unclassifiable (Unclassifiable)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

LymphomaLymphNodeLargeDiameterIndicator

Item

Any lymph node or aggregate with a diameter greater than 10 cm (if pediatric, >6 cm)

text

C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C25285 (NCI Thesaurus Property)
C1301886 (UMLS 2011AA Property)
C49508 (NCI Thesaurus Property)
C0549177 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)

CL.6

Code List

Any lymph node or aggregate with a diameter greater than 10 cm (if pediatric, >6 cm)

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)

MediastinalTumorPresentInd-3

Item

Mediastinal mass

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C25310 (NCI Thesaurus ObjectClass)
C1522718 (UMLS 2011AA ObjectClass)

CL.7

Code List

Mediastinal mass

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)

LymphomaChestLargeDiameterInd-3

Item

Any mass greater than 1/3 of the diameter of the chest (either measured as maximum chest diameter or the chest diameter at the same T level as the lesion)

text

C25389 (NCI Thesaurus ObjectClass)
C0817096 (UMLS 2011AA ObjectClass)
C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C25285 (NCI Thesaurus Property)
C1301886 (UMLS 2011AA Property)
C49508 (NCI Thesaurus Property)
C0549177 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)

CL.8

Code List

Any mass greater than 1/3 of the diameter of the chest (either measured as maximum chest diameter or the chest diameter at the same T level as the lesion)

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)

LymphomaBSymptomIndicator

Item

Are B-symptoms present

text

C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C43283 (NCI Thesaurus Property)
C1706867 (UMLS 2011AA Property)

CL.9

Code List

Are B-symptoms present

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

LymphomaB-SymptomsFirstDate

Item

Date of First Symptoms (If yes,)

date

C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus ValueDomain)
C1279901 (UMLS 2011AA ValueDomain)
C43283 (NCI Thesaurus Property)
C1706867 (UMLS 2011AA Property)

LymphomaFeverSymptomInd-3

Item

Unexplained, persistent fever >38 degrees C (or >100 degrees F) in the previous month

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C4876 (NCI Thesaurus Property)
C1457887 (UMLS 2011AA Property)
C3038 (NCI Thesaurus Property)
C0015967 (UMLS 2011AA Property)

CL.10

Code List

Unexplained, persistent fever >38 degrees C (or >100 degrees F) in the previous month

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

LymphomaSweatingSymptomInd-3

Item

Recurring, drenching night sweats during the previous month

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C4876 (NCI Thesaurus Property)
C1457887 (UMLS 2011AA Property)
C36172 (NCI Thesaurus Property)
C0038990 (UMLS 2011AA Property)

CL.11

Code List

Recurring, drenching night sweats during the previous month

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

LymphomaWeightLossInd-3

Item

Unexplained weight loss >10% of body weight in the previous 6 months

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C3445 (NCI Thesaurus Property)
C0043096 (UMLS 2011AA Property)
C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)

CL.12

Code List

Unexplained weight loss >10% of body weight in the previous 6 months

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

LymphomaLymphNodeAnatomicSite

Item

Lymph Node Type

text

C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25421 (NCI Thesaurus Property)
C0002808 (UMLS 2011AA Property)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)

CL.13

Code List

Lymph Node Type

CL Item

Orbital (Orbital)

CL Item

Cervical (Cervical)

C12844 (NCI Thesaurus)
C0205064 (UMLS 2011AA)

CL Item

Occipital (Occipital)

CL Item

Pre-auricular (Pre-auricular)

CL Item

Waldeyer's Ring (Waldeyer's ring)

CL Item

Paratracheal (Paratracheal)

C25317 (NCI Thesaurus)
C0442143 (UMLS 2011AA)

CL Item

Supraclavicular (Supraclavicular)

C25329 (NCI Thesaurus)
C0589496 (UMLS 2011AA)

CL Item

Infraclavicular (Infraclavicular)

CL Item

Epitrochlear (Epitrochlear)

CL Item

Pectoral (Pectoral)

C25611 (NCI Thesaurus)
C1521735 (UMLS 2011AA)

CL Item

Axillary/brachial (Axillary/Brachial)

CL Item

Mediastinal (Mediastinal)

C25310 (NCI Thesaurus)
C1522718 (UMLS 2011AA)

CL Item

Other (Other)

C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)

CL Item

Hilar (Hilar)

C25724 (NCI Thesaurus)
C0205150 (UMLS 2011AA)

CL Item

Splenic Hilar (Splenic hilar)

CL Item

Porta Hepatis (Porta hepatis)

C0227498 (NCI Metathesaurus)

CL Item

Celiac Axis/retrocrural (Celiac axis/Retrocrural)

CL Item

Para-aortic (Para-aortic)

CL Item

Porta Caval (Porta caval)

CL Item

Mesenteric (Mesenteric)

C25226 (NCI Thesaurus)
C0025474 (UMLS 2011AA)

CL Item

Retroperitoneal (Retroperitoneal)

C28256 (NCI Thesaurus)
C0035359 (UMLS 2011AA)

CL Item

Common Pelvic (Common pelvic)

CL Item

External/internal Iliac (External/internal iliac)

CL Item

Inguinal/femoral (Inguinal/Femoral)

CL Item

Popliteal (Popliteal)

C0442037 (NCI Metathesaurus)

LymphNodeAnatomicSiteSpecify

Item

Other specify

text

C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C25421 (NCI Thesaurus Property)
C0002808 (UMLS 2011AA Property)

LymphNodeInvolvementType

Item

Lymph Node Involvement (* Indicate Lymph Node Involvement)

text

C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)

CL.14

Code List

Lymph Node Involvement (* Indicate Lymph Node Involvement)

CL Item

Not Evaluated (not evaluated)

CL Item

Involved (involved)

C25547 (NCI Thesaurus)

CL Item

Not Involved (not involved)

CL Item

Equivocal (equivocal)

C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)

CL Item

Unknown (unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

LungInvolvedInd-3

Item

Lung (Is this site involved?)

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12468 (NCI Thesaurus ObjectClass)
C0024109 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)

CL.16

Code List

Lung (Is this site involved?)

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)

LiverInvolvedInd-3

Item

Liver

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12392 (NCI Thesaurus ObjectClass)
C0023884 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)

CL.17

Code List

Liver

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)

SpleenInvolvedInd-3

Item

Spleen

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12432 (NCI Thesaurus ObjectClass)
C0037993 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)

CL.18

Code List

Spleen

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)

BoneMarrowInvolvementInd-3

Item

Bone Marrow

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12431 (NCI Thesaurus ObjectClass)
C0005953 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)

CL.19

Code List

Bone Marrow

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)

BoneInvolvedInd-3

Item

Bone

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12366 (NCI Thesaurus ObjectClass)
C0262950 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)

CL.20

Code List

Bone

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)

PleuraInvolvedInd-3

Item

Pleura

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12469 (NCI Thesaurus ObjectClass)
C0032225 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)

CL.21

Code List

Pleura

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)

KidneyDiseasePresentInd-3

Item

Kidney

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C12415 (NCI Thesaurus ObjectClass)
C0022646 (UMLS 2011AA ObjectClass)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)

CL.22

Code List

Kidney

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)

OtherSiteInvolvedInd-3

Item

Other Site

text

C17649 (NCI Thesaurus ObjectClass)
C0205394 (UMLS 2011AA ObjectClass)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25547 (NCI Thesaurus Property)
CL111053 (NCI Metathesaurus ObjectClass)

CL.23

Code List

Other Site

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)

SkinInvolvedInd-3

Item

Skin (cutaneous)

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12470 (NCI Thesaurus ObjectClass)
C1123023 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)

CL.24

Code List

Skin (cutaneous)

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)

TestisInvolvedInd-3

Item

Testes

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12412 (NCI Thesaurus ObjectClass)
C0039597 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)

CL.25

Code List

Testes

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)

OvaryInvolvedInd-3

Item

Ovaries

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12404 (NCI Thesaurus ObjectClass)
C0029939 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)

CL.26

Code List

Ovaries

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)

StomachInvolvedInd-3

Item

Stomach

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25547 (NCI Thesaurus Property)
C0038351 (NCI Metathesaurus ObjectClass)

CL.27

Code List

Stomach

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)

SmallBowelInvolvedInd-3

Item

Small Bowel

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12386 (NCI Thesaurus ObjectClass)
C0021852 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)

CL.28

Code List

Small Bowel

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)

ColonInvolvedInd-3

Item

Colon

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12382 (NCI Thesaurus ObjectClass)
C0009368 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)

CL.29

Code List

Colon

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)

OtherDiseaseSiteName

Item

Other Site Name

text

C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ObjectClass)
C0205394 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)

AssessmentMethodType

Item

Method of Evaluation (? Indicate Method of Evaluation)

text

C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)

CL.30

Code List

Method of Evaluation (? Indicate Method of Evaluation)

CL Item

Clinical (clinical)

C25398 (NCI Thesaurus)
C0205210 (UMLS 2011AA)

CL Item

Pathologic (pathologic)

C25610 (NCI Thesaurus)
C1521733 (UMLS 2011AA)

CL Item

Unknown (unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

AssessmentMethodType

Item

Method of Evaluation (? Indicate Method of Evaluation)

text

CL.30

Code List

Method of Evaluation (? Indicate Method of Evaluation)

CL Item

Clinical (clinical)

C25398 (NCI Thesaurus)
C0205210 (UMLS 2011AA)

CL Item

Pathologic (pathologic)

C25610 (NCI Thesaurus)
C1521733 (UMLS 2011AA)

CL Item

Unknown (unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

HumanImmunodeficiencyVirusDiagnosisInd-3

Item

Does the patient have HIV or AIDS

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C14219 (NCI Thesaurus ObjectClass)
C0019682 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)

CL.31

Code List

Does the patient have HIV or AIDS

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)

DiagnosisLymphoproliferativePresentTransplantInd-3

Item

Does the patient have post-transplant lymphoproliferative disease

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C38008 (NCI Thesaurus ObjectClass)
C0687676 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
CL051528 (NCI Metathesaurus Property)

CL.32

Code List

Does the patient have post-transplant lymphoproliferative disease

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)

ImmunodeficiencyDiagnosisInd-3

Item

Does the patient have immunodeficiency

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C39725 (NCI Thesaurus ObjectClass)

CL.33

Code List

Does the patient have immunodeficiency

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)

Hodgkin's Lymphoma: Baseline Hematology/Chemistry

Item Group

Hodgkin's Lymphoma: Baseline Hematology/chemistry

LaboratoryProcedureLeukocyteResultSpecifiedValue

Item

Peripheral WBC Count (x 10^3/mcl)

double

C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C12529 (NCI Thesaurus Property)
C0023516 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C38024 (NCI Thesaurus ValueDomain)
C0205369 (UMLS 2011AA ValueDomain)

LaboratoryProcedureHemoglobinResultSpecifiedValue

Item

Hemoglobin (g/dl)

double

C16676 (NCI Thesaurus Property)
C0019046 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

LaboratoryProcedurePlateletResultSpecifiedValue

Item

Peripheral Platelet Count (x 10^3/mcl)

double

C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C12520 (NCI Thesaurus Property)
C0005821 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

LaboratoryProcedureLymphocyteOutcomeCount

Item

Absolute Lymphocyte Count

double

C12535 (NCI Thesaurus Property)
C0024264 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)

LaboratoryProcedureErythrocyteSedimentationRateOutcomeSpecifiedValue

Item

Erythrocyte Sedimentation Rate (mm/hr)

double

C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C12521 (NCI Thesaurus Property)
C0014792 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25636 (NCI Thesaurus Property)
C1521828 (UMLS 2011AA Property)
C54178 (NCI Thesaurus Property)
C0597428 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

BloodSpecimenLaboratoryProcedureAlbuminValue

Item

Albumin (g/dl)

double

C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C214 (NCI Thesaurus ValueDomain)
C0001924 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

LaboratoryProcedureLactateDehydrogenaseResultSpecifiedValue

Item

Lactate Dehydrogenase (LDH) (U/l)

double

C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25184 (NCI Thesaurus Property)
C0022917 (UMLS 2011AA Property)

LaboratoryProcedureLactateDehydrogenaseResultSpecifiedUpperLimitofNormalValue

Item

Lactate Dehydrogenase ULN (LDH U/l * Note: Record institutional limits of normal)

double

C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25184 (NCI Thesaurus Property)
C0022917 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C38024 (NCI Thesaurus ValueDomain)
C0205369 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain)
C1519815 (UMLS 2011AA ValueDomain)

Lymphoma: Prior Treatment

Item Group

Lymphoma: Prior Treatment

CancerPriorTreatmentInd-3

Item

Prior Treatment?

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus Property)
C0332152 (UMLS 2011AA Property)
C15368 (NCI Thesaurus Property)

CL.34

Code List

Prior Treatment?

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

PriorTreatmentRegimenCount

Item

No. of Prior Regimens (If yes, Note: Multiple drug/staged regimens count as 1; e.g., chemo+transplant)

double

C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C15697 (NCI Thesaurus Property)
C0040808 (UMLS 2011AA Property)

PriorTreatmentBestResponseType

Item

Best Response to Most Recent Prior Treatment

text

C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C25432 (NCI Thesaurus Property)
C1522427 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)

CL.35

Code List

Best Response to Most Recent Prior Treatment

CL Item

Cr (CR)

CL Item

Ccr (CCR)

CL Item

Pr (PR)

CL Item

Sd (SD)

CL Item

Pd (PD)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

PriorResectionSurgicalPerformedInd-3

Item

Prior Surgical Resection

text

C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C15232 (NCI Thesaurus ObjectClass)
C0728940 (UMLS 2011AA ObjectClass)
C25698 (NCI Thesaurus Property)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)

CL.36

Code List

Prior Surgical Resection

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

PriorBMSCTAdministeredInd-3

Item

Prior Bone Marrow or Peripheral Blood Stem Cell Transplant?

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C25437 (NCI Thesaurus ObjectClass)
C0842093 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)

CL.37

Code List

Prior Bone Marrow or Peripheral Blood Stem Cell Transplant?

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

TransplantProcedureType

Item

Type of Transplant (If yes,)

text

C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)

CL.38

Code List

Type of Transplant (If yes,)

CL Item

Autologous (Autologous)

C28000 (NCI Thesaurus)
C0439859 (UMLS 2011AA)

CL Item

Allogeneic (Allogeneic)

CL Item

Tandem (Tandem)

C0075804 (NCI Metathesaurus)

CL Item

Cord Blood (Cord blood)

CL Item

Nonmyeloablative (Nonmyeloablative)

CL Item

Other (Other)

C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)

TransplantProcedureSpecify

Item

Other specify

text

C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)

PriorRTAdministeredInd-3

Item

Prior Radiation Therapy

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)

CL.39

Code List

Prior Radiation Therapy

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

RTFieldNodalSite

Item

Radiation Therapy Field (* Radiation Therapy Field)

text

C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25507 (NCI Thesaurus Property)
C1521738 (UMLS 2011AA Property)

CL.40

Code List

Radiation Therapy Field (* Radiation Therapy Field)

CL Item

Local (Local)

CL Item

Regional (Regional)

C25643 (NCI Thesaurus)
C0205147 (UMLS 2011AA)

CL Item

Mantle (Mantle)

CL Item

Extended Mantle (Extended Mantle)

CL Item

Mantle & Periaortic (Mantle & Periaortic)

CL Item

Inverted Y (Inverted Y)

CL Item

Total Nodal (Total Nodal)

CL Item

Cranial (Cranial)

C37936 (NCI Thesaurus)
C0205096 (UMLS 2011AA)

CL Item

Cranial & Spinal (Cranial & Spinal)

CL Item

Whole Body (Whole Body)

C0444584 (NCI Metathesaurus)

CL Item

Other (Other)

C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)

RTFieldNodalSpecify

Item

Other specify (++ If)

text

C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25323 (NCI Thesaurus ValueDomain)
C0443268 (UMLS 2011AA ValueDomain)
C25507 (NCI Thesaurus Property)
C1521738 (UMLS 2011AA Property)

RTAdministeredTotalDose

Item

RT Total Dose

double

C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25488 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ValueDomain)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)

RadiationTherapyAdministeredDoseUOM

Item

units

text

C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25488 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ValueDomain)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C25709 (NCI Thesaurus ValueDomain)
C1519795 (UMLS 2011AA ValueDomain)

CL.41

Code List

units

CL Item

Grays (Gy)

CL Item

Millicurie (mCi)

C48511 (NCI Thesaurus)
C0560005 (UMLS 2011AA)

PriorChemotherapyAdministeredInd-3

Item

Prior Systemic Chemotherapy

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15632 (NCI Thesaurus ObjectClass)
C0392920 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)

CL.42

Code List

Prior Systemic Chemotherapy

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

PriorImmunotherapyAdministeredInd-3

Item

Prior Immunotherapy

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15262 (NCI Thesaurus ObjectClass)
C0021083 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)

CL.43

Code List

Prior Immunotherapy

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

RadiolabeledImmunotherapyPriorAdministeredInd-3

Item

Prior Immuno-radiolabeled therapy

text

C15262 (NCI Thesaurus ObjectClass)
C0021083 (UMLS 2011AA ObjectClass)
C18138 (NCI Thesaurus ObjectClass)
C1527121 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus Property)
C0332152 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)

CL.44

Code List

Prior Immuno-radiolabeled therapy

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

PriorTreatmentRegimenName

Item

Prior Treatment Regimen Name(s) (Drugs/Agents)

text

C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass)
C15697 (NCI Thesaurus Property)
C0040808 (UMLS 2011AA Property)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)

PriorTreatmentRegimenText

Item

Prior Treatment Regimen Type (Chemotherapy, Immunotherapy, Immuno-radiolabeled therapy, etc.)

text

C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass)
C15697 (NCI Thesaurus Property)
C0040808 (UMLS 2011AA Property)

PriorTreatmentCourseCount

Item

Total No. of Cycles

double

C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C25379 (NCI Thesaurus Property)
C0750729 (UMLS 2011AA Property)

PriorVaccineAdministeredInd-3

Item

Prior Vaccine Therapy?

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C923 (NCI Thesaurus ObjectClass)
C0042210 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)

CL.45

Code List

Prior Vaccine Therapy?

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

PriorVaccineAdministeredText

Item

Prior Vaccine Type

text

C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C923 (NCI Thesaurus ObjectClass)
C0042210 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)

AgentTotalDoseCount

Item

Total No. of Doses

double

C25304 (NCI Thesaurus Property)
C0439810 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)

Lymphoma: Relapsed Disease

Item Group

Lymphoma: Relapsed Disease

HematopoieticDiseaseStatusType

Item

Disease Status (current)

text

C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C13324 (NCI Thesaurus ObjectClass)
C0229601 (UMLS 2011AA ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)

CL.46

Code List

Disease Status (current)

CL Item

First Relapse (Relapse: 1st)

CL Item

Second Relapse (Relapse: 2nd)

CL Item

Third Or Greater Relapse (Relapse: 3rd+)

CL Item

Relapse (Relapse NOS)

C18265 (NCI Thesaurus)

CL Item

Refractory To First Induction (Refractory to 1st induction)

CL Item

Refractory To Reinduction After Complete Response (Refractory to reinduction after CR)

CL Item

Refractory (Refractory NOS)

C38014 (NCI Thesaurus)
C0205269 (UMLS 2011AA)

CL Item

Other, Specify (Other)

DiseaseStatusSpecify

Item

Other (specify)

text

C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)

LymphomaInitialResponseBestType

Item

Best Response to Initial Therapy

text

C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25432 (NCI Thesaurus ValueDomain)
C1522427 (UMLS 2011AA ValueDomain)

CL.47

Code List

Best Response to Initial Therapy

CL Item

Cr (CR)

CL Item

Pr (PR)

CL Item

Sd (SD)

CL Item

Pd (PD)

LymphomaInitialResponseDate

Item

Date of Initial Response to Therapy

date

C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)

LymphomaFirstRelapseDate

Item

Date of First Relapse

date

C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C18265 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)

LymphomaMostRecentResponseDate

Item

Date of Most Recent Response to Therapy

date

C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C25577 (NCI Thesaurus Property)
C1513491 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)

LymphomaMostRecentRelapseDate

Item

Date of Most Recent Relapse

date

C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
C18265 (NCI Thesaurus Property)
C25577 (NCI Thesaurus Property)
C1513491 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)

PerformanceStatusAssessmentEasternCooperativeOncologyGroupScale

Item

Performance Status (at Time of Treatment Failure For CDUS reporting, please convert Karnofsky and Lansky scores to this Zubrod Score)

text

C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus Property)
C25491 (NCI Thesaurus ValueDomain)
C1512162 (UMLS 2011AA ValueDomain)
C20641 (NCI Thesaurus ObjectClass)
C1518965 (UMLS 2011AA ObjectClass)

CL.48

Code List

Performance Status (at Time of Treatment Failure For CDUS reporting, please convert Karnofsky and Lansky scores to this Zubrod Score)

CL Item

Fully Active, Able To Carry On All Pre-disease Performance Without Restriction. (0)

CL Item

Restricted In Physically Strenuous Activity But Ambulatory And Able To Carry Out Work Of A Light Or Sedentary Nature, E.g., Light Housework, Office Work. (1)

CL Item

Ambulatory And Capable Of All Selfcare But Unable To Carry Out Any Work Activities. Up And About More Than 50% Of Waking Hours. (2)

CL Item

Capable Of Only Limited Selfcare, Confined To Bed Or Chair More Than 50% Of Waking Hours. (3)

CL Item

Completely Disabled. Cannot Carry On Any Selfcare. Totally Confined To Bed Or Chair. (4)

Lymphoma: Cardiac Evaluation

Item Group

Lymphoma: Cardiac Evaluation

HeartCardiovascularSymptomStatus

Item

Cardiac Status

text

C12727 (NCI Thesaurus ObjectClass)
C0018787 (UMLS 2011AA ObjectClass)
C4876 (NCI Thesaurus Property)
C1457887 (UMLS 2011AA Property)
C12686 (NCI Thesaurus Property)
C0007226 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)

CL.49

Code List

Cardiac Status

CL Item

Asymptomatic (Asymptomatic)

C3833 (NCI Thesaurus)
C0231221 (UMLS 2011AA)

CL Item

Symptomatic (Symptomatic)

C25269 (NCI Thesaurus)
C0231220 (UMLS 2011AA)

HeartMUGATestInd-3

Item

Was a MUGA performed (If symptomatic,)

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12727 (NCI Thesaurus ObjectClass)
C0018787 (UMLS 2011AA ObjectClass)
C38073 (NCI Thesaurus Property)
C0521317 (UMLS 2011AA Property)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)

CL.50

Code List

Was a MUGA performed (If symptomatic,)

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)

HeartLVEFTestPercentageValue

Item

Left Ventricular Ejection Fraction at Rest (If yes, %)

double

C12727 (NCI Thesaurus ObjectClass)
C0018787 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C37946 (NCI Thesaurus Property)
C2700377 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

HeartLVEFTestPercentageLowerLimitofNormalValue

Item

LVEF Institutional Lower Limit of Normal (%)

double

LVEFHeartExerciseTestInd-3

Item

Does ejection fraction percent improve with exercise

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12727 (NCI Thesaurus ObjectClass)
C0018787 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C37946 (NCI Thesaurus ObjectClass)
C2700377 (UMLS 2011AA ObjectClass)
C16567 (NCI Thesaurus Property)
C0015259 (UMLS 2011AA Property)

CL.51

Code List

Does ejection fraction percent improve with exercise

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)

HeartEchocardiogramTestInd-3

Item

Was an echocardiogram (ECHO) performed

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C37945 (NCI Thesaurus Property)
C2243117 (UMLS 2011AA Property)
C12727 (NCI Thesaurus ObjectClass)
C0018787 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)

CL.52

Code List

Was an echocardiogram (ECHO) performed

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)

HeartShorteningFractionAssessmentPercentageValue

Item

Shortening Fraction (If yes, %)

double

C12727 (NCI Thesaurus ObjectClass)
C0018787 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C38020 (NCI Thesaurus Property)
C1335957 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

Lymphoma: Pulmonary Evaluation

Item Group

Lymphoma: Pulmonary Evaluation

LungPulmonarySymptomStatus

Item

Pulmonary Status

text

C13304 (NCI Thesaurus Property)
C2709248 (UMLS 2011AA Property)
C12468 (NCI Thesaurus ObjectClass)
C0024109 (UMLS 2011AA ObjectClass)
C4876 (NCI Thesaurus Property)
C1457887 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)

CL.53

Code List

Pulmonary Status

CL Item

Asymptomatic (Asymptomatic)

C3833 (NCI Thesaurus)
C0231221 (UMLS 2011AA)

CL Item

Symptomatic (Symptomatic)

C25269 (NCI Thesaurus)
C0231220 (UMLS 2011AA)

LungCarbonMonoxideDiffusingCapabilityTestAssessmentPredictiveValuePercentageValue

Item

Carbon Monoxide Diffusion (DLCO) (If symptomatic, % of predicted, corrected for anemia %)

double

C12468 (NCI Thesaurus ObjectClass)
C0024109 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C38083 (NCI Thesaurus Property)
C1516251 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C16238 (NCI Thesaurus ValueDomain)
C1514307 (UMLS 2011AA ValueDomain)

VitalLungCapacityTestSpecifiedValue

Item

Forced Vital Capacity (FVC) (mL)

double

C12468 (NCI Thesaurus ObjectClass)
C0024109 (UMLS 2011AA ObjectClass)
C18003 (NCI Thesaurus ObjectClass)
C0442732 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C25443 (NCI Thesaurus Property)
C1516240 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

TotalLungCapacityTestSpecifiedValue

Item

Total Lung Capacity (TLC) (mL)

double

C25304 (NCI Thesaurus ObjectClass)
C0439810 (UMLS 2011AA ObjectClass)
C12468 (NCI Thesaurus ObjectClass)
C0024109 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C25443 (NCI Thesaurus Property)
C1516240 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

LungForcedExpiratoryVolume1TestSpecifiedValue

Item

Forced Expiratory Volume 1 (FEV1) (mL)

double

C12468 (NCI Thesaurus ObjectClass)
C0024109 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C38084 (NCI Thesaurus Property)
C0849974 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C38024 (NCI Thesaurus ValueDomain)
C0205369 (UMLS 2011AA ValueDomain)

PediatricPatientLowerAgeInd-3

Item

Is the patient less than 5 years old

text

C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C25309 (NCI Thesaurus Property)
C0441994 (UMLS 2011AA Property)
C25150 (NCI Thesaurus Property)
C0001779 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)

CL.54

Code List

Is the patient less than 5 years old

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

PediatricLungPulseOximetryTestInd-3

Item

Was oximetry done (If yes,)

text

C12468 (NCI Thesaurus ObjectClass)
C0024109 (UMLS 2011AA ObjectClass)
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C38085 (NCI Thesaurus Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)

CL.55

Code List

Was oximetry done (If yes,)

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)

PediatricLungPulseOximetryTestPercentageValue

Item

Percent of Oximetry at Rest (If yes, %)

double

C12468 (NCI Thesaurus ObjectClass)
C0024109 (UMLS 2011AA ObjectClass)
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C38085 (NCI Thesaurus Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

Lymphoma: Endocrine Evaluation

Item Group

Lymphoma: Endocrine Evaluation

EndocrineEvaluationMensesFunctionType

Item

Menstrual Function

text

C25214 (NCI Thesaurus ObjectClass)
C0220825 (UMLS 2011AA ObjectClass)
C12705 (NCI Thesaurus ObjectClass)
C0014136 (UMLS 2011AA ObjectClass)
C25518 (NCI Thesaurus Property)
C0542341 (UMLS 2011AA Property)
C3232 (NCI Thesaurus Property)
C0025344 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)

CL.56

Code List

Menstrual Function

CL Item

Regular Menses (Regular menses)

CL Item

Irregular Menses (Irregular menses)

CL Item

Amenorrheic (Amenorrheic)

CL Item

Hormonal Therapy (replacement, Birth Control) (Hormonal therapy (replacement, birth control))

CL Item

Cannot Assess Specify Reason (e.g., Hysterectomy) (Cannot assess specify reason (e.g., hysterectomy))

EndocrineEvaluationMensesFunctionSpecify

Item

Cannot assess specify reason

text

C25214 (NCI Thesaurus ObjectClass)
C0220825 (UMLS 2011AA ObjectClass)
C12705 (NCI Thesaurus ObjectClass)
C0014136 (UMLS 2011AA ObjectClass)
C25518 (NCI Thesaurus Property)
C0542341 (UMLS 2011AA Property)
C3232 (NCI Thesaurus Property)
C0025344 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)

EndocrineMenopauseEvaluationYearDate

Item

Year of Menopause

date

C0521425 (NCI Metathesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C3231 (NCI Thesaurus Property)
C0025320 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C29848 (NCI Thesaurus ValueDomain)
C0439234 (UMLS 2011AA ValueDomain)

PatientPregnancyCount

Item

Number of pregnancies

double

C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C25742 (NCI Thesaurus Property)
C0032961 (UMLS 2011AA Property)

PatientPregnancySpontaneousAbortionCount

Item

Number of miscarriages/spontaneous abortions

double

PatientPregnancyTherapeuticAbortionCount

Item

Number of Therapeutic abortions

double

LaboratoryProcedureEstradiolResultSpecifiedValue

Item

Estradiol (pg/ml)

double

C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C2295 (NCI Thesaurus Property)
C0014912 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

LaboratoryProcedureFollicleStimulatingHormoneResultSpecifiedValue

Item

Follicle Stimulating Hormone (FSH IU/L)

double

C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C2286 (NCI Thesaurus Property)
C0733758 (UMLS 2011AA Property)

LaboratoryProcedureLuteinizingHormoneOutcomeSpecifiedValue

Item

Luteinizing Hormone (LH IU/L)

double

LaboratoryProcedureFollicleStimulatingHormoneResultSpecifiedUpperLimitofNormalValue

Item

Institutional ULN for FSH (IU/L)

double

C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C2286 (NCI Thesaurus Property)
C0733758 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain)
C1519815 (UMLS 2011AA ValueDomain)

LaboratoryProcedureLuteinizingHormoneOutcomeSpecifiedUpperLimitofNormalValue

Item

Institutional ULN for LH (IU/L)

double

C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C2287 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain)
C1519815 (UMLS 2011AA ValueDomain)

PatientConceptionCount

Item

Number of Conceptions

double

C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C16465 (NCI Thesaurus Property)
C0009637 (UMLS 2011AA Property)

PatientConceptionSpontaneousAbortionCount

Item

Number of Conceptions miscarried/spontaneously aborted

double

PatientConceptionTherapeuticAbortionCount

Item

Number of Conceptions therapeutically aborted

double

LaboratoryProcedureSpermatozoonCellMotilityOutcomePercentageValue

Item

Sperm Motility (%)

double

C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C12602 (NCI Thesaurus Property)
C16404 (NCI Thesaurus Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

LaboratoryProcedureSpermatozoonOutcomeSpecifiedValue

Item

Number of Sperm in Ejaculate (# million/ml x concentration)

double

LaboratoryProcedureTestosteroneResultSpecifiedValue

Item

Testosterone (ng/dL)

double

C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C2299 (NCI Thesaurus Property)
C0039601 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

PatientHeightMeasurement

Item

Patient Height (cm)

double

C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS 2011AA Property)

PediatricEndocrineGrowthMeasureValue

Item

Growth Velocity (cm/year)

double

C0521425 (NCI Metathesaurus ObjectClass)
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C25209 (NCI Thesaurus Property)
C0242485 (UMLS 2011AA Property)
C18825 (NCI Thesaurus Property)
C0018270 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)

PatientWeightMeasurement

Item

Patient Weight (kg)

double

C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25208 (NCI Thesaurus Property)
C0043100 (UMLS 2011AA Property)

PediatricEndocrineTannerStageInd-2

Item

Was Tanner staging done

text

C0521425 (NCI Metathesaurus ObjectClass)
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
CL160654 (NCI Metathesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)

CL.57

Code List

Was Tanner staging done

CL Item

Yes (yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

No (no)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

PediatricEndocrineGenitalGrowthTannerScore

Item

Genitalia Stage (enter 1-5)

double

C0521425 (NCI Metathesaurus ObjectClass)
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C13348 (NCI Thesaurus Property)
C0559522 (UMLS 2011AA Property)
C18825 (NCI Thesaurus Property)
C0018270 (UMLS 2011AA Property)
C25338 (NCI Thesaurus ValueDomain)
C0449820 (UMLS 2011AA ValueDomain)

PediatricEndocrineTesticleVolumeSpecifiedValue

Item

Testicular Volume (mL)

double

C0521425 (NCI Metathesaurus ObjectClass)
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
CL201005 (NCI Metathesaurus Property)

PediatricEndocrinePubicGrowthTannerScore

Item

Pubic Hair Stage (enter 1-5)

double

C0521425 (NCI Metathesaurus ObjectClass)
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C18825 (NCI Thesaurus Property)
C0018270 (UMLS 2011AA Property)
C33424 (NCI Thesaurus Property)
C25338 (NCI Thesaurus ValueDomain)
C0449820 (UMLS 2011AA ValueDomain)

PediatricEndocrinePubicGrowthTannerScore

Item

Pubic Hair Stage (enter 1-5)

double

PediatricEndocrineBreastGrowthTannerScore

Item

Breasts Stage (enter 1-5)

double

C0521425 (NCI Metathesaurus ObjectClass)
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C12971 (NCI Thesaurus Property)
C0006141 (UMLS 2011AA Property)
C18825 (NCI Thesaurus Property)
C0018270 (UMLS 2011AA Property)
C25338 (NCI Thesaurus ValueDomain)
C0449820 (UMLS 2011AA ValueDomain)

PediatricEndocrineMensesOnsetInd-2

Item

Menarche

text

C0521425 (NCI Metathesaurus ObjectClass)
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C3232 (NCI Thesaurus Property)
C0025344 (UMLS 2011AA Property)
C25279 (NCI Thesaurus Property)
C0332162 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)

CL.58

Code List

Menarche

CL Item

Yes (yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

No (no)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

PediatricEndocrineMensesOnsetAge-Years

Item

Patient Age at Menarche (If yes, year)

double

C0521425 (NCI Metathesaurus ObjectClass)
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C3232 (NCI Thesaurus Property)
C0025344 (UMLS 2011AA Property)
C25279 (NCI Thesaurus Property)
C0332162 (UMLS 2011AA Property)
C29848 (NCI Thesaurus ValueDomain)
C0439234 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)

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On-Study - Hodgkins Lymphoma - On-Study Form - 2271441v3.0

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