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3441

Beschrijving

Pediatric Soft Tissue Sarcoma - On-Study Form Recurrent Treatment Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E4053EE1-90D1-2ED9-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E4053EE1-90D1-2ED9-E034-0003BA3F9857

Trefwoorden

Versies (3)
  1. 20-09-12 20-09-12 -
  2. 09-01-15 09-01-15 - Martin Dugas
  3. 09-01-15 09-01-15 - Martin Dugas
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20 september 2012

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy
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    On-Study - Pediatric Soft Tissue Sarcoma - On-Study Form Recurrent Treatment - 2292588v3.0

    Engels

    No Instruction available.

    1 Formulieren  
    1. StudyEvent: Pediatric Soft Tissue Sarcoma - On-Study Form Recurrent Treatment
      1. No Instruction available.
    Crf Header
    Beschrijving

    Crf Header

    Coordinating Group Protocol No.
    Beschrijving

    ProtocolCoordinatingIdentifierNumber

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C25320
    UMLS 2011AA ObjectClass
    C1507394
    NCI Thesaurus Property
    C25462
    UMLS 2011AA Property
    C0700114
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Coordinating Group Code
    Beschrijving

    CoordinatingGroupIdentifierCode

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS 2011AA ValueDomain
    C0805701
    NCI Thesaurus ObjectClass
    C17005
    UMLS 2011AA ObjectClass
    C1257890
    NCI Thesaurus ObjectClass
    C25462
    UMLS 2011AA ObjectClass
    C0700114
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Protocol Title
    Beschrijving

    ProtocolTitleName

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus ObjectClass
    C25320
    UMLS 2011AA ObjectClass
    C1507394
    NCI Thesaurus Property
    C42774
    UMLS 2011AA Property
    C1705823
    Patient Study ID
    Beschrijving

    PatientCoordinatingIdentifierNumber

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25462
    UMLS 2011AA Property
    C0700114
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Institution/Affiliate
    Beschrijving

    CombinedInstitutionName

    Datatype

    text

    Alias
    NCI Thesaurus ObjectClass
    C25454
    UMLS 2011AA ObjectClass
    C0205195
    NCI Thesaurus ObjectClass
    C21541
    UMLS 2011AA ObjectClass
    C0018704
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus ValueDomain
    C21541
    UMLS 2011AA ValueDomain
    C0018704
    Other Patient ID
    Beschrijving

    PatientParticipatingIdentifierNumber

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25608
    UMLS 2011AA Property
    C0679823
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Participating Group Code
    Beschrijving

    ParticipatingGroupIdentifierCode

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS 2011AA ValueDomain
    C0805701
    NCI Thesaurus ObjectClass
    C25608
    UMLS 2011AA ObjectClass
    C0679823
    NCI Thesaurus ObjectClass
    C17005
    UMLS 2011AA ObjectClass
    C1257890
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Patient Name (initials acceptable)
    Beschrijving

    PatientName

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Sarcoma: Form Administration
    Beschrijving

    Sarcoma: Form Administration

    Person Completing Form
    Beschrijving

    ResponsiblePersonName

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus ObjectClass
    C25657
    UMLS 2011AA ObjectClass
    C1273518
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Are data amended (If data are amended, please circle in red when using paper form)
    Beschrijving

    DataAmendedInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C25474
    UMLS 2011AA ObjectClass
    C1511726
    NCI Thesaurus Property
    C25416
    UMLS 2011AA Property
    C1691222
    Pediatric Soft Tissue Sarcoma: Recurrent Disease Description
    Beschrijving

    Pediatric Soft Tissue Sarcoma: Recurrent Disease Description

    Date of Initial Pathologic Diagnosis (not relapse)
    Beschrijving

    CancerInitialDiagnosisDate

    Datatype

    date

    Alias
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus Property
    C25509
    UMLS 2011AA Property
    C1279901
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain
    C25367
    Recurrence date (MM DD YYYY)
    Beschrijving

    DiseaseRecurrenceDate

    Datatype

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain
    C25367
    NCI Thesaurus Property
    C3352
    UMLS 2011AA Property
    C0034897
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Biopsy Type (at time of relapse)
    Beschrijving

    BiopsyProcedure

    Datatype

    text

    Alias
    NCI Thesaurus ObjectClass
    C15189
    UMLS 2011AA ObjectClass
    C0005558
    NCI Thesaurus Property
    C15368
    NCI Thesaurus ValueDomain
    C25218
    UMLS 2011AA ValueDomain
    C1948041
    Other specify
    Beschrijving

    BiopsyDescriptionSpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C15189
    UMLS 2011AA ObjectClass
    C0005558
    NCI Thesaurus Property
    C25365
    UMLS 2011AA Property
    C0678257
    Site(s) of Disease (check all that apply)
    Beschrijving

    DiseaseSite

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS 2011AA ValueDomain
    C1515974
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Lymph Nodes Specify
    Beschrijving

    LymphNodeInvolvementSiteSpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus Property
    C25548
    UMLS 2011AA Property
    C1314939
    Other specify (If Yes,)
    Beschrijving

    DiseaseInvolvedSiteSpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus Property
    C25547
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Other specify (If Yes,)
    Beschrijving

    DiseaseInvolvedSiteSpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus Property
    C25547
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Intracranial Tumor Extension (check all that apply)
    Beschrijving

    IntracranialTumorExtensionType

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus Property
    C25270
    UMLS 2011AA Property
    C0231448
    NCI Thesaurus ObjectClass
    C38236
    UMLS 2011AA ObjectClass
    C1522213
    Other specify
    Beschrijving

    IntracranialTumorExtensionSpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus Property
    C25270
    UMLS 2011AA Property
    C0231448
    NCI Thesaurus ObjectClass
    C38236
    UMLS 2011AA ObjectClass
    C1522213
    Relapsed at primary site?
    Beschrijving

    DiseasePrimaryRelapseInd-2

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C18265
    NCI Thesaurus Property
    C25251
    UMLS 2011AA Property
    C0205225
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Relapsed at regional site?
    Beschrijving

    DiseaseRegionalRelapseInd-2

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C18265
    NCI Thesaurus Property
    C25643
    UMLS 2011AA Property
    C0205147
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Relapsed at distant site?
    Beschrijving

    DiseaseDistantRelapseInd-2

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C18265
    NCI Thesaurus Property
    C25321
    UMLS 2011AA Property
    C0443203
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Number of Regional Lymph Nodes Examined
    Beschrijving

    RegionalLymphNodeExaminedCount

    Datatype

    double

    Alias
    NCI Thesaurus Property
    C25500
    UMLS 2011AA Property
    C0332128
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus ObjectClass
    C25643
    UMLS 2011AA ObjectClass
    C0205147
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    Number of Positive Lymph Nodes
    Beschrijving

    LymphNodePositiveCount

    Datatype

    double

    Alias
    NCI Thesaurus Property
    C25246
    UMLS 2011AA Property
    C1446409
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    Regional lymph nodes
    Beschrijving

    RegionalLymphNodeInvolvedInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus ObjectClass
    C25643
    UMLS 2011AA ObjectClass
    C0205147
    NCI Thesaurus Property
    C25547
    Distant lymph nodes
    Beschrijving

    DistantLymphNodeInvolvedInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus ObjectClass
    C25321
    UMLS 2011AA ObjectClass
    C0443203
    NCI Thesaurus Property
    C25547
    Other distant or metastatic site?
    Beschrijving

    MalignantNeoplasmDistantMetastaticInvolvementInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ObjectClass
    C14174
    UMLS 2011AA ObjectClass
    C0036525
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus Property
    C14174
    UMLS 2011AA Property
    C0036525
    NCI Thesaurus Property
    C25321
    UMLS 2011AA Property
    C0443203
    NCI Thesaurus Property
    C25548
    UMLS 2011AA Property
    C1314939
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Status of Primary Tumor
    Beschrijving

    PrimaryTumorResectionType

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass
    C25251
    UMLS 2011AA ObjectClass
    C0205225
    NCI Thesaurus Property
    C15232
    UMLS 2011AA Property
    C0728940
    Histologic Type (check all that apply)
    Beschrijving

    SarcomaHistologicCategory

    Datatype

    text

    Alias
    NCI Thesaurus ObjectClass
    C9118
    UMLS 2011AA ObjectClass
    C1261473
    NCI Thesaurus Property
    C25526
    UMLS 2011AA Property
    C0205462
    NCI Thesaurus Property
    C25161
    UMLS 2011AA Property
    C0008902
    NCI Thesaurus ValueDomain
    C25372
    UMLS 2011AA ValueDomain
    C0683312
    NCI Thesaurus ValueDomain
    C25526
    UMLS 2011AA ValueDomain
    C0205462
    Other specify
    Beschrijving

    TumorHistologicCategorySpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus Property
    C25526
    UMLS 2011AA Property
    C0205462
    NCI Thesaurus Property
    C25161
    UMLS 2011AA Property
    C0008902
    Histologic Subtype (specify)
    Beschrijving

    SarcomaHistologicSubcategorySpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C9118
    UMLS 2011AA ObjectClass
    C1261473
    NCI Thesaurus Property
    C25526
    UMLS 2011AA Property
    C0205462
    NCI Thesaurus Property
    C25692
    UMLS 2011AA Property
    C1515010
    Histologic Grade, French System (check highest grade)
    Beschrijving

    SarcomaTumorFrenchClassificationHistologicGrade

    Datatype

    text

    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass
    C9118
    UMLS 2011AA ObjectClass
    C1261473
    NCI Thesaurus Property
    C43854
    UMLS 2011AA Property
    C1556084
    NCI Thesaurus Property
    C25161
    UMLS 2011AA Property
    C0008902
    NCI Thesaurus ValueDomain
    C25526
    UMLS 2011AA ValueDomain
    C0205462
    NCI Thesaurus ValueDomain
    C18000
    UMLS 2011AA ValueDomain
    C0919553
    Pediatric Soft Tissue Sarcoma: Prior Health History
    Beschrijving

    Pediatric Soft Tissue Sarcoma: Prior Health History

    Does the patient have a chronic disease associated with this cancer?
    Beschrijving

    ChronicDiseaseDiagnosisInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    NCI Thesaurus ObjectClass
    C14141
    UMLS 2011AA ObjectClass
    C0205191
    Current Medical Conditions (currently symptomatic or on medications for)
    Beschrijving

    PatientMedicalConditionCurrentType

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25261
    UMLS 2011AA Property
    C0205476
    NCI Thesaurus Property
    C25457
    UMLS 2011AA Property
    C0348080
    Other malignancies specify
    Beschrijving

    MalignantDiseaseOtherPresentSpecify

    Datatype

    text

    Alias
    NCI Thesaurus ObjectClass
    C14143
    UMLS 2011AA ObjectClass
    C0205282
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus Property
    C17649
    UMLS 2011AA Property
    C0205394
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    Other specify
    Beschrijving

    PatientMedicalConditionCurrentSpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ValueDomain
    C25471
    UMLS 2011AA ValueDomain
    C0521116
    NCI Thesaurus Property
    C25261
    UMLS 2011AA Property
    C0205476
    NCI Thesaurus Property
    C25457
    UMLS 2011AA Property
    C0348080
    Congenital abnormalities
    Beschrijving

    PatientCongenitalAbnormalityType

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C2849
    UMLS 2011AA Property
    C0000768
    Other specify
    Beschrijving

    PatientCongenitalAbnormalitySpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C2849
    UMLS 2011AA Property
    C0000768
    Family history of neurofibromatosis?
    Beschrijving

    NeurofibromatosisFamilyMedicalHistoryInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C6727
    UMLS 2011AA ObjectClass
    C0162678
    NCI Thesaurus Property
    C17726
    UMLS 2011AA Property
    C0241889
    Sarcoma: Prior Treatment
    Beschrijving

    Sarcoma: Prior Treatment

    Prior Treatment?
    Beschrijving

    CancerPriorTreatmentInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus Property
    C15368
    Prior Systemic Chemotherapy?
    Beschrijving

    PriorChemotherapyAdministeredInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Prior Immunotherapy?
    Beschrijving

    PriorImmunotherapyAdministeredInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C15262
    UMLS 2011AA ObjectClass
    C0021083
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Prior Radiation Therapy?
    Beschrijving

    PriorRTAdministeredInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C15313
    UMLS 2011AA ObjectClass
    C1522449
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Prior Surgery?
    Beschrijving

    PriorSurgeryPerformedInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus ObjectClass
    C15329
    UMLS 2011AA ObjectClass
    C0543467
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    Type of Prior Primary Surgery
    Beschrijving

    PrimarySurgeryPriorPerformedText

    Datatype

    text

    Alias
    NCI Thesaurus ObjectClass
    C25251
    UMLS 2011AA ObjectClass
    C0205225
    NCI Thesaurus ObjectClass
    C15329
    UMLS 2011AA ObjectClass
    C0543467
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    Prior Primary Surgery Date (MM DD YYYY)
    Beschrijving

    PrimarySurgeryPriorPerformedDate

    Datatype

    date

    Alias
    NCI Thesaurus ObjectClass
    C25251
    UMLS 2011AA ObjectClass
    C0205225
    NCI Thesaurus ObjectClass
    C15329
    UMLS 2011AA ObjectClass
    C0543467
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Any Other Prior Therapy?
    Beschrijving

    PriorTherapyOtherAdministeredInd-3

    Datatype

    text

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C17649
    UMLS 2011AA Property
    C0205394
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Yes, specify
    Beschrijving

    PriorTherapyAdministeredSpecify

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Sarcoma: Prior Treatment - Systemic Regimens
    Beschrijving

    Sarcoma: Prior Treatment - Systemic Regimens

    Prior Treatment Regimen Name (Drug, Agent, Biologic)
    Beschrijving

    PriorTreatmentRegimenName

    Datatype

    text

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    NCI Thesaurus ValueDomain
    C42614
    UMLS 2011AA ValueDomain
    C0027365
    Prior Treatment Regimen Start Date (MM DD YYYY)
    Beschrijving

    PriorTreatmentRegimenBeginDate

    Datatype

    date

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain
    C25431
    UMLS 2011AA ValueDomain
    C0439659
    Prior Treatment Regimen End Date (MM DD YYYY)
    Beschrijving

    PriorTreatmentRegimenEndDate

    Datatype

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    Prior Treatment Regimen Type (Adjuvant, High Dose)
    Beschrijving

    PriorTreatmentRegimenText

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    Comments
    Beschrijving

    Comments

    Comments
    Beschrijving

    ResearchCommentsText

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    UMLS 2011AA Property
    C0282411
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    1. StudyEvent: Pediatric Soft Tissue Sarcoma - On-Study Form Recurrent Treatment
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    Alias
    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)
    Item Group
    Sarcoma: 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)
    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)
    Item Group
    Pediatric Soft Tissue Sarcoma: Recurrent Disease Description
    CancerInitialDiagnosisDate
    Item
    Date of Initial Pathologic Diagnosis (not relapse)
    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)
    DiseaseRecurrenceDate
    Item
    Recurrence date (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain)
    C3352 (NCI Thesaurus Property)
    C0034897 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    Item
    Biopsy Type (at time of relapse)
    text
    C15189 (NCI Thesaurus ObjectClass)
    C0005558 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus Property)
    C25218 (NCI Thesaurus ValueDomain)
    C1948041 (UMLS 2011AA ValueDomain)
    CL.2
    Code List
    Biopsy Type (at time of relapse)
    CL Item
    Incisional (Incisional)
    CL Item
    Excisional (Excisional)
    CL Item
    Trucut Needle (TruCut needle)
    CL Item
    Large Bore Needle (Large bore needle)
    CL Item
    Other, Specify (Other specify)
    BiopsyDescriptionSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C15189 (NCI Thesaurus ObjectClass)
    C0005558 (UMLS 2011AA ObjectClass)
    C25365 (NCI Thesaurus Property)
    C0678257 (UMLS 2011AA Property)
    Item
    Site(s) of Disease (check all that apply)
    text
    C13717 (NCI Thesaurus ValueDomain)
    C1515974 (UMLS 2011AA ValueDomain)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    CL.3
    Code List
    Site(s) of Disease (check all that apply)
    CL Item
    Bone (Bone)
    C12366 (NCI Thesaurus)
    C0262950 (UMLS 2011AA)
    CL Item
    Bone Marrow (Bone marrow)
    C12431 (NCI Thesaurus)
    C0005953 (UMLS 2011AA)
    CL Item
    Soft Tissue (Soft tissue)
    C12471 (NCI Thesaurus)
    C0225317 (UMLS 2011AA)
    CL Item
    Cns/brain (CNS/brain)
    CL Item
    Lung (Lung)
    C12468 (NCI Thesaurus)
    C0024109 (UMLS 2011AA)
    CL Item
    Chest Wall/ribs (Chest wall/ribs)
    CL Item
    Mediastinum (Mediastinum)
    C12748 (NCI Thesaurus)
    C0025066 (UMLS 2011AA)
    CL Item
    Pleura (Pleura)
    C12469 (NCI Thesaurus)
    C0032225 (UMLS 2011AA)
    CL Item
    Pericardium (Pericardium)
    C13005 (NCI Thesaurus)
    C0031050 (UMLS 2011AA)
    CL Item
    Liver (Liver)
    C12392 (NCI Thesaurus)
    C0023884 (UMLS 2011AA)
    CL Item
    Abdominal Organs (Abdominal organs)
    CL Item
    Ascites (Ascites)
    C2885 (NCI Thesaurus)
    C0003962 (UMLS 2011AA)
    CL Item
    Peritoneum (Peritoneum)
    C12770 (NCI Thesaurus)
    C0031153 (UMLS 2011AA)
    CL Item
    Retroperitoneum (Retroperitoneum)
    C12298 (NCI Thesaurus)
    C0035359 (UMLS 2011AA)
    CL Item
    Skin (Skin)
    C12470 (NCI Thesaurus)
    C1123023 (UMLS 2011AA)
    CL Item
    Lymph Nodes, Specify (Lymph nodes specify)
    CL Item
    Other, Specify (Other specify)
    LymphNodeInvolvementSiteSpecify
    Item
    Lymph Nodes 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)
    C25548 (NCI Thesaurus Property)
    C1314939 (UMLS 2011AA Property)
    DiseaseInvolvedSiteSpecify
    Item
    Other specify (If Yes,)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C25547 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    DiseaseInvolvedSiteSpecify
    Item
    Other specify (If Yes,)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C25547 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    Item
    Intracranial Tumor Extension (check all that apply)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25270 (NCI Thesaurus Property)
    C0231448 (UMLS 2011AA Property)
    C38236 (NCI Thesaurus ObjectClass)
    C1522213 (UMLS 2011AA ObjectClass)
    CL.4
    Code List
    Intracranial Tumor Extension (check all that apply)
    CL Item
    Intracranial Extension (Intracranial extension)
    CL Item
    Cranial Nerve Palsy (Cranial nerve palsy)
    CL Item
    Base Of Skull Erosion (Base of skull erosion)
    CL Item
    Other, Specify (Other specify)
    IntracranialTumorExtensionSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25270 (NCI Thesaurus Property)
    C0231448 (UMLS 2011AA Property)
    C38236 (NCI Thesaurus ObjectClass)
    C1522213 (UMLS 2011AA ObjectClass)
    Item
    Relapsed at primary site?
    text
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C18265 (NCI Thesaurus Property)
    C25251 (NCI Thesaurus Property)
    C0205225 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    CL.5
    Code List
    Relapsed at primary site?
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    Item
    Relapsed at regional site?
    text
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C18265 (NCI Thesaurus Property)
    C25643 (NCI Thesaurus Property)
    C0205147 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    CL.6
    Code List
    Relapsed at regional site?
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    Item
    Relapsed at distant site?
    text
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C18265 (NCI Thesaurus Property)
    C25321 (NCI Thesaurus Property)
    C0443203 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    CL.7
    Code List
    Relapsed at distant site?
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    RegionalLymphNodeExaminedCount
    Item
    Number of Regional Lymph Nodes Examined
    double
    C25500 (NCI Thesaurus Property)
    C0332128 (UMLS 2011AA Property)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25643 (NCI Thesaurus ObjectClass)
    C0205147 (UMLS 2011AA ObjectClass)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    LymphNodePositiveCount
    Item
    Number of Positive Lymph Nodes
    double
    C25246 (NCI Thesaurus Property)
    C1446409 (UMLS 2011AA Property)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    Item
    Regional lymph nodes
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25643 (NCI Thesaurus ObjectClass)
    C0205147 (UMLS 2011AA ObjectClass)
    C25547 (NCI Thesaurus Property)
    CL.8
    Code List
    Regional lymph nodes
    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)
    Item
    Distant lymph nodes
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25321 (NCI Thesaurus ObjectClass)
    C0443203 (UMLS 2011AA ObjectClass)
    C25547 (NCI Thesaurus Property)
    CL.9
    Code List
    Distant lymph nodes
    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)
    Item
    Other distant or metastatic site?
    text
    C14174 (NCI Thesaurus ObjectClass)
    C0036525 (UMLS 2011AA ObjectClass)
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C14174 (NCI Thesaurus Property)
    C0036525 (UMLS 2011AA Property)
    C25321 (NCI Thesaurus Property)
    C0443203 (UMLS 2011AA Property)
    C25548 (NCI Thesaurus Property)
    C1314939 (UMLS 2011AA Property)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    CL.10
    Code List
    Other distant or metastatic site?
    CL Item
    Yes (YES)
    CL Item
    No (NO)
    CL Item
    Unknown (UNKNOWN)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item
    Status of Primary Tumor
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25251 (NCI Thesaurus ObjectClass)
    C0205225 (UMLS 2011AA ObjectClass)
    C15232 (NCI Thesaurus Property)
    C0728940 (UMLS 2011AA Property)
    CL.11
    Code List
    Status of Primary Tumor
    CL Item
    Unresected (Unresected)
    CL Item
    Not Recurrent, Resected, No Residual Tumor (Not recurrent, resected, no residual tumor)
    CL Item
    Not Recurrent, Resected, Residual Tumor (Not recurrent, resected, residual tumor)
    CL Item
    Recurrent (Recurrent)
    C14173 (NCI Thesaurus)
    C2945760 (UMLS 2011AA)
    Item
    Histologic Type (check all that apply)
    text
    C9118 (NCI Thesaurus ObjectClass)
    C1261473 (UMLS 2011AA ObjectClass)
    C25526 (NCI Thesaurus Property)
    C0205462 (UMLS 2011AA Property)
    C25161 (NCI Thesaurus Property)
    C0008902 (UMLS 2011AA Property)
    C25372 (NCI Thesaurus ValueDomain)
    C0683312 (UMLS 2011AA ValueDomain)
    C25526 (NCI Thesaurus ValueDomain)
    C0205462 (UMLS 2011AA ValueDomain)
    CL.12
    Code List
    Histologic Type (check all that apply)
    CL Item
    Embryonal Rhabdomyosarcoma (Embryonal rhabdomyosarcoma)
    CL Item
    Botryoid Rhabdomyosarcoma (Botryoid rhabdomyosarcoma)
    CL Item
    Spindle Cell Rhabdomyosarcoma (Spindle cell rhabdomyosarcoma)
    CL Item
    Alveolar Rhabdomyosarcoma (Alveolar rhabdomyosarcoma)
    CL Item
    Pleomorphic Rhabdomyosarcoma (Pleomorphic rhabdomyosarcoma)
    CL Item
    Rhabdomyosarcoma Nos (Rhabdomyosarcoma NOS)
    CL Item
    Extraskeletal Ewing's/pnet (Extraskeletal Ewing's/PNET)
    CL Item
    Synovial Sarcoma (Synovial sarcoma)
    C3400 (NCI Thesaurus)
    C0039101 (UMLS 2011AA)
    CL Item
    Maligant Peripheral Nerve Sheath Tumor (Malignant peripheral nerve sheath tumor)
    CL Item
    Infantile Fibrosarcoma (Infantile fibrosarcoma)
    CL Item
    Fibrosacoma, Nos (Fibrosacoma NOS)
    CL Item
    Dermatofibrosarcoma Protuberans (Dermatofibrosarcoma protuberans)
    CL Item
    Myxofibrosarcoma (Myxofibrosarcoma)
    CL Item
    Solitary Fibrous Tumor/hemangiopericytoma (Solitary fibrous tumor/hemangiopericytoma)
    CL Item
    Undifferentiated Pleomorphic Sarcoma/"mfh" (Undifferentiated pleomorphic sarcoma/"MFH")
    CL Item
    Well Differentiated Liposarcoma (Well differentiated liposarcoma)
    CL Item
    Dedifferentiated Liposarcoma (Dedifferentiated liposarcoma)
    CL Item
    Myxoid Liposarcoma (Myxoid liposarcoma)
    CL Item
    Pleomorphic Liposarcoma (Pleomorphic liposarcoma)
    CL Item
    Liposarcoma Nos (Liposarcoma NOS)
    CL Item
    Leiomyosarcoma (Leiomyosarcoma)
    C3158 (NCI Thesaurus)
    C0023269 (UMLS 2011AA)
    CL Item
    Gastrointestinal Stromal Tumor (gist) (Gastrointestinal stromal tumor (GIST))
    CL Item
    Extraskeletal Myxoid Chondrosarcoma (Extraskeletal myxoid chondrosarcoma)
    CL Item
    Extraskeletal Mesenchymal Chondrosarcoma (Extraskeletal mesenchymal chondrosarcoma)
    CL Item
    Extraskeletal Osteosarcoma (Extraskeletal osteosarcoma)
    CL Item
    Angiosarcoma (Angiosarcoma)
    C3088 (NCI Thesaurus)
    C0018923 (UMLS 2011AA)
    CL Item
    Kaposi Sarcoma (Kaposi sarcoma)
    C9087 (NCI Thesaurus)
    C0036220 (UMLS 2011AA)
    CL Item
    Epithelioid Sarcoma (Epithelioid sarcoma)
    CL Item
    Alveolar Soft Part Sarcoma (Alveolar soft part sarcoma)
    CL Item
    Clear Cell Sarcoma (mmsp) (Clear cell sarcoma (MMSP))
    CL Item
    Desmoplastic Small Cell Tumor (Desmoplastic small cell tumor)
    CL Item
    Malignant Mesenchymoma (Malignant mesenchymoma)
    CL Item
    Soft Tissue Sarcoma Nos (Soft tissue sarcoma NOS)
    CL Item
    Endometrial Stromal Sarcoma (Endometrial stromal sarcoma)
    C8973 (NCI Thesaurus)
    C0206630 (UMLS 2011AA)
    CL Item
    Uterine Leiomyosarcoma (Uterine leiomyosarcoma)
    CL Item
    Uterine Carcinosarcoma (mixed Mesodermal Sarcoma) (Uterine carcinosarcoma (mixed mesodermal sarcoma))
    CL Item
    Uterine Sarcoma Nos (Uterine sarcoma NOS)
    CL Item
    Undifferentiated Sarcoma (Undifferentiated sarcoma)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Other Specify (Other specify)
    TumorHistologicCategorySpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25526 (NCI Thesaurus Property)
    C0205462 (UMLS 2011AA Property)
    C25161 (NCI Thesaurus Property)
    C0008902 (UMLS 2011AA Property)
    SarcomaHistologicSubcategorySpecify
    Item
    Histologic Subtype (specify)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C9118 (NCI Thesaurus ObjectClass)
    C1261473 (UMLS 2011AA ObjectClass)
    C25526 (NCI Thesaurus Property)
    C0205462 (UMLS 2011AA Property)
    C25692 (NCI Thesaurus Property)
    C1515010 (UMLS 2011AA Property)
    Item
    Histologic Grade, French System (check highest grade)
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C9118 (NCI Thesaurus ObjectClass)
    C1261473 (UMLS 2011AA ObjectClass)
    C43854 (NCI Thesaurus Property)
    C1556084 (UMLS 2011AA Property)
    C25161 (NCI Thesaurus Property)
    C0008902 (UMLS 2011AA Property)
    C25526 (NCI Thesaurus ValueDomain)
    C0205462 (UMLS 2011AA ValueDomain)
    C18000 (NCI Thesaurus ValueDomain)
    C0919553 (UMLS 2011AA ValueDomain)
    CL.13
    Code List
    Histologic Grade, French System (check highest grade)
    CL Item
    Grade I (Grade I)
    CL Item
    Grade Ii (Grade II)
    CL Item
    Grade Iii (Grade III)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item Group
    Pediatric Soft Tissue Sarcoma: Prior Health History
    Item
    Does the patient have a chronic disease associated with this cancer?
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    C14141 (NCI Thesaurus ObjectClass)
    C0205191 (UMLS 2011AA ObjectClass)
    CL.14
    Code List
    Does the patient have a chronic disease associated with this cancer?
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    Item
    Current Medical Conditions (currently symptomatic or on medications for)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25261 (NCI Thesaurus Property)
    C0205476 (UMLS 2011AA Property)
    C25457 (NCI Thesaurus Property)
    C0348080 (UMLS 2011AA Property)
    CL.15
    Code List
    Current Medical Conditions (currently symptomatic or on medications for)
    CL Item
    Cerebrovascular Disease (Cerebrovascular disease)
    CL Item
    Cardiac Disease (Cardiac disease)
    CL Item
    High Blood Pressure (High blood pressure)
    CL Item
    Deep Vein Thrombosis (Deep vein thrombosis)
    CL Item
    Peripheral Vascular Disease (Peripheral vascular disease)
    CL Item
    Gastrointestinal Disease (Gastrointestinal disease)
    CL Item
    Diabetes (Diabetes)
    CL Item
    Neurologic Disease (Neurologic disease)
    CL Item
    Respiratory Problems (Respiratory problems)
    CL Item
    Other Malignancies, Specify (Other malignancies specify)
    CL Item
    Other, Specify (Other specify)
    MalignantDiseaseOtherPresentSpecify
    Item
    Other malignancies specify
    text
    C14143 (NCI Thesaurus ObjectClass)
    C0205282 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    PatientMedicalConditionCurrentSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25471 (NCI Thesaurus ValueDomain)
    C0521116 (UMLS 2011AA ValueDomain)
    C25261 (NCI Thesaurus Property)
    C0205476 (UMLS 2011AA Property)
    C25457 (NCI Thesaurus Property)
    C0348080 (UMLS 2011AA Property)
    Item
    Congenital abnormalities
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C2849 (NCI Thesaurus Property)
    C0000768 (UMLS 2011AA Property)
    CL.16
    Code List
    Congenital abnormalities
    CL Item
    None (None)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Downs Syndrome (Downs syndrome)
    CL Item
    Neurofibromatosis (Neurofibromatosis)
    CL Item
    Li-fraumeni Syndrome (Li-Fraumeni syndrome)
    CL Item
    Hemihypertrophy (Hemihypertrophy)
    CL Item
    Other, Specify (Other specify)
    PatientCongenitalAbnormalitySpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C2849 (NCI Thesaurus Property)
    C0000768 (UMLS 2011AA Property)
    Item
    Family history of neurofibromatosis?
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C6727 (NCI Thesaurus ObjectClass)
    C0162678 (UMLS 2011AA ObjectClass)
    C17726 (NCI Thesaurus Property)
    C0241889 (UMLS 2011AA Property)
    CL.17
    Code List
    Family history of neurofibromatosis?
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    Item Group
    Sarcoma: Prior Treatment
    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.18
    Code List
    Prior Treatment?
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    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.19
    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)
    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.20
    Code List
    Prior Immunotherapy?
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    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.21
    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)
    Item
    Prior Surgery?
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C15329 (NCI Thesaurus ObjectClass)
    C0543467 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    CL.22
    Code List
    Prior Surgery?
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    PrimarySurgeryPriorPerformedText
    Item
    Type of Prior Primary Surgery
    text
    C25251 (NCI Thesaurus ObjectClass)
    C0205225 (UMLS 2011AA ObjectClass)
    C15329 (NCI Thesaurus ObjectClass)
    C0543467 (UMLS 2011AA ObjectClass)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C25629 (NCI Thesaurus Property)
    C0332152 (UMLS 2011AA Property)
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    PrimarySurgeryPriorPerformedDate
    Item
    Prior Primary Surgery Date (MM DD YYYY)
    date
    C25251 (NCI Thesaurus ObjectClass)
    C0205225 (UMLS 2011AA ObjectClass)
    C15329 (NCI Thesaurus ObjectClass)
    C0543467 (UMLS 2011AA ObjectClass)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C25629 (NCI Thesaurus Property)
    C0332152 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    Item
    Any Other Prior Therapy?
    text
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass)
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    CL.23
    Code List
    Any Other Prior Therapy?
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    PriorTherapyAdministeredSpecify
    Item
    Yes, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Item Group
    Sarcoma: Prior Treatment - Systemic Regimens
    PriorTreatmentRegimenName
    Item
    Prior Treatment Regimen Name (Drug, Agent, Biologic)
    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)
    PriorTreatmentRegimenBeginDate
    Item
    Prior Treatment Regimen Start Date (MM DD YYYY)
    date
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass)
    C15697 (NCI Thesaurus Property)
    C0040808 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25431 (NCI Thesaurus ValueDomain)
    C0439659 (UMLS 2011AA ValueDomain)
    PriorTreatmentRegimenEndDate
    Item
    Prior Treatment Regimen End Date (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass)
    C15697 (NCI Thesaurus Property)
    C0040808 (UMLS 2011AA Property)
    PriorTreatmentRegimenText
    Item
    Prior Treatment Regimen Type (Adjuvant, High Dose)
    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)
    Item Group
    Comments
    ResearchCommentsText
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    C0282411 (UMLS 2011AA Property)
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