Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative
C1320722 (UMLS CUI-1)
Site Number
Item
Site Number
text
C2825164 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Patient Number
Item
Patient Number
text
C2348585 (UMLS CUI [1])
Patient Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Item Group
Laboratory Results (Week 3-13, 25) - Hematology
C1254595 (UMLS CUI-1)
C0018943 (UMLS CUI-2)
Hematology Date
Item
Hematology Date
date
C0474523 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Performed at primary lab listed on 1572? (Hematology)
Item
Performed at primary lab listed on 1572? (Hematology)
boolean
C0022885 (UMLS CUI [1,1])
C0018943 (UMLS CUI [1,2])
Item Group
Laboratory Results (Week 3-13, 25) - Hematology
C1254595 (UMLS CUI-1)
C0018943 (UMLS CUI-2)
Item
Laboratory Test (Hematology)
integer
C0018941 (UMLS CUI [1])
Code List
Laboratory Test (Hematology)
CL Item
WBC (10^3/mm^3) (1)
CL Item
RBC (10^6/mm^3) (2)
CL Item
Hemoglobin (g/dL) (3)
CL Item
Hematocrit (%) (4)
CL Item
Platelet Count (10^3/mm^3) (5)
CL Item
Neutrophils (10^3/mm^3) (segs + bands) (6)
CL Item
Lymphocytes (10^3/mm^3) (7)
CL Item
Monocytes (10^3/mm^3) (8)
CL Item
Eosinophils (10^3/mm^3) (9)
CL Item
Basophils (10^3/mm^3) (10)
CL Item
Other Differential (10^3/mm^3) (11)
Laboratory Test Result (Hematology)
Item
Laboratory Test Result (Hematology)
float
C0018941 (UMLS CUI [1,1])
C0587081 (UMLS CUI [1,2])
Item Group
Laboratory Results (Week 25) - Hematology
C1254595 (UMLS CUI-1)
C0018943 (UMLS CUI-2)
HAMA Date
Item
HAMA Date
date
C1291910 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
HAMA Result
integer
C1291910 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Item Group
Laboratory Results (Week 3, 13, 25) - Chemistry
C1254595 (UMLS CUI-1)
C0008000 (UMLS CUI-2)
Chemistry Date
Item
Chemistry Date
date
C0008000 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Performed at primary lab listed on 1572? (Chemistry)
Item
Performed at primary lab listed on 1572? (Chemistry)
boolean
C0022885 (UMLS CUI [1,1])
C0008000 (UMLS CUI [1,2])
Item Group
Laboratory Results (Week 3 and 13) - Chemistry
C1254595 (UMLS CUI-1)
C0008000 (UMLS CUI-2)
Item
Laboratory Test (Chemistry)
integer
C0525044 (UMLS CUI [1])
Code List
Laboratory Test (Chemistry)
CL Item
Sodium (mEq/L) (1)
CL Item
Potassium (mEq/L) (2)
CL Item
Chloride (mEq/L) (3)
CL Item
Creatinine (mg/dL) (5)
CL Item
AST/GOT (IU/L) (6)
CL Item
Alkaline Phosphatase (IU/L) (7)
CL Item
Total Bilirubin (mg/dL) (9)
Laboratory Test Result (Chemistry)
Item
Laboratory Test Result (Chemistry)
float
C0587081 (UMLS CUI [1,1])
C0008000 (UMLS CUI [1,2])
Item Group
Laboratory Results (Week 7) - Chemistry
C1254595 (UMLS CUI-1)
C0008000 (UMLS CUI-2)
Chemistry Date
Item
Chemistry Date
date
C0008000 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Performed at primary lab listed on 1572? (Chemistry)
Item
Performed at primary lab listed on 1572? (Chemistry)
boolean
C0022885 (UMLS CUI [1,1])
C0008000 (UMLS CUI [1,2])
Item Group
Laboratory Results (Week 7) - Chemistry
C1254595 (UMLS CUI-1)
C0008000 (UMLS CUI-2)
Item
Laboratory Test (Chemistry)
text
C0525044 (UMLS CUI [1])
Code List
Laboratory Test (Chemistry)
CL Item
Sodium (mEq/L) (1)
CL Item
Potassium (mEq/L) (2)
CL Item
Chloride (mEq/L) (3)
CL Item
Creatinine (mg/dL) (5)
CL Item
AST/GOT (IU/L) (6)
CL Item
Alkaline Phosphatase (IU/L) (7)
CL Item
Total Bilirubin (mg/dL) (9)
HAMA Date
Item
HAMA Date
date
C1291910 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
HAMA Result
integer
C1291910 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Item Group
Laboratory Results (Week 25) - Chemistry
C1254595 (UMLS CUI-1)
C0008000 (UMLS CUI-2)
Item
Laboratory Test (Chemistry)
integer
C0525044 (UMLS CUI [1])
Code List
Laboratory Test (Chemistry)
CL Item
Sodium (mEq/L) (1)
CL Item
Potassium (mEq/L) (2)
CL Item
Chloride (mEq/L) (3)
CL Item
Creatinine (mg/dL) (5)
CL Item
AST/GOT (IU/L) (6)
CL Item
Alkaline Phosphatase (IU/L) (7)
CL Item
Total Bilirubin (mg/dL) (9)
CL Item
Total T3 (mg/dL) (11)
CL Item
Free T4 (ug/dL) (12)
Laboratory Test Result (Chemistry)
Item
Laboratory Test Result (Chemistry)
text
C0587081 (UMLS CUI [1,1])
C0008000 (UMLS CUI [1,2])
Item Group
Physical Examination (Week 7, 13, 25)
C0031809 (UMLS CUI-1)
Item
Does the patient currently have evidence of "B" symptoms?
text
C1706867 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Code List
Does the patient currently have evidence of "B" symptoms?
Item
Current "B" symptoms
integer
C1706867 (UMLS CUI [1])
Code List
Current "B" symptoms
CL Item
Intermittent fevers (2)
Date of physical examination
Item
Date of physical examination
date
C2826643 (UMLS CUI [1])
Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Karnofsky Status
Item
Karnofsky Status
integer
C0206065 (UMLS CUI [1])
Respirations
Item
Respirations
integer
C0035203 (UMLS CUI [1])
Systolic Blood Pressure
Item
Systolic Blood Pressure
integer
C0871470 (UMLS CUI [1])
Diastolic Blood Pressure
Item
Diastolic Blood Pressure
integer
C0428883 (UMLS CUI [1])
Pulse
Item
Pulse
integer
C0232117 (UMLS CUI [1])
Temperature
Item
Temperature
float
C0005903 (UMLS CUI [1])
Item Group
Physical Examination (Week 7, 13, 25)
C0031809 (UMLS CUI-1)
Item
Organ/ System
integer
C0678852 (UMLS CUI [1])
CL Item
General Appearance (1)
CL Item
Genitourinary (9)
CL Item
Musculoskeletal (11)
Item
Result
integer
C1274040 (UMLS CUI [1])
If abnormal, specify
Item
If abnormal, specify
text
C0243095 (UMLS CUI [1,1])
C0205161 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item Group
Post-Treatment Response (Week 7, 13, 25) - CT or other Radiological Imaging Results
C0521982 (UMLS CUI-1)
C0040405 (UMLS CUI-2)
C0011923 (UMLS CUI-3)
C1274040 (UMLS CUI-4)
Item
Organ/System
integer
C0678852 (UMLS CUI [1])
Imaging Date
Item
Imaging Date
date
C0011923 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Imaging Not done
integer
C0011923 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
Code List
Imaging Not done
Item
Radiological Imaging
integer
C0011923 (UMLS CUI [1,1])
C1275506 (UMLS CUI [1,2])
Code List
Radiological Imaging
Specify other radiological imaging
Item
Specify other radiological imaging
text
C0011923 (UMLS CUI [1,1])
C1275506 (UMLS CUI [1,2])
C0205394 (UMLS CUI [2])
C2348235 (UMLS CUI [3])
Item
Radiological Imaging Result
integer
C0011923 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Code List
Radiological Imaging Result
CL Item
Abnormal (specify) (2)
Specify abnormal Imaging result
Item
Specify abnormal Imaging result
text
C0011923 (UMLS CUI [1,1])
C2826279 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item Group
Post-Treatment Response (Week 7, 13, 25) - Bone Marrow Biopsy
C0521982 (UMLS CUI-1)
C0699749 (UMLS CUI-2)
C0005954 (UMLS CUI-3)
Date of biopsy
Item
Date of biopsy
date
C0005558 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Bone Marrow Biopsy not done/not indicated
integer
C0005954 (UMLS CUI [1])
C1272696 (UMLS CUI [2])
C3146298 (UMLS CUI [3])
Code List
Bone Marrow Biopsy not done/not indicated
CL Item
Not indicated (patient not in CCR or CR) (2)
Item
Marrow cellularity
integer
C1561532 (UMLS CUI [1])
Code List
Marrow cellularity
CL Item
Hypercellular (3)
Tumor involvement
Item
Tumor involvement
float
C0006826 (UMLS CUI [1,1])
C1314939 (UMLS CUI [1,2])
Item
Tumor involvement
integer
C0006826 (UMLS CUI [1,1])
C1314939 (UMLS CUI [1,2])
Code List
Tumor involvement
Item Group
Post-Treatment Response (Week 7 and 13) - Received medication/transfusion
C0521982 (UMLS CUI-1)
C0013227 (UMLS CUI-2)
C1879316 (UMLS CUI-3)
Item
Has the patient received medication/transfusion?
integer
C0013227 (UMLS CUI [1])
C1879316 (UMLS CUI [2])
Code List
Has the patient received medication/transfusion?
CL Item
Platelet transfusion (2)
CL Item
RBC transfusion (3)
CL Item
Erythropoitein (4)
CL Item
Thrombopoietin (5)
Item Group
Post-Treatment Response (Week 7, 13, 25) - Measurable Lymphoma Disease
C0521982 (UMLS CUI-1)
C0024299 (UMLS CUI-2)
C1513041 (UMLS CUI-3)
Site
Item
Site
text
C1515974 (UMLS CUI [1])
Method of Determination
Item
Method of Determination
text
C2911685 (UMLS CUI [1])
Date of Measurement
Item
Date of Measurement
date
C0011008 (UMLS CUI [1,1])
C0242485 (UMLS CUI [1,2])
Tumor Measurments - Diameter 1
Item
Tumor Measurments - Diameter 1
float
C0475440 (UMLS CUI [1,1])
C1301886 (UMLS CUI [1,2])
Tumor Measurments - Diameter 2
Item
Tumor Measurments - Diameter 2
float
C0475440 (UMLS CUI [1,1])
C1301886 (UMLS CUI [1,2])
Tumor Measurment Result
Item
Tumor Measurment Result
float
C0475440 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Item Group
Post-Treatment Response (Week 7, 13, 25) - Non-Measurable Lymphoma Disease
C0521982 (UMLS CUI-1)
C0024299 (UMLS CUI-2)
Item
Non-Measurable Lymphoma Disease - Check if None
integer
C0024299 (UMLS CUI [1,1])
C1334988 (UMLS CUI [1,2])
Code List
Non-Measurable Lymphoma Disease - Check if None
Item Group
Post-Treatment Response (Week 7, 13, 25) - Non-Measurable Lymphoma Disease
C0521982 (UMLS CUI-1)
C0024299 (UMLS CUI-2)
C1334988 (UMLS CUI-3)
Site
Item
Site
text
C1515974 (UMLS CUI [1])
Method of Determination
Item
Method of Determination
text
C2911685 (UMLS CUI [1])
Date of Measurement
Item
Date of Measurement
date
C0011008 (UMLS CUI [1,1])
C0242485 (UMLS CUI [1,2])
Item
Disease Status
integer
C0012634 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
Item Group
Post-Treatment Response (Week 7, 13, 25) - Response
C0521982 (UMLS CUI-1)
Item
Response
integer
C0521982 (UMLS CUI [1])
Date of Response Evaluation
Item
Date of Response Evaluation
date
C0521982 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
Item Group
Signature of Investigator
C2346576 (UMLS CUI-1)
Signature of Investigator
Item
Signature of Investigator
text
C2346576 (UMLS CUI [1])
Signature of Investigator Date
Item
Signature of Investigator Date
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])