Name
Type
Description | Question | Decode (Coded Value)
Data type
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])
Series Page
Item
Series Page
text
C0205549 (UMLS CUI [1,1])
C1704732 (UMLS CUI [1,2])
Item Group
Physical Examination (Follow-Up)
C0031809 (UMLS CUI-1)
C1522577 (UMLS CUI-2)
Item
Please check the appropriate visit week
integer
C0545082 (UMLS CUI [1,1])
C0439230 (UMLS CUI [1,2])
Code List
Please check the appropriate visit week
CL Item
Week 52 (1 year) (1)
CL Item
Week 78 (1.5 years) (2)
CL Item
Week 104 (2 years) (3)
CL Item
Other Week, specify (4)
Specify other week
Item
Specify other week
integer
C0439230 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
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 (Follow-Up)
C0031809 (UMLS CUI-1)
C1522577 (UMLS CUI-2)
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
Laboratory Results - Hematology/ Chemistry (Follow-Up)
C1254595 (UMLS CUI-1)
C0018943 (UMLS CUI-3)
C0008000 (UMLS CUI-5)
C1522577 (UMLS CUI-7)
Item
Please check the appropriate visit week
integer
C0545082 (UMLS CUI [1,1])
C0439230 (UMLS CUI [1,2])
Code List
Please check the appropriate visit week
CL Item
Week 52 (1 year) (1)
CL Item
Week 78 (1.5 years) (2)
CL Item
Week 104 (2 years) (3)
CL Item
Other week, specify (4)
Specify other week
Item
Specify other week
text
C0439230 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item Group
Laboratory Results (Follow-Up) - Hematology
C1254595 (UMLS CUI-1)
C0018943 (UMLS CUI-2)
C1522577 (UMLS CUI-3)
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 (Follow-Up) - Hematology
C1254595 (UMLS CUI-1)
C0018943 (UMLS CUI-2)
C1522577 (UMLS CUI-3)
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 (Follow-Up) - Chemistry
C1254595 (UMLS CUI-1)
C0008000 (UMLS CUI-2)
C1522577 (UMLS CUI-3)
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 (Follow-Up) - Chemistry
C1254595 (UMLS CUI-1)
C0008000 (UMLS CUI-2)
C1522577 (UMLS CUI-3)
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 (ng/dL) (11)
CL Item
Free T4 (ug/dL) (12)
Laboratory Test Result (Chemistry)
Item
Laboratory Test Result (Chemistry)
float
C0587081 (UMLS CUI [1,1])
C0008000 (UMLS CUI [1,2])
Item Group
Post-Treatment Response (Follow -Up)
C0521982 (UMLS CUI-1)
Item
Please check the appropriate visit week
integer
C0545082 (UMLS CUI [1,1])
C0439230 (UMLS CUI [1,2])
Code List
Please check the appropriate visit week
CL Item
Week 52 (1 year) (1)
CL Item
Week 78 (1.5 years) (2)
CL Item
Week 104 (2 years) (3)
CL Item
Other Week, specify (4)
Specify other week
Item
Specify other week
integer
C0439230 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item Group
Post-Treatment Response (Follow-Up) - CT or other Radiological Imaging Results
C0521982 (UMLS CUI-1)
C0040405 (UMLS CUI-2)
C0011923 (UMLS CUI-3)
C1274040 (UMLS CUI-4)
C1522577 (UMLS CUI-5)
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 (Follow-Up) - Bone Marrow Biopsy
C0521982 (UMLS CUI-1)
C0699749 (UMLS CUI-2)
C0005954 (UMLS CUI-3)
C1522577 (UMLS CUI-4)
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 (Follow-Up) - Measurable Lymphoma Disease
C0521982 (UMLS CUI-1)
C0024299 (UMLS CUI-2)
C1513041 (UMLS CUI-3)
C1522577 (UMLS CUI-4)
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 (Follow-Up) - Non-Measurable Lymphoma Disease
C0521982 (UMLS CUI-1)
C0024299 (UMLS CUI-2)
C1522577 (UMLS CUI-3)
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 (Follow-Up) - Non-Measurable Lymphoma Disease
C0521982 (UMLS CUI-1)
C0024299 (UMLS CUI-2)
C1334988 (UMLS CUI-3)
C1522577 (UMLS CUI-4)
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 (Follow-Up) - Response
C0521982 (UMLS CUI-1)
C1522577 (UMLS CUI-2)
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])