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43103

Description

AMC-075 Baseline Lymphoma Disease Activity and Assessment Form (LAA) Vorinostat and Combination Chemotherapy With Rituximab in Treating Patients With Previously Untreated HIV-Related Diffuse Large B-Cell Non-Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9F16C635-12A6-DD97-E040-BB89AD43743A

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9F16C635-12A6-DD97-E040-BB89AD43743A

Keywords

  1. 9/19/12 9/19/12 -
  2. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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    NCT01193842 On-Study - AMC-075 Baseline Lymphoma Disease Activity and Assessment Form (LAA) - 3206533v1.0

    Complete this form at baseline only

    1. StudyEvent: AMC-075 Baseline Lymphoma Disease Activity and Assessment Form (LAA)
      1. Complete this form at baseline only
    Unnamed1
    Description

    Unnamed1

    Visit Number
    Description

    HospitalAdmissionOrdinalNumber

    Data type

    double

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C16696
    UMLS 2011AA ObjectClass
    C0019994
    NCI Thesaurus Property
    C25385
    UMLS 2011AA Property
    C0809949
    Unnamed2
    Description

    Unnamed2

    Recurring, drenching night sweats during the previous month (Does the participant have any of the following symptoms at the time of registration)
    Description

    LymphomaSweatingSymptomInd-3

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C3208
    UMLS 2011AA ObjectClass
    C0024299
    NCI Thesaurus Property
    C4876
    UMLS 2011AA Property
    C1457887
    NCI Thesaurus Property
    C36172
    UMLS 2011AA Property
    C0038990
    Unexplained, persistent fever >38 degrees C (or >100 degrees F) in the previous month (Does the participant have any of the following symptoms at the time of registration)
    Description

    LymphomaFeverSymptomInd-3

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C3208
    UMLS 2011AA ObjectClass
    C0024299
    NCI Thesaurus Property
    C4876
    UMLS 2011AA Property
    C1457887
    NCI Thesaurus Property
    C3038
    UMLS 2011AA Property
    C0015967
    Unexplained weight loss >10% of body weight in the previous 6 months (Does the participant have any of the following symptoms at the time of registration)
    Description

    LymphomaWeightLossInd-3

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C3445
    UMLS 2011AA Property
    C1262477
    NCI Thesaurus ObjectClass
    C3208
    UMLS 2011AA ObjectClass
    C0024299
    Hematopoietic Diagnosis
    Description

    HematopoieticDiseaseDiagnosisType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass
    C13324
    UMLS 2011AA ObjectClass
    C0229601
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    If diffuse large B-cell lymphoma, specify morphologic type
    Description

    DiffuseLargeB-CellLymphomaMorphologyType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C8851
    UMLS 2011AA ObjectClass
    C0079744
    NCI Thesaurus Property
    C17943
    UMLS 2011AA Property
    C0700619
    If Burkitt lymphoma/leukemia, specify morphologic type
    Description

    Burkitt'sLymphomaMorphologyType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C2912
    UMLS 2011AA ObjectClass
    C0006413
    NCI Thesaurus Property
    C17943
    UMLS 2011AA Property
    C0700619
    Other specify
    Description

    DiseaseDiagnosisHematopoieticSpecify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ValueDomain
    C13324
    UMLS 2011AA ValueDomain
    C0229601
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    Other specify
    Description

    DiseaseDiagnosisHematopoieticSpecify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ValueDomain
    C13324
    UMLS 2011AA ValueDomain
    C0229601
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    Other specify
    Description

    DiseaseDiagnosisHematopoieticSpecify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ValueDomain
    C13324
    UMLS 2011AA ValueDomain
    C0229601
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    If Hodgkin lymphoma, specify morphologic type
    Description

    Hodgkin'sLymphomaMorphologyType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C9357
    UMLS 2011AA ObjectClass
    C0019829
    NCI Thesaurus Property
    C17943
    UMLS 2011AA Property
    C0700619
    Date of Initial Pathologic Diagnosis (mm/dd/yyyy)
    Description

    CancerInitialDiagnosisDate

    Data type

    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
    Method of Evaluation
    Description

    AssessmentMethodType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C16847
    UMLS 2011AA Property
    C0449851
    Other Specify
    Description

    AssessmentMethodSpecify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C16847
    UMLS 2011AA Property
    C0449851
    Histogenetic Subtyping Markers
    Description

    Histogenetic Subtyping Markers

    Histogenetic Subtyping Markers
    Description

    TumorMarkerAvailableAssessmentType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ObjectClass
    C17220
    UMLS 2011AA ObjectClass
    C0041365
    NCI Thesaurus Property
    C25429
    UMLS 2011AA Property
    C0470187
    Finding Result
    Description

    FindingResultStatus

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C3367
    UMLS 2011AA ObjectClass
    C0037088
    NCI Metathesaurus Property
    CL282989
    NCI Thesaurus ValueDomain
    C20200
    UMLS 2011AA ValueDomain
    C1274040
    NCI Thesaurus ValueDomain
    C3367
    UMLS 2011AA ValueDomain
    C0037088
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    EBV Status
    Description

    AntibodyEpstein-BarrVirusTestType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C14204
    UMLS 2011AA Property
    C0014644
    NCI Thesaurus ObjectClass
    C16295
    UMLS 2011AA ObjectClass
    C0003241
    NCI Thesaurus Property
    C25294
    UMLS 2011AA Property
    C0022885
    Lymphatic Involvement
    Description

    Lymphatic Involvement

    Was there lymphomatous involvement of the bone marrow, testes, paranasal sinuses, two or more extranodal sites, and/or the epidural regions (If there is lymphomatous involvement in these regions at enrollment, CNS prophylaxis with IT liposomal cytarabine Depocyt®, IT cytarabine, or IT methotrexate is strongly encouraged. If CNS involvement is observed after enrollment, the participant must receive aggressive IT chemotherapy per institutional standards. Please record the IT chemotherapy administered for CNS involvement on the Concomitant Medication form)
    Description

    LymphNodeProgressionCriteriaIndicator

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C25331
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus Property
    C25466
    UMLS 2011AA Property
    C0243161
    Site of Involvement (Please indicate the locations of lymphomatous involvement below)
    Description

    DiseaseInvolvementSite

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS 2011AA ValueDomain
    C1515974
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus Property
    C25548
    UMLS 2011AA Property
    C1314939
    Comments
    Description

    Comments

    Comments
    Description

    ResearchCommentsText

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    UMLS 2011AA Property
    C0282411

    Similar models

    Complete this form at baseline only

    1. StudyEvent: AMC-075 Baseline Lymphoma Disease Activity and Assessment Form (LAA)
      1. Complete this form at baseline only
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Unnamed1
    HospitalAdmissionOrdinalNumber
    Item
    Visit Number
    double
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C16696 (NCI Thesaurus ObjectClass)
    C0019994 (UMLS 2011AA ObjectClass)
    C25385 (NCI Thesaurus Property)
    C0809949 (UMLS 2011AA Property)
    Item
    Recurring, drenching night sweats during the previous month (Does the participant have any of the following symptoms at the time of registration)
    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)
    Code List
    Recurring, drenching night sweats during the previous month (Does the participant have any of the following symptoms at the time of registration)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    Item
    Unexplained, persistent fever >38 degrees C (or >100 degrees F) in the previous month (Does the participant have any of the following symptoms at the time of registration)
    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)
    Code List
    Unexplained, persistent fever >38 degrees C (or >100 degrees F) in the previous month (Does the participant have any of the following symptoms at the time of registration)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    Item
    Unexplained weight loss >10% of body weight in the previous 6 months (Does the participant have any of the following symptoms at the time of registration)
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C3445 (NCI Thesaurus Property)
    C1262477 (UMLS 2011AA Property)
    C3208 (NCI Thesaurus ObjectClass)
    C0024299 (UMLS 2011AA ObjectClass)
    Code List
    Unexplained weight loss >10% of body weight in the previous 6 months (Does the participant have any of the following symptoms at the time of registration)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    Item
    Hematopoietic Diagnosis
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C13324 (NCI Thesaurus ObjectClass)
    C0229601 (UMLS 2011AA ObjectClass)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    Code List
    Hematopoietic Diagnosis
    CL Item
    Diffuse Large B-cell Lymphoma (Diffuse large B-cell lymphoma)
    C8851 (NCI Thesaurus)
    C0079744 (UMLS 2011AA)
    CL Item
    Burkitt Lymphoma/leukemia (Burkitt lymphoma/leukemia)
    CL Item
    Primary Effusion Lymphoma (Primary effusion lymphoma)
    C6915 (NCI Thesaurus)
    C1292753 (UMLS 2011AA)
    CL Item
    Kshv/hhv-8+ Plasmablastic Lymphoma (lymph Node) (KSHV/HHV-8+ plasmablastic lymphoma (lymph node))
    CL Item
    Plasma Lymphoma Of Oral Cavity (Plasma lymphoma of oral cavity)
    CL Item
    Hiv-related Polymorphic Lymphoproliferative Disorder (HIV-related polymorphic lymphoproliferative disorder)
    CL Item
    Hodgkin's Lymphoma (Hodgkin lymphoma)
    C9357 (NCI Thesaurus)
    C0019829 (UMLS 2011AA)
    CL Item
    Large B-cell Lymphoma Arising In Kshv/hhv-8 Associated Multicentric Castleman Disease (Large B-cell lymphoma arising in KSHV/HHV-8 associated multicentric Castleman Disease)
    CL Item
    Plasmablastic Lymphoma (Plasmablastic lymphoma)
    CL Item
    B-cell Lymphoma Unclassifiable (B-cell lymphoma unclassifiable)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    Item
    If diffuse large B-cell lymphoma, specify morphologic type
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C8851 (NCI Thesaurus ObjectClass)
    C0079744 (UMLS 2011AA ObjectClass)
    C17943 (NCI Thesaurus Property)
    C0700619 (UMLS 2011AA Property)
    Code List
    If diffuse large B-cell lymphoma, specify morphologic type
    CL Item
    Centroblastic (Centroblastic)
    CL Item
    Immunoblastic (Immunoblastic)
    CL Item
    Not Specified (Not specified)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    Item
    If Burkitt lymphoma/leukemia, specify morphologic type
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C2912 (NCI Thesaurus ObjectClass)
    C0006413 (UMLS 2011AA ObjectClass)
    C17943 (NCI Thesaurus Property)
    C0700619 (UMLS 2011AA Property)
    Code List
    If Burkitt lymphoma/leukemia, specify morphologic type
    CL Item
    Classical (Classical)
    CL Item
    Plasmacytoid (Plasmacytoid)
    CL Item
    B Cell Lymphoma Unclassifiable, W/features Intermediate Between Dlbcl And Burkitt's. (atypical) (B cell lymphoma unclassifiable, w/features intermediate between DLBCL and Burkitt's. (Atypical))
    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)
    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)
    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)
    Item
    If Hodgkin lymphoma, specify morphologic type
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C9357 (NCI Thesaurus ObjectClass)
    C0019829 (UMLS 2011AA ObjectClass)
    C17943 (NCI Thesaurus Property)
    C0700619 (UMLS 2011AA Property)
    Code List
    If Hodgkin lymphoma, specify morphologic type
    CL Item
    Mixed Cellularity (Mixed cellularity)
    CL Item
    Nodular Sclerosis (Nodular sclerosis)
    CL Item
    Lymphocyte Rich (Lymphocyte rich)
    CL Item
    Lymphocyte Depleted (Lymphocyte depleted)
    CL Item
    Unclassified (Unclassified)
    C64486 (NCI Thesaurus)
    C0205426 (UMLS 2011AA)
    CancerInitialDiagnosisDate
    Item
    Date of Initial Pathologic Diagnosis (mm/dd/yyyy)
    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)
    Item
    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)
    Code List
    Method of Evaluation
    CL Item
    Cytology (Cytology)
    C16491 (NCI Thesaurus)
    C0010819 (UMLS 2011AA)
    CL Item
    Biopsy (Biopsy)
    C15189 (NCI Thesaurus)
    C0005558 (UMLS 2011AA)
    C15189 (NCI Thesaurus)
    C0005558 (UMLS 2011AA)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    AssessmentMethodSpecify
    Item
    Other Specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C16847 (NCI Thesaurus Property)
    C0449851 (UMLS 2011AA Property)
    Item Group
    Histogenetic Subtyping Markers
    Item
    Histogenetic Subtyping Markers
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C17220 (NCI Thesaurus ObjectClass)
    C0041365 (UMLS 2011AA ObjectClass)
    C25429 (NCI Thesaurus Property)
    C0470187 (UMLS 2011AA Property)
    Code List
    Histogenetic Subtyping Markers
    CL Item
    Cd10 (CD10)
    CL Item
    Bcl6 (BCL6)
    CL Item
    Mum1 (MUM1)
    CL Item
    Foxp1 (FOXP1)
    CL Item
    Gcet1 (GCET1)
    Item
    Finding Result
    text
    C3367 (NCI Thesaurus ObjectClass)
    C0037088 (UMLS 2011AA ObjectClass)
    CL282989 (NCI Metathesaurus Property)
    C20200 (NCI Thesaurus ValueDomain)
    C1274040 (UMLS 2011AA ValueDomain)
    C3367 (NCI Thesaurus ValueDomain)
    C0037088 (UMLS 2011AA ValueDomain)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    Code List
    Finding Result
    CL Item
    Positive (Positive)
    C25246 (NCI Thesaurus)
    C1446409 (UMLS 2011AA)
    CL Item
    Negative (Negative)
    C25247 (NCI Thesaurus)
    C0205160 (UMLS 2011AA)
    CL Item
    Not Assessed (Not assessed)
    C25594 (NCI Thesaurus)
    C1518422 (UMLS 2011AA)
    C25217 (NCI Thesaurus)
    C1516048 (UMLS 2011AA)
    Item
    EBV Status
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C14204 (NCI Thesaurus Property)
    C0014644 (UMLS 2011AA Property)
    C16295 (NCI Thesaurus ObjectClass)
    C0003241 (UMLS 2011AA ObjectClass)
    C25294 (NCI Thesaurus Property)
    C0022885 (UMLS 2011AA Property)
    Code List
    EBV Status
    CL Item
    Eber Negative (EBER negative)
    CL Item
    Eber Positive (EBER positive)
    CL Item
    Not Done (Not done)
    Item Group
    Lymphatic Involvement
    Item
    Was there lymphomatous involvement of the bone marrow, testes, paranasal sinuses, two or more extranodal sites, and/or the epidural regions (If there is lymphomatous involvement in these regions at enrollment, CNS prophylaxis with IT liposomal cytarabine Depocyt®, IT cytarabine, or IT methotrexate is strongly encouraged. If CNS involvement is observed after enrollment, the participant must receive aggressive IT chemotherapy per institutional standards. Please record the IT chemotherapy administered for CNS involvement on the Concomitant Medication form)
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C25331 (NCI Thesaurus ObjectClass)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25466 (NCI Thesaurus Property)
    C0243161 (UMLS 2011AA Property)
    Code List
    Was there lymphomatous involvement of the bone marrow, testes, paranasal sinuses, two or more extranodal sites, and/or the epidural regions (If there is lymphomatous involvement in these regions at enrollment, CNS prophylaxis with IT liposomal cytarabine Depocyt®, IT cytarabine, or IT methotrexate is strongly encouraged. If CNS involvement is observed after enrollment, the participant must receive aggressive IT chemotherapy per institutional standards. Please record the IT chemotherapy administered for CNS involvement on the Concomitant Medication form)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Not Evaluated (Not evaluated)
    Item
    Site of Involvement (Please indicate the locations of lymphomatous involvement below)
    text
    C13717 (NCI Thesaurus ValueDomain)
    C1515974 (UMLS 2011AA ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C25548 (NCI Thesaurus Property)
    C1314939 (UMLS 2011AA Property)
    Code List
    Site of Involvement (Please indicate the locations of lymphomatous involvement below)
    CL Item
    Bone Marrow (Bone marrow)
    C12431 (NCI Thesaurus)
    C0005953 (UMLS 2011AA)
    CL Item
    Testis (Testes)
    C12412 (NCI Thesaurus)
    C0039597 (UMLS 2011AA)
    CL Item
    Paranasal Sinus (Paranasal sinuses)
    C12763 (NCI Thesaurus)
    C0030471 (UMLS 2011AA)
    CL Item
    Two Or More Extranodal Sites (Two or more extranodal sites)
    CL Item
    Epidural Involvement (Epidural involvement)
    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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