ID

43103

Beskrivning

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

Länk

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

Nyckelord

  1. 2012-09-19 2012-09-19 -
  2. 2021-09-20 2021-09-20 -
Uppladdad den

20 september 2021

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0 Legacy

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

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
Beskrivning

Unnamed1

Visit Number
Beskrivning

HospitalAdmissionOrdinalNumber

Datatyp

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
Beskrivning

Unnamed2

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

LymphomaSweatingSymptomInd-3

Datatyp

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)
Beskrivning

LymphomaFeverSymptomInd-3

Datatyp

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)
Beskrivning

LymphomaWeightLossInd-3

Datatyp

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
Beskrivning

HematopoieticDiseaseDiagnosisType

Datatyp

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
Beskrivning

DiffuseLargeB-CellLymphomaMorphologyType

Datatyp

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
Beskrivning

Burkitt'sLymphomaMorphologyType

Datatyp

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
Beskrivning

DiseaseDiagnosisHematopoieticSpecify

Datatyp

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
Beskrivning

DiseaseDiagnosisHematopoieticSpecify

Datatyp

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
Beskrivning

DiseaseDiagnosisHematopoieticSpecify

Datatyp

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
Beskrivning

Hodgkin'sLymphomaMorphologyType

Datatyp

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)
Beskrivning

CancerInitialDiagnosisDate

Datatyp

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
Beskrivning

AssessmentMethodType

Datatyp

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
Beskrivning

AssessmentMethodSpecify

Datatyp

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
Beskrivning

Histogenetic Subtyping Markers

Histogenetic Subtyping Markers
Beskrivning

TumorMarkerAvailableAssessmentType

Datatyp

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
Beskrivning

FindingResultStatus

Datatyp

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
Beskrivning

AntibodyEpstein-BarrVirusTestType

Datatyp

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
Beskrivning

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)
Beskrivning

LymphNodeProgressionCriteriaIndicator

Datatyp

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)
Beskrivning

DiseaseInvolvementSite

Datatyp

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
Beskrivning

Comments

Comments
Beskrivning

ResearchCommentsText

Datatyp

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
Typ
Description | Question | Decode (Coded Value)
Datatyp
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)

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial