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43117

Description

BMTCTN-0702: Enrollment (ENR) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7662DD82-8F7A-AEEF-E040-BB89AD43018E

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7662DD82-8F7A-AEEF-E040-BB89AD43018E

Mots-clés

Versions (5)
  1. 18/12/2014 18/12/2014 - Martin Dugas
  2. 08/01/2015 08/01/2015 - Martin Dugas
  3. 09/01/2015 09/01/2015 - Martin Dugas
  4. 03/07/2015 03/07/2015 -
  5. 20/09/2021 20/09/2021 -
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20 septembre 2021

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Creative Commons BY-NC 3.0 Legacy
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    BMTCTN-0702: Enrollment (ENR)

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    1 Formulaires  
    1. StudyEvent: BMTCTN-0702: Enrollment (ENR)
      1. No Instruction available.
    Patient demographics
    Description

    Patient demographics

    Patient Initials
    Description

    Patient Initials

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    IUBMID #
    Description

    PatientBoneMarrowGraftIdentifierNumber

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus Property-2
    C12431
    UMLS 2011AA Property-2
    C0005953
    NCI Thesaurus Property-3
    C12981
    UMLS 2011AA Property-3
    C0332835
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    CRID #
    Description

    PatientCenterResearchInfectiousDisorderIdentifierNumber

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C15319
    NCI Thesaurus Property-2
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus Property-3
    C26726
    UMLS 2011AA Property-2
    C0009450
    NCI Thesaurus Property-4
    C25445
    UMLS 2011AA Property-3
    C0205099
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    Gender
    Description

    Gender

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25372
    UMLS CUI-1
    C0079399
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C17357
    Patient's Date of Birth
    Description

    PersonBirthDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C25190
    UMLS 2011AA ObjectClass
    C0027361
    NCI Thesaurus Property
    C25155
    UMLS 2011AA Property
    C0005615
    Patient Weight (Kg)
    Description

    Patient Weight

    Type de données

    float

    Unités de mesure
    • Kg
    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS CUI-1
    C0005910
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25208
    Kg
    Date patient's weight assessed
    Description

    PatientWeightDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25208
    UMLS 2011AA Property
    C0043100
    Total number of CD34+ cells (or CD34+ cells/kg) in the autograft
    Description

    CD34SelectionAutograftPerformedValue

    Type de données

    text

    Alias
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus ObjectClass
    C70621
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ObjectClass-2
    C75339
    UMLS 2011AA ObjectClass
    C0559189
    Units
    Description

    AssessmentLabUOM

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C37984
    UMLS 2011AA Property
    C0022877
    NCI Thesaurus ValueDomain
    C25709
    UMLS 2011AA ValueDomain
    C1519795
    Ethnicity and Race
    Description

    Ethnicity and Race

    Ethnicity
    Description

    Ethnic Group

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25372
    UMLS CUI-1
    C0015031
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C16564
    Race
    Description

    PatientBMTCTNSubgroupRaceCategoryType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C17049
    UMLS 2011AA Property
    C0034510
    Specify race
    Description

    OtherRaceCategoryText

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25372
    UMLS 2011AA Property
    C0683312
    NCI Thesaurus ObjectClass
    C17049
    UMLS 2011AA ObjectClass
    C0034510
    Secondary Race
    Description

    PatientSecondaryRaceBMTCTNSubgroupCategoryType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25667
    UMLS 2011AA Property
    C0175668
    NCI Thesaurus Property-2
    C17049
    UMLS 2011AA Property-2
    C0034510
    Specify secondary race
    Description

    PatientSecondaryRaceSpecify

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25667
    UMLS 2011AA Property
    C0175668
    NCI Thesaurus Property-2
    C17049
    UMLS 2011AA Property-2
    C0034510
    Myeloma Follow-On Enrollment Form - Segment A
    Description

    Myeloma Follow-On Enrollment Form - Segment A

    Date Informed Consent Signed (Record)
    Description

    InformedConsentFormSignedDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus ObjectClass
    C16468
    UMLS 2011AA ObjectClass
    C0009797
    NCI Thesaurus Property
    C25679
    Patient Zip Code
    Description

    PersonAddressPostalCode

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS 2011AA ValueDomain
    C0805701
    NCI Thesaurus ObjectClass
    C25190
    UMLS 2011AA ObjectClass
    C0027361
    NCI Thesaurus Property
    C25407
    UMLS 2011AA Property
    C1442065
    Patient Method of Payment
    Description

    PatientPaymentType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25371
    UMLS 2011AA Property
    C0680264
    Does the patient meet the criteria for symptomatic multiple myeloma (Inclusion Criteria)
    Description

    PersonSymptomaticPlasmaCellMyelomaClinicalTrialEligibilityCriteriaInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25190
    UMLS 2011AA ObjectClass
    C0027361
    NCI Thesaurus Property
    C3242
    UMLS 2011AA Property
    C0026764
    NCI Thesaurus Property-2
    C25269
    UMLS 2011AA Property-2
    C0231220
    NCI Thesaurus Property-3
    C16112
    UMLS 2011AA Property-3
    C1516637
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Has the patient received at least two cycles of initial systemic therapy
    Description

    SystemicTherapyAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C15698
    UMLS 2011AA ObjectClass
    C1515119
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Date systemic therapy began
    Description

    Treatment Begin Date

    Type de données

    date

    Alias
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25431
    UMLS CUI-1
    C3173309
    NCI Thesaurus Property-2
    C25275
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25431
    Date systemic therapy ended
    Description

    Treatment End Date

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C1531784
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25275
    NCI Thesaurus Property-2
    C25496
    Start date of mobilization therapy (Record)
    Description

    StemCellMobilizationTherapyAdministeredProjectedBeginDate

    Type de données

    date

    Alias
    NCI Thesaurus ObjectClass
    C62604
    UMLS 2011AA ObjectClass
    C0524864
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25431
    UMLS 2011AA ValueDomain-2
    C0439659
    NCI Thesaurus ValueDomain-3
    C25631
    Proposed start date of conditioning (Record)
    Description

    TransplantConditioningChemotherapyAdministeredBeginDate

    Type de données

    date

    Alias
    NCI Thesaurus ObjectClass
    C64468
    UMLS 2011AA ObjectClass
    C0376450
    NCI Thesaurus Property
    C15632
    UMLS 2011AA Property
    C0392920
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25431
    UMLS 2011AA ValueDomain-2
    C0439659
    Left Ventricular Ejection Fraction
    Description

    Left Ventricular Ejection Fraction

    Left Ventricular Ejection Fraction at Rest
    Description

    HeartLVEFTestPercentageValue

    Type de données

    float

    Unités de mesure
    • %
    Alias
    NCI Thesaurus ObjectClass
    C12727
    UMLS 2011AA ObjectClass
    C0018787
    NCI Thesaurus Property
    C25294
    UMLS 2011AA Property
    C0022885
    NCI Thesaurus Property-2
    C37946
    UMLS 2011AA Property-2
    C2700377
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    %
    Date LVEF performed
    Description

    HeartLVEFTestDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C12727
    UMLS 2011AA ObjectClass
    C0018787
    NCI Thesaurus Property
    C25294
    UMLS 2011AA Property
    C0022885
    NCI Thesaurus Property-2
    C37946
    UMLS 2011AA Property-2
    C2700377
    Bilirubin
    Description

    Bilirubin

    Bilirubin (Most Recent Value)
    Description

    LaboratoryProcedureTotalBilirubinResultValue

    Type de données

    float

    Unités de mesure
    • mg/dL
    Alias
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property-2
    C38037
    UMLS 2011AA Property-2
    C0201913
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    mg/dL
    Bilirubin Upper Limit Normal (For Your Institution)
    Description

    Bilirubin, Total ULN

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0201913
    NCI Thesaurus Property
    C20200
    UMLS CUI-2
    C1519815
    NCI Thesaurus Property-2
    C38037
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C25706
    Date Sample Obtained
    Description

    SpecimenLaboratoryProcedureCollectionDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C25453
    UMLS 2011AA Property
    C1516698
    NCI Thesaurus Property-2
    C25294
    UMLS 2011AA Property-2
    C0022885
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    Alt
    Description

    Alt

    SGPT (ALT) (Most Recent Value)
    Description

    LaboratoryProcedureSerumGlutamicPyruvicTransaminaseResultUnspecifiedValue

    Type de données

    float

    Alias
    NCI Thesaurus ValueDomain
    C38046
    UMLS 2011AA ValueDomain
    C0205370
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property-2
    C25293
    UMLS 2011AA Property-2
    C0376147
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    SGPT Upper Limit Normal (For Your Institution)
    Description

    LaboratoryProcedureSerumGlutamicPyruvicTransaminaseResultUpperLimitofNormalValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C25293
    UMLS 2011AA Property-2
    C0376147
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ValueDomain-2
    C25706
    UMLS 2011AA ValueDomain-2
    C1519815
    Ast
    Description

    Ast

    SGOT (AST) (Most Recent Value)
    Description

    SGOT (AST)

    Type de données

    float

    Unités de mesure
    • U/L
    Alias
    NCI Thesaurus Property
    C25202
    UMLS CUI-1
    C0201899
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    U/L
    SGOT Upper Limit Normal (For Your Institution)
    Description

    LaboratoryProcedureSerumGlutamicOxaloaceticTransferaseResultUnspecifiedUpperLimitofNormalValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C25202
    UMLS 2011AA Property
    C0242192
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ValueDomain-2
    C25706
    UMLS 2011AA ValueDomain-2
    C1519815
    Serum Creatinine
    Description

    Serum Creatinine

    Creatinine Clearance
    Description

    Creatinine Clearance

    Type de données

    float

    Alias
    NCI Thesaurus Property
    C20200
    UMLS CUI-1
    C0373595
    NCI Thesaurus Property-2
    C25747
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    Date creatinine clearance sample obtained
    Description

    LaboratoryProcedureCreatinineClearanceOutcomeDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C25747
    UMLS 2011AA Property-2
    C0373595
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    Dlco (corrected For Hemoglobin)
    Description

    Dlco (corrected For Hemoglobin)

    DLCO (Most Recent Value)
    Description

    LungCarbonMonoxideDiffusingCapabilityTestAssessmentPredictiveValuePercentageValue

    Type de données

    float

    Unités de mesure
    • %
    Alias
    NCI Thesaurus ObjectClass
    C12468
    UMLS 2011AA ObjectClass
    C0024109
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C38083
    UMLS 2011AA Property-2
    C1516251
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    NCI Thesaurus ValueDomain-3
    C16238
    UMLS 2011AA ValueDomain-3
    C1514307
    %
    Fev1
    Description

    Fev1

    FEV1 (Most Recent Value corrected for hemoglobin )
    Description

    LungForcedExpiratoryVolume1TestSpecifiedValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C12468
    UMLS 2011AA ObjectClass
    C0024109
    NCI Thesaurus Property
    C25294
    UMLS 2011AA Property
    C0022885
    NCI Thesaurus Property-2
    C38084
    UMLS 2011AA Property-2
    C0849974
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ValueDomain-2
    C38024
    UMLS 2011AA ValueDomain-2
    C0205369
    Fvc
    Description

    Fvc

    FVC (Most Recent Value corrected for hemoglobin )
    Description

    VitalLungCapacityTestSpecifiedValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C12468
    UMLS 2011AA ObjectClass
    C0024109
    NCI Thesaurus ObjectClass-2
    C18003
    UMLS 2011AA ObjectClass-2
    C0442732
    NCI Thesaurus Property
    C25294
    UMLS 2011AA Property
    C0022885
    NCI Thesaurus Property-2
    C25443
    UMLS 2011AA Property-2
    C1516240
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    Patient Exclusion Criteria
    Description

    Patient Exclusion Criteria

    Does the patient have non-secretory multiple myeloma
    Description

    Non-SecretoryMyelomaDiseaseDiagnosisInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    NCI Thesaurus ObjectClass-2
    C4734
    UMLS 2011AA ObjectClass-2
    C0456845
    Does the patient have plasma cell leukemia
    Description

    PlasmaCellLeukemiaDiseaseDiagnosisInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass-2
    C3161
    UMLS 2011AA ObjectClass-2
    C0023418
    NCI Thesaurus ObjectClass-3
    C12486
    UMLS 2011AA ObjectClass-3
    C0032112
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    What is the patient's Karnofsky/Lansky Score
    Description

    KarnofskyPerformanceStatusScore

    Type de données

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C20641
    UMLS 2011AA ObjectClass
    C1518965
    NCI Thesaurus ValueDomain
    C25338
    UMLS 2011AA ValueDomain
    C0449820
    Does the patient have > grade 2 sensory neuropathy
    Description

    CommonToxicityCriteriaAdverseEventPeripheralSensoryNeuropathyInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C49704
    UMLS 2011AA ObjectClass
    C1516728
    NCI Metathesaurus Property
    C0151313
    Does the patient have an uncontrolled viral, bacterial or fungal infection
    Description

    PatientInfectionInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C26726
    UMLS 2011AA Property
    C0009450
    Is the patient HIV seropositive
    Description

    HumanImmunodeficiencyVirusDiagnosisInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C14219
    UMLS 2011AA ObjectClass
    C0019682
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    Did the patient experience a myocardial infarction within the past 6 months, Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities (Did the patient experience a myocardial infarction within the past 6 months, Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities)
    Description

    CardiovascularDiseasePresentInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ObjectClass
    C25292
    UMLS 2011AA ObjectClass
    C0007226
    NCI Thesaurus ObjectClass-2
    C2991
    UMLS 2011AA ObjectClass-2
    C0012634
    Does the patient have known hypersensitivity to bortezomib, boron, or mannitol
    Description

    PatientBortezomibBoronMannitolHypersensitivityPersonalMedicalHistoryInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C3114
    UMLS 2011AA Property
    C0020517
    NCI Thesaurus Property-2
    C1851
    UMLS 2011AA Property-2
    C0879272
    NCI Thesaurus Property-3
    C18772
    UMLS 2011AA Property-3
    C0262926
    NCI Thesaurus Property-4
    C61481
    UMLS 2011AA Property-4
    C0006030
    NCI Thesaurus Property-5
    C625
    UMLS 2011AA Property-5
    C0024730
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Has the patient received other investigational agents within the past 14 days
    Description

    PriorInvestigationalTherapiesAdministeredInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Metathesaurus ObjectClass
    C0949266
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Does the patient have a history of any malignant diseases other than multiple myeloma, basal cell carcinoma or cervical carcinoma in situ
    Description

    PatientNeoplasmPersonalMedicalHistoryIndicator

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C3262
    UMLS 2011AA Property
    C0027651
    NCI Thesaurus Property-2
    C18772
    UMLS 2011AA Property-2
    C0262926
    Exclusion Criteria (cont.)
    Description

    Exclusion Criteria (cont.)

    Date confirmed by study chair
    Description

    PatientEligibilityConfirmationDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ObjectClass-2
    C25171
    UMLS 2011AA ObjectClass-2
    C0013893
    NCI Metathesaurus Property
    C0750484
    Was the malignancy treated with curative intent >5 year
    Description

    PriorCancerDiagnosisIndicator

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    Is the patient pregnant or breastfeeding
    Description

    PatientPregnancyInd-3b

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25742
    UMLS 2011AA Property
    C0032961
    NCI Thesaurus ValueDomain
    C49797
    UMLS 2011AA ValueDomain
    C1708496
    Is the patient willing to use contraceptive techniques during the length of lenalidomide maintenance therapy
    Description

    ContraceptionAgreementInd

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C37932
    UMLS 2011AA ObjectClass
    C0700589
    NCI Thesaurus Property
    C25369
    UMLS 2011AA Property
    C0680240
    Has the patient had a previous autologous or allogeneic stem cell transplant
    Description

    HematopoieticStemCellTransplantationPerformedInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus ObjectClass
    C12551
    UMLS 2011AA ObjectClass
    C0018956
    NCI Thesaurus ObjectClass-2
    C15342
    UMLS 2011AA ObjectClass-2
    C0029216
    Did the patient receive mid-intensity melphalan as prior systemic therapy
    Description

    PreparativeRegimenMelphalanAdministeredIndicator

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C61155
    UMLS 2011AA ObjectClass
    C1882454
    NCI Thesaurus ObjectClass-2
    C633
    UMLS 2011AA ObjectClass-2
    C0025241
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ValueDomain-2
    C49488
    UMLS 2011AA ValueDomain-2
    C1705108
    NCI Thesaurus ValueDomain-3
    C49487
    UMLS 2011AA ValueDomain-3
    C1298908
    NCI Thesaurus ValueDomain-4
    C48660
    UMLS 2011AA ValueDomain-4
    C1272460
    NCI Thesaurus ValueDomain-5
    C17998
    UMLS 2011AA ValueDomain-5
    C0439673
    NCI Thesaurus ValueDomain-6
    C49484
    UMLS 2011AA ValueDomain-6
    C1272696
    Has the patient received a prior organ transplant requiring immunosuppressive therapy
    Description

    TransplantReceivedInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C12981
    UMLS 2011AA ObjectClass
    C0332835
    NCI Thesaurus Property
    C25639
    UMLS 2011AA Property
    C1514756
    Did the patient experience disease progression prior to enrollment
    Description

    DiseaseProgressionInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C25331
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Did the patient receive lenalidomide as initial therapy for multiple myeloma and experience toxicities resulting in treatment discontinuation
    Description

    LenalidomideAgentDiscontinuedFirstMultipleMyeloma-IgGTreatmentAdministrationInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C2668
    UMLS 2011AA ObjectClass
    C1134588
    NCI Thesaurus ObjectClass-2
    C1708
    UMLS 2011AA ObjectClass-2
    C0450442
    NCI Thesaurus Property
    C15368
    NCI Thesaurus Property-2
    C25509
    UMLS 2011AA Property
    C1279901
    NCI Thesaurus Property-3
    C25484
    UMLS 2011AA Property-2
    C1444662
    NCI Thesaurus Property-4
    C70609
    UMLS 2011AA Property-3
    C2347303
    NCI Thesaurus Property-5
    C25409
    UMLS 2011AA Property-4
    C1533734
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Did the patient experience thromboembolic events while on full anticoagulation during prior therapy with lenalidomide or thalidomide
    Description

    PersonThromboembolismPersonalMedicalHistoryInd-3

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25190
    UMLS 2011AA ObjectClass
    C0027361
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C18772
    UMLS 2011AA Property
    C0262926
    NCI Metathesaurus Property
    C0040038
    Is the patient willing to take deep vein thrombosis prophylaxis
    Description

    PatientDeepVeinThrombosisPreventiveInterventionConsentInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C49343
    UMLS 2011AA Property
    C0149871
    NCI Thesaurus Property-2
    C15843
    UMLS 2011AA Property-2
    C0199176
    NCI Thesaurus Property-3
    C25460
    UMLS 2011AA Property-3
    C1511481
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Did the patient get denied for medical cost coverage by third party payers to undergo an intervention on any of the treatment arms
    Description

    PatientDenyHealthInsuranceInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C16745
    UMLS 2011AA Property
    C0021672
    NCI Thesaurus Property-2
    C25178
    UMLS 2011AA Property-2
    C0018684
    NCI Thesaurus Property-3
    C74933
    UMLS 2011AA Property-3
    C2700401
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Donor Inclusion Criteria
    Description

    Donor Inclusion Criteria

    Did the patient give consent to provide blood for the PRIMeR ancillary study and for future research purposes
    Description

    BloodTissueSpecimenOtherDiseasesandDisordersFutureResearchConsentInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12801
    UMLS 2011AA ObjectClass
    C0040300
    NCI Thesaurus ObjectClass-2
    C12434
    UMLS 2011AA ObjectClass-2
    C0229664
    NCI Thesaurus ObjectClass-3
    C19157
    UMLS 2011AA ObjectClass-3
    C0370003
    NCI Thesaurus Property
    C17649
    UMLS 2011AA Property
    C0205394
    NCI Thesaurus Property-2
    C15319
    NCI Thesaurus Property-3
    C67527
    UMLS 2011AA Property-2
    C0016884
    NCI Thesaurus Property-4
    C2991
    UMLS 2011AA Property-3
    C0012634
    NCI Thesaurus Property-5
    C25460
    UMLS 2011AA Property-4
    C1511481
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Did the patient give consent to provide bone marrow for the PRIMeR ancillary study and for future research purposes
    Description

    BoneMarrowSpecimenOtherDiseasesandDisordersFutureResearchConsentInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12431
    UMLS 2011AA ObjectClass
    C0005953
    NCI Thesaurus ObjectClass-2
    C19157
    UMLS 2011AA ObjectClass-2
    C0370003
    NCI Thesaurus Property
    C17649
    UMLS 2011AA Property
    C0205394
    NCI Thesaurus Property-2
    C15319
    NCI Thesaurus Property-3
    C67527
    UMLS 2011AA Property-2
    C0016884
    NCI Thesaurus Property-4
    C2991
    UMLS 2011AA Property-3
    C0012634
    NCI Thesaurus Property-5
    C25460
    UMLS 2011AA Property-4
    C1511481
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Date the bone marrow aspirate was obtained
    Description

    BoneMarrowAspirateDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus ObjectClass
    C12431
    UMLS 2011AA ObjectClass
    C0005953
    NCI Thesaurus Property
    C13347
    UMLS 2011AA Property
    C0370199
    Date the serum sample was obtained
    Description

    SerumSpecimenCollectedDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C13325
    UMLS 2011AA ObjectClass
    C0229671
    NCI Thesaurus ObjectClass-2
    C19157
    UMLS 2011AA ObjectClass-2
    C0370003
    NCI Thesaurus Property
    C25452
    Date the plasma sample was obtained
    Description

    PlasmaSpecimenCollectedDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C13356
    UMLS 2011AA ObjectClass
    C0032105
    NCI Thesaurus ObjectClass-2
    C19157
    UMLS 2011AA ObjectClass-2
    C0370003
    NCI Thesaurus Property
    C25452
    Date the PBMC sample was obtained
    Description

    PeripheralBloodMononuclearCellSpecimenCollectedDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C12954
    UMLS 2011AA ObjectClass
    C1321301
    NCI Thesaurus ObjectClass-2
    C19157
    UMLS 2011AA ObjectClass-2
    C0370003
    NCI Thesaurus Property
    C25452
    Risk Status
    Description

    Risk Status

    Patient risk status
    Description

    PatientRiskEligibilityDeterminationStatus

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C17102
    UMLS 2011AA Property
    C0035647
    NCI Thesaurus Property-2
    C25171
    UMLS 2011AA Property-2
    C0013893
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    Comments
    Description

    Comments

    Comments
    Description

    Research Comments

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
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    1 Formulaires
    1. StudyEvent: BMTCTN-0702: Enrollment (ENR)
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Patient demographics
    Patient Initials
    Item
    Patient Initials
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    PatientBoneMarrowGraftIdentifierNumber
    Item
    IUBMID #
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C12431 (NCI Thesaurus Property-2)
    C0005953 (UMLS 2011AA Property-2)
    C12981 (NCI Thesaurus Property-3)
    C0332835 (UMLS 2011AA Property-3)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    PatientCenterResearchInfectiousDisorderIdentifierNumber
    Item
    CRID #
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C15319 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    C0600091 (UMLS 2011AA Property)
    C26726 (NCI Thesaurus Property-3)
    C0009450 (UMLS 2011AA Property-2)
    C25445 (NCI Thesaurus Property-4)
    C0205099 (UMLS 2011AA Property-3)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    Item
    Gender
    text
    C25372 (NCI Thesaurus ValueDomain)
    C0079399 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C17357 (NCI Thesaurus Property)
    CL.1
    Code List
    Gender
    CL Item
    Male (Male)
    C46109 (NCI Thesaurus)
    C1706180 (UMLS 2011AA)
    CL Item
    Female (Female)
    C46110 (NCI Thesaurus)
    C0086287 (UMLS 2011AA)
    PersonBirthDate
    Item
    Patient's Date of Birth
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C25155 (NCI Thesaurus Property)
    C0005615 (UMLS 2011AA Property)
    Patient Weight
    Item
    Patient Weight (Kg)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0005910 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25208 (NCI Thesaurus Property)
    PatientWeightDate
    Item
    Date patient's weight assessed
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25208 (NCI Thesaurus Property)
    C0043100 (UMLS 2011AA Property)
    CD34SelectionAutograftPerformedValue
    Item
    Total number of CD34+ cells (or CD34+ cells/kg) in the autograft
    text
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C70621 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C75339 (NCI Thesaurus ObjectClass-2)
    C0559189 (UMLS 2011AA ObjectClass)
    Item
    Units
    text
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C37984 (NCI Thesaurus Property)
    C0022877 (UMLS 2011AA Property)
    C25709 (NCI Thesaurus ValueDomain)
    C1519795 (UMLS 2011AA ValueDomain)
    CL.8
    Code List
    Units
    CL Item
    X10^6 Cells (x10^6 cells)
    CL Item
    X10^6 Cells/kg (x10^6 cells/kg)
    Item Group
    Ethnicity and Race
    Item
    Ethnicity
    text
    C25372 (NCI Thesaurus ValueDomain)
    C0015031 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C16564 (NCI Thesaurus Property)
    CL.2
    Code List
    Ethnicity
    CL Item
    A Person Of Mexican, Puerto Rican, Cuban, Central Or South American Or Other Spanish Culture Or Origin, Regardless Of Race. (Hispanic or Latino)
    C17459 (NCI Thesaurus)
    C0086409 (UMLS 2011AA)
    CL Item
    A Person Not Meeting The Definition For Hispanic Or Latino. (Not Hispanic or Latino)
    C41222 (NCI Thesaurus)
    C1518424 (UMLS 2011AA)
    CL Item
    Could Not Be Determined Or Unsure (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Not Provided Or Available (Not reported)
    C43234 (NCI Thesaurus)
    C1706613 (UMLS 2011AA)
    Item
    Race
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C17049 (NCI Thesaurus Property)
    C0034510 (UMLS 2011AA Property)
    CL.3
    Code List
    Race
    CL Item
    White (not Otherwise Specified) (White (Not Otherwise Specified))
    CL Item
    European (not Otherwise Specified) (European (Not Otherwise Specified))
    CL Item
    Mediterranean (Mediterranean)
    C77811 (NCI Thesaurus)
    C0240321 (UMLS 2011AA)
    CL Item
    White North American (White North American)
    CL Item
    South Or Central American (South or Central American)
    CL Item
    Eastern European (Eastern European)
    C77819 (NCI Thesaurus)
    C0239309 (UMLS 2011AA)
    CL Item
    Northern European (Northern European)
    C77814 (NCI Thesaurus)
    C0239310 (UMLS 2011AA)
    CL Item
    Western European (Western European)
    C77817 (NCI Thesaurus)
    C0239312 (UMLS 2011AA)
    CL Item
    White Caribbean (White Caribbean)
    C77816 (NCI Thesaurus)
    C2700273 (UMLS 2011AA)
    CL Item
    North Coast Of Africa (North Coast of Africa)
    C77813 (NCI Thesaurus)
    C2698500 (UMLS 2011AA)
    CL Item
    Middle Eastern (Middle Eastern)
    C77820 (NCI Thesaurus)
    C2698217 (UMLS 2011AA)
    CL Item
    Black (not Otherwise Specified) (Black (Not Otherwise Specified))
    CL Item
    African American (African American)
    C16352 (NCI Thesaurus)
    C0085756 (UMLS 2011AA)
    CL Item
    African Black (both Parents Born In Africa) (African Black (Both Parents Born in Africa))
    CL Item
    Caribbean Black (Caribbean Black)
    CL Item
    South Or Central American Black (South or Central American Black)
    CL Item
    Black, Other Specify (Black, Other Specify)
    CL Item
    Asian (not Otherwise Specified) (Asian (Not Otherwise Specified))
    CL Item
    Indian/south Asian (Indian/South Asian)
    CL Item
    Filipino (pilipino) (Filipino (Pilipino))
    CL Item
    Japanese (Japanese)
    C43392 (NCI Thesaurus)
    C1556094 (UMLS 2011AA)
    CL Item
    Korean (Korean)
    C43395 (NCI Thesaurus)
    C1556095 (UMLS 2011AA)
    CL Item
    Chinese (Chinese)
    C43391 (NCI Thesaurus)
    C0152035 (UMLS 2011AA)
    CL Item
    Other Southeast Asian (Other Southeast Asian)
    CL Item
    Vietnamese (Vietnamese)
    C43396 (NCI Thesaurus)
    C1561452 (UMLS 2011AA)
    CL Item
    Native American (not Otherwise Specified) (Native American (Not Otherwise Specified))
    CL Item
    Native Alaskan/eskimo/aleut (Native Alaskan/Eskimo/Aleut)
    CL Item
    American Indian (not Otherwise Specified) (American Indian (Not Otherwise Specified))
    CL Item
    North American Indian (North American Indian)
    CL Item
    South Or Central American Indian (South or Central American Indian)
    C77809 (NCI Thesaurus)
    C2699496 (UMLS 2011AA)
    CL Item
    Caribbean Indian (Caribbean Indian)
    C77810 (NCI Thesaurus)
    C2698999 (UMLS 2011AA)
    CL Item
    Native Pacific Islander (not Otherwise Specified) (Native Pacific Islander (Not Otherwise Specified))
    CL Item
    Guamanian (Guamanian)
    C43404 (NCI Thesaurus)
    C0920541 (UMLS 2011AA)
    CL Item
    Hawaiian (Hawaiian)
    C43394 (NCI Thesaurus)
    C0337920 (UMLS 2011AA)
    CL Item
    Samoan (Samoan)
    C43407 (NCI Thesaurus)
    C1556103 (UMLS 2011AA)
    CL Item
    Unknown (Unknown)
    CL Item
    Other, Specify (Other, Specify)
    CL Item
    Not Answered (Not Answered)
    OtherRaceCategoryText
    Item
    Specify race
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25372 (NCI Thesaurus Property)
    C0683312 (UMLS 2011AA Property)
    C17049 (NCI Thesaurus ObjectClass)
    C0034510 (UMLS 2011AA ObjectClass)
    Item
    Secondary Race
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25667 (NCI Thesaurus Property)
    C0175668 (UMLS 2011AA Property)
    C17049 (NCI Thesaurus Property-2)
    C0034510 (UMLS 2011AA Property-2)
    CL.4
    Code List
    Secondary Race
    CL Item
    African American (African American)
    C16352 (NCI Thesaurus)
    C0085756 (UMLS 2011AA)
    CL Item
    African Black (both Parents Born In Africa) (African Black (Both Parents Born in Africa))
    CL Item
    American Indian (not Otherwise Specified) (American Indian (Not Otherwise Specified))
    CL Item
    Asian (not Otherwise Specified) (Asian (Not Otherwise Specified))
    CL Item
    Black (not Otherwise Specified) (Black (Not Otherwise Specified))
    CL Item
    Black, Other Specify (Black, Other Specify)
    CL Item
    Caribbean Black (Caribbean Black)
    CL Item
    Caribbean Indian (Caribbean Indian)
    C77810 (NCI Thesaurus)
    C2698999 (UMLS 2011AA)
    CL Item
    Chinese (Chinese)
    C43391 (NCI Thesaurus)
    C0152035 (UMLS 2011AA)
    CL Item
    Eastern European (Eastern European)
    C77819 (NCI Thesaurus)
    C0239309 (UMLS 2011AA)
    CL Item
    European (not Otherwise Specified) (European (Not Otherwise Specified))
    CL Item
    Filipino (pilipino) (Filipino (Pilipino))
    CL Item
    Guamanian (Guamanian)
    C43404 (NCI Thesaurus)
    C0920541 (UMLS 2011AA)
    CL Item
    Hawaiian (Hawaiian)
    C43394 (NCI Thesaurus)
    C0337920 (UMLS 2011AA)
    CL Item
    Indian/south Asian (Indian/South Asian)
    CL Item
    Japanese (Japanese)
    C43392 (NCI Thesaurus)
    C1556094 (UMLS 2011AA)
    CL Item
    Korean (Korean)
    C43395 (NCI Thesaurus)
    C1556095 (UMLS 2011AA)
    CL Item
    Mediterranean (Mediterranean)
    C77811 (NCI Thesaurus)
    C0240321 (UMLS 2011AA)
    CL Item
    Middle Eastern (Middle Eastern)
    C77820 (NCI Thesaurus)
    C2698217 (UMLS 2011AA)
    CL Item
    Native Alaskan/eskimo/aleut (Native Alaskan/Eskimo/Aleut)
    CL Item
    Native American (not Otherwise Specified) (Native American (Not Otherwise Specified))
    CL Item
    Native Pacific Islander (not Otherwise Specified) (Native Pacific Islander (Not Otherwise Specified))
    CL Item
    North American Indian (North American Indian)
    CL Item
    North Coast Of Africa (North Coast of Africa)
    C77813 (NCI Thesaurus)
    C2698500 (UMLS 2011AA)
    CL Item
    Northern European (Northern European)
    C77814 (NCI Thesaurus)
    C0239310 (UMLS 2011AA)
    CL Item
    Not Answered (Not Answered)
    CL Item
    Other Southeast Asian (Other Southeast Asian)
    CL Item
    Other, Specify (Other, Specify)
    CL Item
    Samoan (Samoan)
    C43407 (NCI Thesaurus)
    C1556103 (UMLS 2011AA)
    CL Item
    South Or Central American (South or Central American)
    CL Item
    South Or Central American Black (South or Central American Black)
    CL Item
    South Or Central American Indian (South or Central American Indian)
    C77809 (NCI Thesaurus)
    C2699496 (UMLS 2011AA)
    CL Item
    Unknown (Unknown)
    CL Item
    Vietnamese (Vietnamese)
    C43396 (NCI Thesaurus)
    C1561452 (UMLS 2011AA)
    CL Item
    Western European (Western European)
    C77817 (NCI Thesaurus)
    C0239312 (UMLS 2011AA)
    CL Item
    White (not Otherwise Specified) (White (Not Otherwise Specified))
    CL Item
    White Caribbean (White Caribbean)
    C77816 (NCI Thesaurus)
    C2700273 (UMLS 2011AA)
    CL Item
    White North American (White North American)
    PatientSecondaryRaceSpecify
    Item
    Specify secondary race
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25667 (NCI Thesaurus Property)
    C0175668 (UMLS 2011AA Property)
    C17049 (NCI Thesaurus Property-2)
    C0034510 (UMLS 2011AA Property-2)
    Item Group
    Myeloma Follow-On Enrollment Form - Segment A
    InformedConsentFormSignedDate
    Item
    Date Informed Consent Signed (Record)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    C16468 (NCI Thesaurus ObjectClass)
    C0009797 (UMLS 2011AA ObjectClass)
    C25679 (NCI Thesaurus Property)
    PersonAddressPostalCode
    Item
    Patient Zip Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C25407 (NCI Thesaurus Property)
    C1442065 (UMLS 2011AA Property)
    Item
    Patient Method of Payment
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25371 (NCI Thesaurus Property)
    C0680264 (UMLS 2011AA Property)
    CL.5
    Code List
    Patient Method of Payment
    CL Item
    Medicaid (Medicaid)
    C0025071 (NCI Metathesaurus)
    CL Item
    Medicaid And Medicare (Medicaid and Medicare)
    CL Item
    Medicare (Medicare)
    C16665 (NCI Thesaurus)
    C0018717 (UMLS 2011AA)
    CL Item
    Medicare And Private Insurance (Medicare and Private Insurance)
    CL Item
    Military Or Veterans Sponsored Nos (Military or Veterans Sponsored, Not Otherwise Specified (NOS))
    CL Item
    Military Sponsored (including Champus & Tricare) (Military Sponsored (including CHAMPUS & TRICARE))
    CL Item
    No Means Of Payment (no Insurance) (No means of payment (no insurance))
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    CL Item
    Private Insurance (Private Insurance)
    CL Item
    Self Pay (no Insurance) (Self Pay (No Insurance))
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Veterans Sponsored (Veterans Sponsored)
    PersonSymptomaticPlasmaCellMyelomaClinicalTrialEligibilityCriteriaInd-2
    Item
    Does the patient meet the criteria for symptomatic multiple myeloma (Inclusion Criteria)
    boolean
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C3242 (NCI Thesaurus Property)
    C0026764 (UMLS 2011AA Property)
    C25269 (NCI Thesaurus Property-2)
    C0231220 (UMLS 2011AA Property-2)
    C16112 (NCI Thesaurus Property-3)
    C1516637 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    SystemicTherapyAdministeredInd-3
    Item
    Has the patient received at least two cycles of initial systemic therapy
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C15698 (NCI Thesaurus ObjectClass)
    C1515119 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Treatment Begin Date
    Item
    Date systemic therapy began
    date
    C15368 (NCI Thesaurus ObjectClass)
    C25431 (NCI Thesaurus Property)
    C3173309 (UMLS CUI-1)
    C25275 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25431 (NCI Thesaurus ValueDomain-2)
    Treatment End Date
    Item
    Date systemic therapy ended
    date
    C25164 (NCI Thesaurus ValueDomain)
    C1531784 (UMLS CUI-1)
    C15368 (NCI Thesaurus ObjectClass)
    C25275 (NCI Thesaurus Property)
    C25496 (NCI Thesaurus Property-2)
    StemCellMobilizationTherapyAdministeredProjectedBeginDate
    Item
    Start date of mobilization therapy (Record)
    date
    C62604 (NCI Thesaurus ObjectClass)
    C0524864 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25431 (NCI Thesaurus ValueDomain-2)
    C0439659 (UMLS 2011AA ValueDomain-2)
    C25631 (NCI Thesaurus ValueDomain-3)
    TransplantConditioningChemotherapyAdministeredBeginDate
    Item
    Proposed start date of conditioning (Record)
    date
    C64468 (NCI Thesaurus ObjectClass)
    C0376450 (UMLS 2011AA ObjectClass)
    C15632 (NCI Thesaurus Property)
    C0392920 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25431 (NCI Thesaurus ValueDomain-2)
    C0439659 (UMLS 2011AA ValueDomain-2)
    Item Group
    Left Ventricular Ejection Fraction
    HeartLVEFTestPercentageValue
    Item
    Left Ventricular Ejection Fraction at Rest
    float
    C12727 (NCI Thesaurus ObjectClass)
    C0018787 (UMLS 2011AA ObjectClass)
    C25294 (NCI Thesaurus Property)
    C0022885 (UMLS 2011AA Property)
    C37946 (NCI Thesaurus Property-2)
    C2700377 (UMLS 2011AA Property-2)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    HeartLVEFTestDate
    Item
    Date LVEF performed
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C12727 (NCI Thesaurus ObjectClass)
    C0018787 (UMLS 2011AA ObjectClass)
    C25294 (NCI Thesaurus Property)
    C0022885 (UMLS 2011AA Property)
    C37946 (NCI Thesaurus Property-2)
    C2700377 (UMLS 2011AA Property-2)
    Item Group
    Bilirubin
    LaboratoryProcedureTotalBilirubinResultValue
    Item
    Bilirubin (Most Recent Value)
    float
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C38037 (NCI Thesaurus Property-2)
    C0201913 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    Bilirubin, Total ULN
    Item
    Bilirubin Upper Limit Normal (For Your Institution)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0201913 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property)
    C1519815 (UMLS CUI-2)
    C38037 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    SpecimenLaboratoryProcedureCollectionDate
    Item
    Date Sample Obtained
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25453 (NCI Thesaurus Property)
    C1516698 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus Property-2)
    C0022885 (UMLS 2011AA Property-2)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    Item Group
    Alt
    LaboratoryProcedureSerumGlutamicPyruvicTransaminaseResultUnspecifiedValue
    Item
    SGPT (ALT) (Most Recent Value)
    float
    C38046 (NCI Thesaurus ValueDomain)
    C0205370 (UMLS 2011AA ValueDomain)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25293 (NCI Thesaurus Property-2)
    C0376147 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    LaboratoryProcedureSerumGlutamicPyruvicTransaminaseResultUpperLimitofNormalValue
    Item
    SGPT Upper Limit Normal (For Your Institution)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25293 (NCI Thesaurus Property-2)
    C0376147 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    C1519815 (UMLS 2011AA ValueDomain-2)
    Item Group
    Ast
    SGOT (AST)
    Item
    SGOT (AST) (Most Recent Value)
    float
    C25202 (NCI Thesaurus Property)
    C0201899 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    LaboratoryProcedureSerumGlutamicOxaloaceticTransferaseResultUnspecifiedUpperLimitofNormalValue
    Item
    SGOT Upper Limit Normal (For Your Institution)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25202 (NCI Thesaurus Property)
    C0242192 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    C1519815 (UMLS 2011AA ValueDomain-2)
    Item Group
    Serum Creatinine
    Creatinine Clearance
    Item
    Creatinine Clearance
    float
    C20200 (NCI Thesaurus Property)
    C0373595 (UMLS CUI-1)
    C25747 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    LaboratoryProcedureCreatinineClearanceOutcomeDate
    Item
    Date creatinine clearance sample obtained
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25747 (NCI Thesaurus Property-2)
    C0373595 (UMLS 2011AA Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    Item Group
    Dlco (corrected For Hemoglobin)
    LungCarbonMonoxideDiffusingCapabilityTestAssessmentPredictiveValuePercentageValue
    Item
    DLCO (Most Recent Value)
    float
    C12468 (NCI Thesaurus ObjectClass)
    C0024109 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C38083 (NCI Thesaurus Property-2)
    C1516251 (UMLS 2011AA Property-2)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    C16238 (NCI Thesaurus ValueDomain-3)
    C1514307 (UMLS 2011AA ValueDomain-3)
    Item Group
    Fev1
    LungForcedExpiratoryVolume1TestSpecifiedValue
    Item
    FEV1 (Most Recent Value corrected for hemoglobin )
    float
    C12468 (NCI Thesaurus ObjectClass)
    C0024109 (UMLS 2011AA ObjectClass)
    C25294 (NCI Thesaurus Property)
    C0022885 (UMLS 2011AA Property)
    C38084 (NCI Thesaurus Property-2)
    C0849974 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C38024 (NCI Thesaurus ValueDomain-2)
    C0205369 (UMLS 2011AA ValueDomain-2)
    Item Group
    Fvc
    VitalLungCapacityTestSpecifiedValue
    Item
    FVC (Most Recent Value corrected for hemoglobin )
    float
    C12468 (NCI Thesaurus ObjectClass)
    C0024109 (UMLS 2011AA ObjectClass)
    C18003 (NCI Thesaurus ObjectClass-2)
    C0442732 (UMLS 2011AA ObjectClass-2)
    C25294 (NCI Thesaurus Property)
    C0022885 (UMLS 2011AA Property)
    C25443 (NCI Thesaurus Property-2)
    C1516240 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    Item Group
    Patient Exclusion Criteria
    Non-SecretoryMyelomaDiseaseDiagnosisInd-2
    Item
    Does the patient have non-secretory multiple myeloma
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    C4734 (NCI Thesaurus ObjectClass-2)
    C0456845 (UMLS 2011AA ObjectClass-2)
    PlasmaCellLeukemiaDiseaseDiagnosisInd-2
    Item
    Does the patient have plasma cell leukemia
    boolean
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C3161 (NCI Thesaurus ObjectClass-2)
    C0023418 (UMLS 2011AA ObjectClass-2)
    C12486 (NCI Thesaurus ObjectClass-3)
    C0032112 (UMLS 2011AA ObjectClass-3)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Item
    What is the patient's Karnofsky/Lansky Score
    text
    C25367 (NCI Thesaurus Property)
    C20641 (NCI Thesaurus ObjectClass)
    C1518965 (UMLS 2011AA ObjectClass)
    C25338 (NCI Thesaurus ValueDomain)
    C0449820 (UMLS 2011AA ValueDomain)
    CL.11
    Code List
    What is the patient's Karnofsky/Lansky Score
    CL Item
    Dead (0)
    CL Item
    Moribund, Fatal Processes Progressing Rapidly (10)
    CL Item
    Very Sick, Hospitalization Indicated. Death Not Imminent (20)
    CL Item
    Severely Disabled, Hospitalization Indicated. Death Not Imminent (30)
    CL Item
    Disabled, Requires Special Care And Assistance (40)
    CL Item
    Requires Considerable Assistance And Frequent Medical Care (50)
    CL Item
    Requires Occasional Assistance, But Is Able To Care For Most Of His/her Needs (60)
    CL Item
    Cares For Self, Unable To Carry On Normal Activity Or To Do Active Work (70)
    CL Item
    Normal Activity With Effort; Some Signs Or Symptoms Of Disease (80)
    CL Item
    Able To Carry On Normal Activity; Minor Signs Or Symptoms Of Disease (90)
    CL Item
    Normal, No Complaints, No Evidence Of Disease (100)
    CommonToxicityCriteriaAdverseEventPeripheralSensoryNeuropathyInd-2
    Item
    Does the patient have > grade 2 sensory neuropathy
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C49704 (NCI Thesaurus ObjectClass)
    C1516728 (UMLS 2011AA ObjectClass)
    C0151313 (NCI Metathesaurus Property)
    PatientInfectionInd-2
    Item
    Does the patient have an uncontrolled viral, bacterial or fungal infection
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C26726 (NCI Thesaurus Property)
    C0009450 (UMLS 2011AA Property)
    HumanImmunodeficiencyVirusDiagnosisInd-3
    Item
    Is the patient HIV seropositive
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C14219 (NCI Thesaurus ObjectClass)
    C0019682 (UMLS 2011AA ObjectClass)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    CardiovascularDiseasePresentInd-2
    Item
    Did the patient experience a myocardial infarction within the past 6 months, Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities (Did the patient experience a myocardial infarction within the past 6 months, Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities)
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C25292 (NCI Thesaurus ObjectClass)
    C0007226 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass-2)
    C0012634 (UMLS 2011AA ObjectClass-2)
    PatientBortezomibBoronMannitolHypersensitivityPersonalMedicalHistoryInd-2
    Item
    Does the patient have known hypersensitivity to bortezomib, boron, or mannitol
    boolean
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C3114 (NCI Thesaurus Property)
    C0020517 (UMLS 2011AA Property)
    C1851 (NCI Thesaurus Property-2)
    C0879272 (UMLS 2011AA Property-2)
    C18772 (NCI Thesaurus Property-3)
    C0262926 (UMLS 2011AA Property-3)
    C61481 (NCI Thesaurus Property-4)
    C0006030 (UMLS 2011AA Property-4)
    C625 (NCI Thesaurus Property-5)
    C0024730 (UMLS 2011AA Property-5)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    PriorInvestigationalTherapiesAdministeredInd-2
    Item
    Has the patient received other investigational agents within the past 14 days
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C0949266 (NCI Metathesaurus ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Item
    Does the patient have a history of any malignant diseases other than multiple myeloma, basal cell carcinoma or cervical carcinoma in situ
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C3262 (NCI Thesaurus Property)
    C0027651 (UMLS 2011AA Property)
    C18772 (NCI Thesaurus Property-2)
    C0262926 (UMLS 2011AA Property-2)
    CL.18
    Code List
    Does the patient have a history of any malignant diseases other than multiple myeloma, basal cell carcinoma or cervical carcinoma in situ
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Yes, Approved By Study Chair/mm (Yes, Approved by Study Chair/MM)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    Item Group
    Exclusion Criteria (cont.)
    PatientEligibilityConfirmationDate
    Item
    Date confirmed by study chair
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25171 (NCI Thesaurus ObjectClass-2)
    C0013893 (UMLS 2011AA ObjectClass-2)
    C0750484 (NCI Metathesaurus Property)
    PriorCancerDiagnosisIndicator
    Item
    Was the malignancy treated with curative intent >5 year
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    Item
    Is the patient pregnant or breastfeeding
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25742 (NCI Thesaurus Property)
    C0032961 (UMLS 2011AA Property)
    C49797 (NCI Thesaurus ValueDomain)
    C1708496 (UMLS 2011AA ValueDomain)
    CL.20
    Code List
    Is the patient pregnant or breastfeeding
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Not Applicable (Not Applicable)
    C48660 (NCI Thesaurus)
    C1272460 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    Item
    Is the patient willing to use contraceptive techniques during the length of lenalidomide maintenance therapy
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C37932 (NCI Thesaurus ObjectClass)
    C0700589 (UMLS 2011AA ObjectClass)
    C25369 (NCI Thesaurus Property)
    C0680240 (UMLS 2011AA Property)
    CL.21
    Code List
    Is the patient willing to use contraceptive techniques during the length of lenalidomide maintenance therapy
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Not Applicable (Not Applicable)
    HematopoieticStemCellTransplantationPerformedInd-2
    Item
    Has the patient had a previous autologous or allogeneic stem cell transplant
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C12551 (NCI Thesaurus ObjectClass)
    C0018956 (UMLS 2011AA ObjectClass)
    C15342 (NCI Thesaurus ObjectClass-2)
    C0029216 (UMLS 2011AA ObjectClass-2)
    PreparativeRegimenMelphalanAdministeredIndicator
    Item
    Did the patient receive mid-intensity melphalan as prior systemic therapy
    boolean
    C61155 (NCI Thesaurus ObjectClass)
    C1882454 (UMLS 2011AA ObjectClass)
    C633 (NCI Thesaurus ObjectClass-2)
    C0025241 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C49488 (NCI Thesaurus ValueDomain-2)
    C1705108 (UMLS 2011AA ValueDomain-2)
    C49487 (NCI Thesaurus ValueDomain-3)
    C1298908 (UMLS 2011AA ValueDomain-3)
    C48660 (NCI Thesaurus ValueDomain-4)
    C1272460 (UMLS 2011AA ValueDomain-4)
    C17998 (NCI Thesaurus ValueDomain-5)
    C0439673 (UMLS 2011AA ValueDomain-5)
    C49484 (NCI Thesaurus ValueDomain-6)
    C1272696 (UMLS 2011AA ValueDomain-6)
    TransplantReceivedInd-2
    Item
    Has the patient received a prior organ transplant requiring immunosuppressive therapy
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C12981 (NCI Thesaurus ObjectClass)
    C0332835 (UMLS 2011AA ObjectClass)
    C25639 (NCI Thesaurus Property)
    C1514756 (UMLS 2011AA Property)
    DiseaseProgressionInd-3
    Item
    Did the patient experience disease progression prior to enrollment
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25331 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    LenalidomideAgentDiscontinuedFirstMultipleMyeloma-IgGTreatmentAdministrationInd-2
    Item
    Did the patient receive lenalidomide as initial therapy for multiple myeloma and experience toxicities resulting in treatment discontinuation
    boolean
    C2668 (NCI Thesaurus ObjectClass)
    C1134588 (UMLS 2011AA ObjectClass)
    C1708 (NCI Thesaurus ObjectClass-2)
    C0450442 (UMLS 2011AA ObjectClass-2)
    C15368 (NCI Thesaurus Property)
    C25509 (NCI Thesaurus Property-2)
    C1279901 (UMLS 2011AA Property)
    C25484 (NCI Thesaurus Property-3)
    C1444662 (UMLS 2011AA Property-2)
    C70609 (NCI Thesaurus Property-4)
    C2347303 (UMLS 2011AA Property-3)
    C25409 (NCI Thesaurus Property-5)
    C1533734 (UMLS 2011AA Property-4)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Item
    Did the patient experience thromboembolic events while on full anticoagulation during prior therapy with lenalidomide or thalidomide
    text
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C18772 (NCI Thesaurus Property)
    C0262926 (UMLS 2011AA Property)
    C0040038 (NCI Metathesaurus Property)
    CL.27
    Code List
    Did the patient experience thromboembolic events while on full anticoagulation during prior therapy with lenalidomide or thalidomide
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    PatientDeepVeinThrombosisPreventiveInterventionConsentInd-2
    Item
    Is the patient willing to take deep vein thrombosis prophylaxis
    boolean
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C49343 (NCI Thesaurus Property)
    C0149871 (UMLS 2011AA Property)
    C15843 (NCI Thesaurus Property-2)
    C0199176 (UMLS 2011AA Property-2)
    C25460 (NCI Thesaurus Property-3)
    C1511481 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    PatientDenyHealthInsuranceInd-2
    Item
    Did the patient get denied for medical cost coverage by third party payers to undergo an intervention on any of the treatment arms
    boolean
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C16745 (NCI Thesaurus Property)
    C0021672 (UMLS 2011AA Property)
    C25178 (NCI Thesaurus Property-2)
    C0018684 (UMLS 2011AA Property-2)
    C74933 (NCI Thesaurus Property-3)
    C2700401 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Item Group
    Donor Inclusion Criteria
    BloodTissueSpecimenOtherDiseasesandDisordersFutureResearchConsentInd-2
    Item
    Did the patient give consent to provide blood for the PRIMeR ancillary study and for future research purposes
    boolean
    C12801 (NCI Thesaurus ObjectClass)
    C0040300 (UMLS 2011AA ObjectClass)
    C12434 (NCI Thesaurus ObjectClass-2)
    C0229664 (UMLS 2011AA ObjectClass-2)
    C19157 (NCI Thesaurus ObjectClass-3)
    C0370003 (UMLS 2011AA ObjectClass-3)
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C15319 (NCI Thesaurus Property-2)
    C67527 (NCI Thesaurus Property-3)
    C0016884 (UMLS 2011AA Property-2)
    C2991 (NCI Thesaurus Property-4)
    C0012634 (UMLS 2011AA Property-3)
    C25460 (NCI Thesaurus Property-5)
    C1511481 (UMLS 2011AA Property-4)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    BoneMarrowSpecimenOtherDiseasesandDisordersFutureResearchConsentInd-2
    Item
    Did the patient give consent to provide bone marrow for the PRIMeR ancillary study and for future research purposes
    boolean
    C12431 (NCI Thesaurus ObjectClass)
    C0005953 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C15319 (NCI Thesaurus Property-2)
    C67527 (NCI Thesaurus Property-3)
    C0016884 (UMLS 2011AA Property-2)
    C2991 (NCI Thesaurus Property-4)
    C0012634 (UMLS 2011AA Property-3)
    C25460 (NCI Thesaurus Property-5)
    C1511481 (UMLS 2011AA Property-4)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    BoneMarrowAspirateDate
    Item
    Date the bone marrow aspirate was obtained
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    C12431 (NCI Thesaurus ObjectClass)
    C0005953 (UMLS 2011AA ObjectClass)
    C13347 (NCI Thesaurus Property)
    C0370199 (UMLS 2011AA Property)
    SerumSpecimenCollectedDate
    Item
    Date the serum sample was obtained
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C13325 (NCI Thesaurus ObjectClass)
    C0229671 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    C25452 (NCI Thesaurus Property)
    PlasmaSpecimenCollectedDate
    Item
    Date the plasma sample was obtained
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C13356 (NCI Thesaurus ObjectClass)
    C0032105 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    C25452 (NCI Thesaurus Property)
    PeripheralBloodMononuclearCellSpecimenCollectedDate
    Item
    Date the PBMC sample was obtained
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C12954 (NCI Thesaurus ObjectClass)
    C1321301 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    C25452 (NCI Thesaurus Property)
    Item Group
    Risk Status
    Item
    Patient risk status
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C17102 (NCI Thesaurus Property)
    C0035647 (UMLS 2011AA Property)
    C25171 (NCI Thesaurus Property-2)
    C0013893 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.32
    Code List
    Patient risk status
    CL Item
    High Risk (High Risk)
    C25227 (NCI Thesaurus)
    C0205250 (UMLS 2011AA)
    C17102 (NCI Thesaurus-3)
    C0035647 (UMLS 2011AA-4)
    CL Item
    Standard Risk (Standard Risk)
    C44275 (NCI Thesaurus)
    C1442989 (UMLS 2011AA)
    C17102 (NCI Thesaurus-3)
    C0035647 (UMLS 2011AA-4)
    Item Group
    Comments
    Research Comments
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
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