ID

43117

Beskrivning

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

Länk

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

Nyckelord

Versioner (5)
  1. 2014-12-18 2014-12-18 - Martin Dugas
  2. 2015-01-08 2015-01-08 - Martin Dugas
  3. 2015-01-09 2015-01-09 - Martin Dugas
  4. 2015-07-03 2015-07-03 -
  5. 2021-09-20 2021-09-20 -
Uppladdad den

20 september 2021

DOI

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Licens

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

Engelsk

No Instruction available.

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

Patient demographics

Patient Initials
Beskrivning

Patient Initials

Datatyp

text

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

PatientBoneMarrowGraftIdentifierNumber

Datatyp

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 #
Beskrivning

PatientCenterResearchInfectiousDisorderIdentifierNumber

Datatyp

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
Beskrivning

Gender

Datatyp

text

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

PersonBirthDate

Datatyp

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)
Beskrivning

Patient Weight

Datatyp

float

Måttenheter
  • Kg
Alias
NCI Thesaurus ValueDomain
C25209
UMLS CUI-1
C0005910
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25208
Kg
Date patient's weight assessed
Beskrivning

PatientWeightDate

Datatyp

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
Beskrivning

CD34SelectionAutograftPerformedValue

Datatyp

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
Beskrivning

AssessmentLabUOM

Datatyp

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
Beskrivning

Ethnicity and Race

Ethnicity
Beskrivning

Ethnic Group

Datatyp

text

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

PatientBMTCTNSubgroupRaceCategoryType

Datatyp

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
Beskrivning

OtherRaceCategoryText

Datatyp

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
Beskrivning

PatientSecondaryRaceBMTCTNSubgroupCategoryType

Datatyp

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
Beskrivning

PatientSecondaryRaceSpecify

Datatyp

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
Beskrivning

Myeloma Follow-On Enrollment Form - Segment A

Date Informed Consent Signed (Record)
Beskrivning

InformedConsentFormSignedDate

Datatyp

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
Beskrivning

PersonAddressPostalCode

Datatyp

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
Beskrivning

PatientPaymentType

Datatyp

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)
Beskrivning

PersonSymptomaticPlasmaCellMyelomaClinicalTrialEligibilityCriteriaInd-2

Datatyp

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
Beskrivning

SystemicTherapyAdministeredInd-3

Datatyp

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
Beskrivning

Treatment Begin Date

Datatyp

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
Beskrivning

Treatment End Date

Datatyp

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)
Beskrivning

StemCellMobilizationTherapyAdministeredProjectedBeginDate

Datatyp

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)
Beskrivning

TransplantConditioningChemotherapyAdministeredBeginDate

Datatyp

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
Beskrivning

Left Ventricular Ejection Fraction

Left Ventricular Ejection Fraction at Rest
Beskrivning

HeartLVEFTestPercentageValue

Datatyp

float

Måttenheter
  • %
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
Beskrivning

HeartLVEFTestDate

Datatyp

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
Beskrivning

Bilirubin

Bilirubin (Most Recent Value)
Beskrivning

LaboratoryProcedureTotalBilirubinResultValue

Datatyp

float

Måttenheter
  • 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)
Beskrivning

Bilirubin, Total ULN

Datatyp

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
Beskrivning

SpecimenLaboratoryProcedureCollectionDate

Datatyp

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
Beskrivning

Alt

SGPT (ALT) (Most Recent Value)
Beskrivning

LaboratoryProcedureSerumGlutamicPyruvicTransaminaseResultUnspecifiedValue

Datatyp

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)
Beskrivning

LaboratoryProcedureSerumGlutamicPyruvicTransaminaseResultUpperLimitofNormalValue

Datatyp

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
Beskrivning

Ast

SGOT (AST) (Most Recent Value)
Beskrivning

SGOT (AST)

Datatyp

float

Måttenheter
  • 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)
Beskrivning

LaboratoryProcedureSerumGlutamicOxaloaceticTransferaseResultUnspecifiedUpperLimitofNormalValue

Datatyp

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
Beskrivning

Serum Creatinine

Creatinine Clearance
Beskrivning

Creatinine Clearance

Datatyp

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
Beskrivning

LaboratoryProcedureCreatinineClearanceOutcomeDate

Datatyp

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)
Beskrivning

Dlco (corrected For Hemoglobin)

DLCO (Most Recent Value)
Beskrivning

LungCarbonMonoxideDiffusingCapabilityTestAssessmentPredictiveValuePercentageValue

Datatyp

float

Måttenheter
  • %
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
Beskrivning

Fev1

FEV1 (Most Recent Value corrected for hemoglobin )
Beskrivning

LungForcedExpiratoryVolume1TestSpecifiedValue

Datatyp

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
Beskrivning

Fvc

FVC (Most Recent Value corrected for hemoglobin )
Beskrivning

VitalLungCapacityTestSpecifiedValue

Datatyp

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
Beskrivning

Patient Exclusion Criteria

Does the patient have non-secretory multiple myeloma
Beskrivning

Non-SecretoryMyelomaDiseaseDiagnosisInd-2

Datatyp

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
Beskrivning

PlasmaCellLeukemiaDiseaseDiagnosisInd-2

Datatyp

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
Beskrivning

KarnofskyPerformanceStatusScore

Datatyp

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
Beskrivning

CommonToxicityCriteriaAdverseEventPeripheralSensoryNeuropathyInd-2

Datatyp

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
Beskrivning

PatientInfectionInd-2

Datatyp

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
Beskrivning

HumanImmunodeficiencyVirusDiagnosisInd-3

Datatyp

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)
Beskrivning

CardiovascularDiseasePresentInd-2

Datatyp

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
Beskrivning

PatientBortezomibBoronMannitolHypersensitivityPersonalMedicalHistoryInd-2

Datatyp

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
Beskrivning

PriorInvestigationalTherapiesAdministeredInd-2

Datatyp

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
Beskrivning

PatientNeoplasmPersonalMedicalHistoryIndicator

Datatyp

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.)
Beskrivning

Exclusion Criteria (cont.)

Date confirmed by study chair
Beskrivning

PatientEligibilityConfirmationDate

Datatyp

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
Beskrivning

PriorCancerDiagnosisIndicator

Datatyp

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
Beskrivning

PatientPregnancyInd-3b

Datatyp

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
Beskrivning

ContraceptionAgreementInd

Datatyp

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
Beskrivning

HematopoieticStemCellTransplantationPerformedInd-2

Datatyp

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
Beskrivning

PreparativeRegimenMelphalanAdministeredIndicator

Datatyp

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
Beskrivning

TransplantReceivedInd-2

Datatyp

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
Beskrivning

DiseaseProgressionInd-3

Datatyp

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
Beskrivning

LenalidomideAgentDiscontinuedFirstMultipleMyeloma-IgGTreatmentAdministrationInd-2

Datatyp

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
Beskrivning

PersonThromboembolismPersonalMedicalHistoryInd-3

Datatyp

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
Beskrivning

PatientDeepVeinThrombosisPreventiveInterventionConsentInd-2

Datatyp

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
Beskrivning

PatientDenyHealthInsuranceInd-2

Datatyp

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
Beskrivning

Donor Inclusion Criteria

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

BloodTissueSpecimenOtherDiseasesandDisordersFutureResearchConsentInd-2

Datatyp

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
Beskrivning

BoneMarrowSpecimenOtherDiseasesandDisordersFutureResearchConsentInd-2

Datatyp

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
Beskrivning

BoneMarrowAspirateDate

Datatyp

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
Beskrivning

SerumSpecimenCollectedDate

Datatyp

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
Beskrivning

PlasmaSpecimenCollectedDate

Datatyp

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
Beskrivning

PeripheralBloodMononuclearCellSpecimenCollectedDate

Datatyp

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
Beskrivning

Risk Status

Patient risk status
Beskrivning

PatientRiskEligibilityDeterminationStatus

Datatyp

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
Beskrivning

Comments

Comments
Beskrivning

Research Comments

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0947611
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
Tillbaka till toppen

Similar models

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1 Formulär
  1. StudyEvent: BMTCTN-0702: Enrollment (ENR)
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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