Institution Name
Item
Institution
text
C25191 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
Protocol ID COG
Item
Study
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1516477 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
PatientCOGIdentifierNumber
Item
COG Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C39353 (NCI Thesaurus Property-2)
C1516477 (UMLS 2011AA Property-2)
Patient Name
Item
Patient Name
text
C25191 (NCI Thesaurus ValueDomain)
C1299487 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
Form Completion Date
Item
Today's date
date
C19464 (NCI Thesaurus ObjectClass)
C1549507 (UMLS CUI-1)
C25250 (NCI Thesaurus Property)
C25604 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
DataEnteredDate
Item
Date entered into RDE
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C37949 (NCI Thesaurus Property)
C1521975 (UMLS 2011AA Property)
Item
Reporting Period (Institution will choose which course their patient is on.)
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
C15368 (NCI Thesaurus ObjectClass)
C25651 (NCI Thesaurus Property-2)
C0700287 (UMLS 2011AA Property-2)
Code List
Reporting Period (Institution will choose which course their patient is on.)
CL Item
Reduction Phase (Reduction Phase)
CL Item
Induction, 1st Cycle (Induction, 1st Cycle)
CL Item
Induction, 2nd cycle (Induction, 2nd cycle)
CL Item
Consolidation, 1st course (CYM-RM1) (Consolidation, 1st course (CYM-RM1))
CL Item
Consolidation, other than CYM-RM1 (Consolidation, other than CYM-RM1)
CL Item
Maintenance, Course 1 (Maintenance, Course 1)
CL Item
Maintenance, Course 2 (Maintenance, Course 2)
CL Item
Maintenance, Course 3 (Maintenance, Course 3)
CL Item
Maintenance, Course 4 (Maintenance, Course 4)
TreatmentCurrentCourseNumber
Item
Course Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C15368 (NCI Thesaurus ObjectClass)
day number
Item
day number
integer
C25301 (NCI Thesaurus ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25463 (NCI Thesaurus ValueDomain-2)
C1547352 (UMLS CUI-1)
Reporting Period Start Date
Item
Reporting Period Start date (Required field)
date
C15368 (NCI Thesaurus ObjectClass)
C25616 (NCI Thesaurus Property)
C2361257 (UMLS CUI-1)
C25651 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
Reporting Period End Date
Item
Reporting Period end date (Denote this field as "DT2")
date
C25164 (NCI Thesaurus ValueDomain)
C2361259 (UMLS CUI-1)
C25616 (NCI Thesaurus Property)
C15368 (NCI Thesaurus ObjectClass)
C25651 (NCI Thesaurus Property-2)
Patient Height
Item
Patient's Height (in cm at beginning of Reporting Period)
float
C25209 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS CUI-1)
Patient Weight
Item
Patient's Weight (in kg at beginning of Reporting Period)
float
C25209 (NCI Thesaurus ValueDomain)
C0005910 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25208 (NCI Thesaurus Property)
assessment
Item
Was the patient's disease status evaluated during this reporting period? (Required for reporting periods 1, 2, 3, 4)
boolean
C38147 (NCI Thesaurus ValueDomain)
C25500 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C1516048 (UMLS CUI-1)
Item
COP Phase (Required only for Reduction Phase)
text
C25284 (NCI Thesaurus ValueDomain)
C25755 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C3161 (NCI Thesaurus ObjectClass-2)
C1704632 (UMLS CUI-1)
Code List
COP Phase (Required only for Reduction Phase)
CL Item
<20% tumor reduction (<20% tumor reduction)
CL Item
Equivocal (Equivocal)
CL Item
Not done (Not done)
CL Item
Sub-Pilot B or Pilot B <20% reduction (Sub-Pilot B or Pilot B <20% reduction)
CL Item
Complete Response (CR)
CL Item
Incomplete Response Or Stable Disesase (Incomplete response/SD)
CL Item
Insufficient Evaluation (Insufficient evaluation to determine response status)
CL Item
Progression; At Least A 20% Increase In The Sum Of Ld Of Target Lesions Taking As References The Smallest Sum Ld Recorded Since The Treatment Started Or The Appearance Of One Or More New Lesions (PD)
CL Item
Partial Response (PR)
C18212 (NCI Thesaurus)
CL Item
Stable Disease (SD)
C18213 (NCI Thesaurus)
C0677946 (UMLS 2011AA)
CL Item
20% tumor reduction (>)
Bone marrow
Item
Did the patient have a bone marrow evaluation during this reporting period? (Required field)
boolean
C38148 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus Property)
C12431 (NCI Thesaurus ObjectClass)
C0005953 (UMLS CUI-1)
Reason no bone marrow
Item
If bone marrow evaluation not done, specify reason (Required if above answer is not done)
text
C25214 (NCI Thesaurus Property)
C12431 (NCI Thesaurus ObjectClass)
Bone marrow date
Item
what was the date of the exam? [bone marrow evaluation] (If yes,)
date
C25164 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus Property)
C12431 (NCI Thesaurus ObjectClass)
C0005953 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Bone Marrow Involvement
Item
does the patient have bone marrow involvement? (If yes,)
boolean
C38148 (NCI Thesaurus ValueDomain)
C12431 (NCI Thesaurus ObjectClass)
C25548 (NCI Thesaurus Property)
C1517677 (UMLS CUI-1)
Blasts, Bone Marrow
Item
percent (%) malignant blasts in bone marrow
float
C25294 (NCI Thesaurus ObjectClass)
C12431 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C12918 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1982687 (UMLS CUI-1)
CNSEvaluationReportingInd-2
Item
Was patient's CNS status evaluated during this reporting period? (Required field)
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C12438 (NCI Thesaurus ObjectClass)
C3714787 (UMLS 2011AA ObjectClass)
CNSInvolvedInd-3
Item
Does patient have CNS involvement? (Required if above answer is 'yes')
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C12438 (NCI Thesaurus ObjectClass)
C3714787 (UMLS 2011AA ObjectClass)
C25547 (NCI Thesaurus Property)
CSFCellCountInd-3
Item
Was cerebrospinal fluid cell count done? (Required if CNS involvement yes)
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)
CSFCellCountDate
Item
date CSF fluid cell count was done (If yes,)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)
Leukocytes (WBC)
Item
Number of white cells counted (Required if CNS involvement yes)
float
C25294 (NCI Thesaurus ObjectClass)
C0023508 (UMLS CUI-1)
C12529 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C38046 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
Erythrocyte
Item
Number of red cells counted (Required if CNS involvement yes)
float
C25294 (NCI Thesaurus ObjectClass)
C12521 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C38024 (NCI Thesaurus ValueDomain-2)
C0014772 (UMLS CUI-1)
Blasts
Item
Blasts present in cytocentrifuge (Required if CNS involvement yes)
float
C20200 (NCI Thesaurus Property)
C25294 (NCI Thesaurus ObjectClass)
C0523113 (UMLS CUI-1)
Total number of cells
Item
total number of cells counted
float
C19157 (NCI Thesaurus ObjectClass)
C12508 (NCI Thesaurus Property)
C25256 (NCI Thesaurus Property-2)
C25304 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C0427872 (UMLS CUI-1)
Echocardiogram
Item
was an Echocardiogram performed during this reporting period? (If Echocardiogram was not able to be performed prior to starting treatment,)
boolean
C38147 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ObjectClass)
C38000 (NCI Thesaurus Property)
C0013516 (UMLS CUI-1)
Item
Imaging Studies Following Reporting Period (Required field)
integer
C20989 (NCI Thesaurus ObjectClass)
C16847 (NCI Thesaurus Property)
C0011923 (UMLS CUI-1)
Code List
Imaging Studies Following Reporting Period (Required field)
CL Item
Chest X-ray (1)
C0039985 (UMLS CUI-1)
CL Item
Abdominal Ultrasound (2)
C2348813 (UMLS CUI-1)
CL Item
Abdominal CT or MRI (3)
CL Item
Bone Scan (4)
C0203668 (UMLS CUI-1)
CL Item
PET Scan (5)
C0032743 (UMLS CUI-1)
CL Item
Gallium Scan (6)
C0521316 (UMLS CUI-1)
CL Item
Head or spine CT or MRI (7)
CL Item
Testicular ultrasound (8)
Item
results of imaging studies
integer
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C1287399 (UMLS CUI-1)
Code List
results of imaging studies
CL Item
Evidence of disease (1)
C0332120 (UMLS CUI-1)
CL Item
No evidence of disease (2)
C1518340 (UMLS CUI-1)
CL Item
Equivocal (3)
C0332241 (UMLS CUI-1)
CL Item
Not done (4)
C1272696 (UMLS CUI-1)
PatientOff-treatmentInd-3
Item
Is the patient off protocol therapy at the end of this reporting period? (Required field)
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25601 (NCI Thesaurus Property)
C1518544 (UMLS 2011AA Property)
Date Last Dose
Item
date last drug or other protocol defined treatment was received (If yes,)
date
C25164 (NCI Thesaurus ValueDomain)
C1762893 (UMLS CUI-1)
C15368 (NCI Thesaurus ObjectClass)
C25509 (NCI Thesaurus Property)
C25256 (NCI Thesaurus Property-2)
Item
reason off protocol therapy (If yes,)
text
C25601 (NCI Thesaurus ObjectClass)
C1518544 (UMLS CUI-1)
C25365 (NCI Thesaurus Property)
C0566251 (UMLS CUI-2)
Code List
reason off protocol therapy (If yes,)
CL Item
Treatment Completed Per Protocol Criteria (Treatment completed per protocol criteria)
CL Item
Disease Progression Before Active Treatment (Disease progression/relapse during active treatment)
CL Item
Disease Progression, Relapse During Active Treatment (Group C patients who have biopsy proven residual disease after induction (COPADM2))
CL Item
Adverse Event/side Effects/complications (Toxicity/Side Effects/Complications)
CL Item
Death On Study (Death)
CL Item
Patient Withdrawal Or Refusal After Beginning Protocol Therapy (Patient withdrawal or refusal after beginning protocol therapy)
CL Item
Patient Withdrawal Or Refusal Before Beginning Protocol Therapy (Patient withdrawal or refusal prior to beginning a protocol therapy)
CL Item
Alternative Therapy (Alternative therapy)
CL Item
Patient Off-treatment For Other Complicating Disease (Patient off-treatment for other complicating disease)
CL Item
Cytogenetic Resistance (Cytogenetic resistance)
CL Item
Disease Progression Before Active Treatment (Disease progression before active treatment)
CL Item
Patient Withdrawal Or Refusal After Beginning Protocol Therapy (Patient declared ineligible)
CL Item
Lost To Follow-up (Lost to follow-up)
CL310949 (NCI Metathesaurus)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Treatment Modification
Item
was the patient switched to Sub-pilot Group C or pilot Group C, respectively? (If there was evidence of disease,)
boolean
C38148 (NCI Thesaurus ValueDomain)
C1299575 (UMLS CUI-1)
C15368 (NCI Thesaurus ObjectClass)
C25572 (NCI Thesaurus Property)
Item
treatment assignment (If the treatment assignment is Group B Sub-Pilot or Group B Pilot)
text
C25704 (NCI Thesaurus ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25426 (NCI Thesaurus Property)
C1522541 (UMLS CUI-1)
Code List
treatment assignment (If the treatment assignment is Group B Sub-Pilot or Group B Pilot)
CL Item
CYM-RM1 (CYM-RM1)
CL Item
CYM-RM2 (CYM-RM2)
Item
Was there evidence of residual disease on diagnostic tests?
integer
C25284 (NCI Thesaurus ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C37895 (NCI Thesaurus ObjectClass-2)
C25365 (NCI Thesaurus Property)
C0543478 (UMLS CUI-1)
Code List
Was there evidence of residual disease on diagnostic tests?
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
CL Item
No (2)
C1298908 (UMLS CUI-1)
CL Item
Gross Disease (3)
C0267604 (UMLS CUI-1)
CL Item
Microscopic Disease (4)
C0278939 (UMLS CUI-1)
CL Item
Unknown/not Documented (5)
C0439673 (UMLS CUI-1)
TumorBiopsyInd-3
Item
was a biopsy performed? (If yes,)
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C15189 (NCI Thesaurus Property)
C0005558 (UMLS 2011AA Property)
Item
what were the results? (If yes,)
text
C15189 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C0005558 (UMLS CUI-1)
C1274040 (UMLS CUI-2)
Code List
what were the results? (If yes,)
CL Item
Evidence of disease (1)
C0332120 (UMLS CUI-1)
CL Item
No evidence of disease (2)
C1518340 (UMLS CUI-1)
CL Item
Equivocal (3)
C0332241 (UMLS CUI-1)
CL Item
Not done (4)
C1272696 (UMLS CUI-1)
CTCAdverseEventLysisGrade
Item
Tumor lysis syndrome? (Required during reduction phase only)
float
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
RenalAbnormalityInd-3
Item
Did renal dysfunction occur during the reduction phase? (Required for reduction phase only.)
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25225 (NCI Thesaurus ObjectClass)
C0022646 (UMLS 2011AA ObjectClass)
C9440 (NCI Thesaurus Property)
C1704258 (UMLS 2011AA Property)
CTCAdverseEventRenalFailureGrade
Item
Maximal grade of renal dysfunction (Choose One)
float
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
RenalSupportAdministeredInd-2
Item
Was there assisted renal support?
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C37902 (NCI Thesaurus ObjectClass)
C1521721 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Item
type of renal support
integer
C37902 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property)
C0011946 (UMLS CUI-1)
Code List
type of renal support
CL Item
Hemodialysis (1)
C0019004 (UMLS CUI-1)
CL Item
Peritoneal dialysis (2)
C0031139 (UMLS CUI-1)
CL Item
CVVH (3)
C0472684 (UMLS CUI-1)
CL Item
CVAH (4)
C0007474 (UMLS CUI-1)
CL Item
Other, Specify (5)
C3844311 (UMLS CUI-1)
RenalSupportAdministeredSpecify
Item
please specify [type of renal support] (Text)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C37902 (NCI Thesaurus ObjectClass)
C1521721 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Agent
Item
agent name
text
C25364 (NCI Thesaurus Property)
C1708 (NCI Thesaurus ObjectClass)
C1708 (NCI Thesaurus ValueDomain)
C42614 (NCI Thesaurus ValueDomain-2)
C1521826 (UMLS CUI-1)
AgentPriorAdministeredReportingInd-2
Item
Was rasburicase utilized prior to Day 0 of the reduction phase? (Required only for Reduction Phase)
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
AgentAdministeredDayDuration
Item
number of days given prior to Day 0 (If yes,)
integer
C25301 (NCI Thesaurus ValueDomain)
C1708 (NCI Thesaurus ObjectClass)
C25382 (NCI Thesaurus Property)
C25330 (NCI Thesaurus ValueDomain-2)
C0450442 (UMLS CUI-1)
C0449238 (UMLS CUI-2)
AgentCourseCount
Item
number of doses given prior to Day 0 (If yes,)
float
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C25379 (NCI Thesaurus Property)
C0750729 (UMLS 2011AA Property)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
Agent administered during reporting period
Item
Did the patient receive rituximab in this cycle?
boolean
C38147 (NCI Thesaurus ValueDomain)
C0450442 (UMLS CUI-1)
C1708 (NCI Thesaurus ObjectClass)
C1521801 (UMLS CUI-2)
C25382 (NCI Thesaurus Property)
CTCAdverseEventStevens-JohnsonSyndromePresentInd-2
Item
did the patient develop clinically significant Steven's Johnson syndrome? (If yes,)
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
NewCancerDiagnosisInd-3
Item
Did a second malignant neoplasm (SMN) occur during this Reporting Period? (Required field)
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25586 (NCI Thesaurus ObjectClass)
C0205314 (UMLS 2011AA ObjectClass)
C9305 (NCI Thesaurus ObjectClass-2)
C0006826 (UMLS 2011AA ObjectClass-2)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
NewCancerDiagnosisDate
Item
Date SMN diagnosed (If the answer to SMN is yes this field must be supplied. The date must be between the start and end date of this reporting period.)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
Item
Life status at end of this reporting period (Required field)
text
C16960 (NCI Thesaurus ObjectClass)
C18003 (NCI Thesaurus ValueDomain)
C25688 (NCI Thesaurus ValueDomain-2)
C25365 (NCI Thesaurus Property)
C3846084 (UMLS CUI-1)
Code List
Life status at end of this reporting period (Required field)
CL Item
Alive (Alive)
C2584946 (UMLS CUI-1)
CL Item
Dead (Dead)
C0011065 (UMLS CUI-1)
PatientLostFollow-upInd-2
Item
Was patient confirmed lost to follow-up at the end of this reporting period? (Required field)
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25560 (NCI Thesaurus Property)
C0745777 (UMLS 2011AA Property)
C16033 (NCI Thesaurus Property-2)
C1522577 (UMLS 2011AA Property-2)
PatientOtherEnrollmentInd-2
Item
Was patient enrolled on another COG therapeutic study at the end of the reporting period? (Required field)
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25171 (NCI Thesaurus Property)
C0013893 (UMLS 2011AA Property)
PatientWithdrawFollow-upConsentInd-2
Item
Did the patient withdraw consent for follow-up at the end of the reporting period? (Note: Withdrawal of consent is to be coded only when the patient no longer wants to participate in the study and asks that data no longer be submitted.)
boolean
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C16033 (NCI Thesaurus Property)
C1522577 (UMLS 2011AA Property)
C25460 (NCI Thesaurus Property-2)
C1511481 (UMLS 2011AA Property-2)
C38061 (NCI Thesaurus Property-3)
C2349954 (UMLS 2011AA Property-3)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
DiseaseProgressionInd-3
Item
Did the patient relapse or experience disease progression during the reporting period? (Required field)
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
DiseaseProgressionDate
Item
date of relapse or progression (If yes,)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C25331 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
uric acid
Item
uric acid level, 4 Hours Post-Treatment
float
C25225 (NCI Thesaurus ObjectClass)
C37984 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C0365228 (UMLS CUI-1)
Potassium
Item
Potassium
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C464 (NCI Thesaurus Property-2)
C765 (NCI Thesaurus Property-3)
C25712 (NCI Thesaurus ValueDomain)
C0032821 (UMLS CUI-1)
Phosphate
Item
Phosphate
float
C20200 (NCI Thesaurus Property)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C64857 (NCI Thesaurus Property-2)
C0523826 (UMLS CUI-1)
Calcium
Item
Calcium
float
C25294 (NCI Thesaurus ObjectClass)
C331 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C464 (NCI Thesaurus Property-3)
C25712 (NCI Thesaurus ValueDomain)
C0201925 (UMLS CUI-1)
Blood Urea Nitrogen
Item
BUN
float
C20200 (NCI Thesaurus Property)
C25294 (NCI Thesaurus ObjectClass)
C61019 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C0005845 (UMLS CUI-1)
Creatinine
Item
Creatinine
float
C25225 (NCI Thesaurus ObjectClass)
C399 (NCI Thesaurus Property)
C25294 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C0201976 (UMLS CUI-1)
LDH
Item
LDH (Required field)
float
C20200 (NCI Thesaurus Property)
C0202113 (UMLS CUI-1)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C25184 (NCI Thesaurus Property-2)
LDH ULN
Item
Institutional upper limits of normal for LDH (Required field)
float
C25294 (NCI Thesaurus ObjectClass)
C0202113 (UMLS CUI-1)
C20200 (NCI Thesaurus Property)
C1519815 (UMLS CUI-2)
C25184 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C38024 (NCI Thesaurus ValueDomain-2)
C25706 (NCI Thesaurus ValueDomain-3)
LDH elevated
Item
If LDH level was elevate above institutional upper limits of normal,: ____ fold increase (Required only if LDH was elevated above institutional upper limits of normal)
float
C37984 (NCI Thesaurus Property)
C16414 (NCI Thesaurus ObjectClass)
C0202113 (UMLS CUI-1)
C3163633 (UMLS CUI-2)
ANC
Item
ANC
float
C12533 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C0948762 (UMLS CUI-1)
Platelets
Item
Platelets/uL (Required field)
float
C20200 (NCI Thesaurus Property)
C0005821 (UMLS CUI-1)
C12520 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)