ID

557

Description

ACNS0122: Relapse/Progression Worksheet Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C3107FBD-6347-26E8-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C3107FBD-6347-26E8-E034-0003BA12F5E7

Keywords

  1. 8/26/12 8/26/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/16/15 6/16/15 -
Uploaded on

August 26, 2012

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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Brain and Central Nervous System Tumors NCT00047320 Follow-Up - ACNS0122: Relapse/Progression Worksheet - 2173669v3.0

No Instruction available.

  1. StudyEvent: ACNS0122: Relapse/Progression Worksheet
    1. No Instruction available.
Unnamed1
Description

Unnamed1

Institution Name
Description

InstitutionName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C21541
UMLS 2011AA ObjectClass
C0018704
NCI Thesaurus ValueDomain
C21541
UMLS 2011AA ValueDomain
C0018704
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Institution Personnel
Description

ResponsiblePersonName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25657
UMLS 2011AA ObjectClass
C1273518
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Date of Birth
Description

PatientBirthDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ValueDomain
C25367
NCI Thesaurus Property
C25155
UMLS 2011AA Property
C0005615
COG Study No
Description

ProtocolCOGIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C25320
UMLS 2011AA ObjectClass
C1507394
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
COG Patient ID
Description

PatientCOGIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property
C39353
UMLS 2011AA Property
C1516477
Patient Accession Number
Description

PatientAccessionNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25402
UMLS 2011AA Property
C1510755
Form Original Complete Date
Description

FormOriginalCompleteDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C19464
UMLS 2011AA ObjectClass
C0376315
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property
C25604
UMLS 2011AA Property
C0205313
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25367
Date From Amended
Description

FormAmendedCompleteDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C19464
UMLS 2011AA ObjectClass
C0376315
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25367
Unnamed2
Description

Unnamed2

Date of relapse or progression
Description

ProgressionRelapseBeginDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25331
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
Type Of Recurrence/progression
Description

Type Of Recurrence/progression

Recurrence/progression of original involved sites?
Description

CancerProgressionFirstLocalDiagnosisInd-3

Data type

text

Alias
NCI Thesaurus ObjectClass
C19987
UMLS 2011AA ObjectClass
C0242656
NCI Thesaurus Property
C67263
UMLS 2011AA Property
C0205276
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Recurrence/progression in previously uninvolved neural site?
Description

CancerProgressionFirstLocal-RegionalDiagnosisInd-3

Data type

text

Alias
NCI Thesaurus ObjectClass
C19987
UMLS 2011AA ObjectClass
C0242656
NCI Thesaurus Property
C25388
UMLS 2011AA Property
C1947913
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Extra-neural recurrence/progression?
Description

FirstProgressionDistantPresentInd-3

Data type

text

Alias
NCI Thesaurus ObjectClass
C19987
UMLS 2011AA ObjectClass
C0242656
NCI Thesaurus Property
C25321
UMLS 2011AA Property
C0443203
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Sites Of Involvement
Description

Sites Of Involvement

Supratentorial [involved?]
Description

SupratentorialInvolvementInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
NCI Thesaurus ObjectClass
C12923
UMLS 2011AA ObjectClass
C0441938
Supratentorial [indicate sites involved]
Description

SupratentorialInvolvedSite

Data type

text

Alias
NCI Metathesaurus Property
CL111053
specify [other supratentorial site] (If 1, 2 or 3)
Description

SupratentorialInvolvedSiteSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Metathesaurus Property
CL111053
Infratentorial [involved?]
Description

InfratentorialInvolvementInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
NCI Metathesaurus ObjectClass
CL211504
Infratentorial [indicate sites involved]
Description

InfratentorialInvolvedSite

Data type

text

Alias
NCI Metathesaurus Property
CL111053
specify [other infratentorial site] (If 1, 2 or 3)
Description

InfratentorialInvolvedSiteSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Metathesaurus Property
CL111053
Unnamed question [type of involvement]
Description

DiseaseInvolvementType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
Unnamed question [type of involvement]
Description

DiseaseInvolvementType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
Unnamed question [type of involvement]
Description

DiseaseInvolvementType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
Unnamed question [type of involvement]
Description

DiseaseInvolvementType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
SPINAL CORD [involved?]
Description

SpinalCordInvolvementInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
SPINAL CORD [indicate sites involved]
Description

SpinalCordInvolvedSite

Data type

text

Alias
NCI Metathesaurus Property
CL111053
specify [other spinal cord site] (If 1, 2 or 3)
Description

SpinalCordInvolvedSiteSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Metathesaurus Property
CL111053
DURA [involved?] (Incl. Falx and Tentorium)
Description

DuraInvolvementInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
DURA [indicate sites involved]
Description

DuraInvolvementType

Data type

text

Alias
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
Was CSF positive?
Description

CerebrospinalFluidInvolvementInd

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Thesaurus ObjectClass
C12692
UMLS 2011AA ObjectClass
C0007806
NCI Thesaurus Property
C25548
UMLS 2011AA Property
C1314939
Unnamed3
Description

Unnamed3

Comments
Description

ResearchCommentsText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
Ccrr Module For Acns0122: Relapse/progression Worksheet
Description

Ccrr Module For Acns0122: Relapse/progression Worksheet

Similar models

No Instruction available.

  1. StudyEvent: ACNS0122: Relapse/Progression Worksheet
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Unnamed1
InstitutionName
Item
Institution Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
ResponsiblePersonName
Item
Institution Personnel
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25657 (NCI Thesaurus ObjectClass)
C1273518 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
PatientBirthDate
Item
Date of Birth
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus ValueDomain)
C25155 (NCI Thesaurus Property)
C0005615 (UMLS 2011AA Property)
ProtocolCOGIdentifierNumber
Item
COG Study No
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
PatientCOGIdentifierNumber
Item
COG Patient ID
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)
C1516477 (UMLS 2011AA Property)
PatientAccessionNumber
Item
Patient Accession Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25402 (NCI Thesaurus Property)
C1510755 (UMLS 2011AA Property)
FormOriginalCompleteDate
Item
Form Original Complete Date
date
C19464 (NCI Thesaurus ObjectClass)
C0376315 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25604 (NCI Thesaurus Property)
C0205313 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
FormAmendedCompleteDate
Item
Date From Amended
date
C19464 (NCI Thesaurus ObjectClass)
C0376315 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
Item Group
Unnamed2
ProgressionRelapseBeginDate
Item
Date of relapse or progression
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
Item Group
Type Of Recurrence/progression
Item
Recurrence/progression of original involved sites?
text
C19987 (NCI Thesaurus ObjectClass)
C0242656 (UMLS 2011AA ObjectClass)
C67263 (NCI Thesaurus Property)
C0205276 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
Code List
Recurrence/progression of original involved sites?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Recurrence/progression in previously uninvolved neural site?
text
C19987 (NCI Thesaurus ObjectClass)
C0242656 (UMLS 2011AA ObjectClass)
C25388 (NCI Thesaurus Property)
C1947913 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
Code List
Recurrence/progression in previously uninvolved neural site?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Extra-neural recurrence/progression?
text
C19987 (NCI Thesaurus ObjectClass)
C0242656 (UMLS 2011AA ObjectClass)
C25321 (NCI Thesaurus Property)
C0443203 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
Code List
Extra-neural recurrence/progression?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item Group
Sites Of Involvement
Item
Supratentorial [involved?]
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
C12923 (NCI Thesaurus ObjectClass)
C0441938 (UMLS 2011AA ObjectClass)
Code List
Supratentorial [involved?]
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Supratentorial [indicate sites involved]
text
CL111053 (NCI Metathesaurus Property)
Code List
Supratentorial [indicate sites involved]
CL Item
Frontal Lobe (Frontal lobe)
C12352 (NCI Thesaurus)
C0016733 (UMLS 2011AA)
CL Item
Parietal Lobe (Parietal lobe)
C12354 (NCI Thesaurus)
C0030560 (UMLS 2011AA)
CL Item
Temporal Lobe (Temporal lobe)
C12353 (NCI Thesaurus)
C0039485 (UMLS 2011AA)
CL Item
Occipital Lobe (Occipital lobe)
C12355 (NCI Thesaurus)
C0028785 (UMLS 2011AA)
CL Item
Basal Ganglia-thalamus (Basal ganglia-thalamus)
CL Item
Hypothalamus-optic Chiasm (Hypothalamus-optic chiasm)
CL Item
Optic Nerve (Optic nerve)
C12761 (NCI Thesaurus)
C0029130 (UMLS 2011AA)
CL Item
Pineal (Pineal)
CL Item
Corpus Callosum (Corpus callosum)
C12446 (NCI Thesaurus)
C0010090 (UMLS 2011AA)
CL Item
Suprasellar (Suprasellar)
CL095451 (NCI Metathesaurus)
CL Item
Lateral Ventricle (Lateral ventricle)
C12834 (NCI Thesaurus)
C0152279 (UMLS 2011AA)
CL Item
Third Ventricle (Third ventricle)
C12827 (NCI Thesaurus)
C0149555 (UMLS 2011AA)
CL Item
Aqueduct Of Sylvius (Aqueduct of sylvius)
C32135 (NCI Thesaurus)
C0007769 (UMLS 2011AA)
CL Item
Supratentorial Leptomeninges (Leptomeningeal)
CL Item
Other, Specify (Other)
SupratentorialInvolvedSiteSpecify
Item
specify [other supratentorial site] (If 1, 2 or 3)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
CL111053 (NCI Metathesaurus Property)
Item
Infratentorial [involved?]
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
CL211504 (NCI Metathesaurus ObjectClass)
Code List
Infratentorial [involved?]
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Infratentorial [indicate sites involved]
text
CL111053 (NCI Metathesaurus Property)
Code List
Infratentorial [indicate sites involved]
CL Item
Midbrain (Midbrain)
C0025462 (NCI Metathesaurus)
CL Item
Pons (Pons)
C0032639 (NCI Metathesaurus)
CL Item
Medulla (Medulla)
CL Item
Dorsal Exophytic Brainstem (Dorsal exophytic brainstem)
CL Item
Cerebellar Peduncle (Cerebellar penducle)
C0228515 (NCI Metathesaurus)
CL Item
Cerebellar Hemisphere (Cerebellar hemisphere)
C0228465 (NCI Metathesaurus)
CL Item
Cerebellar Vermis (Cerebellar vermis)
CL Item
Fourth Ventricle (Fourth ventricle)
C12828 (NCI Thesaurus)
C0149556 (UMLS 2011AA)
CL Item
Cisterna Magna (Cisterna magna)
C32324 (NCI Thesaurus)
C0008841 (UMLS 2011AA)
CL Item
Infratentorial Leptomeninges (Leptomeningeal)
CL Item
Other, Specify (Other)
InfratentorialInvolvedSiteSpecify
Item
specify [other infratentorial site] (If 1, 2 or 3)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
CL111053 (NCI Metathesaurus Property)
Item
Unnamed question [type of involvement]
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Code List
Unnamed question [type of involvement]
CL Item
Recurrence/progressive Disease (Recurrence/Progressive disease)
CL Item
New Tumor/lesion Site (New tumor site)
CL Item
Existing/non-progressive Tumor (Existing/Non-progressive tumor)
CL Item
Uninvolved (uninvolved)
Item
Unnamed question [type of involvement]
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Code List
Unnamed question [type of involvement]
CL Item
Recurrence/progressive Disease (Recurrence/Progressive disease)
CL Item
New Tumor/lesion Site (New tumor site)
CL Item
Existing/non-progressive Tumor (Existing/Non-progressive tumor)
CL Item
Uninvolved (uninvolved)
Item
Unnamed question [type of involvement]
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Code List
Unnamed question [type of involvement]
CL Item
Recurrence/progressive Disease (Recurrence/Progressive disease)
CL Item
New Tumor/lesion Site (New tumor site)
CL Item
Existing/non-progressive Tumor (Existing/Non-progressive tumor)
CL Item
Uninvolved (uninvolved)
Item
Unnamed question [type of involvement]
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Code List
Unnamed question [type of involvement]
CL Item
Recurrence/progressive Disease (Recurrence/Progressive disease)
CL Item
New Tumor/lesion Site (New tumor site)
CL Item
Existing/non-progressive Tumor (Existing/Non-progressive tumor)
CL Item
Uninvolved (uninvolved)
Item
SPINAL CORD [involved?]
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Code List
SPINAL CORD [involved?]
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
SPINAL CORD [indicate sites involved]
text
CL111053 (NCI Metathesaurus Property)
Code List
SPINAL CORD [indicate sites involved]
CL Item
Cervical (Cervical)
C12844 (NCI Thesaurus)
C0205064 (UMLS 2011AA)
CL Item
Thoracic Lumbosacral (Thoracic)
CL Item
Conus (Conus)
C0598489 (NCI Metathesaurus)
CL Item
Cauda Equina (Cauda equina)
C12689 (NCI Thesaurus)
C0007458 (UMLS 2011AA)
CL Item
Spinal Cord Leptomeninges (Leptomeningeal)
CL Item
Other, Specify (Other)
SpinalCordInvolvedSiteSpecify
Item
specify [other spinal cord site] (If 1, 2 or 3)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
CL111053 (NCI Metathesaurus Property)
Item
DURA [involved?] (Incl. Falx and Tentorium)
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Code List
DURA [involved?] (Incl. Falx and Tentorium)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
DURA [indicate sites involved]
text
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Code List
DURA [indicate sites involved]
CL Item
Nodular (Nodular)
CL Item
Diffuse (Diffuse)
C14175 (NCI Thesaurus)
C0205219 (UMLS 2011AA)
Item
Was CSF positive?
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C12692 (NCI Thesaurus ObjectClass)
C0007806 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Code List
Was CSF positive?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (Not done/Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item Group
Unnamed3
ResearchCommentsText
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)
Item Group
Ccrr Module For Acns0122: Relapse/progression Worksheet

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