ID

7200

Beschrijving

Adult Soft Tissue Sarcoma - On-Study Form Newly Diagnosed Patients Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E208B008-C978-135C-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E208B008-C978-135C-E034-0003BA12F5E7

Trefwoorden

Geüploaded op

9 januari 2015

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy

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On-Study - Adult Soft Tissue Sarcoma - On-Study Form Newly Diagnosed Patients - 2281236v3.0

model
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1 Formulieren

StudyEvent: Adult Soft Tissue Sarcoma - On-Study Form Newly Diagnosed Patients
1. No Instruction available.

Name

Type

Description | Question | Decode (Coded Value)

Datatype

Alias

CRF Header

Item Group

Crf Header

Protocol ID Coordinating Group

Item

Coordinating Group Protocol No.

text

C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1711341 (UMLS CUI-2)
C25462 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)

Coordinating Group Code

Item

Coordinating Group Code

text

C25162 (NCI Thesaurus ValueDomain)
C1711341 (UMLS CUI-1)
C17005 (NCI Thesaurus ObjectClass)
C0805701 (UMLS CUI-2)
C25462 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)

Protocol Title

Item

Protocol Title

text

C25191 (NCI Thesaurus ValueDomain)
C2986303 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C42774 (NCI Thesaurus Property)

Patient Study ID

Item

Patient Study ID

text

C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25462 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)

Institution Name

Item

Institution/Affiliate

text

C25454 (NCI Thesaurus ObjectClass)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)

Trial subject ID Participating Group

Item

Other Patient ID

text

C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)

ParticipatingGroupIdentifierCode

Item

Participating Group Code

text

C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25608 (NCI Thesaurus ObjectClass)
C0679823 (UMLS 2011AA ObjectClass)
C17005 (NCI Thesaurus ObjectClass-2)
C1257890 (UMLS 2011AA ObjectClass-2)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)

PatientName

Item

Patient Name (initials acceptable)

text

C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)

Sarcoma: Form Administration

Item Group

Sarcoma: Form Administration

Person Completing Form

Item

Person Completing Form

text

C25191 (NCI Thesaurus ValueDomain)
C1550483 (UMLS CUI-1)
C25657 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)

Data amended

Item

Are data amended (If data are amended, please circle in red when using paper form)

boolean

C38148 (NCI Thesaurus ValueDomain)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)

Adult Soft Tissue Sarcoma: Disease Description

Item Group

Adult Soft Tissue Sarcoma: Disease Description

CancerInitialDiagnosisDate

Item

Date of Initial Pathologic Diagnosis (MM DD YYYY)

date

C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property-2)
C0011900 (UMLS 2011AA Property-2)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)

AdultSoftTissueSarcomaPrimarySite

Item

Primary Site

text

C9306 (NCI Thesaurus ObjectClass)
C1261473 (UMLS 2011AA ObjectClass)
C17600 (NCI Thesaurus ObjectClass-2)
C0001675 (UMLS 2011AA ObjectClass-2)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25251 (NCI Thesaurus Property-2)
C0205225 (UMLS 2011AA Property-2)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)

CL.2

Code List

Primary Site

CL Item

Eye And Orbit (Eye and orbit)

CL Item

Parameningeal (Parameningeal)

CL Item

Non-parameningeal Head And Neck (Non-parameningeal head and neck)

CL Item

Thorax (Thorax)

C12799 (NCI Thesaurus)
C0817096 (UMLS 2011AA)

CL Item

Trunk (Trunk)

C33816 (NCI Thesaurus)
C0460005 (UMLS 2011AA)

CL Item

Intra-abdominal (Intra-abdominal)

CL Item

Gastrointestinal Stromal Tumor (gist) (Gastrointestinal stromal tumor (GIST))

CL Item

Genitourinary (Genitourinary)

C25350 (NCI Thesaurus)
C2709259 (UMLS 2011AA)

CL Item

Uterine Sarcoma (Uterine sarcoma)

CL Item

Upper Extremity (Upper extremity)

C12671 (NCI Thesaurus)
C1140618 (UMLS 2011AA)

CL Item

Lower Extremity (Lower extremity)

C12742 (NCI Thesaurus)
C0023216 (UMLS 2011AA)

CL Item

Other Specify (Other specify)

Primary Disease Site

Item

Other specify

text

C25685 (NCI Thesaurus ValueDomain)
C0449695 (UMLS CUI-1)
C25341 (NCI Thesaurus Property)
C25251 (NCI Thesaurus ObjectClass)
C2991 (NCI Thesaurus ObjectClass-2)

SarcomaTumorOrganSideType

Item

Tumor Location, Side

text

C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C9118 (NCI Thesaurus ObjectClass-2)
C1261473 (UMLS 2011AA ObjectClass-2)
C13018 (NCI Thesaurus Property)
C0178784 (UMLS 2011AA Property)
C25306 (NCI Thesaurus Property-2)
C0441987 (UMLS 2011AA Property-2)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)

CL.3

Code List

Tumor Location, Side

CL Item

Left (Left)

C25229 (NCI Thesaurus)
C0205091 (UMLS 2011AA)

CL Item

Right (Right)

C25228 (NCI Thesaurus)
C0205090 (UMLS 2011AA)

CL Item

Both (Both)

C49636 (NCI Thesaurus)
C1706086 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

SarcomaMalignantNeoplasmMetastaticInvolvementSite

Item

Metastatic Site (s - For advanced studies, - check all that apply)

text

C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C9118 (NCI Thesaurus ObjectClass-2)
C1261473 (UMLS 2011AA ObjectClass-2)
C14174 (NCI Thesaurus Property)
C0036525 (UMLS 2011AA Property)
C25548 (NCI Thesaurus Property-2)
C1314939 (UMLS 2011AA Property-2)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)

CL.4

Code List

Metastatic Site (s - For advanced studies, - check all that apply)

CL Item

Bone (Bone)

C12366 (NCI Thesaurus)
C0262950 (UMLS 2011AA)

CL Item

Bone Marrow (Bone marrow)

C12431 (NCI Thesaurus)
C0005953 (UMLS 2011AA)

CL Item

Cns/brain (CNS/Brain)

CL Item

Liver (Liver)

C12392 (NCI Thesaurus)
C0023884 (UMLS 2011AA)

CL Item

Lung (Lung)

C12468 (NCI Thesaurus)
C0024109 (UMLS 2011AA)

CL Item

Pleural Nodules (Pleural nodules)

CL Item

Peritoneal Nodules (Peritoneal nodules)

CL Item

Soft Tissue (Soft tissue)

C12471 (NCI Thesaurus)
C0225317 (UMLS 2011AA)

CL Item

Pleural Effusion (Pleural effusion)

C3331 (NCI Thesaurus)
C0021071 (UMLS 2011AA)

CL Item

Ascites (Ascites)

C2885 (NCI Thesaurus)
C0003962 (UMLS 2011AA)

CL Item

Cerebrospinal Fluid (csf) (Cerebrospinal fluid (CSF))

CL Item

Distant Nodes, Specify (Distant Nodes)

CL Item

Other Specify (Other)

MalignantNeoplasmDistantLymphNodeMetastaticInvolvementSpecify

Item

Distant nodes specify

text

C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C14174 (NCI Thesaurus Property)
C0036525 (UMLS 2011AA Property)
C12745 (NCI Thesaurus Property-2)
C0024204 (UMLS 2011AA Property-2)
C25321 (NCI Thesaurus Property-3)
C0443203 (UMLS 2011AA Property-3)
C25548 (NCI Thesaurus Property-4)
C1314939 (UMLS 2011AA Property-4)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)

Metastatic Sites, other

Item

Other specify

text

C25685 (NCI Thesaurus ValueDomain)
C0280457 (UMLS CUI-1)
C14174 (NCI Thesaurus Property)
C3844311 (UMLS CUI-2)
C9305 (NCI Thesaurus ObjectClass)
C25548 (NCI Thesaurus Property-2)

TumorLargestDimensionMeasurement

Item

Dimension 1 (Longest)

float

C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25550 (NCI Thesaurus Property)
C0443228 (UMLS 2011AA Property)
C25483 (NCI Thesaurus Property-2)
C0439534 (UMLS 2011AA Property-2)

TumorSecondDimensionMeasurement

Item

Dimension 2 (cm)

float

C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C25483 (NCI Thesaurus Property-2)
C0439534 (UMLS 2011AA Property-2)

TumorThirdDimensionMeasurement

Item

Dimension 3 (cm)

float

C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25260 (NCI Thesaurus Property)
C0205437 (UMLS 2011AA Property)
C25483 (NCI Thesaurus Property-2)
C0439534 (UMLS 2011AA Property-2)

Resection type primary tumor

Item

Status of Primary Tumor

text

C25284 (NCI Thesaurus ValueDomain)
C0449522 (UMLS CUI-1)
C3262 (NCI Thesaurus ObjectClass)
C0677930 (UMLS CUI-2)
C25251 (NCI Thesaurus ObjectClass-2)
C15232 (NCI Thesaurus Property)

CL.5

Code List

Status of Primary Tumor

CL Item

Unresected (Unresected)

CL Item

Not Recurrent, Resected, No Residual Tumor (Not recurrent, resected, no residual tumor)

CL Item

Not Recurrent, Resected, Residual Tumor (Not recurrent, resected, residual tumor)

CL Item

Recurrent (Recurrent)

C14173 (NCI Thesaurus)
C2945760 (UMLS 2011AA)

SarcomaHistologicCategory

Item

Histologic Type (check all that apply)

text

C9118 (NCI Thesaurus ObjectClass)
C1261473 (UMLS 2011AA ObjectClass)
C25526 (NCI Thesaurus Property)
C0205462 (UMLS 2011AA Property)
C25161 (NCI Thesaurus Property-2)
C0008902 (UMLS 2011AA Property-2)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C25526 (NCI Thesaurus ValueDomain-2)
C0205462 (UMLS 2011AA ValueDomain-2)

CL.6

Code List

Histologic Type (check all that apply)

CL Item

Well Differentiated Liposarcoma (Well differentiated liposarcoma)

CL Item

Dedifferentiated Liposarcoma (Dedifferentiated liposarcoma)

CL Item

Myxoid Liposarcoma (Myxoid liposarcoma)

CL Item

Pleomorphic Liposarcoma (Pleomorphic liposarcoma)

CL Item

Liposarcoma Nos (Liposarcoma NOS)

CL Item

Dermatofibrosarcoma Protuberans (Dermatofibrosarcoma protuberans)

CL Item

Fibrosarcoma (Fibrosarcoma)

C3043 (NCI Thesaurus)
C0016057 (UMLS 2011AA)

CL Item

Myxofibrosarcoma (Myxofibrosarcoma)

CL Item

Solitary Fibrous Tumor/hemangiopericytoma (Solitary fibrous tumor/hemangiopericytoma)

CL Item

Undifferentiated Pleomorphic Sarcoma/"mfh" (Undifferentiated pleomorphic sarcoma/"MFH")

CL Item

Leiomyosarcoma (Leiomyosarcoma)

C3158 (NCI Thesaurus)
C0023269 (UMLS 2011AA)

CL Item

Gastrointestinal Stromal Tumor (gist) (Gastrointestinal stromal tumor (GIST))

CL Item

Maligant Peripheral Nerve Sheath Tumor (Malignant peripheral nerve sheath tumor)

CL Item

Embryonal Rhabdomyosarcoma (Embryonal rhabdomyosarcoma)

CL Item

Botryoid Rhabdomyosarcoma (Botryoid rhabdomyosarcoma)

CL Item

Spindle Cell Rhabdomyosarcoma (Spindle cell rhabdomyosarcoma)

CL Item

Alveolar Rhabdomyosarcoma (Alveolar rhabdomyosarcoma)

CL Item

Pleomorphic Rhabdomyosarcoma (Pleomorphic rhabdomyosarcoma)

CL Item

Rhabdomyosarcoma Nos (Rhabdomyosarcoma NOS)

CL Item

Extraskeletal Myxoid Chondrosarcoma (Extraskeletal myxoid chondrosarcoma)

CL Item

Extraskeletal Mesenchymal Chondrosarcoma (Extraskeletal mesenchymal chondrosarcoma)

CL Item

Extraskeletal Osteosarcoma (Extraskeletal osteosarcoma)

CL Item

Angiosarcoma (Angiosarcoma)

C3088 (NCI Thesaurus)
C0018923 (UMLS 2011AA)

CL Item

Epithelioid Hemagioendothelioma (Epithelioid hemangioendothelioma)

CL Item

Kaposi Sarcoma (Kaposi sarcoma)

C9087 (NCI Thesaurus)
C0036220 (UMLS 2011AA)

CL Item

Synovial Sarcoma (Synovial sarcoma)

C3400 (NCI Thesaurus)
C0039101 (UMLS 2011AA)

CL Item

Epithelioid Sarcoma (Epithelioid sarcoma)

CL Item

Clear Cell Sarcoma (mmsp) (Clear cell sarcoma (MMSP))

CL Item

Alveolar Soft Part Sarcoma (Alveolar soft part sarcoma)

CL Item

Extraskeletal Ewing's/pnet (Extraskeletal Ewing's/PNET)

CL Item

Desmoplastic Small Cell Tumor (Desmoplastic small cell tumor)

CL Item

Malignant Mesenchymoma (Malignant mesenchymoma)

CL Item

Sarcoma Nos (Sarcoma NOS)

CL Item

Endometrial Stromal Sarcoma (Endometrial stromal sarcoma)

C8973 (NCI Thesaurus)
C0206630 (UMLS 2011AA)

CL Item

Uterine Leiomyosarcoma (Uterine leiomyosarcoma)

CL Item

Uterine Carcinosarcoma (mixed Mesodermal Sarcoma) (Uterine carcinosarcoma (mixed mesodermal sarcoma))

CL Item

Uterine Sarcoma Nos (Uterine sarcoma NOS)

CL Item

Other Specify (Other specify)

Histologic Type, other

Item

Other specify

text

C25685 (NCI Thesaurus ValueDomain)
C1299220 (UMLS CUI-1)
C3262 (NCI Thesaurus ObjectClass)
C25526 (NCI Thesaurus Property)
C25161 (NCI Thesaurus Property-2)

SarcomaHistologicSubcategorySpecify

Item

Histologic Subtype (specify)

text

C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C9118 (NCI Thesaurus ObjectClass)
C1261473 (UMLS 2011AA ObjectClass)
C25526 (NCI Thesaurus Property)
C0205462 (UMLS 2011AA Property)
C25692 (NCI Thesaurus Property-2)
C1515010 (UMLS 2011AA Property-2)

SarcomaTumorFrenchClassificationHistologicGrade

Item

Histologic Grade, French System (check highest grade)

text

C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C9118 (NCI Thesaurus ObjectClass-2)
C1261473 (UMLS 2011AA ObjectClass-2)
C43854 (NCI Thesaurus Property)
C1556084 (UMLS 2011AA Property)
C25161 (NCI Thesaurus Property-2)
C0008902 (UMLS 2011AA Property-2)
C25526 (NCI Thesaurus ValueDomain)
C0205462 (UMLS 2011AA ValueDomain)
C18000 (NCI Thesaurus ValueDomain-2)
C0919553 (UMLS 2011AA ValueDomain-2)

CL.7

Code List

Histologic Grade, French System (check highest grade)

CL Item

Grade I (Grade I)

CL Item

Grade Ii (Grade II)

CL Item

Grade Iii (Grade III)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

SarcomaPathologicTStage

Item

Pathologic T Stage (Tumor Staging use the AJCC staging system specified in the protocol)

text

C25610 (NCI Thesaurus Property)
C1521733 (UMLS 2011AA Property)
C9118 (NCI Thesaurus ObjectClass)
C1261473 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25728 (NCI Thesaurus Property-2)
C0475455 (UMLS 2011AA Property-2)

CL.8

Code List

Pathologic T Stage (Tumor Staging use the AJCC staging system specified in the protocol)

CL Item

Pt0 (pT0)

CL Item

Pt1 (pT1)

CL Item

Pt2 (pT2)

CL Item

Pt3 (pT3)

CL Item

Pt4 (pT4)

CL Item

Ptx (pTX)

SarcomaPathologicNStage

Item

Pathologic N Stage

text

C25610 (NCI Thesaurus Property)
C1521733 (UMLS 2011AA Property)
C9118 (NCI Thesaurus ObjectClass)
C1261473 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25580 (NCI Thesaurus Property-2)
C0456532 (UMLS 2011AA Property-2)

CL.9

Code List

Pathologic N Stage

CL Item

Pn0 (pN0)

CL Item

Pn1 (pN1)

CL Item

Pn2 (pN2)

CL Item

Pn3 (pN3)

CL Item

Pnx (pNX)

SarcomaPathologicMStage

Item

Pathologic M Stage

text

C25610 (NCI Thesaurus Property)
C1521733 (UMLS 2011AA Property)
C9118 (NCI Thesaurus ObjectClass)
C1261473 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25727 (NCI Thesaurus Property-2)
C0456533 (UMLS 2011AA Property-2)

CL.10

Code List

Pathologic M Stage

CL Item

Pm0 (pM0)

CL Item

Pm1 (pM1)

CL Item

Pmx (pMX)

SarcomaClinicalTStage

Item

Clinical T Stage (Note: Provide Clinical staging only if Pathologic staging is unavailable.)

text

C25398 (NCI Thesaurus Property)
C0205210 (UMLS 2011AA Property)
C9118 (NCI Thesaurus ObjectClass)
C1261473 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25728 (NCI Thesaurus Property-2)
C0475455 (UMLS 2011AA Property-2)

CL.11

Code List

Clinical T Stage (Note: Provide Clinical staging only if Pathologic staging is unavailable.)

CL Item

T0 (T0)

CL Item

T1 (T1)

C1179687 (NCI Metathesaurus)

CL Item

T2 (T2)

CL Item

T3 (T3)

CL Item

T4 (T4)

CL Item

Tx (TX)

SarcomaClinicalNStage

Item

Clinical N Stage

text

C25398 (NCI Thesaurus Property)
C0205210 (UMLS 2011AA Property)
C9118 (NCI Thesaurus ObjectClass)
C1261473 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25580 (NCI Thesaurus Property-2)
C0456532 (UMLS 2011AA Property-2)

CL.12

Code List

Clinical N Stage

CL Item

N0 (N0)

CL Item

N1 (N1)

CL Item

N2 (N2)

CL Item

N3 (N3)

CL Item

Nx (NX)

SarcomaClinicalMStage

Item

Clinical M Stage

text

C25398 (NCI Thesaurus Property)
C0205210 (UMLS 2011AA Property)
C9118 (NCI Thesaurus ObjectClass)
C1261473 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25727 (NCI Thesaurus Property-2)
C0456533 (UMLS 2011AA Property-2)

CL.13

Code List

Clinical M Stage

CL Item

M0 (M0)

CL Item

M1 (M1)

CL Item

Mx (MX)

SarcomaStageGroupingCatagory

Item

Stage

text

C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C9118 (NCI Thesaurus ObjectClass)
C1261473 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ObjectClass-2)
C1300072 (UMLS 2011AA ObjectClass-2)
C25523 (NCI Thesaurus Property)
C1522242 (UMLS 2011AA Property)

CL.14

Code List

Stage

CL Item

I (I)

CL Item

Iia (IIA)

CL Item

Iib (IIB)

CL Item

Iic (IIC)

CL Item

Iii (III)

CL Item

Iv (IV)

InvasiveTumorDepthMeasurement

Item

Depth (cm)

float

C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C14159 (NCI Thesaurus ObjectClass-2)
C0205281 (UMLS 2011AA ObjectClass-2)
C25333 (NCI Thesaurus Property)
C0205125 (UMLS 2011AA Property)

Adult Soft Tissue Sarcoma: Prior Health History

Item Group

Adult Soft Tissue Sarcoma: Prior Health History

OtherDiseaseRadiationTherapyInd-3

Item

Prior Radiation Therapy for Other Disease?

text

C17649 (NCI Thesaurus ObjectClass)
C0205394 (UMLS 2011AA ObjectClass)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus Property)
C1522449 (UMLS 2011AA Property)
C2991 (NCI Thesaurus ObjectClass-2)
C0012634 (UMLS 2011AA ObjectClass-2)

CL.15

Code List

Prior Radiation Therapy for Other Disease?

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

PriorRTSite

Item

Prior Radiation Therapy Site (If Yes,)

text

C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus ObjectClass-2)
C0332152 (UMLS 2011AA ObjectClass-2)

PriorRTHistoryInd-3

Item

Is there a history of prior radiation therapy to the primary site?

text

C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus ObjectClass-2)
C0332152 (UMLS 2011AA ObjectClass-2)
C18772 (NCI Thesaurus Property)
C0262926 (UMLS 2011AA Property)

CL.16

Code List

Is there a history of prior radiation therapy to the primary site?

CL Item

Yes (Yes)

C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)

CL Item

No (No)

C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)

CL Item

Unknown (Unknown)

C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)

Comments

Item Group

Comments

Research Comments

Item

Comments

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C25704 (NCI Thesaurus ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)

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On-Study - Adult Soft Tissue Sarcoma - On-Study Form Newly Diagnosed Patients - 2281236v3.0

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