0 Ratings

ID

7241

Description

Multiple Myeloma - Transplant Graft Vs. Host Disease Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D677EBEC-CA4A-07B2-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D677EBEC-CA4A-07B2-E034-0003BA12F5E7

Keywords

  1. 9/20/12 9/20/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 1/9/15 1/9/15 - Martin Dugas
Uploaded on

January 9, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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    Treatment - Multiple Myeloma - Transplant Graft Vs. Host Disease Form - 2273155v3.0

    No Instruction available.

    1. StudyEvent: Multiple Myeloma - Transplant Graft Vs. Host Disease Form
      1. No Instruction available.
    Crf Header
    Description

    Crf Header

    Coordinating Group Protocol No.
    Description

    Protocol ID Coordinating Group

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1711341
    NCI Thesaurus Property
    C25462
    NCI Thesaurus Property-2
    C25364
    Coordinating Group Code
    Description

    Coordinating Group Code

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS CUI-1
    C1711341
    NCI Thesaurus ObjectClass
    C17005
    UMLS CUI-2
    C0805701
    NCI Thesaurus ObjectClass-2
    C25462
    NCI Thesaurus Property
    C25364
    Protocol Title
    Description

    Protocol Title

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986303
    NCI Thesaurus ObjectClass
    C25320
    NCI Thesaurus Property
    C42774
    Patient Study ID
    Description

    Patient Study ID

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25462
    NCI Thesaurus Property-2
    C25364
    Institution/Affiliate
    Description

    Institution Name

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C25454
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass-2
    C21541
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ValueDomain
    C25191
    NCI Thesaurus ValueDomain-2
    C21541
    Other Patient ID
    Description

    Trial subject ID Participating Group

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Participating Group Code
    Description

    ParticipatingGroupIdentifierCode

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS 2011AA ValueDomain
    C0805701
    NCI Thesaurus ObjectClass
    C25608
    UMLS 2011AA ObjectClass
    C0679823
    NCI Thesaurus ObjectClass-2
    C17005
    UMLS 2011AA ObjectClass-2
    C1257890
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Patient Name (initials acceptable)
    Description

    PatientName

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Myeloma: Form Administration
    Description

    Myeloma: Form Administration

    Person Completing Form
    Description

    Person Completing Form

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1550483
    NCI Thesaurus ObjectClass
    C25657
    NCI Thesaurus Property
    C25364
    Are data amended? (If data are amended, please circle in red when using paper form)
    Description

    Data amended

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus Property
    C25416
    Myeloma Transplant: Allogeneic - Acute Graft Vs. Host Disease
    Description

    Myeloma Transplant: Allogeneic - Acute Graft Vs. Host Disease

    Date of Evaluation
    Description

    LesionAssessmentDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain-2
    C25367
    Prophylaxis Given following Transplant (Note: Provide pre-printed list of agents approved for prophylaxis per protocol.)
    Description

    PreventionTreatmentTransplantGraftVersusHostDiseaseText

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus ObjectClass-2
    C15405
    NCI Thesaurus Property
    C12981
    UMLS 2011AA Property
    C0332835
    NCI Metathesaurus Property
    C0018133
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    Did acute Graft vs. Host Disease occur (GVHD)
    Description

    TransplantAcuteGVHDOccurrenceInd

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C12981
    UMLS 2011AA ObjectClass
    C0332835
    NCI Thesaurus Property
    C14140
    UMLS 2011AA Property
    C0205178
    NCI Metathesaurus Property
    C0018133
    Date of Onset of Acute GVHD (If yes,)
    Description

    TransplantAcuteGVHDBeginDate

    Data type

    date

    Alias
    NCI Thesaurus ObjectClass
    C12981
    UMLS 2011AA ObjectClass
    C0332835
    NCI Thesaurus Property
    C14140
    UMLS 2011AA Property
    C0205178
    NCI Metathesaurus Property
    C0018133
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25431
    UMLS 2011AA ValueDomain-2
    C0439659
    Overall Stage of Acute GVHD
    Description

    AcuteGraftVersusHostDiseaseTransplantAssessedGrade

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C4980
    UMLS 2011AA ObjectClass
    C0856825
    NCI Thesaurus ObjectClass-2
    C14140
    UMLS 2011AA ObjectClass-2
    C0205178
    NCI Thesaurus Property
    C25217
    UMLS 2011AA Property
    C1516048
    NCI Thesaurus Property-2
    C12981
    UMLS 2011AA Property-2
    C0332835
    NCI Thesaurus ValueDomain
    C18000
    UMLS 2011AA ValueDomain
    C0919553
    GVHD Organ Involvement Site
    Description

    TransplantGraftVersusHostDiseaseInvolvementAcuteSite

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS 2011AA ValueDomain
    C1515974
    NCI Thesaurus ObjectClass
    C12981
    UMLS 2011AA ObjectClass
    C0332835
    NCI Thesaurus Property
    C3063
    UMLS 2011AA Property
    C0018133
    NCI Thesaurus Property-2
    C25548
    UMLS 2011AA Property-2
    C1314939
    Other specify
    Description

    TransplantGVHDInvolvementAcuteSpecify

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C12981
    UMLS 2011AA ObjectClass
    C0332835
    NCI Thesaurus Property
    C3063
    UMLS 2011AA Property
    C0018133
    NCI Thesaurus Property-2
    C25548
    UMLS 2011AA Property-2
    C1314939
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ValueDomain-2
    C14140
    UMLS 2011AA ValueDomain-2
    C0205178
    Maximum stage of organ involvement attributed to GVHD (since the last evaluation)
    Description

    TransplantGVHDSeverityAcuteGrade

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C12981
    UMLS 2011AA ObjectClass
    C0332835
    NCI Metathesaurus ObjectClass
    C0018133
    NCI Thesaurus Property
    C25676
    UMLS 2011AA Property
    C0439793
    NCI Thesaurus ValueDomain
    C18000
    UMLS 2011AA ValueDomain
    C0919553
    NCI Thesaurus ValueDomain-2
    C14140
    UMLS 2011AA ValueDomain-2
    C0205178
    Therapy Given for GVHD
    Description

    AcuteGraftVersusHostDIseaseTransplantTreatmentText

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C14140
    UMLS 2011AA ObjectClass
    C0205178
    NCI Metathesaurus ObjectClass
    C0018133
    NCI Thesaurus Property
    C12981
    UMLS 2011AA Property
    C0332835
    NCI Thesaurus Property-2
    C15368
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    Myeloma Transplant: Allogeneic - Chronic Graft Vs. Host Disease
    Description

    Myeloma Transplant: Allogeneic - Chronic Graft Vs. Host Disease

    Date of Onset of Chronic GVHD
    Description

    TransplantChronicGVHDBeginDate

    Data type

    date

    Alias
    NCI Thesaurus ObjectClass
    C12981
    UMLS 2011AA ObjectClass
    C0332835
    NCI Thesaurus Property
    C14141
    UMLS 2011AA Property
    C0205191
    NCI Metathesaurus Property
    C0018133
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25431
    UMLS 2011AA ValueDomain-2
    C0439659
    Did chronic graft vs. host disease occur
    Description

    TransplantChronicGVHDOccurrenceInd

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C12981
    UMLS 2011AA ObjectClass
    C0332835
    NCI Thesaurus Property
    C14141
    UMLS 2011AA Property
    C0205191
    NCI Metathesaurus Property
    C0018133
    GVHD Organ Involvement (mark all that apply)
    Description

    TransplantGraftVersusHostDiseaseInvolvementChronicSite

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS 2011AA ValueDomain
    C1515974
    NCI Thesaurus ObjectClass
    C12981
    UMLS 2011AA ObjectClass
    C0332835
    NCI Thesaurus Property
    C3063
    UMLS 2011AA Property
    C0018133
    NCI Thesaurus Property-2
    C25548
    UMLS 2011AA Property-2
    C1314939
    Other specify
    Description

    TransplantGraftVersusHostDiseaseInvolvementChronicSpecify

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C12981
    UMLS 2011AA ObjectClass
    C0332835
    NCI Thesaurus Property
    C3063
    UMLS 2011AA Property
    C0018133
    NCI Thesaurus Property-2
    C25548
    UMLS 2011AA Property-2
    C1314939
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ValueDomain-2
    C14141
    UMLS 2011AA ValueDomain-2
    C0205191
    Maximum severity of chronic GVHD (since the time of last report Note: Include definitions for limited and extensive per protocol.)
    Description

    TransplantGVHDSeverityChronicGrade

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C12981
    UMLS 2011AA ObjectClass
    C0332835
    NCI Metathesaurus ObjectClass
    C0018133
    NCI Thesaurus ValueDomain
    C48309
    UMLS 2011AA ValueDomain
    C0441800
    NCI Thesaurus Property
    C25676
    UMLS 2011AA Property
    C0439793
    Overall Grade of Chronic GVHD
    Description

    ChronicGraftVersusHostDiseaseTransplantOutcomeGrade

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C14141
    UMLS 2011AA ObjectClass
    C0205191
    NCI Metathesaurus ObjectClass
    C0018133
    NCI Thesaurus Property
    C12981
    UMLS 2011AA Property
    C0332835
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus ValueDomain
    C48309
    UMLS 2011AA ValueDomain
    C0441800
    Comments
    Description

    Comments

    Comments
    Description

    Research Comments

    Data type

    text

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

    Similar models

    No Instruction available.

    1. StudyEvent: Multiple Myeloma - Transplant Graft Vs. Host Disease Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    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)
    Item Group
    Myeloma: 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)
    Item Group
    Myeloma Transplant: Allogeneic - Acute Graft Vs. Host Disease
    LesionAssessmentDate
    Item
    Date of Evaluation
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25367 (NCI Thesaurus ValueDomain-2)
    PreventionTreatmentTransplantGraftVersusHostDiseaseText
    Item
    Prophylaxis Given following Transplant (Note: Provide pre-printed list of agents approved for prophylaxis per protocol.)
    text
    C15368 (NCI Thesaurus ObjectClass)
    C15405 (NCI Thesaurus ObjectClass-2)
    C12981 (NCI Thesaurus Property)
    C0332835 (UMLS 2011AA Property)
    C0018133 (NCI Metathesaurus Property)
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    Item
    Did acute Graft vs. Host Disease occur (GVHD)
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C12981 (NCI Thesaurus ObjectClass)
    C0332835 (UMLS 2011AA ObjectClass)
    C14140 (NCI Thesaurus Property)
    C0205178 (UMLS 2011AA Property)
    C0018133 (NCI Metathesaurus Property)
    Code List
    Did acute Graft vs. Host Disease occur (GVHD)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Not Evaluable (Not evaluable)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    TransplantAcuteGVHDBeginDate
    Item
    Date of Onset of Acute GVHD (If yes,)
    date
    C12981 (NCI Thesaurus ObjectClass)
    C0332835 (UMLS 2011AA ObjectClass)
    C14140 (NCI Thesaurus Property)
    C0205178 (UMLS 2011AA Property)
    C0018133 (NCI Metathesaurus Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25431 (NCI Thesaurus ValueDomain-2)
    C0439659 (UMLS 2011AA ValueDomain-2)
    Item
    Overall Stage of Acute GVHD
    text
    C4980 (NCI Thesaurus ObjectClass)
    C0856825 (UMLS 2011AA ObjectClass)
    C14140 (NCI Thesaurus ObjectClass-2)
    C0205178 (UMLS 2011AA ObjectClass-2)
    C25217 (NCI Thesaurus Property)
    C1516048 (UMLS 2011AA Property)
    C12981 (NCI Thesaurus Property-2)
    C0332835 (UMLS 2011AA Property-2)
    C18000 (NCI Thesaurus ValueDomain)
    C0919553 (UMLS 2011AA ValueDomain)
    Code List
    Overall Stage of Acute GVHD
    CL Item
    0 (0)
    C0919414 (NCI Metathesaurus)
    CL Item
    1 (1)
    CL Item
    2 (2)
    C66833 (NCI Thesaurus)
    C0205448 (UMLS 2011AA)
    CL Item
    3 (3)
    CL Item
    4 (4)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item
    GVHD Organ Involvement Site
    text
    C13717 (NCI Thesaurus ValueDomain)
    C1515974 (UMLS 2011AA ValueDomain)
    C12981 (NCI Thesaurus ObjectClass)
    C0332835 (UMLS 2011AA ObjectClass)
    C3063 (NCI Thesaurus Property)
    C0018133 (UMLS 2011AA Property)
    C25548 (NCI Thesaurus Property-2)
    C1314939 (UMLS 2011AA Property-2)
    Code List
    GVHD Organ Involvement Site
    CL Item
    Skin (Skin)
    C12470 (NCI Thesaurus)
    C1123023 (UMLS 2011AA)
    CL Item
    Gastrointestinal Tract (Gastrointestinal tract)
    C34082 (NCI Thesaurus)
    C0017189 (UMLS 2011AA)
    CL Item
    Liver (Liver)
    C12392 (NCI Thesaurus)
    C0023884 (UMLS 2011AA)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    TransplantGVHDInvolvementAcuteSpecify
    Item
    Other specify
    text
    C12981 (NCI Thesaurus ObjectClass)
    C0332835 (UMLS 2011AA ObjectClass)
    C3063 (NCI Thesaurus Property)
    C0018133 (UMLS 2011AA Property)
    C25548 (NCI Thesaurus Property-2)
    C1314939 (UMLS 2011AA Property-2)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C14140 (NCI Thesaurus ValueDomain-2)
    C0205178 (UMLS 2011AA ValueDomain-2)
    Item
    Maximum stage of organ involvement attributed to GVHD (since the last evaluation)
    text
    C12981 (NCI Thesaurus ObjectClass)
    C0332835 (UMLS 2011AA ObjectClass)
    C0018133 (NCI Metathesaurus ObjectClass)
    C25676 (NCI Thesaurus Property)
    C0439793 (UMLS 2011AA Property)
    C18000 (NCI Thesaurus ValueDomain)
    C0919553 (UMLS 2011AA ValueDomain)
    C14140 (NCI Thesaurus ValueDomain-2)
    C0205178 (UMLS 2011AA ValueDomain-2)
    Code List
    Maximum stage of organ involvement attributed to GVHD (since the last evaluation)
    CL Item
    0 (0)
    C0919414 (NCI Metathesaurus)
    CL Item
    1 (1)
    CL Item
    2 (2)
    C66833 (NCI Thesaurus)
    C0205448 (UMLS 2011AA)
    CL Item
    3 (3)
    CL Item
    4 (4)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    AcuteGraftVersusHostDIseaseTransplantTreatmentText
    Item
    Therapy Given for GVHD
    text
    C14140 (NCI Thesaurus ObjectClass)
    C0205178 (UMLS 2011AA ObjectClass)
    C0018133 (NCI Metathesaurus ObjectClass)
    C12981 (NCI Thesaurus Property)
    C0332835 (UMLS 2011AA Property)
    C15368 (NCI Thesaurus Property-2)
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    Item Group
    Myeloma Transplant: Allogeneic - Chronic Graft Vs. Host Disease
    TransplantChronicGVHDBeginDate
    Item
    Date of Onset of Chronic GVHD
    date
    C12981 (NCI Thesaurus ObjectClass)
    C0332835 (UMLS 2011AA ObjectClass)
    C14141 (NCI Thesaurus Property)
    C0205191 (UMLS 2011AA Property)
    C0018133 (NCI Metathesaurus Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25431 (NCI Thesaurus ValueDomain-2)
    C0439659 (UMLS 2011AA ValueDomain-2)
    Item
    Did chronic graft vs. host disease occur
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C12981 (NCI Thesaurus ObjectClass)
    C0332835 (UMLS 2011AA ObjectClass)
    C14141 (NCI Thesaurus Property)
    C0205191 (UMLS 2011AA Property)
    C0018133 (NCI Metathesaurus Property)
    Code List
    Did chronic graft vs. host disease occur
    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)
    Item
    GVHD Organ Involvement (mark all that apply)
    text
    C13717 (NCI Thesaurus ValueDomain)
    C1515974 (UMLS 2011AA ValueDomain)
    C12981 (NCI Thesaurus ObjectClass)
    C0332835 (UMLS 2011AA ObjectClass)
    C3063 (NCI Thesaurus Property)
    C0018133 (UMLS 2011AA Property)
    C25548 (NCI Thesaurus Property-2)
    C1314939 (UMLS 2011AA Property-2)
    Code List
    GVHD Organ Involvement (mark all that apply)
    CL Item
    Eyes (Eyes)
    CL Item
    Mouth (Mouth)
    C0922752 (NCI Metathesaurus)
    CL Item
    Lung (Lung)
    C12468 (NCI Thesaurus)
    C0024109 (UMLS 2011AA)
    CL Item
    Liver (Liver)
    C12392 (NCI Thesaurus)
    C0023884 (UMLS 2011AA)
    CL Item
    Esophagus (Esophagus)
    C12389 (NCI Thesaurus)
    C0014876 (UMLS 2011AA)
    CL Item
    Intestinal (Intestinal)
    C25266 (NCI Thesaurus)
    C0021853 (UMLS 2011AA)
    CL Item
    Spleen (Spleen)
    C12432 (NCI Thesaurus)
    C0037993 (UMLS 2011AA)
    CL Item
    Skin (Skin)
    C12470 (NCI Thesaurus)
    C1123023 (UMLS 2011AA)
    CL Item
    Vagina (Vagina)
    C12407 (NCI Thesaurus)
    C0042232 (UMLS 2011AA)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    CL Item
    Kidney (Kidney)
    C12415 (NCI Thesaurus)
    C0022646 (UMLS 2011AA)
    CL Item
    Musculoskeletal (Musculoskeletal)
    C25348 (NCI Thesaurus)
    C0497254 (UMLS 2011AA)
    CL Item
    Hematologic (Hematologic)
    C0205488 (NCI Metathesaurus)
    CL Item
    Constitutional (Constitutional)
    C37931 (NCI Thesaurus)
    C1511487 (UMLS 2011AA)
    TransplantGraftVersusHostDiseaseInvolvementChronicSpecify
    Item
    Other specify
    text
    C12981 (NCI Thesaurus ObjectClass)
    C0332835 (UMLS 2011AA ObjectClass)
    C3063 (NCI Thesaurus Property)
    C0018133 (UMLS 2011AA Property)
    C25548 (NCI Thesaurus Property-2)
    C1314939 (UMLS 2011AA Property-2)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C14141 (NCI Thesaurus ValueDomain-2)
    C0205191 (UMLS 2011AA ValueDomain-2)
    Item
    Maximum severity of chronic GVHD (since the time of last report Note: Include definitions for limited and extensive per protocol.)
    text
    C12981 (NCI Thesaurus ObjectClass)
    C0332835 (UMLS 2011AA ObjectClass)
    C0018133 (NCI Metathesaurus ObjectClass)
    C48309 (NCI Thesaurus ValueDomain)
    C0441800 (UMLS 2011AA ValueDomain)
    C25676 (NCI Thesaurus Property)
    C0439793 (UMLS 2011AA Property)
    Code List
    Maximum severity of chronic GVHD (since the time of last report Note: Include definitions for limited and extensive per protocol.)
    CL Item
    Limited (Limited)
    CL110648 (NCI Metathesaurus)
    CL Item
    Extensive (Extensive)
    C47863 (NCI Thesaurus)
    C0205231 (UMLS 2011AA)
    CL Item
    Not Evaluated (Not evaluated)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item
    Overall Grade of Chronic GVHD
    text
    C14141 (NCI Thesaurus ObjectClass)
    C0205191 (UMLS 2011AA ObjectClass)
    C0018133 (NCI Metathesaurus ObjectClass)
    C12981 (NCI Thesaurus Property)
    C0332835 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C48309 (NCI Thesaurus ValueDomain)
    C0441800 (UMLS 2011AA ValueDomain)
    Code List
    Overall Grade of Chronic GVHD
    CL Item
    Limited (Limited)
    CL110648 (NCI Metathesaurus)
    CL Item
    Extensive (Extensive)
    C47863 (NCI Thesaurus)
    C0205231 (UMLS 2011AA)
    CL Item
    Not Evaluated (Not evaluated)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    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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