ID

7411

Description

SOUTHWEST ONCOLOGY GROUP Previously Untreated Acute Promyelocytic Leukemia Prestudy Form (S0521) Combination Chemotherapy With or Without Gemtuzumab Followed By Tretinoin, Mercaptopurine, and Methotrexate or Observation in Treating Patients With Acute Promyelocytic Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=01FDEB64-5CFB-0063-E044-0003BA3F9857

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=01FDEB64-5CFB-0063-E044-0003BA3F9857

Mots-clés

D016430

Registration

C95

19/09/2012 19/09/2012 -
09/01/2015 09/01/2015 - Martin Dugas
25/07/2015 25/07/2015 - Martin Dugas

Téléchargé le

9 janvier 2015

DOI

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Licence

Creative Commons BY-NC 3.0 Legacy

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NCT00492856 Pre-Study - SOUTHWEST ONCOLOGY GROUP Previously Untreated Acute Promyelocytic Leukemia Prestudy Form (S0521) - 2412866v1.0

model
Détails

No Instruction available.

1 Formulaires

StudyEvent: SOUTHWEST ONCOLOGY GROUP Previously Untreated Acute Promyelocytic Leukemia Prestudy Form (S0521)
1. No Instruction available.

Name

Type

Description | Question | Decode (Coded Value)

Type de données

Alias

Header

Item Group

Header

Trial subject ID SWOG

Item

SWOG Patient ID

text

C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1519429 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus Property-2)

Protocol ID SWOG

Item

SWOG Study No.

text

C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1519429 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus Property-2)

Registration Number

Item

Registration Step

text

C25337 (NCI Thesaurus ValueDomain)
C1514821 (UMLS CUI-1)
C25646 (NCI Thesaurus ObjectClass)
C0237753 (UMLS CUI-2)
C16154 (NCI Thesaurus Property)
C16154 (NCI Thesaurus ValueDomain-2)

Patient Initials

Item

Patient Initials (L, F M)

text

C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)

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)

Investigator Name

Item

Physician (Participating Group:)

text

C25191 (NCI Thesaurus ValueDomain)
C2826892 (UMLS CUI-1)
C25364 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C25644 (NCI Thesaurus ObjectClass-2)

Participating Group

Item

Participating Group Name

text

C25191 (NCI Thesaurus ValueDomain)
C2347449 (UMLS CUI-1)
C25608 (NCI Thesaurus ObjectClass)
C17005 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)

CL.1

Code List

Participating Group Name

CL Item

American College Of Surgeons Oncology Group (ACOSOG)

C19712 (NCI Thesaurus)
C1515944 (UMLS 2011AA)

CL Item

American College Of Radiology Oncologic Imaging Network (ACRIN)

CL Item

Aids-associated Malignancies Clinical Trials Consortium (AMC)

CL Item

Cancer And Leukemia Group B (CALGB)

C25442 (NCI Thesaurus)
C1516238 (UMLS 2011AA)

CL Item

Children's Oncology Group (COG)

C39353 (NCI Thesaurus)
C1516477 (UMLS 2011AA)

CL Item

Eastern Cooperative Oncology Group (ECOG)

C25491 (NCI Thesaurus)
C1512162 (UMLS 2011AA)

CL Item

European Organization For Research And Treatment Of Cancer (EORTC)

C19741 (NCI Thesaurus)
C1516985 (UMLS 2011AA)

CL Item

Gynecologic Oncology Group (GOG)

C25521 (NCI Thesaurus)
C1512288 (UMLS 2011AA)

CL Item

International Breast Cancer Study Group (IBCSG)

C25530 (NCI Thesaurus)
C1512890 (UMLS 2011AA)

CL Item

North American Brain Tumor Consortium (NABTC)

C37995 (NCI Thesaurus)
C1518418 (UMLS 2011AA)

CL Item

Nabtt Brain Tumor Consortium (NABTT)

CL Item

North Central Cancer Treatment Group (NCCTG)

C25581 (NCI Thesaurus)
C1518419 (UMLS 2011AA)

CL Item

National Cancer Institute Of Canada Clinical Trials Group (NCIC)

C39467 (NCI Thesaurus)
C1513885 (UMLS 2011AA)

CL Item

National Surgical Adjuvant Breast And Bowel Project (NSABP)

C15818 (NCI Thesaurus)
C1513905 (UMLS 2011AA)

CL Item

Radiation Therapy Oncology Group (RTOG)

C19778 (NCI Thesaurus)
C1514695 (UMLS 2011AA)

CL Item

Southwest Oncology Group (SWOG)

C25699 (NCI Thesaurus)
C1519429 (UMLS 2011AA)

Study Number Participating Group

Item

Participating Group Study No.

text

C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)

Trial subject ID Participating Group

Item

Participating Group Patient ID (Instructions: All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section. Place an X in appropriate boxes. Circle AMENDED items in red and write AMENDED across the top of the form.)

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)

PATIENT CHARACTERISTICS

Item Group

Patient Characteristics

ECOG Performance Status

Item

Performance Status

text

C25664 (NCI Thesaurus ValueDomain)
C1520224 (UMLS CUI-1)
C25367 (NCI Thesaurus Property)
C25491 (NCI Thesaurus ValueDomain-2)
C20641 (NCI Thesaurus ObjectClass)

CL.2

Code List

Performance Status

CL Item

Fully Active, Able To Carry On All Pre-disease Performance Without Restriction. (0)

CL Item

Restricted In Physically Strenuous Activity But Ambulatory And Able To Carry Out Work Of A Light Or Sedentary Nature, E.g., Light Housework, Office Work. (1)

CL Item

Ambulatory And Capable Of All Selfcare But Unable To Carry Out Any Work Activities. Up And About More Than 50% Of Waking Hours. (2)

CL Item

Capable Of Only Limited Selfcare, Confined To Bed Or Chair More Than 50% Of Waking Hours. (3)

CL Item

Completely Disabled. Cannot Carry On Any Selfcare. Totally Confined To Bed Or Chair. (4)

CL Item

Dead (5)

PatientFirstProtocolRegistrationDiseaseRiskCategory

Item

Risk classification at first registration

text

C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25320 (NCI Thesaurus Property)
C1507394 (UMLS 2011AA Property)
C25646 (NCI Thesaurus Property-2)
C1514821 (UMLS 2011AA Property-2)
C25509 (NCI Thesaurus Property-3)
C1279901 (UMLS 2011AA Property-3)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ValueDomain-2)
C0012634 (UMLS 2011AA ValueDomain-2)
C17102 (NCI Thesaurus ValueDomain-3)
C0035647 (UMLS 2011AA ValueDomain-3)

CL.3

Code List

Risk classification at first registration

CL Item

Intermediate Risk (Intermediate risk)

CL Item

Low Risk (Low risk)

RT-PCRSpecimenCollectionSource

Item

Specimen for RT-PCR (Pretreatment)

text

C18136 (NCI Thesaurus ObjectClass)
C0599161 (UMLS 2011AA ObjectClass)
C25453 (NCI Thesaurus Property)
C1516698 (UMLS 2011AA Property)
C25683 (NCI Thesaurus ValueDomain)
C0449416 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass-2)
C0370003 (UMLS 2011AA ObjectClass-2)

CL.4

Code List

Specimen for RT-PCR (Pretreatment)

CL Item

Bone Marrow (bone marrow)

C12431 (NCI Thesaurus)
C0005953 (UMLS 2011AA)

CL Item

Peripheral Blood (peripheral blood)

C0229664 (NCI Metathesaurus)

BoneMarrowSpecimenCollectionDate

Item

Date of marrow specimen collection

date

C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C12431 (NCI Thesaurus ObjectClass)
C0005953 (UMLS 2011AA ObjectClass)
C25453 (NCI Thesaurus Property)
C1516698 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass-2)
C0370003 (UMLS 2011AA ObjectClass-2)

BloodSpecimenCollectionDate

Item

Date of blood specimen collection

date

C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C12434 (NCI Thesaurus ObjectClass)
C0229664 (UMLS 2011AA ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C0370003 (UMLS 2011AA ObjectClass-2)
C25452 (NCI Thesaurus Property)

ATRAAgentPriorClinicalTrialRegistrationAdministeredInd-2

Item

Did the patient receive ATRA prior to registration

boolean

C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C900 (NCI Thesaurus ObjectClass-2)
C0040845 (UMLS 2011AA ObjectClass-2)
C25646 (NCI Thesaurus Property)
C1514821 (UMLS 2011AA Property)
C25629 (NCI Thesaurus Property-2)
C0332152 (UMLS 2011AA Property-2)
C15207 (NCI Thesaurus Property-3)
C25382 (NCI Thesaurus Property-4)
C1521801 (UMLS 2011AA Property-3)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)

ATRAAgentPriorClinicalTrialRegistrationAdministeredBeginDate

Item

Date ATRA first given

date

C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C900 (NCI Thesaurus ObjectClass-2)
C0040845 (UMLS 2011AA ObjectClass-2)
C25646 (NCI Thesaurus Property)
C1514821 (UMLS 2011AA Property)
C25629 (NCI Thesaurus Property-2)
C0332152 (UMLS 2011AA Property-2)
C15207 (NCI Thesaurus Property-3)
C25382 (NCI Thesaurus Property-4)
C1521801 (UMLS 2011AA Property-3)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
C0439659 (UMLS 2011AA ValueDomain-2)

ATRAAgentPriorClinicalTrialRegistrationAdministeredDayCount

Item

Number of days of ATRA before registration

float

C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C900 (NCI Thesaurus ObjectClass-2)
C0040845 (UMLS 2011AA ObjectClass-2)
C25646 (NCI Thesaurus Property)
C1514821 (UMLS 2011AA Property)
C25629 (NCI Thesaurus Property-2)
C0332152 (UMLS 2011AA Property-2)
C15207 (NCI Thesaurus Property-3)
C25382 (NCI Thesaurus Property-4)
C1521801 (UMLS 2011AA Property-3)
C25301 (NCI Thesaurus ValueDomain)
C0439228 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)

ATRAAgentPriorClinicalTrialRegistrationAdministeredMaximumDose

Item

Maximum dose of ATRA before registration (mg/m^2/day)

float

C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C900 (NCI Thesaurus ObjectClass-2)
C0040845 (UMLS 2011AA ObjectClass-2)
C25646 (NCI Thesaurus Property)
C1514821 (UMLS 2011AA Property)
C25629 (NCI Thesaurus Property-2)
C0332152 (UMLS 2011AA Property-2)
C15207 (NCI Thesaurus Property-3)
C25382 (NCI Thesaurus Property-4)
C1521801 (UMLS 2011AA Property-3)
C25564 (NCI Thesaurus ValueDomain)
C0806909 (UMLS 2011AA ValueDomain)
C25488 (NCI Thesaurus ValueDomain-2)
C0178602 (UMLS 2011AA ValueDomain-2)

FemalePatientPotentialPregnancyInd-2

Item

Is patient a woman of childbearing potential (indicator NO for males)

boolean

C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C16576 (NCI Thesaurus ObjectClass-2)
C0015780 (UMLS 2011AA ObjectClass-2)
C25742 (NCI Thesaurus Property)
C0032961 (UMLS 2011AA Property)
C0237399 (NCI Metathesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)

PatientNegativePregnancyTestInd-2

Item

Has a negative pregnancy test been performed

boolean

C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25247 (NCI Thesaurus Property)
C0205160 (UMLS 2011AA Property)
C0032976 (NCI Metathesaurus Property)

PatientMostRecentPregnancyTestDate

Item

Date of pregnancy test

date

C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C0032976 (NCI Metathesaurus Property)
C25577 (NCI Thesaurus Property)
C1513491 (UMLS 2011AA Property)

Patient and Disease Description

Item Group

Patient And Disease Description

Patient Height

Item

Height

float

C25209 (NCI Thesaurus ValueDomain)
C0489786 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25347 (NCI Thesaurus Property)

CancerInitialDiagnosisDate

Item

Date of Initial Pathologic Diagnosis

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)

PatientDisseminatedIntravascularCoagulationPersonalMedicalHistoryIndicator

Item

Patient Disseminated Intravascular Coagulation Personal Medical History Indicator

text

C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C2992 (NCI Thesaurus Property)
C0012739 (UMLS 2011AA Property)
C18772 (NCI Thesaurus Property-2)
C0262926 (UMLS 2011AA Property-2)

CL.8

Code List

Patient Disseminated Intravascular Coagulation Personal Medical History Indicator

CL Item

No: C0028423 (No)

C0028423 (NCI Metathesaurus)

CL Item

Yes, With Bleeding (Yes, with bleeding)

CL Item

Yes, Without Bleeding (Yes, without bleeding)

Current Laboratory Values

Item Group

Current Laboratory Values

HematologyLabCollectedDate

Item

Date Hematology (Blood) Sample Obtained

date

C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25452 (NCI Thesaurus ValueDomain-2)

HematologySpecimenCollectedTime

Item

Time hematology sample obtained

time

C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass-2)
C0370003 (UMLS 2011AA ObjectClass-2)
C25452 (NCI Thesaurus Property)

Hemoglobin

Item

Hemoglobin

float

C16676 (NCI Thesaurus Property)
C0019046 (UMLS CUI-1)
C20200 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)

Platelets

Item

Peripheral Platelet Count

float

C20200 (NCI Thesaurus Property)
C0005821 (UMLS CUI-1)
C12520 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)

LaboratoryProcedureBlastCellOutcomePercentageValue

Item

Peripheral Blasts (%)

float

C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C12918 (NCI Thesaurus Property-2)
C0368761 (UMLS 2011AA Property-2)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1522609 (UMLS 2011AA ValueDomain-2)

Leukocytes (WBC)

Item

Peripheral WBC Count

float

C25294 (NCI Thesaurus ObjectClass)
C0023508 (UMLS CUI-1)
C12529 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C38024 (NCI Thesaurus ValueDomain-2)

LaboratoryProcedurePromyelocyteResultPercentageValue

Item

Peripheral Promyelocytes (%)

float

C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C13114 (NCI Thesaurus Property-2)
C0033416 (UMLS 2011AA Property-2)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1522609 (UMLS 2011AA ValueDomain-2)

Neutrophil percentage

Item

Peripheral Neutrophils (%)

float

C25294 (NCI Thesaurus ObjectClass)
C1171400 (UMLS CUI-1)
C12533 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)

BoneMarrowBiopsyDate

Item

Bone Marrow Biopsy Date

date

C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C15189 (NCI Thesaurus Property)
C0005558 (UMLS 2011AA Property)
C12431 (NCI Thesaurus ObjectClass)
C0005953 (UMLS 2011AA ObjectClass)

Blasts, Bone Marrow

Item

Marrow Blasts (%)

float

C25294 (NCI Thesaurus ObjectClass)
C1982687 (UMLS CUI-1)
C12431 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C12918 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)

Bone Marrow Cellularity

Item

Marrow Cellularity (%)

float

C25294 (NCI Thesaurus ObjectClass)
C1561532 (UMLS CUI-1)
C12431 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C37923 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)

LaboratoryProcedureBoneMarrowPromyelocyteResultPercentageValue

Item

Marrow Promyelocytes (%)

float

C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C12431 (NCI Thesaurus Property)
C0005953 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C13114 (NCI Thesaurus Property-3)
C0033416 (UMLS 2011AA Property-3)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1522609 (UMLS 2011AA ValueDomain-2)

LaboratoryProcedureBoneMarrowCellularityOutcomeStatus

Item

Marrow Cellularity Status

text

C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C12431 (NCI Thesaurus Property)
C0005953 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C37923 (NCI Thesaurus Property-3)
C1516377 (UMLS 2011AA Property-3)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)

CL.9

Code List

Marrow Cellularity Status

CL Item

Cellularity Status Of Bone Marrow Is Aplasitc (severely Hypocellular) (Aplastic (severely hypocellular))

CL Item

Cellularity Status Of Bone Marrow Unknown, Procedure Resulted In No Material To Analyze (Dry tap or inaspirable)

CL Item

Cellularity Status Of Bone Marrow Is Hypercellular (Hypercellular)

CL Item

Cellularity Status Of Bone Marrow Is Hypocellular (Hypocellular)

CL Item

Cellularity Status Of Bone Marrow Is Normocellular (Normocellular)

CL Item

Cellularity Status Of Bone Marrow Is Packed (intensely Hypercellular) (Packed (intensely hypercellular))

PatientExtramedullaryDiseaseAssessmentDate

Item

Date of Examination for Extramedullary Disease

date

C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C2991 (NCI Thesaurus Property-2)
C0012634 (UMLS 2011AA Property-2)
C25503 (NCI Thesaurus Property-3)
C1517060 (UMLS 2011AA Property-3)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)

DiseaseExtramedullaryInvolvementSite

Item

Extramedullary Disease Involvement

text

C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
C25503 (NCI Thesaurus Property-2)
C1517060 (UMLS 2011AA Property-2)

CL.10

Code List

Extramedullary Disease Involvement

CL Item

Gingival Hypertrophy (Gingival hypertrophy)

CL Item

Mediastinal Mass (Mediastinal mass)

CL Item

Peripheral Nervous System (Peripheral nervous system)

C12465 (NCI Thesaurus)
C0206417 (UMLS 2011AA)

CL Item

Skin (Skin (cutaneous))

C12470 (NCI Thesaurus)
C1123023 (UMLS 2011AA)

CL Item

Other Specify (Other)

DiseaseExtramedullaryInvolvementOtherSite

Item

Other, specify

text

Comments

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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NCT00492856 Pre-Study - SOUTHWEST ONCOLOGY GROUP Previously Untreated Acute Promyelocytic Leukemia Prestudy Form (S0521) - 2412866v1.0

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