ID

8301

Description

RTOG 1115 F1: Phase III RT + Standard ADT vs RT + Enhanced ADT + TAK-700 Follow-Up Form Hormone Therapy, Radiation Therapy, and Steroid 17alpha-monooxygenase TAK-700 in Treating Patients With High-Risk Prostate Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AE931EC8-EB71-0470-E040-BB89AD430843

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AE931EC8-EB71-0470-E040-BB89AD430843

Keywords

  1. 12/18/14 12/18/14 - Martin Dugas
  2. 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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Prostate Cancer NCT01546987 Follow-Up - RTOG 1115 F1: Phase III RT + Standard ADT vs RT + Enhanced ADT + TAK-700 Follow-Up Form - 3289581v1.0

INSTRUCTIONS: Submit this form at the appropriate follow-up interval. All dates to be reported mm-dd-yyyy unless otherwise indicated

  1. StudyEvent: RTOG 1115 F1: Phase III RT + Standard ADT vs RT + Enhanced ADT + TAK-700 Follow-Up Form
    1. INSTRUCTIONS: Submit this form at the appropriate follow-up interval. All dates to be reported mm-dd-yyyy unless otherwise indicated
Unnamed2
Description

Unnamed2

RTOG Study No.
Description

Protocol ID RTOG

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C1514695
NCI Thesaurus Property
C19778
NCI Thesaurus Property-2
C25364
Case #
Description

RadiationTherapyOncologyGroupPatientCaseIdentifierNumber

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass-2
C19778
UMLS 2011AA ObjectClass-2
C1514695
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property-2
C49152
UMLS 2011AA Property-2
C1706256
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
Institution Name
Description

Institution Name

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
NCI Thesaurus ValueDomain-2
C21541
NCI Thesaurus Property
C25364
Institution No.
Description

Institution Number

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass
C21541
UMLS CUI-2
C0805701
NCI Thesaurus Property
C25364
Patient Initials
Description

Patient Initials

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
RTOG Patient ID
Description

Trial subject ID RTOG

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C1514695
NCI Thesaurus Property
C19778
NCI Thesaurus Property-2
C25364
Header
Description

Header

Amended Data
Description

Data amended

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS CUI-1
C0680532
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
Unnamed 3
Description

Unnamed 3

Patient's Vital Status
Description

Patient Status

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS CUI-1
C3846084
NCI Thesaurus ValueDomain
C18003
NCI Thesaurus ValueDomain-2
C25688
NCI Thesaurus Property
C25717
Date of Last Contact or Death
Description

Date last contact

Data type

date

Alias
NCI Thesaurus ObjectClass
C16960
UMLS CUI-1
C0805839
NCI Thesaurus Property
C25461
NCI Thesaurus Property-2
C25551
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25367
Primary Cause of Death
Description

Primary Cause of Death

Data type

text

Alias
NCI Thesaurus ValueDomain
C25638
UMLS CUI-1
C0007465
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C28554
NCI Thesaurus ValueDomain-2
C25251
Due to other cause, specify
Description

Primary Cause of Death, specify

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS CUI-1
C0007465
NCI Thesaurus ObjectClass-2
C25251
NCI Metathesaurus ObjectClass
C0007465
NCI Thesaurus Property
C17649
NCI Thesaurus Property-2
C25365
NCI Thesaurus ValueDomain
C25685
Has the patient had a documented clinical assessment for this cancer (SINCE SUBMISSION OF THE PREVIOUS FOLLOW-UP FORM)
Description

Documented clinical assessment for this cancer

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS CUI-1
C1522577
NCI Thesaurus Property
C16033
UMLS CUI-2
C0006826
NCI Thesaurus ObjectClass
C9305
NCI Thesaurus Property-2
C25365
Date
Description

Assessment Date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C2985720
NCI Thesaurus ObjectClass
C25367
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus Property
C38000
Performance Status (ZUBROD 0-5, 9-UNKNOWN)
Description

ECOG Performance Status

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS CUI-1
C1520224
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain-2
C25491
NCI Thesaurus ObjectClass
C20641
Mark an 'X' if unknown
Description

DataUnknownText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C17998
UMLS 2011AA Property
C0439673
Unnamed Module 6
Description

Unnamed Module 6

Has the patient had a prostate biopsy (SINCE SUBMISSION OF THE LAST FOLLOW-UP FORM)
Description

Prostate Biopsy

Data type

text

Alias
NCI Thesaurus ObjectClass
C15189
UMLS CUI-1
C0194804
NCI Thesaurus ObjectClass-2
C12410
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25688
Biopsy Date
Description

Biopsy Date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C0005558
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus ObjectClass
C15189
UMLS CUI-2
C0011008
NCI Thesaurus Property
C25275
Is the tumor palpable
Description

Palpable Tumor

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C0746412
NCI Thesaurus ObjectClass
C3262
NCI Thesaurus Property
C25626
NCI Thesaurus ObjectClass-2
C25606
Unnamed Module 5
Description

Unnamed Module 5

Has the patient been diagnosed with biochemical recurrence since submission of the last follow-up form
Description

PSA Failure

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS CUI-1
C2985506
NCI Thesaurus Property
C25626
NCI Thesaurus ObjectClass
C25331
NCI Thesaurus ObjectClass-2
C25434
Has the patient been diagnosed with a first local recurrence (SINCE SUBMISSION OF LAST FOLLOW-UP FORM See Protocol Section 11)
Description

Neoplasm recurrence, Local

Data type

text

Alias
NCI Thesaurus ObjectClass
C19987
UMLS CUI-1
C0027643
NCI Thesaurus Property
C67263
NCI Thesaurus Property-2
C25509
NCI Thesaurus Property-3
C15220
NCI Thesaurus ValueDomain
C38148
Date
Description

Date of Neoplasm local recurrence

Data type

date

Alias
NCI Thesaurus ObjectClass
C3352
UMLS CUI-1
C0027643
NCI Thesaurus ObjectClass-2
C25388
UMLS CUI-2
C0011008
NCI Thesaurus Property
C25509
NCI Thesaurus Property-2
C15220
NCI Thesaurus ValueDomain
C25164
Method of Evaluation (DISTANT PROGRESSION)
Description

Evaluation method

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2911685
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C16847
Method of Evaluation (DISTANT PROGRESSION)
Description

Evaluation method

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2911685
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C16847
Has the patient been diagnosed with first distant progression (SINCE SUBMISSION OF THE LAST FOLLOW-UP FORM)
Description

Neoplasm recurrence, Distal

Data type

text

Alias
NCI Thesaurus ObjectClass
C19987
UMLS CUI-1
C0027627
NCI Thesaurus Property
C25321
NCI Thesaurus Property-2
C25509
NCI Thesaurus Property-3
C15220
NCI Thesaurus ValueDomain
C25180
Date
Description

Date of Neoplasm distal recurrence

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C0027627
NCI Thesaurus ObjectClass
C25331
NCI Thesaurus ValueDomain-2
C25509
UMLS CUI-2
C0011008
NCI Thesaurus Property
C25275
Sites of Progression (First distant)
Description

Progression Sites

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0280457
NCI Thesaurus Property
C25341
NCI Thesaurus ObjectClass
C25331
Other Specify
Description

Evaluation method, specify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS CUI-1
C2911685
NCI Thesaurus ObjectClass
C20989
UMLS CUI-2
C1521902
NCI Thesaurus Property
C16847
Other Specify
Description

Evaluation method, specify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS CUI-1
C2911685
NCI Thesaurus ObjectClass
C20989
UMLS CUI-2
C1521902
NCI Thesaurus Property
C16847
Baseline Lab Values (hematologic)
Description

Baseline Lab Values (hematologic)

Fasting glucose
Description

LaboratoryProcedureGlucoseElectrolytesOutcomeInd-3

Data type

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C2831
UMLS 2011AA Property-2
C0017725
NCI Thesaurus Property-3
C464
UMLS 2011AA Property-3
C0013832
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Date
Description

Laboratory Procedure Date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C0022885
NCI Thesaurus Property
C25214
UMLS CUI-2
C0011008
NCI Thesaurus Property-2
C38000
NCI Thesaurus ObjectClass
C25294
Fasting glucose (mg/dL)
Description

LaboratoryProcedureFastingPlasmaGlucoseMeasurementOutcomeValue

Data type

float

Measurement units
  • mg/dL
Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C41376
UMLS 2011AA Property-2
C0202042
NCI Thesaurus Property-3
C63663
UMLS 2011AA Property-3
C0015663
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
mg/dL
Fasting glucose, LLN
Description

LaboratoryProcedureFastingPlasmaGlucoseMeasurementOutcomeLowerLimitofNormalValue

Data type

float

Measurement units
  • mg/dL
Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C41376
UMLS 2011AA Property-2
C0202042
NCI Thesaurus Property-3
C63663
UMLS 2011AA Property-3
C0015663
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25555
UMLS 2011AA ValueDomain-2
C1518030
mg/dL
Fasting glucose, ULN
Description

LaboratoryProcedureFastingPlasmaGlucoseMeasurementOutcomeLabUpperLimitNormalValue

Data type

float

Measurement units
  • mg/dL
Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C41376
UMLS 2011AA Property-2
C0202042
NCI Thesaurus Property-3
C63663
UMLS 2011AA Property-3
C0015663
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25706
UMLS 2011AA ValueDomain-2
C1519815
mg/dL
Fasting Lipid Panel
Description

Fasting Lipid Panel

Fasting lipids
Description

LaboratoryProcedureLipidResultInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property-2
C616
UMLS 2011AA Property-2
C0023779
Date
Description

Laboratory Procedure Date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C0022885
NCI Thesaurus Property
C25214
UMLS CUI-2
C0011008
NCI Thesaurus Property-2
C38000
NCI Thesaurus ObjectClass
C25294
Cholesterol (mg/dL)
Description

LaboratoryProcedureFastingSerumTotalCholesterolMeasurementOutcomeValue

Data type

float

Measurement units
  • mg/dL
Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C63663
UMLS 2011AA Property-2
C0015663
NCI Thesaurus Property-3
C61032
UMLS 2011AA Property-3
C1445957
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
mg/dL
Cholesterol LLN
Description

LaboratoryProcedureFastingSerumTotalCholesterolMeasurementOutcomeLowerLimitofNormalValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C63663
UMLS 2011AA Property-2
C0015663
NCI Thesaurus Property-3
C61032
UMLS 2011AA Property-3
C1445957
NCI Thesaurus ValueDomain
C25555
UMLS 2011AA ValueDomain
C1518030
NCI Thesaurus ValueDomain-2
C49100
UMLS 2011AA ValueDomain-2
C1704610
Cholesterol ULN
Description

LaboratoryProcedureFastingSerumTotalCholesterolMeasurementOutcomeUpperLimitNormalValue

Data type

float

Measurement units
  • mg/dL
Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C63663
UMLS 2011AA Property-2
C0015663
NCI Thesaurus Property-3
C61032
UMLS 2011AA Property-3
C1445957
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25706
UMLS 2011AA ValueDomain-2
C1519815
mg/dL
HDL (mg/dL)
Description

HematologySerumHighDensityLipoprotein(HDL)CholesterolLaboratoryResultValueinmg/dL

Data type

float

Measurement units
  • mg/dL
Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus Property
C13325
UMLS 2011AA Property
C0229671
NCI Thesaurus Property-2
C25294
UMLS 2011AA Property-2
C0022885
NCI Thesaurus Property-3
C25186
UMLS 2011AA Property-3
C0023821
NCI Thesaurus Property-4
C369
UMLS 2011AA Property-4
C0008377
NCI Thesaurus ValueDomain
C28253
UMLS 2011AA ValueDomain
C0439210
NCI Thesaurus ValueDomain-2
C20200
UMLS 2011AA ValueDomain-2
C1274040
NCI Thesaurus ValueDomain-3
C37984
UMLS 2011AA ValueDomain-3
C0022877
NCI Thesaurus ValueDomain-4
C25712
UMLS 2011AA ValueDomain-4
C1522609
mg/dL
HDL LLN
Description

HematologySerumHighDensityLipoprotein(HDL)CholesterolLaboratoryProcedureLowerLimitofNormalValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus Property
C13325
UMLS 2011AA Property
C0229671
NCI Thesaurus Property-2
C25294
UMLS 2011AA Property-2
C0022885
NCI Thesaurus Property-3
C25186
UMLS 2011AA Property-3
C0023821
NCI Thesaurus Property-4
C369
UMLS 2011AA Property-4
C0008377
NCI Thesaurus ValueDomain
C25555
UMLS 2011AA ValueDomain
C1518030
NCI Thesaurus ValueDomain-2
C49100
UMLS 2011AA ValueDomain-2
C1704610
HDL ULN
Description

HematologySerumHighDensityLipoprotein(HDL)CholesterolLaboratoryProcedureUpperLimitofNormalValue

Data type

float

Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus Property
C13325
UMLS 2011AA Property
C0229671
NCI Thesaurus Property-2
C25294
UMLS 2011AA Property-2
C0022885
NCI Thesaurus Property-3
C25186
UMLS 2011AA Property-3
C0023821
NCI Thesaurus Property-4
C369
UMLS 2011AA Property-4
C0008377
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25706
UMLS 2011AA ValueDomain-2
C1519815
LDL (mg/dL)
Description

HematologySerumLowDensityLipoprotein(LDL)CholesterolLaboratoryResultValueinmg/dL

Data type

float

Measurement units
  • mg/dL
Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus Property
C13325
UMLS 2011AA Property
C0229671
NCI Thesaurus Property-2
C25294
UMLS 2011AA Property-2
C0022885
NCI Thesaurus Property-3
C25187
UMLS 2011AA Property-3
C0023823
NCI Thesaurus Property-4
C369
UMLS 2011AA Property-4
C0008377
NCI Thesaurus ValueDomain
C28253
UMLS 2011AA ValueDomain
C0439210
NCI Thesaurus ValueDomain-2
C20200
UMLS 2011AA ValueDomain-2
C1274040
NCI Thesaurus ValueDomain-3
C37984
UMLS 2011AA ValueDomain-3
C0022877
NCI Thesaurus ValueDomain-4
C25712
UMLS 2011AA ValueDomain-4
C1522609
mg/dL
LDL LLN
Description

HematologySerumLowDensityLipoprotein(LDL)CholesterolLaboratoryProcedureLowerLimitofNormalValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus Property
C13325
UMLS 2011AA Property
C0229671
NCI Thesaurus Property-2
C25294
UMLS 2011AA Property-2
C0022885
NCI Thesaurus Property-3
C25187
UMLS 2011AA Property-3
C0023823
NCI Thesaurus Property-4
C369
UMLS 2011AA Property-4
C0008377
NCI Thesaurus ValueDomain
C25555
UMLS 2011AA ValueDomain
C1518030
NCI Thesaurus ValueDomain-2
C49100
UMLS 2011AA ValueDomain-2
C1704610
LDL ULN
Description

HematologySerumLowDensityLipoprotein(LDL)CholesterolLaboratoryProcedureUpperLimitofNormalValue

Data type

float

Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus Property
C13325
UMLS 2011AA Property
C0229671
NCI Thesaurus Property-2
C25294
UMLS 2011AA Property-2
C0022885
NCI Thesaurus Property-3
C25187
UMLS 2011AA Property-3
C0023823
NCI Thesaurus Property-4
C369
UMLS 2011AA Property-4
C0008377
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25706
UMLS 2011AA ValueDomain-2
C1519815
Triglycerides (mg/dL)
Description

LaboratoryProcedureFastingTriglycerideMeasurementOutcomeValue

Data type

float

Measurement units
  • mg/dL
Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C63663
UMLS 2011AA Property-2
C0015663
NCI Thesaurus Property-3
C64812
UMLS 2011AA Property-3
C0202236
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
mg/dL
Triglycerides LLN
Description

LaboratoryProcedureFastingTriglycerideMeasurementOutcomeLowerLimitofNormalValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C63663
UMLS 2011AA Property-2
C0015663
NCI Thesaurus Property-3
C64812
UMLS 2011AA Property-3
C0202236
NCI Thesaurus ValueDomain
C25555
UMLS 2011AA ValueDomain
C1518030
NCI Thesaurus ValueDomain-2
C49100
UMLS 2011AA ValueDomain-2
C1704610
Triglycerides ULN
Description

LaboratoryProcedureFastingTriglycerideMeasurementOutcomeUpperLimitNormalValue

Data type

float

Measurement units
  • mg/dL
Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C63663
UMLS 2011AA Property-2
C0015663
NCI Thesaurus Property-3
C64812
UMLS 2011AA Property-3
C0202236
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25706
UMLS 2011AA ValueDomain-2
C1519815
mg/dL
Hemoglobin A1 C (%)
Description

Hemoglobin A1 C (%)

Hemoglobin A1C (%)
Description

LaboratoryProcedureGlycosylatedHemoglobinMeasurementOutcomeInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property-2
C64849
UMLS 2011AA Property-2
C0202054
Hemogloblin A1C
Description

HematologyGlycosylatedHemoglobinMeasurementLabPercentageValue

Data type

float

Measurement units
  • %
Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain-2
C25712
UMLS 2011AA ValueDomain-2
C1522609
NCI Thesaurus Property
C64849
UMLS 2011AA Property
C0202054
%
Hemoglobin A1C LLN
Description

LaboratoryProcedureGlycosylatedHemoglobinMeasurementOutcomeLowerLimitofNormalValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C64849
UMLS 2011AA Property-2
C0202054
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25555
UMLS 2011AA ValueDomain-2
C1518030
Hemoglobin A1C ULN
Description

LaboratoryProcedureGlycosylatedHemoglobinMeasurementOutcomeUpperLimitofNormalValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C64849
UMLS 2011AA Property-2
C0202054
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25706
UMLS 2011AA ValueDomain-2
C1519815
Serum Testosterone
Description

Serum Testosterone

Serum testosterone
Description

LaboratoryProcedureTestosteroneResultInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C2299
UMLS 2011AA Property-2
C0039601
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
Date
Description

Laboratory Procedure Date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C0022885
NCI Thesaurus Property
C25214
UMLS CUI-2
C0011008
NCI Thesaurus Property-2
C38000
NCI Thesaurus ObjectClass
C25294
Testosterone
Description

LaboratoryProcedureTestosteroneResultSpecifiedValue

Data type

float

Measurement units
  • ng/dl
Alias
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C2299
UMLS 2011AA Property-2
C0039601
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
ng/dl
Testosterone LLN
Description

LaboratoryProcedureTestosteroneResultLowerLimitofNormalValue

Data type

float

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C2299
UMLS 2011AA Property-2
C0039601
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25555
UMLS 2011AA ValueDomain-2
C1518030
Testosterone ULN
Description

LaboratoryProcedureTestosteroneResultUpperLimitofNormalValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C2299
UMLS 2011AA Property-2
C0039601
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain-2
C25706
UMLS 2011AA ValueDomain-2
C1519815
Units
Description

AssessmentLabUOM

Data type

text

Alias
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C37984
UMLS 2011AA Property
C0022877
NCI Thesaurus ValueDomain
C25709
UMLS 2011AA ValueDomain
C1519795
Unnamed Module 4a
Description

Unnamed Module 4a

PSA Date (s)
Description

PSA date

Data type

date

Alias
NCI Thesaurus ObjectClass
C25294
UMLS CUI-1
C0138741
NCI Thesaurus Property
C17525
UMLS CUI-2
C0011008
NCI Thesaurus Property-2
C20200
NCI Thesaurus Property-3
C17220
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25367
PSA Value (s)
Description

PSA

Data type

float

Measurement units
  • ng/ml
Alias
NCI Thesaurus ObjectClass
C25294
UMLS CUI-1
C0138741
NCI Thesaurus Property
C17525
NCI Thesaurus Property-2
C20200
NCI Thesaurus Property-3
C17220
NCI Thesaurus ValueDomain
C25712
ng/ml
Method of Assay
Description

PSAManufacturerAssayType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C17525
UMLS 2011AA ObjectClass
C0138741
NCI Thesaurus Property
C16341
UMLS 2011AA Property
C0005507
NCI Thesaurus Property-2
C25392
UMLS 2011AA Property-2
C0947322
Units
Description

AssessmentLabUOM

Data type

text

Alias
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C37984
UMLS 2011AA Property
C0022877
NCI Thesaurus ValueDomain
C25709
UMLS 2011AA ValueDomain
C1519795
Non-protocol Therapy
Description

Non-protocol Therapy

Is the patient receiving any non-protocol cancer therapy not previously reported (PROSTATE If yes, enter therapy type and date for each therapy delivered during the follow-up period.)
Description

Non-protocolTherapyAdministeredInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass-2
C25590
UMLS 2011AA ObjectClass
C1518384
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
Non-Protocol Therapy Type
Description

Non-ProtocolTherapyAdministeredType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass-2
C25590
UMLS 2011AA ObjectClass
C1518384
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
Date of First Non-Protocol Therapy
Description

Non-ProtocolTherapyFirstAdministeredDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass-2
C25590
UMLS 2011AA ObjectClass
C1518384
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property-2
C25382
UMLS 2011AA Property-2
C1521801
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain-2
C25367
Specify
Description

Non-ProtocolTreatmentFirstAdministeredSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass-2
C25590
UMLS 2011AA ObjectClass
C1518384
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property-2
C25382
UMLS 2011AA Property-2
C1521801
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Unnamed Module 7
Description

Unnamed Module 7

Has a new primary cancer or MDS been diagnosed that has not been previously reported? (MYELODYSPLASTIC SYNDROME)
Description

NewCancerDiagnosisInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C25586
UMLS 2011AA ObjectClass
C0205314
NCI Thesaurus ObjectClass-2
C9305
UMLS 2011AA ObjectClass-2
C0006826
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
Second Primary Tumor Site
Description

Second Primary Tumor Site

Data type

text

Alias
NCI Thesaurus ValueDomain
C13717
UMLS CUI-1
C0751623
NCI Thesaurus ObjectClass
C3262
UMLS CUI-2
C1515974
NCI Thesaurus Property
C25341
NCI Thesaurus ObjectClass-2
C25666
Second Primary Cancer Date
Description

Second Primary Tumor Date

Data type

date

Alias
NCI Thesaurus ObjectClass
C3262
UMLS CUI-1
C0751623
NCI Thesaurus ObjectClass-2
C25251
UMLS CUI-2
C0011008
NCI Thesaurus ObjectClass-3
C25666
NCI Thesaurus Property
C15220
NCI Thesaurus ValueDomain
C25164
Other specify
Description

Primary Disease Site

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS CUI-1
C0449695
NCI Thesaurus Property
C25341
NCI Thesaurus ObjectClass
C25251
NCI Thesaurus ObjectClass-2
C2991
Patient Evaluations
Description

Patient Evaluations

Weight (kg)
Description

Patient Weight

Data type

float

Measurement units
  • Kg
Alias
NCI Thesaurus ValueDomain
C25209
UMLS CUI-1
C0005910
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25208
Kg
Date
Description

Laboratory Procedure Date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C0022885
NCI Thesaurus Property
C25214
UMLS CUI-2
C0011008
NCI Thesaurus Property-2
C38000
NCI Thesaurus ObjectClass
C25294
Survivorship
Description

Survivorship

Diabetes Mellitus
Description

DiabetesMellitusHistoryInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C2985
UMLS 2011AA ObjectClass
C0011849
NCI Thesaurus Property
C18772
UMLS 2011AA Property
C0262926
Coronary Artery Disease
Description

ChronicDiseaseCoronaryArteryInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus ObjectClass-2
C14141
UMLS 2011AA ObjectClass-2
C0205191
NCI Metathesaurus Property
C0205042
Myocardial infarction
Description

PatientPriorMyocardialInfarctionInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C27996
UMLS 2011AA Property
C0027051
NCI Thesaurus Property-2
C25629
UMLS 2011AA Property-2
C0332152
Stroke
Description

PatientCerebrovascularAccidentHistoryInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C3390
UMLS 2011AA Property
C0038454
NCI Thesaurus Property-2
C18772
UMLS 2011AA Property-2
C0262926
Pulmonary embolism
Description

PersonPulmonaryEmbolismInd-3

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C50713
UMLS 2011AA Property
C0034065
Deep vein thrombosis
Description

PersonDeepVeinThrombosisPersonalMedicalHistoryInd-3

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C49343
UMLS 2011AA Property
C0149871
NCI Thesaurus Property-2
C18772
UMLS 2011AA Property-2
C0262926
Osteoporotic fracture
Description

PersonOsteoporosisFracturePersonalMedicalHistoryInd-3

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C3298
UMLS 2011AA Property
C0029456
NCI Thesaurus Property-2
C3046
UMLS 2011AA Property-2
C0016658
NCI Thesaurus Property-3
C18772
UMLS 2011AA Property-3
C0262926
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Concomitant Medications
Description

Concomitant Medications

Any changes in medication
Description

ConcomitantMedicationModificationInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C459
UMLS 2011AA ObjectClass
C0013227
NCI Thesaurus ObjectClass-2
C25730
UMLS 2011AA ObjectClass-2
C0521115
NCI Thesaurus Property
C25572
Medication
Description

Concomitant Medication

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C2347852
NCI Thesaurus ObjectClass
C459
NCI Thesaurus Property
C25639
NCI Thesaurus ObjectClass-2
C25730
Dose
Description

ConcomitantMedicationAdministeredDose

Data type

float

Alias
NCI Thesaurus ObjectClass
C459
UMLS 2011AA ObjectClass
C0013227
NCI Thesaurus ValueDomain
C25488
UMLS 2011AA ValueDomain
C0178602
NCI Thesaurus ObjectClass-2
C25730
UMLS 2011AA ObjectClass-2
C0521115
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
Change in medication
Description

ConcomitantMedicationModificationType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C459
UMLS 2011AA ObjectClass
C0013227
NCI Thesaurus ObjectClass-2
C25730
UMLS 2011AA ObjectClass-2
C0521115
NCI Thesaurus Property
C25572
Specify
Description

ConcomitantMedicationModificationSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C459
UMLS 2011AA ObjectClass
C0013227
NCI Thesaurus ObjectClass-2
C25730
UMLS 2011AA ObjectClass-2
C0521115
NCI Thesaurus Property
C25572
Protocol Specific Adverse Event Evaluation
Description

Protocol Specific Adverse Event Evaluation

Any Treatment Related Adverse Events
Description

Adverse Event

Data type

text

Alias
NCI Thesaurus ObjectClass
C25648
UMLS CUI-1
C0877248
NCI Thesaurus ObjectClass-2
C41331
NCI Thesaurus ObjectClass-3
C15368
NCI Metathesaurus Property
C0684224
NCI Thesaurus ValueDomain
C38148
MedDRA Disease Code
Description

Primary Site MedDRA Code

Data type

text

Alias
NCI Thesaurus ObjectClass
C41331
UMLS CUI-1
C0449695
NCI Thesaurus ObjectClass-2
C71886
UMLS CUI-2
C1552878
NCI Thesaurus Property
C25162
NCI Thesaurus Property-2
C43820
NCI Thesaurus ValueDomain
C25162
NCI Thesaurus ValueDomain-2
C41331
NCI Thesaurus ValueDomain-3
C45255
NCI Thesaurus ValueDomain-4
C43820
NCI Thesaurus ValueDomain-5
C25714
CTC Adverse Event Term
Description

CommonTerminologyCriteriaforAdverseEventsVersion4.0LowLevelTermName

Data type

text

Alias
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Thesaurus Property
C49704
UMLS 2011AA Property
C1516728
NCI Thesaurus Property-2
C45559
UMLS 2011AA Property-2
C1705313
NCI Thesaurus ValueDomain
C45255
UMLS 2011AA ValueDomain
C1708523
NCI Thesaurus ValueDomain-2
C49704
UMLS 2011AA ValueDomain-2
C1516728
NCI Thesaurus ValueDomain-3
C42614
UMLS 2011AA ValueDomain-3
C0027365
NCI Thesaurus ValueDomain-4
C45559
UMLS 2011AA ValueDomain-4
C1705313
NCI Thesaurus ValueDomain-5
C25714
UMLS 2011AA ValueDomain-5
C0333052
CTC AE Grade
Description

AdverseEventSeverityGrade

Data type

text

Alias
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Thesaurus Property
C48309
UMLS 2011AA Property
C0441800
NCI Thesaurus Property-2
C49705
UMLS 2011AA Property-2
C1710065
NCI Thesaurus Property-3
C25676
UMLS 2011AA Property-3
C0439793
NCI Thesaurus ValueDomain
C41331
UMLS 2011AA ValueDomain
C0877248
NCI Thesaurus ValueDomain-2
C48309
UMLS 2011AA ValueDomain-2
C0441800
NCI Thesaurus ValueDomain-3
C25676
UMLS 2011AA ValueDomain-3
C0439793
CTCAE Begin Date
Description

CTCAdverseEventReportBeginDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C25375
UMLS 2011AA Property
C0684224
NCI Thesaurus ValueDomain-2
C25431
UMLS 2011AA ValueDomain-2
C0439659
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
CTC AE Attribution Code
Description

CTC Adverse Event Attribution Category

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS CUI-1
C1706735
NCI Thesaurus ObjectClass
C49704
NCI Thesaurus Property
C25358
SAE report submitted
Description

SAE report

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS CUI-1
C1519255
NCI Thesaurus ObjectClass
C41331
UMLS CUI-2
C0684224
NCI Thesaurus Property
C25375
NCI Thesaurus ObjectClass-2
C54035
Footer
Description

Footer

Comments
Description

Research Comments

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0947611
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
Signature of Person Completing This Form
Description

Responsible Person Signature

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C1550483
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus ObjectClass-2
C25657
NCI Thesaurus Property
C25678
Date Form Originally Completed
Description

Form Completion Date

Data type

date

Alias
NCI Thesaurus ObjectClass
C19464
UMLS CUI-1
C1549507
NCI Thesaurus Property
C25250
NCI Thesaurus Property-2
C25604
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25367

Similar models

INSTRUCTIONS: Submit this form at the appropriate follow-up interval. All dates to be reported mm-dd-yyyy unless otherwise indicated

  1. StudyEvent: RTOG 1115 F1: Phase III RT + Standard ADT vs RT + Enhanced ADT + TAK-700 Follow-Up Form
    1. INSTRUCTIONS: Submit this form at the appropriate follow-up interval. All dates to be reported mm-dd-yyyy unless otherwise indicated
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Unnamed2
Protocol ID RTOG
Item
RTOG Study No.
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
RadiationTherapyOncologyGroupPatientCaseIdentifierNumber
Item
Case #
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus ObjectClass-2)
C1514695 (UMLS 2011AA ObjectClass-2)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C49152 (NCI Thesaurus Property-2)
C1706256 (UMLS 2011AA Property-2)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
Institution Name
Item
Institution Name
text
C25191 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
Institution Number
Item
Institution No.
text
C25337 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C0805701 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
Patient Initials
Item
Patient Initials
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Trial subject ID RTOG
Item
RTOG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Item Group
Header
Data amended
Item
Amended Data
boolean
C38148 (NCI Thesaurus ValueDomain)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
Item Group
Unnamed 3
Item
Patient's Vital Status
text
C16960 (NCI Thesaurus ObjectClass)
C3846084 (UMLS CUI-1)
C18003 (NCI Thesaurus ValueDomain)
C25688 (NCI Thesaurus ValueDomain-2)
C25717 (NCI Thesaurus Property)
Code List
Patient's Vital Status
CL Item
Alive (Alive)
CL Item
Dead (Dead)
Date last contact
Item
Date of Last Contact or Death
date
C16960 (NCI Thesaurus ObjectClass)
C0805839 (UMLS CUI-1)
C25461 (NCI Thesaurus Property)
C25551 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
Item
Primary Cause of Death
text
C25638 (NCI Thesaurus ValueDomain)
C0007465 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C28554 (NCI Thesaurus Property)
C25251 (NCI Thesaurus ValueDomain-2)
Code List
Primary Cause of Death
CL Item
Not Applicable (Not applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
CL Item
Due To This Disease (Due to this disease)
CL Item
Due To Protocol Treatment (Due to protocol treatment)
CL Item
Due To Other Cause (Due to other cause)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Primary Cause of Death, specify
Item
Due to other cause, specify
text
C16960 (NCI Thesaurus ObjectClass)
C0007465 (UMLS CUI-1)
C25251 (NCI Thesaurus ObjectClass-2)
C0007465 (NCI Metathesaurus ObjectClass)
C17649 (NCI Thesaurus Property)
C25365 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
Item
Has the patient had a documented clinical assessment for this cancer (SINCE SUBMISSION OF THE PREVIOUS FOLLOW-UP FORM)
text
C38148 (NCI Thesaurus ValueDomain)
C1522577 (UMLS CUI-1)
C16033 (NCI Thesaurus Property)
C0006826 (UMLS CUI-2)
C9305 (NCI Thesaurus ObjectClass)
C25365 (NCI Thesaurus Property-2)
Code List
Has the patient had a documented clinical assessment for this cancer (SINCE SUBMISSION OF THE PREVIOUS FOLLOW-UP FORM)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Assessment Date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C2985720 (UMLS CUI-1)
C25367 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain-2)
C38000 (NCI Thesaurus Property)
Item
Performance Status (ZUBROD 0-5, 9-UNKNOWN)
text
C25664 (NCI Thesaurus ValueDomain)
C1520224 (UMLS CUI-1)
C25367 (NCI Thesaurus Property)
C25491 (NCI Thesaurus ValueDomain-2)
C20641 (NCI Thesaurus ObjectClass)
Code List
Performance Status (ZUBROD 0-5, 9-UNKNOWN)
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)
DataUnknownText
Item
Mark an 'X' if unknown
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C17998 (NCI Thesaurus Property)
C0439673 (UMLS 2011AA Property)
Item Group
Unnamed Module 6
Item
Has the patient had a prostate biopsy (SINCE SUBMISSION OF THE LAST FOLLOW-UP FORM)
text
C15189 (NCI Thesaurus ObjectClass)
C0194804 (UMLS CUI-1)
C12410 (NCI Thesaurus ObjectClass-2)
C38000 (NCI Thesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
Code List
Has the patient had a prostate biopsy (SINCE SUBMISSION OF THE LAST FOLLOW-UP FORM)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes, Negative (Yes, negative)
CL Item
Yes, Positive (Yes, positive)
CL Item
Yes, Results Unknown (Yes, results unknown)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Biopsy Date
Item
Biopsy Date
date
C25164 (NCI Thesaurus ValueDomain)
C0005558 (UMLS CUI-1)
C25367 (NCI Thesaurus ValueDomain-2)
C15189 (NCI Thesaurus ObjectClass)
C0011008 (UMLS CUI-2)
C25275 (NCI Thesaurus Property)
Item
Is the tumor palpable
text
C25180 (NCI Thesaurus ValueDomain)
C0746412 (UMLS CUI-1)
C3262 (NCI Thesaurus ObjectClass)
C25626 (NCI Thesaurus Property)
C25606 (NCI Thesaurus ObjectClass-2)
Code List
Is the tumor palpable
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Not Evaluated (Not evaluated)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item Group
Unnamed Module 5
Item
Has the patient been diagnosed with biochemical recurrence since submission of the last follow-up form
text
C38148 (NCI Thesaurus ValueDomain)
C2985506 (UMLS CUI-1)
C25626 (NCI Thesaurus Property)
C25331 (NCI Thesaurus ObjectClass)
C25434 (NCI Thesaurus ObjectClass-2)
Code List
Has the patient been diagnosed with biochemical recurrence since submission of the last follow-up form
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
C49487 (NCI Thesaurus-3)
C1298908 (UMLS 2011AA-4)
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus-3)
C1705108 (UMLS 2011AA-4)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Has the patient been diagnosed with a first local recurrence (SINCE SUBMISSION OF LAST FOLLOW-UP FORM See Protocol Section 11)
text
C19987 (NCI Thesaurus ObjectClass)
C0027643 (UMLS CUI-1)
C67263 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property-2)
C15220 (NCI Thesaurus Property-3)
C38148 (NCI Thesaurus ValueDomain)
Code List
Has the patient been diagnosed with a first local recurrence (SINCE SUBMISSION OF LAST FOLLOW-UP FORM See Protocol Section 11)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
C49487 (NCI Thesaurus-3)
C1298908 (UMLS 2011AA-4)
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus-3)
C1705108 (UMLS 2011AA-4)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Date of Neoplasm local recurrence
Item
Date
date
C3352 (NCI Thesaurus ObjectClass)
C0027643 (UMLS CUI-1)
C25388 (NCI Thesaurus ObjectClass-2)
C0011008 (UMLS CUI-2)
C25509 (NCI Thesaurus Property)
C15220 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
Item
Method of Evaluation (DISTANT PROGRESSION)
text
C25284 (NCI Thesaurus ValueDomain)
C2911685 (UMLS CUI-1)
C20989 (NCI Thesaurus ObjectClass)
C16847 (NCI Thesaurus Property)
Code List
Method of Evaluation (DISTANT PROGRESSION)
CL Item
Not Applicable (Not applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
CL Item
Physical Exam (Physical exam)
CL Item
Pathologic (Pathologic)
C25610 (NCI Thesaurus)
C1521733 (UMLS 2011AA)
CL Item
Radiographic (Radiographic)
CL Item
Mri (MRI (NMR))
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Item
Method of Evaluation (DISTANT PROGRESSION)
text
C25284 (NCI Thesaurus ValueDomain)
C2911685 (UMLS CUI-1)
C20989 (NCI Thesaurus ObjectClass)
C16847 (NCI Thesaurus Property)
Code List
Method of Evaluation (DISTANT PROGRESSION)
CL Item
Not Applicable (Not applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
CL Item
Physical Exam (Physical exam)
CL Item
Pathologic (Pathologic)
C25610 (NCI Thesaurus)
C1521733 (UMLS 2011AA)
CL Item
Radiographic (Radiographic)
CL Item
Mri (MRI (NMR))
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Item
Has the patient been diagnosed with first distant progression (SINCE SUBMISSION OF THE LAST FOLLOW-UP FORM)
text
C19987 (NCI Thesaurus ObjectClass)
C0027627 (UMLS CUI-1)
C25321 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property-2)
C15220 (NCI Thesaurus Property-3)
C25180 (NCI Thesaurus ValueDomain)
Code List
Has the patient been diagnosed with first distant progression (SINCE SUBMISSION OF THE LAST FOLLOW-UP FORM)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Date of Neoplasm distal recurrence
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C0027627 (UMLS CUI-1)
C25331 (NCI Thesaurus ObjectClass)
C25509 (NCI Thesaurus ValueDomain-2)
C0011008 (UMLS CUI-2)
C25275 (NCI Thesaurus Property)
Progression Sites
Item
Sites of Progression (First distant)
text
C25704 (NCI Thesaurus ValueDomain)
C0280457 (UMLS CUI-1)
C25341 (NCI Thesaurus Property)
C25331 (NCI Thesaurus ObjectClass)
Evaluation method, specify
Item
Other Specify
text
C25685 (NCI Thesaurus ValueDomain)
C2911685 (UMLS CUI-1)
C20989 (NCI Thesaurus ObjectClass)
C1521902 (UMLS CUI-2)
C16847 (NCI Thesaurus Property)
Evaluation method, specify
Item
Other Specify
text
C25685 (NCI Thesaurus ValueDomain)
C2911685 (UMLS CUI-1)
C20989 (NCI Thesaurus ObjectClass)
C1521902 (UMLS CUI-2)
C16847 (NCI Thesaurus Property)
Item Group
Baseline Lab Values (hematologic)
Item
Fasting glucose
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C2831 (NCI Thesaurus Property-2)
C0017725 (UMLS 2011AA Property-2)
C464 (NCI Thesaurus Property-3)
C0013832 (UMLS 2011AA Property-3)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
Code List
Fasting glucose
CL Item
No (no)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Laboratory Procedure Date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C0022885 (UMLS CUI-1)
C25214 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C38000 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
LaboratoryProcedureFastingPlasmaGlucoseMeasurementOutcomeValue
Item
Fasting glucose (mg/dL)
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C41376 (NCI Thesaurus Property-2)
C0202042 (UMLS 2011AA Property-2)
C63663 (NCI Thesaurus Property-3)
C0015663 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
LaboratoryProcedureFastingPlasmaGlucoseMeasurementOutcomeLowerLimitofNormalValue
Item
Fasting glucose, LLN
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C41376 (NCI Thesaurus Property-2)
C0202042 (UMLS 2011AA Property-2)
C63663 (NCI Thesaurus Property-3)
C0015663 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C1518030 (UMLS 2011AA ValueDomain-2)
LaboratoryProcedureFastingPlasmaGlucoseMeasurementOutcomeLabUpperLimitNormalValue
Item
Fasting glucose, ULN
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C41376 (NCI Thesaurus Property-2)
C0202042 (UMLS 2011AA Property-2)
C63663 (NCI Thesaurus Property-3)
C0015663 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
Item Group
Fasting Lipid Panel
Item
Fasting lipids
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C616 (NCI Thesaurus Property-2)
C0023779 (UMLS 2011AA Property-2)
Code List
Fasting lipids
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Laboratory Procedure Date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C0022885 (UMLS CUI-1)
C25214 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C38000 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
LaboratoryProcedureFastingSerumTotalCholesterolMeasurementOutcomeValue
Item
Cholesterol (mg/dL)
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C63663 (NCI Thesaurus Property-2)
C0015663 (UMLS 2011AA Property-2)
C61032 (NCI Thesaurus Property-3)
C1445957 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
LaboratoryProcedureFastingSerumTotalCholesterolMeasurementOutcomeLowerLimitofNormalValue
Item
Cholesterol LLN
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C63663 (NCI Thesaurus Property-2)
C0015663 (UMLS 2011AA Property-2)
C61032 (NCI Thesaurus Property-3)
C1445957 (UMLS 2011AA Property-3)
C25555 (NCI Thesaurus ValueDomain)
C1518030 (UMLS 2011AA ValueDomain)
C49100 (NCI Thesaurus ValueDomain-2)
C1704610 (UMLS 2011AA ValueDomain-2)
LaboratoryProcedureFastingSerumTotalCholesterolMeasurementOutcomeUpperLimitNormalValue
Item
Cholesterol ULN
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C63663 (NCI Thesaurus Property-2)
C0015663 (UMLS 2011AA Property-2)
C61032 (NCI Thesaurus Property-3)
C1445957 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
HematologySerumHighDensityLipoprotein(HDL)CholesterolLaboratoryResultValueinmg/dL
Item
HDL (mg/dL)
float
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C13325 (NCI Thesaurus Property)
C0229671 (UMLS 2011AA Property)
C25294 (NCI Thesaurus Property-2)
C0022885 (UMLS 2011AA Property-2)
C25186 (NCI Thesaurus Property-3)
C0023821 (UMLS 2011AA Property-3)
C369 (NCI Thesaurus Property-4)
C0008377 (UMLS 2011AA Property-4)
C28253 (NCI Thesaurus ValueDomain)
C0439210 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus ValueDomain-2)
C1274040 (UMLS 2011AA ValueDomain-2)
C37984 (NCI Thesaurus ValueDomain-3)
C0022877 (UMLS 2011AA ValueDomain-3)
C25712 (NCI Thesaurus ValueDomain-4)
C1522609 (UMLS 2011AA ValueDomain-4)
HematologySerumHighDensityLipoprotein(HDL)CholesterolLaboratoryProcedureLowerLimitofNormalValue
Item
HDL LLN
text
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C13325 (NCI Thesaurus Property)
C0229671 (UMLS 2011AA Property)
C25294 (NCI Thesaurus Property-2)
C0022885 (UMLS 2011AA Property-2)
C25186 (NCI Thesaurus Property-3)
C0023821 (UMLS 2011AA Property-3)
C369 (NCI Thesaurus Property-4)
C0008377 (UMLS 2011AA Property-4)
C25555 (NCI Thesaurus ValueDomain)
C1518030 (UMLS 2011AA ValueDomain)
C49100 (NCI Thesaurus ValueDomain-2)
C1704610 (UMLS 2011AA ValueDomain-2)
HematologySerumHighDensityLipoprotein(HDL)CholesterolLaboratoryProcedureUpperLimitofNormalValue
Item
HDL ULN
float
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C13325 (NCI Thesaurus Property)
C0229671 (UMLS 2011AA Property)
C25294 (NCI Thesaurus Property-2)
C0022885 (UMLS 2011AA Property-2)
C25186 (NCI Thesaurus Property-3)
C0023821 (UMLS 2011AA Property-3)
C369 (NCI Thesaurus Property-4)
C0008377 (UMLS 2011AA Property-4)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
HematologySerumLowDensityLipoprotein(LDL)CholesterolLaboratoryResultValueinmg/dL
Item
LDL (mg/dL)
float
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C13325 (NCI Thesaurus Property)
C0229671 (UMLS 2011AA Property)
C25294 (NCI Thesaurus Property-2)
C0022885 (UMLS 2011AA Property-2)
C25187 (NCI Thesaurus Property-3)
C0023823 (UMLS 2011AA Property-3)
C369 (NCI Thesaurus Property-4)
C0008377 (UMLS 2011AA Property-4)
C28253 (NCI Thesaurus ValueDomain)
C0439210 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus ValueDomain-2)
C1274040 (UMLS 2011AA ValueDomain-2)
C37984 (NCI Thesaurus ValueDomain-3)
C0022877 (UMLS 2011AA ValueDomain-3)
C25712 (NCI Thesaurus ValueDomain-4)
C1522609 (UMLS 2011AA ValueDomain-4)
HematologySerumLowDensityLipoprotein(LDL)CholesterolLaboratoryProcedureLowerLimitofNormalValue
Item
LDL LLN
text
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C13325 (NCI Thesaurus Property)
C0229671 (UMLS 2011AA Property)
C25294 (NCI Thesaurus Property-2)
C0022885 (UMLS 2011AA Property-2)
C25187 (NCI Thesaurus Property-3)
C0023823 (UMLS 2011AA Property-3)
C369 (NCI Thesaurus Property-4)
C0008377 (UMLS 2011AA Property-4)
C25555 (NCI Thesaurus ValueDomain)
C1518030 (UMLS 2011AA ValueDomain)
C49100 (NCI Thesaurus ValueDomain-2)
C1704610 (UMLS 2011AA ValueDomain-2)
HematologySerumLowDensityLipoprotein(LDL)CholesterolLaboratoryProcedureUpperLimitofNormalValue
Item
LDL ULN
float
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C13325 (NCI Thesaurus Property)
C0229671 (UMLS 2011AA Property)
C25294 (NCI Thesaurus Property-2)
C0022885 (UMLS 2011AA Property-2)
C25187 (NCI Thesaurus Property-3)
C0023823 (UMLS 2011AA Property-3)
C369 (NCI Thesaurus Property-4)
C0008377 (UMLS 2011AA Property-4)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
LaboratoryProcedureFastingTriglycerideMeasurementOutcomeValue
Item
Triglycerides (mg/dL)
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C63663 (NCI Thesaurus Property-2)
C0015663 (UMLS 2011AA Property-2)
C64812 (NCI Thesaurus Property-3)
C0202236 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
LaboratoryProcedureFastingTriglycerideMeasurementOutcomeLowerLimitofNormalValue
Item
Triglycerides LLN
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C63663 (NCI Thesaurus Property-2)
C0015663 (UMLS 2011AA Property-2)
C64812 (NCI Thesaurus Property-3)
C0202236 (UMLS 2011AA Property-3)
C25555 (NCI Thesaurus ValueDomain)
C1518030 (UMLS 2011AA ValueDomain)
C49100 (NCI Thesaurus ValueDomain-2)
C1704610 (UMLS 2011AA ValueDomain-2)
LaboratoryProcedureFastingTriglycerideMeasurementOutcomeUpperLimitNormalValue
Item
Triglycerides ULN
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C63663 (NCI Thesaurus Property-2)
C0015663 (UMLS 2011AA Property-2)
C64812 (NCI Thesaurus Property-3)
C0202236 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
Item Group
Hemoglobin A1 C (%)
Item
Hemoglobin A1C (%)
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C64849 (NCI Thesaurus Property-2)
C0202054 (UMLS 2011AA Property-2)
Code List
Hemoglobin A1C (%)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
HematologyGlycosylatedHemoglobinMeasurementLabPercentageValue
Item
Hemogloblin A1C
float
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1522609 (UMLS 2011AA ValueDomain-2)
C64849 (NCI Thesaurus Property)
C0202054 (UMLS 2011AA Property)
LaboratoryProcedureGlycosylatedHemoglobinMeasurementOutcomeLowerLimitofNormalValue
Item
Hemoglobin A1C LLN
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C64849 (NCI Thesaurus Property-2)
C0202054 (UMLS 2011AA Property-2)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C1518030 (UMLS 2011AA ValueDomain-2)
LaboratoryProcedureGlycosylatedHemoglobinMeasurementOutcomeUpperLimitofNormalValue
Item
Hemoglobin A1C ULN
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C64849 (NCI Thesaurus Property-2)
C0202054 (UMLS 2011AA Property-2)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
Item Group
Serum Testosterone
Item
Serum testosterone
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C2299 (NCI Thesaurus Property-2)
C0039601 (UMLS 2011AA Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
Code List
Serum testosterone
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Laboratory Procedure Date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C0022885 (UMLS CUI-1)
C25214 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C38000 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
LaboratoryProcedureTestosteroneResultSpecifiedValue
Item
Testosterone
float
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C2299 (NCI Thesaurus Property-2)
C0039601 (UMLS 2011AA Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
LaboratoryProcedureTestosteroneResultLowerLimitofNormalValue
Item
Testosterone LLN
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C2299 (NCI Thesaurus Property-2)
C0039601 (UMLS 2011AA Property-2)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C1518030 (UMLS 2011AA ValueDomain-2)
LaboratoryProcedureTestosteroneResultUpperLimitofNormalValue
Item
Testosterone ULN
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C2299 (NCI Thesaurus Property-2)
C0039601 (UMLS 2011AA Property-2)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C1519815 (UMLS 2011AA ValueDomain-2)
Item
Units
text
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C37984 (NCI Thesaurus Property)
C0022877 (UMLS 2011AA Property)
C25709 (NCI Thesaurus ValueDomain)
C1519795 (UMLS 2011AA ValueDomain)
Code List
Units
CL Item
N/milligram (n/mg)
CL Item
Nanograms Per Milliliter (ng/mL)
CL Item
Units Per Liter (U/L)
CL Item
Nanograms Per Deciliter (ng/dL)
CL Item
Micrograms Per Liter (mcg/L)
CL Item
Not Otherwise Specified (NOS)
CL006269 (NCI Metathesaurus)
Item Group
Unnamed Module 4a
PSA date
Item
PSA Date (s)
date
C25294 (NCI Thesaurus ObjectClass)
C0138741 (UMLS CUI-1)
C17525 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C20200 (NCI Thesaurus Property-2)
C17220 (NCI Thesaurus Property-3)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
PSA
Item
PSA Value (s)
float
C25294 (NCI Thesaurus ObjectClass)
C0138741 (UMLS CUI-1)
C17525 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C17220 (NCI Thesaurus Property-3)
C25712 (NCI Thesaurus ValueDomain)
Item
Method of Assay
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C17525 (NCI Thesaurus ObjectClass)
C0138741 (UMLS 2011AA ObjectClass)
C16341 (NCI Thesaurus Property)
C0005507 (UMLS 2011AA Property)
C25392 (NCI Thesaurus Property-2)
C0947322 (UMLS 2011AA Property-2)
Code List
Method of Assay
CL Item
Abbott Labs (Abbott)
CL Item
Bayer (Bayer)
CL Item
Dpc (DPC)
CL Item
Hybritech (Hybritech)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Unknown (Unknown)
Item
Units
text
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C37984 (NCI Thesaurus Property)
C0022877 (UMLS 2011AA Property)
C25709 (NCI Thesaurus ValueDomain)
C1519795 (UMLS 2011AA ValueDomain)
Code List
Units
CL Item
N/milligram (n/mg)
CL Item
Nanograms Per Milliliter (ng/mL)
CL Item
Units Per Liter (U/L)
CL Item
Nanograms Per Deciliter (ng/dL)
CL Item
Micrograms Per Liter (mcg/L)
CL Item
Not Otherwise Specified (NOS)
CL006269 (NCI Metathesaurus)
Item Group
Non-protocol Therapy
Item
Is the patient receiving any non-protocol cancer therapy not previously reported (PROSTATE If yes, enter therapy type and date for each therapy delivered during the follow-up period.)
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C1518384 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Code List
Is the patient receiving any non-protocol cancer therapy not previously reported (PROSTATE If yes, enter therapy type and date for each therapy delivered during the follow-up period.)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Non-Protocol Therapy Type
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C1518384 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Code List
Non-Protocol Therapy Type
CL Item
Radiation To Pelvis (Radiation to pelvis)
CL Item
Radiation To Other Sites, Specify (Radiation to other sites)
CL Item
Surgery (Surgery)
C17173 (NCI Thesaurus)
C0038894 (UMLS 2011AA)
CL Item
Chemotherapy (Chemotherapy)
C15632 (NCI Thesaurus)
C0392920 (UMLS 2011AA)
CL Item
Hormones (Hormones)
CL Item
Other Specify (Other)
Non-ProtocolTherapyFirstAdministeredDate
Item
Date of First Non-Protocol Therapy
date
C15368 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C1518384 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
Non-ProtocolTreatmentFirstAdministeredSpecify
Item
Specify
text
C15368 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C1518384 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
Item Group
Unnamed Module 7
Item
Has a new primary cancer or MDS been diagnosed that has not been previously reported? (MYELODYSPLASTIC SYNDROME)
text
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)
Code List
Has a new primary cancer or MDS been diagnosed that has not been previously reported? (MYELODYSPLASTIC SYNDROME)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Second Primary Tumor Site
text
C13717 (NCI Thesaurus ValueDomain)
C0751623 (UMLS CUI-1)
C3262 (NCI Thesaurus ObjectClass)
C1515974 (UMLS CUI-2)
C25341 (NCI Thesaurus Property)
C25666 (NCI Thesaurus ObjectClass-2)
Code List
Second Primary Tumor Site
CL Item
Aml/mds (AML/MDS)
C9441 (NCI Thesaurus)
CL Item
Bcc (BCC)
CL Item
Bladder Is The Site Of Second Primary Or Recurrent Tumor (bladder)
CL Item
Brain Is The Site Of Second Primary Or Recurrent Tumor (brain)
CL Item
Colorectal (Colorectal)
C13363 (NCI Thesaurus)
C0555952 (UMLS 2011AA)
CL Item
Esophageal (Esophageal)
C37950 (NCI Thesaurus)
C1522619 (UMLS 2011AA)
CL Item
Gastric (Gastric)
C13307 (NCI Thesaurus)
C1704242 (UMLS 2011AA)
CL Item
Liver Is The Site Of Second Primary Or Recurrent Tumor (liver)
CL Item
Lung Is The Site Of Second Primary Or Recurrent Tumor (lung)
CL Item
Melanoma (Melanoma)
C3224 (NCI Thesaurus)
C0025202 (UMLS 2011AA)
CL Item
Nhl (NHL)
CL Item
Pancreatic (Pancreatic)
C25726 (NCI Thesaurus)
C0030274 (UMLS 2011AA)
CL Item
Renal (Renal)
C25225 (NCI Thesaurus)
C0022646 (UMLS 2011AA)
CL Item
Squamous-skin (Squamous-skin)
CL Item
Other Hematologic (Other hematologic)
CL Item
Other Solid (Other solid)
CL Item
Unknown Primary (Unknown primary)
Second Primary Tumor Date
Item
Second Primary Cancer Date
date
C3262 (NCI Thesaurus ObjectClass)
C0751623 (UMLS CUI-1)
C25251 (NCI Thesaurus ObjectClass-2)
C0011008 (UMLS CUI-2)
C25666 (NCI Thesaurus ObjectClass-3)
C15220 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
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)
Item Group
Patient Evaluations
Patient Weight
Item
Weight (kg)
float
C25209 (NCI Thesaurus ValueDomain)
C0005910 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25208 (NCI Thesaurus Property)
Laboratory Procedure Date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C0022885 (UMLS CUI-1)
C25214 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C38000 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
Item Group
Survivorship
Item
Diabetes Mellitus
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C2985 (NCI Thesaurus ObjectClass)
C0011849 (UMLS 2011AA ObjectClass)
C18772 (NCI Thesaurus Property)
C0262926 (UMLS 2011AA Property)
Code List
Diabetes Mellitus
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Coronary Artery Disease
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C14141 (NCI Thesaurus ObjectClass-2)
C0205191 (UMLS 2011AA ObjectClass-2)
C0205042 (NCI Metathesaurus Property)
Code List
Coronary Artery Disease
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Myocardial infarction
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C27996 (NCI Thesaurus Property)
C0027051 (UMLS 2011AA Property)
C25629 (NCI Thesaurus Property-2)
C0332152 (UMLS 2011AA Property-2)
Code List
Myocardial infarction
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Stroke
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C3390 (NCI Thesaurus Property)
C0038454 (UMLS 2011AA Property)
C18772 (NCI Thesaurus Property-2)
C0262926 (UMLS 2011AA Property-2)
Code List
Stroke
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Pulmonary embolism
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C50713 (NCI Thesaurus Property)
C0034065 (UMLS 2011AA Property)
Code List
Pulmonary embolism
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Deep vein thrombosis
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C49343 (NCI Thesaurus Property)
C0149871 (UMLS 2011AA Property)
C18772 (NCI Thesaurus Property-2)
C0262926 (UMLS 2011AA Property-2)
Code List
Deep vein thrombosis
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Osteoporotic fracture
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C3298 (NCI Thesaurus Property)
C0029456 (UMLS 2011AA Property)
C3046 (NCI Thesaurus Property-2)
C0016658 (UMLS 2011AA Property-2)
C18772 (NCI Thesaurus Property-3)
C0262926 (UMLS 2011AA Property-3)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
Code List
Osteoporotic fracture
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item Group
Concomitant Medications
Item
Any changes in medication
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
C25730 (NCI Thesaurus ObjectClass-2)
C0521115 (UMLS 2011AA ObjectClass-2)
C25572 (NCI Thesaurus Property)
Code List
Any changes in medication
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Concomitant Medication
Item
Medication
text
C25704 (NCI Thesaurus ValueDomain)
C2347852 (UMLS CUI-1)
C459 (NCI Thesaurus ObjectClass)
C25639 (NCI Thesaurus Property)
C25730 (NCI Thesaurus ObjectClass-2)
ConcomitantMedicationAdministeredDose
Item
Dose
float
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
C25488 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ValueDomain)
C25730 (NCI Thesaurus ObjectClass-2)
C0521115 (UMLS 2011AA ObjectClass-2)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Item
Change in medication
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
C25730 (NCI Thesaurus ObjectClass-2)
C0521115 (UMLS 2011AA ObjectClass-2)
C25572 (NCI Thesaurus Property)
Code List
Change in medication
CL Item
Addition (Addition)
CL Item
Discontinued (Discontinued)
C25484 (NCI Thesaurus)
C1444662 (UMLS 2011AA)
CL Item
Dose Increased (Dose increase)
C49503 (NCI Thesaurus)
C1707810 (UMLS 2011AA)
CL Item
Lower Dose (Dose decrease)
C25488 (NCI Thesaurus)
C0178602 (UMLS 2011AA)
C86568 (NCI Thesaurus-3)
C2003888 (UMLS 2011AA-4)
CL Item
Other (Other change)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
ConcomitantMedicationModificationSpecify
Item
Specify
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
C25730 (NCI Thesaurus ObjectClass-2)
C0521115 (UMLS 2011AA ObjectClass-2)
C25572 (NCI Thesaurus Property)
Item Group
Protocol Specific Adverse Event Evaluation
Item
Any Treatment Related Adverse Events
text
C25648 (NCI Thesaurus ObjectClass)
C0877248 (UMLS CUI-1)
C41331 (NCI Thesaurus ObjectClass-2)
C15368 (NCI Thesaurus ObjectClass-3)
C0684224 (NCI Metathesaurus Property)
C38148 (NCI Thesaurus ValueDomain)
Code List
Any Treatment Related Adverse Events
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Primary Site MedDRA Code
Item
MedDRA Disease Code
text
C41331 (NCI Thesaurus ObjectClass)
C0449695 (UMLS CUI-1)
C71886 (NCI Thesaurus ObjectClass-2)
C1552878 (UMLS CUI-2)
C25162 (NCI Thesaurus Property)
C43820 (NCI Thesaurus Property-2)
C25162 (NCI Thesaurus ValueDomain)
C41331 (NCI Thesaurus ValueDomain-2)
C45255 (NCI Thesaurus ValueDomain-3)
C43820 (NCI Thesaurus ValueDomain-4)
C25714 (NCI Thesaurus ValueDomain-5)
Item
CTC Adverse Event Term
text
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C49704 (NCI Thesaurus Property)
C1516728 (UMLS 2011AA Property)
C45559 (NCI Thesaurus Property-2)
C1705313 (UMLS 2011AA Property-2)
C45255 (NCI Thesaurus ValueDomain)
C1708523 (UMLS 2011AA ValueDomain)
C49704 (NCI Thesaurus ValueDomain-2)
C1516728 (UMLS 2011AA ValueDomain-2)
C42614 (NCI Thesaurus ValueDomain-3)
C0027365 (UMLS 2011AA ValueDomain-3)
C45559 (NCI Thesaurus ValueDomain-4)
C1705313 (UMLS 2011AA ValueDomain-4)
C25714 (NCI Thesaurus ValueDomain-5)
C0333052 (UMLS 2011AA ValueDomain-5)
Code List
CTC Adverse Event Term
CL Item
Abdominal Distension (Abdominal distension)
E10456 (CTCAE)
CL Item
Abdominal Infection (Abdominal infection)
E11282 (CTCAE)
CL Item
Abdominal Pain (Abdominal pain)
E10460 (CTCAE)
CL Item
Abdominal Soft Tissue Necrosis (Abdominal soft tissue necrosis)
E12369 (CTCAE)
CL Item
Abducens Nerve Disorder (Abducens nerve disorder)
E12569 (CTCAE)
CL Item
Accessory Nerve Disorder (Accessory nerve disorder)
E12573 (CTCAE)
CL Item
Acidosis (Acidosis)
E12237 (CTCAE)
CL Item
Acoustic Nerve Disorder Nos (Acoustic nerve disorder NOS)
E12577 (CTCAE)
CL Item
Activated Partial Thromboplastin Time Prolonged (Activated partial thromboplastin time prolonged)
E12073 (CTCAE)
CL Item
Acute Coronary Syndrome (Acute coronary syndrome)
E10066 (CTCAE)
CL Item
Acute Kidney Injury (Acute kidney injury)
E12973 (CTCAE)
CL Item
Adrenal Insufficiency (Adrenal insufficiency)
E10298 (CTCAE)
CL Item
Adult Respiratory Distress Syndrome (Adult respiratory distress syndrome)
E13299 (CTCAE)
CL Item
Agitation (Agitation)
E12874 (CTCAE)
CL Item
Akathisia (Akathisia)
E12581 (CTCAE)
CL Item
Alanine Aminotransferase Increased (Alanine aminotransferase increased)
E12077 (CTCAE)
CL Item
Alcohol Intolerance (Alcohol intolerance)
E12242 (CTCAE)
CL Item
Alkaline Phosphatase Increased (Alkaline phosphatase increased)
E12082 (CTCAE)
CL Item
Alkalosis (Alkalosis)
E12247 (CTCAE)
CL Item
Allergic Reaction (Allergic reaction)
E11248 (CTCAE)
CL Item
Allergic Rhinitis (Allergic rhinitis)
E13303 (CTCAE)
CL Item
Alopecia (Alopecia)
E13611 (CTCAE)
CL Item
Amnesia (Amnesia)
E12585 (CTCAE)
CL Item
Anal Fistula (Anal fistula)
E10464 (CTCAE)
CL Item
Anal Hemorrhage (Anal hemorrhage)
E10470 (CTCAE)
CL Item
Anal Mucositis (Anal mucositis)
E10476 (CTCAE)
CL Item
Anal Necrosis (Anal necrosis)
E10482 (CTCAE)
CL Item
Anal Pain (Anal pain)
E10486 (CTCAE)
CL Item
Anal Stenosis (Anal stenosis)
E10490 (CTCAE)
CL Item
Anal Ulcer (Anal ulcer)
E10496 (CTCAE)
CL Item
Anaphylaxis (Anaphylaxis)
E11254 (CTCAE)
CL Item
Anemia (Anemia)
E10010 (CTCAE)
CL Item
Ankle Fracture (Ankle fracture)
E11640 (CTCAE)
CL Item
Anorectal Infection (Anorectal infection)
E11286 (CTCAE)
CL Item
Anorexia (Anorexia)
E12252 (CTCAE)
CL Item
Anorgasmia (Anorgasmia)
E12880 (CTCAE)
CL Item
Anxiety (Anxiety)
E12883 (CTCAE)
CL Item
Aortic Injury (Aortic injury)
E11644 (CTCAE)
CL Item
Aortic Valve Disease (Aortic valve disease)
E10071 (CTCAE)
CL Item
Aphonia (Aphonia)
E12589 (CTCAE)
CL Item
Apnea (Apnea)
E13306 (CTCAE)
CL Item
Appendicitis (Appendicitis)
E11292 (CTCAE)
CL Item
Appendicitis Perforated (Appendicitis perforated)
E11296 (CTCAE)
CL Item
Arachnoiditis (Arachnoiditis)
E12591 (CTCAE)
CL Item
Arterial Injury (Arterial injury)
E11648 (CTCAE)
CL Item
Arteritis Infective (Arteritis infective)
E11301 (CTCAE)
CL Item
Arthralgia (Arthralgia)
E12374 (CTCAE)
CL Item
Arthritis (Arthritis)
E12378 (CTCAE)
CL Item
Ascites (Ascites)
E10502 (CTCAE)
CL Item
Aspartate Aminotransferase Increased (Aspartate aminotransferase increased)
E12087 (CTCAE)
CL Item
Aspiration (Aspiration)
E13310 (CTCAE)
CL Item
Asystole (Asystole)
E10077 (CTCAE)
CL Item
Ataxia (Ataxia)
E12597 (CTCAE)
CL Item
Atelectasis (Atelectasis)
E13316 (CTCAE)
CL Item
Atrial Fibrillation (Atrial fibrillation)
E10081 (CTCAE)
CL Item
Atrial Flutter (Atrial flutter)
E10087 (CTCAE)
CL Item
Atrioventricular Block Complete (Atrioventricular block complete)
E10093 (CTCAE)
CL Item
Atrioventricular Block First Degree (Atrioventricular block first degree)
E10098 (CTCAE)
CL Item
Autoimmune Disorder (Autoimmune disorder)
E11258 (CTCAE)
CL Item
Avascular Necrosis (Avascular necrosis)
E12382 (CTCAE)
CL Item
Azoospermia (Azoospermia)
E13067 (CTCAE)
CL Item
Back Pain (Back pain)
E12388 (CTCAE)
CL Item
Bile Duct Stenosis (Bile duct stenosis)
E11173 (CTCAE)
CL Item
Biliary Anastomotic Leak (Biliary anastomotic leak)
E11654 (CTCAE)
CL Item
Biliary Fistula (Biliary fistula)
E11179 (CTCAE)
CL Item
Biliary Tract Infection (Biliary tract infection)
E11305 (CTCAE)
CL Item
Bladder Anastomotic Leak (Bladder anastomotic leak)
E11660 (CTCAE)
CL Item
Bladder Infection (Bladder infection)
E11309 (CTCAE)
CL Item
Bladder Perforation (Bladder perforation)
E12979 (CTCAE)
CL Item
Bladder Spasm (Bladder spasm)
E12984 (CTCAE)
CL Item
Bloating (Bloating)
E10508 (CTCAE)
CL Item
Blood And Lymphatic System Disorders - Other, Specify (Blood and lymphatic system disorders - Other, Specify)
E10016 (CTCAE)
CL Item
Blood Antidiuretic Hormone Abnormal (Blood antidiuretic hormone abnormal)
E12092 (CTCAE)
CL Item
Blood Bilirubin Increased (Blood bilirubin increased)
E12096 (CTCAE)
CL Item
Blood Corticotrophin Decreased (Blood corticotrophin decreased)
E12101 (CTCAE)
CL Item
Blood Gonadotrophin Abnormal (Blood gonadotrophin abnormal)
E12105 (CTCAE)
CL Item
Blood Prolactin Abnormal (Blood prolactin abnormal)
E12109 (CTCAE)
CL Item
Blurred Vision (Blurred vision)
E10346 (CTCAE)
CL Item
Body Odor (Body odor)
E13614 (CTCAE)
CL Item
Bone Infection (Bone infection)
E11314 (CTCAE)
CL Item
Bone Marrow Hypocellular (Bone marrow hypocellular)
E10022 (CTCAE)
CL Item
Bone Pain (Bone pain)
E12392 (CTCAE)
CL Item
Brachial Plexopathy (Brachial plexopathy)
E12601 (CTCAE)
CL Item
Breast Atrophy (Breast atrophy)
E13069 (CTCAE)
CL Item
Breast Infection (Breast infection)
E11318 (CTCAE)
CL Item
Breast Pain (Breast pain)
E13073 (CTCAE)
CL Item
Bronchial Fistula (Bronchial fistula)
E13322 (CTCAE)
CL Item
Bronchial Infection (Bronchial infection)
E11323 (CTCAE)
CL Item
Bronchial Obstruction (Bronchial obstruction)
E13328 (CTCAE)
CL Item
Bronchial Stricture (Bronchial stricture)
E13334 (CTCAE)
CL Item
Bronchopleural Fistula (Bronchopleural fistula)
E13340 (CTCAE)
CL Item
Bronchopulmonary Hemorrhage (Bronchopulmonary hemorrhage)
E13346 (CTCAE)
CL Item
Bronchospasm (Bronchospasm)
E13352 (CTCAE)
CL Item
Bruising (Bruising)
E11666 (CTCAE)
CL Item
Bullous Dermatitis (Bullous dermatitis)
E13617 (CTCAE)
CL Item
Burn (Burn)
E11669 (CTCAE)
CL Item
Buttock Pain (Buttock pain)
E12396 (CTCAE)
CL Item
Capillary Leak Syndrome (Capillary leak syndrome)
E13766 (CTCAE)
CL Item
Carbon Monoxide Diffusing Capacity Decreased (Carbon monoxide diffusing capacity decreased)
E12112 (CTCAE)
CL Item
Cardiac Arrest (Cardiac arrest)
E10101 (CTCAE)
CL Item
Cardiac Disorders - Other, Specify (Cardiac disorders - Other, Specify)
E10104 (CTCAE)
CL Item
Cardiac Troponin I Increased (Cardiac troponin I increased)
E12116 (CTCAE)
CL Item
Cardiac Troponin T Increased (Cardiac troponin T increased)
E12119 (CTCAE)
CL Item
Cataract (Cataract)
E10350 (CTCAE)
CL Item
Catheter Related Infection (Catheter related infection)
E11328 (CTCAE)
CL Item
Cd4 Lymphocytes Decreased (CD4 lymphocytes decreased)
E12122 (CTCAE)
CL Item
Cecal Hemorrhage (Cecal hemorrhage)
E10511 (CTCAE)
CL Item
Cecal Infection (Cecal infection)
E11333 (CTCAE)
CL Item
Central Nervous System Necrosis (Central nervous system necrosis)
E12605 (CTCAE)
CL Item
Cerebrospinal Fluid Leakage (Cerebrospinal fluid leakage)
E12611 (CTCAE)
CL Item
Cervicitis Infection (Cervicitis infection)
E11337 (CTCAE)
CL Item
Cheilitis (Cheilitis)
E10517 (CTCAE)
CL Item
Chest Pain - Cardiac (Chest pain - cardiac)
E10110 (CTCAE)
CL Item
Chest Wall Pain (Chest wall pain)
E12400 (CTCAE)
CL Item
Chills (Chills)
E11074 (CTCAE)
CL Item
Cholecystitis (Cholecystitis)
E11184 (CTCAE)
CL Item
Cholesterol High (Cholesterol high)
E12127 (CTCAE)
CL Item
Chronic Kidney Disease (Chronic kidney disease)
E12988 (CTCAE)
CL Item
Chylothorax (Chylothorax)
E13358 (CTCAE)
CL Item
Cognitive Disturbance (Cognitive disturbance)
E12617 (CTCAE)
CL Item
Colitis (Colitis)
E10521 (CTCAE)
CL Item
Colonic Fistula (Colonic fistula)
E10527 (CTCAE)
CL Item
Colonic Hemorrhage (Colonic hemorrhage)
E10533 (CTCAE)
CL Item
Colonic Obstruction (Colonic obstruction)
E10539 (CTCAE)
CL Item
Colonic Perforation (Colonic perforation)
E10545 (CTCAE)
CL Item
Colonic Stenosis (Colonic stenosis)
E10550 (CTCAE)
CL Item
Colonic Ulcer (Colonic ulcer)
E10556 (CTCAE)
CL Item
Concentration Impairment (Concentration impairment)
E12621 (CTCAE)
CL Item
Conduction Disorder (Conduction disorder)
E10114 (CTCAE)
CL Item
Confusion (Confusion)
E12889 (CTCAE)
CL Item
Congenital, Familial And Genetic Disorders - Other, Specify (Congenital, familial and genetic disorders - Other, Specify)
E10250 (CTCAE)
CL Item
Conjunctivitis (Conjunctivitis)
E10355 (CTCAE)
CL Item
Conjunctivitis Infective (Conjunctivitis infective)
E11342 (CTCAE)
CL Item
Constipation (Constipation)
E10562 (CTCAE)
CL Item
Constrictive Pericarditis (Constrictive pericarditis)
E10120 (CTCAE)
CL Item
Corneal Infection (Corneal infection)
E11347 (CTCAE)
CL Item
Corneal Ulcer (Corneal ulcer)
E10359 (CTCAE)
CL Item
Cough (Cough)
E13364 (CTCAE)
CL Item
Cpk Increased (CPK increased)
E12132 (CTCAE)
CL Item
Cranial Nerve Infection (Cranial nerve infection)
E11352 (CTCAE)
CL Item
Creatinine Increased (Creatinine increased)
E12137 (CTCAE)
CL Item
Cushingoid (Cushingoid)
E10304 (CTCAE)
CL Item
Cystitis Noninfective (Cystitis noninfective)
E12994 (CTCAE)
CL Item
Cytokine Release Syndrome (Cytokine release syndrome)
E11264 (CTCAE)
CL Item
Death Neonatal (Death neonatal)
E11078 (CTCAE)
CL Item
Death Nos (Death NOS)
E11080 (CTCAE)
CL Item
Dehydration (Dehydration)
E12258 (CTCAE)
CL Item
Delayed Orgasm (Delayed orgasm)
E12895 (CTCAE)
CL Item
Delayed Puberty (Delayed puberty)
E10308 (CTCAE)
CL Item
Delirium (Delirium)
E12898 (CTCAE)
CL Item
Delusions (Delusions)
E12904 (CTCAE)
CL Item
Dental Caries (Dental caries)
E10568 (CTCAE)
CL Item
Depressed Level Of Consciousness (Depressed level of consciousness)
E12625 (CTCAE)
CL Item
Depression (Depression)
E12909 (CTCAE)
CL Item
Dermatitis Radiation (Dermatitis radiation)
E11675 (CTCAE)
CL Item
Device Related Infection (Device related infection)
E11356 (CTCAE)
CL Item
Diarrhea (Diarrhea)
E10572 (CTCAE)
CL Item
Disseminated Intravascular Coagulation (Disseminated intravascular coagulation)
E10028 (CTCAE)
CL Item
Dizziness (Dizziness)
E12631 (CTCAE)
CL Item
Dry Eye (Dry eye)
E10363 (CTCAE)
CL Item
Dry Mouth (Dry mouth)
E10578 (CTCAE)
CL Item
Dry Skin (Dry skin)
E13623 (CTCAE)
CL Item
Duodenal Fistula (Duodenal fistula)
E10582 (CTCAE)
CL Item
Duodenal Hemorrhage (Duodenal hemorrhage)
E10588 (CTCAE)
CL Item
Duodenal Infection (Duodenal infection)
E11360 (CTCAE)
CL Item
Duodenal Obstruction (Duodenal obstruction)
E10594 (CTCAE)
CL Item
Duodenal Perforation (Duodenal perforation)
E10600 (CTCAE)
CL Item
Duodenal Stenosis (Duodenal stenosis)
E10605 (CTCAE)
CL Item
Duodenal Ulcer (Duodenal ulcer)
E10611 (CTCAE)
CL Item
Dysarthria (Dysarthria)
E12635 (CTCAE)
CL Item
Dysesthesia (Dysesthesia)
E12639 (CTCAE)
CL Item
Dysgeusia (Dysgeusia)
E12643 (CTCAE)
CL Item
Dysmenorrhea (Dysmenorrhea)
E13077 (CTCAE)
CL Item
Dyspareunia (Dyspareunia)
E13081 (CTCAE)
CL Item
Dyspepsia (Dyspepsia)
E10617 (CTCAE)
CL Item
Dysphagia (Dysphagia)
E10621 (CTCAE)
CL Item
Dysphasia (Dysphasia)
E12646 (CTCAE)
CL Item
Dyspnea (Dyspnea)
E13368 (CTCAE)
CL Item
Ear And Labyrinth Disorders - Other, Specify (Ear and labyrinth disorders - Other, Specify)
E10256 (CTCAE)
CL Item
Ear Pain (Ear pain)
E10262 (CTCAE)
CL Item
Edema Cerebral (Edema cerebral)
E12650 (CTCAE)
CL Item
Edema Face (Edema face)
E11082 (CTCAE)
CL Item
Edema Limbs (Edema limbs)
E11086 (CTCAE)
CL Item
Edema Trunk (Edema trunk)
E11090 (CTCAE)
CL Item
Ejaculation Disorder (Ejaculation disorder)
E13085 (CTCAE)
CL Item
Ejection Fraction Decreased (Ejection fraction decreased)
E12142 (CTCAE)
CL Item
Electrocardiogram Qt Corrected Interval Prolonged (Electrocardiogram QT corrected interval prolonged)
E12146 (CTCAE)
CL Item
Encephalitis Infection (Encephalitis infection)
E11365 (CTCAE)
CL Item
Encephalomyelitis Infection (Encephalomyelitis infection)
E11369 (CTCAE)
CL Item
Encephalopathy (Encephalopathy)
E12652 (CTCAE)
CL Item
Endocarditis Infective (Endocarditis infective)
E11373 (CTCAE)
CL Item
Endocrine Disorders - Other, Specify (Endocrine disorders - Other, Specify)
E10311 (CTCAE)
CL Item
Endophthalmitis (Endophthalmitis)
E11377 (CTCAE)
CL Item
Enterocolitis (Enterocolitis)
E10627 (CTCAE)
CL Item
Enterocolitis Infectious (Enterocolitis infectious)
E11381 (CTCAE)
CL Item
Enterovesical Fistula (Enterovesical fistula)
E10633 (CTCAE)
CL Item
Epistaxis (Epistaxis)
E13374 (CTCAE)
CL Item
Erectile Dysfunction (Erectile dysfunction)
E13088 (CTCAE)
CL Item
Erythema Multiforme (Erythema multiforme)
E13627 (CTCAE)
CL Item
Erythroderma (Erythroderma)
E13633 (CTCAE)
CL Item
Esophageal Anastomotic Leak (Esophageal anastomotic leak)
E11681 (CTCAE)
CL Item
Esophageal Fistula (Esophageal fistula)
E10639 (CTCAE)
CL Item
Esophageal Hemorrhage (Esophageal hemorrhage)
E10645 (CTCAE)
CL Item
Esophageal Infection (Esophageal infection)
E11386 (CTCAE)
CL Item
Esophageal Necrosis (Esophageal necrosis)
E10651 (CTCAE)
CL Item
Esophageal Obstruction (Esophageal obstruction)
E10655 (CTCAE)
CL Item
Esophageal Pain (Esophageal pain)
E10661 (CTCAE)
CL Item
Esophageal Perforation (Esophageal perforation)
E10665 (CTCAE)
CL Item
Esophageal Stenosis (Esophageal stenosis)
E10670 (CTCAE)
CL Item
Esophageal Ulcer (Esophageal ulcer)
E10676 (CTCAE)
CL Item
Esophageal Varices Hemorrhage (Esophageal varices hemorrhage)
E10682 (CTCAE)
CL Item
Esophagitis (Esophagitis)
E10687 (CTCAE)
CL Item
Euphoria (Euphoria)
E12915 (CTCAE)
CL Item
Exostosis (Exostosis)
E12404 (CTCAE)
CL Item
External Ear Inflammation (External ear inflammation)
E10266 (CTCAE)
CL Item
External Ear Pain (External ear pain)
E10272 (CTCAE)
CL Item
Extraocular Muscle Paresis (Extraocular muscle paresis)
E10367 (CTCAE)
CL Item
Extrapyramidal Disorder (Extrapyramidal disorder)
E12658 (CTCAE)
CL Item
Eye Disorders - Other, Specify (Eye disorders - Other, Specify)
E10371 (CTCAE)
CL Item
Eye Infection (Eye infection)
E11391 (CTCAE)
CL Item
Eye Pain (Eye pain)
E10376 (CTCAE)
CL Item
Eyelid Function Disorder (Eyelid function disorder)
E10380 (CTCAE)
CL Item
Facial Muscle Weakness (Facial muscle weakness)
E12664 (CTCAE)
CL Item
Facial Nerve Disorder (Facial nerve disorder)
E12668 (CTCAE)
CL Item
Facial Pain (Facial pain)
E11094 (CTCAE)
CL Item
Fall (Fall)
E11687 (CTCAE)
CL Item
Fallopian Tube Anastomotic Leak (Fallopian tube anastomotic leak)
E11691 (CTCAE)
CL Item
Fallopian Tube Obstruction (Fallopian tube obstruction)
E13092 (CTCAE)
CL Item
Fallopian Tube Perforation (Fallopian tube perforation)
E11697 (CTCAE)
CL Item
Fallopian Tube Stenosis (Fallopian tube stenosis)
E13096 (CTCAE)
CL Item
Fat Atrophy (Fat atrophy)
E13638 (CTCAE)
CL Item
Fatigue (Fatigue)
E11098 (CTCAE)
CL Item
Febrile Neutropenia (Febrile neutropenia)
E10033 (CTCAE)
CL Item
Fecal Incontinence (Fecal incontinence)
E10693 (CTCAE)
CL Item
Female Genital Tract Fistula (Female genital tract fistula)
E13102 (CTCAE)
CL Item
Feminization Acquired (Feminization acquired)
E13108 (CTCAE)
CL Item
Fetal Death (Fetal death)
E12855 (CTCAE)
CL Item
Fetal Growth Retardation (Fetal growth retardation)
E12857 (CTCAE)
CL Item
Fever (Fever)
E11102 (CTCAE)
CL Item
Fibrinogen Decreased (Fibrinogen decreased)
E12151 (CTCAE)
CL Item
Fibrosis Deep Connective Tissue (Fibrosis deep connective tissue)
E12408 (CTCAE)
CL Item
Flank Pain (Flank pain)
E12414 (CTCAE)
CL Item
Flashing Lights (Flashing lights)
E10384 (CTCAE)
CL Item
Flatulence (Flatulence)
E10697 (CTCAE)
CL Item
Floaters (Floaters)
E10388 (CTCAE)
CL Item
Flu Like Symptoms (Flu like symptoms)
E11108 (CTCAE)
CL Item
Flushing (Flushing)
E13771 (CTCAE)
CL Item
Forced Expiratory Volume Decreased (Forced expiratory volume decreased)
E12156 (CTCAE)
CL Item
Fracture (Fracture)
E11703 (CTCAE)
CL Item
Gait Disturbance (Gait disturbance)
E11112 (CTCAE)
CL Item
Gallbladder Fistula (Gallbladder fistula)
E11189 (CTCAE)
CL Item
Gallbladder Infection (Gallbladder infection)
E11396 (CTCAE)
CL Item
Gallbladder Necrosis (Gallbladder necrosis)
E11195 (CTCAE)
CL Item
Gallbladder Obstruction (Gallbladder obstruction)
E11198 (CTCAE)
CL Item
Gallbladder Pain (Gallbladder pain)
E11204 (CTCAE)
CL Item
Gallbladder Perforation (Gallbladder perforation)
E11208 (CTCAE)
CL Item
Gastric Anastomotic Leak (Gastric anastomotic leak)
E11709 (CTCAE)
CL Item
Gastric Fistula (Gastric fistula)
E10700 (CTCAE)
CL Item
Gastric Hemorrhage (Gastric hemorrhage)
E10706 (CTCAE)
CL Item
Gastric Necrosis (Gastric necrosis)
E10712 (CTCAE)
CL Item
Gastric Perforation (Gastric perforation)
E10716 (CTCAE)
CL Item
Gastric Stenosis (Gastric stenosis)
E10721 (CTCAE)
CL Item
Gastric Ulcer (Gastric ulcer)
E10727 (CTCAE)
CL Item
Gastritis (Gastritis)
E10733 (CTCAE)
CL Item
Gastroesophageal Reflux Disease (Gastroesophageal reflux disease)
E10739 (CTCAE)
CL Item
Gastrointestinal Anastomotic Leak (Gastrointestinal anastomotic leak)
E11715 (CTCAE)
CL Item
Gastrointestinal Disorders - Other, Specify (Gastrointestinal disorders - Other, Specify)
E10743 (CTCAE)
CL Item
Gastrointestinal Fistula (Gastrointestinal fistula)
E10749 (CTCAE)
CL Item
Gastrointestinal Pain (Gastrointestinal pain)
E10755 (CTCAE)
CL Item
Gastrointestinal Stoma Necrosis (Gastrointestinal stoma necrosis)
E11721 (CTCAE)
CL Item
Gastroparesis (Gastroparesis)
E10759 (CTCAE)
CL Item
General Disorders And Administration Site Conditions - Other, Specify (General disorders and administration site conditions - Other, Specify)
E11116 (CTCAE)
CL Item
Generalized Muscle Weakness (Generalized muscle weakness)
E12418 (CTCAE)
CL Item
Genital Edema (Genital edema)
E13111 (CTCAE)
CL Item
Ggt Increased (GGT increased)
E12161 (CTCAE)
CL Item
Gingival Pain (Gingival pain)
E10763 (CTCAE)
CL Item
Glaucoma (Glaucoma)
E10392 (CTCAE)
CL Item
Glossopharyngeal Nerve Disorder (Glossopharyngeal nerve disorder)
E12672 (CTCAE)
CL Item
Glucose Intolerance (Glucose intolerance)
E12264 (CTCAE)
CL Item
Growth Accelerated (Growth accelerated)
E10317 (CTCAE)
CL Item
Growth Hormone Abnormal (Growth hormone abnormal)
E12166 (CTCAE)
CL Item
Growth Suppression (Growth suppression)
E12422 (CTCAE)
CL Item
Gum Infection (Gum infection)
E11400 (CTCAE)
CL Item
Gynecomastia (Gynecomastia)
E13115 (CTCAE)
CL Item
Hallucinations (Hallucinations)
E12919 (CTCAE)
CL Item
Haptoglobin Decreased (Haptoglobin decreased)
E12169 (CTCAE)
CL Item
Head Soft Tissue Necrosis (Head soft tissue necrosis)
E12426 (CTCAE)
CL Item
Headache (Headache)
E12678 (CTCAE)
CL Item
Hearing Impaired (Hearing impaired)
E10276 (CTCAE)
CL Item
Heart Failure (Heart failure)
E10124 (CTCAE)
CL Item
Hematoma (Hematoma)
E13775 (CTCAE)
CL Item
Hematosalpinx (Hematosalpinx)
E13119 (CTCAE)
CL Item
Hematuria (Hematuria)
E13000 (CTCAE)
CL Item
Hemoglobin Increased (Hemoglobin increased)
E12171 (CTCAE)
CL Item
Hemoglobinuria (Hemoglobinuria)
E13006 (CTCAE)
CL Item
Hemolysis (Hemolysis)
E10037 (CTCAE)
CL Item
Hemolytic Uremic Syndrome (Hemolytic uremic syndrome)
E10043 (CTCAE)
CL Item
Hemorrhoidal Hemorrhage (Hemorrhoidal hemorrhage)
E10767 (CTCAE)
CL Item
Hemorrhoids (Hemorrhoids)
E10773 (CTCAE)
CL Item
Hepatic Failure (Hepatic failure)
E11211 (CTCAE)
CL Item
Hepatic Hemorrhage (Hepatic hemorrhage)
E11215 (CTCAE)
CL Item
Hepatic Infection (Hepatic infection)
E11406 (CTCAE)
CL Item
Hepatic Necrosis (Hepatic necrosis)
E11221 (CTCAE)
CL Item
Hepatic Pain (Hepatic pain)
E11224 (CTCAE)
CL Item
Hepatitis Viral (Hepatitis viral)
E11410 (CTCAE)
CL Item
Hepatobiliary Disorders - Other, Specify (Hepatobiliary disorders - Other, Specify)
E11228 (CTCAE)
CL Item
Hiccups (Hiccups)
E13380 (CTCAE)
CL Item
Hip Fracture (Hip fracture)
E11726 (CTCAE)
CL Item
Hirsutism (Hirsutism)
E13642 (CTCAE)
CL Item
Hoarseness (Hoarseness)
E13384 (CTCAE)
CL Item
Hot Flashes (Hot flashes)
E13781 (CTCAE)
CL Item
Hydrocephalus (Hydrocephalus)
E12682 (CTCAE)
CL Item
Hypercalcemia (Hypercalcemia)
E12270 (CTCAE)
CL Item
Hyperglycemia (Hyperglycemia)
E12276 (CTCAE)
CL Item
Hyperhidrosis (Hyperhidrosis)
E13645 (CTCAE)
CL Item
Hyperkalemia (Hyperkalemia)
E12282 (CTCAE)
CL Item
Hypermagnesemia (Hypermagnesemia)
E12288 (CTCAE)
CL Item
Hypernatremia (Hypernatremia)
E12293 (CTCAE)
CL Item
Hyperparathyroidism (Hyperparathyroidism)
E10319 (CTCAE)
CL Item
Hypersomnia (Hypersomnia)
E12688 (CTCAE)
CL Item
Hypertension (Hypertension)
E13785 (CTCAE)
CL Item
Hyperthyroidism (Hyperthyroidism)
E10322 (CTCAE)
CL Item
Hypertrichosis (Hypertrichosis)
E13649 (CTCAE)
CL Item
Hypertriglyceridemia (Hypertriglyceridemia)
E12299 (CTCAE)
CL Item
Hyperuricemia (Hyperuricemia)
E12305 (CTCAE)
CL Item
Hypoalbuminemia (Hypoalbuminemia)
E12310 (CTCAE)
CL Item
Hypocalcemia (Hypocalcemia)
E12316 (CTCAE)
CL Item
Hypoglossal Nerve Disorder (Hypoglossal nerve disorder)
E12692 (CTCAE)
CL Item
Hypoglycemia (Hypoglycemia)
E12322 (CTCAE)
CL Item
Hypohidrosis (Hypohidrosis)
E13652 (CTCAE)
CL Item
Hypokalemia (Hypokalemia)
E12327 (CTCAE)
CL Item
Hypomagnesemia (Hypomagnesemia)
E12333 (CTCAE)
CL Item
Hyponatremia (Hypo