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8620

Beschreibung

Pediatric Soft Tissue Sarcoma - On-Study Form Recurrent Treatment Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E4053EE1-90D1-2ED9-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E4053EE1-90D1-2ED9-E034-0003BA3F9857

Stichworte

  1. 20.09.12 20.09.12 -
  2. 09.01.15 09.01.15 - Martin Dugas
  3. 09.01.15 09.01.15 - Martin Dugas
Hochgeladen am

9. Januar 2015

DOI

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    On-Study - Pediatric Soft Tissue Sarcoma - On-Study Form Recurrent Treatment - 2292588v3.0

    No Instruction available.

    1. StudyEvent: Pediatric Soft Tissue Sarcoma - On-Study Form Recurrent Treatment
      1. No Instruction available.
    Crf Header
    Beschreibung

    Crf Header

    Coordinating Group Protocol No.
    Beschreibung

    Protocol ID Coordinating Group

    Datentyp

    text

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

    Coordinating Group Code

    Datentyp

    text

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

    Protocol Title

    Datentyp

    text

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

    Patient Study ID

    Datentyp

    text

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

    Institution Name

    Datentyp

    text

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

    Trial subject ID Participating Group

    Datentyp

    text

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

    ParticipatingGroupIdentifierCode

    Datentyp

    text

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

    Patient Name

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1299487
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25364
    Sarcoma: Form Administration
    Beschreibung

    Sarcoma: Form Administration

    Person Completing Form
    Beschreibung

    Person Completing Form

    Datentyp

    text

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

    Data amended

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus Property
    C25416
    Pediatric Soft Tissue Sarcoma: Recurrent Disease Description
    Beschreibung

    Pediatric Soft Tissue Sarcoma: Recurrent Disease Description

    Date of Initial Pathologic Diagnosis (not relapse)
    Beschreibung

    CancerInitialDiagnosisDate

    Datentyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus Property
    C25509
    UMLS 2011AA Property
    C1279901
    NCI Thesaurus Property-2
    C15220
    UMLS 2011AA Property-2
    C0011900
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    Recurrence date (MM DD YYYY)
    Beschreibung

    DiseaseRecurrenceDate

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus Property
    C3352
    UMLS 2011AA Property
    C0034897
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Biopsy Type (at time of relapse)
    Beschreibung

    BiopsyProcedure

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C15189
    UMLS 2011AA ObjectClass
    C0005558
    NCI Thesaurus Property
    C15368
    NCI Thesaurus ValueDomain
    C25218
    UMLS 2011AA ValueDomain
    C1948041
    Other specify
    Beschreibung

    BiopsyDescriptionSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C15189
    UMLS 2011AA ObjectClass
    C0005558
    NCI Thesaurus Property
    C25365
    UMLS 2011AA Property
    C0678257
    Site(s) of Disease (check all that apply)
    Beschreibung

    DiseaseSite

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS 2011AA ValueDomain
    C1515974
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Lymph Nodes Specify
    Beschreibung

    LymphNodeInvolvementSiteSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus Property-2
    C25548
    UMLS 2011AA Property-2
    C1314939
    Other specify (If Yes,)
    Beschreibung

    DiseaseInvolvedSiteSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus Property-2
    C25547
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Other specify (If Yes,)
    Beschreibung

    DiseaseInvolvedSiteSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus Property-2
    C25547
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Intracranial Tumor Extension (check all that apply)
    Beschreibung

    IntracranialTumorExtensionType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus Property
    C25270
    UMLS 2011AA Property
    C0231448
    NCI Thesaurus ObjectClass-2
    C38236
    UMLS 2011AA ObjectClass-2
    C1522213
    Other specify
    Beschreibung

    IntracranialTumorExtensionSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus Property
    C25270
    UMLS 2011AA Property
    C0231448
    NCI Thesaurus ObjectClass-2
    C38236
    UMLS 2011AA ObjectClass-2
    C1522213
    Relapsed at primary site?
    Beschreibung

    DiseasePrimaryRelapseInd-2

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C18265
    NCI Thesaurus Property-2
    C25251
    UMLS 2011AA Property
    C0205225
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Relapsed at regional site?
    Beschreibung

    DiseaseRegionalRelapseInd-2

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C18265
    NCI Thesaurus Property-2
    C25643
    UMLS 2011AA Property
    C0205147
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Relapsed at distant site?
    Beschreibung

    DiseaseDistantRelapseInd-2

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C18265
    NCI Thesaurus Property-2
    C25321
    UMLS 2011AA Property
    C0443203
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Number of Regional Lymph Nodes Examined
    Beschreibung

    RegionalLymphNodeExaminedCount

    Datentyp

    float

    Alias
    NCI Thesaurus Property
    C25500
    UMLS 2011AA Property
    C0332128
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus ObjectClass-2
    C25643
    UMLS 2011AA ObjectClass-2
    C0205147
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    Number of Positive Lymph Nodes
    Beschreibung

    LymphNodePositiveCount

    Datentyp

    float

    Alias
    NCI Thesaurus Property
    C25246
    UMLS 2011AA Property
    C1446409
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    Regional lymph nodes
    Beschreibung

    RegionalLymphNodeInvolvedInd-3

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus ObjectClass-2
    C25643
    UMLS 2011AA ObjectClass-2
    C0205147
    NCI Thesaurus Property
    C25547
    Distant lymph nodes
    Beschreibung

    DistantLymphNodeInvolvedInd-3

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus ObjectClass-2
    C25321
    UMLS 2011AA ObjectClass-2
    C0443203
    NCI Thesaurus Property
    C25547
    Other distant or metastatic site?
    Beschreibung

    MalignantNeoplasmDistantMetastaticInvolvementInd-3

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C14174
    UMLS 2011AA ObjectClass
    C0036525
    NCI Thesaurus ObjectClass-2
    C9305
    UMLS 2011AA ObjectClass-2
    C0006826
    NCI Thesaurus Property
    C14174
    UMLS 2011AA Property
    C0036525
    NCI Thesaurus Property-2
    C25321
    UMLS 2011AA Property-2
    C0443203
    NCI Thesaurus Property-3
    C25548
    UMLS 2011AA Property-3
    C1314939
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Status of Primary Tumor
    Beschreibung

    Resection type primary tumor

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C0449522
    NCI Thesaurus ObjectClass
    C3262
    UMLS CUI-2
    C0677930
    NCI Thesaurus ObjectClass-2
    C25251
    NCI Thesaurus Property
    C15232
    Histologic Type (check all that apply)
    Beschreibung

    SarcomaHistologicCategory

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C9118
    UMLS 2011AA ObjectClass
    C1261473
    NCI Thesaurus Property
    C25526
    UMLS 2011AA Property
    C0205462
    NCI Thesaurus Property-2
    C25161
    UMLS 2011AA Property-2
    C0008902
    NCI Thesaurus ValueDomain
    C25372
    UMLS 2011AA ValueDomain
    C0683312
    NCI Thesaurus ValueDomain-2
    C25526
    UMLS 2011AA ValueDomain-2
    C0205462
    Other specify
    Beschreibung

    Histologic Type, other

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C1299220
    NCI Thesaurus ObjectClass
    C3262
    NCI Thesaurus Property
    C25526
    NCI Thesaurus Property-2
    C25161
    Histologic Subtype (specify)
    Beschreibung

    SarcomaHistologicSubcategorySpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C9118
    UMLS 2011AA ObjectClass
    C1261473
    NCI Thesaurus Property
    C25526
    UMLS 2011AA Property
    C0205462
    NCI Thesaurus Property-2
    C25692
    UMLS 2011AA Property-2
    C1515010
    Histologic Grade, French System (check highest grade)
    Beschreibung

    SarcomaTumorFrenchClassificationHistologicGrade

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C9118
    UMLS 2011AA ObjectClass-2
    C1261473
    NCI Thesaurus Property
    C43854
    UMLS 2011AA Property
    C1556084
    NCI Thesaurus Property-2
    C25161
    UMLS 2011AA Property-2
    C0008902
    NCI Thesaurus ValueDomain
    C25526
    UMLS 2011AA ValueDomain
    C0205462
    NCI Thesaurus ValueDomain-2
    C18000
    UMLS 2011AA ValueDomain-2
    C0919553
    Pediatric Soft Tissue Sarcoma: Prior Health History
    Beschreibung

    Pediatric Soft Tissue Sarcoma: Prior Health History

    Does the patient have a chronic disease associated with this cancer?
    Beschreibung

    ChronicDiseaseDiagnosisInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    NCI Thesaurus ObjectClass-2
    C14141
    UMLS 2011AA ObjectClass-2
    C0205191
    Current Medical Conditions (currently symptomatic or on medications for)
    Beschreibung

    PatientMedicalConditionCurrentType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25261
    UMLS 2011AA Property
    C0205476
    NCI Thesaurus Property-2
    C25457
    UMLS 2011AA Property-2
    C0348080
    Other malignancies specify
    Beschreibung

    MalignantDiseaseOtherPresentSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C14143
    UMLS 2011AA ObjectClass
    C0205282
    NCI Thesaurus ObjectClass-2
    C2991
    UMLS 2011AA ObjectClass-2
    C0012634
    NCI Thesaurus Property
    C17649
    UMLS 2011AA Property
    C0205394
    NCI Thesaurus Property-2
    C25626
    UMLS 2011AA Property-2
    C0150312
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    Other specify
    Beschreibung

    PatientMedicalConditionCurrentSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ValueDomain-2
    C25471
    UMLS 2011AA ValueDomain-2
    C0521116
    NCI Thesaurus Property
    C25261
    UMLS 2011AA Property
    C0205476
    NCI Thesaurus Property-2
    C25457
    UMLS 2011AA Property-2
    C0348080
    Congenital abnormalities
    Beschreibung

    PatientCongenitalAbnormalityType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C2849
    UMLS 2011AA Property
    C0000768
    Other specify
    Beschreibung

    PatientCongenitalAbnormalitySpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C2849
    UMLS 2011AA Property
    C0000768
    Family history of neurofibromatosis?
    Beschreibung

    NeurofibromatosisFamilyMedicalHistoryInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C6727
    UMLS 2011AA ObjectClass
    C0162678
    NCI Thesaurus Property
    C17726
    UMLS 2011AA Property
    C0241889
    Sarcoma: Prior Treatment
    Beschreibung

    Sarcoma: Prior Treatment

    Prior Treatment?
    Beschreibung

    CancerPriorTreatmentInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus Property-2
    C15368
    Prior Systemic Chemotherapy?
    Beschreibung

    PriorChemotherapyAdministeredInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Prior Immunotherapy?
    Beschreibung

    PriorImmunotherapyAdministeredInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C15262
    UMLS 2011AA ObjectClass
    C0021083
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Prior Radiation Therapy?
    Beschreibung

    Prior Radiation Therapy

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C1522449
    NCI Thesaurus ObjectClass
    C15313
    UMLS CUI-2
    C0332152
    NCI Thesaurus ObjectClass-2
    C25629
    NCI Thesaurus Property
    C25382
    Prior Surgery?
    Beschreibung

    Prior Surgery

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0744961
    NCI Thesaurus Property
    C38000
    NCI Thesaurus ObjectClass
    C15329
    NCI Thesaurus ObjectClass-2
    C25629
    Type of Prior Primary Surgery
    Beschreibung

    PrimarySurgeryPriorPerformedText

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C25251
    UMLS 2011AA ObjectClass
    C0205225
    NCI Thesaurus ObjectClass-2
    C15329
    UMLS 2011AA ObjectClass-2
    C0543467
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus Property-2
    C25629
    UMLS 2011AA Property-2
    C0332152
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    Prior Primary Surgery Date (MM DD YYYY)
    Beschreibung

    PrimarySurgeryPriorPerformedDate

    Datentyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C25251
    UMLS 2011AA ObjectClass
    C0205225
    NCI Thesaurus ObjectClass-2
    C15329
    UMLS 2011AA ObjectClass-2
    C0543467
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus Property-2
    C25629
    UMLS 2011AA Property-2
    C0332152
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Any Other Prior Therapy?
    Beschreibung

    PriorTherapyOtherAdministeredInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C15368
    NCI Thesaurus Property
    C17649
    UMLS 2011AA Property
    C0205394
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Yes, specify
    Beschreibung

    PriorTherapyAdministeredSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C15368
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Sarcoma: Prior Treatment - Systemic Regimens
    Beschreibung

    Sarcoma: Prior Treatment - Systemic Regimens

    Prior Treatment Regimen Name (Drug, Agent, Biologic)
    Beschreibung

    PriorTreatmentRegimenName

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C15368
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    NCI Thesaurus ValueDomain
    C42614
    UMLS 2011AA ValueDomain
    C0027365
    Prior Treatment Regimen Start Date (MM DD YYYY)
    Beschreibung

    PriorTreatmentRegimenBeginDate

    Datentyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C15368
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25431
    UMLS 2011AA ValueDomain-2
    C0439659
    Prior Treatment Regimen End Date (MM DD YYYY)
    Beschreibung

    PriorTreatmentRegimenEndDate

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C15368
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    Prior Treatment Regimen Type (Adjuvant, High Dose)
    Beschreibung

    PriorTreatmentRegimenText

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C15368
    NCI Thesaurus Property
    C15697
    UMLS 2011AA Property
    C0040808
    Comments
    Beschreibung

    Comments

    Comments
    Beschreibung

    Research Comments

    Datentyp

    text

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

    Ähnliche Modelle

    No Instruction available.

    1. StudyEvent: Pediatric Soft Tissue Sarcoma - On-Study Form Recurrent Treatment
      1. No Instruction available.
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    Crf Header
    Protocol ID Coordinating Group
    Item
    Coordinating Group Protocol No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1711341 (UMLS CUI-2)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Coordinating Group Code
    Item
    Coordinating Group Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C1711341 (UMLS CUI-1)
    C17005 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25462 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    Protocol Title
    Item
    Protocol Title
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986303 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C42774 (NCI Thesaurus Property)
    Patient Study ID
    Item
    Patient Study ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Institution Name
    Item
    Institution/Affiliate
    text
    C25454 (NCI Thesaurus ObjectClass)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C25191 (NCI Thesaurus ValueDomain)
    C21541 (NCI Thesaurus ValueDomain-2)
    Trial subject ID Participating Group
    Item
    Other Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    ParticipatingGroupIdentifierCode
    Item
    Participating Group Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C25608 (NCI Thesaurus ObjectClass)
    C0679823 (UMLS 2011AA ObjectClass)
    C17005 (NCI Thesaurus ObjectClass-2)
    C1257890 (UMLS 2011AA ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    Patient Name
    Item
    Patient Name (initials acceptable)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1299487 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25364 (NCI Thesaurus Property)
    Item Group
    Sarcoma: Form Administration
    Person Completing Form
    Item
    Person Completing Form
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1550483 (UMLS CUI-1)
    C25657 (NCI Thesaurus ObjectClass)
    C25364 (NCI Thesaurus Property)
    Data amended
    Item
    Are data amended (If data are amended, please circle in red when using paper form)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25474 (NCI Thesaurus ObjectClass)
    C25416 (NCI Thesaurus Property)
    Item Group
    Pediatric Soft Tissue Sarcoma: Recurrent Disease Description
    CancerInitialDiagnosisDate
    Item
    Date of Initial Pathologic Diagnosis (not relapse)
    date
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C25509 (NCI Thesaurus Property)
    C1279901 (UMLS 2011AA Property)
    C15220 (NCI Thesaurus Property-2)
    C0011900 (UMLS 2011AA Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    DiseaseRecurrenceDate
    Item
    Recurrence date (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    C3352 (NCI Thesaurus Property)
    C0034897 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    Item
    Biopsy Type (at time of relapse)
    text
    C15189 (NCI Thesaurus ObjectClass)
    C0005558 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus Property)
    C25218 (NCI Thesaurus ValueDomain)
    C1948041 (UMLS 2011AA ValueDomain)
    Code List
    Biopsy Type (at time of relapse)
    CL Item
    Incisional (Incisional)
    CL Item
    Excisional (Excisional)
    CL Item
    Trucut Needle (TruCut needle)
    CL Item
    Large Bore Needle (Large bore needle)
    CL Item
    Other, Specify (Other specify)
    BiopsyDescriptionSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C15189 (NCI Thesaurus ObjectClass)
    C0005558 (UMLS 2011AA ObjectClass)
    C25365 (NCI Thesaurus Property)
    C0678257 (UMLS 2011AA Property)
    Item
    Site(s) of Disease (check all that apply)
    text
    C13717 (NCI Thesaurus ValueDomain)
    C1515974 (UMLS 2011AA ValueDomain)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    Code List
    Site(s) of Disease (check all that apply)
    CL Item
    Bone (Bone)
    C12366 (NCI Thesaurus)
    C0262950 (UMLS 2011AA)
    CL Item
    Bone Marrow (Bone marrow)
    C12431 (NCI Thesaurus)
    C0005953 (UMLS 2011AA)
    CL Item
    Soft Tissue (Soft tissue)
    C12471 (NCI Thesaurus)
    C0225317 (UMLS 2011AA)
    CL Item
    Cns/brain (CNS/brain)
    CL Item
    Lung (Lung)
    C12468 (NCI Thesaurus)
    C0024109 (UMLS 2011AA)
    CL Item
    Chest Wall/ribs (Chest wall/ribs)
    CL Item
    Mediastinum (Mediastinum)
    C12748 (NCI Thesaurus)
    C0025066 (UMLS 2011AA)
    CL Item
    Pleura (Pleura)
    C12469 (NCI Thesaurus)
    C0032225 (UMLS 2011AA)
    CL Item
    Pericardium (Pericardium)
    C13005 (NCI Thesaurus)
    C0031050 (UMLS 2011AA)
    CL Item
    Liver (Liver)
    C12392 (NCI Thesaurus)
    C0023884 (UMLS 2011AA)
    CL Item
    Abdominal Organs (Abdominal organs)
    CL Item
    Ascites (Ascites)
    C2885 (NCI Thesaurus)
    C0003962 (UMLS 2011AA)
    CL Item
    Peritoneum (Peritoneum)
    C12770 (NCI Thesaurus)
    C0031153 (UMLS 2011AA)
    CL Item
    Retroperitoneum (Retroperitoneum)
    C12298 (NCI Thesaurus)
    C0035359 (UMLS 2011AA)
    CL Item
    Skin (Skin)
    C12470 (NCI Thesaurus)
    C1123023 (UMLS 2011AA)
    CL Item
    Lymph Nodes, Specify (Lymph nodes specify)
    CL Item
    Other, Specify (Other specify)
    LymphNodeInvolvementSiteSpecify
    Item
    Lymph Nodes Specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25548 (NCI Thesaurus Property-2)
    C1314939 (UMLS 2011AA Property-2)
    DiseaseInvolvedSiteSpecify
    Item
    Other specify (If Yes,)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C25547 (NCI Thesaurus Property-2)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    DiseaseInvolvedSiteSpecify
    Item
    Other specify (If Yes,)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C25547 (NCI Thesaurus Property-2)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    Item
    Intracranial Tumor Extension (check all that apply)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25270 (NCI Thesaurus Property)
    C0231448 (UMLS 2011AA Property)
    C38236 (NCI Thesaurus ObjectClass-2)
    C1522213 (UMLS 2011AA ObjectClass-2)
    Code List
    Intracranial Tumor Extension (check all that apply)
    CL Item
    Intracranial Extension (Intracranial extension)
    CL Item
    Cranial Nerve Palsy (Cranial nerve palsy)
    CL Item
    Base Of Skull Erosion (Base of skull erosion)
    CL Item
    Other, Specify (Other specify)
    IntracranialTumorExtensionSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25270 (NCI Thesaurus Property)
    C0231448 (UMLS 2011AA Property)
    C38236 (NCI Thesaurus ObjectClass-2)
    C1522213 (UMLS 2011AA ObjectClass-2)
    DiseasePrimaryRelapseInd-2
    Item
    Relapsed at primary site?
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C18265 (NCI Thesaurus Property)
    C25251 (NCI Thesaurus Property-2)
    C0205225 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    DiseaseRegionalRelapseInd-2
    Item
    Relapsed at regional site?
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C18265 (NCI Thesaurus Property)
    C25643 (NCI Thesaurus Property-2)
    C0205147 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    DiseaseDistantRelapseInd-2
    Item
    Relapsed at distant site?
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C18265 (NCI Thesaurus Property)
    C25321 (NCI Thesaurus Property-2)
    C0443203 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    RegionalLymphNodeExaminedCount
    Item
    Number of Regional Lymph Nodes Examined
    float
    C25500 (NCI Thesaurus Property)
    C0332128 (UMLS 2011AA Property)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25643 (NCI Thesaurus ObjectClass-2)
    C0205147 (UMLS 2011AA ObjectClass-2)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    LymphNodePositiveCount
    Item
    Number of Positive Lymph Nodes
    float
    C25246 (NCI Thesaurus Property)
    C1446409 (UMLS 2011AA Property)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    Item
    Regional lymph nodes
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25643 (NCI Thesaurus ObjectClass-2)
    C0205147 (UMLS 2011AA ObjectClass-2)
    C25547 (NCI Thesaurus Property)
    Code List
    Regional lymph nodes
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item
    Distant lymph nodes
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25321 (NCI Thesaurus ObjectClass-2)
    C0443203 (UMLS 2011AA ObjectClass-2)
    C25547 (NCI Thesaurus Property)
    Code List
    Distant lymph nodes
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item
    Other distant or metastatic site?
    text
    C14174 (NCI Thesaurus ObjectClass)
    C0036525 (UMLS 2011AA ObjectClass)
    C9305 (NCI Thesaurus ObjectClass-2)
    C0006826 (UMLS 2011AA ObjectClass-2)
    C14174 (NCI Thesaurus Property)
    C0036525 (UMLS 2011AA Property)
    C25321 (NCI Thesaurus Property-2)
    C0443203 (UMLS 2011AA Property-2)
    C25548 (NCI Thesaurus Property-3)
    C1314939 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    Code List
    Other distant or metastatic site?
    CL Item
    Yes (YES)
    CL Item
    No (NO)
    CL Item
    Unknown (UNKNOWN)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item
    Status of Primary Tumor
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0449522 (UMLS CUI-1)
    C3262 (NCI Thesaurus ObjectClass)
    C0677930 (UMLS CUI-2)
    C25251 (NCI Thesaurus ObjectClass-2)
    C15232 (NCI Thesaurus Property)
    Code List
    Status of Primary Tumor
    CL Item
    Unresected (Unresected)
    CL Item
    Not Recurrent, Resected, No Residual Tumor (Not recurrent, resected, no residual tumor)
    CL Item
    Not Recurrent, Resected, Residual Tumor (Not recurrent, resected, residual tumor)
    CL Item
    Recurrent (Recurrent)
    C14173 (NCI Thesaurus)
    C2945760 (UMLS 2011AA)
    Item
    Histologic Type (check all that apply)
    text
    C9118 (NCI Thesaurus ObjectClass)
    C1261473 (UMLS 2011AA ObjectClass)
    C25526 (NCI Thesaurus Property)
    C0205462 (UMLS 2011AA Property)
    C25161 (NCI Thesaurus Property-2)
    C0008902 (UMLS 2011AA Property-2)
    C25372 (NCI Thesaurus ValueDomain)
    C0683312 (UMLS 2011AA ValueDomain)
    C25526 (NCI Thesaurus ValueDomain-2)
    C0205462 (UMLS 2011AA ValueDomain-2)
    Code List
    Histologic Type (check all that apply)
    CL Item
    Embryonal Rhabdomyosarcoma (Embryonal rhabdomyosarcoma)
    CL Item
    Botryoid Rhabdomyosarcoma (Botryoid rhabdomyosarcoma)
    CL Item
    Spindle Cell Rhabdomyosarcoma (Spindle cell rhabdomyosarcoma)
    CL Item
    Alveolar Rhabdomyosarcoma (Alveolar rhabdomyosarcoma)
    CL Item
    Pleomorphic Rhabdomyosarcoma (Pleomorphic rhabdomyosarcoma)
    CL Item
    Rhabdomyosarcoma Nos (Rhabdomyosarcoma NOS)
    CL Item
    Extraskeletal Ewing's/pnet (Extraskeletal Ewing's/PNET)
    CL Item
    Synovial Sarcoma (Synovial sarcoma)
    C3400 (NCI Thesaurus)
    C0039101 (UMLS 2011AA)
    CL Item
    Maligant Peripheral Nerve Sheath Tumor (Malignant peripheral nerve sheath tumor)
    CL Item
    Infantile Fibrosarcoma (Infantile fibrosarcoma)
    CL Item
    Fibrosacoma, Nos (Fibrosacoma NOS)
    CL Item
    Dermatofibrosarcoma Protuberans (Dermatofibrosarcoma protuberans)
    CL Item
    Myxofibrosarcoma (Myxofibrosarcoma)
    CL Item
    Solitary Fibrous Tumor/hemangiopericytoma (Solitary fibrous tumor/hemangiopericytoma)
    CL Item
    Undifferentiated Pleomorphic Sarcoma/"mfh" (Undifferentiated pleomorphic sarcoma/"MFH")
    CL Item
    Well Differentiated Liposarcoma (Well differentiated liposarcoma)
    CL Item
    Dedifferentiated Liposarcoma (Dedifferentiated liposarcoma)
    CL Item
    Myxoid Liposarcoma (Myxoid liposarcoma)
    CL Item
    Pleomorphic Liposarcoma (Pleomorphic liposarcoma)
    CL Item
    Liposarcoma Nos (Liposarcoma NOS)
    CL Item
    Leiomyosarcoma (Leiomyosarcoma)
    C3158 (NCI Thesaurus)
    C0023269 (UMLS 2011AA)
    CL Item
    Gastrointestinal Stromal Tumor (gist) (Gastrointestinal stromal tumor (GIST))
    CL Item
    Extraskeletal Myxoid Chondrosarcoma (Extraskeletal myxoid chondrosarcoma)
    CL Item
    Extraskeletal Mesenchymal Chondrosarcoma (Extraskeletal mesenchymal chondrosarcoma)
    CL Item
    Extraskeletal Osteosarcoma (Extraskeletal osteosarcoma)
    CL Item
    Angiosarcoma (Angiosarcoma)
    C3088 (NCI Thesaurus)
    C0018923 (UMLS 2011AA)
    CL Item
    Kaposi Sarcoma (Kaposi sarcoma)
    C9087 (NCI Thesaurus)
    C0036220 (UMLS 2011AA)
    CL Item
    Epithelioid Sarcoma (Epithelioid sarcoma)
    CL Item
    Alveolar Soft Part Sarcoma (Alveolar soft part sarcoma)
    CL Item
    Clear Cell Sarcoma (mmsp) (Clear cell sarcoma (MMSP))
    CL Item
    Desmoplastic Small Cell Tumor (Desmoplastic small cell tumor)
    CL Item
    Malignant Mesenchymoma (Malignant mesenchymoma)
    CL Item
    Soft Tissue Sarcoma Nos (Soft tissue sarcoma NOS)
    CL Item
    Endometrial Stromal Sarcoma (Endometrial stromal sarcoma)
    C8973 (NCI Thesaurus)
    C0206630 (UMLS 2011AA)
    CL Item
    Uterine Leiomyosarcoma (Uterine leiomyosarcoma)
    CL Item
    Uterine Carcinosarcoma (mixed Mesodermal Sarcoma) (Uterine carcinosarcoma (mixed mesodermal sarcoma))
    CL Item
    Uterine Sarcoma Nos (Uterine sarcoma NOS)
    CL Item
    Undifferentiated Sarcoma (Undifferentiated sarcoma)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Other Specify (Other specify)
    Histologic Type, other
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1299220 (UMLS CUI-1)
    C3262 (NCI Thesaurus ObjectClass)
    C25526 (NCI Thesaurus Property)
    C25161 (NCI Thesaurus Property-2)
    SarcomaHistologicSubcategorySpecify
    Item
    Histologic Subtype (specify)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C9118 (NCI Thesaurus ObjectClass)
    C1261473 (UMLS 2011AA ObjectClass)
    C25526 (NCI Thesaurus Property)
    C0205462 (UMLS 2011AA Property)
    C25692 (NCI Thesaurus Property-2)
    C1515010 (UMLS 2011AA Property-2)
    Item
    Histologic Grade, French System (check highest grade)
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C9118 (NCI Thesaurus ObjectClass-2)
    C1261473 (UMLS 2011AA ObjectClass-2)
    C43854 (NCI Thesaurus Property)
    C1556084 (UMLS 2011AA Property)
    C25161 (NCI Thesaurus Property-2)
    C0008902 (UMLS 2011AA Property-2)
    C25526 (NCI Thesaurus ValueDomain)
    C0205462 (UMLS 2011AA ValueDomain)
    C18000 (NCI Thesaurus ValueDomain-2)
    C0919553 (UMLS 2011AA ValueDomain-2)
    Code List
    Histologic Grade, French System (check highest grade)
    CL Item
    Grade I (Grade I)
    CL Item
    Grade Ii (Grade II)
    CL Item
    Grade Iii (Grade III)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item Group
    Pediatric Soft Tissue Sarcoma: Prior Health History
    ChronicDiseaseDiagnosisInd-3
    Item
    Does the patient have a chronic disease associated with this cancer?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    C14141 (NCI Thesaurus ObjectClass-2)
    C0205191 (UMLS 2011AA ObjectClass-2)
    Item
    Current Medical Conditions (currently symptomatic or on medications for)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25261 (NCI Thesaurus Property)
    C0205476 (UMLS 2011AA Property)
    C25457 (NCI Thesaurus Property-2)
    C0348080 (UMLS 2011AA Property-2)
    Code List
    Current Medical Conditions (currently symptomatic or on medications for)
    CL Item
    Cerebrovascular Disease (Cerebrovascular disease)
    CL Item
    Cardiac Disease (Cardiac disease)
    CL Item
    High Blood Pressure (High blood pressure)
    CL Item
    Deep Vein Thrombosis (Deep vein thrombosis)
    CL Item
    Peripheral Vascular Disease (Peripheral vascular disease)
    CL Item
    Gastrointestinal Disease (Gastrointestinal disease)
    CL Item
    Diabetes (Diabetes)
    CL Item
    Neurologic Disease (Neurologic disease)
    CL Item
    Respiratory Problems (Respiratory problems)
    CL Item
    Other Malignancies, Specify (Other malignancies specify)
    CL Item
    Other, Specify (Other specify)
    MalignantDiseaseOtherPresentSpecify
    Item
    Other malignancies specify
    text
    C14143 (NCI Thesaurus ObjectClass)
    C0205282 (UMLS 2011AA ObjectClass)
    C2991 (NCI Thesaurus ObjectClass-2)
    C0012634 (UMLS 2011AA ObjectClass-2)
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C25626 (NCI Thesaurus Property-2)
    C0150312 (UMLS 2011AA Property-2)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    PatientMedicalConditionCurrentSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25471 (NCI Thesaurus ValueDomain-2)
    C0521116 (UMLS 2011AA ValueDomain-2)
    C25261 (NCI Thesaurus Property)
    C0205476 (UMLS 2011AA Property)
    C25457 (NCI Thesaurus Property-2)
    C0348080 (UMLS 2011AA Property-2)
    Item
    Congenital abnormalities
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C2849 (NCI Thesaurus Property)
    C0000768 (UMLS 2011AA Property)
    Code List
    Congenital abnormalities
    CL Item
    None (None)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Downs Syndrome (Downs syndrome)
    CL Item
    Neurofibromatosis (Neurofibromatosis)
    CL Item
    Li-fraumeni Syndrome (Li-Fraumeni syndrome)
    CL Item
    Hemihypertrophy (Hemihypertrophy)
    CL Item
    Other, Specify (Other specify)
    PatientCongenitalAbnormalitySpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C2849 (NCI Thesaurus Property)
    C0000768 (UMLS 2011AA Property)
    NeurofibromatosisFamilyMedicalHistoryInd-3
    Item
    Family history of neurofibromatosis?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C6727 (NCI Thesaurus ObjectClass)
    C0162678 (UMLS 2011AA ObjectClass)
    C17726 (NCI Thesaurus Property)
    C0241889 (UMLS 2011AA Property)
    Item Group
    Sarcoma: Prior Treatment
    CancerPriorTreatmentInd-3
    Item
    Prior Treatment?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus Property)
    C0332152 (UMLS 2011AA Property)
    C15368 (NCI Thesaurus Property-2)
    PriorChemotherapyAdministeredInd-3
    Item
    Prior Systemic Chemotherapy?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    PriorImmunotherapyAdministeredInd-3
    Item
    Prior Immunotherapy?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C15262 (NCI Thesaurus ObjectClass)
    C0021083 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Prior Radiation Therapy
    Item
    Prior Radiation Therapy?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1522449 (UMLS CUI-1)
    C15313 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS CUI-2)
    C25629 (NCI Thesaurus ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    Prior Surgery
    Item
    Prior Surgery?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C0744961 (UMLS CUI-1)
    C38000 (NCI Thesaurus Property)
    C15329 (NCI Thesaurus ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    PrimarySurgeryPriorPerformedText
    Item
    Type of Prior Primary Surgery
    text
    C25251 (NCI Thesaurus ObjectClass)
    C0205225 (UMLS 2011AA ObjectClass)
    C15329 (NCI Thesaurus ObjectClass-2)
    C0543467 (UMLS 2011AA ObjectClass-2)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C25629 (NCI Thesaurus Property-2)
    C0332152 (UMLS 2011AA Property-2)
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    PrimarySurgeryPriorPerformedDate
    Item
    Prior Primary Surgery Date (MM DD YYYY)
    date
    C25251 (NCI Thesaurus ObjectClass)
    C0205225 (UMLS 2011AA ObjectClass)
    C15329 (NCI Thesaurus ObjectClass-2)
    C0543467 (UMLS 2011AA ObjectClass-2)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C25629 (NCI Thesaurus Property-2)
    C0332152 (UMLS 2011AA Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    PriorTherapyOtherAdministeredInd-3
    Item
    Any Other Prior Therapy?
    boolean
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass-2)
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    PriorTherapyAdministeredSpecify
    Item
    Yes, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Item Group
    Sarcoma: Prior Treatment - Systemic Regimens
    PriorTreatmentRegimenName
    Item
    Prior Treatment Regimen Name (Drug, Agent, Biologic)
    text
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass-2)
    C15697 (NCI Thesaurus Property)
    C0040808 (UMLS 2011AA Property)
    C42614 (NCI Thesaurus ValueDomain)
    C0027365 (UMLS 2011AA ValueDomain)
    PriorTreatmentRegimenBeginDate
    Item
    Prior Treatment Regimen Start Date (MM DD YYYY)
    date
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass-2)
    C15697 (NCI Thesaurus Property)
    C0040808 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25431 (NCI Thesaurus ValueDomain-2)
    C0439659 (UMLS 2011AA ValueDomain-2)
    PriorTreatmentRegimenEndDate
    Item
    Prior Treatment Regimen End Date (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass-2)
    C15697 (NCI Thesaurus Property)
    C0040808 (UMLS 2011AA Property)
    PriorTreatmentRegimenText
    Item
    Prior Treatment Regimen Type (Adjuvant, High Dose)
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass-2)
    C15697 (NCI Thesaurus Property)
    C0040808 (UMLS 2011AA Property)
    Item Group
    Comments
    Research Comments
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)

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