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ID

8735

Description

Waldenstrom's Macroglobulinemia - Follow-Up Disease Assessment Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D6E2F0A5-966B-5DD3-E034-0003BA12F5E7

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D6E2F0A5-966B-5DD3-E034-0003BA12F5E7

Mots-clés

Versions (4)
  1. 19/09/2012 19/09/2012 -
  2. 08/01/2015 08/01/2015 - Martin Dugas
  3. 09/01/2015 09/01/2015 - Martin Dugas
  4. 09/01/2015 09/01/2015 - Martin Dugas
Téléchargé le

9 janvier 2015

DOI

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Licence

Creative Commons BY-NC 3.0 Legacy
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    Response - Waldenstroms Macroglobulinemia - Follow-Up Disease Assessment Form - 2276095v3.0

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    1 Formulaires  
    1. StudyEvent: Waldenstroms Macroglobulinemia - Follow-Up Disease Assessment Form
      1. No Instruction available.
    Crf Header
    Description

    Crf Header

    Coordinating Group Protocol No.
    Description

    Protocol ID Coordinating Group

    Type de données

    text

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

    Coordinating Group Code

    Type de données

    text

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

    Protocol Title

    Type de données

    text

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

    Patient Study ID

    Type de données

    text

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

    Institution Name

    Type de données

    text

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

    Trial subject ID Participating Group

    Type de données

    text

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

    ParticipatingGroupIdentifierCode

    Type de données

    text

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

    Patient Name

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1299487
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25364
    Waldenstrom's: Form Administration
    Description

    Waldenstrom's: Form Administration

    Person Completing Form
    Description

    Person Completing Form

    Type de données

    text

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

    Data amended

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus Property
    C25416
    Waldenstrom's: Assessment Reporting Interval
    Description

    Waldenstrom's: Assessment Reporting Interval

    Reporting Period Start Date
    Description

    Reporting Period Start Date

    Type de données

    date

    Alias
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25616
    UMLS CUI-1
    C2361257
    NCI Thesaurus Property-2
    C25651
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25431
    Reporting Period End Date
    Description

    Reporting Period End Date

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C2361259
    NCI Thesaurus Property
    C25616
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property-2
    C25651
    Waldenstrom's: Peripheral Blood Hematology/chemistry
    Description

    Waldenstrom's: Peripheral Blood Hematology/chemistry

    Date Hematology (Blood) Sample Obtained
    Description

    HematologyLabCollectedDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus ValueDomain-2
    C25452
    Peripheral WBC Count (x 10^3/mcl)
    Description

    Leukocytes (WBC)

    Type de données

    float

    Unités de mesure
    • 1000/uL
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0023508
    NCI Thesaurus Property
    C12529
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C38024
    1000/uL
    Hemoglobin (g/dl)
    Description

    Hemoglobin

    Type de données

    float

    Unités de mesure
    • g/dL
    Alias
    NCI Thesaurus Property
    C16676
    UMLS CUI-1
    C0019046
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    g/dL
    Peripheral Platelet Count (x 10^3/mcl)
    Description

    Platelets

    Type de données

    float

    Unités de mesure
    • 1000/uL
    Alias
    NCI Thesaurus Property
    C20200
    UMLS CUI-1
    C0005821
    NCI Thesaurus Property-2
    C12520
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    1000/uL
    Absolute Lymphocyte Count
    Description

    LaboratoryProcedureLymphocyteOutcomeCount

    Type de données

    float

    Alias
    NCI Thesaurus Property
    C12535
    UMLS 2011AA Property
    C0024264
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    Creatinine (mg/dl age-adjusted)
    Description

    RenalCreatinineLabSpecifiedValue

    Type de données

    float

    Unités de mesure
    • mg/dL
    Alias
    NCI Thesaurus ObjectClass
    C25225
    UMLS 2011AA ObjectClass
    C0022646
    NCI Thesaurus Property
    C399
    UMLS 2011AA Property
    C0010294
    NCI Thesaurus Property-2
    C25294
    UMLS 2011AA Property-2
    C0022885
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    mg/dL
    Total Bilirubin (mg/dl or mcmol/L)
    Description

    TotalBilirubinHepaticLabUnspecifiedValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25304
    UMLS 2011AA ObjectClass
    C0439810
    NCI Thesaurus ObjectClass-2
    C305
    UMLS 2011AA ObjectClass-2
    C0005437
    NCI Thesaurus Property
    C13308
    UMLS 2011AA Property
    C0205054
    NCI Thesaurus Property-2
    C37984
    UMLS 2011AA Property-2
    C0022877
    NCI Thesaurus ValueDomain
    C38046
    UMLS 2011AA ValueDomain
    C0205370
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    Albumin (serum, g/dl, mg/dl or g/L)
    Description

    LaboratoryProcedureAlbuminResultUnspecifiedValue

    Type de données

    float

    Alias
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C214
    UMLS 2011AA Property-2
    C0001924
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    Lactate Dehydrogenase (LDH) (U/l)
    Description

    LDH

    Type de données

    float

    Unités de mesure
    • U/L
    Alias
    NCI Thesaurus Property
    C20200
    UMLS CUI-1
    C0202113
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus Property-2
    C25184
    U/L
    Lactate Dehydrogenase ULN (LDH U/l * Note: Record institutional upper limit of normal)
    Description

    LDH ULN

    Type de données

    float

    Unités de mesure
    • U/L
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0202113
    NCI Thesaurus Property
    C20200
    UMLS CUI-2
    C1519815
    NCI Thesaurus Property-2
    C25184
    NCI Thesaurus ValueDomain
    C25712
    NCI Thesaurus ValueDomain-2
    C38024
    NCI Thesaurus ValueDomain-3
    C25706
    U/L
    Beta-2 Microglobulin (mcg/ml)
    Description

    LaboratoryProcedureBeta-2-MicroglobulinProteinOutcomeSpecifiedValue

    Type de données

    float

    Alias
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus Property-2
    C62657
    UMLS 2011AA Property-2
    C0005149
    Beta-2 Microglobulin ULN (mcg/ml * Note: Record institutional upper limit of normal)
    Description

    LaboratoryProcedureBeta-2-MicroglobulinProteinOutcomeSpecifiedUpperLimitofNormalValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C62657
    UMLS 2011AA Property-2
    C0005149
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    NCI Thesaurus ValueDomain-2
    C25706
    UMLS 2011AA ValueDomain-2
    C1519815
    Serum Viscosity relative to Water (centipoise)
    Description

    LaboratoryProcedureSerumViscosityOutcomeSpecifiedValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C13325
    UMLS 2011AA Property
    C0229671
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus Property-3
    C75912
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    Waldenstrom's: Protein Studies
    Description

    Waldenstrom's: Protein Studies

    Serum Total Protein (SPEP)
    Description

    Protein, Serum Total

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0036836
    NCI Thesaurus Property
    C25304
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus Property-3
    C17126
    NCI Thesaurus ValueDomain
    C25712
    Serum M-Protein Spike (SPEP If immunofixation is positive but M-spike is not quantifiable, enter .01 or follow protocol guidelines for entering M-spike.)
    Description

    LaboratoryProcedureSerumMProteinOutcomeUnspecifiedValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C13325
    UMLS 2011AA Property
    C0229671
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus Property-3
    C17788
    UMLS 2011AA Property-3
    C0700271
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    Serum M-Protein by Immunofixation
    Description

    SerumProteinMonoclonalDetectedType

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C13325
    UMLS 2011AA ObjectClass
    C0229671
    NCI Thesaurus ObjectClass-2
    C17021
    UMLS 2011AA ObjectClass-2
    C0033684
    NCI Metathesaurus Property
    C0746619
    NCI Thesaurus Property
    C25481
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Serum Heavy Chain (If positive or equivocal,)
    Description

    LaboratoryProcedureImmunoglobulinHeavyChainOutcomeType

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C16717
    UMLS 2011AA Property
    C0021034
    NCI Thesaurus Property-2
    C13325
    UMLS 2011AA Property-2
    C0229671
    NCI Thesaurus Property-3
    C20200
    UMLS 2011AA Property-3
    C1274040
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Serum Light Chain (check all that apply)
    Description

    LaboratoryProcedureImmunoglobulinLightChainProteinResultType

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C17021
    UMLS 2011AA Property-2
    C0033684
    NCI Thesaurus Property-3
    C16720
    UMLS 2011AA Property-3
    C0021038
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Biclonal
    Description

    LaboratoryProcedureBiclonalGammopathyOutcomeInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property-2
    C74936
    Yes specify
    Description

    LaboratoryProcedureBiclonalGammopathyOutcomeSpecify

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property-2
    C74936
    Oligoclonal
    Description

    SerumProteinOligoclonalInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Metathesaurus ObjectClass
    C0229671
    NCI Metathesaurus Property
    CL145970
    Yes specify
    Description

    SerumOligoclonalProteinSpecify

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Metathesaurus ObjectClass
    C0229671
    NCI Metathesaurus Property
    CL145970
    IgM
    Description

    LaboratoryProcedureSerumImmunologicIgMResultUnspecifiedValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C569
    UMLS 2011AA Property-2
    C0020861
    NCI Thesaurus Property-3
    C25675
    UMLS 2011AA Property-3
    C1519267
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    Urine Total Protein (UPEP)
    Description

    LaboratoryProcedureTotalUrineProteinOutcomeUnspecifiedValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C25304
    UMLS 2011AA Property
    C0439810
    NCI Thesaurus Property-2
    C13283
    UMLS 2011AA Property-2
    C0042036
    NCI Thesaurus Property-3
    C20200
    UMLS 2011AA Property-3
    C1274040
    NCI Thesaurus Property-4
    C17021
    UMLS 2011AA Property-4
    C0033684
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    Urine M-Protein Light Chain Excretion (If immunofixation is positive but M-protein is not quantifiable, enter .01 or follow protocol guidelines for entering M-protein.)
    Description

    LaboratoryProcedureUrineMProteinImmunoglobulinLightChainOutcomeUnspecifiedValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C13283
    UMLS 2011AA Property
    C0042036
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus Property-3
    C17788
    UMLS 2011AA Property-3
    C0700271
    NCI Thesaurus Property-4
    C16720
    UMLS 2011AA Property-4
    C0021038
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    Unit of Measure
    Description

    AssessmentLabUOM

    Type de données

    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
    Unit of Measure
    Description

    AssessmentLabUOM

    Type de données

    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
    Unit of Measure
    Description

    AssessmentLabUOM

    Type de données

    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
    Urine M-Protein by Immunofixation
    Description

    MonoclonalProteinUrineImmunofixationType

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C17021
    UMLS 2011AA ObjectClass
    C0033684
    NCI Metathesaurus ObjectClass
    C0746619
    NCI Thesaurus Property
    C13283
    UMLS 2011AA Property
    C0042036
    NCI Metathesaurus Property
    CL201583
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Urine Light Chain (If positive or equivocal,)
    Description

    UrineProteinLightChainAnalysisImmunofixationType

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C13283
    UMLS 2011AA ObjectClass
    C0042036
    NCI Thesaurus ObjectClass-2
    C17021
    UMLS 2011AA ObjectClass-2
    C0033684
    NCI Metathesaurus Property
    CL201583
    NCI Metathesaurus Property-2
    CL105192
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Waldenstrom's: Bone Marrow Assessment
    Description

    Waldenstrom's: Bone Marrow Assessment

    Is there bone marrow involvement
    Description

    BoneMarrowInvolvedInd-3

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C12431
    UMLS 2011AA ObjectClass
    C0005953
    NCI Thesaurus Property
    C25547
    Was bone marrow biopsy done (If yes,)
    Description

    BoneMarrowBiopsyInd

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus Property
    C15189
    UMLS 2011AA Property
    C0005558
    NCI Thesaurus ObjectClass
    C12431
    UMLS 2011AA ObjectClass
    C0005953
    Bone Marrow Biopsy Result (If yes,)
    Description

    BoneMarrowBiopsyResultType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C15189
    UMLS 2011AA ObjectClass
    C0005558
    NCI Thesaurus ObjectClass-2
    C12431
    UMLS 2011AA ObjectClass-2
    C0005953
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    Was bone marrow aspirate done
    Description

    BoneMarrowAspirateInd

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C12431
    UMLS 2011AA ObjectClass
    C0005953
    NCI Thesaurus Property
    C13347
    UMLS 2011AA Property
    C0370199
    Bone Marrow Aspirate Result (If yes,)
    Description

    BoneMarrowAspirateReportingType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C12431
    UMLS 2011AA ObjectClass
    C0005953
    NCI Thesaurus Property
    C13347
    UMLS 2011AA Property
    C0370199
    NCI Thesaurus ValueDomain-2
    C25651
    UMLS 2011AA ValueDomain-2
    C0700287
    Marrow Lymphocytes (%)
    Description

    LaboratoryProcedureBoneMarrowLymphocyteOutcomePercentageValue

    Type de données

    float

    Unités de mesure
    • %
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C12431
    UMLS 2011AA Property
    C0005953
    NCI Thesaurus Property-2
    C12535
    UMLS 2011AA Property-2
    C0024264
    NCI Thesaurus Property-3
    C20200
    UMLS 2011AA Property-3
    C1274040
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    %
    Marrow Plasma Cells (%)
    Description

    BoneMarrowPlasmaCellPercentageValue

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C12431
    UMLS 2011AA ObjectClass
    C0005953
    NCI Thesaurus Property
    C13356
    UMLS 2011AA Property
    C0032105
    NCI Thesaurus Property-2
    C12508
    UMLS 2011AA Property-2
    C0007634
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    Marrow Lymphoplasmacytes (%)
    Description

    LaboratoryProcedureBoneMarrowLymphoplasmacytoidCellOutcomePercentageValue

    Type de données

    float

    Unités de mesure
    • %
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C12431
    UMLS 2011AA Property
    C0005953
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus Property-3
    C37000
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    %
    Method of Evaluation
    Description

    Evaluation method

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    NCI Thesaurus Property
    C16847
    Waldenstrom's: Liver, Spleen, And Node Assessment
    Description

    Waldenstrom's: Liver, Spleen, And Node Assessment

    Is there hepatomegaly
    Description

    HepatomegalyPresentInd

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ObjectClass
    C3100
    UMLS 2011AA ObjectClass
    C0017924
    Liver Measurement (If yes, cm)
    Description

    LiverSizeMeasurement

    Type de données

    float

    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    NCI Thesaurus ObjectClass
    C12392
    UMLS 2011AA ObjectClass
    C0023884
    NCI Thesaurus Property
    C25681
    UMLS 2011AA Property
    C0456389
    Liver Measurement Method
    Description

    LiverMeasureType

    Type de données

    text

    Alias
    NCI Thesaurus Property
    C25209
    UMLS 2011AA Property
    C0242485
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C12392
    UMLS 2011AA ObjectClass
    C0023884
    Date of Liver Evaluation
    Description

    HepatomegalyAssessmentDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus ObjectClass
    C3100
    UMLS 2011AA ObjectClass
    C0017924
    Is the spleen enlarged
    Description

    EnlargedSpleenPresentInd

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ObjectClass
    C12432
    UMLS 2011AA ObjectClass
    C0037993
    NCI Metathesaurus ObjectClass
    C0442800
    Method of Evaluation
    Description

    Evaluation method

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    NCI Thesaurus Property
    C16847
    Spleen Measurement (If yes, cm)
    Description

    SpleenSizeMeasurement

    Type de données

    float

    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    NCI Thesaurus ObjectClass
    C12432
    UMLS 2011AA ObjectClass
    C0037993
    NCI Thesaurus Property
    C25681
    UMLS 2011AA Property
    C0456389
    Method of Evaluation
    Description

    Evaluation method

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    NCI Thesaurus Property
    C16847
    Other specify
    Description

    Evaluation method, specify

    Type de données

    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

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    UMLS CUI-2
    C1521902
    NCI Thesaurus Property
    C16847
    Date of Spleen Evaluation
    Description

    SplenomegalyAssessmentDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus ObjectClass
    C3384
    UMLS 2011AA ObjectClass
    C0038002
    Is there lymph node involvement
    Description

    LymphNodeInvolvementInd-3

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus Property
    C25547
    Palpable Lymphadenopathy (If yes,)
    Description

    LymphadenopathyPalpationDocumentedInd

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus Property
    C16950
    UMLS 2011AA Property
    C0030247
    NCI Thesaurus ObjectClass
    C3206
    UMLS 2011AA ObjectClass
    C0024228
    NCI Thesaurus ValueDomain-2
    C25356
    UMLS 2011AA ValueDomain-2
    C1301725
    Lymphadenopathy by scan or x-ray
    Description

    LymphadenopathyImageDocumentedInd

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C3206
    UMLS 2011AA ObjectClass
    C0024228
    NCI Thesaurus Property
    C19477
    UMLS 2011AA Property
    C1704254
    NCI Thesaurus ValueDomain-2
    C25356
    UMLS 2011AA ValueDomain-2
    C1301725
    Sites of Lymphadenopathy (If yes,)
    Description

    LymphNodeIncreaseSizeSite

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS 2011AA ValueDomain
    C1515974
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus Property
    C25533
    UMLS 2011AA Property
    C0442805
    NCI Thesaurus Property-2
    C25681
    UMLS 2011AA Property-2
    C0456389
    Other specify
    Description

    LymphNodeIncreaseSizeSpecify

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus Property
    C25533
    UMLS 2011AA Property
    C0442805
    NCI Thesaurus Property-2
    C25681
    UMLS 2011AA Property-2
    C0456389
    Waldenstrom's: Objective Response Assessment
    Description

    Waldenstrom's: Objective Response Assessment

    Objective Status at This Evaluation
    Description

    MyelomaResponseType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass
    C3242
    UMLS 2011AA ObjectClass
    C0026764
    Comments
    Description

    Comments

    Comments
    Description

    Research Comments

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    Retour au début de la page

    Similar models

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    1 Formulaires
    1. StudyEvent: Waldenstroms Macroglobulinemia - Follow-Up Disease Assessment Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    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
    Waldenstrom's: 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
    Waldenstrom's: Assessment Reporting Interval
    Reporting Period Start Date
    Item
    Reporting Period Start Date
    date
    C15368 (NCI Thesaurus ObjectClass)
    C25616 (NCI Thesaurus Property)
    C2361257 (UMLS CUI-1)
    C25651 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25431 (NCI Thesaurus ValueDomain-2)
    Reporting Period End Date
    Item
    Reporting Period End Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C2361259 (UMLS CUI-1)
    C25616 (NCI Thesaurus Property)
    C15368 (NCI Thesaurus ObjectClass)
    C25651 (NCI Thesaurus Property-2)
    Item Group
    Waldenstrom's: Peripheral Blood Hematology/chemistry
    HematologyLabCollectedDate
    Item
    Date Hematology (Blood) Sample Obtained
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25452 (NCI Thesaurus ValueDomain-2)
    Leukocytes (WBC)
    Item
    Peripheral WBC Count (x 10^3/mcl)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0023508 (UMLS CUI-1)
    C12529 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C38024 (NCI Thesaurus ValueDomain-2)
    Hemoglobin
    Item
    Hemoglobin (g/dl)
    float
    C16676 (NCI Thesaurus Property)
    C0019046 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    Platelets
    Item
    Peripheral Platelet Count (x 10^3/mcl)
    float
    C20200 (NCI Thesaurus Property)
    C0005821 (UMLS CUI-1)
    C12520 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    LaboratoryProcedureLymphocyteOutcomeCount
    Item
    Absolute Lymphocyte Count
    float
    C12535 (NCI Thesaurus Property)
    C0024264 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    RenalCreatinineLabSpecifiedValue
    Item
    Creatinine (mg/dl age-adjusted)
    float
    C25225 (NCI Thesaurus ObjectClass)
    C0022646 (UMLS 2011AA ObjectClass)
    C399 (NCI Thesaurus Property)
    C0010294 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus Property-2)
    C0022885 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    TotalBilirubinHepaticLabUnspecifiedValue
    Item
    Total Bilirubin (mg/dl or mcmol/L)
    float
    C25304 (NCI Thesaurus ObjectClass)
    C0439810 (UMLS 2011AA ObjectClass)
    C305 (NCI Thesaurus ObjectClass-2)
    C0005437 (UMLS 2011AA ObjectClass-2)
    C13308 (NCI Thesaurus Property)
    C0205054 (UMLS 2011AA Property)
    C37984 (NCI Thesaurus Property-2)
    C0022877 (UMLS 2011AA Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C0205370 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    LaboratoryProcedureAlbuminResultUnspecifiedValue
    Item
    Albumin (serum, g/dl, mg/dl or g/L)
    float
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C214 (NCI Thesaurus Property-2)
    C0001924 (UMLS 2011AA Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    LDH
    Item
    Lactate Dehydrogenase (LDH) (U/l)
    float
    C20200 (NCI Thesaurus Property)
    C0202113 (UMLS CUI-1)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C25184 (NCI Thesaurus Property-2)
    LDH ULN
    Item
    Lactate Dehydrogenase ULN (LDH U/l * Note: Record institutional upper limit of normal)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0202113 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property)
    C1519815 (UMLS CUI-2)
    C25184 (NCI Thesaurus Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C38024 (NCI Thesaurus ValueDomain-2)
    C25706 (NCI Thesaurus ValueDomain-3)
    LaboratoryProcedureBeta-2-MicroglobulinProteinOutcomeSpecifiedValue
    Item
    Beta-2 Microglobulin (mcg/ml)
    float
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C62657 (NCI Thesaurus Property-2)
    C0005149 (UMLS 2011AA Property-2)
    LaboratoryProcedureBeta-2-MicroglobulinProteinOutcomeSpecifiedUpperLimitofNormalValue
    Item
    Beta-2 Microglobulin ULN (mcg/ml * Note: Record institutional upper limit of normal)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C62657 (NCI Thesaurus Property-2)
    C0005149 (UMLS 2011AA Property-2)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    C25706 (NCI Thesaurus ValueDomain-2)
    C1519815 (UMLS 2011AA ValueDomain-2)
    LaboratoryProcedureSerumViscosityOutcomeSpecifiedValue
    Item
    Serum Viscosity relative to Water (centipoise)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C13325 (NCI Thesaurus Property)
    C0229671 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C75912 (NCI Thesaurus Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    Item Group
    Waldenstrom's: Protein Studies
    Protein, Serum Total
    Item
    Serum Total Protein (SPEP)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0036836 (UMLS CUI-1)
    C25304 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C17126 (NCI Thesaurus Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    LaboratoryProcedureSerumMProteinOutcomeUnspecifiedValue
    Item
    Serum M-Protein Spike (SPEP If immunofixation is positive but M-spike is not quantifiable, enter .01 or follow protocol guidelines for entering M-spike.)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C13325 (NCI Thesaurus Property)
    C0229671 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C17788 (NCI Thesaurus Property-3)
    C0700271 (UMLS 2011AA Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    Item
    Serum M-Protein by Immunofixation
    text
    C13325 (NCI Thesaurus ObjectClass)
    C0229671 (UMLS 2011AA ObjectClass)
    C17021 (NCI Thesaurus ObjectClass-2)
    C0033684 (UMLS 2011AA ObjectClass-2)
    C0746619 (NCI Metathesaurus Property)
    C25481 (NCI Thesaurus Property)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.3
    Code List
    Serum M-Protein by Immunofixation
    CL Item
    Negative (Negative)
    C25247 (NCI Thesaurus)
    C0205160 (UMLS 2011AA)
    CL Item
    Positive (Positive)
    C25246 (NCI Thesaurus)
    C1446409 (UMLS 2011AA)
    CL Item
    Equivocal (Equivocal)
    C86071 (NCI Thesaurus)
    C0332241 (UMLS 2011AA)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Not Done (Not done)
    CL281691 (NCI Metathesaurus)
    Item
    Serum Heavy Chain (If positive or equivocal,)
    text
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C16717 (NCI Thesaurus Property)
    C0021034 (UMLS 2011AA Property)
    C13325 (NCI Thesaurus Property-2)
    C0229671 (UMLS 2011AA Property-2)
    C20200 (NCI Thesaurus Property-3)
    C1274040 (UMLS 2011AA Property-3)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.4
    Code List
    Serum Heavy Chain (If positive or equivocal,)
    CL Item
    M (M)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item
    Serum Light Chain (check all that apply)
    text
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C17021 (NCI Thesaurus Property-2)
    C0033684 (UMLS 2011AA Property-2)
    C16720 (NCI Thesaurus Property-3)
    C0021038 (UMLS 2011AA Property-3)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.5
    Code List
    Serum Light Chain (check all that apply)
    CL Item
    Kappa (Kappa)
    CL Item
    Lambda (Lambda)
    C0926407 (NCI Metathesaurus)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    LaboratoryProcedureBiclonalGammopathyOutcomeInd-2
    Item
    Biclonal
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C74936 (NCI Thesaurus Property-2)
    LaboratoryProcedureBiclonalGammopathyOutcomeSpecify
    Item
    Yes specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C74936 (NCI Thesaurus Property-2)
    SerumProteinOligoclonalInd-2
    Item
    Oligoclonal
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C0229671 (NCI Metathesaurus ObjectClass)
    CL145970 (NCI Metathesaurus Property)
    SerumOligoclonalProteinSpecify
    Item
    Yes specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C0229671 (NCI Metathesaurus ObjectClass)
    CL145970 (NCI Metathesaurus Property)
    LaboratoryProcedureSerumImmunologicIgMResultUnspecifiedValue
    Item
    IgM
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C569 (NCI Thesaurus Property-2)
    C0020861 (UMLS 2011AA Property-2)
    C25675 (NCI Thesaurus Property-3)
    C1519267 (UMLS 2011AA Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    LaboratoryProcedureTotalUrineProteinOutcomeUnspecifiedValue
    Item
    Urine Total Protein (UPEP)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C25304 (NCI Thesaurus Property)
    C0439810 (UMLS 2011AA Property)
    C13283 (NCI Thesaurus Property-2)
    C0042036 (UMLS 2011AA Property-2)
    C20200 (NCI Thesaurus Property-3)
    C1274040 (UMLS 2011AA Property-3)
    C17021 (NCI Thesaurus Property-4)
    C0033684 (UMLS 2011AA Property-4)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    LaboratoryProcedureUrineMProteinImmunoglobulinLightChainOutcomeUnspecifiedValue
    Item
    Urine M-Protein Light Chain Excretion (If immunofixation is positive but M-protein is not quantifiable, enter .01 or follow protocol guidelines for entering M-protein.)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C13283 (NCI Thesaurus Property)
    C0042036 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C17788 (NCI Thesaurus Property-3)
    C0700271 (UMLS 2011AA Property-3)
    C16720 (NCI Thesaurus Property-4)
    C0021038 (UMLS 2011AA Property-4)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    Item
    Unit of Measure
    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)
    CL.9
    Code List
    Unit of Measure
    CL Item
    Milligrams/24 Hours (mg/24 hrs)
    CL Item
    Grams/24 Hours (g/24 hrs)
    Item
    Unit of Measure
    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)
    CL.9
    Code List
    Unit of Measure
    CL Item
    Milligrams/24 Hours (mg/24 hrs)
    CL Item
    Grams/24 Hours (g/24 hrs)
    Item
    Unit of Measure
    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)
    CL.9
    Code List
    Unit of Measure
    CL Item
    Milligrams/24 Hours (mg/24 hrs)
    CL Item
    Grams/24 Hours (g/24 hrs)
    Item
    Urine M-Protein by Immunofixation
    text
    C17021 (NCI Thesaurus ObjectClass)
    C0033684 (UMLS 2011AA ObjectClass)
    C0746619 (NCI Metathesaurus ObjectClass)
    C13283 (NCI Thesaurus Property)
    C0042036 (UMLS 2011AA Property)
    CL201583 (NCI Metathesaurus Property)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.10
    Code List
    Urine M-Protein by Immunofixation
    CL Item
    Negative (Negative)
    C25247 (NCI Thesaurus)
    C0205160 (UMLS 2011AA)
    CL Item
    Positive (Positive)
    C25246 (NCI Thesaurus)
    C1446409 (UMLS 2011AA)
    CL Item
    Equivocal (Equivocal)
    C86071 (NCI Thesaurus)
    C0332241 (UMLS 2011AA)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item
    Urine Light Chain (If positive or equivocal,)
    text
    C13283 (NCI Thesaurus ObjectClass)
    C0042036 (UMLS 2011AA ObjectClass)
    C17021 (NCI Thesaurus ObjectClass-2)
    C0033684 (UMLS 2011AA ObjectClass-2)
    CL201583 (NCI Metathesaurus Property)
    CL105192 (NCI Metathesaurus Property-2)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.11
    Code List
    Urine Light Chain (If positive or equivocal,)
    CL Item
    Kappa (Kappa)
    CL Item
    Lambda (Lambda)
    C0926407 (NCI Metathesaurus)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item Group
    Waldenstrom's: Bone Marrow Assessment
    Item
    Is there bone marrow involvement
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C12431 (NCI Thesaurus ObjectClass)
    C0005953 (UMLS 2011AA ObjectClass)
    C25547 (NCI Thesaurus Property)
    CL.12
    Code List
    Is there bone marrow involvement
    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
    Was bone marrow biopsy done (If yes,)
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C15189 (NCI Thesaurus Property)
    C0005558 (UMLS 2011AA Property)
    C12431 (NCI Thesaurus ObjectClass)
    C0005953 (UMLS 2011AA ObjectClass)
    CL.13
    Code List
    Was bone marrow biopsy done (If yes,)
    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)
    CL Item
    Inadequate Sample (Inadequate sample)
    Item
    Bone Marrow Biopsy Result (If yes,)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C15189 (NCI Thesaurus ObjectClass)
    C0005558 (UMLS 2011AA ObjectClass)
    C12431 (NCI Thesaurus ObjectClass-2)
    C0005953 (UMLS 2011AA ObjectClass-2)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    CL.14
    Code List
    Bone Marrow Biopsy Result (If yes,)
    CL Item
    Involved (Involved)
    C25547 (NCI Thesaurus)
    CL Item
    Not Involved (Not Involved)
    CL Item
    Equivocal (Equivocal)
    C86071 (NCI Thesaurus)
    C0332241 (UMLS 2011AA)
    Item
    Was bone marrow aspirate done
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C12431 (NCI Thesaurus ObjectClass)
    C0005953 (UMLS 2011AA ObjectClass)
    C13347 (NCI Thesaurus Property)
    C0370199 (UMLS 2011AA Property)
    CL.15
    Code List
    Was bone marrow aspirate done
    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)
    CL Item
    Inadequate Sample (Inadequate sample)
    Item
    Bone Marrow Aspirate Result (If yes,)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C12431 (NCI Thesaurus ObjectClass)
    C0005953 (UMLS 2011AA ObjectClass)
    C13347 (NCI Thesaurus Property)
    C0370199 (UMLS 2011AA Property)
    C25651 (NCI Thesaurus ValueDomain-2)
    C0700287 (UMLS 2011AA ValueDomain-2)
    CL.16
    Code List
    Bone Marrow Aspirate Result (If yes,)
    CL Item
    Involved (Involved)
    C25547 (NCI Thesaurus)
    CL Item
    Not Involved (Not Involved)
    CL Item
    Equivocal (Equivocal)
    C86071 (NCI Thesaurus)
    C0332241 (UMLS 2011AA)
    LaboratoryProcedureBoneMarrowLymphocyteOutcomePercentageValue
    Item
    Marrow Lymphocytes (%)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C12431 (NCI Thesaurus Property)
    C0005953 (UMLS 2011AA Property)
    C12535 (NCI Thesaurus Property-2)
    C0024264 (UMLS 2011AA Property-2)
    C20200 (NCI Thesaurus Property-3)
    C1274040 (UMLS 2011AA Property-3)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    BoneMarrowPlasmaCellPercentageValue
    Item
    Marrow Plasma Cells (%)
    float
    C12431 (NCI Thesaurus ObjectClass)
    C0005953 (UMLS 2011AA ObjectClass)
    C13356 (NCI Thesaurus Property)
    C0032105 (UMLS 2011AA Property)
    C12508 (NCI Thesaurus Property-2)
    C0007634 (UMLS 2011AA Property-2)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    LaboratoryProcedureBoneMarrowLymphoplasmacytoidCellOutcomePercentageValue
    Item
    Marrow Lymphoplasmacytes (%)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C12431 (NCI Thesaurus Property)
    C0005953 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C37000 (NCI Thesaurus Property-3)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    Item
    Method of Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C16847 (NCI Thesaurus Property)
    CL.22
    Code List
    Method of Evaluation
    CL Item
    Clinical Examination (pe) (Clinical examination)
    CL Item
    Ct Scan (CT Scan)
    CL Item
    Spiral Ct Scan (Spiral CT Scan)
    CL Item
    Mri (MRI (NMR))
    CL Item
    Ultrasound (Ultrasound)
    C64384 (NCI Thesaurus)
    C1456803 (UMLS 2011AA)
    CL Item
    Pet Scan (PET scan)
    CL Item
    Gallium Scan (Gallium scan)
    C38087 (NCI Thesaurus)
    C0521316 (UMLS 2011AA)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    Item Group
    Waldenstrom's: Liver, Spleen, And Node Assessment
    Item
    Is there hepatomegaly
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C3100 (NCI Thesaurus ObjectClass)
    C0017924 (UMLS 2011AA ObjectClass)
    CL.18
    Code List
    Is there hepatomegaly
    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)
    CL Item
    Not Examined (Not examined)
    LiverSizeMeasurement
    Item
    Liver Measurement (If yes, cm)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    C12392 (NCI Thesaurus ObjectClass)
    C0023884 (UMLS 2011AA ObjectClass)
    C25681 (NCI Thesaurus Property)
    C0456389 (UMLS 2011AA Property)
    Item
    Liver Measurement Method
    text
    C25209 (NCI Thesaurus Property)
    C0242485 (UMLS 2011AA Property)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C12392 (NCI Thesaurus ObjectClass)
    C0023884 (UMLS 2011AA ObjectClass)
    CL.19
    Code List
    Liver Measurement Method
    CL Item
    From Costal Margin (from costal margin)
    CL Item
    From Total Span (from total span)
    HepatomegalyAssessmentDate
    Item
    Date of Liver Evaluation
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25367 (NCI Thesaurus ValueDomain-2)
    C3100 (NCI Thesaurus ObjectClass)
    C0017924 (UMLS 2011AA ObjectClass)
    Item
    Is the spleen enlarged
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C12432 (NCI Thesaurus ObjectClass)
    C0037993 (UMLS 2011AA ObjectClass)
    C0442800 (NCI Metathesaurus ObjectClass)
    CL.21
    Code List
    Is the spleen enlarged
    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)
    CL Item
    Surgically Absent (Surgically absent)
    CL Item
    Not Examined (Not examined)
    Item
    Method of Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C16847 (NCI Thesaurus Property)
    CL.22
    Code List
    Method of Evaluation
    CL Item
    Clinical Examination (pe) (Clinical examination)
    CL Item
    Ct Scan (CT Scan)
    CL Item
    Spiral Ct Scan (Spiral CT Scan)
    CL Item
    Mri (MRI (NMR))
    CL Item
    Ultrasound (Ultrasound)
    C64384 (NCI Thesaurus)
    C1456803 (UMLS 2011AA)
    CL Item
    Pet Scan (PET scan)
    CL Item
    Gallium Scan (Gallium scan)
    C38087 (NCI Thesaurus)
    C0521316 (UMLS 2011AA)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    SpleenSizeMeasurement
    Item
    Spleen Measurement (If yes, cm)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    C12432 (NCI Thesaurus ObjectClass)
    C0037993 (UMLS 2011AA ObjectClass)
    C25681 (NCI Thesaurus Property)
    C0456389 (UMLS 2011AA Property)
    Item
    Method of Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C16847 (NCI Thesaurus Property)
    CL.22
    Code List
    Method of Evaluation
    CL Item
    Clinical Examination (pe) (Clinical examination)
    CL Item
    Ct Scan (CT Scan)
    CL Item
    Spiral Ct Scan (Spiral CT Scan)
    CL Item
    Mri (MRI (NMR))
    CL Item
    Ultrasound (Ultrasound)
    C64384 (NCI Thesaurus)
    C1456803 (UMLS 2011AA)
    CL Item
    Pet Scan (PET scan)
    CL Item
    Gallium Scan (Gallium scan)
    C38087 (NCI Thesaurus)
    C0521316 (UMLS 2011AA)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    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)
    SplenomegalyAssessmentDate
    Item
    Date of Spleen Evaluation
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25367 (NCI Thesaurus ValueDomain-2)
    C3384 (NCI Thesaurus ObjectClass)
    C0038002 (UMLS 2011AA ObjectClass)
    Item
    Is there lymph node involvement
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25547 (NCI Thesaurus Property)
    CL.23
    Code List
    Is there lymph node involvement
    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
    Palpable Lymphadenopathy (If yes,)
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C16950 (NCI Thesaurus Property)
    C0030247 (UMLS 2011AA Property)
    C3206 (NCI Thesaurus ObjectClass)
    C0024228 (UMLS 2011AA ObjectClass)
    C25356 (NCI Thesaurus ValueDomain-2)
    C1301725 (UMLS 2011AA ValueDomain-2)
    CL.24
    Code List
    Palpable Lymphadenopathy (If yes,)
    CL Item
    Examination Performed And Lymphadenopathy Present (Yes)
    CL Item
    Examination Performed And Lymphadenopathy Absent (No)
    CL Item
    Examination Of Lymph Nodes Not Performed (Not examined)
    Item
    Lymphadenopathy by scan or x-ray
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C3206 (NCI Thesaurus ObjectClass)
    C0024228 (UMLS 2011AA ObjectClass)
    C19477 (NCI Thesaurus Property)
    C1704254 (UMLS 2011AA Property)
    C25356 (NCI Thesaurus ValueDomain-2)
    C1301725 (UMLS 2011AA ValueDomain-2)
    CL.25
    Code List
    Lymphadenopathy by scan or x-ray
    CL Item
    Examination Performed And Lymphadenopathy Present (Yes)
    CL Item
    Examination Performed And Lymphadenopathy Absent (No)
    CL Item
    Examination Of Lymph Nodes Not Performed (Not examined)
    Item
    Sites of Lymphadenopathy (If yes,)
    text
    C13717 (NCI Thesaurus ValueDomain)
    C1515974 (UMLS 2011AA ValueDomain)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25533 (NCI Thesaurus Property)
    C0442805 (UMLS 2011AA Property)
    C25681 (NCI Thesaurus Property-2)
    C0456389 (UMLS 2011AA Property-2)
    CL.26
    Code List
    Sites of Lymphadenopathy (If yes,)
    CL Item
    Orbital (Orbital)
    CL Item
    Cervical (Cervical)
    C12844 (NCI Thesaurus)
    C0205064 (UMLS 2011AA)
    CL Item
    Occipital (Occipital)
    CL Item
    Pre-auricular (Pre-auricular)
    CL Item
    Waldeyer's Ring (Waldeyer's ring)
    CL Item
    Paratracheal (Paratracheal)
    C25317 (NCI Thesaurus)
    C0442143 (UMLS 2011AA)
    CL Item
    Supraclavicular (Supraclavicular)
    C25329 (NCI Thesaurus)
    C0589496 (UMLS 2011AA)
    CL Item
    Infraclavicular (Infraclavicular)
    CL Item
    Epitrochlear (Epitrochlear)
    CL Item
    Pectoral (Pectoral)
    C25611 (NCI Thesaurus)
    C1521735 (UMLS 2011AA)
    CL Item
    Axillary/brachial (Axillary/Brachial)
    CL Item
    Mediastinal (Mediastinal)
    C25310 (NCI Thesaurus)
    C1522718 (UMLS 2011AA)
    CL Item
    Hilar (Hilar)
    C25724 (NCI Thesaurus)
    C0205150 (UMLS 2011AA)
    CL Item
    Splenic Hilar (Splenic hilar)
    CL Item
    Porta Hepatis (Porta hepatis)
    C0227498 (NCI Metathesaurus)
    CL Item
    Celiac Axis/retrocrural (Celiac axis/Retrocrural)
    CL Item
    Para-aortic (Para-aortic)
    CL Item
    Porta Caval (Porta caval)
    CL Item
    Mesenteric (Mesenteric)
    C25226 (NCI Thesaurus)
    C0025474 (UMLS 2011AA)
    CL Item
    External/internal Iliac (External/internal iliac)
    CL Item
    Inguinal/femoral (Inguinal/Femoral)
    CL Item
    Popliteal (Popliteal)
    C0442037 (NCI Metathesaurus)
    CL Item
    Common Pelvic (Common pelvic)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    LymphNodeIncreaseSizeSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25533 (NCI Thesaurus Property)
    C0442805 (UMLS 2011AA Property)
    C25681 (NCI Thesaurus Property-2)
    C0456389 (UMLS 2011AA Property-2)
    Item Group
    Waldenstrom's: Objective Response Assessment
    Item
    Objective Status at This Evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C3242 (NCI Thesaurus ObjectClass)
    C0026764 (UMLS 2011AA ObjectClass)
    CL.27
    Code List
    Objective Status at This Evaluation
    CL Item
    Complete Response (Complete Response)
    CL Item
    Objective Response (Objective Response)
    CL Item
    Partial Response (Partial Response)
    C18212 (NCI Thesaurus)
    CL Item
    Minor Response (Minor Response)
    CL Item
    Stable Disease (Stable Disease)
    C18213 (NCI Thesaurus)
    C0677946 (UMLS 2011AA)
    CL Item
    Progressive Disease (Progressive Disease)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS 2011AA)
    CL Item
    Unevaluable (Unevaluable)
    C62222 (NCI Thesaurus)
    C1883425 (UMLS 2011AA)
    Item Group
    Comments
    Research Comments
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
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