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9433

Beschreibung

Off Protocol Therapy Follow-up (OPTF) Report (Master) [ADVL0212] FR901228 in Treating Children With Refractory or Recurrent Solid Tumors or Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B24316ED-D5DA-16A3-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B24316ED-D5DA-16A3-E034-0003BA12F5E7

Stichworte

  1. 26.08.12 26.08.12 -
  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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Creative Commons BY-NC 3.0 Legacy

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    Brain and Central Nervous System Tumors NCT00053963 Off Treatment - Off Protocol Therapy Follow-up (OPTF) Report (Master) [ADVL0212] - 2077867v3.0

    No Instruction available.

    1. StudyEvent: Off Protocol Therapy Follow-up (OPTF) Report (Master) [ADVL0212]
      1. No Instruction available.
    Header
    Beschreibung

    Header

    Institution
    Beschreibung

    Institution Name

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass
    C21541
    NCI Thesaurus ValueDomain-2
    C21541
    NCI Thesaurus Property
    C25364
    CRA Name
    Beschreibung

    CRAName

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ObjectClass
    C25465
    UMLS 2011AA ObjectClass
    C1516627
    COG Number
    Beschreibung

    PatientCOGIdentifierNumber

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus Property-2
    C39353
    UMLS 2011AA Property-2
    C1516477
    Study Number (All studies for which the patient has registered will appear on the RDE Screen.)
    Beschreibung

    Protocol ID COG

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1516477
    NCI Thesaurus Property
    C25364
    Today's date
    Beschreibung

    Form Completion Date

    Datentyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C19464
    UMLS CUI-1
    C1549507
    NCI Thesaurus Property
    C25250
    NCI Thesaurus Property-2
    C25604
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25367
    Date worksheet entered into RDE
    Beschreibung

    DataEnteredDate

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C25474
    UMLS 2011AA ObjectClass
    C1511726
    NCI Thesaurus Property
    C37949
    UMLS 2011AA Property
    C1521975
    Patient Status Information
    Beschreibung

    Patient Status Information

    Date of Previous Contact (If the patient's records reflect a date of last contact which disagrees with the displayed date of previous contact,)
    Beschreibung

    PatientPriorContactDate

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25461
    UMLS 2011AA Property
    C0337611
    enter the date of previous contact according to the patient's records (mm/dd/yyyy)
    Beschreibung

    PatientPriorContactRecordDate

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25461
    UMLS 2011AA Property
    C0337611
    Please provide some text to explain the possible nature of the disagrement.
    Beschreibung

    PatientPriorContactText

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25461
    UMLS 2011AA Property
    C0337611
    Date of Last Contact (mm/dd/yyyy)
    Beschreibung

    Date last contact

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C0805839
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus Property
    C25461
    Life Status at the Date of Last Contact
    Beschreibung

    Patient Status

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-1
    C3846084
    NCI Thesaurus ValueDomain
    C18003
    NCI Thesaurus ValueDomain-2
    C25688
    NCI Thesaurus Property
    C25365
    Disease Status at the end of the reporting period (Select one)
    Beschreibung

    DiseaseStatusType

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus Property
    C25365
    UMLS 2011AA Property
    C0678257
    Has patient received anti-cancer therapy since the last OPTF report submission? (If the patient received anti-cancer therapy during this reporting period,)
    Beschreibung

    Non-protocolTherapyAdministeredInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus ObjectClass-2
    C25590
    UMLS 2011AA ObjectClass
    C1518384
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    select the type of treatment from this list (If the patient received anti-cancer therapy during this reporting period,)
    Beschreibung

    Non-protocolTherapyAdministeredType

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    describe [anti-cancer therapy]
    Beschreibung

    Non-protocolTherapyAdministeredText

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Events Of Interest
    Beschreibung

    Events Of Interest

    Did the patient relapse or experience disease progression during the reporting period? (If yes,)
    Beschreibung

    DiseaseProgressionInd-3

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C25331
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    date of relapse or progression (mm/dd/ccyy)
    Beschreibung

    DiseaseProgressionDate

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus Property
    C25331
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Did the patient experience a second malignant neoplasm during the reporting period? (If yes,)
    Beschreibung

    NewCancerDiagnosisInd-3

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C25586
    UMLS 2011AA ObjectClass
    C0205314
    NCI Thesaurus ObjectClass-2
    C9305
    UMLS 2011AA ObjectClass-2
    C0006826
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    date of second malignant neoplasm (mm/dd/ccyy)
    Beschreibung

    NewCancerDiagnosisDate

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    Did the patient withdraw consent for follow-up at the end of the reporting period? (Note: Withdrawal of consent is to be coded only when the patient no longer wants to participate in the study and asks data no longer be submitted.)
    Beschreibung

    PatientWithdrawFollow-upConsentInd-2

    Datentyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C16033
    UMLS 2011AA Property
    C1522577
    NCI Thesaurus Property-2
    C25460
    UMLS 2011AA Property-2
    C1511481
    NCI Thesaurus Property-3
    C38061
    UMLS 2011AA Property-3
    C2349954
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Was the patient confirmed lost to follow-up at the end of the reporting period?
    Beschreibung

    PatientLostFollow-upInd-2

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25560
    UMLS 2011AA Property
    C0745777
    NCI Thesaurus Property-2
    C16033
    UMLS 2011AA Property-2
    C1522577
    Was the patient enrolled on another COG therapeutic study at the end of the reporting period? (If disease status was evaluated during this interval,)
    Beschreibung

    PatientOtherEnrollmentInd-2

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25171
    UMLS 2011AA Property
    C0013893
    what was the patient's response?
    Beschreibung

    OverallTumorResponseType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C25605
    UMLS 2011AA ObjectClass-2
    C1561607
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    Did patient receive radiation therapy during this reporting period? (If yes,)
    Beschreibung

    RadiationTherapyReportingPeriodReceivedInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C15313
    UMLS 2011AA ObjectClass
    C1522449
    NCI Thesaurus Property
    C25616
    UMLS 2011AA Property
    C1948053
    NCI Thesaurus Property-2
    C25639
    UMLS 2011AA Property-2
    C1514756
    NCI Thesaurus Property-3
    C25651
    UMLS 2011AA Property-3
    C0700287
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    specify sites [radiation therapy]
    Beschreibung

    Radiation Therapy Body Site

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1997599
    NCI Thesaurus Property
    C25341
    NCI Thesaurus ObjectClass
    C15313
    Did patient receive PBSC transfusion? (If yes,)
    Beschreibung

    PBSCTransfusionReceivedInd-2

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25639
    UMLS 2011AA Property
    C1514756
    NCI Thesaurus ObjectClass
    C15408
    what date(s) did the transfusion(s) take place?
    Beschreibung

    PBSCTransfusionReceivedDate

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C25639
    UMLS 2011AA Property
    C1514756
    NCI Thesaurus ObjectClass
    C15408
    COMMENT
    Beschreibung

    Research Comments

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    Ccrr Module For Off Protocol Therapy Follow-up (optf) Report (master) [advl0212]
    Beschreibung

    Ccrr Module For Off Protocol Therapy Follow-up (optf) Report (master) [advl0212]

    Ähnliche Modelle

    No Instruction available.

    1. StudyEvent: Off Protocol Therapy Follow-up (OPTF) Report (Master) [ADVL0212]
      1. No Instruction available.
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    Header
    Institution Name
    Item
    Institution
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C21541 (NCI Thesaurus ValueDomain-2)
    C25364 (NCI Thesaurus Property)
    CRAName
    Item
    CRA Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1547383 (UMLS 2011AA ValueDomain)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25465 (NCI Thesaurus ObjectClass)
    C1516627 (UMLS 2011AA ObjectClass)
    PatientCOGIdentifierNumber
    Item
    COG Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C39353 (NCI Thesaurus Property-2)
    C1516477 (UMLS 2011AA Property-2)
    Protocol ID COG
    Item
    Study Number (All studies for which the patient has registered will appear on the RDE Screen.)
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1516477 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    Form Completion Date
    Item
    Today's date
    date
    C19464 (NCI Thesaurus ObjectClass)
    C1549507 (UMLS CUI-1)
    C25250 (NCI Thesaurus Property)
    C25604 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    DataEnteredDate
    Item
    Date worksheet entered into RDE
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25474 (NCI Thesaurus ObjectClass)
    C1511726 (UMLS 2011AA ObjectClass)
    C37949 (NCI Thesaurus Property)
    C1521975 (UMLS 2011AA Property)
    Item Group
    Patient Status Information
    PatientPriorContactDate
    Item
    Date of Previous Contact (If the patient's records reflect a date of last contact which disagrees with the displayed date of previous contact,)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25461 (NCI Thesaurus Property)
    C0337611 (UMLS 2011AA Property)
    PatientPriorContactRecordDate
    Item
    enter the date of previous contact according to the patient's records (mm/dd/yyyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25461 (NCI Thesaurus Property)
    C0337611 (UMLS 2011AA Property)
    PatientPriorContactText
    Item
    Please provide some text to explain the possible nature of the disagrement.
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25461 (NCI Thesaurus Property)
    C0337611 (UMLS 2011AA Property)
    Date last contact
    Item
    Date of Last Contact (mm/dd/yyyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0805839 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25367 (NCI Thesaurus ValueDomain-2)
    C25461 (NCI Thesaurus Property)
    Item
    Life Status at the Date of Last Contact
    text
    C16960 (NCI Thesaurus ObjectClass)
    C3846084 (UMLS CUI-1)
    C18003 (NCI Thesaurus ValueDomain)
    C25688 (NCI Thesaurus ValueDomain-2)
    C25365 (NCI Thesaurus Property)
    Code List
    Life Status at the Date of Last Contact
    CL Item
    Alive (Alive)
    CL Item
    Dead (Dead)
    Item
    Disease Status at the end of the reporting period (Select one)
    text
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C25365 (NCI Thesaurus Property)
    C0678257 (UMLS 2011AA Property)
    Code List
    Disease Status at the end of the reporting period (Select one)
    CL Item
    Residual Disease After Prior Therapy (No disease present)
    CL Item
    Eradicated But Recurred Locally And Distantly (Disease present)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Non-protocolTherapyAdministeredInd-3
    Item
    Has patient received anti-cancer therapy since the last OPTF report submission? (If the patient received anti-cancer therapy during this reporting period,)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C15368 (NCI Thesaurus ObjectClass)
    C25590 (NCI Thesaurus ObjectClass-2)
    C1518384 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Item
    select the type of treatment from this list (If the patient received anti-cancer therapy during this reporting period,)
    text
    C15368 (NCI Thesaurus ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Code List
    select the type of treatment from this list (If the patient received anti-cancer therapy during this reporting period,)
    CL Item
    Chemotherapy (Chemotherapy)
    C15632 (NCI Thesaurus)
    C0392920 (UMLS 2011AA)
    CL Item
    Transplant (Transplant)
    C0040733 (NCI Metathesaurus)
    CL Item
    External Beam Radiation (XRT)
    CL Item
    Surgery (Surgery)
    C17173 (NCI Thesaurus)
    C0038894 (UMLS 2011AA)
    CL Item
    Extensive Radiation (Extensive Radiation)
    C16230 (NCI Thesaurus)
    C1517030 (UMLS 2011AA)
    CL Item
    Limited Radiation (Limited Radiation)
    CL Item
    Radiation (nos) (Radiation (NOS))
    CL Item
    Prior Therapy (nos) (Prior Therapy (NOS))
    CL Item
    Other Therapy (Other)
    C15645 (NCI Thesaurus)
    C0418967 (UMLS 2011AA)
    CL Item
    Immunotherapy (Immunotherapy)
    C15262 (NCI Thesaurus)
    C0021083 (UMLS 2011AA)
    CL Item
    Stem Cell Transplant (Stem Cell Transplant)
    CL Item
    Gene Therapy (Gene Therapy)
    C15238 (NCI Thesaurus)
    C0017296 (UMLS 2011AA)
    CL Item
    No Prior Therapy (No Prior Therapy)
    C15903 (NCI Thesaurus)
    C1518341 (UMLS 2011AA)
    CL Item
    Bone Marrow Transplant (Bone Marrow Transplant)
    CL Item
    Anti-retroviral Therapy (Anti-retroviral Therapy)
    CL Item
    Antisense (Antisense)
    CL Item
    Oncolytic Virotherapy (Oncolytic Virotherapy)
    CL Item
    Vaccine (Vaccine)
    C923 (NCI Thesaurus)
    C0042210 (UMLS 2011AA)
    CL Item
    Chemotherapy Non-cytotoxic (Chemotherapy Non-cytotoxic)
    Non-protocolTherapyAdministeredText
    Item
    describe [anti-cancer therapy]
    text
    C15368 (NCI Thesaurus ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Item Group
    Events Of Interest
    Item
    Did the patient relapse or experience disease progression during the reporting period? (If yes,)
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25331 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    Code List
    Did the patient relapse or experience disease progression during the reporting period? (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)
    DiseaseProgressionDate
    Item
    date of relapse or progression (mm/dd/ccyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    C25331 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    Item
    Did the patient experience a second malignant neoplasm during the reporting period? (If yes,)
    text
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25586 (NCI Thesaurus ObjectClass)
    C0205314 (UMLS 2011AA ObjectClass)
    C9305 (NCI Thesaurus ObjectClass-2)
    C0006826 (UMLS 2011AA ObjectClass-2)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    Code List
    Did the patient experience a second malignant neoplasm during the reporting period? (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)
    NewCancerDiagnosisDate
    Item
    date of second malignant neoplasm (mm/dd/ccyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    PatientWithdrawFollow-upConsentInd-2
    Item
    Did the patient withdraw consent for follow-up at the end of the reporting period? (Note: Withdrawal of consent is to be coded only when the patient no longer wants to participate in the study and asks data no longer be submitted.)
    boolean
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C16033 (NCI Thesaurus Property)
    C1522577 (UMLS 2011AA Property)
    C25460 (NCI Thesaurus Property-2)
    C1511481 (UMLS 2011AA Property-2)
    C38061 (NCI Thesaurus Property-3)
    C2349954 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    PatientLostFollow-upInd-2
    Item
    Was the patient confirmed lost to follow-up at the end of the reporting period?
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25560 (NCI Thesaurus Property)
    C0745777 (UMLS 2011AA Property)
    C16033 (NCI Thesaurus Property-2)
    C1522577 (UMLS 2011AA Property-2)
    PatientOtherEnrollmentInd-2
    Item
    Was the patient enrolled on another COG therapeutic study at the end of the reporting period? (If disease status was evaluated during this interval,)
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25171 (NCI Thesaurus Property)
    C0013893 (UMLS 2011AA Property)
    Item
    what was the patient's response?
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25605 (NCI Thesaurus ObjectClass-2)
    C1561607 (UMLS 2011AA ObjectClass-2)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    Code List
    what was the patient's response?
    CL Item
    Complete Response (Complete Response)
    CL Item
    Partial Response (Partial Response)
    C18212 (NCI Thesaurus)
    CL Item
    Stable Disease (Stable Disease)
    C18213 (NCI Thesaurus)
    C0677946 (UMLS 2011AA)
    CL Item
    Partial Response (Progressive Disease)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS 2011AA)
    C18212 (NCI Thesaurus-3)
    CL Item
    Insufficient Evaluation (Not Evaluable)
    CL Item
    Death Prior To Completion Of Protocol Criteria (Early death)
    CL Item
    Progressive Disease (PD)
    C35571 (NCI Thesaurus)
    C1335499 (UMLS 2011AA)
    RadiationTherapyReportingPeriodReceivedInd-3
    Item
    Did patient receive radiation therapy during this reporting period? (If yes,)
    boolean
    C15313 (NCI Thesaurus ObjectClass)
    C1522449 (UMLS 2011AA ObjectClass)
    C25616 (NCI Thesaurus Property)
    C1948053 (UMLS 2011AA Property)
    C25639 (NCI Thesaurus Property-2)
    C1514756 (UMLS 2011AA Property-2)
    C25651 (NCI Thesaurus Property-3)
    C0700287 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    Radiation Therapy Body Site
    Item
    specify sites [radiation therapy]
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1997599 (UMLS CUI-1)
    C25341 (NCI Thesaurus Property)
    C15313 (NCI Thesaurus ObjectClass)
    PBSCTransfusionReceivedInd-2
    Item
    Did patient receive PBSC transfusion? (If yes,)
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25639 (NCI Thesaurus Property)
    C1514756 (UMLS 2011AA Property)
    C15408 (NCI Thesaurus ObjectClass)
    PBSCTransfusionReceivedDate
    Item
    what date(s) did the transfusion(s) take place?
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25639 (NCI Thesaurus Property)
    C1514756 (UMLS 2011AA Property)
    C15408 (NCI Thesaurus ObjectClass)
    Research Comments
    Item
    COMMENT
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    Item Group
    Ccrr Module For Off Protocol Therapy Follow-up (optf) Report (master) [advl0212]

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