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  1. StudyEvent: ACNS0122: Relapse/Progression Worksheet
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Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header
Institution Name
Item
Institution Name
text
C25191 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
Person Completing Form
Item
Institution Personnel
text
C25191 (NCI Thesaurus ValueDomain)
C1550483 (UMLS CUI-1)
C25657 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
Patient Birth Date
Item
Date of Birth
date
C25164 (NCI Thesaurus ValueDomain)
C0421451 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain-2)
C25155 (NCI Thesaurus Property)
Protocol ID COG
Item
COG Study No
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1516477 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
PatientCOGIdentifierNumber
Item
COG Patient ID
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)
PatientAccessionNumber
Item
Patient Accession Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25402 (NCI Thesaurus Property)
C1510755 (UMLS 2011AA Property)
Form Completion Date
Item
Form Original Complete 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)
Amendment date
Item
Date From Amended
date
C19464 (NCI Thesaurus ObjectClass)
C0680532 (UMLS CUI-1)
C25250 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25416 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
Item Group
Date of relapse or progression
ProgressionRelapseBeginDate
Item
Date of relapse or progression
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
Item Group
Type Of Recurrence/progression
Neoplasm recurrence, Local
Item
Recurrence/progression of original involved sites?
boolean
C19987 (NCI Thesaurus ObjectClass)
C0027643 (UMLS CUI-1)
C67263 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property-2)
C15220 (NCI Thesaurus Property-3)
C38148 (NCI Thesaurus ValueDomain)
Neoplasm Recurrence, locoregional
Item
Recurrence/progression in previously uninvolved neural site?
boolean
C19987 (NCI Thesaurus ObjectClass)
C0027643 (UMLS CUI-1)
C25388 (NCI Thesaurus Property)
C25509 (NCI Thesaurus Property-2)
C15220 (NCI Thesaurus Property-3)
C38148 (NCI Thesaurus ValueDomain)
FirstProgressionDistantPresentInd-3
Item
Extra-neural recurrence/progression?
boolean
C19987 (NCI Thesaurus ObjectClass)
C0242656 (UMLS 2011AA ObjectClass)
C25321 (NCI Thesaurus Property)
C0443203 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property-2)
C1279901 (UMLS 2011AA Property-2)
C15220 (NCI Thesaurus Property-3)
C0011900 (UMLS 2011AA Property-3)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
Item Group
Sites Of Involvement
SupratentorialInvolvementInd-3
Item
Supratentorial [involved?]
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
C12923 (NCI Thesaurus ObjectClass)
C0441938 (UMLS 2011AA ObjectClass)
Item
Supratentorial [indicate sites involved]
text
CL111053 (NCI Metathesaurus Property)
Code List
Supratentorial [indicate sites involved]
CL Item
Frontal Lobe (Frontal lobe)
C12352 (NCI Thesaurus)
C0016733 (UMLS 2011AA)
CL Item
Parietal Lobe (Parietal lobe)
C12354 (NCI Thesaurus)
C0030560 (UMLS 2011AA)
CL Item
Temporal Lobe (Temporal lobe)
C12353 (NCI Thesaurus)
C0039485 (UMLS 2011AA)
CL Item
Occipital Lobe (Occipital lobe)
C12355 (NCI Thesaurus)
C0028785 (UMLS 2011AA)
CL Item
Basal Ganglia-thalamus (Basal ganglia-thalamus)
CL Item
Hypothalamus-optic Chiasm (Hypothalamus-optic chiasm)
CL Item
Optic Nerve (Optic nerve)
C12761 (NCI Thesaurus)
C0029130 (UMLS 2011AA)
CL Item
Pineal (Pineal)
CL Item
Corpus Callosum (Corpus callosum)
C12446 (NCI Thesaurus)
C0010090 (UMLS 2011AA)
CL Item
Suprasellar (Suprasellar)
CL095451 (NCI Metathesaurus)
CL Item
Lateral Ventricle (Lateral ventricle)
C12834 (NCI Thesaurus)
C0152279 (UMLS 2011AA)
CL Item
Third Ventricle (Third ventricle)
C12827 (NCI Thesaurus)
C0149555 (UMLS 2011AA)
CL Item
Aqueduct Of Sylvius (Aqueduct of sylvius)
C32135 (NCI Thesaurus)
C0007769 (UMLS 2011AA)
CL Item
Supratentorial Leptomeninges (Leptomeningeal)
CL Item
Other, Specify (Other)
SupratentorialInvolvedSiteSpecify
Item
specify [other supratentorial site] (If 1, 2 or 3)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
CL111053 (NCI Metathesaurus Property)
InfratentorialInvolvementInd-3
Item
Infratentorial [involved?]
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
CL211504 (NCI Metathesaurus ObjectClass)
Item
Infratentorial [indicate sites involved]
text
CL111053 (NCI Metathesaurus Property)
Code List
Infratentorial [indicate sites involved]
CL Item
Midbrain (Midbrain)
C0025462 (NCI Metathesaurus)
CL Item
Pons (Pons)
C0032639 (NCI Metathesaurus)
CL Item
Medulla (Medulla)
CL Item
Dorsal Exophytic Brainstem (Dorsal exophytic brainstem)
CL Item
Cerebellar Peduncle (Cerebellar penducle)
C0228515 (NCI Metathesaurus)
CL Item
Cerebellar Hemisphere (Cerebellar hemisphere)
C0228465 (NCI Metathesaurus)
CL Item
Cerebellar Vermis (Cerebellar vermis)
CL Item
Fourth Ventricle (Fourth ventricle)
C12828 (NCI Thesaurus)
C0149556 (UMLS 2011AA)
CL Item
Cisterna Magna (Cisterna magna)
C32324 (NCI Thesaurus)
C0008841 (UMLS 2011AA)
CL Item
Infratentorial Leptomeninges (Leptomeningeal)
CL Item
Other, Specify (Other)
InfratentorialInvolvedSiteSpecify
Item
specify [other infratentorial site] (If 1, 2 or 3)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
CL111053 (NCI Metathesaurus Property)
Item
Ttype of involvement?
text
C25284 (NCI Thesaurus ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C25548 (NCI Thesaurus Property)
C0332307 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
C1314939 (UMLS CUI-3)
Code List
Ttype of involvement?
CL Item
Recurrence/progressive Disease (Recurrence/Progressive disease)
CL Item
New Tumor/lesion Site (New tumor site)
CL Item
Existing/non-progressive Tumor (Existing/Non-progressive tumor)
CL Item
Uninvolved (uninvolved)
Item
Ttype of involvement?
text
C25284 (NCI Thesaurus ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C25548 (NCI Thesaurus Property)
C0332307 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
C1314939 (UMLS CUI-3)
Code List
Ttype of involvement?
CL Item
Recurrence/progressive Disease (Recurrence/Progressive disease)
CL Item
New Tumor/lesion Site (New tumor site)
CL Item
Existing/non-progressive Tumor (Existing/Non-progressive tumor)
CL Item
Uninvolved (uninvolved)
Item
Ttype of involvement?
text
C25284 (NCI Thesaurus ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C25548 (NCI Thesaurus Property)
C0332307 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
C1314939 (UMLS CUI-3)
Code List
Ttype of involvement?
CL Item
Recurrence/progressive Disease (Recurrence/Progressive disease)
CL Item
New Tumor/lesion Site (New tumor site)
CL Item
Existing/non-progressive Tumor (Existing/Non-progressive tumor)
CL Item
Uninvolved (uninvolved)
Item
Ttype of involvement?
text
C25284 (NCI Thesaurus ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C25548 (NCI Thesaurus Property)
C0332307 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
C1314939 (UMLS CUI-3)
Code List
Ttype of involvement?
CL Item
Recurrence/progressive Disease (Recurrence/Progressive disease)
CL Item
New Tumor/lesion Site (New tumor site)
CL Item
Existing/non-progressive Tumor (Existing/Non-progressive tumor)
CL Item
Uninvolved (uninvolved)
SpinalCordInvolvementInd-3
Item
SPINAL CORD [involved?]
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Item
SPINAL CORD [indicate sites involved]
text
CL111053 (NCI Metathesaurus Property)
Code List
SPINAL CORD [indicate sites involved]
CL Item
Cervical (Cervical)
C12844 (NCI Thesaurus)
C0205064 (UMLS 2011AA)
CL Item
Thoracic Lumbosacral (Thoracic)
CL Item
Conus (Conus)
C0598489 (NCI Metathesaurus)
CL Item
Cauda Equina (Cauda equina)
C12689 (NCI Thesaurus)
C0007458 (UMLS 2011AA)
CL Item
Spinal Cord Leptomeninges (Leptomeningeal)
CL Item
Other, Specify (Other)
SpinalCordInvolvedSiteSpecify
Item
specify [other spinal cord site] (If 1, 2 or 3)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
CL111053 (NCI Metathesaurus Property)
DuraInvolvementInd-3
Item
DURA [involved?] (Incl. Falx and Tentorium)
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Item
DURA [indicate sites involved]
text
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Code List
DURA [indicate sites involved]
CL Item
Nodular (Nodular)
CL Item
Diffuse (Diffuse)
C14175 (NCI Thesaurus)
C0205219 (UMLS 2011AA)
Item
Was CSF positive?
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C12692 (NCI Thesaurus ObjectClass)
C0007806 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
Code List
Was CSF positive?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (Not done/Unknown)
C17998 (NCI Thesaurus)
C0439673 (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)
Item Group
Ccrr Module For Acns0122: Relapse/progression Worksheet

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