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"NE" (Not Evaluable) is a standard result in the Oncology Response Assessment Result codelist (ONCRSR) which is applicable to RECIST 1.1. Therefore, in RS, "NE" (Not Evaluable) is a valid RSORRES/RSSTRESC for RSTEST = "Overall Response". For RS, a suppqual for "Reason Response Not Evaluable" (REASNERSREASNE) has been used in some examples. However, in TR, the current modeling for NE (not evaluable) results follows the approach where TRSTAT is populated with "NOT DONE".  TRSTAT = "NOT DONE" means that the result was missing and the reason that the result was missing is mapped to TRREASND. The TRREASND values cover reasons such as scan was not performed or the various reason that the tumor was not evaluable. This modelling does not always explicitly or consistently identify the tumors which are not evaluable but some of the examples include "NOT EVALUABLE" in the TRREASND.

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The supprs.xpt table below shows the data on the reason that the response was not evaluable (QNAM = "REASNERSREASNE") in the case where the reason is collected.

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Row 1: Show that the QVAL for Reason Response Not Evaluable (QNAM = "REASNERSREASNE").  

Dataset2
RowSTUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
1EX11111RS90001RSSEQ3RSREASNEReason Response Not EvaluableImaging quality issues and not all scan performedCRF

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The supptu.xpt table below shows the data on whether a tumor was previously irradiated (QNAM = "PRVIRTUPRVIR") and whether that tumor was shown to be progressing since it was irradiated (QNAM = "PRVIRPTUPRVIRP"). 

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Rows 1-3: Show that the target lesions with TUSEQs equal to "1", "2" and "3" where not previously irradiated.
Rows 4-5: Show that that target lesion with TUSEQ = "4" was previously irradiated and shown to be progressing since it was irradiated.

Dataset2
Row STUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
 1EX11111TU90001TUSEQ1PRVIRTUPRVIRPreviously Irradiated IndicatorNCRF
 2EX11111TU90001TUSEQ2PRVIRTUPRVIRPreviously Irradiated IndicatorNCRF
 3EX11111TU90001TUSEQ3PRVIRTUPRVIRPreviously Irradiated IndicatorNCRF
 4EX11111TU90001TUSEQ4PRVIRTUPRVIRPreviously Irradiated IndicatorYCRF
 5EX11111TU90001TUSEQ4PRVIRPTUPRVIRPPreviously Irradiated ProgressionYCRF

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The supptu.xpt table below shows the textual data on the location detail (QNAM = "LOCDTLTULOCDTL"). 

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Row 1: Shows that the target lesion in the liver with TUSEQ = "1" is located in segment 5 of the liver as described by radiologist 1.
Row 2: Shows that the non-target lesion in the abdominal cavity with TUSEQ = "3" is located in the back of the abdomen as described by radiologist 1.

Row 3: Shows that the target lesion in the liver with TUSEQ = "5" is located in the lower part of segment 5 as described by radiologist 2.

Dataset2
Row STUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
 1EX44444TU90004TUSEQ1LOCDTLTULOCDTLLocation DetailSegment 5CRF
 2EX44444TU90004TUSEQ3LOCDTLTULOCDTLLocation DetailBack of the abdomenCRF
 3EX44444TU90004TUSEQ5LOCDTLTULOCDTLLocation DetailLower part of Segment 5CRF

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Row 1: Shows that the subject has no target tumors (TUTESTCD = "TIND"), i.e., the subject does not have measurable disease.

Row 2: Shows that the subject has non-target tumors (TUTESTCD = "NTIND"). The subject has non-measurable only disease.

Rows 3-5: Show the identification of 3 non-target lesions for a subject with non-target disease only. See below for details on on the tumor presentation type (QNAM = "PRTYPTUPRTYP") supplemental qualifier.

Dataset2
RowSTUDYIDDOMAINUSUBJIDTUSEQTUREFIDTULNKIDTUTESTCDTUTESTTUORRESTUSTRESCTULOCTUMETHODTUEVALEPOCHVISITNUMVISITTUDTCTUDY
1EX77777TU900071

TINDTarget IndicatorNN

INVESTIGATORSCREEN10SCREENING2010-01-041
2EX77777TU900072

NTINDNon-Target IndicatorYY

INVESTIGATORSCREEN10SCREENING2010-01-041
3EX77777TU900073IMG-00001NT01TUMIDENTTumor IdentificationNON-TARGETNON-TARGETBRAINMRIINVESTIGATORSCREEN10SCREENING2010-01-041
4EX77777TU900074IMG-00002NT02TUMIDENTTumor IdentificationNON-TARGETNON-TARGETSKELETAL MUSCLE TISSUEMRIINVESTIGATORSCREEN10SCREENING2010-01-041
5EX77777TU900075IMG-00002NT03TUMIDENTTumor IdentificationNON-TARGETNON-TARGETPERICARDIUMMRIINVESTIGATORSCREEN10SCREENING2010-01-041

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The supptu.xpt table below shows the data to describe the disease presentation of a non-target tumor, when needed. The tumor presentation type (QNAM = "PRTYPTUPRTYP") supplemental qualifier is used and controlled terminology is available (DSPRTYP). In addition, this example shows the plane of measurement and the slice number where the lesions was identified, when needed.

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Row 1: Shows that the presentation of the disease in the brain is leptomeningeal carcinomatosis, i.e., for the non-target site in the brain (TULNKID = "NT01"), the QVAL is "LEPTOMENINGEAL DISEASE".

Rows 2-3: Show the anatomical plane (QNAM = "ANTPLNTUANTPLN") and the slice number (QNAM = "SLNUMTUSLNUM") where the brain non-target lesion (TULNKID = "NT01") was identified.

Rows 4-5: Show the anatomical plane (QNAM = "ANTPLNTUANTPLN") and the slice number (QNAM = "SLNUMTUSLNUM") where the skeletal muscle tissue non-target lesion (TULNKID = "NT02") was identified.
Row 6: Shows that the presentation of the disease in the pericardium is effusion, i.e., for the non-target site in the pericardium (TULNKID = "NT03"), the QVAL is "EFFUSION".

Dataset2
RowSTUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
1EX77777TU90007TUSEQ3PRTYPTUPRTYPTumor or Lesion Presentation TypeLEPTOMENINGEAL DISEASECRF
2EX77777TU90007TUSEQ3ANTPLNTUANTPLNAnatomical PlaneSAGITTALCRF
3EX77777TU90007TUSEQ3SLNUMTUSLNUMSlice Number55CRF
4EX77777TU90007TUSEQ4ANTPLNTUANTPLNAnatomical PlaneSAGITTALCRF
5EX77777TU90007TUSEQ4SLNUMTUSLNUMSlice Number88-91CRF
6EX77777TU90007TUSEQ4PRTYPTUPRTYPTumor or Lesion Presentation TypeEFFUSIONCRF

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The supppr.xpt table below shows the data to represent the multiple locations covered by the MRI. The Anatomical Location 1 and Anatomical Location 2 (QNAM = "LOC1PRLOC1" and QNAM = "LOC2PRLOC2") supplemental qualifiers are used and controlled terminology is available (LOC).

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Rows 1-2: Show the 2 locations of the MRI at screening for PRSEQ = "1" where QNAM = "LOC1PRLOC1" with QVAL = "HEAD" and QNAM = "LOC2PRLOC2" with QVAL = "CHEST".

Row 3: Shows the slice thickness (QNAM = "SLTHKPRSLTHK") of the MRI at screening for PRSEQ = "1".

Rows 4-5: Show the 2 locations of the MRI at week 6 for PRSEQ = "3" where QNAM = "LOC1PRLOC1" with QVAL = "HEAD" and QNAM = "LOC2PRLOC2" with QVAL = "CHEST".

Row 6: Shows the slice thickness (QNAM = "SLTHKPRSLTHK") of the MRI at week 6 for PRSEQ = "3".

Rows 7-8: Show the 2 locations of the MRI at week 12 for PRSEQ = "5" where QNAM = "LOC1PRLOC1" with QVAL = "HEAD" and QNAM = "LOC2PRLOC2" with QVAL = "CHEST".

Row 9: Shows the slice thickness (QNAM = "SLTHKPRSLTHK") of the MRI at week 12 for PRSEQ = "5". 

Row 10: Shows the overall image quality issue (QNAM = "OIQPROIQ") of the MRI at week 12 for PRSEQ = "5". 

Dataset2
RowSTUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
1EX77777PR90007PRSEQ1
LOC1
PRLOC1Anatomical Location 1HEADCRF
2EX77777PR90007PRSEQ1
LOC2
PRLOC2Anatomical Location 2CHESTCRF
3EX77777PR90007PRSEQ1
SLTHK
PRSLTHKSlice Thickness5 mmCRF
4EX77777PR90007PRSEQ3
LOC1
PRLOC1Anatomical Location 1HEADCRF
5EX77777PR90007PRSEQ3
LOC2
PRLOC2Anatomical Location 2CHESTCRF
6EX77777PR90007PRSEQ3
SLTHK
PRSLTHKSlice Thickness5 mmCRF
7EX77777PR90007PRSEQ5
LOC1
PRLOC1Anatomical Location 1HEADCRF
8EX77777PR90007PRSEQ5
LOC2
PRLOC2Anatomical Location 2CHESTCRF
9EX77777PR90007PRSEQ5
SLTHK
PRSLTHKSlice Thickness5 mmCRF
10EX77777PR90007PRSEQ5
OIQ
PROIQOverall Image QualityMotion issues and lesions where obscuredCRF
11EX77777PR90007PRSEQ7
LOC1
PRLOC1Anatomical Location 1HEADCRF
12EX77777PR90007PRSEQ7
LOC2
PRLOC2Anatomical Location 2CHESTCRF
13EX77777PR90007PRSEQ7
SLTHK
PRSLTHKSlice Thickness5 mmCRF

4.8 Example 8: RECIST 1.1 example to show response (RS) data and the underlying tumor identification (TU) and tumor results (TR) data based on an independent assessment. This example shows data from a breast cancer study in a metastatic setting.  

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The supptu.xpt table below shows the data to describe the disease presentation of a non-target tumor, when needed. The tumor presentation type (QNAM = "PRTYPTUPRTYP") supplemental qualifier is used and controlled terminology is available (DSPRTYP).

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Row 1: Shows that the presentation of the disease in the pleural cavity is effusion, i.e., for the non-target site in the pleural cavity (TULOC = "PLEURAL CAVITY" and TULNKID = "NT02"), the QVAL is "EFFUSION".

Dataset2
Row STUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
 1EX88888TU900080TUSEQ3PRTYPTUPRTYPTumor or Lesion Presentation TypeEFFUSIONCRF

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The supppr.xpt table below shows the data to represent the multiple locations covered by the CT SCAN. The Anatomical Location 1 and Anatomical Location 2 (QNAM = "LOC1PRLOC1" and QNAM = "LOC2PRLOC2") supplemental qualifiers are used and controlled terminology is available (LOC).

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Rows 1-2: Show the 2 locations of the CT SCAN for PRSEQ = "1" where QNAM = "LOC1PRLOC1" with QVAL = "CHEST" and QNAM = "LOC2PRLOC2" with QVAL = "ABDOMEN".

Rows 3-6: Show the 2 locations of the CT SCAN for PRSEQ 4 and 7.

Dataset2
RowSTUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
1EX88888PR90008PRSEQ1LOC1PRLOC1Anatomical Location 1CHESTeDC
2EX88888PR90008PRSEQ1LOC2PRLOC2Anatomical Location 2ABDOMENeDC
3EX88888PR90008PRSEQ4LOC1PRLOC1Anatomical Location 1CHESTeDC
4EX88888PR90008PRSEQ4LOC2PRLOC2Anatomical Location 2ABDOMENeDC
5EX88888PR90008PRSEQ7LOC1PRLOC1Anatomical Location 1CHESTeDC
6EX88888PR90008PRSEQ7LOC2PRLOC2Anatomical Location 2ABDOMENeDC

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