As of 20 Dec 2019, the CDISC Glossary, Protocol Entities, CDASH, SDTM, SEND and ADaM Controlled Terminology files have been updated on the NCI-EVS Ftp site. Additionally, the new subset of Define-XML terminology files has been added to the NCI-EVS Ftp site. The version dates of the new files are 2019-12-20.  These terminology files replace all older CDISC Glossary, Protocol Entities, CDASH, SDTM, SEND and ADaM files and include terms from Review Package 40. There are approximately 78 new QRS terms and 387 new terms across CDISC Glossary, Protocol Entities, SDTM, SEND, ADaM, and Define-XML.