As of 27 Sept 2019 the Protocol Entities, SDTM, and SEND Controlled Terminology files have been updated on the NCI-EVS Ftp site. The version dates of the new files are 2019-09-27.  These terminology files replace all older Protocol Entities, SDTM, and SEND files and include terms from Review Package 39. There are approximately 154 new QRS terms and 580 new terms across Protocol Entities, SDTM and SEND.