ID
15798
Beschrijving
reference: http://www.ebmt.org/Contents/Data-Management/Registrystructure/MED-ABdatacollectionforms/Pages/MED-AB-data-collection-forms.aspx DOCUMENTED PATHOGENS (Use this table for guidance on the pathogens of interest) Bacteria: S. pneumoniae, Other gram positive (i.e.: other streptococci, staphylococci, listeria …), Haemophilus influenzae, Other gram negative (i.e.: E. coli klebsiella, proteus, serratia, pseudomonas …), Legionella sp, Mycobacteria sp, Other Fungi:Candida sp, Aspergillus sp, Pneumocystis carinii, Other Parasites: Toxoplasma gondii, Other Viruses: HSV, VZV, EBV, CMV, HHV-6, RSV, Other respiratory virus (influenza, parainfluenza,rhinovirus), Adenovirus, HBV, HCV, HIV, Papovavirus, Parvovirus, Other
Link
Trefwoorden
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- 13-06-16 13-06-16 -
Geüploaded op
13 juni 2016
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Licentie
Creative Commons BY-NC 3.0
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FOLLOW UP EBMT Lymphoma
FOLLOW UP EBMT Lymphoma
- StudyEvent: ODM
Beschrijving
GRAFT VERSUS HOST DISEASE (GvHD) SINCE LAST REPORT
Beschrijving
Maximum Grade of Acute GVHD
Datatype
integer
Alias
- UMLS CUI [1]
- C0441799
Beschrijving
ACUTE GRAFT VERSUS HOST DISEASE (AGVHD)
Datatype
integer
Beschrijving
Reason for aGvHD
Datatype
text
Alias
- UMLS CUI [1,1]
- C0392360
- UMLS CUI [1,2]
- C0856825
Beschrijving
Date onset of this episode
Datatype
date
Maateenheden
- yyyy/mm/dd
Alias
- UMLS CUI [1]
- C0574845
Beschrijving
Acute graft versus host disease in skin
Datatype
integer
Alias
- UMLS CUI [1]
- C1739372
Beschrijving
Acute graft versus host disease in liver
Datatype
integer
Alias
- UMLS CUI [1]
- C1739104
Beschrijving
Acute graft versus host disease in intestine
Datatype
integer
Alias
- UMLS CUI [1]
- C1737219
Beschrijving
aGvHD Resolution
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0856825
- UMLS CUI [1,2]
- C1514893
Beschrijving
aGvHD Date of resolution
Datatype
date
Maateenheden
- yyyy/mm/dd
Alias
- UMLS CUI [1,1]
- C0856825
- UMLS CUI [1,2]
- C1514893
- UMLS CUI [1,3]
- C0011008
Beschrijving
Presence of cGvHD
Datatype
integer
Alias
- UMLS CUI [1]
- C0867389
Beschrijving
Presence of cGVHD
Datatype
integer
Alias
- UMLS CUI [1]
- C0867389
Beschrijving
Date of onset
Datatype
date
Alias
- UMLS CUI [1]
- C0574845
Beschrijving
cGvHD grade
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0867389
- UMLS CUI [1,2]
- C0441800
Beschrijving
Organs affected
Datatype
integer
Alias
- UMLS CUI [1]
- C0449642
Beschrijving
Date of Resolution
Datatype
date
Alias
- UMLS CUI [1,1]
- C1514893
- UMLS CUI [1,2]
- C0011008
Beschrijving
OTHER COMPLICATIONS SINCE LAST REPORT
Beschrijving
Infection related complications
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0009450
- UMLS CUI [1,2]
- C0009566
Beschrijving
Use the list of pathogens listed after this table for guidance.
Datatype
integer
Alias
- UMLS CUI [1]
- C0004610
- UMLS CUI [2]
- C0085082
- UMLS CUI [3]
- C0042749
- UMLS CUI [4]
- C0030498
Beschrijving
Use the list of pathogens listed after this table for guidance.
Datatype
integer
Alias
- UMLS CUI [1]
- C0036983
Beschrijving
Use the list of pathogens listed after this table for guidance.
Datatype
integer
Alias
- UMLS CUI [1]
- C0035222
Beschrijving
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatype
integer
Alias
- UMLS CUI [1]
- C0026766
Beschrijving
Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatype
integer
Alias
- UMLS CUI [1]
- C0032285
Beschrijving
Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatype
integer
Alias
- UMLS CUI [1]
- C0019158
Beschrijving
Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatype
integer
Alias
- UMLS CUI [1]
- C0007684
Beschrijving
Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatype
integer
Alias
- UMLS CUI [1]
- C0178238
Beschrijving
Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatype
integer
Alias
- UMLS CUI [1]
- C0037278
Beschrijving
Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatype
integer
Alias
- UMLS CUI [1]
- C0010692
Beschrijving
Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatype
integer
Alias
- UMLS CUI [1]
- C0205394
Beschrijving
Non infection related complications
Datatype
boolean
Alias
- UMLS CUI [1]
- C0009566
Beschrijving
NON INFECTION RELATED COMPLICATIONS
Datatype
integer
Alias
- UMLS CUI [1]
- C1504431
Beschrijving
VOD
Datatype
integer
Alias
- UMLS CUI [1]
- C0948441
Beschrijving
Cataract
Datatype
integer
Alias
- UMLS CUI [1]
- C0086543
Beschrijving
Haemorrhagic cystitis, non infectious
Datatype
integer
Alias
- UMLS CUI [1]
- C0085692
Beschrijving
ARDS, non infectious
Datatype
integer
Alias
- UMLS CUI [1]
- C1963227
Beschrijving
Multiorgan failure, non infectious
Datatype
integer
Alias
- UMLS CUI [1]
- C0026766
Beschrijving
HSCT-associated microangiopathy
Datatype
integer
Alias
- UMLS CUI [1]
- C0155765
Beschrijving
Renal failure requiring dialysis
Datatype
integer
Alias
- UMLS CUI [1]
- C0035078
Beschrijving
Haemolytic anaemia due to blood group
Datatype
integer
Alias
- UMLS CUI [1]
- C0002878
Beschrijving
Aseptic bone necrosis
Datatype
integer
Alias
- UMLS CUI [1]
- C0158452
Beschrijving
Graft loss
Datatype
integer
Alias
- UMLS CUI [1]
- C0877042
Beschrijving
Overall chimaerism
Datatype
integer
Alias
- UMLS CUI [1]
- C0333678
Beschrijving
DATE(S) AND RESULTS OF ALL TESTS DONE FOR ALL DONORS
Beschrijving
Date of Test
Datatype
date
Alias
- UMLS CUI [1]
- C2826247
Beschrijving
Identification
Datatype
text
Alias
- UMLS CUI [1]
- C1718162
Beschrijving
Number in the infusion order (if applicable)
Datatype
integer
Alias
- UMLS CUI [1]
- C2348184
Beschrijving
Test used FISH Molecular Cytogenetic ABO group Other: …………………… unknown
Datatype
integer
Maateenheden
- %
Alias
- UMLS CUI [1,1]
- C0449475
- UMLS CUI [1,2]
- C0022885
Beschrijving
Laboratory tests
Datatype
integer
Alias
- UMLS CUI [1]
- C0022885
Beschrijving
Specification other labaratory tests
Datatype
text
Alias
- UMLS CUI [1,1]
- C0022885
- UMLS CUI [1,2]
- C2348235
Beschrijving
SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFERATIVE DISORDER DIAGNOSED
Datatype
integer
Alias
- UMLS CUI [1]
- C3266877
- UMLS CUI [2]
- C0024314
- UMLS CUI [3]
- C0027022
Beschrijving
Diagnosis
Datatype
integer
Alias
- UMLS CUI [1]
- C0011900
Beschrijving
ADDITIONAL THERAPIES SINCE LAST FOLLOW UP
Beschrijving
Additional treatment
Datatype
boolean
Alias
- UMLS CUI [1]
- C1706712
Beschrijving
if yes, date started
Datatype
date
Alias
- UMLS CUI [1,1]
- C1706712
- UMLS CUI [1,2]
- C0808070
Beschrijving
One cell therapy regimen is defined as any number of infusions given within 10 weeks for the same indication. If more than one regimen of cell therapy has been given since last report, copy this section and complete it as many times as necessary.
Datatype
integer
Alias
- UMLS CUI [1]
- C0302189
Beschrijving
Disease status before this cellular therapy
Datatype
integer
Alias
- UMLS CUI [1]
- C3899365
Beschrijving
If CELLULAR THERAPY was administered, please indicate:
Datatype
integer
Alias
- UMLS CUI [1]
- C0302189
Beschrijving
Number of cells infused by type DLI only
Datatype
integer
Alias
- UMLS CUI [1]
- C1512034
Beschrijving
Chronological number
Datatype
float
Alias
- UMLS CUI [1]
- C2348184
Beschrijving
Indication
Datatype
text
Alias
- UMLS CUI [1,1]
- C3146298
- UMLS CUI [1,2]
- C0302189
Beschrijving
(within 10 weeks)
Datatype
float
Alias
- UMLS CUI [1,1]
- C2348184
- UMLS CUI [1,2]
- C0574032
Beschrijving
after this infusion but before any further infusion / HSCT): AGVHGRMX
Datatype
integer
Alias
- UMLS CUI [1]
- C0856825
Beschrijving
(apart from donor cell infusion or other type of cell therapy)
Datatype
integer
Alias
- UMLS CUI [1]
- C0087111
Beschrijving
Pharmacotherapy
Datatype
boolean
Alias
- UMLS CUI [1]
- C0013216
Beschrijving
Radiotherapy
Datatype
text
Alias
- UMLS CUI [1]
- C1522449
Beschrijving
Other treatment
Datatype
text
Alias
- UMLS CUI [1]
- C0087111
Beschrijving
FIRST EVIDENCE OF RELAPSE OR PROGRESSION SINCE LAST HSCT
Beschrijving
Relapse or Progression
Datatype
integer
Alias
- UMLS CUI [1]
- C0035020
- UMLS CUI [2]
- C0242656
Beschrijving
Last Disease Status
Datatype
integer
Alias
- UMLS CUI [1]
- C0456079
Beschrijving
Conception
Datatype
integer
Alias
- UMLS CUI [1]
- C0032961
Beschrijving
Survival Status
Datatype
integer
Alias
- UMLS CUI [1]
- C1148433
Beschrijving
Performance Score
Datatype
integer
Alias
- UMLS CUI [1]
- C1518965
Beschrijving
performance status
Datatype
integer
Alias
- UMLS CUI [1]
- C1518965
Beschrijving
Cause of Death
Datatype
text
Alias
- UMLS CUI [1]
- C0007465
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
text
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C0018133
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
text
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C0206061
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
text
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C0919924
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C0009450
Beschrijving
Infection HSCT
Datatype
integer
Beschrijving
(check as many as appropriate)
Datatype
integer
Alias
- UMLS CUI [1]
- C0018129
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C0948441
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C0019080
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C0876994
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C3160947
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C1142499
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C1167791
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C0035078
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C0026766
Beschrijving
If dead and HSCT related cause of death, specify (check as many as apppropriate):
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0007465
Beschrijving
ADDITIONAL NOTES IF APPLICABLE
Similar models
FOLLOW UP EBMT Lymphoma
- StudyEvent: ODM
C0011008 (UMLS CUI [1,2])
C0687695 (UMLS CUI-2)
C0441802 (UMLS CUI-2)
C0687695 (UMLS CUI-2)
C0687695 (UMLS CUI-2)
C0856825 (UMLS CUI-2)
C1514893 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,2])
C0009566 (UMLS CUI [1,2])
C0085082 (UMLS CUI [2])
C0042749 (UMLS CUI [3])
C0030498 (UMLS CUI [4])
C0301944 (UMLS CUI-2)
C0022885 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C0024314 (UMLS CUI [2])
C0027022 (UMLS CUI [3])
C0808070 (UMLS CUI [1,2])
C0007584 (UMLS CUI-2)
C0302189 (UMLS CUI [1,2])
C0087111 (UMLS CUI-2)
C0574032 (UMLS CUI [1,2])
C0242656 (UMLS CUI [2])
C0242656 (UMLS CUI-3)
C0206061 (UMLS CUI [1,2])
C0948441 (UMLS CUI [1,2])
C3160947 (UMLS CUI [1,2])
C1142499 (UMLS CUI [1,2])
C0026766 (UMLS CUI [1,2])
C0007465 (UMLS CUI [1,2])