ID
17749
Beschreibung
ODM derived from 20pp EBMT Arthritis 14JIA forms on http://www.ebmt.org/
Link
Stichworte
Versionen (1)
- 02.10.16 02.10.16 -
Hochgeladen am
2. Oktober 2016
DOI
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Lizenz
Creative Commons BY-NC 3.0
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Genereral information EBMT JUVENILE IDIOPATHIC ARTHRITIS (JIA)
Genereral information EBMT JUVENILE IDIOPATHIC ARTHRITIS (JIA)
- StudyEvent: ODM
Beschreibung
Patient
Alias
- UMLS CUI-1
- C0030705
Beschreibung
Unique identification code
Datentyp
text
Alias
- UMLS CUI [1]
- C1827636
Beschreibung
Hospital Unique Patient number or code
Datentyp
text
Alias
- UMLS CUI [1]
- C1827636
Beschreibung
Initials
Datentyp
text
Alias
- UMLS CUI [1]
- C2986440
Beschreibung
Patient Firstname
Datentyp
text
Alias
- UMLS CUI [1]
- C0421447
Beschreibung
Patient Surname
Datentyp
text
Alias
- UMLS CUI [1]
- C0421448
Beschreibung
Date of birth
Datentyp
date
Alias
- UMLS CUI [1]
- C0421451
Beschreibung
Gender
Datentyp
text
Alias
- UMLS CUI [1]
- C0079399
Beschreibung
AB0 Group
Datentyp
text
Alias
- UMLS CUI [1]
- C0000778
Beschreibung
Rhesus Factor
Datentyp
text
Alias
- UMLS CUI [1]
- C0427641
Beschreibung
Disease
Alias
- UMLS CUI-1
- C0012634
Beschreibung
Date of diagnosis
Datentyp
date
Alias
- UMLS CUI [1]
- C2316983
Beschreibung
Primary Disease Diagnosis
Datentyp
text
Alias
- UMLS CUI [1]
- C0277554
Beschreibung
Primary Disease Diagnosis
Datentyp
text
Alias
- UMLS CUI [1]
- C0277554
Beschreibung
INITIAL DIAGNOSIS
Beschreibung
SUBCLASSIFICATION AT DIAGNOSIS
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0011900
- UMLS CUI [1,2]
- C0008902
Beschreibung
DISEASE STATUS
Datentyp
integer
Alias
- UMLS CUI [1]
- C0421168
Beschreibung
LABORATORY DATA
Datentyp
integer
Alias
- UMLS CUI [1]
- C0022885
Beschreibung
AUTOANTIBODIES
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0004358
Beschreibung
Specify antibody
Datentyp
integer
Alias
- UMLS CUI [1]
- C0003241
Beschreibung
FIRST LINE THERAPIES
Beschreibung
DISEASE MODIFYING DRUGS AND IMMUNOSUPPRESSANTS
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0013227
- UMLS CUI [2]
- C0021081
Beschreibung
Yes, mark appropriate box(es)
Datentyp
integer
Alias
- UMLS CUI [1]
- C0013227
- UMLS CUI [2]
- C0021081
Beschreibung
COMPLICATIONS DUE TO TOXICITY FROM CONVENTIONAL TREATMENT
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0040539
Beschreibung
if yes, splease specify:
Datentyp
integer
Alias
- UMLS CUI [1]
- C0040539
Beschreibung
DATE OF HSCT
Beschreibung
STATUS OF DISEASE AT MOBILISATION
Beschreibung
Eular/ACR 28 joint count, which comprises bilateral shoulders, elbows, wrists, MCPs, PIPs and knees. Appendix B.2)
Datentyp
integer
Alias
- UMLS CUI [1]
- C0240094
Beschreibung
Eular/ACR 28 joint count, see above
Datentyp
integer
Alias
- UMLS CUI [1]
- C0152031
Beschreibung
(Appendix B.3)
Datentyp
text
Alias
- UMLS CUI [1]
- C0449820
Beschreibung
Was morning stiffness present?
Datentyp
integer
Alias
- UMLS CUI [1]
- C0457086
Beschreibung
Patient's weight
Datentyp
integer
Maßeinheiten
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschreibung
Patient's height
Datentyp
integer
Maßeinheiten
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschreibung
Patient's weight one year prior to time of mobilisation
Datentyp
integer
Maßeinheiten
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschreibung
Patient's height one year prior to time of mobilisation
Datentyp
integer
Maßeinheiten
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschreibung
HAEMATOLOGICAL VALUES
Beschreibung
Haemoglobin
Datentyp
text
Maßeinheiten
- g/dL
Alias
- UMLS CUI [1]
- C0518015
Beschreibung
Erythrocyte sedimentation rate
Datentyp
integer
Maßeinheiten
- mm/hr
Alias
- UMLS CUI [1]
- C1176468
Beschreibung
Platelets
Datentyp
integer
Maßeinheiten
- 109/L
Alias
- UMLS CUI [1]
- C0005821
Beschreibung
WBC
Datentyp
integer
Alias
- UMLS CUI [1]
- C0023508
Beschreibung
CLINICAL AND LABORATORY DATA
Beschreibung
Serum creatinine
Datentyp
integer
Maßeinheiten
- mol/l
Alias
- UMLS CUI [1]
- C0201976
Beschreibung
Serum AST
Datentyp
integer
Maßeinheiten
- IU/l
Alias
- UMLS CUI [1]
- C0004002
Beschreibung
Serum ALT
Datentyp
integer
Alias
- UMLS CUI [1]
- C0001899
Beschreibung
Serum albumin
Datentyp
integer
Maßeinheiten
- g/dl
Alias
- UMLS CUI [1]
- C0036773
Beschreibung
Serum alkaline phosphatase
Datentyp
integer
Maßeinheiten
- U/l
Alias
- UMLS CUI [1]
- C0201850
Beschreibung
Total serum bilirubin
Datentyp
integer
Alias
- UMLS CUI [1]
- C1278039
Beschreibung
C-reactive protein
Datentyp
integer
Alias
- UMLS CUI [1]
- C0006560
Beschreibung
AUTOANTIBODIES
Beschreibung
RADIOGRAPHIC EVALUATION
Beschreibung
Were radiographic bone erosions present?
Datentyp
integer
Alias
- UMLS CUI [1]
- C0587240
Beschreibung
Was advanced skeletal age of affected joints noted radiographically?
Datentyp
integer
Alias
- UMLS CUI [1]
- C3661538
Beschreibung
Presence of osteoporotic fractures
Datentyp
integer
Alias
- UMLS CUI [1]
- C0521170
Beschreibung
HEALTH ASSESSMENT
Beschreibung
HEALTH ASSESSMENT QUESTIONNAIRE OR SURVEY COMPLETED
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0451208
Beschreibung
PATIENT’S SELF ASSESSMENT
Datentyp
integer
Alias
- UMLS CUI [1]
- C1256021
Beschreibung
Childhood Health Assessment Questionnaire (CHAQ) completed?
Datentyp
integer
Alias
- UMLS CUI [1]
- C2732494
Beschreibung
Specify range of possible scores for the CHAQ pain sub-scale
Datentyp
integer
Alias
- UMLS CUI [1]
- C2960434
Beschreibung
Specify range of possible scores for the CHAQ disability sub-scale
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
Beschreibung
Specify range of possible scores for the CHAQ severity sub-scale
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
- UMLS CUI [1,3]
- C0439793
Beschreibung
PHYSICIAN’S ASSESSMENT
Beschreibung
Did the physician complete a Global Assessment of the patient’s state?
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0281858
Beschreibung
If yes: Specify range of possible scores for Physician Rated Global Assessment
Datentyp
integer
Alias
- UMLS CUI [1]
- C0281858
Beschreibung
DISEASE RESPONSE TO THE MOBILISATION TUMRSA2
Datentyp
integer
Alias
- UMLS CUI [1]
- C1704632
Beschreibung
STATUS OF DISEASE AT HSCT
Beschreibung
Eular/ACR 28 joint count, which comprises bilateral shoulders, elbows, wrists, MCPs, PIPs and knees. Appendix B.2)
Datentyp
integer
Alias
- UMLS CUI [1]
- C0240094
Beschreibung
Eular/ACR 28 joint count, see above
Datentyp
integer
Alias
- UMLS CUI [1]
- C0152031
Beschreibung
(Appendix B.3)
Datentyp
text
Alias
- UMLS CUI [1]
- C0449820
Beschreibung
Was morning stiffness present?
Datentyp
integer
Alias
- UMLS CUI [1]
- C0457086
Beschreibung
Patient's weight
Datentyp
integer
Maßeinheiten
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschreibung
Patient's height
Datentyp
integer
Maßeinheiten
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschreibung
Patient's weight one year prior to time of mobilisation
Datentyp
integer
Maßeinheiten
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschreibung
Patient's height one year prior to time of mobilisation
Datentyp
integer
Maßeinheiten
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschreibung
Haemoglobin
Datentyp
text
Maßeinheiten
- g/dL
Alias
- UMLS CUI [1]
- C0518015
Beschreibung
Erythrocyte sedimentation rate
Datentyp
integer
Maßeinheiten
- mm/hr
Alias
- UMLS CUI [1]
- C1176468
Beschreibung
Platelets
Datentyp
integer
Maßeinheiten
- 109/L
Alias
- UMLS CUI [1]
- C0005821
Beschreibung
WBC
Datentyp
integer
Alias
- UMLS CUI [1]
- C0023508
Beschreibung
Serum creatinine
Datentyp
integer
Maßeinheiten
- mol/l
Alias
- UMLS CUI [1]
- C0201976
Beschreibung
Serum AST
Datentyp
integer
Maßeinheiten
- IU/l
Alias
- UMLS CUI [1]
- C0004002
Beschreibung
Serum ALT
Datentyp
integer
Alias
- UMLS CUI [1]
- C0001899
Beschreibung
Serum albumin
Datentyp
integer
Maßeinheiten
- g/dl
Alias
- UMLS CUI [1]
- C0036773
Beschreibung
Serum alkaline phosphatase
Datentyp
integer
Maßeinheiten
- U/l
Alias
- UMLS CUI [1]
- C0201850
Beschreibung
Total serum bilirubin
Datentyp
integer
Alias
- UMLS CUI [1]
- C1278039
Beschreibung
C-reactive protein
Datentyp
integer
Alias
- UMLS CUI [1]
- C0006560
Beschreibung
Were tests for autoantibodies done between diagnosis and mobilisation/transplant?
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0004358
Beschreibung
Specify antibody
Datentyp
integer
Beschreibung
Were radiographic bone erosions present?
Datentyp
integer
Alias
- UMLS CUI [1]
- C0587240
Beschreibung
Was advanced skeletal age of affected joints noted radiographically?
Datentyp
integer
Alias
- UMLS CUI [1]
- C3661538
Beschreibung
Presence of osteoporotic fractures
Datentyp
integer
Alias
- UMLS CUI [1]
- C0521170
Beschreibung
HEALTH ASSESSMENT QUESTIONNAIRE OR SURVEY COMPLETED
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0451208
Beschreibung
PATIENT’S SELF ASSESSMENT
Datentyp
integer
Alias
- UMLS CUI [1]
- C1256021
Beschreibung
Childhood Health Assessment Questionnaire (CHAQ) completed?
Datentyp
integer
Alias
- UMLS CUI [1]
- C2732494
Beschreibung
Specify range of possible scores for the CHAQ pain sub-scale
Datentyp
integer
Alias
- UMLS CUI [1]
- C2960434
Beschreibung
Specify range of possible scores for the CHAQ disability sub-scale
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
Beschreibung
Specify range of possible scores for the CHAQ severity sub-scale
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
- UMLS CUI [1,3]
- C0439793
Beschreibung
Yes, mark appropriate box(es)
Datentyp
integer
Alias
- UMLS CUI [1]
- C0013227
- UMLS CUI [2]
- C0021081
Beschreibung
COMPLICATIONS DUE TO TOXICITY FROM CONVENTIONAL TREATMENT
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0040539
Beschreibung
if yes, splease specify:
Datentyp
integer
Alias
- UMLS CUI [1]
- C0040539
Beschreibung
STATUS AT 100 DAYS POST-HSCT
Beschreibung
Eular/ACR 28 joint count, which comprises bilateral shoulders, elbows, wrists, MCPs, PIPs and knees. Appendix B.2)
Datentyp
integer
Alias
- UMLS CUI [1]
- C0240094
Beschreibung
Eular/ACR 28 joint count, see above
Datentyp
integer
Alias
- UMLS CUI [1]
- C0152031
Beschreibung
(Appendix B.3)
Datentyp
text
Alias
- UMLS CUI [1]
- C0449820
Beschreibung
Was morning stiffness present?
Datentyp
integer
Alias
- UMLS CUI [1]
- C0457086
Beschreibung
Patient's weight
Datentyp
integer
Maßeinheiten
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschreibung
Patient's height
Datentyp
integer
Maßeinheiten
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschreibung
Patient's weight one year prior to time of mobilisation
Datentyp
integer
Maßeinheiten
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschreibung
Patient's height one year prior to time of mobilisation
Datentyp
integer
Maßeinheiten
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschreibung
Haemoglobin
Datentyp
text
Maßeinheiten
- g/dL
Alias
- UMLS CUI [1]
- C0518015
Beschreibung
Erythrocyte sedimentation rate
Datentyp
integer
Maßeinheiten
- mm/hr
Alias
- UMLS CUI [1]
- C1176468
Beschreibung
Platelets
Datentyp
integer
Maßeinheiten
- 109/L
Alias
- UMLS CUI [1]
- C0005821
Beschreibung
WBC
Datentyp
integer
Alias
- UMLS CUI [1]
- C0023508
Beschreibung
Serum creatinine
Datentyp
integer
Maßeinheiten
- mol/l
Alias
- UMLS CUI [1]
- C0201976
Beschreibung
Serum AST
Datentyp
integer
Maßeinheiten
- IU/l
Alias
- UMLS CUI [1]
- C0004002
Beschreibung
Serum ALT
Datentyp
integer
Alias
- UMLS CUI [1]
- C0001899
Beschreibung
Serum albumin
Datentyp
integer
Maßeinheiten
- g/dl
Alias
- UMLS CUI [1]
- C0036773
Beschreibung
Serum alkaline phosphatase
Datentyp
integer
Maßeinheiten
- U/l
Alias
- UMLS CUI [1]
- C0201850
Beschreibung
Total serum bilirubin
Datentyp
integer
Alias
- UMLS CUI [1]
- C1278039
Beschreibung
C-reactive protein
Datentyp
integer
Alias
- UMLS CUI [1]
- C0006560
Beschreibung
Were tests for autoantibodies done between diagnosis and mobilisation/transplant?
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0004358
Beschreibung
Specify antibody
Datentyp
integer
Beschreibung
Were radiographic bone erosions present?
Datentyp
integer
Alias
- UMLS CUI [1]
- C0587240
Beschreibung
Was advanced skeletal age of affected joints noted radiographically?
Datentyp
integer
Alias
- UMLS CUI [1]
- C3661538
Beschreibung
Presence of osteoporotic fractures
Datentyp
integer
Alias
- UMLS CUI [1]
- C0521170
Beschreibung
HEALTH ASSESSMENT QUESTIONNAIRE OR SURVEY COMPLETED
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0451208
Beschreibung
PATIENT’S SELF ASSESSMENT
Datentyp
integer
Alias
- UMLS CUI [1]
- C1256021
Beschreibung
Childhood Health Assessment Questionnaire (CHAQ) completed?
Datentyp
integer
Alias
- UMLS CUI [1]
- C2732494
Beschreibung
Specify range of possible scores for the CHAQ pain sub-scale
Datentyp
integer
Alias
- UMLS CUI [1]
- C2960434
Beschreibung
Specify range of possible scores for the CHAQ disability sub-scale
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
Beschreibung
Specify range of possible scores for the CHAQ severity sub-scale
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
- UMLS CUI [1,3]
- C0439793
Beschreibung
Yes, mark appropriate box(es)
Datentyp
integer
Alias
- UMLS CUI [1]
- C0013227
- UMLS CUI [2]
- C0021081
Beschreibung
COMPLICATIONS DUE TO TOXICITY FROM CONVENTIONAL TREATMENT
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0040539
Beschreibung
if yes, splease specify:
Datentyp
integer
Alias
- UMLS CUI [1]
- C0040539
Beschreibung
FORMS TO BE FILLED IN
Ähnliche Modelle
Genereral information EBMT JUVENILE IDIOPATHIC ARTHRITIS (JIA)
- StudyEvent: ODM
C0008902 (UMLS CUI [1,2])
C0021081 (UMLS CUI [2])
C0021081 (UMLS CUI [2])
C0011008 (UMLS CUI [1,2])
C1522166 (UMLS CUI-2)
C1299381 (UMLS CUI-2)
C0459443 (UMLS CUI [1,2])
C1522166 (UMLS CUI-2)
C1299381 (UMLS CUI-2)
C0459443 (UMLS CUI [1,2])
C0439793 (UMLS CUI [1,3])
C1522166 (UMLS CUI-2)
C1299381 (UMLS CUI-2)
C1522166 (UMLS CUI-2)
C1299381 (UMLS CUI-2)
C1522166 (UMLS CUI-2)
C1299381 (UMLS CUI-2)
C0459443 (UMLS CUI [1,2])
C1522166 (UMLS CUI-2)
C1299381 (UMLS CUI-2)
C0459443 (UMLS CUI [1,2])
C0439793 (UMLS CUI [1,3])
C1522166 (UMLS CUI-2)
C1299381 (UMLS CUI-2)
C0021081 (UMLS CUI [2])
C1522166 (UMLS CUI-2)
C1299381 (UMLS CUI-2)
C0459443 (UMLS CUI [1,2])
C1522166 (UMLS CUI-2)
C1299381 (UMLS CUI-2)
C0459443 (UMLS CUI [1,2])
C0439793 (UMLS CUI [1,3])
C1522166 (UMLS CUI-2)
C1299381 (UMLS CUI-2)
C0021081 (UMLS CUI [2])