ID
17749
Beschrijving
ODM derived from 20pp EBMT Arthritis 14JIA forms on http://www.ebmt.org/
Link
Trefwoorden
Versies (1)
- 02-10-16 02-10-16 -
Geüploaded op
2 oktober 2016
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
Genereral information EBMT JUVENILE IDIOPATHIC ARTHRITIS (JIA)
Genereral information EBMT JUVENILE IDIOPATHIC ARTHRITIS (JIA)
- StudyEvent: ODM
Beschrijving
Patient
Alias
- UMLS CUI-1
- C0030705
Beschrijving
Unique identification code
Datatype
text
Alias
- UMLS CUI [1]
- C1827636
Beschrijving
Hospital Unique Patient number or code
Datatype
text
Alias
- UMLS CUI [1]
- C1827636
Beschrijving
Initials
Datatype
text
Alias
- UMLS CUI [1]
- C2986440
Beschrijving
Patient Firstname
Datatype
text
Alias
- UMLS CUI [1]
- C0421447
Beschrijving
Patient Surname
Datatype
text
Alias
- UMLS CUI [1]
- C0421448
Beschrijving
Date of birth
Datatype
date
Alias
- UMLS CUI [1]
- C0421451
Beschrijving
Gender
Datatype
text
Alias
- UMLS CUI [1]
- C0079399
Beschrijving
AB0 Group
Datatype
text
Alias
- UMLS CUI [1]
- C0000778
Beschrijving
Rhesus Factor
Datatype
text
Alias
- UMLS CUI [1]
- C0427641
Beschrijving
Disease
Alias
- UMLS CUI-1
- C0012634
Beschrijving
Date of diagnosis
Datatype
date
Alias
- UMLS CUI [1]
- C2316983
Beschrijving
Primary Disease Diagnosis
Datatype
text
Alias
- UMLS CUI [1]
- C0277554
Beschrijving
Primary Disease Diagnosis
Datatype
text
Alias
- UMLS CUI [1]
- C0277554
Beschrijving
INITIAL DIAGNOSIS
Beschrijving
SUBCLASSIFICATION AT DIAGNOSIS
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0011900
- UMLS CUI [1,2]
- C0008902
Beschrijving
DISEASE STATUS
Datatype
integer
Alias
- UMLS CUI [1]
- C0421168
Beschrijving
LABORATORY DATA
Datatype
integer
Alias
- UMLS CUI [1]
- C0022885
Beschrijving
AUTOANTIBODIES
Datatype
boolean
Alias
- UMLS CUI [1]
- C0004358
Beschrijving
Specify antibody
Datatype
integer
Alias
- UMLS CUI [1]
- C0003241
Beschrijving
FIRST LINE THERAPIES
Beschrijving
DISEASE MODIFYING DRUGS AND IMMUNOSUPPRESSANTS
Datatype
boolean
Alias
- UMLS CUI [1]
- C0013227
- UMLS CUI [2]
- C0021081
Beschrijving
Yes, mark appropriate box(es)
Datatype
integer
Alias
- UMLS CUI [1]
- C0013227
- UMLS CUI [2]
- C0021081
Beschrijving
COMPLICATIONS DUE TO TOXICITY FROM CONVENTIONAL TREATMENT
Datatype
boolean
Alias
- UMLS CUI [1]
- C0040539
Beschrijving
if yes, splease specify:
Datatype
integer
Alias
- UMLS CUI [1]
- C0040539
Beschrijving
DATE OF HSCT
Beschrijving
STATUS OF DISEASE AT MOBILISATION
Beschrijving
Eular/ACR 28 joint count, which comprises bilateral shoulders, elbows, wrists, MCPs, PIPs and knees. Appendix B.2)
Datatype
integer
Alias
- UMLS CUI [1]
- C0240094
Beschrijving
Eular/ACR 28 joint count, see above
Datatype
integer
Alias
- UMLS CUI [1]
- C0152031
Beschrijving
(Appendix B.3)
Datatype
text
Alias
- UMLS CUI [1]
- C0449820
Beschrijving
Was morning stiffness present?
Datatype
integer
Alias
- UMLS CUI [1]
- C0457086
Beschrijving
Patient's weight
Datatype
integer
Maateenheden
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschrijving
Patient's height
Datatype
integer
Maateenheden
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschrijving
Patient's weight one year prior to time of mobilisation
Datatype
integer
Maateenheden
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschrijving
Patient's height one year prior to time of mobilisation
Datatype
integer
Maateenheden
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschrijving
HAEMATOLOGICAL VALUES
Beschrijving
Haemoglobin
Datatype
text
Maateenheden
- g/dL
Alias
- UMLS CUI [1]
- C0518015
Beschrijving
Erythrocyte sedimentation rate
Datatype
integer
Maateenheden
- mm/hr
Alias
- UMLS CUI [1]
- C1176468
Beschrijving
Platelets
Datatype
integer
Maateenheden
- 109/L
Alias
- UMLS CUI [1]
- C0005821
Beschrijving
WBC
Datatype
integer
Alias
- UMLS CUI [1]
- C0023508
Beschrijving
CLINICAL AND LABORATORY DATA
Beschrijving
Serum creatinine
Datatype
integer
Maateenheden
- mol/l
Alias
- UMLS CUI [1]
- C0201976
Beschrijving
Serum AST
Datatype
integer
Maateenheden
- IU/l
Alias
- UMLS CUI [1]
- C0004002
Beschrijving
Serum ALT
Datatype
integer
Alias
- UMLS CUI [1]
- C0001899
Beschrijving
Serum albumin
Datatype
integer
Maateenheden
- g/dl
Alias
- UMLS CUI [1]
- C0036773
Beschrijving
Serum alkaline phosphatase
Datatype
integer
Maateenheden
- U/l
Alias
- UMLS CUI [1]
- C0201850
Beschrijving
Total serum bilirubin
Datatype
integer
Alias
- UMLS CUI [1]
- C1278039
Beschrijving
C-reactive protein
Datatype
integer
Alias
- UMLS CUI [1]
- C0006560
Beschrijving
AUTOANTIBODIES
Beschrijving
RADIOGRAPHIC EVALUATION
Beschrijving
Were radiographic bone erosions present?
Datatype
integer
Alias
- UMLS CUI [1]
- C0587240
Beschrijving
Was advanced skeletal age of affected joints noted radiographically?
Datatype
integer
Alias
- UMLS CUI [1]
- C3661538
Beschrijving
Presence of osteoporotic fractures
Datatype
integer
Alias
- UMLS CUI [1]
- C0521170
Beschrijving
HEALTH ASSESSMENT
Beschrijving
HEALTH ASSESSMENT QUESTIONNAIRE OR SURVEY COMPLETED
Datatype
boolean
Alias
- UMLS CUI [1]
- C0451208
Beschrijving
PATIENT’S SELF ASSESSMENT
Datatype
integer
Alias
- UMLS CUI [1]
- C1256021
Beschrijving
Childhood Health Assessment Questionnaire (CHAQ) completed?
Datatype
integer
Alias
- UMLS CUI [1]
- C2732494
Beschrijving
Specify range of possible scores for the CHAQ pain sub-scale
Datatype
integer
Alias
- UMLS CUI [1]
- C2960434
Beschrijving
Specify range of possible scores for the CHAQ disability sub-scale
Datatype
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
Beschrijving
Specify range of possible scores for the CHAQ severity sub-scale
Datatype
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
- UMLS CUI [1,3]
- C0439793
Beschrijving
PHYSICIAN’S ASSESSMENT
Beschrijving
Did the physician complete a Global Assessment of the patient’s state?
Datatype
boolean
Alias
- UMLS CUI [1]
- C0281858
Beschrijving
If yes: Specify range of possible scores for Physician Rated Global Assessment
Datatype
integer
Alias
- UMLS CUI [1]
- C0281858
Beschrijving
DISEASE RESPONSE TO THE MOBILISATION TUMRSA2
Datatype
integer
Alias
- UMLS CUI [1]
- C1704632
Beschrijving
STATUS OF DISEASE AT HSCT
Beschrijving
Eular/ACR 28 joint count, which comprises bilateral shoulders, elbows, wrists, MCPs, PIPs and knees. Appendix B.2)
Datatype
integer
Alias
- UMLS CUI [1]
- C0240094
Beschrijving
Eular/ACR 28 joint count, see above
Datatype
integer
Alias
- UMLS CUI [1]
- C0152031
Beschrijving
(Appendix B.3)
Datatype
text
Alias
- UMLS CUI [1]
- C0449820
Beschrijving
Was morning stiffness present?
Datatype
integer
Alias
- UMLS CUI [1]
- C0457086
Beschrijving
Patient's weight
Datatype
integer
Maateenheden
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschrijving
Patient's height
Datatype
integer
Maateenheden
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschrijving
Patient's weight one year prior to time of mobilisation
Datatype
integer
Maateenheden
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschrijving
Patient's height one year prior to time of mobilisation
Datatype
integer
Maateenheden
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschrijving
Haemoglobin
Datatype
text
Maateenheden
- g/dL
Alias
- UMLS CUI [1]
- C0518015
Beschrijving
Erythrocyte sedimentation rate
Datatype
integer
Maateenheden
- mm/hr
Alias
- UMLS CUI [1]
- C1176468
Beschrijving
Platelets
Datatype
integer
Maateenheden
- 109/L
Alias
- UMLS CUI [1]
- C0005821
Beschrijving
WBC
Datatype
integer
Alias
- UMLS CUI [1]
- C0023508
Beschrijving
Serum creatinine
Datatype
integer
Maateenheden
- mol/l
Alias
- UMLS CUI [1]
- C0201976
Beschrijving
Serum AST
Datatype
integer
Maateenheden
- IU/l
Alias
- UMLS CUI [1]
- C0004002
Beschrijving
Serum ALT
Datatype
integer
Alias
- UMLS CUI [1]
- C0001899
Beschrijving
Serum albumin
Datatype
integer
Maateenheden
- g/dl
Alias
- UMLS CUI [1]
- C0036773
Beschrijving
Serum alkaline phosphatase
Datatype
integer
Maateenheden
- U/l
Alias
- UMLS CUI [1]
- C0201850
Beschrijving
Total serum bilirubin
Datatype
integer
Alias
- UMLS CUI [1]
- C1278039
Beschrijving
C-reactive protein
Datatype
integer
Alias
- UMLS CUI [1]
- C0006560
Beschrijving
Were tests for autoantibodies done between diagnosis and mobilisation/transplant?
Datatype
boolean
Alias
- UMLS CUI [1]
- C0004358
Beschrijving
Specify antibody
Datatype
integer
Beschrijving
Were radiographic bone erosions present?
Datatype
integer
Alias
- UMLS CUI [1]
- C0587240
Beschrijving
Was advanced skeletal age of affected joints noted radiographically?
Datatype
integer
Alias
- UMLS CUI [1]
- C3661538
Beschrijving
Presence of osteoporotic fractures
Datatype
integer
Alias
- UMLS CUI [1]
- C0521170
Beschrijving
HEALTH ASSESSMENT QUESTIONNAIRE OR SURVEY COMPLETED
Datatype
boolean
Alias
- UMLS CUI [1]
- C0451208
Beschrijving
PATIENT’S SELF ASSESSMENT
Datatype
integer
Alias
- UMLS CUI [1]
- C1256021
Beschrijving
Childhood Health Assessment Questionnaire (CHAQ) completed?
Datatype
integer
Alias
- UMLS CUI [1]
- C2732494
Beschrijving
Specify range of possible scores for the CHAQ pain sub-scale
Datatype
integer
Alias
- UMLS CUI [1]
- C2960434
Beschrijving
Specify range of possible scores for the CHAQ disability sub-scale
Datatype
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
Beschrijving
Specify range of possible scores for the CHAQ severity sub-scale
Datatype
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
- UMLS CUI [1,3]
- C0439793
Beschrijving
Yes, mark appropriate box(es)
Datatype
integer
Alias
- UMLS CUI [1]
- C0013227
- UMLS CUI [2]
- C0021081
Beschrijving
COMPLICATIONS DUE TO TOXICITY FROM CONVENTIONAL TREATMENT
Datatype
boolean
Alias
- UMLS CUI [1]
- C0040539
Beschrijving
if yes, splease specify:
Datatype
integer
Alias
- UMLS CUI [1]
- C0040539
Beschrijving
STATUS AT 100 DAYS POST-HSCT
Beschrijving
Eular/ACR 28 joint count, which comprises bilateral shoulders, elbows, wrists, MCPs, PIPs and knees. Appendix B.2)
Datatype
integer
Alias
- UMLS CUI [1]
- C0240094
Beschrijving
Eular/ACR 28 joint count, see above
Datatype
integer
Alias
- UMLS CUI [1]
- C0152031
Beschrijving
(Appendix B.3)
Datatype
text
Alias
- UMLS CUI [1]
- C0449820
Beschrijving
Was morning stiffness present?
Datatype
integer
Alias
- UMLS CUI [1]
- C0457086
Beschrijving
Patient's weight
Datatype
integer
Maateenheden
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschrijving
Patient's height
Datatype
integer
Maateenheden
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschrijving
Patient's weight one year prior to time of mobilisation
Datatype
integer
Maateenheden
- kg
Alias
- UMLS CUI [1]
- C0005910
Beschrijving
Patient's height one year prior to time of mobilisation
Datatype
integer
Maateenheden
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschrijving
Haemoglobin
Datatype
text
Maateenheden
- g/dL
Alias
- UMLS CUI [1]
- C0518015
Beschrijving
Erythrocyte sedimentation rate
Datatype
integer
Maateenheden
- mm/hr
Alias
- UMLS CUI [1]
- C1176468
Beschrijving
Platelets
Datatype
integer
Maateenheden
- 109/L
Alias
- UMLS CUI [1]
- C0005821
Beschrijving
WBC
Datatype
integer
Alias
- UMLS CUI [1]
- C0023508
Beschrijving
Serum creatinine
Datatype
integer
Maateenheden
- mol/l
Alias
- UMLS CUI [1]
- C0201976
Beschrijving
Serum AST
Datatype
integer
Maateenheden
- IU/l
Alias
- UMLS CUI [1]
- C0004002
Beschrijving
Serum ALT
Datatype
integer
Alias
- UMLS CUI [1]
- C0001899
Beschrijving
Serum albumin
Datatype
integer
Maateenheden
- g/dl
Alias
- UMLS CUI [1]
- C0036773
Beschrijving
Serum alkaline phosphatase
Datatype
integer
Maateenheden
- U/l
Alias
- UMLS CUI [1]
- C0201850
Beschrijving
Total serum bilirubin
Datatype
integer
Alias
- UMLS CUI [1]
- C1278039
Beschrijving
C-reactive protein
Datatype
integer
Alias
- UMLS CUI [1]
- C0006560
Beschrijving
Were tests for autoantibodies done between diagnosis and mobilisation/transplant?
Datatype
boolean
Alias
- UMLS CUI [1]
- C0004358
Beschrijving
Specify antibody
Datatype
integer
Beschrijving
Were radiographic bone erosions present?
Datatype
integer
Alias
- UMLS CUI [1]
- C0587240
Beschrijving
Was advanced skeletal age of affected joints noted radiographically?
Datatype
integer
Alias
- UMLS CUI [1]
- C3661538
Beschrijving
Presence of osteoporotic fractures
Datatype
integer
Alias
- UMLS CUI [1]
- C0521170
Beschrijving
HEALTH ASSESSMENT QUESTIONNAIRE OR SURVEY COMPLETED
Datatype
boolean
Alias
- UMLS CUI [1]
- C0451208
Beschrijving
PATIENT’S SELF ASSESSMENT
Datatype
integer
Alias
- UMLS CUI [1]
- C1256021
Beschrijving
Childhood Health Assessment Questionnaire (CHAQ) completed?
Datatype
integer
Alias
- UMLS CUI [1]
- C2732494
Beschrijving
Specify range of possible scores for the CHAQ pain sub-scale
Datatype
integer
Alias
- UMLS CUI [1]
- C2960434
Beschrijving
Specify range of possible scores for the CHAQ disability sub-scale
Datatype
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
Beschrijving
Specify range of possible scores for the CHAQ severity sub-scale
Datatype
integer
Alias
- UMLS CUI [1,1]
- C2960434
- UMLS CUI [1,2]
- C0459443
- UMLS CUI [1,3]
- C0439793
Beschrijving
Yes, mark appropriate box(es)
Datatype
integer
Alias
- UMLS CUI [1]
- C0013227
- UMLS CUI [2]
- C0021081
Beschrijving
COMPLICATIONS DUE TO TOXICITY FROM CONVENTIONAL TREATMENT
Datatype
boolean
Alias
- UMLS CUI [1]
- C0040539
Beschrijving
if yes, splease specify:
Datatype
integer
Alias
- UMLS CUI [1]
- C0040539
Beschrijving
FORMS TO BE FILLED IN
Similar models
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])