ID
23038
Description
ODM form derived from EBMT MYELOPROLIFERATIVE NEOPLASM please refer to: http://www.ebmt.org/Contents/Data-Management/Registrystructure/MED-ABdatacollectionforms/Pages/MED-AB-data-collection-forms.aspx
Lien
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Versions (3)
- 27/09/2017 27/09/2017 -
- 17/07/2016 17/07/2016 -
- 20/06/2017 20/06/2017 - Martin Dugas
Téléchargé le
20 juin 2017
DOI
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Licence
Creative Commons BY-NC 3.0
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EBMT MYELOPROLIFERATIVE NEOPLASM
General Information
- StudyEvent: ODM
Description
GENERAL INFORMATION Patient
Description
Unique Identification Code (UIC)
Type de données
text
Alias
- UMLS CUI [1]
- C2348585
Description
Hospital Unique Patient Number or Code
Type de données
text
Alias
- UMLS CUI [1]
- C1827636
Description
Initials
Type de données
text
Alias
- UMLS CUI [1]
- C2986440
Description
Date of birth
Type de données
date
Alias
- UMLS CUI [1]
- C0421451
Description
Sex
Type de données
integer
Alias
- UMLS CUI [1]
- C0079399
Description
ABO Group
Type de données
integer
Alias
- UMLS CUI [1]
- C0000778
Description
Rh factor
Type de données
integer
Alias
- UMLS CUI [1]
- C0035403
Description
DISEASE
Description
Date of Diagnosis
Type de données
date
Alias
- UMLS CUI [1]
- C2316983
Description
Primary Disease Diagnosis
Type de données
text
Alias
- UMLS CUI [1]
- C0277554
Description
Primary Disease Diagnosis
Type de données
text
Alias
- UMLS CUI [1,1]
- C0277554
- UMLS CUI [1,2]
- C2348235
Description
SPECIFICATIONS OF THE DISEASE MYELOPROLIFERATIVE NEOPLASM DIAGNOSIS
Description
SUBCLASSIFICATION
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0027022
- UMLS CUI [1,2]
- C0008902
Description
Chronic eosinophilic leukaemia (CEL)
Type de données
integer
Alias
- UMLS CUI [1]
- C0346421
Description
Cytogenetics Data
Type de données
text
Alias
- UMLS CUI [1]
- C0010802
Description
Chromosome analysis
Type de données
text
Alias
- UMLS CUI [1]
- C0200867
Description
Chromosome analysis
Type de données
integer
Alias
- UMLS CUI [1]
- C0476431
Description
number of metaphases with abnormalites
Type de données
integer
Alias
- UMLS CUI [1]
- C1268813
Description
number of metaphases examined
Type de données
integer
Alias
- UMLS CUI [1,1]
- C1621812
- UMLS CUI [1,2]
- C0449788
Description
Abnormality chr. 1
Type de données
integer
Alias
- UMLS CUI [1]
- C0008625
Description
Abnormality chr. 5
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0008625
- UMLS CUI [1,2]
- C0008668
Description
Abnormality chr. 7
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0008625
- UMLS CUI [1,2]
- C0008670
Description
trisomy 8
Type de données
integer
Alias
- UMLS CUI [1]
- C0432412
Description
trisomy 9
Type de données
integer
Alias
- UMLS CUI [1]
- C0432411
Description
del 20
Type de données
integer
Alias
- UMLS CUI [1]
- C1515593
Description
del 13
Type de données
integer
Alias
- UMLS CUI [1]
- C1515593
Description
Other abnormalities
Type de données
integer
Alias
- UMLS CUI [1]
- C1385713
Description
Molecular markers
Type de données
integer
Alias
- UMLS CUI [1]
- C0005516
Description
JAK2 mutation
Type de données
integer
Alias
- UMLS CUI [1]
- C2827348
Description
BCR/ABL
Type de données
integer
Alias
- UMLS CUI [1]
- C0004891
Description
FIP1L1-PDGFR
Type de données
integer
Alias
- UMLS CUI [1]
- C1432876
Description
HAEMATOLOGICAL VALUES Peripheral bloodc
Type de données
integer
Alias
- UMLS CUI [1]
- C0205488
Description
HbLab
Type de données
float
Unités de mesure
- g/dl
Alias
- UMLS CUI [1]
- C0019046
Description
Platelets
Type de données
float
Unités de mesure
- 10E9/L
Alias
- UMLS CUI [1]
- C0032181
Description
White Blood Cells
Type de données
float
Unités de mesure
- 10^9/L
Alias
- UMLS CUI [1]
- C0005821
Description
Blasts
Type de données
float
Unités de mesure
- %
Alias
- UMLS CUI [1]
- C1982687
Description
Monocytes
Type de données
float
Unités de mesure
- %
Alias
- UMLS CUI [1]
- C0026473
Description
neutrophils
Type de données
float
Unités de mesure
- %
Alias
- UMLS CUI [1]
- C0948762
Description
Bone marrow Blasts
Type de données
integer
Unités de mesure
- %
Alias
- UMLS CUI [1]
- C1982687
Description
Auer rods present
Type de données
integer
Alias
- UMLS CUI [1]
- C1332354
Description
RISK FACTOR SCORE
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0019187
- UMLS CUI [1,2]
- C0019187
Description
BM INVESTIGATION
Type de données
integer
Alias
- UMLS CUI [1]
- C0005953
Description
FIBROSIS/OSTEOSCLEROSIS ON BM BIOPSY
Type de données
integer
Alias
- UMLS CUI [1]
- C0427694
Description
CONSTITUTIONAL SYMPTOMS
Type de données
integer
Alias
- UMLS CUI [1]
- C0028081
Description
Palpable Splenomegaly
Type de données
integer
Alias
- UMLS CUI [1]
- C0038002
Description
Physical examination
Type de données
integer
Alias
- UMLS CUI [1]
- C0031809
Description
Spleen span in ultrasound or CT scan
Type de données
float
Unités de mesure
- cm
Alias
- UMLS CUI [1]
- C1278932
Description
Weight loss
Type de données
integer
Alias
- UMLS CUI [1]
- C0043096
Description
FIRST LINE THERAPY
Description
(If No, proceed to `Subclassification & Status of Disease at HSCT` If Yes, specify start date)
Type de données
boolean
Alias
- UMLS CUI [1]
- C1708063
Description
SUBCLASSIFICATION AT PRIMARY TREATMENT
Type de données
integer
Description
If transformed into Myelofibrosis or AML
Type de données
date
Alias
- UMLS CUI [1,1]
- C1510411
- UMLS CUI [1,2]
- C0011008
Description
TREATMENT
Type de données
boolean
Alias
- UMLS CUI [1]
- C0013216
Description
Chemo/drug/agent
Type de données
integer
Alias
- UMLS CUI [1]
- C0011008
Description
Radiotherapy
Type de données
boolean
Alias
- UMLS CUI [1]
- C1522449
Description
Radiotherapy
Type de données
integer
Alias
- UMLS CUI [1]
- C1522449
Description
* CR must include all three conditions: 1. Resolution of disease –related symptoms and signs including palpable hepato-splenomegaly 2. Hb >11gr/dL, Platelet >100 x109/L and neutrophils >1 x 109/L. 3. normal bone marrow histology, and fibrosis grade no higher than 1
Type de données
integer
Alias
- UMLS CUI [1]
- C4050094
Description
SUBCLASSIFICATION & STATUS OF DISEASE AT HSCT
Description
Date of HSCT
Type de données
date
Alias
- UMLS CUI [1]
- C2584899
Description
Splenectomy
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0037995
- UMLS CUI [1,2]
- C4050094
Description
Transfusional status at HSCT
Type de données
integer
Alias
- UMLS CUI [1]
- C1879316
Description
SUBCLASSIFICATION AT HSCT
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0472699
- UMLS CUI [1,2]
- C0008902
Description
If transformed into Myelofibrosis or AML, date of transformation
Type de données
date
Alias
- UMLS CUI [1,1]
- C1510411
- UMLS CUI [1,2]
- C0011008
Description
STATUS OF DISEASE AT HSCT
Type de données
integer
Alias
- UMLS CUI [1,1]
- C1704632
- UMLS CUI [1,2]
- C0472699
Description
NUMBER OF STATUS OF DISEASE AT HSCT
Type de données
integer
Alias
- UMLS CUI [1,1]
- C1704632
- UMLS CUI [1,2]
- C0472699
- UMLS CUI [1,3]
- C0237753
Description
(Within 2 months of the preparative -conditioning- regimen)
Type de données
integer
Alias
- UMLS CUI [1]
- C0200867
Description
Chromosome analysis
Type de données
integer
Alias
- UMLS CUI [1]
- C1385713
Description
Indicate which abnormalities found
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0008625
- UMLS CUI [1,2]
- C0008651
Description
Indicate which abnormalities found
Type de données
float
Alias
- UMLS CUI [1,1]
- C0008625
- UMLS CUI [1,2]
- C0008668
Description
Indicate which abnormalities found
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0008625
- UMLS CUI [1,2]
- C0008670
Description
Indicate which abnormalities found
Type de données
integer
Alias
- UMLS CUI [1]
- C0432412
Description
Indicate which abnormalities found
Type de données
integer
Alias
- UMLS CUI [1]
- C0432411
Description
Indicate which abnormalities found
Type de données
integer
Alias
- UMLS CUI [1]
- C1517970
Description
Indicate which abnormalities found
Type de données
integer
Alias
- UMLS CUI [1]
- C1517957
Description
HAEMATOLOGICAL VALUES
Type de données
integer
Alias
- UMLS CUI [1]
- C0849535
Description
Bone marrow
Type de données
integer
Unités de mesure
- %
Alias
- UMLS CUI [1]
- C0005953
Description
Lille score
Type de données
integer
Alias
- UMLS CUI [1]
- C0449821
Description
Cervantes score
Type de données
integer
Alias
- UMLS CUI [1]
- C0449821
Description
BM Investigation
Type de données
text
Alias
- UMLS CUI [1]
- C0005957
Description
(at diagnosis; check one box in each column)
Type de données
integer
Alias
- UMLS CUI [1]
- C1271729
Description
FIBROSIS/OSTEOSCLEROSIS ON BM BIOPSY
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0005954
- UMLS CUI [1,2]
- C1512996
Description
CONSTITUTIONAL SYMPTOMS
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0009812
- UMLS CUI [1,2]
- C0028081
Description
Palpable Splenomegaly
Type de données
text
Alias
- UMLS CUI [1]
- C0038002
Description
Physical examination
Type de données
integer
Alias
- UMLS CUI [1]
- C0031809
Description
Physical examination below costal margin
Type de données
float
Unités de mesure
- cm
Alias
- UMLS CUI [1,1]
- C0031809
- UMLS CUI [1,2]
- C0582240
Description
Spleen span in ultrasound or CT scan
Type de données
float
Unités de mesure
- cm
Alias
- UMLS CUI [1]
- C0412541
Description
Weight loss
Type de données
integer
Alias
- UMLS CUI [1]
- C0043096
Description
ADDITIONAL TREATMENT POST-HSCT
Description
RESPONSE OF DISEASE
Description
FORMS TO BE FILLED IN
Description
TYPE OF TRANSPLANT
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0559189
- UMLS CUI [1,2]
- C0040739
Description
TYPE OF TRANSPLANT
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0559189
- UMLS CUI [1,2]
- C0040739
Similar models
General Information
- StudyEvent: ODM
C0005961 (UMLS CUI-2)
C1827636 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C0008902 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,2])
C0008668 (UMLS CUI [1,2])
C0008670 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C4050094 (UMLS CUI [1,2])
C3640974 (UMLS CUI-2)
C0008902 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C0472699 (UMLS CUI [1,2])
C0472699 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
C0008651 (UMLS CUI [1,2])
C0008668 (UMLS CUI [1,2])
C0008670 (UMLS CUI [1,2])
C1512996 (UMLS CUI [1,2])
C0028081 (UMLS CUI [1,2])
C0582240 (UMLS CUI [1,2])
C1704632 (UMLS CUI-2)
C0040739 (UMLS CUI [1,2])
C0040739 (UMLS CUI [1,2])