ID
23038
Beschrijving
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
Link
Trefwoorden
Versies (3)
- 27-09-17 27-09-17 -
- 17-07-16 17-07-16 -
- 20-06-17 20-06-17 - Martin Dugas
Geüploaded op
20 juni 2017
DOI
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Licentie
Creative Commons BY-NC 3.0
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EBMT MYELOPROLIFERATIVE NEOPLASM
General Information
- StudyEvent: ODM
Beschrijving
GENERAL INFORMATION Patient
Beschrijving
Unique Identification Code (UIC)
Datatype
text
Alias
- UMLS CUI [1]
- C2348585
Beschrijving
Hospital Unique Patient Number or Code
Datatype
text
Alias
- UMLS CUI [1]
- C1827636
Beschrijving
Initials
Datatype
text
Alias
- UMLS CUI [1]
- C2986440
Beschrijving
Date of birth
Datatype
date
Alias
- UMLS CUI [1]
- C0421451
Beschrijving
Sex
Datatype
integer
Alias
- UMLS CUI [1]
- C0079399
Beschrijving
ABO Group
Datatype
integer
Alias
- UMLS CUI [1]
- C0000778
Beschrijving
Rh factor
Datatype
integer
Alias
- UMLS CUI [1]
- C0035403
Beschrijving
DISEASE
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 [1,1]
- C0277554
- UMLS CUI [1,2]
- C2348235
Beschrijving
SPECIFICATIONS OF THE DISEASE MYELOPROLIFERATIVE NEOPLASM DIAGNOSIS
Beschrijving
SUBCLASSIFICATION
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0027022
- UMLS CUI [1,2]
- C0008902
Beschrijving
Chronic eosinophilic leukaemia (CEL)
Datatype
integer
Alias
- UMLS CUI [1]
- C0346421
Beschrijving
Cytogenetics Data
Datatype
text
Alias
- UMLS CUI [1]
- C0010802
Beschrijving
Chromosome analysis
Datatype
text
Alias
- UMLS CUI [1]
- C0200867
Beschrijving
Chromosome analysis
Datatype
integer
Alias
- UMLS CUI [1]
- C0476431
Beschrijving
number of metaphases with abnormalites
Datatype
integer
Alias
- UMLS CUI [1]
- C1268813
Beschrijving
number of metaphases examined
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1621812
- UMLS CUI [1,2]
- C0449788
Beschrijving
Abnormality chr. 1
Datatype
integer
Alias
- UMLS CUI [1]
- C0008625
Beschrijving
Abnormality chr. 5
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0008625
- UMLS CUI [1,2]
- C0008668
Beschrijving
Abnormality chr. 7
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0008625
- UMLS CUI [1,2]
- C0008670
Beschrijving
trisomy 8
Datatype
integer
Alias
- UMLS CUI [1]
- C0432412
Beschrijving
trisomy 9
Datatype
integer
Alias
- UMLS CUI [1]
- C0432411
Beschrijving
del 20
Datatype
integer
Alias
- UMLS CUI [1]
- C1515593
Beschrijving
del 13
Datatype
integer
Alias
- UMLS CUI [1]
- C1515593
Beschrijving
Other abnormalities
Datatype
integer
Alias
- UMLS CUI [1]
- C1385713
Beschrijving
Molecular markers
Datatype
integer
Alias
- UMLS CUI [1]
- C0005516
Beschrijving
JAK2 mutation
Datatype
integer
Alias
- UMLS CUI [1]
- C2827348
Beschrijving
BCR/ABL
Datatype
integer
Alias
- UMLS CUI [1]
- C0004891
Beschrijving
FIP1L1-PDGFR
Datatype
integer
Alias
- UMLS CUI [1]
- C1432876
Beschrijving
HAEMATOLOGICAL VALUES Peripheral bloodc
Datatype
integer
Alias
- UMLS CUI [1]
- C0205488
Beschrijving
HbLab
Datatype
float
Maateenheden
- g/dl
Alias
- UMLS CUI [1]
- C0019046
Beschrijving
Platelets
Datatype
float
Maateenheden
- 10E9/L
Alias
- UMLS CUI [1]
- C0032181
Beschrijving
White Blood Cells
Datatype
float
Maateenheden
- 10^9/L
Alias
- UMLS CUI [1]
- C0005821
Beschrijving
Blasts
Datatype
float
Maateenheden
- %
Alias
- UMLS CUI [1]
- C1982687
Beschrijving
Monocytes
Datatype
float
Maateenheden
- %
Alias
- UMLS CUI [1]
- C0026473
Beschrijving
neutrophils
Datatype
float
Maateenheden
- %
Alias
- UMLS CUI [1]
- C0948762
Beschrijving
Bone marrow Blasts
Datatype
integer
Maateenheden
- %
Alias
- UMLS CUI [1]
- C1982687
Beschrijving
Auer rods present
Datatype
integer
Alias
- UMLS CUI [1]
- C1332354
Beschrijving
RISK FACTOR SCORE
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0019187
- UMLS CUI [1,2]
- C0019187
Beschrijving
BM INVESTIGATION
Datatype
integer
Alias
- UMLS CUI [1]
- C0005953
Beschrijving
FIBROSIS/OSTEOSCLEROSIS ON BM BIOPSY
Datatype
integer
Alias
- UMLS CUI [1]
- C0427694
Beschrijving
CONSTITUTIONAL SYMPTOMS
Datatype
integer
Alias
- UMLS CUI [1]
- C0028081
Beschrijving
Palpable Splenomegaly
Datatype
integer
Alias
- UMLS CUI [1]
- C0038002
Beschrijving
Physical examination
Datatype
integer
Alias
- UMLS CUI [1]
- C0031809
Beschrijving
Spleen span in ultrasound or CT scan
Datatype
float
Maateenheden
- cm
Alias
- UMLS CUI [1]
- C1278932
Beschrijving
Weight loss
Datatype
integer
Alias
- UMLS CUI [1]
- C0043096
Beschrijving
FIRST LINE THERAPY
Beschrijving
(If No, proceed to `Subclassification & Status of Disease at HSCT` If Yes, specify start date)
Datatype
boolean
Alias
- UMLS CUI [1]
- C1708063
Beschrijving
SUBCLASSIFICATION AT PRIMARY TREATMENT
Datatype
integer
Beschrijving
If transformed into Myelofibrosis or AML
Datatype
date
Alias
- UMLS CUI [1,1]
- C1510411
- UMLS CUI [1,2]
- C0011008
Beschrijving
TREATMENT
Datatype
boolean
Alias
- UMLS CUI [1]
- C0013216
Beschrijving
Chemo/drug/agent
Datatype
integer
Alias
- UMLS CUI [1]
- C0011008
Beschrijving
Radiotherapy
Datatype
boolean
Alias
- UMLS CUI [1]
- C1522449
Beschrijving
Radiotherapy
Datatype
integer
Alias
- UMLS CUI [1]
- C1522449
Beschrijving
* 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
Datatype
integer
Alias
- UMLS CUI [1]
- C4050094
Beschrijving
SUBCLASSIFICATION & STATUS OF DISEASE AT HSCT
Beschrijving
Date of HSCT
Datatype
date
Alias
- UMLS CUI [1]
- C2584899
Beschrijving
Splenectomy
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0037995
- UMLS CUI [1,2]
- C4050094
Beschrijving
Transfusional status at HSCT
Datatype
integer
Alias
- UMLS CUI [1]
- C1879316
Beschrijving
SUBCLASSIFICATION AT HSCT
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0472699
- UMLS CUI [1,2]
- C0008902
Beschrijving
If transformed into Myelofibrosis or AML, date of transformation
Datatype
date
Alias
- UMLS CUI [1,1]
- C1510411
- UMLS CUI [1,2]
- C0011008
Beschrijving
STATUS OF DISEASE AT HSCT
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1704632
- UMLS CUI [1,2]
- C0472699
Beschrijving
NUMBER OF STATUS OF DISEASE AT HSCT
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1704632
- UMLS CUI [1,2]
- C0472699
- UMLS CUI [1,3]
- C0237753
Beschrijving
(Within 2 months of the preparative -conditioning- regimen)
Datatype
integer
Alias
- UMLS CUI [1]
- C0200867
Beschrijving
Chromosome analysis
Datatype
integer
Alias
- UMLS CUI [1]
- C1385713
Beschrijving
Indicate which abnormalities found
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0008625
- UMLS CUI [1,2]
- C0008651
Beschrijving
Indicate which abnormalities found
Datatype
float
Alias
- UMLS CUI [1,1]
- C0008625
- UMLS CUI [1,2]
- C0008668
Beschrijving
Indicate which abnormalities found
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0008625
- UMLS CUI [1,2]
- C0008670
Beschrijving
Indicate which abnormalities found
Datatype
integer
Alias
- UMLS CUI [1]
- C0432412
Beschrijving
Indicate which abnormalities found
Datatype
integer
Alias
- UMLS CUI [1]
- C0432411
Beschrijving
Indicate which abnormalities found
Datatype
integer
Alias
- UMLS CUI [1]
- C1517970
Beschrijving
Indicate which abnormalities found
Datatype
integer
Alias
- UMLS CUI [1]
- C1517957
Beschrijving
HAEMATOLOGICAL VALUES
Datatype
integer
Alias
- UMLS CUI [1]
- C0849535
Beschrijving
Bone marrow
Datatype
integer
Maateenheden
- %
Alias
- UMLS CUI [1]
- C0005953
Beschrijving
Lille score
Datatype
integer
Alias
- UMLS CUI [1]
- C0449821
Beschrijving
Cervantes score
Datatype
integer
Alias
- UMLS CUI [1]
- C0449821
Beschrijving
BM Investigation
Datatype
text
Alias
- UMLS CUI [1]
- C0005957
Beschrijving
(at diagnosis; check one box in each column)
Datatype
integer
Alias
- UMLS CUI [1]
- C1271729
Beschrijving
FIBROSIS/OSTEOSCLEROSIS ON BM BIOPSY
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0005954
- UMLS CUI [1,2]
- C1512996
Beschrijving
CONSTITUTIONAL SYMPTOMS
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0009812
- UMLS CUI [1,2]
- C0028081
Beschrijving
Palpable Splenomegaly
Datatype
text
Alias
- UMLS CUI [1]
- C0038002
Beschrijving
Physical examination
Datatype
integer
Alias
- UMLS CUI [1]
- C0031809
Beschrijving
Physical examination below costal margin
Datatype
float
Maateenheden
- cm
Alias
- UMLS CUI [1,1]
- C0031809
- UMLS CUI [1,2]
- C0582240
Beschrijving
Spleen span in ultrasound or CT scan
Datatype
float
Maateenheden
- cm
Alias
- UMLS CUI [1]
- C0412541
Beschrijving
Weight loss
Datatype
integer
Alias
- UMLS CUI [1]
- C0043096
Beschrijving
ADDITIONAL TREATMENT POST-HSCT
Beschrijving
RESPONSE OF DISEASE
Beschrijving
FORMS TO BE FILLED IN
Beschrijving
TYPE OF TRANSPLANT
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0559189
- UMLS CUI [1,2]
- C0040739
Beschrijving
TYPE OF TRANSPLANT
Datatype
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])