ID

10001

Beschreibung

Lenalidomide With or Without Epoetin Alfa in Treating Patients With Myelodysplastic Syndrome and Anemia NCT00843882 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=54590A88-E5FE-3BDA-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=54590A88-E5FE-3BDA-E044-0003BA3F9857

Stichworte

Versionen (4)
  1. 18.12.14 18.12.14 - Martin Dugas
  2. 08.01.15 08.01.15 - Martin Dugas
  3. 09.01.15 09.01.15 - Martin Dugas
  4. 13.03.15 13.03.15 - Martin Dugas
Hochgeladen am

13. März 2015

DOI

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Lizenz

Creative Commons BY-NC 3.0 Legacy
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Leukemia NCT00843882 On-Study - E2905 Baseline Step 2 Disease Evaluation Form - 2774237v1.0

Englisch

INSTRUCTIONS: Complete this form and submit original to the ECOG Coordinating Center within one week of registration. Keep a copy for your files

1 Formulare  
Header
Beschreibung

Header

ECOG Protocol Number
Beschreibung

Protocol Number ECOG

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C1512162
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25491
ECOG Patient ID
Beschreibung

Patient ID ECOG

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C1512162
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25491
DCI Name
Beschreibung

Generic drug form

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C3242750
NCI Thesaurus Property
C19464
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus ObjectClass-2
C25452
Registration Step
Beschreibung

Registration Number

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C1514821
NCI Thesaurus ObjectClass
C25646
UMLS CUI-2
C0237753
NCI Thesaurus Property
C16154
NCI Thesaurus ValueDomain-2
C16154
Report period
Beschreibung

Report period

Datentyp

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus Property
C25214
NCI Thesaurus Property-2
C25616
NCI Thesaurus ObjectClass
C15368
UMLS CUI-1
C2045829
Patient Initials (Last, First)
Beschreibung

Patient Initials

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Participating Group Protocol Number
Beschreibung

Study Number Participating Group

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C2347449
NCI Thesaurus Property
C25608
NCI Thesaurus Property-2
C25364
Participating Group Patient ID
Beschreibung

Trial subject ID Participating Group

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C2347449
NCI Thesaurus Property
C25608
NCI Thesaurus Property-2
C25364
Institution/Affiliate
Beschreibung

Institution Name

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C25454
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass-2
C21541
NCI Thesaurus Property
C25364
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ValueDomain-2
C21541
Please mark an 'X' if data have been amended. (Please circle amended items in red)
Beschreibung

Data amended

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0680532
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
Date data amended (MM/DD/YYYY)
Beschreibung

Data amended date

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C0680532
NCI Thesaurus ObjectClass
C25474
UMLS CUI-2
C0011008
NCI Thesaurus Property
C25416
NCI Thesaurus ValueDomain-2
C25367
Investigator Signature
Beschreibung

Investigator Signature

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C2346576
NCI Thesaurus Property
C25678
NCI Thesaurus ObjectClass
C17089
Investigator Signature Date
Beschreibung

Investigator Signature Date

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C2346576
NCI Thesaurus Property
C25678
UMLS CUI-2
C0011008
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus ObjectClass
C17089
Pre-registration Hematology/chemistry
Beschreibung

Pre-registration Hematology/chemistry

Hemoglobin (Hgb), LLN
Beschreibung

Hemoglobin (Hgb), LLN

Datentyp

float

Maßeinheiten
  • g/dL
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C16676
NCI Thesaurus Property-2
C20200
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain-2
C38024
NCI Thesaurus ValueDomain-3
C25555
UMLS CUI-1
C0019046
UMLS CUI-2
C1518030
g/dL
Hemoglobin (Hgb)
Beschreibung

LaboratoryProcedureHemoglobinResultSpecifiedValue

Datentyp

float

Maßeinheiten
  • g/dL
Alias
NCI Thesaurus Property
C16676
NCI Thesaurus Property-2
C20200
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
UMLS CUI-1
C0019046
g/dL
Date
Beschreibung

LaboratoryProcedureHemoglobinResultDate

Datentyp

date

Maßeinheiten
  • MM/DD/YYYY
Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus Property
C16676
NCI Thesaurus Property-2
C20200
NCI Thesaurus ObjectClass
C25294
UMLS CUI-1
C0019046
UMLS CUI-2
C0011008
MM/DD/YYYY
Peripheral platelet count, LLN
Beschreibung

Peripheral platelet count, LLN

Datentyp

float

Maßeinheiten
  • /mm^3x1000
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C12520
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain-2
C25555
UMLS CUI-1
C0005821
UMLS CUI-2
C1518030
/mm^3x1000
Peripheral Platelet Count
Beschreibung

Peripheral Platelet Count

Datentyp

float

Maßeinheiten
  • 1000/uL
Alias
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C12520
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
UMLS CUI-1
C0005821
1000/uL
Date (MM/DD/YYYY)
Beschreibung

Platelets date

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C0005821
NCI Thesaurus Property
C20200
UMLS CUI-2
C0011008
NCI Thesaurus Property-2
C12520
NCI Thesaurus ObjectClass
C25294
Peripheral Granulocytes Count LLN
Beschreibung

LaboratoryProcedureGranulocyteResultLowerLimitofNormalCount

Datentyp

float

Maßeinheiten
  • /mm3
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C12530
NCI Thesaurus ValueDomain
C25463
NCI Thesaurus ValueDomain-2
C25555
UMLS CUI-1
C0857490
UMLS CUI-2
C1518030
/mm3
Peripheral Granulocytes Count (AGC/ANC/mm^3 - Do not report % granulocytes: report absolute count without decimal.)
Beschreibung

Granulocyte count

Datentyp

float

Maßeinheiten
  • 1000/uL
Alias
NCI Thesaurus Property
C20200
UMLS CUI-1
C0857490
NCI Thesaurus Property-2
C12530
NCI Thesaurus ValueDomain
C25463
NCI Thesaurus ObjectClass
C25294
1000/uL
Date
Beschreibung

LaboratoryProcedureNeutrophilResultDate

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus Property
C12533
NCI Thesaurus Property-2
C20200
NCI Thesaurus ObjectClass
C25294
UMLS CUI-1
C0027950
UMLS CUI-2
C0011008
Peripheral WBC Count
Beschreibung

Peripheral WBC Count

Datentyp

float

Maßeinheiten
  • 1000/uL
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C12529
NCI Thesaurus Property-2
C20200
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain-2
C38024
UMLS CUI-1
C0023508
1000/uL
Peripheral WBC count, LLN
Beschreibung

LaboratoryProcedureLeukocyteResultLowerLimitofNormalValue

Datentyp

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C12529
NCI Thesaurus Property-2
C20200
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain-2
C25555
UMLS CUI-1
C0023508
UMLS CUI-2
C1518030
Date
Beschreibung

LaboratoryProcedureLeukocyteResultDate

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus Property
C12529
NCI Thesaurus Property-2
C20200
NCI Thesaurus ObjectClass
C25294
UMLS CUI-1
C0023516
UMLS CUI-2
C0011008
Creatinine
Beschreibung

Creatinine, Serum

Datentyp

float

Maßeinheiten
  • mg/dL
Alias
NCI Thesaurus Property
C20200
UMLS CUI-1
C0201976
NCI Thesaurus Property-2
C399
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
mg/dL
Creatinine ULN
Beschreibung

Creatinine ULN

Datentyp

float

Maßeinheiten
  • mg/dl
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C399
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain-2
C25706
UMLS CUI-1
C0201976
UMLS CUI-2
C1519815
mg/dl
Date
Beschreibung

Laboratory Procedure Date

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C0022885
NCI Thesaurus Property
C25214
UMLS CUI-2
C0011008
NCI Thesaurus Property-2
C38000
NCI Thesaurus ObjectClass
C25294
Mean pre-transfusion hemoglobin
Beschreibung

LaboratoryProcedureHemoglobinPriorBloodTransfusionOutcomeUnspecifiedValue

Datentyp

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C16676
NCI Thesaurus Property-2
C25629
NCI Thesaurus Property-3
C20200
NCI Thesaurus Property-4
C15192
NCI Thesaurus ValueDomain
C25712
UMLS CUI-1
C0019046
UMLS CUI-2
C1979588
Bone marrow biopsy
Beschreibung

Bone marrow biopsy

Alias
UMLS CUI-1
C0005954
Date of Bone Marrow Biopsy (Aspirate)
Beschreibung

BoneMarrowBiopsyDate

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus Property
C15189
UMLS 2011AA Property
C0005558
NCI Thesaurus ObjectClass
C12431
UMLS 2011AA ObjectClass
C0005953
Marrow Blasts (%) (Highest)
Beschreibung

Blasts, Bone Marrow

Datentyp

float

Maßeinheiten
  • %
Alias
NCI Thesaurus ObjectClass
C25294
UMLS CUI-1
C1982687
NCI Thesaurus Property
C12431
NCI Thesaurus Property-2
C20200
NCI Thesaurus Property-3
C12918
NCI Thesaurus ValueDomain
C25613
NCI Thesaurus ValueDomain-2
C25712
%
Marrow Cellularity (%) (If Marrow Cellularity % has been left blank please code the following to indicate the reason for leaving it blank.)
Beschreibung

Bone Marrow Cellularity

Datentyp

float

Alias
NCI Thesaurus ObjectClass
C25294
UMLS CUI-1
C1561532
NCI Thesaurus Property
C12431
NCI Thesaurus Property-2
C20200
NCI Thesaurus Property-3
C37923
NCI Thesaurus ValueDomain
C25613
NCI Thesaurus ValueDomain-2
C25712
Reason bone marrow cellularity was not recorded
Beschreibung

LaboratoryProcedureBoneMarrowCellularityNegationReportOutcomeReason

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C25594
NCI Thesaurus Property-2
C12431
NCI Thesaurus Property-3
C25375
NCI Thesaurus Property-4
C20200
NCI Thesaurus Property-5
C37923
NCI Thesaurus ValueDomain
C25638
UMLS CUI-1
C1561532
UMLS CUI-2
C1546437
Dysplasia
Beschreibung

DysplasiaPresentInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus Property
C25626
NCI Thesaurus ObjectClass
C4086
UMLS CUI-1
C0334044
Specify type
Beschreibung

DysplasiaHistologyType

Datentyp

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus Property
C16681
NCI Thesaurus ObjectClass
C4086
UMLS CUI-1
C0334044
UMLS CUI-2
C0019638
Is cytogenetic abnormality present now
Beschreibung

CytogeneticAbnormalityPresentIndicator

Datentyp

text

Alias
NCI Thesaurus Property
C25626
NCI Thesaurus ObjectClass
C2950
NCI Metathesaurus ValueDomain
C0021212
UMLS CUI-1
C0008625
International Prognostic Score
Beschreibung

International Prognostic Score

Alias
UMLS CUI-1
C1998280
Date (Highest - Record earliest date of the values)
Beschreibung

MyelodysplasticSyndromeInternationalPrognosticScoreSystemDate

Datentyp

date

Maßeinheiten
  • MM/DD/YYYY
Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C3247
NCI Thesaurus Property
C20118
UMLS CUI-1
C1512894
UMLS CUI-2
C0011008
MM/DD/YYYY
Karyotype (Highest)
Beschreibung

KaryotypeDescriptionType

Datentyp

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C25215
NCI Thesaurus Property
C25365
UMLS CUI-1
C1261273
Number of Cytopenias (Highest - Red blood cells- Hemoglobin <10 g/dl - White blood cells- Absolute neutrophil count <1800/microliter - Platelets- Platelet count <100,000/ microliter)
Beschreibung

CytopeniaAssessmentCount

Datentyp

integer

Alias
NCI Thesaurus Property
C25367
NCI Thesaurus ValueDomain
C25463
NCI Thesaurus ObjectClass
C2979
UMLS CUI-1
C0010828
UMLS CUI-2
C0750480
International Prognostic Score (IPSS) (Highest)
Beschreibung

MyelodysplasticSyndromeInternationalPrognosticScoreSystemScore

Datentyp

float

Alias
NCI Thesaurus ObjectClass
C3247
NCI Thesaurus Property
C20118
NCI Thesaurus ValueDomain
C25338
UMLS CUI-1
C1998280
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Ähnliche Modelle

INSTRUCTIONS: Complete this form and submit original to the ECOG Coordinating Center within one week of registration. Keep a copy for your files

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Header
Protocol Number ECOG
Item
ECOG Protocol Number
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
Patient ID ECOG
Item
ECOG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
Generic drug form
Item
DCI Name
text
C25191 (NCI Thesaurus ValueDomain)
C3242750 (UMLS CUI-1)
C19464 (NCI Thesaurus Property)
C25474 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus ObjectClass-2)
Registration Number
Item
Registration Step
text
C25337 (NCI Thesaurus ValueDomain)
C1514821 (UMLS CUI-1)
C25646 (NCI Thesaurus ObjectClass)
C0237753 (UMLS CUI-2)
C16154 (NCI Thesaurus Property)
C16154 (NCI Thesaurus ValueDomain-2)
Cycle number
Item
Report period
integer
C25284 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus Property)
C25616 (NCI Thesaurus Property-2)
C15368 (NCI Thesaurus ObjectClass)
C2045829 (UMLS CUI-1)
Patient Initials
Item
Patient Initials (Last, First)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Study Number Participating Group
Item
Participating Group Protocol Number
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Trial subject ID Participating Group
Item
Participating Group Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Institution Name
Item
Institution/Affiliate
text
C25454 (NCI Thesaurus ObjectClass)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
Data amended
Item
Please mark an 'X' if data have been amended. (Please circle amended items in red)
text
C25704 (NCI Thesaurus ValueDomain)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
Data amended date
Item
Date data amended (MM/DD/YYYY)
date
C25164 (NCI Thesaurus ValueDomain)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C0011008 (UMLS CUI-2)
C25416 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
Investigator Signature
Item
Investigator Signature
text
C25704 (NCI Thesaurus ValueDomain)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
Investigator Signature Date
Item
Investigator Signature Date
date
C25164 (NCI Thesaurus ValueDomain)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
Item Group
Pre-registration Hematology/chemistry
Hemoglobin LLN
Item
Hemoglobin (Hgb), LLN
float
C25294 (NCI Thesaurus ObjectClass)
C16676 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C38024 (NCI Thesaurus ValueDomain-2)
C25555 (NCI Thesaurus ValueDomain-3)
C0019046 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Hemoglobin
Item
Hemoglobin (Hgb)
float
C16676 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C0019046 (UMLS CUI-1)
Hemoglobin date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C16676 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0019046 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Platelets LLN
Item
Peripheral platelet count, LLN
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C12520 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C0005821 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Platelets
Item
Peripheral Platelet Count
float
C20200 (NCI Thesaurus Property)
C12520 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C0005821 (UMLS CUI-1)
Platelets date
Item
Date (MM/DD/YYYY)
date
C25164 (NCI Thesaurus ValueDomain)
C0005821 (UMLS CUI-1)
C20200 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C12520 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
Granulocytes LLN
Item
Peripheral Granulocytes Count LLN
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C12530 (NCI Thesaurus Property-2)
C25463 (NCI Thesaurus ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C0857490 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Granulocyte count
Item
Peripheral Granulocytes Count (AGC/ANC/mm^3 - Do not report % granulocytes: report absolute count without decimal.)
float
C20200 (NCI Thesaurus Property)
C0857490 (UMLS CUI-1)
C12530 (NCI Thesaurus Property-2)
C25463 (NCI Thesaurus ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
Neutrophiles date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C12533 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0027950 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Leukocytes (WBC)
Item
Peripheral WBC Count
float
C25294 (NCI Thesaurus ObjectClass)
C12529 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C38024 (NCI Thesaurus ValueDomain-2)
C0023508 (UMLS CUI-1)
WBC LLN
Item
Peripheral WBC count, LLN
float
C25294 (NCI Thesaurus ObjectClass)
C12529 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C0023508 (UMLS CUI-1)
C1518030 (UMLS CUI-2)
Leukocytes date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C12529 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0023516 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Creatinine, Serum
Item
Creatinine
float
C20200 (NCI Thesaurus Property)
C0201976 (UMLS CUI-1)
C399 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
Creatinine, serum ULN
Item
Creatinine ULN
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C399 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25706 (NCI Thesaurus ValueDomain-2)
C0201976 (UMLS CUI-1)
C1519815 (UMLS CUI-2)
Laboratory Procedure Date
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C0022885 (UMLS CUI-1)
C25214 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C38000 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
Hemoglobin pre transfusion
Item
Mean pre-transfusion hemoglobin
float
C25294 (NCI Thesaurus ObjectClass)
C16676 (NCI Thesaurus Property)
C25629 (NCI Thesaurus Property-2)
C20200 (NCI Thesaurus Property-3)
C15192 (NCI Thesaurus Property-4)
C25712 (NCI Thesaurus ValueDomain)
C0019046 (UMLS CUI-1)
C1979588 (UMLS CUI-2)
Item Group
Bone marrow biopsy
C0005954 (UMLS CUI-1)
BoneMarrowBiopsyDate
Item
Date of Bone Marrow Biopsy (Aspirate)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C15189 (NCI Thesaurus Property)
C0005558 (UMLS 2011AA Property)
C12431 (NCI Thesaurus ObjectClass)
C0005953 (UMLS 2011AA ObjectClass)
Blasts, Bone Marrow
Item
Marrow Blasts (%) (Highest)
float
C25294 (NCI Thesaurus ObjectClass)
C1982687 (UMLS CUI-1)
C12431 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C12918 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
Bone Marrow Cellularity
Item
Marrow Cellularity (%) (If Marrow Cellularity % has been left blank please code the following to indicate the reason for leaving it blank.)
float
C25294 (NCI Thesaurus ObjectClass)
C1561532 (UMLS CUI-1)
C12431 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C37923 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
Item
Reason bone marrow cellularity was not recorded
text
C25294 (NCI Thesaurus ObjectClass)
C25594 (NCI Thesaurus Property)
C12431 (NCI Thesaurus Property-2)
C25375 (NCI Thesaurus Property-3)
C20200 (NCI Thesaurus Property-4)
C37923 (NCI Thesaurus Property-5)
C25638 (NCI Thesaurus ValueDomain)
C1561532 (UMLS CUI-1)
C1546437 (UMLS CUI-2)
CL.2
Code List
Reason bone marrow cellularity was not recorded
CL Item
Cellularity Status Of Bone Marrow Unknown, Procedure Resulted In No Material To Analyze (Dry Tap or inaspirable)
CL Item
Local Pathologist Did Not Quantify Cellularity (Local pathologist did not quantify cellularity)
Item
Dysplasia
text
C38148 (NCI Thesaurus ValueDomain)
C25626 (NCI Thesaurus Property)
C4086 (NCI Thesaurus ObjectClass)
C0334044 (UMLS CUI-1)
CL.3
Code List
Dysplasia
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Specify type
integer
C25284 (NCI Thesaurus ValueDomain)
C16681 (NCI Thesaurus Property)
C4086 (NCI Thesaurus ObjectClass)
C0334044 (UMLS CUI-1)
C0019638 (UMLS CUI-2)
CL.4
Code List
Specify type
CL Item
Erythroid (1)
CL Item
Megakaryocyte (2)
CL Item
Myeloid (3)
Item
Is cytogenetic abnormality present now
text
C25626 (NCI Thesaurus Property)
C2950 (NCI Thesaurus ObjectClass)
C0021212 (NCI Metathesaurus ValueDomain)
C0008625 (UMLS CUI-1)
CL.5
Code List
Is cytogenetic abnormality present now
CL Item
Inevaluable (-1)
C0151886 (UMLS CUI-1)
CL Item
No (0)
C1298908 (UMLS CUI-1)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
Item Group
International Prognostic Score
C1998280 (UMLS CUI-1)
IPSS date
Item
Date (Highest - Record earliest date of the values)
date
C25164 (NCI Thesaurus ValueDomain)
C3247 (NCI Thesaurus ObjectClass)
C20118 (NCI Thesaurus Property)
C1512894 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Item
Karyotype (Highest)
integer
C25284 (NCI Thesaurus ValueDomain)
C25215 (NCI Thesaurus ObjectClass)
C25365 (NCI Thesaurus Property)
C1261273 (UMLS CUI-1)
CL.8
Code List
Karyotype (Highest)
CL Item
Good (1)
C0205170 (UMLS CUI-1)
CL Item
Intermediate (2)
C0205103 (UMLS CUI-1)
CL Item
Poor (3)
C2700379 (UMLS CUI-1)
Cytopenia Count
Item
Number of Cytopenias (Highest - Red blood cells- Hemoglobin <10 g/dl - White blood cells- Absolute neutrophil count <1800/microliter - Platelets- Platelet count <100,000/ microliter)
integer
C25367 (NCI Thesaurus Property)
C25463 (NCI Thesaurus ValueDomain)
C2979 (NCI Thesaurus ObjectClass)
C0010828 (UMLS CUI-1)
C0750480 (UMLS CUI-2)
IPSS
Item
International Prognostic Score (IPSS) (Highest)
float
C3247 (NCI Thesaurus ObjectClass)
C20118 (NCI Thesaurus Property)
C25338 (NCI Thesaurus ValueDomain)
C1998280 (UMLS CUI-1)
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