Item
Point in time
integer
C1442880 (UMLS CUI-1)
CL Item
Induction II (optional) (2)
CL Item
Consolid. III (5)
Weight
Item
Weight [kg]
integer
C0005910 (UMLS CUI-1)
Body surface area
Item
Body surface area
integer
C0005902 (UMLS CUI-1)
Temperature
Item
Temperature
integer
C0039476 (UMLS CUI-1)
Blood pressure
Item
Blood pressure
integer
C0005823 (UMLS CUI-1)
Pulse
Item
Pulse
integer
C0232117 (UMLS CUI-1)
General Condition (WHO / ECOG)
Item
General Condition (WHO / ECOG)
integer
C1520224 (UMLS CUI-1)
Administration of Hydroxyurea
Item
Administration of Hydroxyurea before start of Induction I?
boolean
C0020402 (UMLS CUI-1)
How many days
Item
If yes, how many days before start of Induction I?
integer
C1948053 (UMLS CUI-1)
Date of last administration
Item
Date of last administration
date
C0011008 (UMLS CUI-1)
Adverse Events
Item
Did any Adverse Events occur? If Yes, please document on CRF Adverse Event (7)
boolean
C0877248 (UMLS CUI-1)
Fever Days
Item
Number of Days with Fever higher than 38.5°C
integer
C0015967 (UMLS CUI-1)
Hospital nights
Item
Number of Nights in Hospital (until discharge or start of next Cycle)
integer
C0420512 (UMLS CUI-1)
Hospitalisation after Discharge
Item
Was the Patient hospitalised again after discharge in this Cycle?
boolean
C0019993 (UMLS CUI-1)
Number of Hospitalisations
Item
Number of Hospitalisations
integer
C0019993 (UMLS CUI-1)
Date of first Hospitalisation
Item
Date of first Hospitalisation
date
C0019993 (UMLS CUI-2)
Duration of all Hospitalsations in this Cycle
Item
Duration of all Hospitalsations in this Cycle
integer
C0019993 (UMLS CUI-1)
C1515051 (UMLS CUI-2)
Reason(s) for Hospitalisation(s)
Item
Reason(s) for Hospitalisation(s)
text
Intake of Medication
Item
Intake of Medication? (If Yes, specify on CRF "Concomitant Medication"
boolean
C2826668 (UMLS CUI-1)
Number of platelet concentrates Single Donor (HLA-ident)
Item
Number of platelet concentrates Single Donor (HLA-ident)
integer
C2362067 (UMLS CUI-1)
Number of platelet concentrates Random / Pool
Item
Number of platelet concentrates Random / Pool
integer
C2713244 (UMLS CUI-1)
Date of first Transfusion platelet concentrates
Item
Date of first Transfusion platelet concentrates
integer
C2362067 (UMLS CUI-1)
Date of last Transfusion Platelet concentrate
Item
Date of last Transfusion Platelet concentrate
date
C2362067 (UMLS CUI-4)
Number of Erythrocyte concentrates/Packed red blood cells
Item
Number of Erythrocyte concentrates/Packed red blood cells
integer
C2316467 (UMLS CUI-1)
Date of first Transfusion Erythrocyte concentrate
Item
Date of first Transfusion Erythrocyte concentrate
date
C2316467 (UMLS CUI-1)
Date of last Transfusion Erythrocyte concentrate
Item
Date of last Transfusion Erythrocyte concentrate
date
C2316467 (UMLS CUI-1)
Item
Neutrophiles > 0.5 Giga/l
integer
C0027950 (UMLS CUI-1)
Code List
Neutrophiles > 0.5 Giga/l
CL Item
never reduced (1)
CL Item
regenerated on this day (2)
CL Item
not yet regenerated (3)
CL Item
not regenerated until next Cycle (4)
CL Item
not regenerated until Death (5)
Neutrophiles > 0.5 Giga/l Date
Item
Neutrophiles > 0.5 Giga/l Date
date
C0027950 (UMLS CUI-1)
Item
Neutrophiles > 1.5 Giga/l
integer
C0027950 (UMLS CUI-1)
Code List
Neutrophiles > 1.5 Giga/l
CL Item
never reduced (1)
CL Item
regenerated on this day (2)
CL Item
not yet regenerated (3)
CL Item
not regenerated until next Cycle (4)
CL Item
not regenerated until Death (5)
Neutrophiles > 1.5 Giga/l Date
Item
Neutrophiles > 1.5 Giga/l Date
date
C0027950 (UMLS CUI-1)
Item
Leukocytes > 1.0 Giga/l
text
C0023516 (UMLS CUI-1)
Code List
Leukocytes > 1.0 Giga/l
CL Item
never reduced (1)
CL Item
regenerated on this day (2)
CL Item
not yet regenerated (3)
CL Item
not regenerated until next Cycle (4)
CL Item
not regenerated until Death (5)
Leukocytes > 1.0 Giga/l Date
Item
Leukocytes > 1.0 Giga/l Date
date
C0023516 (UMLS CUI-1)
Item
Platelets > 20 Giga/l
integer
C0005821 (UMLS CUI-1)
Code List
Platelets > 20 Giga/l
CL Item
never reduced (1)
CL Item
regenerated on this day (2)
CL Item
not yet regenerated (3)
CL Item
not regenerated until next Cycle (4)
CL Item
not regenerated until Death (5)
Platelets > 20 Giga/l Date
Item
Platelets > 20 Giga/l Date
date
C0005821 (UMLS CUI-1)
Item
Platelets > 50 Giga/l
integer
C0005821 (UMLS CUI-1)
Code List
Platelets > 50 Giga/l
CL Item
never reduced (1)
CL Item
regenerated on this day (2)
CL Item
not yet regenerated (3)
CL Item
not regenerated until next Cycle (4)
CL Item
not regenerated until Death (5)
Platelets > 50 Giga/l Date
Item
Platelets > 50 Giga/l Date
date
C0005821 (UMLS CUI-1)
Item
Platelets > 100 Giga/l
integer
C0005821 (UMLS CUI-1)
Code List
Platelets > 100 Giga/l
CL Item
never reduced (1)
CL Item
regenerated on this day (2)
CL Item
not yet regenerated (3)
CL Item
not regenerated until next Cycle (4)
CL Item
not regenerated until Death (5)
Platelets > 100 Giga/l Date
Item
Platelets > 100 Giga/l Date
date
C0005821 (UMLS CUI-1)
Further Therapy planned
Item
Further Therapy planned
boolean
C1553904 (UMLS CUI-1)
Date
Item
Date
date
C0011008 (UMLS CUI-1)
Name of Investigator
Item
Name of Investigator
text
C0008961 (UMLS CUI-1)
Signature of investigator
Item
Signature of investigator
text
C0807938 (UMLS CUI-1)