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Remissionsstatus vor 2. Konsolidierung Leukämie AML AZA NCT00915252

1 forms  
  1. StudyEvent: Akute myeloische Leukämie(AML) AML alle außer FAB M3
    1. Remissionsstatus vor 2. Konsolidierung Leukämie AML AZA NCT00915252
Patient data
Description

Patient data

Alias
LOINC Version 232
MTHU031990
UMLS CUI-1
C2707520
Pat. No.: -
Description

Pat. No.: -

Data type

integer

Alias
LOINC Version 232
MTHU021361
UMLS CUI-1
C1830427
Differential blood count
Description

Differential blood count

Alias
Code-1
Differential Leukocyte Count
SNOMEDCT_2012_01_31
165511009
MedDRA 14.1
10012784
UMLS CUI-1
C0162401
Date:
Description

Datum

Data type

date

Alias
UMLS CUI 2011AB
C0011008
SNOMEDCT_2012_01_31
410671006
LOINC Version 232
MTHU021546
Code-2
Differential Leukocyte Count
UMLS CUI 2011AB-2
C0162401
SNOMEDCT_2012_01_31-2
165511009
MedDRA 14.1
10012784
Hemoglobin
Description

Haemoglobin

Data type

integer

Alias
Code-1
Hemoglobin
UMLS CUI 2011AB
C0518015
MedDRA 14.1
10018876
Hemoglobin
Description

Haemoglobin

Data type

integer

Alias
Code-1
Hemoglobin
UMLS CUI 2011AB
C0518015
MedDRA 14.1
10018876
Code-2
Unit of Measure
UMLS CUI 2011AB-2
C1519795
Leukocytes
Description

Leukozyten

Data type

integer

Alias
Code-1
Leukocytes:NCnc:Pt:Bld:Qn
UMLS CUI 2011AB
C0945357
LOINC Version 232
26464-8
Leukocytes
Description

Leukozyten

Data type

integer

Alias
Code-1
Leukocytes:NCnc:Pt:Bld:Qn
UMLS CUI 2011AB
C0945357
LOINC Version 232
26464-8
Code-2
Unit of Measure
UMLS CUI 2011AB-2
C1519795
Neutrophil percentage
Description

Prozentanteil Neutrophile

Data type

integer

Alias
Code-1
Neutrophils/100 leukocytes:NFr:Pt:Bld:Qn
UMLS CUI 2011AB
C0942471
LOINC Version 232
26511-6
Band neutrophil percentage
Description

Prozentanteil Stabkernige

Data type

integer

Alias
Code-1
Neutrophils.band form/100 leukocytes:NFr:Pt:Bld:Qn
UMLS CUI 2011AB
C0942468
LOINC Version 232
26508-2
[or] Segmented neutrophil percentage
Description

[oder] Prozentanteil Segmentkernige

Data type

integer

Alias
Code-1
Neutrophils.segmented/100 leukocytes:NFr:Pt:Bld:Qn
UMLS CUI 2011AB
C0942466
LOINC Version 232
26505-8
Lymphocyte percentage
Description

Prozentanteil Lymphozyten

Data type

integer

Alias
Code-1
Lymphocytes/100 leukocytes:NFr:Pt:Bld:Qn
UMLS CUI 2011AB
C0942440
LOINC Version 232
26478-8
Monocyte percentage
Description

Prozentanteil Monozyten

Data type

integer

Alias
Code-1
Monocytes/100 leukocytes:NFr:Pt:Bld:Qn
UMLS CUI 2011AB
C0942447
LOINC Version 232
26485-3
Eosinophil percentage
Description

Prozentanteil Eosinophile

Data type

integer

Alias
Code-1
Eosinophils/100 leukocytes:NFr:Pt:Bld:Qn
UMLS CUI 2011AB
C0945354
LOINC Version 232
26450-7 
Basophil percentage
Description

Prozentanteil Basophile

Data type

integer

Alias
Code-1
Basophils/100 leukocytes:NFr:Pt:Bld:Qn
UMLS CUI 2011AB
C1114065
LOINC Version 232
30180-4 
Blast cell percentage
Description

Prozentanteil Blasten

Data type

integer

Alias
Code-1
Blasts/100 leukocytes:NFr:Pt:Bld:Qn
UMLS CUI 2011AB
C0942416
LOINC Version 232
26446-5 
Promyelocyte percentage
Description

Prozentanteil Promyelozyten

Data type

integer

Alias
Code-1
Promyelocytes/100 leukocytes:Number Fraction:Point in time:Whole blood:Quantitative
UMLS CUI 2011AB
C1114906
LOINC Version 232
26524-9 
Myelocyte percentage
Description

Prozentanteil Myelozyten

Data type

integer

Alias
Code-1
Myelocytes/100 leukocytes:NFr:Pt:Bld:Qn
UMLS CUI 2011AB
C0942460
LOINC Version 232
26498-6 
Metamyelocyte percentage
Description

Prozentanteil Metamyelozyten

Data type

integer

Alias
Code-1
Metamyelocytes/100 leukocytes:NFr:Pt:Bld:Qn
UMLS CUI 2011AB
C0944135
LOINC Version 232
28541-1 
Percentage of other cells
Description

Prozentanteil sonstige Zellen

Data type

integer

Alias
Code-1
Other cells/100 leukocytes
UMLS CUI 2011AB
C1978275
LOINC Version 232
MTHU026796
Platelets
Description

Thrombozyten

Data type

integer

Alias
Code-1
Platelets:NCnc:Pt:Bld:Qn
UMLS CUI 2011AB
C0942474
LOINC Version 232
26515-7
Platelets
Description

Thrombozyten

Data type

integer

Alias
Code-1
Platelets:NCnc:Pt:Bld:Qn
UMLS CUI 2011AB
C0942474
LOINC Version 232
26515-7
Code-2
Unit of Measure
UMLS CUI 2011AB-2
C1519795
Bone marrow examination
Description

Bone marrow examination

Alias
Code-1
Bone marrow examination
SNOMEDCT_2012_01_31
167907006
MedDRA 14.1
10005988
UMLS CUI-1
C0005957
Date - Bone marrow examination
Description

Datum - Knochenmarkuntersuchung

Data type

date

Alias
UMLS CUI 2011AB
C0011008
SNOMEDCT_2012_01_31
410671006
LOINC Version 232
MTHU021546
Code-2
Bone marrow examination
UMLS CUI 2011AB-2
C0005957
SNOMEDCT_2012_01_31-2
167907006
MedDRA 14.1
10005988
Obligatory materials shipping (bone marrow + blood) for determination of methylation status to:
Description

Obligatory materials shipping (bone marrow + blood) for determination of methylation status to:

Data type

integer

Alias
Code-1
Mandatory
Code-2
Materials
SNOMEDCT_2012_01_31
260769002
LOINC Version 232
MTHU013790
HL7 V3 2006_05
MAT
Code-3
Shipping
Code-4
Bone marrow
SNOMEDCT_2012_01_31-2
14016003
LOINC Version 232-2
MTHU016536
Code-5
Blood
SNOMEDCT_2012_01_31-3
87612001
LOINC Version 232-3
MTHU029981
HL7 V3 2006_05-2
Determination
Code-6
C1148554
UMLS CUI-1
C1514873
UMLS CUI-2
C0520510
UMLS CUI-3
C1524049
UMLS CUI-4
C0005953
UMLS CUI-5
C0005767
no shipping because
Description

kein Versand weil

Data type

string

Alias
Code-1
Absent
UMLS CUI 2011AB
C0332197
SNOMEDCT_2012_01_31
2667000
Code-2
Shipping
UMLS CUI 2011AB-2
C1524049
Code-3
Reason
UMLS CUI 2011AB-3
C0392360
SNOMEDCT_2012_01_31-2
410666004
LOINC Version 232
MTHU008862
Code-4
Materials
UMLS CUI 2011AB-4
C0520510
SNOMEDCT_2012_01_31-3
260769002
LOINC Version 232-2
MTHU013790
HL7 V3 2006_05
MAT
Code-5
Shipping
UMLS CUI 2011AB-5
C1524049
Cytology
Description

Cytology

Alias
MedDRA 14.1
10061804
LOINC Version 232
MTHU000052
UMLS CUI-1
C1305671
Blast percentage
Description

Blastenanteil

Data type

integer

Alias
Code-1
Blasts
UMLS CUI 2011AB
C0368761
SNOMEDCT_2012_01_31
312256009
LOINC Version 232
MTHU005201
Code-2
Percentage
UMLS CUI 2011AB-2
CL343029
HL7 V3 2006_05
%
If >=5%, please specify [%]
Description

wenn >=5%, dann bitte angeben [%]

Data type

integer

Alias
Code-1
if
UMLS CUI 2011AB
C0750557
Code-2
Not Less Than
UMLS CUI 2011AB-2
C0439091
SNOMEDCT_2012_01_31
276138003
HL7 V3 2006_05
GE
Code-3
5
UMLS CUI 2011AB-3
C0205451
SNOMEDCT_2012_01_31-2
34001005
Code-4
Percent
UMLS CUI 2011AB-4
C0439165
SNOMEDCT_2012_01_31-3
118582008
Code-5
Specify
UMLS CUI 2011AB-5
C1521902
Cytogenetics
Description

Cytogenetics

Alias
UMLS CUI-1
C0010802
Cytogenetics:
Description

Cytogenetics

Data type

integer

Alias
UMLS CUI 2011AB
C0010802
Cytogenetic aberration detectable:
Description

Cytogenetic aberration detectable

Data type

integer

Alias
Code-1
Cytogenetic Aberration
UMLS CUI 2011AB
C0008625
Code-2
Identifiable
UMLS CUI 2011AB-2
C0205396
SNOMEDCT_2012_01_31
7882003
LOINC Version 232
MTHU014964
count of metaphases
Description

count of metaphases

Data type

integer

Alias
Code-1
Number
UMLS CUI 2011AB
C0449788
SNOMEDCT_2012_01_31
410681005
Code-2
Total
UMLS CUI 2011AB-2
C0439810
SNOMEDCT_2012_01_31-2
255619001
Code-3
Metaphase
UMLS CUI 2011AB-3
C1621812
SNOMEDCT_2012_01_31-3
74399001
total count of metaphases
Description

total count of metaphases

Data type

integer

Alias
Code-1
Number
UMLS CUI 2011AB
C0449788
SNOMEDCT_2012_01_31
410681005
Code-2
Total
UMLS CUI 2011AB-2
C0439810
SNOMEDCT_2012_01_31-2
255619001
Code-3
Metaphase
UMLS CUI 2011AB-3
C1621812
SNOMEDCT_2012_01_31-3
74399001
% Interphase FISH
Description

% interphase FISH

Data type

integer

Alias
Code-1
Percent
UMLS CUI 2011AB
C0439165
SNOMEDCT_2012_01_31
118582008
Code-2
Fluorescent in situ hybridisation positive
UMLS CUI 2011AB-2
CL437650
MedDRA 14.1
10072468
New aberration detectable:
Description

New aberration detectable

Data type

boolean

Alias
Code-1
New
UMLS CUI 2011AB
C0205314
SNOMEDCT_2012_01_31
7147002
Code-2
Aberration
UMLS CUI 2011AB-2
C0008625
Code-3
Identifiable
UMLS CUI 2011AB-3
C0205396
SNOMEDCT_2012_01_31-2
7882003
LOINC Version 232
MTHU014964
Molecular Genetic Analysis
Description

Molecular Genetic Analysis

Alias
Code-1
Molecular Genetic Analysis
UMLS CUI-1
C1513380
Molecular Genetic Analysis
Description

Molekulargenetik

Data type

integer

Alias
UMLS CUI 2011AB
C1513380
AML1/ETO:
Description

AML1/ETO

Data type

integer

Alias
UMLS CUI 2011AB
C1851466
PML/RARa:
Description

PML/RARa

Data type

integer

Alias
UMLS CUI 2011AB
C1867259
CBFbeta/MYH11:
Description

CBFbeta/MYH11

Data type

integer

Alias
UMLS CUI 2011AB
CL435279
C/EBPalpha:
Description

C/EBPalpha

Data type

integer

Alias
UMLS CUI 2011AB
C1413322
NPM1(mut):
Description

NPM1-Mut

Data type

integer

Alias
UMLS CUI 2011AB
C2826175
IDH mutation:
Description

IDH-Mutation

Data type

integer

Alias
Code-1
Isocitrate Dehydrogenase (NAD+)
UMLS CUI 2011AB
C0022157
SNOMEDCT_2012_01_31
259318006
LOINC Version 232
MTHU012138
Code-2
Mutation
UMLS CUI 2011AB-2
C0026882
SNOMEDCT_2012_01_31-2
55446002
FLT3 point mutation:
Description

Flt3-Punktmutation

Data type

integer

Alias
Code-1
FLT3 Tyrosine Kinase Domain Point Mutation
UMLS CUI 2011AB
C2348501
FLT3-ITD:
Description

Flt3-ITD

Data type

integer

Alias
Code-1
FLT3 Internal Tandem Duplication
UMLS CUI 2011AB
C2348499
Other:
Description

Sonstige

Data type

string

Alias
UMLS CUI 2011AB
C0205394
SNOMEDCT_2012_01_31
74964007
Code-2
Molecular Genetic Analysis
UMLS CUI 2011AB-2
C1513380
Remission status
Description

Remission status

Alias
Code-1
Remission
UMLS CUI 2011AB
C0544452
SNOMEDCT_2012_01_31
277022003
Code-2
Status
UMLS CUI 2011AB
C0449438
SNOMEDCT_2012_01_31
263490005
LOINC Version 232
MTHU015827
Remission status
Description

Remission status

Data type

integer

Alias
Code-1
Remission
UMLS CUI 2011AB
C0544452
SNOMEDCT_2012_01_31
277022003
Code-2
Status
UMLS CUI 2011AB-2
C0449438
SNOMEDCT_2012_01_31-2
263490005
LOINC Version 232
MTHU015827
Signature
Description

Signature

Alias
UMLS CUI 2011AB
C1519316
Date:
Description

Datum

Data type

date

Alias
UMLS CUI 2011AB
C0011008
SNOMEDCT_2012_01_31
410671006
LOINC Version 232
MTHU021546
Name/Signature study physician
Description

Name/Unterschrift Prüfarzt

Data type

string

Alias
Code-1
Name
UMLS CUI 2011AB
C0027365
LOINC Version 232
MTHU008539
Code-2
Signature
UMLS CUI 2011AB-2
C1519316
Code-3
Study
UMLS CUI 2011AB-3
C0008976
SNOMEDCT_2012_01_31
110465008
Code-4
Physician
UMLS CUI 2011AB-4
C0031831
SNOMEDCT_2012_01_31-2
309343006
LOINC Version 232-2
MTHU010489
HL7 V3 2006_05
PHYS
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Similar models

Remissionsstatus vor 2. Konsolidierung Leukämie AML AZA NCT00915252

1 forms
  1. StudyEvent: Akute myeloische Leukämie(AML) AML alle außer FAB M3
    1. Remissionsstatus vor 2. Konsolidierung Leukämie AML AZA NCT00915252
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient data
MTHU031990 (LOINC Version 232)
C2707520 (UMLS CUI-1)
Patient number
Item
Pat. No.: -
integer
MTHU021361 (LOINC Version 232)
C1830427 (UMLS CUI-1)
Item Group
Differential blood count
Differential Leukocyte Count (Code-1)
165511009 (SNOMEDCT_2012_01_31)
10012784 (MedDRA 14.1)
C0162401 (UMLS CUI-1)
Datum
Item
Date:
date
C0011008 (UMLS CUI 2011AB)
410671006 (SNOMEDCT_2012_01_31)
MTHU021546 (LOINC Version 232)
Differential Leukocyte Count (Code-2)
C0162401 (UMLS CUI 2011AB-2)
165511009 (SNOMEDCT_2012_01_31-2)
10012784 (MedDRA 14.1)
Haemoglobin
Item
Hemoglobin
integer
Hemoglobin (Code-1)
C0518015 (UMLS CUI 2011AB)
10018876 (MedDRA 14.1)
Item
Hemoglobin
integer
Hemoglobin (Code-1)
C0518015 (UMLS CUI 2011AB)
10018876 (MedDRA 14.1)
Unit of Measure (Code-2)
C1519795 (UMLS CUI 2011AB-2)
Haemoglobin
Code List
Hemoglobin
CL Item
[mmol/l] ([mmol/l])
Hemoglobin:SCnc:Pt:Bld:Qn (Code-1)
C2923664 (UMLS CUI 2011AB)
59260-0 (LOINC Version 232)
CL Item
[g/dl] ([g/dl])
Hemoglobin:MCnc:Pt:Bld:Qn (Code-1)
C0362923 (UMLS CUI 2011AB)
718-7 (LOINC Version 232)
Leukozyten
Item
Leukocytes
integer
Leukocytes:NCnc:Pt:Bld:Qn (Code-1)
C0945357 (UMLS CUI 2011AB)
26464-8 (LOINC Version 232)
Item
Leukocytes
integer
Leukocytes:NCnc:Pt:Bld:Qn (Code-1)
C0945357 (UMLS CUI 2011AB)
26464-8 (LOINC Version 232)
Unit of Measure (Code-2)
C1519795 (UMLS CUI 2011AB-2)
Leukozyten
Code List
Leukocytes
CL Item
[GPt/l] ([GPt/l])
Billion Cells per Liter (Code-1)
C0456524 (UMLS CUI 2011AB)
277199001 (SNOMEDCT_2012_01_31)
CL Item
[/µl] ( [/µl])
Cells per Microliter (Code-1)
C0439378 (UMLS CUI 2011AB)
258878000 (SNOMEDCT_2012_01_31)
CL Item
[10E3/µl] ([10E3/µl])
Thousand Cells per Microliter (Code-1)
C1883312 (UMLS CUI 2011AB)
CL Item
[/nl] ( [/nl])
Cells (Code-1)
C0007634 (UMLS CUI 2011AB)
4421005 (SNOMEDCT_2012_01_31)
MTHU001933 (LOINC Version 232)
Per (Code-3)
CL416189 (UMLS CUI 2011AB-6)
Nanoliter (Code-4)
C0560008 (UMLS CUI 2011AB-8)
Prozentanteil Neutrophile
Item
Neutrophil percentage
integer
Neutrophils/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942471 (UMLS CUI 2011AB)
26511-6 (LOINC Version 232)
Prozentanteil Stabkernige
Item
Band neutrophil percentage
integer
Neutrophils.band form/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942468 (UMLS CUI 2011AB)
26508-2 (LOINC Version 232)
[oder] Prozentanteil Segmentkernige
Item
[or] Segmented neutrophil percentage
integer
Neutrophils.segmented/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942466 (UMLS CUI 2011AB)
26505-8 (LOINC Version 232)
Prozentanteil Lymphozyten
Item
Lymphocyte percentage
integer
Lymphocytes/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942440 (UMLS CUI 2011AB)
26478-8 (LOINC Version 232)
Prozentanteil Monozyten
Item
Monocyte percentage
integer
Monocytes/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942447 (UMLS CUI 2011AB)
26485-3 (LOINC Version 232)
Prozentanteil Eosinophile
Item
Eosinophil percentage
integer
Eosinophils/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0945354 (UMLS CUI 2011AB)
26450-7  (LOINC Version 232)
Prozentanteil Basophile
Item
Basophil percentage
integer
Basophils/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C1114065 (UMLS CUI 2011AB)
30180-4  (LOINC Version 232)
Prozentanteil Blasten
Item
Blast cell percentage
integer
Blasts/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942416 (UMLS CUI 2011AB)
26446-5  (LOINC Version 232)
Prozentanteil Promyelozyten
Item
Promyelocyte percentage
integer
Promyelocytes/100 leukocytes:Number Fraction:Point in time:Whole blood:Quantitative (Code-1)
C1114906 (UMLS CUI 2011AB)
26524-9  (LOINC Version 232)
Prozentanteil Myelozyten
Item
Myelocyte percentage
integer
Myelocytes/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0942460 (UMLS CUI 2011AB)
26498-6  (LOINC Version 232)
Prozentanteil Metamyelozyten
Item
Metamyelocyte percentage
integer
Metamyelocytes/100 leukocytes:NFr:Pt:Bld:Qn (Code-1)
C0944135 (UMLS CUI 2011AB)
28541-1  (LOINC Version 232)
Prozentanteil sonstige Zellen
Item
Percentage of other cells
integer
Other cells/100 leukocytes (Code-1)
C1978275 (UMLS CUI 2011AB)
MTHU026796 (LOINC Version 232)
Thrombozyten
Item
Platelets
integer
Platelets:NCnc:Pt:Bld:Qn (Code-1)
C0942474 (UMLS CUI 2011AB)
26515-7 (LOINC Version 232)
Item
Platelets
integer
Platelets:NCnc:Pt:Bld:Qn (Code-1)
C0942474 (UMLS CUI 2011AB)
26515-7 (LOINC Version 232)
Unit of Measure (Code-2)
C1519795 (UMLS CUI 2011AB-2)
Thrombozyten
Code List
Platelets
CL Item
[GPt/l] ([GPt/l])
Billion Cells per Liter (Code-1)
C0456524 (UMLS CUI 2011AB)
277199001 (SNOMEDCT_2012_01_31)
CL Item
[/µl] ([/µl])
Cells per Microliter (Code-1)
C0439378 (UMLS CUI 2011AB)
258878000 (SNOMEDCT_2012_01_31)
CL Item
[10E3/µl] ([10E3/µl])
Thousand Cells per Microliter (Code-1)
C1883312 (UMLS CUI 2011AB)
CL Item
[/nl] ([/nl])
Cells (Code-1)
C0007634 (UMLS CUI 2011AB)
4421005 (SNOMEDCT_2012_01_31)
MTHU001933 (LOINC Version 232)
Per (Code-3)
CL416189 (UMLS CUI 2011AB-6)
Nanoliter (Code-4)
C0560008 (UMLS CUI 2011AB-8)
Item Group
Bone marrow examination
Bone marrow examination (Code-1)
167907006 (SNOMEDCT_2012_01_31)
10005988 (MedDRA 14.1)
C0005957 (UMLS CUI-1)
Datum - Knochenmarkuntersuchung
Item
Date - Bone marrow examination
date
C0011008 (UMLS CUI 2011AB)
410671006 (SNOMEDCT_2012_01_31)
MTHU021546 (LOINC Version 232)
Bone marrow examination (Code-2)
C0005957 (UMLS CUI 2011AB-2)
167907006 (SNOMEDCT_2012_01_31-2)
10005988 (MedDRA 14.1)
Item
Obligatory materials shipping (bone marrow + blood) for determination of methylation status to:
integer
Mandatory (Code-1)
Materials (Code-2)
260769002 (SNOMEDCT_2012_01_31)
MTHU013790 (LOINC Version 232)
MAT (HL7 V3 2006_05)
Shipping (Code-3)
Bone marrow (Code-4)
14016003 (SNOMEDCT_2012_01_31-2)
MTHU016536 (LOINC Version 232-2)
Blood (Code-5)
87612001 (SNOMEDCT_2012_01_31-3)
MTHU029981 (LOINC Version 232-3)
Determination (HL7 V3 2006_05-2)
C1148554 (Code-6)
C1514873 (UMLS CUI-1)
C0520510 (UMLS CUI-2)
C1524049 (UMLS CUI-3)
C0005953 (UMLS CUI-4)
C0005767 (UMLS CUI-5)
Obligater Materialversand
Code List
Obligatory materials shipping (bone marrow + blood) for determination of methylation status to:
CL Item
Münster (1)
223810004 (SNOMEDCT_2012_01_31)
CL Item
Dresden (2)
no_code (Code-1)
CL Item
Frankfurt (3)
no_code (Code-1)
CL Item
no shipping because (kein Versand weil)
Absent (Code-1)
2667000 (SNOMEDCT_2012_01_31)
Shipping (Code-2)
Reason (Code-3)
410666004 (SNOMEDCT_2012_01_31-8)
MTHU008862 (LOINC Version 232)
C0332197 (UMLS CUI-1)
C1524049 (UMLS CUI-2)
C0392360 (UMLS CUI-3)
kein Versand weil
Item
no shipping because
string
Absent (Code-1)
C0332197 (UMLS CUI 2011AB)
2667000 (SNOMEDCT_2012_01_31)
Shipping (Code-2)
C1524049 (UMLS CUI 2011AB-2)
Reason (Code-3)
C0392360 (UMLS CUI 2011AB-3)
410666004 (SNOMEDCT_2012_01_31-2)
MTHU008862 (LOINC Version 232)
Materials (Code-4)
C0520510 (UMLS CUI 2011AB-4)
260769002 (SNOMEDCT_2012_01_31-3)
MTHU013790 (LOINC Version 232-2)
MAT (HL7 V3 2006_05)
Shipping (Code-5)
C1524049 (UMLS CUI 2011AB-5)
Item Group
Cytology
10061804 (MedDRA 14.1)
MTHU000052 (LOINC Version 232)
C1305671 (UMLS CUI-1)
Item
Blast percentage
integer
Blasts (Code-1)
C0368761 (UMLS CUI 2011AB)
312256009 (SNOMEDCT_2012_01_31)
MTHU005201 (LOINC Version 232)
Percentage (Code-2)
CL343029 (UMLS CUI 2011AB-2)
% (HL7 V3 2006_05)
Blastenanteil
Code List
Blast percentage
CL Item
<5% (1)
Less than (Code-1)
C0439092 (UMLS CUI 2011AB)
276139006 (SNOMEDCT_2012_01_31)
LT (HL7 V3 2006_05)
5 (Code-2)
C0205451 (UMLS CUI 2011AB-6)
34001005 (SNOMEDCT_2012_01_31-7)
Percent (Code-3)
C0439165 (UMLS CUI 2011AB-9)
118582008 (SNOMEDCT_2012_01_31-10)
CL Item
>=5% (2)
Not Less Than (Code-1)
C0439091 (UMLS CUI 2011AB)
276138003 (SNOMEDCT_2012_01_31)
GE (HL7 V3 2006_05)
5 (Code-2)
C0205451 (UMLS CUI 2011AB-6)
34001005 (SNOMEDCT_2012_01_31-7)
Percent (Code-3)
C0439165 (UMLS CUI 2011AB-9)
118582008 (SNOMEDCT_2012_01_31-10)
CL Item
cannot be assessed (3)
cannot be assessed (Code-1)
C1707258 (UMLS CUI 2011AB)
wenn >=5%, dann bitte angeben [%]
Item
If >=5%, please specify [%]
integer
if (Code-1)
C0750557 (UMLS CUI 2011AB)
Not Less Than (Code-2)
C0439091 (UMLS CUI 2011AB-2)
276138003 (SNOMEDCT_2012_01_31)
GE (HL7 V3 2006_05)
5 (Code-3)
C0205451 (UMLS CUI 2011AB-3)
34001005 (SNOMEDCT_2012_01_31-2)
Percent (Code-4)
C0439165 (UMLS CUI 2011AB-4)
118582008 (SNOMEDCT_2012_01_31-3)
Specify (Code-5)
C1521902 (UMLS CUI 2011AB-5)
Item Group
Cytogenetics
C0010802 (UMLS CUI-1)
Item
Cytogenetics:
integer
C0010802 (UMLS CUI 2011AB)
Cytogenetics
Code List
Cytogenetics:
CL Item
performed (Please attach copy of findings!) (1)
C0884358 (UMLS CUI 2011AB)
398166005 (SNOMEDCT_2012_01_31)
CL Item
not performed (2)
C0445106 (UMLS CUI 2011AB)
262008008 (SNOMEDCT_2012_01_31)
Item
Cytogenetic aberration detectable:
integer
Cytogenetic Aberration (Code-1)
C0008625 (UMLS CUI 2011AB)
Identifiable (Code-2)
C0205396 (UMLS CUI 2011AB-2)
7882003 (SNOMEDCT_2012_01_31)
MTHU014964 (LOINC Version 232)
Cytogenetic aberration detectable
Code List
Cytogenetic aberration detectable:
CL Item
yes, in / metaphases (yes, in metaphases)
yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
Metaphase (Code-2)
C1621812 (UMLS CUI 2011AB-5)
74399001 (SNOMEDCT_2012_01_31-6)
CL Item
yes, in % Interphase FISH (yes, in interphase FISH)
yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
Chromosome analysis.interphase:Imp:Pt:Bone mar:Nar:FISH (Code-2)
C1978637 (UMLS CUI 2011AB-5)
50659-2 (LOINC Version 232)
CL Item
no (no)
Negation (Code-1)
C1518422 (UMLS CUI 2011AB)
count of metaphases
Item
count of metaphases
integer
Number (Code-1)
C0449788 (UMLS CUI 2011AB)
410681005 (SNOMEDCT_2012_01_31)
Total (Code-2)
C0439810 (UMLS CUI 2011AB-2)
255619001 (SNOMEDCT_2012_01_31-2)
Metaphase (Code-3)
C1621812 (UMLS CUI 2011AB-3)
74399001 (SNOMEDCT_2012_01_31-3)
total count of metaphases
Item
total count of metaphases
integer
Number (Code-1)
C0449788 (UMLS CUI 2011AB)
410681005 (SNOMEDCT_2012_01_31)
Total (Code-2)
C0439810 (UMLS CUI 2011AB-2)
255619001 (SNOMEDCT_2012_01_31-2)
Metaphase (Code-3)
C1621812 (UMLS CUI 2011AB-3)
74399001 (SNOMEDCT_2012_01_31-3)
% interphase FISH
Item
% Interphase FISH
integer
Percent (Code-1)
C0439165 (UMLS CUI 2011AB)
118582008 (SNOMEDCT_2012_01_31)
Fluorescent in situ hybridisation positive (Code-2)
CL437650 (UMLS CUI 2011AB-2)
10072468 (MedDRA 14.1)
New aberration detectable
Item
New aberration detectable:
boolean
New (Code-1)
C0205314 (UMLS CUI 2011AB)
7147002 (SNOMEDCT_2012_01_31)
Aberration (Code-2)
C0008625 (UMLS CUI 2011AB-2)
Identifiable (Code-3)
C0205396 (UMLS CUI 2011AB-3)
7882003 (SNOMEDCT_2012_01_31-2)
MTHU014964 (LOINC Version 232)
Item Group
Molecular Genetic Analysis
Molecular Genetic Analysis (Code-1)
C1513380 (UMLS CUI-1)
Item
Molecular Genetic Analysis
integer
C1513380 (UMLS CUI 2011AB)
Molekulargenetik
Code List
Molecular Genetic Analysis
CL Item
performed (Please attach copy of findings!) (1)
C0884358 (UMLS CUI 2011AB)
398166005 (SNOMEDCT_2012_01_31)
CL Item
not performed (2)
C0445106 (UMLS CUI 2011AB)
262008008 (SNOMEDCT_2012_01_31)
Item
AML1/ETO:
integer
C1851466 (UMLS CUI 2011AB)
AML1/ETO
Code List
AML1/ETO:
CL Item
yes (1)
Yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
CL Item
no (2)
No (Code-1)
C1298908 (UMLS CUI 2011AB)
373067005 (SNOMEDCT_2012_01_31)
CL Item
Not examined for (3)
C0332129 (UMLS CUI 2011AB)
75134009 (SNOMEDCT_2012_01_31)
Item
PML/RARa:
integer
C1867259 (UMLS CUI 2011AB)
PML/RARa
Code List
PML/RARa:
CL Item
yes (1)
Yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
CL Item
no (2)
No (Code-1)
C1298908 (UMLS CUI 2011AB)
373067005 (SNOMEDCT_2012_01_31)
CL Item
Not examined for (3)
C0332129 (UMLS CUI 2011AB)
75134009 (SNOMEDCT_2012_01_31)
Item
CBFbeta/MYH11:
integer
CL435279 (UMLS CUI 2011AB)
CBFbeta/MYH11
Code List
CBFbeta/MYH11:
CL Item
yes (1)
Yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
CL Item
no (2)
No (Code-1)
C1298908 (UMLS CUI 2011AB)
373067005 (SNOMEDCT_2012_01_31)
CL Item
Not examined for (3)
C0332129 (UMLS CUI 2011AB)
75134009 (SNOMEDCT_2012_01_31)
Item
C/EBPalpha:
integer
C1413322 (UMLS CUI 2011AB)
C/EBPalpha
Code List
C/EBPalpha:
CL Item
yes (1)
Yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
CL Item
no (2)
No (Code-1)
C1298908 (UMLS CUI 2011AB)
373067005 (SNOMEDCT_2012_01_31)
CL Item
Not examined for (3)
C0332129 (UMLS CUI 2011AB)
75134009 (SNOMEDCT_2012_01_31)
Item
NPM1(mut):
integer
C2826175 (UMLS CUI 2011AB)
NPM1-Mut
Code List
NPM1(mut):
CL Item
yes (1)
Yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
CL Item
no (2)
No (Code-1)
C1298908 (UMLS CUI 2011AB)
373067005 (SNOMEDCT_2012_01_31)
CL Item
Not examined for (3)
C0332129 (UMLS CUI 2011AB)
75134009 (SNOMEDCT_2012_01_31)
CL Item
Not examined for (1)
C0332129 (UMLS CUI 2011AB)
75134009 (SNOMEDCT_2012_01_31)
Item
IDH mutation:
integer
Isocitrate Dehydrogenase (NAD+) (Code-1)
C0022157 (UMLS CUI 2011AB)
259318006 (SNOMEDCT_2012_01_31)
MTHU012138 (LOINC Version 232)
Mutation (Code-2)
C0026882 (UMLS CUI 2011AB-2)
55446002 (SNOMEDCT_2012_01_31-2)
IDH-Mutation
Code List
IDH mutation:
CL Item
yes (1)
Yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
CL Item
no (2)
No (Code-1)
C1298908 (UMLS CUI 2011AB)
373067005 (SNOMEDCT_2012_01_31)
CL Item
Not examined for (3)
C0332129 (UMLS CUI 2011AB)
75134009 (SNOMEDCT_2012_01_31)
Item
FLT3 point mutation:
integer
FLT3 Tyrosine Kinase Domain Point Mutation (Code-1)
C2348501 (UMLS CUI 2011AB)
Flt3-Punktmutation
Code List
FLT3 point mutation:
CL Item
yes (1)
Yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
CL Item
no (2)
No (Code-1)
C1298908 (UMLS CUI 2011AB)
373067005 (SNOMEDCT_2012_01_31)
CL Item
Not examined for (3)
C0332129 (UMLS CUI 2011AB)
75134009 (SNOMEDCT_2012_01_31)
Item
FLT3-ITD:
integer
FLT3 Internal Tandem Duplication (Code-1)
C2348499 (UMLS CUI 2011AB)
Flt3-ITD
Code List
FLT3-ITD:
CL Item
yes (1)
Yes (Code-1)
C1298907 (UMLS CUI 2011AB)
373066001 (SNOMEDCT_2012_01_31)
CL Item
no (2)
No (Code-1)
C1298908 (UMLS CUI 2011AB)
373067005 (SNOMEDCT_2012_01_31)
CL Item
Not examined for (3)
C0332129 (UMLS CUI 2011AB)
75134009 (SNOMEDCT_2012_01_31)
Sonstige
Item
Other:
string
C0205394 (UMLS CUI 2011AB)
74964007 (SNOMEDCT_2012_01_31)
Molecular Genetic Analysis (Code-2)
C1513380 (UMLS CUI 2011AB-2)
Item Group
Remission status
Remission (Code-1)
C0544452 (UMLS CUI 2011AB)
277022003 (SNOMEDCT_2012_01_31)
Status (Code-2)
C0449438 (UMLS CUI 2011AB)
263490005 (SNOMEDCT_2012_01_31)
MTHU015827 (LOINC Version 232)
Item
Remission status
integer
Remission (Code-1)
C0544452 (UMLS CUI 2011AB)
277022003 (SNOMEDCT_2012_01_31)
Status (Code-2)
C0449438 (UMLS CUI 2011AB-2)
263490005 (SNOMEDCT_2012_01_31-2)
MTHU015827 (LOINC Version 232)
Remission status
Code List
Remission status
CL Item
Morphologic leukemia-free status (without achievement of peripheral CR criteria) (1)
Morphology (Code-1)
C0332437 (UMLS CUI 2011AB)
116676008 (SNOMEDCT_2012_01_31)
MTHU008051 (LOINC Version 232)
leukemia (Code-2)
C0023418 (UMLS CUI 2011AB-6)
93143009 (SNOMEDCT_2012_01_31-7)
10024288 (MedDRA 14.1)
C95.9 (ICD-10-CM Version 2010)
208.9 (ICD-9-CM Version 2011)
Free (Code-3)
C0332296 (UMLS CUI 2011AB-12)
37837009 (SNOMEDCT_2012_01_31-13)
Status (Code-4)
C0449438 (UMLS CUI 2011AB-15)
263490005 (SNOMEDCT_2012_01_31-16)
MTHU015827 (LOINC Version 232-17)
without (Code-5)
C0332288 (UMLS CUI 2011AB-19)
45169001 (SNOMEDCT_2012_01_31-20)
Achievement (Code-6)
C0001072 (UMLS CUI 2011AB-22)
CL Item
Morphologic complete remission (CR) (2)
Morphology (Code-1)
C0332437 (UMLS CUI 2011AB)
116676008 (SNOMEDCT_2012_01_31)
MTHU008051 (LOINC Version 232)
Complete Remission (CR) (Code-2)
C0677874 (UMLS CUI 2011AB-6)
103338009 (SNOMEDCT_2012_01_31-7)
CL Item
Relapse (Please fill out form "Reizidiv" page 83+84 and form "Studienende/Studien-abbruch" page 82!) (3)
Relapse (Code-1)
C0035020 (UMLS CUI 2011AB)
263855007 (SNOMEDCT_2012_01_31)
Item Group
Signature
C1519316 (UMLS CUI 2011AB)
Datum
Item
Date:
date
C0011008 (UMLS CUI 2011AB)
410671006 (SNOMEDCT_2012_01_31)
MTHU021546 (LOINC Version 232)
Name/Unterschrift Prüfarzt
Item
Name/Signature study physician
string
Name (Code-1)
C0027365 (UMLS CUI 2011AB)
MTHU008539 (LOINC Version 232)
Signature (Code-2)
C1519316 (UMLS CUI 2011AB-2)
Study (Code-3)
C0008976 (UMLS CUI 2011AB-3)
110465008 (SNOMEDCT_2012_01_31)
Physician (Code-4)
C0031831 (UMLS CUI 2011AB-4)
309343006 (SNOMEDCT_2012_01_31-2)
MTHU010489 (LOINC Version 232-2)
PHYS (HL7 V3 2006_05)
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