ID

10338

Beschreibung

GVH Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF19F489-B086-2FD8-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF19F489-B086-2FD8-E034-0003BA3F9857

Stichworte

Versionen (4)
  1. 19.09.12 19.09.12 -
  2. 28.05.15 28.05.15 -
  3. 28.05.15 28.05.15 -
  4. 28.05.15 28.05.15 -
Hochgeladen am

28. Mai 2015

DOI

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GVH

Englisch

No Instruction available.

1 Formulare  
Header Module
Beschreibung

Header Module

Visit number
Beschreibung

HospitalAdmissionOrdinalNumber

Datentyp

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C16696
UMLS 2011AA ObjectClass
C0019994
NCI Thesaurus Property
C25385
UMLS 2011AA Property
C0809949
Date of staging
Beschreibung

CurrentStageCompleteAssessmentDate

Datentyp

date

Alias
NCI Thesaurus ObjectClass
C25471
UMLS 2011AA ObjectClass
C0521116
NCI Thesaurus ObjectClass
C16899
UMLS 2011AA ObjectClass
C1300072
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
Immunosuppressant (prophylaxis) received
Beschreibung

MedicationGraftVersusHostDiseaseAdministeredType

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C459
UMLS 2011AA ObjectClass
C0013227
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Metathesaurus ObjectClass
C0018133
Record most recent blood level of immunosuppressant (prophylaxis)
Beschreibung

AgentAdministeredTotalDose

Datentyp

double

Alias
NCI Thesaurus ValueDomain
C25304
UMLS 2011AA ValueDomain
C0439810
NCI Thesaurus ValueDomain
C25488
UMLS 2011AA ValueDomain
C0178602
NCI Thesaurus ObjectClass
C1708
UMLS 2011AA ObjectClass
C0450442
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
Record date blood sample obtained
Beschreibung

Datesampleobtained

Datentyp

text

Segment
Beschreibung

Segment

Datentyp

text

Start of GVHD assessment period
Beschreibung

StartofGVHDassessmentperiod

Datentyp

text

End of GVHD assessment period
Beschreibung

EndofGVHDassessmentperiod

Datentyp

text

Record The Highest Level Of Organ Abnormalities, The Etiologies Contributing To The Abnormalities And Any Biopsy Results Pertaining To Gvhd During The Assessment Period
Beschreibung

Record The Highest Level Of Organ Abnormalities, The Etiologies Contributing To The Abnormalities And Any Biopsy Results Pertaining To Gvhd During The Assessment Period

Skin abnormalities
Beschreibung

CommonToxicityCriteriaAdverseEventSkinRashGrade

Datentyp

double

Alias
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
NCI Metathesaurus Property
CL323683
Skin Etiologies
Beschreibung

Skin Etiologies

GVHD
Beschreibung

GraftVersusHostDiseaseManifestationIndicator

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Metathesaurus ObjectClass
C0018133
NCI Metathesaurus Property
CL289271
Infection
Beschreibung

AdverseEventInfectionInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Thesaurus Property
C26726
UMLS 2011AA Property
C0009450
Specify other liver etiologies
Beschreibung

OtherDiseaseDiagnosisSpecify

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C17649
UMLS 2011AA ObjectClass
C0205394
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
Liver biopsy for GVHD
Beschreibung

BiopsyResultType

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C15189
UMLS 2011AA ObjectClass
C0005558
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
Upper GI abnormalities
Beschreibung

CommonToxicityCriteriaAdverseEventGastrointestinalAnastomoticLeakGrade

Datentyp

double

Alias
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
NCI Metathesaurus Property
CL164477
Drug reaction
Beschreibung

Drugreaction

Datentyp

text

Conditioning regimen toxicity
Beschreibung

Conditioningregimentoxicity

Datentyp

text

Other
Beschreibung

Other

Datentyp

text

Upper Intestinal Tract Etiologies
Beschreibung

Upper Intestinal Tract Etiologies

GVHD
Beschreibung

GraftVersusHostDiseaseManifestationIndicator

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Metathesaurus ObjectClass
C0018133
NCI Metathesaurus Property
CL289271
TPN
Beschreibung

NutritionalSupportAdministeredInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C37902
UMLS 2011AA ObjectClass
C1521721
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus ObjectClass
C25597
UMLS 2011AA ObjectClass
C1521739
Infection
Beschreibung

AdverseEventInfectionInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Thesaurus Property
C26726
UMLS 2011AA Property
C0009450
Other
Beschreibung

Anyotherproblems

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Specify other liver etiologies
Beschreibung

OtherDiseaseDiagnosisSpecify

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C17649
UMLS 2011AA ObjectClass
C0205394
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
Liver biopsy for GVHD
Beschreibung

BiopsyResultType

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C15189
UMLS 2011AA ObjectClass
C0005558
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
Lower GI abnormalities
Beschreibung

CommonToxicityCriteriaAdverseEventDiarrheaGrade

Datentyp

double

Alias
NCI Thesaurus Property
C2987
UMLS 2011AA Property
C0011991
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
Drug reaction
Beschreibung

Drugreaction

Datentyp

text

Conditioning regimen toxicity
Beschreibung

Conditioningregimentoxicity

Datentyp

text

Lower Intestinal Tract Etiologies
Beschreibung

Lower Intestinal Tract Etiologies

GVHD
Beschreibung

GraftVersusHostDiseaseManifestationIndicator

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Metathesaurus ObjectClass
C0018133
NCI Metathesaurus Property
CL289271
TPN
Beschreibung

NutritionalSupportAdministeredInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C37902
UMLS 2011AA ObjectClass
C1521721
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus ObjectClass
C25597
UMLS 2011AA ObjectClass
C1521739
Infection
Beschreibung

AdverseEventInfectionInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Thesaurus Property
C26726
UMLS 2011AA Property
C0009450
Other
Beschreibung

Anyotherproblems

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Specify other liver etiologies
Beschreibung

OtherDiseaseDiagnosisSpecify

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C17649
UMLS 2011AA ObjectClass
C0205394
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
Liver biopsy for GVHD
Beschreibung

BiopsyResultType

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C15189
UMLS 2011AA ObjectClass
C0005558
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
Liver abnormalities
Beschreibung

CommonToxicityCriteriaAdverseEventHepaticFailureGrade

Datentyp

double

Alias
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
NCI Metathesaurus Property
C0085605
Drug reaction
Beschreibung

Drugreaction

Datentyp

text

Conditioning regimen toxicity
Beschreibung

Conditioningregimentoxicity

Datentyp

text

Liver Etiologies
Beschreibung

Liver Etiologies

GVHD
Beschreibung

GraftVersusHostDiseaseManifestationIndicator

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Metathesaurus ObjectClass
C0018133
NCI Metathesaurus Property
CL289271
TPN
Beschreibung

NutritionalSupportAdministeredInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C37902
UMLS 2011AA ObjectClass
C1521721
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus ObjectClass
C25597
UMLS 2011AA ObjectClass
C1521739
Infection
Beschreibung

AdverseEventInfectionInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
NCI Thesaurus Property
C26726
UMLS 2011AA Property
C0009450
Specify other liver etiologies
Beschreibung

OtherDiseaseDiagnosisSpecify

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C17649
UMLS 2011AA ObjectClass
C0205394
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
Liver biopsy for GVHD
Beschreibung

BiopsyResultType

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C15189
UMLS 2011AA ObjectClass
C0005558
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
Was treatment of GVHD modified during this assessment period
Beschreibung

TreatmentModifiedInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25572
Comments
Beschreibung

ResearchCommentsText

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
Drug reaction
Beschreibung

Drugreaction

Datentyp

text

Conditioning regimen toxicity
Beschreibung

Conditioningregimentoxicity

Datentyp

text

VOD
Beschreibung

VOD

Datentyp

text

Other
Beschreibung

Other

Datentyp

text

If yes, specify agent name
Beschreibung

Ifyes,specifyagentname

Datentyp

text

Specify other agent
Beschreibung

Specifyotheragent

Datentyp

text

Indicate treatment modification
Beschreibung

Indicatetreatmentmodification

Datentyp

text

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No Instruction available.

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Header Module
HospitalAdmissionOrdinalNumber
Item
Visit number
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C0019994 (UMLS 2011AA ObjectClass)
C25385 (NCI Thesaurus Property)
C0809949 (UMLS 2011AA Property)
CurrentStageCompleteAssessmentDate
Item
Date of staging
date
C25471 (NCI Thesaurus ObjectClass)
C0521116 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ObjectClass)
C1300072 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item
Immunosuppressant (prophylaxis) received
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C459 (NCI Thesaurus ObjectClass)
C0013227 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C0018133 (NCI Metathesaurus ObjectClass)
CL.1
Code List
Immunosuppressant (prophylaxis) received
CL Item
Prednisone (Prednisone)
CL Item
Cyclosporine (Cyclosporine)
C406 (NCI Thesaurus)
C0010592 (UMLS 2011AA)
CL Item
Tacrolimus (Tacrolimus)
CL Item
Not given during assessment period (Not given during assessment period)
AgentAdministeredTotalDose
Item
Record most recent blood level of immunosuppressant (prophylaxis)
double
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25488 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ValueDomain)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Datesampleobtained
Item
Record date blood sample obtained
text
Segment
Item
Segment
text
StartofGVHDassessmentperiod
Item
Start of GVHD assessment period
text
EndofGVHDassessmentperiod
Item
End of GVHD assessment period
text
Item Group
Record The Highest Level Of Organ Abnormalities, The Etiologies Contributing To The Abnormalities And Any Biopsy Results Pertaining To Gvhd During The Assessment Period
Item
Skin abnormalities
double
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
CL323683 (NCI Metathesaurus Property)
CL.2
Code List
Skin abnormalities
CL Item
None (No rash)
C41132 (NCI Thesaurus)
C0549184 (UMLS 2011AA)
CL Item
Macular Or Papular Eruption Or Erythema Without Associated Symptoms (Maculopapular rash, <25% of body surface)
CL Item
Maculopapular rash, 25-50% of body surface (Maculopapular rash, 25-50% of body surface)
CL Item
Generalized erythroderma (Generalized erythroderma)
CL Item
Generalized erythroderma with bullus formation and desquamation (Generalized erythroderma with bullus formation and desquamation)
Item Group
Skin Etiologies
Item
GVHD
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0018133 (NCI Metathesaurus ObjectClass)
CL289271 (NCI Metathesaurus Property)
CL.26
Code List
GVHD
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Infection
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C26726 (NCI Thesaurus Property)
C0009450 (UMLS 2011AA Property)
CL.30
Code List
Infection
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
OtherDiseaseDiagnosisSpecify
Item
Specify other liver etiologies
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ObjectClass)
C0205394 (UMLS 2011AA ObjectClass)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
Item
Liver biopsy for GVHD
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C15189 (NCI Thesaurus ObjectClass)
C0005558 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
CL.33
Code List
Liver biopsy for GVHD
CL Item
Positive (Positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Unknown (Not done)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Upper GI abnormalities
double
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
CL164477 (NCI Metathesaurus Property)
CL.9
Code List
Upper GI abnormalities
CL Item
None (No protracted nausea or vomiting)
C41132 (NCI Thesaurus)
C0549184 (UMLS 2011AA)
CL Item
Symptomatic; Medical Intervention Indicated (Persistent nausea, vomiting, anorexia)
Item
Drug reaction
text
CL.4
Code List
Drug reaction
CL Item
Yes (Yes)
CL Item
No (No)
Item
Conditioning regimen toxicity
text
CL.5
Code List
Conditioning regimen toxicity
CL Item
Yes (Yes)
CL Item
No (No)
Item
Other
text
CL.7
Code List
Other
CL Item
Yes (Yes)
CL Item
No (No)
Item Group
Upper Intestinal Tract Etiologies
Item
GVHD
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0018133 (NCI Metathesaurus ObjectClass)
CL289271 (NCI Metathesaurus Property)
CL.26
Code List
GVHD
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
TPN
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C37902 (NCI Thesaurus ObjectClass)
C1521721 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C25597 (NCI Thesaurus ObjectClass)
C1521739 (UMLS 2011AA ObjectClass)
CL.29
Code List
TPN
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Infection
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C26726 (NCI Thesaurus Property)
C0009450 (UMLS 2011AA Property)
CL.30
Code List
Infection
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Other
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.23
Code List
Other
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
OtherDiseaseDiagnosisSpecify
Item
Specify other liver etiologies
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ObjectClass)
C0205394 (UMLS 2011AA ObjectClass)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
Item
Liver biopsy for GVHD
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C15189 (NCI Thesaurus ObjectClass)
C0005558 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
CL.33
Code List
Liver biopsy for GVHD
CL Item
Positive (Positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Unknown (Not done)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Lower GI abnormalities
double
C2987 (NCI Thesaurus Property)
C0011991 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
CL.17
Code List
Lower GI abnormalities
CL Item
None (No diarrhea)
C41132 (NCI Thesaurus)
C0549184 (UMLS 2011AA)
CL Item
Diarrhea less than or equal to 500 mL/day or <280 mL/m^2 (Diarrhea less than or equal to 500 mL/day or <280 mL/m^2)
CL Item
Increase Of <4 Stools Per Day Over Baseline; Mild Increase In Ostomy Output Compared To Baseline (Diarrhea >500 but less than or equal to 1000 mL/day or 280-555 mL/m^2)
CL Item
Increase Of 4-6 Stools Per Day Over Baseline; Iv Fluids Indicated <24 Hrs; Moderate Increase In Ostomy Output Compared To Baseline; Not Interfering With Adl (Diarrhea >1000 but less than or equal to 1500 mL/day or 556-833 mL/m^2)
CL Item
Increase Of >=7 Stools Per Day Over Baseline; Incontinence; Iv Fluids >=24 Hrs; Hospitalization; Severe Increase In Ostomy Output Compared To Baseline; Interfering With Adl (Diarrhea >1500 or > 833 mL/m^2)
CL Item
Life-threatening Consequences (e.g., Hemodynamic Collapse) (Severe abdominal pain with or without ileus, or stool with frank blood or melena)
Item
Drug reaction
text
CL.11
Code List
Drug reaction
CL Item
Yes (Yes)
CL Item
No (No)
Item
Conditioning regimen toxicity
text
CL.12
Code List
Conditioning regimen toxicity
CL Item
Yes (Yes)
CL Item
No (No)
Item Group
Lower Intestinal Tract Etiologies
Item
GVHD
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0018133 (NCI Metathesaurus ObjectClass)
CL289271 (NCI Metathesaurus Property)
CL.26
Code List
GVHD
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
TPN
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C37902 (NCI Thesaurus ObjectClass)
C1521721 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C25597 (NCI Thesaurus ObjectClass)
C1521739 (UMLS 2011AA ObjectClass)
CL.29
Code List
TPN
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Infection
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C26726 (NCI Thesaurus Property)
C0009450 (UMLS 2011AA Property)
CL.30
Code List
Infection
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Other
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.23
Code List
Other
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
OtherDiseaseDiagnosisSpecify
Item
Specify other liver etiologies
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ObjectClass)
C0205394 (UMLS 2011AA ObjectClass)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
Item
Liver biopsy for GVHD
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C15189 (NCI Thesaurus ObjectClass)
C0005558 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
CL.33
Code List
Liver biopsy for GVHD
CL Item
Positive (Positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Unknown (Not done)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Liver abnormalities
double
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C0085605 (NCI Metathesaurus Property)
CL.25
Code List
Liver abnormalities
CL Item
Bilirubin <2.0 mg/dL (Bilirubin <2.0 mg/dL)
CL Item
Bilirubin 2.0-3.0 mg/dL (Bilirubin 2.0-3.0 mg/dL)
CL Item
Bilirubin 3.1-6.0 mg/dL (Bilirubin 3.1-6.0 mg/dL)
CL Item
Bilirubin 6.1-15.0 mg/dL (Bilirubin 6.1-15.0 mg/dL)
CL Item
Bilirubin >15.0 mg/dL (Bilirubin >15.0 mg/dL)
Item
Drug reaction
text
CL.19
Code List
Drug reaction
CL Item
Yes (Yes)
CL Item
No (No)
Item
Conditioning regimen toxicity
text
CL.20
Code List
Conditioning regimen toxicity
CL Item
Yes (Yes)
CL Item
No (No)
Item Group
Liver Etiologies
Item
GVHD
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0018133 (NCI Metathesaurus ObjectClass)
CL289271 (NCI Metathesaurus Property)
CL.26
Code List
GVHD
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
TPN
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C37902 (NCI Thesaurus ObjectClass)
C1521721 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C25597 (NCI Thesaurus ObjectClass)
C1521739 (UMLS 2011AA ObjectClass)
CL.29
Code List
TPN
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Infection
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C26726 (NCI Thesaurus Property)
C0009450 (UMLS 2011AA Property)
CL.30
Code List
Infection
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
OtherDiseaseDiagnosisSpecify
Item
Specify other liver etiologies
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ObjectClass)
C0205394 (UMLS 2011AA ObjectClass)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
Item
Liver biopsy for GVHD
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C15189 (NCI Thesaurus ObjectClass)
C0005558 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
CL.33
Code List
Liver biopsy for GVHD
CL Item
Positive (Positive)
C25246 (NCI Thesaurus)
C1446409 (UMLS 2011AA)
CL Item
Negative (Negative)
C25247 (NCI Thesaurus)
C0205160 (UMLS 2011AA)
CL Item
Equivocal (Equivocal)
C86071 (NCI Thesaurus)
C0332241 (UMLS 2011AA)
CL Item
Unknown (Not done)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Was treatment of GVHD modified during this assessment period
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25572 (NCI Thesaurus Property)
CL.34
Code List
Was treatment of GVHD modified during this assessment period
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
ResearchCommentsText
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)
Item
Drug reaction
text
CL.27
Code List
Drug reaction
CL Item
Yes (Yes)
CL Item
No (No)
Item
Conditioning regimen toxicity
text
CL.28
Code List
Conditioning regimen toxicity
CL Item
Yes (Yes)
CL Item
No (No)
Item
VOD
text
CL.31
Code List
VOD
CL Item
Yes (Yes)
CL Item
No (No)
Item
Other
text
CL.32
Code List
Other
CL Item
Yes (Yes)
CL Item
No (No)
Item
If yes, specify agent name
text
CL.35
Code List
If yes, specify agent name
CL Item
CSA (CSA)
CL Item
FK506 (FK506)
CL Item
Topical steriods (Topical steriods)
CL Item
Prednisone (Prednisone)
CL Item
ATG (ATG)
CL Item
MMF (MMF)
CL Item
Daclizumab (Daclizumab)
CL Item
Methylprednisolone (Methylprednisolone)
CL Item
Other (Other)
Specifyotheragent
Item
Specify other agent
text
Item
Indicate treatment modification
text
CL.36
Code List
Indicate treatment modification
CL Item
Started (Started)
CL Item
Stopped (Stopped)
CL Item
Tapered (Tapered)
CL Item
Increased (Increased)
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