ID

12298

Beschreibung

Randomized study with a run-in dose-selection phase to assess the added value of Lenalidomide in combination with standard remission-induction chemotherapy and post-remission treatment in patients aged 18-65 years with previously untreated acute myeloid leukemia (AML) or high risk myelodysplasia (MDS) (IPSS-R risk score> 4.5) Description: Cytogenetic and Fish Form

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Versionen (3)
  1. 03.11.15 03.11.15 -
  2. 02.01.16 02.01.16 -
  3. 11.02.16 11.02.16 -
Hochgeladen am

3. November 2015

DOI

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Cytogenetic and Fish Form HOVON 132 AML/SAKK 30/13 EudraCT 2013-002843-26

Englisch

Cytogenetic and FISH Form

1 Formulare  
Cytogenetic and FISH Form
Beschreibung

Cytogenetic and FISH Form

Patient date of birth
Beschreibung

Birth date

Datentyp

date

Maßeinheiten
  • DD.MM.YYYY
Alias
UMLS CUI [1]
C0421451
DD.MM.YYYY
Cytogenetic study
Beschreibung

Cytogenetic study

Datentyp

integer

Alias
UMLS CUI [1]
C0752095
Date of sample for cytogenetic study
Beschreibung

sample date

Datentyp

date

Maßeinheiten
  • dd/mm/yyyy
Alias
UMLS CUI [1]
C1317250
dd/mm/yyyy
Type of examination
Beschreibung

Type of examination

Datentyp

integer

Alias
UMLS CUI [1]
C0456204
Number of mitoses examined
Beschreibung

Number of mitoses examined

Datentyp

integer

Alias
UMLS CUI [1,1]
C0026255
UMLS CUI [1,2]
C0237753
Number of banded cells fully analysed
Beschreibung

Number of banded cells fully analysed

Datentyp

float

Alias
UMLS CUI [1]
M
General classification
Beschreibung

General classification

Datentyp

integer

Alias
UMLS CUI [1]
M
Number of cells with normal karyotype
Beschreibung

Number of cells with normal karyotype

Datentyp

float

Alias
UMLS CUI [1,1]
C0007634
UMLS CUI [1,2]
C0863140
UMLS CUI [2,1]
C0007634
UMLS CUI [2,2]
C0333684
Number of cells with clonal abnormality
Beschreibung

Number of cells with clonal abnormality

Datentyp

float

Alias
UMLS CUI [1,1]
C0007634
UMLS CUI [1,2]
C0476431
Nr of cells with complex (>=3) abnormalities
Beschreibung

Nr of cells with complex (>=3) abnormalities

Datentyp

float

Alias
UMLS CUI [1,1]
C0007634
UMLS CUI [1,2]
C0476431
Abnormalities present in
Beschreibung

Abnormalities present in

Datentyp

integer

Alias
UMLS CUI [1,1]
C0476431
UMLS CUI [1,2]
C0449475
UMLS CUI [2]
M
Constitutional chromosome abnormality
Beschreibung

Constitutional chromosome abnormality

Datentyp

integer

Alias
UMLS CUI [1]
C0008625
*Specify
Beschreibung

*Specify

Datentyp

text

Karyotype (according to ISCN 2005) for complex karyotypes you can refer to included copy of original report
Beschreibung

Karyotype (according to ISCN 2005) for complex karyotypes you can refer to included copy of original report

Datentyp

text

Alias
UMLS CUI [1]
C1261273
FISH done
Beschreibung

FISH done

Datentyp

integer

Alias
UMLS CUI [1]
C0162789
Did FISH confirm cytogenetic results
Beschreibung

Did FISH confirm cytogenetic results

Datentyp

integer

Alias
UMLS CUI [1,1]
C0162789
UMLS CUI [1,2]
C0010802
*Specify
Beschreibung

*Specify

Datentyp

text

Comment Of The Reviewer
Beschreibung

Comment Of The Reviewer

Comment of the Reviewer
Beschreibung

Comment of the Reviewer

Datentyp

text

Alias
UMLS CUI [1]
C0947611
Date reviewed
Beschreibung

Date reviewed

Datentyp

date

Maßeinheiten
  • dd/mm/yyyy
Alias
UMLS CUI [1]
C3174387
dd/mm/yyyy
Signature reviewer
Beschreibung

Signature reviewer

Datentyp

text

Alias
UMLS CUI [1,1]
C1882950
UMLS CUI [1,2]
C1519316
Interphase FISH
Beschreibung

Interphase FISH

Alias
UMLS CUI-1
C2736045
Target code
Beschreibung

Target code

Datentyp

integer

Alias
UMLS CUI [1,1]
C0162789
UMLS CUI [1,2]
C1274040
Probe
Beschreibung

Probe

Datentyp

text

Alias
UMLS CUI [1]
C0016321
No. analysed
Beschreibung

No. analysed

Datentyp

float

Alias
UMLS CUI [1,1]
C0021798
UMLS CUI [1,2]
C0449788
loss %
Beschreibung

loss [%]

Datentyp

float

Maßeinheiten
  • %
Alias
UMLS CUI [1]
C1517945
%
Normal [%]
Beschreibung

Normal [%]

Datentyp

integer

Maßeinheiten
  • %
Alias
UMLS CUI [1]
C0205307
%
gain [%]
Beschreibung

gain [%]

Datentyp

float

Maßeinheiten
  • %
Alias
UMLS CUI [1]
C1517378
%
transloc [%]
Beschreibung

transloc [%]

Datentyp

float

Maßeinheiten
  • %
Alias
UMLS CUI [1]
C0040715
%
Metaphase FISH
Beschreibung

Metaphase FISH

Metaphase FISH Describe results only if different from interphase FISH, e.g. elucidation of marker chromosomes etc. Also include a picture if this is more informative and results are not straightforward
Beschreibung

Metaphase FISH Describe results only if different from interphase FISH, e.g. elucidation of marker chromosomes etc. Also include a picture if this is more informative and results are not straightforward

Datentyp

text

Alias
UMLS CUI [1]
C2973230
Comment Of The Reviewer
Beschreibung

Comment Of The Reviewer

Comment of the Reviewer
Beschreibung

Comment of the Reviewer

Datentyp

text

Alias
UMLS CUI [1]
C0947611
Date reviewed
Beschreibung

Date reviewed

Datentyp

date

Maßeinheiten
  • dd/mm/yyyy
Alias
UMLS CUI [1]
C3174387
dd/mm/yyyy
Signature reviewer
Beschreibung

Signature reviewer

Datentyp

text

Alias
UMLS CUI [1,1]
C1882950
UMLS CUI [1,2]
C1519316
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Ähnliche Modelle

Cytogenetic and FISH Form

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Cytogenetic and FISH Form
Birth date
Item
Patient date of birth
date
C0421451 (UMLS CUI [1])
Item
integer
C0752095 (UMLS CUI [1])
Cytogenetic study
Code List
Cytogenetic study
CL Item
not done 1=done successfully 2=failure (0)
sample date
Item
Date of sample for cytogenetic study
date
C1317250 (UMLS CUI [1])
Item
Type of examination
integer
C0456204 (UMLS CUI [1])
Type of examination
Code List
Type of examination
CL Item
BM 2=PB 3=both 8=other (1)
Number of mitoses examined
Item
integer
C0026255 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Number of banded cells fully analysed
Item
float
M (UMLS CUI [1])
Item
integer
M (UMLS CUI [1])
General classification
Code List
General classification
CL Item
NN 2=AN 3=AA (1)
Number of cells with normal karyotype
Item
Number of cells with normal karyotype
float
C0007634 (UMLS CUI [1,1])
C0863140 (UMLS CUI [1,2])
C0007634 (UMLS CUI [2,1])
C0333684 (UMLS CUI [2,2])
Number of cells with clonal abnormality
Item
float
C0007634 (UMLS CUI [1,1])
C0476431 (UMLS CUI [1,2])
Nr of cells with complex (>=3) abnormalities
Item
Nr of cells with complex (>=3) abnormalities
float
C0007634 (UMLS CUI [1,1])
C0476431 (UMLS CUI [1,2])
Item
Abnormalities present in
integer
C0476431 (UMLS CUI [1,1])
C0449475 (UMLS CUI [1,2])
M (UMLS CUI [2])
Abnormalities present in
Code List
Abnormalities present in
CL Item
not present 1=in one or in related cell clones (0)
CL Item
in non-related cell clones (2)
Item
integer
C0008625 (UMLS CUI [1])
Constitutional chromosome abnormality
Code List
Constitutional chromosome abnormality
CL Item
no 1=yes* 9=unknown (0)
*Specify
Item
text
Karyotype (according to ISCN 2005) for complex karyotypes you can refer to included copy of original report
Item
text
C1261273 (UMLS CUI [1])
Item
integer
C0162789 (UMLS CUI [1])
FISH done
Code List
FISH done
CL Item
no 1=yes, fill out next items and page 2 (0)
Item
integer
C0162789 (UMLS CUI [1,1])
C0010802 (UMLS CUI [1,2])
Did FISH confirm cytogenetic results
Code List
Did FISH confirm cytogenetic results
CL Item
no* 1=yes (0)
*Specify
Item
text
Comment of the Reviewer
Item
text
C0947611 (UMLS CUI [1])
Date reviewed
Item
date
C3174387 (UMLS CUI [1])
Signature reviewer
Item
text
C1882950 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
Item Group
Interphase FISH
C2736045 (UMLS CUI-1)
Item
Target code
integer
C0162789 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Target code
Code List
Target code
CL Item
5q (1 )
CL Item
16q22/CBFB (5 )
CL Item
chr 5 (11 )
CL Item
21q22/AML1 (15 )
CL Item
7q (2 )
CL Item
t(8;21)(q22;q22) (6 )
CL Item
chr 7 (12 )
CL Item
3q26/EVI-1 (3 )
CL Item
t(9;22)(q34;q11) (7 )
CL Item
chr 8 (13 )
CL Item
11q23/MLL (4 )
CL Item
t(15;17)(q22;q21) (8 )
CL Item
20q12 (14 )
Probe
Item
text
C0016321 (UMLS CUI [1])
No. analysed
Item
float
C0021798 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
loss [%]
Item
loss %
float
C1517945 (UMLS CUI [1])
Normal [%]
Item
integer
C0205307 (UMLS CUI [1])
gain [%]
Item
float
C1517378 (UMLS CUI [1])
transloc [%]
Item
float
C0040715 (UMLS CUI [1])
Item Group
Metaphase FISH Describe results only if different from interphase FISH, e.g. elucidation of marker chromosomes etc. Also include a picture if this is more informative and results are not straightforward
Item
text
C2973230 (UMLS CUI [1])
Comment of the Reviewer
Item
Comment of the Reviewer
text
C0947611 (UMLS CUI [1])
Date reviewed
Item
date
C3174387 (UMLS CUI [1])
Signature reviewer
Item
text
C1882950 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
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