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Chemotherapy Evaluation Form

1 forms  
Cycle
Description

Cycle

Form related to
Description

Form related to

Data type

integer

Alias
UMLS CUI [1]
C1302181
Nights in hospital
Description

Nights in hospital

Data type

float

Alias
UMLS CUI [1]
C0420512
Bone Marrow Evaluation
Description

Bone Marrow Evaluation

Alias
UMLS CUI-1
C2238269
BM sampling date
Description

BM sampling date

Data type

date

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0857285
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
BM aspirate done
Description

BM aspirate done

Data type

boolean

Alias
UMLS CUI [1]
C0857285
BM aspirate evaluable
Description

BM aspirate evaluable

Data type

integer

Alias
UMLS CUI [1]
C2238269
*Blasts
Description

Blasts

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C1982687
%
Auer rods
Description

Auer rods

Data type

boolean

Alias
UMLS CUI [1]
C0333828
BM biopsy done
Description

BM biopsy done

Data type

boolean

Alias
UMLS CUI [1]
C0005954
Clusters of blasts present
Description

Clusters of blasts present

Data type

boolean

Alias
UMLS CUI [1]
C0368761
Response Evaluation
Description

Response Evaluation

Alias
UMLS CUI-1
C0150839
Date of evaluation (preferably date of BM)
Description

Date of evaluation

Data type

date

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1]
C2985720
dd/mm/yyyy
Extramedullary disease
Description

Extramedullary disease

Data type

integer

Alias
UMLS CUI [1]
C1868812
*specify
Description

*specify

Data type

text

Response / remission status
Description

Response / remission status

Data type

integer

Alias
UMLS CUI [1]
C1704632
Survival status
Description

Survival status

Data type

integer

Alias
UMLS CUI [1]
C0424589
Next treatment given
Description

Next treatment given

Data type

integer

Alias
UMLS CUI [1]
C0599880
Comments
Description

Comments

Comments
Description

Research Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
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Similar models

Chemotherapy Evaluation Form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Item
Form related to
integer
C1302181 (UMLS CUI [1])
Form related to
Code List
Form related to
CL Item
induction cycle I  (1)
C3179010 (UMLS CUI-1)
CL Item
induction cycle II (2)
C3179010 (UMLS CUI-1)
CL Item
post induction cycle III (3)
C3179010 (UMLS CUI-1)
Nights in hospital
Item
float
C0420512 (UMLS CUI [1])
Item Group
C2238269 (UMLS CUI-1)
BM sampling date
Item
BM sampling date
date
C0857285 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
BM aspirate done
Item
BM aspirate done
boolean
C0857285 (UMLS CUI [1])
Item
BM aspirate evaluable
integer
C2238269 (UMLS CUI [1])
BM aspirate evaluable
Code List
BM aspirate evaluable
CL Item
no 1=yes* (0)
Blasts
Item
*Blasts
float
C1982687 (UMLS CUI [1])
Auer rods
Item
Auer rods
boolean
C0333828 (UMLS CUI [1])
BM biopsy done
Item
BM biopsy done
boolean
C0005954 (UMLS CUI [1])
Clusters of blasts present
Item
boolean
C0368761 (UMLS CUI [1])
Item Group
C0150839 (UMLS CUI-1)
Date of evaluation
Item
Date of evaluation (preferably date of BM)
date
C2985720 (UMLS CUI [1])
Item
Extramedullary disease
integer
C1868812 (UMLS CUI [1])
Extramedullary disease
Code List
Extramedullary disease
CL Item
no  (0)
C1298908 (UMLS CUI-1)
CL Item
skin*  (1)
C1123023 (UMLS CUI-1)
CL Item
CNS*  (2)
C3714787 (UMLS CUI-1)
CL Item
liver*  (3)
C0023884 (UMLS CUI-1)
CL Item
spleen*  (4)
C0037993 (UMLS CUI-1)
CL Item
lymphadenopathy*  (5)
C0497156 (UMLS CUI-1)
CL Item
other* (8)
C0205394 (UMLS CUI-1)
*specify
Item
text
Item
Response / remission status
integer
C1704632 (UMLS CUI [1])
Response / remission status
Code List
Response / remission status
CL Item
CR  (1)
C0677874 (UMLS CUI-1)
CL Item
Death in aplasia  (5)
C0243065 (UMLS CUI-1)
CL Item
CRi  (2)
C3538993 (UMLS CUI-1)
CL Item
PR  (3)
C1521726 (UMLS CUI-1)
CL Item
RD (4)
C3844738 (UMLS CUI-1)
CL Item
Death from indeterminate cause (6)
C0277589 (UMLS CUI-1)
CL Item
Relapse (7)
C0035020 (UMLS CUI-1)
Item
integer
C0424589 (UMLS CUI [1])
Survival status
Code List
Survival status
CL Item
alive  (0)
CL Item
dead (1)
Item
integer
C0599880 (UMLS CUI [1])
Next treatment given
Code List
Next treatment given
CL Item
no further treatment (0)
CL Item
induction cycle II (2)
CL Item
post induction cycle III (3)
CL Item
autoHSCT (4)
CL Item
alloHSCT (5)
Item Group
Research Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
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