ID

12351

Description

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 of Form: Hematological Evaluation Form

Keywords

Versions (3)
  1. 11/10/15 11/10/15 -
  2. 12/23/15 12/23/15 -
  3. 2/11/16 2/11/16 -
Uploaded on

November 10, 2015

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Hematological Evaluation Form HOVON 132 AML/SAKK 30/13 EudraCT 2013-002843-26

English

Hematological Evaluation Form

1 forms  
Form Relation
Description

Form Relation

Form related to
Description

Form related to

Data type

integer

Alias
UMLS CUI [1]
C1302181
Supportive Care
Description

Supportive Care

Alias
UMLS CUI-1
C0344211
Number of platelet transfusions
Description

Number of platelet transfusions

Data type

float

Alias
UMLS CUI [1,1]
C0086818
UMLS CUI [1,2]
C0750480
Date last platelet transfusion
Description

Date last platelet transfusion

Data type

date

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0086818
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
Number of RBC transfusions
Description

Red Blood Cell Transfusion

Data type

float

Alias
UMLS CUI [1,1]
C0086252
UMLS CUI [1,2]
C0750480
Date of last RBC transfusion
Description

Date of last RBC transfusion

Data type

date

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0014772
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
Hematological Evaluations
Description

Hematological Evaluations

Alias
UMLS CUI-1
C0018941
UMLS CUI-2
C0220825
Hematological Evaluation at 1=Start of treatment 2=First evaluation ANC < 0.5 x 109/L 3=First evaluation ANC ≥ 0,5 x 109/L 4=First evaluation ANC ≥ 1,0 x 109/L 5=If not ≥ 1,0 x 109/L, last ANC before next treatment 6=If not ≥ 1,0 x 109/L, last ANC before end of protocol 7=First evaluation platelets < 50 x 109/L 8=First evaluation platelets ≥ 50 x 109/L 9=First evaluation platelets ≥ 100 x 109/L 10=If not ≥ 100 x 109/L, last platelets before next treatment 11=If not ≥ 100 x 109/L, last platelets before end of protocol
Description

Evaluation to be performed at

Data type

float

Date
Description

Date

Data type

date

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1]
C0011008
dd/mm/yyyy
Blasts
Description

Blasts

Data type

float

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

Neutrophil count

Data type

float

Measurement units
  • 10^9/L
Alias
UMLS CUI [1]
C0200633
10^9/L
Platelets
Description

Platelets

Data type

float

Measurement units
  • x10^9/l
Alias
UMLS CUI [1]
C0005821
x10^9/l
Back to the top of the page

Similar models

Hematological Evaluation Form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Item
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)
C0687676 (UMLS CUI-1)
C3179010 (UMLS CUI-2)
CL Item
autoHSCT (4)
C0194037 (UMLS CUI-1)
CL Item
alloHSCT (5)
C1705576 (UMLS CUI-1)
CL Item
observation/maintenance (1-6) (11-16)
C0481504 (UMLS CUI-1)
C0700325 (UMLS CUI-3)
Item Group
C0344211 (UMLS CUI-1)
Number of platelet transfusions
Item
float
C0086818 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Date last platelet transfusion
Item
date
C0086818 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Red Blood Cell Transfusion
Item
Number of RBC transfusions
float
C0086252 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Date of last RBC transfusion
Item
date
C0014772 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
C0018941 (UMLS CUI-1)
C0220825 (UMLS CUI-2)
Evaluation to be performed at
Item
Hematological Evaluation at 1=Start of treatment 2=First evaluation ANC < 0.5 x 109/L 3=First evaluation ANC ≥ 0,5 x 109/L 4=First evaluation ANC ≥ 1,0 x 109/L 5=If not ≥ 1,0 x 109/L, last ANC before next treatment 6=If not ≥ 1,0 x 109/L, last ANC before end of protocol 7=First evaluation platelets < 50 x 109/L 8=First evaluation platelets ≥ 50 x 109/L 9=First evaluation platelets ≥ 100 x 109/L 10=If not ≥ 100 x 109/L, last platelets before next treatment 11=If not ≥ 100 x 109/L, last platelets before end of protocol
float
Date
Item
date
C0011008 (UMLS CUI [1])
Blasts
Item
Blasts
float
C1982687 (UMLS CUI [1])
Neutrophil count
Item
ANC
float
C0200633 (UMLS CUI [1])
Platelets
Item
Platelets
float
C0005821 (UMLS CUI [1])
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial