EBMT Total Body Irradiation

To be completed by the haematology unit
Description

To be completed by the haematology unit

EBMT Centre Identification Code (CIC) of haematology unit
Description

EBMT Centre Identification Code (CIC) of haematology unit

Data type

integer

Hospital
Description

Klinik

Data type

text

Alias
UMLS CUI [1]
C0019994
Unit
Description

Unit

Data type

text

Hospital Patient Number
Description

Hospital Patient Number

Data type

integer

UIC (if known)
Description

UIC (if known)

Data type

text

Initials
Description

Initials

Data type

text

Date of birth:
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Date of transplant
Description

Date of transplant

Data type

date

Date conditioning chemo started
Description

Date conditioning chemo started

Data type

date

To be completed by the radiophysicist group
Description

To be completed by the radiophysicist group

EBMT Centre Identification Code (CIC) of radiophysicist unit (if CIC exists
Description

EBMT Centre Identification Code (CIC) of radiophysicist unit (if CIC exists

Data type

integer

Hospital
Description

Hospital

Data type

text

Unit
Description

Unit

Data type

text

Telephone
Description

Patient phone number

Data type

text

Alias
UMLS CUI [1]
C1515258
Fax
Description

Fax

Data type

text

TARGET VOLUME defined as WHOLE BODY (including the skin)
Description

TARGET VOLUME defined as WHOLE BODY (including the skin)

T.B.I. DOSE
Description

Gy (total dose at specification point : at mid abdomen at the height of the umbilicus)

Data type

float

Measurement units
  • Gy
Gy
TRANSVERSE +
Description

TRANSVERSE +

Data type

float

Measurement units
  • %
%
NORMAL TISSUE LUNG, ORGAN MOST AT RISK
Description

NORMAL TISSUE LUNG, ORGAN MOST AT RISK

TRANSVERSE -
Description

TRANSVERSE -

Data type

float

Measurement units
  • %
%
LONGITUDINAL +
Description

LONGITUDINAL +

Data type

float

Measurement units
  • %
%
LONGITUDINAL -
Description

LONGITUDINAL -

Data type

float

Measurement units
  • %
%
Doses spleen
Description

IF VARYING FROM T.B.I. DOSE BY 10% OR MORE

Data type

float

Measurement units
  • %
%
RIB CAGE
Description

IF VARYING FROM T.B.I. DOSE BY 10% OR MORE

Data type

float

Measurement units
  • %
%
Doses Others
Description

IF VARYING FROM T.B.I. DOSE BY 10% OR MORE

Data type

float

Measurement units
  • %
%
NORMAL TISSUE LUNG, ORGAN MOST AT RISK
Description

NORMAL TISSUE LUNG, ORGAN MOST AT RISK

LUNG DOSE
Description

mean of total at reference points of both lungs

Data type

float

Measurement units
  • Gy
Gy
SHIELDED PHYSICAL VOLUME IRRADIATED
Description

estimated

Data type

integer

Measurement units
  • %
%
Fractions
Description

number of days, including the first day

Data type

integer

Alias
UMLS CUI [1]
C1264633
STARTING DATE
Description

STARTING DATE

Data type

date

MIN.TIME GAP
Description

MIN.TIME GAP

Data type

integer

DOSE-RATE
Description

lung dose per fraction over irradiation time

Data type

float

Measurement units
  • Gy/min
Gy/min
MAXIMUM DOSE RATE
Description

instantaneous lung dose rate

Data type

float

Measurement units
  • Gy/min
Gy/min
NORMAL TISSUE OTHER ORGANS AT RISK
Description

NORMAL TISSUE OTHER ORGANS AT RISK

Doses EYES LENSE
Description

with respect to 100%, if varying from T.B.I. by 10% or more

Data type

float

Measurement units
  • %
%
doses KIDNEYS
Description

with respect to 100%, if varying from T.B.I. by 10% or more

Data type

float

Measurement units
  • %
%
doses CNS
Description

with respect to 100%, if varying from T.B.I. by 10% or more

Data type

float

Measurement units
  • %
%
other doses
Description

with respect to 100%, if varying from T.B.I. by 10% or more

Data type

float

Measurement units
  • %
%
COMMENTS
Description

COMMENTS

COMMENTS e.g. irregular parameters, if parameters vary or not constant
Description

COMMENTS e.g. irregular parameters, if parameters vary or not constant

Data type

text

Similar models

EBMT Total Body Irradiation

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
To be completed by the haematology unit
EBMT Centre Identification Code (CIC) of haematology unit
Item
EBMT Centre Identification Code (CIC) of haematology unit
integer
Klinik
Item
Hospital
text
C0019994 (UMLS CUI [1])
Unit
Item
Unit
text
Hospital Patient Number
Item
Hospital Patient Number
integer
UIC (if known)
Item
UIC (if known)
text
Initials
Item
Initials
text
Date of birth
Item
Date of birth:
date
C0421451 (UMLS CUI [1])
Date of transplant
Item
Date of transplant
date
Date conditioning chemo started
Item
Date conditioning chemo started
date
Item Group
To be completed by the radiophysicist group
EBMT Centre Identification Code (CIC) of radiophysicist unit (if CIC exists
Item
EBMT Centre Identification Code (CIC) of radiophysicist unit (if CIC exists
integer
Hospital
Item
Hospital
text
Unit
Item
Unit
text
Patient phone number
Item
Telephone
text
C1515258 (UMLS CUI [1])
Fax
Item
text
Item Group
TARGET VOLUME defined as WHOLE BODY (including the skin)
T.B.I. DOSE
Item
T.B.I. DOSE
float
TRANSVERSE +
Item
TRANSVERSE +
float
Item Group
NORMAL TISSUE LUNG, ORGAN MOST AT RISK
TRANSVERSE -
Item
TRANSVERSE -
float
LONGITUDINAL +
Item
LONGITUDINAL +
float
LONGITUDINAL -
Item
LONGITUDINAL -
float
Doses spleen
Item
Doses spleen
float
RIB CAGE
Item
RIB CAGE
float
Doses Others
Item
Doses Others
float
Item Group
NORMAL TISSUE LUNG, ORGAN MOST AT RISK
LUNG DOSE
Item
LUNG DOSE
float
SHIELDED PHYSICAL VOLUME IRRADIATED
Item
SHIELDED PHYSICAL VOLUME IRRADIATED
integer
Fractions
Item
Fractions
integer
C1264633 (UMLS CUI [1])
STARTING DATE
Item
STARTING DATE
date
MIN.TIME GAP
Item
MIN.TIME GAP
integer
DOSE-RATE
Item
DOSE-RATE
float
MAXIMUM DOSE RATE
Item
MAXIMUM DOSE RATE
float
Item Group
NORMAL TISSUE OTHER ORGANS AT RISK
Doses EYES LENSE
Item
Doses EYES LENSE
float
doses KIDNEYS
Item
doses KIDNEYS
float
doses CNS
Item
doses CNS
float
other doses
Item
other doses
float
Item Group
COMMENTS
COMMENTS e.g. irregular parameters, if parameters vary or not constant
Item
COMMENTS e.g. irregular parameters, if parameters vary or not constant
text