ID
12643
Beschrijving
European survey on the assessment of deep molecular REsponse in chronic phase CML patients after at least two years of therapy with tyrosine KinAse inhibitors - major component of the Path to Cure Pillar of EUTOS III. ODM derived from: http://www.eutos.org/content/path_to_cure/eureka/index_eng.html
Link
http://www.eutos.org/content/path_to_cure/eureka/index_eng.html
Trefwoorden
Versies (2)
- 07-12-15 07-12-15 -
- 17-09-21 17-09-21 -
Geüploaded op
7 december 2015
DOI
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Licentie
Creative Commons BY-NC 3.0
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Molecular Monitoring Survey EUREKA
Case Report Form (CRF)
- StudyEvent: ODM
Beschrijving
Physician Information
Beschrijving
Patient Information
Beschrijving
first name / last name
Datatype
integer
Alias
- UMLS CUI [1]
- C2986440
Beschrijving
Month Year
Datatype
integer
Alias
- UMLS CUI [1]
- C0421451
Beschrijving
Sex
Datatype
integer
Alias
- UMLS CUI [1]
- C0079399
Beschrijving
Ethnic Group
Datatype
integer
Alias
- UMLS CUI [1]
- C0015031
Beschrijving
Date of informed consent
Datatype
date
Alias
- UMLS CUI [1]
- C2985782
Beschrijving
Type of BCR-ABL transcript at diagnosis
Datatype
integer
Alias
- UMLS CUI [1]
- C0004891
Beschrijving
Eutos Score (at diagnosis)
Datatype
integer
Alias
- UMLS CUI [1]
- C0449820
Beschrijving
Sokal Score (at diagnosis)
Datatype
integer
Alias
- UMLS CUI [1]
- C0449820
Beschrijving
Euro (Hasford) Score (at diagnosis)
Datatype
integer
Alias
- UMLS CUI [1]
- C0449820
Beschrijving
CML Diagnosis, Treatment
Beschrijving
CML Diagnosis
Datatype
date
Alias
- UMLS CUI [1]
- C0279899
Beschrijving
Start Stop Onging
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0879484
- UMLS CUI [1,2]
- C1708063
Beschrijving
Reason for regimen change (to second line): drug resistance intolerance
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0879484
- UMLS CUI [1,2]
- C1710038
Beschrijving
Reason for regimen change (to third line): drug resistance intolerance
Datatype
integer
Alias
- UMLS CUI [1,1]
- C2986605
- UMLS CUI [1,2]
- C0879484
Beschrijving
Current treatment
Datatype
integer
Maateenheden
- mg/day
Alias
- UMLS CUI [1]
- C1522541
Beschrijving
Judgement of molecular result from the local lab
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1521991
- UMLS CUI [1,2]
- C0587081
Beschrijving
Date & Signature
Beschrijving
Addresses of reference laboratories
Beschrijving
Data to be sent from the referring physician to the laboratory Required: 20-30 mlperipheral blood (EDTA). Please favour days from monday to thursday for sending the samples in.
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0229664
- UMLS CUI [1,2]
- C0878557
Beschrijving
Medizinische Universitäts-Laboratorien Hämatologisch-onkologisches Speziallabor Postfach 100236 07702 Jena
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0000872
- UMLS CUI [1,2]
- C1442065
Beschrijving
Wissenschaftliches Labor III. Medizinische Klinik Universitätsmedizin Mannheim Pettenkoferstr. 22 68169 Mannheim
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0000872
- UMLS CUI [1,2]
- C1442065
Beschrijving
Wissenschaftliches Labor III. Medizinische Klinik Universitätsmedizin Mannheim Pettenkoferstr. 22 68169 Mannheim
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0000872
- UMLS CUI [1,2]
- C1442065
Beschrijving
Labor für Hämatologische Spezialdiagnostik II. Medizinische Klinik Universitätsklinikum Schleswig-Holstein, Campus Kiel Im Städtischen Krankenhaus Chemnitzstrasse 33 24116 Kiel
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0000872
- UMLS CUI [1,2]
- C1442065
Similar models
Case Report Form (CRF)
- StudyEvent: ODM
C0587081 (UMLS CUI [1,2])
C0878557 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,2])