ID
12643
Beskrivning
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
Länk
http://www.eutos.org/content/path_to_cure/eureka/index_eng.html
Nyckelord
Versioner (2)
- 2015-12-07 2015-12-07 -
- 2021-09-17 2021-09-17 -
Uppladdad den
7 december 2015
DOI
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Licens
Creative Commons BY-NC 3.0
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Molecular Monitoring Survey EUREKA
Case Report Form (CRF)
- StudyEvent: ODM
Beskrivning
Physician Information
Beskrivning
Patient Information
Beskrivning
first name / last name
Datatyp
integer
Alias
- UMLS CUI [1]
- C2986440
Beskrivning
Month Year
Datatyp
integer
Alias
- UMLS CUI [1]
- C0421451
Beskrivning
Sex
Datatyp
integer
Alias
- UMLS CUI [1]
- C0079399
Beskrivning
Ethnic Group
Datatyp
integer
Alias
- UMLS CUI [1]
- C0015031
Beskrivning
Date of informed consent
Datatyp
date
Alias
- UMLS CUI [1]
- C2985782
Beskrivning
Type of BCR-ABL transcript at diagnosis
Datatyp
integer
Alias
- UMLS CUI [1]
- C0004891
Beskrivning
Eutos Score (at diagnosis)
Datatyp
integer
Alias
- UMLS CUI [1]
- C0449820
Beskrivning
Sokal Score (at diagnosis)
Datatyp
integer
Alias
- UMLS CUI [1]
- C0449820
Beskrivning
Euro (Hasford) Score (at diagnosis)
Datatyp
integer
Alias
- UMLS CUI [1]
- C0449820
Beskrivning
CML Diagnosis, Treatment
Beskrivning
CML Diagnosis
Datatyp
date
Alias
- UMLS CUI [1]
- C0279899
Beskrivning
Start Stop Onging
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0879484
- UMLS CUI [1,2]
- C1708063
Beskrivning
Reason for regimen change (to second line): drug resistance intolerance
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0879484
- UMLS CUI [1,2]
- C1710038
Beskrivning
Reason for regimen change (to third line): drug resistance intolerance
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2986605
- UMLS CUI [1,2]
- C0879484
Beskrivning
Current treatment
Datatyp
integer
Måttenheter
- mg/day
Alias
- UMLS CUI [1]
- C1522541
Beskrivning
Judgement of molecular result from the local lab
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1521991
- UMLS CUI [1,2]
- C0587081
Beskrivning
Date & Signature
Beskrivning
Addresses of reference laboratories
Beskrivning
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.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0229664
- UMLS CUI [1,2]
- C0878557
Beskrivning
Medizinische Universitäts-Laboratorien Hämatologisch-onkologisches Speziallabor Postfach 100236 07702 Jena
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0000872
- UMLS CUI [1,2]
- C1442065
Beskrivning
Wissenschaftliches Labor III. Medizinische Klinik Universitätsmedizin Mannheim Pettenkoferstr. 22 68169 Mannheim
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0000872
- UMLS CUI [1,2]
- C1442065
Beskrivning
Wissenschaftliches Labor III. Medizinische Klinik Universitätsmedizin Mannheim Pettenkoferstr. 22 68169 Mannheim
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0000872
- UMLS CUI [1,2]
- C1442065
Beskrivning
Labor für Hämatologische Spezialdiagnostik II. Medizinische Klinik Universitätsklinikum Schleswig-Holstein, Campus Kiel Im Städtischen Krankenhaus Chemnitzstrasse 33 24116 Kiel
Datatyp
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])