ID

12853

Beschrijving

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) Form Description: Tissue Typing Form

Trefwoorden

Versies (3)
  1. 06-11-15 06-11-15 -
  2. 02-01-16 02-01-16 -
  3. 11-02-16 11-02-16 -
Geüploaded op

2 januari 2016

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Tissue Typing Form HOVON 132 AML/SAKK 30/13 EudraCT 2013-002843-26

Engels

Tissue Typing Form

1 Formulieren  
  1. StudyEvent: ODM
    1. Tissue Typing Form
Tissue Typing Form
Beschrijving

Tissue Typing Form

Alias
UMLS CUI-1
C0019633
Was tissue typing of siblings/other relative done
Beschrijving

Tissue typing done

Datatype

integer

Alias
UMLS CUI [1]
C0242318
#If no, reason why not
Beschrijving

Tissue typing none

Datatype

integer

Alias
UMLS CUI [1,1]
C0019633
UMLS CUI [1,2]
C0420590
*Specify
Beschrijving

*Specify

Datatype

text

Alias
UMLS CUI [1]
C1521902
##Date first sibling typed
Beschrijving

First sibling typed date

Datatype

date

Maateenheden
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0019633
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
##Result of typing related donor
Beschrijving

Result of Typing

Datatype

integer

Alias
UMLS CUI [1]
C0019627
Was searched for an unrelated donor/cord blood
Beschrijving

Unrelated donor search

Datatype

integer

Alias
UMLS CUI [1]
C0018956
#If no, reason why not
Beschrijving

Reason why not

Datatype

integer

Alias
UMLS CUI [1,1]
C0018956
UMLS CUI [1,2]
C0445106
*Specify
Beschrijving

*Specify

Datatype

text

Alias
UMLS CUI [1]
C1521902
##Date start search for unrelated donor/cord blood
Beschrijving

Date start search

Datatype

date

Maateenheden
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0019633
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
##Result of typing unrelated donor/cord blood
Beschrijving

Result of typing

Datatype

integer

Alias
UMLS CUI [1,1]
C0019633
UMLS CUI [1,2]
C1274040
Allo HSCT
Beschrijving

Allo HSCT

Allo HSCT given?
Beschrijving

Allo HSCT given?

Datatype

boolean

Alias
UMLS CUI [1]
C2242529
AB0 Patient
Beschrijving

AB0

Datatype

integer

Alias
UMLS CUI [1]
C0005810
AB0 blood type Donor a
Beschrijving

AB0

Datatype

integer

Alias
UMLS CUI [1,1]
C0005810
UMLS CUI [1,2]
C0013018
AB0 Blood type Donor b
Beschrijving

AB0

Datatype

integer

Alias
UMLS CUI [1,1]
C0005810
UMLS CUI [1,2]
C0013018
Rh factor Patient
Beschrijving

Rh factor

Datatype

boolean

Alias
UMLS CUI [1]
C0035403
Rh factor Donor a
Beschrijving

Rh factor

Datatype

boolean

Alias
UMLS CUI [1,1]
C0035403
UMLS CUI [1,2]
C0013018
Rh factor Donor b
Beschrijving

Rh factor

Datatype

boolean

Alias
UMLS CUI [1,1]
C0035403
UMLS CUI [1,2]
C0013018
CMV Status Patient
Beschrijving

CMV Status

Datatype

boolean

Alias
UMLS CUI [1]
C0010825
CMV Status Donor a
Beschrijving

CMV Status

Datatype

boolean

Alias
UMLS CUI [1,1]
C0010825
UMLS CUI [1,2]
C0013018
CMV Status Donor b
Beschrijving

CMV Status

Datatype

boolean

Alias
UMLS CUI [1,1]
C0010825
UMLS CUI [1,2]
C0013018
HLA Patient
Beschrijving

HLA Patient

Alias
UMLS CUI-1
C0019721
UMLS CUI-2
C0030705
HLA-A
Beschrijving

HLA-A

Datatype

text

Alias
UMLS CUI [1]
C0019728
HLA-B
Beschrijving

HLA-B

Datatype

text

Alias
UMLS CUI [1]
C0019737
HLA-C
Beschrijving

HLA-C

Datatype

text

Alias
UMLS CUI [1]
C0019751
HLA-DR
Beschrijving

HLA-DR

Datatype

text

Alias
UMLS CUI [1]
C0019764
HLA-DQ
Beschrijving

HLA-DQ

Datatype

text

Alias
UMLS CUI [1]
C0019761
HLA Donor
Beschrijving

HLA Donor

Alias
UMLS CUI-1
C0019721
UMLS CUI-2
C0013018
HLA-A
Beschrijving

HLA-A

Datatype

text

Alias
UMLS CUI [1]
C0019728
HLA-B
Beschrijving

HLA-B

Datatype

text

Alias
UMLS CUI [1]
C0019737
HLA-C
Beschrijving

HLA-C

Datatype

text

Alias
UMLS CUI [1]
C0019751
HLA-DR
Beschrijving

HLA-DR

Datatype

text

Alias
UMLS CUI [1]
C0019764
HLA-DQ
Beschrijving

HLA-DQ

Datatype

text

Alias
UMLS CUI [1]
C0019761
Donor Sex
Beschrijving

Donor Sex

Datatype

integer

Alias
UMLS CUI [1]
C0079399
If a donor was available, but no allo-SCT was done give reason
Beschrijving

Donor available

Datatype

integer

Alias
UMLS CUI [1,1]
C0472699
UMLS CUI [1,2]
C0445106
*Specify
Beschrijving

*Specify

Datatype

text

Alias
UMLS CUI [1]
C1521902
Comments
Beschrijving

Comments

Comments
Beschrijving

Comments

Datatype

text

Alias
UMLS CUI [1]
C0947611
Terug naar het begin van de pagina

Similar models

Tissue Typing Form

1 Formulieren
  1. StudyEvent: ODM
    1. Tissue Typing Form
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Tissue Typing Form
C0019633 (UMLS CUI-1)
Item
Was tissue typing of siblings/other relative done
integer
C0242318 (UMLS CUI [1])
Tissue typing done
Code List
Was tissue typing of siblings/other relative done
CL Item
no# (0)
C1298908 (UMLS CUI-1)
CL Item
yes## (1)
C1705108 (UMLS CUI-1)
CL Item
unknown (9)
C0439673 (UMLS CUI-1)
Item
#If no, reason why not
integer
C0019633 (UMLS CUI [1,1])
C0420590 (UMLS CUI [1,2])
Tissue typing none
Code List
#If no, reason why not
CL Item
no siblings  (1)
C0029039 (UMLS CUI-1)
CL Item
early relapse/progression/death (2)
C1836407 (UMLS CUI-1)
CL Item
patient’s condition  (3)
C0683521 (UMLS CUI-1)
CL Item
good risk (4)
C0332167 (UMLS CUI-1)
CL Item
intermediate risk  (5)
C0332166 (UMLS CUI-1)
CL Item
other*  (8)
C0205394 (UMLS CUI-1)
CL Item
unknown (9)
C0439673 (UMLS CUI-1)
*Specify
Item
*Specify
text
C1521902 (UMLS CUI [1])
First sibling typed date
Item
##Date first sibling typed
date
C0019633 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
##Result of typing related donor
integer
C0019627 (UMLS CUI [1])
Result of Typing
Code List
##Result of typing related donor
CL Item
monozygotic twin (1)
C0041432 (UMLS CUI-1)
CL Item
HLA identical sibling (2)
C0037047 (UMLS CUI-1)
CL Item
HLA identical parent (3)
C0030551 (UMLS CUI-1)
CL Item
1-antigen-mismatched related donor (4)
C0854634 (UMLS CUI-1)
CL Item
2-or more-antigen mismatched related donor (haplo- identical related donor) (5)
C0854634 (UMLS CUI-1)
CL Item
unknown (9)
C0439673 (UMLS CUI-1)
Item
Was searched for an unrelated donor/cord blood
integer
C0018956 (UMLS CUI [1])
Unrelated donor search
Code List
Was searched for an unrelated donor/cord blood
CL Item
no# (0)
C1298908 (UMLS CUI-1)
CL Item
yes## (1)
C1705108 (UMLS CUI-1)
CL Item
unknown (9)
C0439673 (UMLS CUI-1)
Item
#If no, reason why not
integer
C0018956 (UMLS CUI [1,1])
C0445106 (UMLS CUI [1,2])
Tissue typing none
Code List
#If no, reason why not
CL Item
no siblings  (1)
C0029039 (UMLS CUI-1)
CL Item
early relapse/progression/death (2)
C1836407 (UMLS CUI-1)
CL Item
patient’s condition  (3)
C0683521 (UMLS CUI-1)
CL Item
good risk (4)
C0332167 (UMLS CUI-1)
CL Item
intermediate risk  (5)
C0332166 (UMLS CUI-1)
CL Item
other*  (8)
C0205394 (UMLS CUI-1)
CL Item
unknown (9)
C0439673 (UMLS CUI-1)
*Specify
Item
*Specify
text
C1521902 (UMLS CUI [1])
Date start search
Item
##Date start search for unrelated donor/cord blood
date
C0019633 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
##Result of typing unrelated donor/cord blood
integer
C0019633 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Result of typing
Code List
##Result of typing unrelated donor/cord blood
CL Item
no donor (0)
C3242262 (UMLS CUI-1)
CL Item
matched unrelated donor+ (6)
C0398534 (UMLS CUI-1)
CL Item
mismatched unrelated donor++ (7)
C0854634 (UMLS CUI-1)
CL Item
cord blood unit identified (8)
C0162371 (UMLS CUI-1)
CL Item
unknown (9)
C0439673 (UMLS CUI-1)
Item Group
Allo HSCT
Allo HSCT given?
Item
Allo HSCT given?
boolean
C2242529 (UMLS CUI [1])
Item
AB0 Patient
integer
C0005810 (UMLS CUI [1])
AB0
Code List
AB0 Patient
CL Item
O  (0)
C0200505 (UMLS CUI-1)
CL Item
A  (1)
C0427620 (UMLS CUI-1)
CL Item
B  (2)
C0200504 (UMLS CUI-1)
CL Item
AB (3)
C0522891 (UMLS CUI-1)
Item
AB0 blood type Donor a
integer
C0005810 (UMLS CUI [1,1])
C0013018 (UMLS CUI [1,2])
AB0
Code List
AB0 blood type Donor a
CL Item
O  (0)
C0200505 (UMLS CUI-1)
CL Item
A  (1)
C0427620 (UMLS CUI-1)
CL Item
B  (2)
C0200504 (UMLS CUI-1)
CL Item
AB (3)
C0522891 (UMLS CUI-1)
Item
AB0 Blood type Donor b
integer
C0005810 (UMLS CUI [1,1])
C0013018 (UMLS CUI [1,2])
AB0
Code List
AB0 Blood type Donor b
CL Item
O  (0)
C0200505 (UMLS CUI-1)
CL Item
A  (1)
C0427620 (UMLS CUI-1)
CL Item
B  (2)
C0200504 (UMLS CUI-1)
CL Item
AB (3)
C0522891 (UMLS CUI-1)
Rh factor
Item
Rh factor Patient
boolean
C0035403 (UMLS CUI [1])
Rh factor
Item
Rh factor Donor a
boolean
C0035403 (UMLS CUI [1,1])
C0013018 (UMLS CUI [1,2])
Rh factor
Item
Rh factor Donor b
boolean
C0035403 (UMLS CUI [1,1])
C0013018 (UMLS CUI [1,2])
CMV Status
Item
CMV Status Patient
boolean
C0010825 (UMLS CUI [1])
CMV Status
Item
CMV Status Donor a
boolean
C0010825 (UMLS CUI [1,1])
C0013018 (UMLS CUI [1,2])
CMV Status
Item
CMV Status Donor b
boolean
C0010825 (UMLS CUI [1,1])
C0013018 (UMLS CUI [1,2])
Item Group
HLA Patient
C0019721 (UMLS CUI-1)
C0030705 (UMLS CUI-2)
HLA-A
Item
HLA-A
text
C0019728 (UMLS CUI [1])
HLA-B
Item
HLA-B
text
C0019737 (UMLS CUI [1])
HLA-C
Item
HLA-C
text
C0019751 (UMLS CUI [1])
HLA-DR
Item
HLA-DR
text
C0019764 (UMLS CUI [1])
HLA-DQ
Item
HLA-DQ
text
C0019761 (UMLS CUI [1])
Item Group
HLA Donor
C0019721 (UMLS CUI-1)
C0013018 (UMLS CUI-2)
HLA-A
Item
HLA-A
text
C0019728 (UMLS CUI [1])
HLA-B
Item
HLA-B
text
C0019737 (UMLS CUI [1])
HLA-C
Item
HLA-C
text
C0019751 (UMLS CUI [1])
HLA-DR
Item
HLA-DR
text
C0019764 (UMLS CUI [1])
HLA-DQ
Item
HLA-DQ
text
C0019761 (UMLS CUI [1])
Item
integer
C0079399 (UMLS CUI [1])
Donor Sex
Code List
Donor Sex
CL Item
male (1)
CL Item
female (2)
Item
If a donor was available, but no allo-SCT was done give reason
integer
C0472699 (UMLS CUI [1,1])
C0445106 (UMLS CUI [1,2])
Donor available
Code List
If a donor was available, but no allo-SCT was done give reason
CL Item
patient’s condition  (1)
C0683521 (UMLS CUI-1)
CL Item
early relapse/progression/death  (2)
C0035020 (UMLS CUI-1)
C0011065 (UMLS CUI-2)
CL Item
patient refused  (3)
C0040809 (UMLS CUI-1)
CL Item
donor refused (4)
C0040809 (UMLS CUI-1)
CL Item
other*  (8)
C0205394 (UMLS CUI-1)
CL Item
unknown (9)
C0439673 (UMLS CUI-1)
*Specify
Item
*Specify
text
C1521902 (UMLS CUI [1])
Item Group
Comments
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

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