ID

13497

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) Decription of Form: AutoHSCT Evaluation Form

Keywords

Versions (3)
  1. 11/6/15 11/6/15 -
  2. 1/1/16 1/1/16 -
  3. 2/11/16 2/11/16 -
Uploaded on

February 11, 2016

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License

Creative Commons BY-NC 3.0
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AutoHSCT Evaluation Form HOVON 132 AML/SAKK 30/13 EudraCT 2013-002843-26

English

AutoHSCT Evaluation Form

1 forms  
Form Relation
Description

Form Relation

Form Relation
Description

Form related to

Data type

text

Alias
UMLS CUI [1,1]
C1276413
UMLS CUI [1,2]
C2348792
Nights in hospital
Description

Nights in Hospital

Data type

float

Alias
UMLS CUI [1]
C0420496
Bone Marrow Evaluation
Description

Bone Marrow Evaluation

Alias
UMLS CUI-1
C2238269
BM sampling date
Description

BM sampling date

Data type

date

Alias
UMLS CUI [1,1]
C0005953
UMLS CUI [1,2]
C0011008
BM aspirate done
Description

BM aspirate

Data type

boolean

Alias
UMLS CUI [1,1]
C0857285
UMLS CUI [1,2]
C0884358
BM Aspirate evaluable
Description

Evaluable

Data type

boolean

Alias
UMLS CUI [1,1]
C0857285
UMLS CUI [1,2]
C0220825
*Blasts
Description

Blasts

Data type

float

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

Auer rods

Data type

boolean

Alias
UMLS CUI [1]
C0333828
BM biopsy done
Description

BM biopsy done

Data type

boolean

Alias
UMLS CUI [1,1]
C0005954
UMLS CUI [1,2]
C0884358
Clusters of blasts present
Description

Clusters of blasts

Data type

boolean

Alias
UMLS CUI [1]
C0368761
Response Evaluation
Description

Response Evaluation

Alias
UMLS CUI-1
C1704632
Date of evaluation (preferably date of BM)
Description

Assessment Date

Data type

date

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1]
C2985720
dd/mm/yyyy
Extramedullary disease
Description

Extramedullary disease

Data type

integer

Alias
UMLS CUI [1]
C1868812
*Specify
Description

*Specify

Data type

text

Alias
UMLS CUI [1]
C1521902
Response / remission status
Description

Response / remission status

Data type

integer

Alias
UMLS CUI [1]
C1704632
Survival Status
Description

Vital Status

Data type

integer

Alias
UMLS CUI [1]
C1148433
Comments
Description

Comments

Alias
UMLS CUI-1
C0947611
Comments
Description

Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
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Similar models

AutoHSCT Evaluation Form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Form Relation
Item
Form Relation
text
C1276413 (UMLS CUI [1,1])
C2348792 (UMLS CUI [1,2])
Form Relation
Code List
Form Relation
CL Item
autoHSCT (4)
C0472699 (UMLS CUI-1)
Nights in Hospital
Item
Nights in hospital
float
C0420496 (UMLS CUI [1])
Item Group
Bone Marrow Evaluation
C2238269 (UMLS CUI-1)
BM sampling date
Item
BM sampling date
date
C0005953 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
BM aspirate
Item
BM aspirate done
boolean
C0857285 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
Evaluable
Item
BM Aspirate evaluable
boolean
C0857285 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
Blasts
Item
*Blasts
float
C1982687 (UMLS CUI [1])
Auer rods
Item
Auer rods
boolean
C0333828 (UMLS CUI [1])
BM biopsy done
Item
BM biopsy done
boolean
C0005954 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
Clusters of blasts
Item
Clusters of blasts present
boolean
C0368761 (UMLS CUI [1])
Item Group
Response Evaluation
C1704632 (UMLS CUI-1)
Assessment Date
Item
Date of evaluation (preferably date of BM)
date
C2985720 (UMLS CUI [1])
Item
Extramedullary disease
integer
C1868812 (UMLS CUI [1])
Extramedullary disease
Code List
Extramedullary disease
CL Item
no  (0)
CL Item
skin*  (1)
C1123023 (UMLS CUI-1)
CL Item
CNS*  (2)
C3714787 (UMLS CUI-1)
CL Item
liver*  (3)
C0023884 (UMLS CUI-1)
CL Item
spleen*  (4)
C0037993 (UMLS CUI-1)
CL Item
lymphadenopathy*  (5)
C0497156 (UMLS CUI-1)
CL Item
other* (8)
*Specify
Item
*Specify
text
C1521902 (UMLS CUI [1])
Item
Response / remission status
integer
C1704632 (UMLS CUI [1])
Response / remission status
Code List
Response / remission status
CL Item
CR  (1)
C0677874 (UMLS CUI-1)
CL Item
CRi  (2)
C3538993 (UMLS CUI-1)
CL Item
Relapse (7)
C0035020 (UMLS CUI-1)
Item
Survival Status
integer
C1148433 (UMLS CUI [1])
Vital Status
Code List
Survival Status
CL Item
alive (0)
C2584946 (UMLS CUI-1)
CL Item
dead (1)
C0011065 (UMLS CUI-1)
Item Group
Comments
C0947611 (UMLS CUI-1)
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
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