Item
Form related to induction cycle
integer
C1276413 (UMLS CUI [1,1])
C2348792 (UMLS CUI [1,2])
Code List
Form related to induction cycle
CL Item
induction cycle I (1)
C1302181 (UMLS CUI-1)
CL Item
induction cycle II (2)
C3179010 (UMLS CUI-1)
Date
Item
Date evaluation was done
date
C0013221 (UMLS CUI [1,1])
C1512043 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Has Induction cycle been given
Item
Has Induction cycle been given (either partially or completely)
boolean
C3179010 (UMLS CUI [1])
Dose level
Item
Dose level Lenalidomide (fill out 20 mg, 15 mg, 10 mg)
float
C0178602 (UMLS CUI [1,1])
C1144149 (UMLS CUI [1,2])
Induction start date
Item
Date start of this induction cycle
date
C3179010 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Next start date
Item
Planned start date next treatment
date
C1115731 (UMLS CUI [1])
Item
Planned next treatment
integer
C3641097 (UMLS CUI [1])
Code List
Planned next treatment
CL Item
cycle II (2)
C1302181 (UMLS CUI-1)
CL Item
cycle III (3)
C1302181 (UMLS CUI-1)
CL Item
autoHSCT (4)
C0194037 (UMLS CUI-1)
CL Item
alloHSCT (5)
C1705576 (UMLS CUI-1)
CL Item
treatment off protocol (6)
C0087111 (UMLS CUI-1)
C1518546 (UMLS CUI-2)
Date off protocoll
Item
Date off protocoll
date
C2348563 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Date last contact
Item
Date last known to be alive or death
date
C0805839 (UMLS CUI [1])
Item
Survival Status
integer
C1148433 (UMLS CUI [1])
Code List
Survival Status
CL Item
alive (0)
C2584946 (UMLS CUI-1)
CL Item
dead (1)
C0011065 (UMLS CUI-1)
Item
Cause of death
integer
C0007465 (UMLS CUI [1])
CL Item
leukemia (1)
C0023418 (UMLS CUI-1)
CL Item
pneumonia (2)
C0032285 (UMLS CUI-1)
CL Item
other infection (3)
C0009450 (UMLS CUI-1)
CL Item
hemorrhage (4)
C0019080 (UMLS CUI-1)
CL Item
veno-occlusive disease* (5)
C0948441 (UMLS CUI-1)
*Specify
Item
*Specify
text
C1521902 (UMLS CUI [1])
Item
CTCAE grade ≥ 4 non hematological toxicity
integer
C0013221 (UMLS CUI [1,1])
C1516728 (UMLS CUI [1,2])
Code List
CTCAE grade ≥ 4 non hematological toxicity
CL Item
yes, fill out items 15 and 16 (1)
CTCAE grade ≥ 4 non hematological toxicity Date onset
Item
CTCAE grade ≥ 4 non hematological toxicity Date onset
date
C0013221 (UMLS CUI [1,1])
C1516728 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
CTCAE grade ≥ 4 non hematological toxicity specification
Item
CTCAE grade ≥ 4 non hematological toxicity specification
text
C0013221 (UMLS CUI [1,1])
C1516728 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Was ANC recovered to > 0.5x109/L
integer
C0948762 (UMLS CUI [1])
Code List
Was ANC recovered to > 0.5x109/L
CL Item
no, give last date ANC was measured box 18 (0)
CL Item
yes, fill out date of recovery box 19 and/or 20 (1)
Last date ANC
Item
Last date ANC was measured
date
C0948762 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
First date ANC
Item
First date ANC >0.5 x 109/L
date
C1882078 (UMLS CUI [1])
First date ANC greater
Item
First date ANC >1.0 x 109/L
date
C1882078 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Platelets recovered to > 50x109/L
integer
C1882407 (UMLS CUI [1])
Code List
Platelets recovered to > 50x109/L
CL Item
yes, fill out date of recovery (1)
First date blood platelets
Item
First date platelets >50 x 109/L
date
C1882407 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])