ID

13501

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) Form Description: Tissue Typing Form

Keywords

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

February 11, 2016

DOI

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License

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

English

Tissue Typing Form

1 forms  
  1. StudyEvent: ODM
    1. Tissue Typing Form
Tissue Typing Form
Description

Tissue Typing Form

Alias
UMLS CUI-1
C0242318
Was tissue typing of siblings/other relative done
Description

Tissue typing done

Data type

integer

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

Tissue typing none

Data type

integer

Alias
UMLS CUI [1,1]
C0242318
UMLS CUI [1,2]
C0420590
*Specify
Description

*Specify

Data type

text

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

First sibling typed date

Data type

date

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0242318
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
##Result of typing related donor
Description

Result of Typing

Data type

integer

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

Unrelated donor search

Data type

integer

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

Reason why not

Data type

integer

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

*Specify

Data type

text

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

Date start search

Data type

date

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0242318
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
##Result of typing unrelated donor/cord blood
Description

Result of typing

Data type

integer

Alias
UMLS CUI [1,1]
C0242318
UMLS CUI [1,2]
C1274040
Allo HSCT
Description

Allo HSCT

Allo HSCT given?
Description

Allo HSCT given?

Data type

boolean

Alias
UMLS CUI [1]
C2242529
AB0 Patient
Description

AB0

Data type

integer

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

AB0

Data type

integer

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

AB0

Data type

integer

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

Rh factor

Data type

boolean

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

Rh factor

Data type

boolean

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

Rh factor

Data type

boolean

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

CMV Status

Data type

boolean

Alias
UMLS CUI [1]
C0582172
CMV Status Donor a
Description

CMV Status

Data type

boolean

Alias
UMLS CUI [1,1]
C0582172
UMLS CUI [1,2]
C0013018
CMV Status Donor b
Description

CMV Status

Data type

boolean

Alias
UMLS CUI [1,1]
C0582172
UMLS CUI [1,2]
C0013018
HLA Patient
Description

HLA Patient

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

HLA-A

Data type

text

Alias
UMLS CUI [1]
C0019728
HLA-B
Description

HLA-B

Data type

text

Alias
UMLS CUI [1]
C0019737
HLA-C
Description

HLA-C

Data type

text

Alias
UMLS CUI [1]
C0019751
HLA-DR
Description

HLA-DR

Data type

text

Alias
UMLS CUI [1]
C0019764
HLA-DQ
Description

HLA-DQ

Data type

text

Alias
UMLS CUI [1]
C0019761
HLA Donor
Description

HLA Donor

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

HLA-A

Data type

text

Alias
UMLS CUI [1]
C0019728
HLA-B
Description

HLA-B

Data type

text

Alias
UMLS CUI [1]
C0019737
HLA-C
Description

HLA-C

Data type

text

Alias
UMLS CUI [1]
C0019751
HLA-DR
Description

HLA-DR

Data type

text

Alias
UMLS CUI [1]
C0019764
HLA-DQ
Description

HLA-DQ

Data type

text

Alias
UMLS CUI [1]
C0019761
Donor Sex
Description

Donor Sex

Data type

integer

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

Donor available

Data type

integer

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

*Specify

Data type

text

Alias
UMLS CUI [1]
C1521902
Comments
Description

Comments

Comments
Description

Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
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Similar models

Tissue Typing Form

1 forms
  1. StudyEvent: ODM
    1. Tissue Typing Form
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Tissue Typing Form
C0242318 (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
C0242318 (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
C0242318 (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
C0242318 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
##Result of typing unrelated donor/cord blood
integer
C0242318 (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
C0582172 (UMLS CUI [1])
CMV Status
Item
CMV Status Donor a
boolean
C0582172 (UMLS CUI [1,1])
C0013018 (UMLS CUI [1,2])
CMV Status
Item
CMV Status Donor b
boolean
C0582172 (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])
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