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Chemotherapy Evaluation Form

1 forms  
Cycle
Description

Cycle

Alias
UMLS CUI-1
C1302181
Form related to
Description

Form related to

Data type

integer

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

Measurement units
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0005953
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
BM aspirate done
Description

BM aspirate done

Data type

boolean

Alias
UMLS CUI [1]
C0857285
BM aspirate evaluable
Description

BM aspirate evaluable

Data type

integer

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]
C0005954
Clusters of blasts present
Description

Clusters of blasts present

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

Date of evaluation

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

Survival status

Data type

integer

Alias
UMLS CUI [1]
C1148433
Next treatment given
Description

Next treatment given

Data type

integer

Alias
UMLS CUI [1]
C0599880
Comments
Description

Comments

Comments
Description

Research Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
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Similar models

Chemotherapy Evaluation Form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Cycle
C1302181 (UMLS CUI-1)
Item
Form related to
integer
C1276413 (UMLS CUI [1,1])
C2348792 (UMLS CUI [1,2])
Form related to
Code List
Form related to
CL Item
induction cycle I  (1)
C3179010 (UMLS CUI-1)
CL Item
induction cycle II (2)
C3179010 (UMLS CUI-1)
CL Item
post induction cycle III (3)
C3179010 (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 done
Item
BM aspirate done
boolean
C0857285 (UMLS CUI [1])
Item
BM aspirate evaluable
integer
C0857285 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
BM aspirate evaluable
Code List
BM aspirate evaluable
CL Item
no  (0)
C1298908 (UMLS CUI-1)
CL Item
yes* (1)
C1705108 (UMLS CUI-1)
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])
Clusters of blasts present
Item
Clusters of blasts present
boolean
C0368761 (UMLS CUI [1])
Item Group
Response Evaluation
C1704632 (UMLS CUI-1)
Date of evaluation
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)
C1868812 (UMLS CUI-1)
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)
C0205394 (UMLS CUI-1)
*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
Death in aplasia  (5)
C0243065 (UMLS CUI-1)
CL Item
CRi  (2)
C3538993 (UMLS CUI-1)
CL Item
PR  (3)
C1521726 (UMLS CUI-1)
CL Item
RD (4)
C3844738 (UMLS CUI-1)
CL Item
Death from indeterminate cause (6)
C0277589 (UMLS CUI-1)
CL Item
Relapse (7)
C0035020 (UMLS CUI-1)
Item
Survival status
integer
C1148433 (UMLS CUI [1])
Survival status
Code List
Survival status
CL Item
alive  (0)
C2584946 (UMLS CUI-1)
CL Item
dead (1)
C0011065 (UMLS CUI-1)
Item
Next treatment given
integer
C0599880 (UMLS CUI [1])
Next treatment given
Code List
Next treatment given
CL Item
no further treatment (0)
C0746919 (UMLS CUI-1)
CL Item
induction cycle II (2)
C3179010 (UMLS CUI-1)
CL Item
post induction cycle III (3)
C3179010 (UMLS CUI-1)
CL Item
autoHSCT (4)
C0194037 (UMLS CUI-1)
CL Item
alloHSCT (5)
C1705576 (UMLS CUI-1)
Item Group
Comments
Research Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
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