ID
15077
Description
International Collaborative Treatment Protocol For Children And Adolescents With Acute Lymphoblastic Leukemia. Phase 3 Study. Initial survey. Please send this document within one month after diagnosis to the study centre. Clinical Trial Number: NCT01117441.
Keywords
Versions (1)
- 15/05/2016 15/05/2016 -
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15 de maio de 2016
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License
Creative Commons BY-NC-ND 3.0
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Initial survey AIEOP-BFM ALL 2009 DRKS00003772 NCT01117441
Initial survey AIEOP-BFM ALL 2009 NCT01117441
- StudyEvent: ODM
Description
Anamnesis
Alias
- UMLS CUI-1
- C0199182
Description
Hospital stay
Data type
boolean
Alias
- UMLS CUI [1]
- C3489408
Description
Hospital stay: Hospital
Data type
text
Alias
- UMLS CUI [1,1]
- C3489408
- UMLS CUI [1,2]
- C0019994
Description
Hospital stay: Date of hospitalisation
Data type
date
Alias
- UMLS CUI [1,1]
- C3489408
- UMLS CUI [1,2]
- C0019993
- UMLS CUI [1,3]
- C0011008
Description
Hospital stay: Date of discharge
Data type
date
Alias
- UMLS CUI [1,1]
- C3489408
- UMLS CUI [1,2]
- C2361123
Description
Birth weight
Data type
float
Measurement units
- g
Alias
- UMLS CUI [1]
- C0005612
Description
Birth size
Data type
text
Measurement units
- cm
Alias
- UMLS CUI [1,1]
- C0005901
- UMLS CUI [1,2]
- C2599577
Description
Gestational age
Data type
text
Measurement units
- Weeks of pregnancy
Alias
- UMLS CUI [1]
- C0017504
Description
Medical assisted reproduction
Data type
boolean
Alias
- UMLS CUI [1]
- C0493980
Description
Number of siblings
Data type
float
Alias
- UMLS CUI [1,1]
- C0037047
- UMLS CUI [1,2]
- C0237753
Description
Number of half siblings
Data type
float
Alias
- UMLS CUI [1,1]
- C0237753
- UMLS CUI [1,2]
- C0337505
Description
Number of not biological siblings
Data type
float
Alias
- UMLS CUI [1,1]
- C0337502
- UMLS CUI [1,2]
- C1518422
- UMLS CUI [1,3]
- C0237753
Description
Multiple birth offspring
Data type
text
Alias
- UMLS CUI [1]
- C0026753
Description
Multiple birth offspring: zygosity
Data type
text
Alias
- UMLS CUI [1,1]
- C0026753
- UMLS CUI [1,2]
- C1710709
Description
Fever
Data type
boolean
Alias
- UMLS CUI [1]
- C0015967
Description
Pathogen detection
Data type
boolean
Alias
- UMLS CUI [1]
- C1740302
Description
Pathogen detection: specification
Data type
text
Alias
- UMLS CUI [1,1]
- C1740302
- UMLS CUI [1,2]
- C2348235
Description
CRP increase
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0201657
- UMLS CUI [1,2]
- C0442805
Description
CRP measurement
Data type
float
Measurement units
- mg/dL
Alias
- UMLS CUI [1]
- C0201657
Description
Malignancies
Data type
boolean
Alias
- UMLS CUI [1]
- C0006826
Description
Malignancies: specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0006826
- UMLS CUI [1,2]
- C2348235
Description
Immune deficiency
Data type
boolean
Alias
- UMLS CUI [1]
- C1855771
Description
Immune deficiency: specification
Data type
text
Alias
- UMLS CUI [1,1]
- C1855771
- UMLS CUI [1,2]
- C2348235
Description
Haematological disease
Data type
boolean
Alias
- UMLS CUI [1]
- C0018939
Description
Haematological disease: specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0018939
- UMLS CUI [1,2]
- C2348235
Description
Chronic virus infection
Data type
boolean
Alias
- UMLS CUI [1,1]
- C3829806
- UMLS CUI [1,2]
- C0042769
Description
Chronic virus infection: specification
Data type
text
Alias
- UMLS CUI [1,1]
- C3829806
- UMLS CUI [1,2]
- C0042769
- UMLS CUI [1,3]
- C2348235
Description
Chromosomal aberration/ hereditary disease
Data type
boolean
Alias
- UMLS CUI [1]
- C0008625
- UMLS CUI [2]
- C0019247
Description
Chromosomal aberration/ hereditary disease: specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0008625
- UMLS CUI [1,2]
- C2348235
- UMLS CUI [2,1]
- C0019247
- UMLS CUI [2,2]
- C2348235
Description
Metabolic disease
Data type
boolean
Alias
- UMLS CUI [1]
- C0025517
Description
Metabolic disease: specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0025517
- UMLS CUI [1,2]
- C2348235
Description
Autoimmune disease
Data type
boolean
Alias
- UMLS CUI [1]
- C0004364
Description
Autoimmune disease: specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0004364
- UMLS CUI [1,2]
- C2348235
Description
Cardiac disease
Data type
boolean
Alias
- UMLS CUI [1]
- C0018799
Description
Cardiac disease: specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0018799
- UMLS CUI [1,2]
- C2348235
Description
Chronic disease
Data type
boolean
Alias
- UMLS CUI [1]
- C0008679
Description
Chronic disease: specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0008679
- UMLS CUI [1,2]
- C2348235
Description
Siblings suffering from malignancy
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0337502
- UMLS CUI [1,2]
- C0006826
Description
Siblings suffering from malignancy specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0337502
- UMLS CUI [1,2]
- C0006826
- UMLS CUI [1,3]
- C2348235
Description
Mother suffering from malignancy
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0026591
- UMLS CUI [1,2]
- C0006826
Description
Mother suffering from malignancy specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0026591
- UMLS CUI [1,2]
- C0006826
- UMLS CUI [1,3]
- C2348235
Description
Parents of mother suffering from malignancy
Data type
text
Alias
- UMLS CUI [1,1]
- C0337471
- UMLS CUI [1,2]
- C2347083
- UMLS CUI [1,3]
- C0006826
Description
Mother of mother suffering from malignancy
Data type
text
Alias
- UMLS CUI [1,1]
- C0337474
- UMLS CUI [1,2]
- C2347083
- UMLS CUI [1,3]
- C0006826
- UMLS CUI [1,4]
- C2348235
Description
Father of mother suffering from malignancy
Data type
text
Alias
- UMLS CUI [1,1]
- C0337475
- UMLS CUI [1,2]
- C2347083
- UMLS CUI [1,3]
- C0006826
- UMLS CUI [1,4]
- C2348235
Description
Siblings of mother suffering from malignancy
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0037047
- UMLS CUI [1,2]
- C2347083
- UMLS CUI [1,3]
- C0006826
Description
Siblings of mother suffering from malignancy specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0037047
- UMLS CUI [1,2]
- C2347083
- UMLS CUI [1,3]
- C0006826
- UMLS CUI [1,4]
- C2348235
Description
Niece/nephew of mother suffering from malignancy
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1553703
- UMLS CUI [1,2]
- C2347083
- UMLS CUI [1,3]
- C0006826
Description
Niece/nephew of mother suffering from malignancy specification
Data type
text
Alias
- UMLS CUI [1,1]
- C1553703
- UMLS CUI [1,2]
- C2347083
- UMLS CUI [1,3]
- C0006826
- UMLS CUI [1,4]
- C2348235
Description
Father suffering from malignancy
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0015671
- UMLS CUI [1,2]
- C0006826
Description
Father suffering from malignancy specification
Data type
text
Alias
- UMLS CUI [1,1]
- C0015671
- UMLS CUI [1,2]
- C0006826
- UMLS CUI [1,3]
- C2348235
Description
Parents of father suffering from malignancy
Data type
text
Alias
- UMLS CUI [1,1]
- C0337471
- UMLS CUI [1,2]
- C2347452
- UMLS CUI [1,3]
- C0006826
Description
Mother of father suffering from malignancy
Data type
text
Alias
- UMLS CUI [1,1]
- C0337474
- UMLS CUI [1,2]
- C2347452
- UMLS CUI [1,3]
- C0006826
- UMLS CUI [1,4]
- C2348235
Description
Father of father suffering from malignancy
Data type
text
Alias
- UMLS CUI [1,1]
- C0337475
- UMLS CUI [1,2]
- C2347452
- UMLS CUI [1,3]
- C0006826
- UMLS CUI [1,4]
- C2348235
Description
Siblings of father suffering from malignancy
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0037047
- UMLS CUI [1,2]
- C2347452
- UMLS CUI [1,3]
- C0006826
Description
Siblings of mother suffering from malignancy
Data type
text
Alias
- UMLS CUI [1,1]
- C0037047
- UMLS CUI [1,2]
- C2347452
- UMLS CUI [1,3]
- C0006826
- UMLS CUI [1,4]
- C2348235
Description
Niece/nephew of father suffering from malignancy
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1553703
- UMLS CUI [1,2]
- C2347452
- UMLS CUI [1,3]
- C0006826
Description
Niece/nephew of father suffering from malignancy
Data type
text
Alias
- UMLS CUI [1,1]
- C1553703
- UMLS CUI [1,2]
- C2347452
- UMLS CUI [1,3]
- C0006826
- UMLS CUI [1,4]
- C2348235
Description
Diagnosis
Alias
- UMLS CUI-1
- C0011900
Description
Hospital admission date
Data type
date
Alias
- UMLS CUI [1]
- C0806429
Description
Leukopheresis
Data type
boolean
Alias
- UMLS CUI [1]
- C0023416
Description
Leukopheresis start date
Data type
date
Alias
- UMLS CUI [1,1]
- C0023416
- UMLS CUI [1,2]
- C0808070
Description
Leukopheresis end date
Data type
date
Alias
- UMLS CUI [1,1]
- C0023416
- UMLS CUI [1,2]
- C0806020
Description
Weight
Data type
float
Measurement units
- kg
Alias
- UMLS CUI [1]
- C0005910
Description
Height
Data type
float
Measurement units
- cm
Alias
- UMLS CUI [1]
- C0005890
Description
Blood analysis
Alias
- UMLS CUI-1
- C0018941
Description
Initial blood analysis: date
Data type
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0205265
- UMLS CUI [1,3]
- C0018941
Description
Initial blood analysis: leukocytes
Data type
float
Measurement units
- /μl
Alias
- UMLS CUI [1,1]
- C0023508
- UMLS CUI [1,2]
- C0205265
- UMLS CUI [1,3]
- C0018941
Description
Inital blood analysis: blasts
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1,1]
- C0523113
- UMLS CUI [1,2]
- C0205265
- UMLS CUI [1,3]
- C0018941
Description
Initial blood analysis: platelets
Data type
float
Measurement units
- /μl
Alias
- UMLS CUI [1,1]
- C0032181
- UMLS CUI [1,2]
- C0205265
- UMLS CUI [1,3]
- C0018941
Description
Initial blood analysis: haemoglobin
Data type
float
Measurement units
- g/dL
Alias
- UMLS CUI [1,1]
- C0518015
- UMLS CUI [1,2]
- C0205265
- UMLS CUI [1,3]
- C0018941
Description
Blood analysis at diagnosis: date
Data type
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0011900
- UMLS CUI [1,3]
- C0018941
Description
Blood analysis at diagnosis: leukocytes
Data type
float
Measurement units
- /μl
Alias
- UMLS CUI [1,1]
- C0023508
- UMLS CUI [1,2]
- C0011900
- UMLS CUI [1,3]
- C0018941
Description
Blood analysis at diagnosis: blasts
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1,1]
- C0523113
- UMLS CUI [1,2]
- C0011900
- UMLS CUI [1,3]
- C0018941
Description
Blood analysis at therapy start: date
Data type
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C2114713
- UMLS CUI [1,3]
- C0018941
Description
Blood analysis at therapy start: leukocytes
Data type
float
Measurement units
- /μl
Alias
- UMLS CUI [1,1]
- C0023508
- UMLS CUI [1,2]
- C2114713
- UMLS CUI [1,3]
- C0018941
Description
Blood analysis at therapy start: blasts
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1,1]
- C0523113
- UMLS CUI [1,2]
- C2114713
- UMLS CUI [1,3]
- C0018941
Description
Initial CNS status
Alias
- UMLS CUI-1
- C0449389
- UMLS CUI-2
- C0205265
Description
Initial lumbar puncture: date
Data type
date
Alias
- UMLS CUI [1,1]
- C2584899
- UMLS CUI [1,2]
- C0205265
- UMLS CUI [1,3]
- C0553794
Description
Cerebrospinal fluid contaminated with blood
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0007806
- UMLS CUI [1,2]
- C2349974
- UMLS CUI [1,3]
- C0005767
Description
Cerebrospinal fluid: cell count
Data type
boolean
Alias
- UMLS CUI [1]
- C1317024
Description
Cerebrospinal fluid: erythrocytes
Data type
float
Measurement units
- /μl
Alias
- UMLS CUI [1]
- C2026591
Description
Cerebrospinal fluid: nucleated cells
Data type
float
Measurement units
- /μl
Alias
- UMLS CUI [1]
- C2926229
Description
Cytomorphological assessment of cytospin compound
Data type
text
Alias
- UMLS CUI [1,1]
- C1271796
- UMLS CUI [1,2]
- C0543482
- UMLS CUI [1,3]
- C0010819
Description
Blasts in cytospin compound
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0523113
- UMLS CUI [1,2]
- C1271796
Description
Initial diagnostic imaging of CNS
Data type
text
Alias
- UMLS CUI [1,1]
- C0011923
- UMLS CUI [1,2]
- C0205265
- UMLS CUI [1,3]
- C3714787
Description
Initial diagnostic imaging of CNS: Date
Data type
date
Alias
- UMLS CUI [1,1]
- C2584899
- UMLS CUI [1,2]
- C0011923
- UMLS CUI [1,3]
- C0205265
- UMLS CUI [1,4]
- C3714787
Description
Cerebral mass or leptomeningeal involvement
Data type
text
Alias
- UMLS CUI [1]
- C0742078
- UMLS CUI [2]
- C3160796
Description
Examination of cranial nerves
Data type
text
Alias
- UMLS CUI [1]
- C0558819
Description
Date of examination of cranial nerves
Data type
date
Alias
- UMLS CUI [1,1]
- C2826643
- UMLS CUI [1,2]
- C0558819
Description
Treatment of CNS
Data type
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C3714787
Description
Multi-organ involvement
Alias
- UMLS CUI-1
- C0457577
Description
Liver size
Data type
boolean
Alias
- UMLS CUI [1]
- C0426688
Description
Liver size value
Data type
float
Measurement units
- cm
Alias
- UMLS CUI [1,1]
- C0426688
- UMLS CUI [1,2]
- C1522609
Description
Spleen size
Data type
boolean
Alias
- UMLS CUI [1]
- C0030250
Description
Spleen size value
Data type
float
Measurement units
- cm
Alias
- UMLS CUI [1,1]
- C0030250
- UMLS CUI [1,2]
- C1522609
Description
Involvement of mediastinum
Data type
text
Alias
- UMLS CUI [1,1]
- C0025066
- UMLS CUI [1,2]
- C1314939
Description
Involvement of testicles
Data type
text
Alias
- UMLS CUI [1,1]
- C0039597
- UMLS CUI [1,2]
- C1314939
Description
Prednisone response (on day 8 of cytoreductive pre-phase)
Alias
- UMLS CUI-1
- C0032952
- UMLS CUI-2
- C0871261
Description
Date
Data type
date
Alias
- UMLS CUI [1]
- C0011008
Description
Leukocytes
Data type
float
Measurement units
- /μl
Alias
- UMLS CUI [1]
- C0023508
Description
Blasts
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1]
- C0523113
Description
Cumulative dose of prednisone
Data type
float
Measurement units
- mg
Alias
- UMLS CUI [1,1]
- C0032952
- UMLS CUI [1,2]
- C2986497
Description
Comments
Alias
- UMLS CUI-1
- C0947611
Description
Identification and Signature
Alias
- UMLS CUI-1
- C0205396
- UMLS CUI-3
- C1519316
Description
Investigator's name
Data type
text
Alias
- UMLS CUI [1,1]
- C2346576
- UMLS CUI [1,2]
- C0027365
Description
Date of report
Data type
date
Alias
- UMLS CUI [1]
- C1302584
Description
Investigator's signature
Data type
text
Alias
- UMLS CUI [1]
- C2346576
Similar models
Initial survey AIEOP-BFM ALL 2009 NCT01117441
- StudyEvent: ODM
C0019994 (UMLS CUI [1,2])
C0019993 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C2361123 (UMLS CUI [1,2])
C2599577 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
C0337505 (UMLS CUI [1,2])
C1518422 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
C1710709 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C0442805 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C0042769 (UMLS CUI [1,2])
C0042769 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0019247 (UMLS CUI [2])
C2348235 (UMLS CUI [1,2])
C0019247 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
C2348235 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0006826 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C2347083 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2347083 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
C2347083 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
C2347083 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2347083 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
C2347083 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2347083 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
C0006826 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C2347452 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2347452 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
C2347452 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
C2347452 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2347452 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
C2347452 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2347452 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C0205265 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,3])
C0205265 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,3])
C0205265 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,3])
C0205265 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,3])
C0205265 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,3])
C0011900 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,3])
C0011900 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,3])
C0011900 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,3])
C2114713 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,3])
C2114713 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,3])
C2114713 (UMLS CUI [1,2])
C0018941 (UMLS CUI [1,3])
C0205265 (UMLS CUI [1,2])
C0553794 (UMLS CUI [1,3])
C2349974 (UMLS CUI [1,2])
C0005767 (UMLS CUI [1,3])
C0543482 (UMLS CUI [1,2])
C0010819 (UMLS CUI [1,3])
C1271796 (UMLS CUI [1,2])
C0205265 (UMLS CUI [1,2])
C3714787 (UMLS CUI [1,3])
C0011923 (UMLS CUI [1,2])
C0205265 (UMLS CUI [1,3])
C3714787 (UMLS CUI [1,4])
C3160796 (UMLS CUI [2])
C0558819 (UMLS CUI [1,2])
C1522609 (UMLS CUI [1,2])
C1522609 (UMLS CUI [1,2])
C1314939 (UMLS CUI [1,2])
C1314939 (UMLS CUI [1,2])
C0871261 (UMLS CUI-2)
C2986497 (UMLS CUI [1,2])
C1519316 (UMLS CUI-3)
C0027365 (UMLS CUI [1,2])