ID
16069
Beskrivning
ODM form derived from 15pp EBMT Multiple Sclerosis 13MS please refer to: http://www.ebmt.org/Contents/Data-Management/Registrystructure/MED-ABdatacollectionforms/Pages/MED-AB-data-collection-forms.aspx
Länk
Nyckelord
Versioner (1)
- 2016-06-27 2016-06-27 -
Uppladdad den
27 juni 2016
DOI
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Licens
Creative Commons BY-NC 3.0
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EBMT Multiple Sclerosis follow up form
15pp EBMT Multiple Sclerosis Follow up form
- StudyEvent: ODM
Beskrivning
GRAFT VERSUS HOST DISEASE (GvHD) SINCE LAST REPORT
Beskrivning
aGvHD Grading
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0441799
- UMLS CUI [1,2]
- C0856825
Beskrivning
Maximum grade
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0856825
- UMLS CUI [1,2]
- C0441800
Beskrivning
Reason Maximum grade
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0441800
- UMLS CUI [1,2]
- C0392360
Beskrivning
Date onset of this episode
Datatyp
date
Måttenheter
- yyyy/mm/dd
Alias
- UMLS CUI [1]
- C0574845
Beskrivning
Date onset of this episode
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0574845
- UMLS CUI [1,2]
- C0011008
Beskrivning
aGvHD Stage Skin
Datatyp
integer
Alias
- UMLS CUI [1]
- C1739372
Beskrivning
aGvHD Stage liver
Datatyp
integer
Alias
- UMLS CUI [1]
- C1739104
Beskrivning
aGvHD stage gut
Datatyp
integer
Alias
- UMLS CUI [1]
- C1737219
Beskrivning
aGvHD Resolution
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0856825
- UMLS CUI [1,2]
- C1514893
Beskrivning
aGvHD Date of resolutions
Datatyp
date
Beskrivning
Chronic Graft versus Host Disease (cGvHD)
Datatyp
text
Alias
- UMLS CUI [1]
- C0867389
Beskrivning
Date of onset
Datatyp
date
Alias
- UMLS CUI [1]
- C0574845
Beskrivning
cGvHD grade
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0867389
- UMLS CUI [1,2]
- C0441800
Beskrivning
Organs affected
Datatyp
integer
Alias
- UMLS CUI [1]
- C0449642
Beskrivning
Organs affected
Datatyp
integer
Alias
- UMLS CUI [1]
- C0178784
Beskrivning
cGvHD Resolved: Date of resolution
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0867389
- UMLS CUI [1,2]
- C2985858
Beskrivning
OTHER COMPLICATIONS SINCE LAST REPORT
Beskrivning
INFECTION RELATED COMPLICATIONS
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0009450
- UMLS CUI [1,2]
- C0009566
Beskrivning
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0004610
- UMLS CUI [1,2]
- C0085082
- UMLS CUI [1,3]
- C0042749
- UMLS CUI [1,4]
- C0030498
Beskrivning
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatyp
integer
Alias
- UMLS CUI [1]
- C0036983
Beskrivning
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatyp
integer
Alias
- UMLS CUI [1]
- C0035222
Beskrivning
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary
Datatyp
integer
Alias
- UMLS CUI [1]
- C0026766
Beskrivning
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary
Datatyp
integer
Alias
- UMLS CUI [1]
- C0032285
Beskrivning
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatyp
integer
Alias
- UMLS CUI [1]
- C0019158
Beskrivning
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.
Datatyp
integer
Alias
- UMLS CUI [1]
- C0007684
Beskrivning
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary
Datatyp
integer
Alias
- UMLS CUI [1]
- C0178238
Beskrivning
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary
Datatyp
text
Alias
- UMLS CUI [1]
- C0037278
Beskrivning
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary
Datatyp
text
Alias
- UMLS CUI [1]
- C0010692
Beskrivning
Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary
Datatyp
text
Alias
- UMLS CUI [1]
- C0035333
Beskrivning
Other pathogen specified
Datatyp
integer
Alias
- UMLS CUI [1]
- C0450254
Beskrivning
NON INFECTION RELATED COMPLICATIONS
Datatyp
integer
Alias
- UMLS CUI [1]
- C0009566
Beskrivning
Idiopathic pneumonia syndrome
Datatyp
integer
Alias
- UMLS CUI [1]
- C1504431
Beskrivning
VOD
Datatyp
integer
Alias
- UMLS CUI [1]
- C0948441
Beskrivning
Cataract
Datatyp
text
Alias
- UMLS CUI [1]
- C0086543
Beskrivning
Haemorrhagic cystitis, non infectious
Datatyp
text
Alias
- UMLS CUI [1]
- C0085692
Beskrivning
ARDS, non infectious
Datatyp
text
Alias
- UMLS CUI [1]
- C0035222
Beskrivning
Multiorgan failure, non infectious
Datatyp
integer
Alias
- UMLS CUI [1]
- C0026766
Beskrivning
HSCT-associated microangiopathy
Datatyp
integer
Alias
- UMLS CUI [1]
- C0155765
Beskrivning
Renal failure requiring dialysis
Datatyp
text
Alias
- UMLS CUI [1]
- C0035078
Beskrivning
Haemolytic anaemia due to blood group
Datatyp
integer
Alias
- UMLS CUI [1]
- C0002878
Beskrivning
Aseptic bone necrosis
Datatyp
text
Alias
- UMLS CUI [1]
- C0158452
Beskrivning
Other type of NON INFECTION RELATED COMPLICATIONS
Datatyp
text
Beskrivning
Idiopathic pneumonia syndrome
Datatyp
date
Alias
- UMLS CUI [1,1]
- C1504431
- UMLS CUI [1,2]
- C0011008
Beskrivning
GRAFT ASSESSMENT AND HAEMOPOIETIC CHIMAERISM
Datatyp
text
Alias
- UMLS CUI [1]
- C0877042
Beskrivning
Overall chimaerism
Datatyp
text
Alias
- UMLS CUI [1]
- C0333678
Beskrivning
Date of test
Datatyp
date
Alias
- UMLS CUI [1]
- C2826247
Beskrivning
Identification
Datatyp
text
Alias
- UMLS CUI [1]
- C1718162
Beskrivning
Number in the infusion order
Datatyp
text
Alias
- UMLS CUI [1]
- C0237753
Beskrivning
Cell type on which test was performed
Datatyp
integer
Måttenheter
- %
Alias
- UMLS CUI [1]
- C0004561
Beskrivning
Laboratory tests
Datatyp
integer
Alias
- UMLS CUI [1]
- C0022885
Beskrivning
Specification other labaratory tests
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0022885
- UMLS CUI [1,2]
- C2348235
Beskrivning
SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED
Datatyp
text
Beskrivning
Date of Diagnosis
Datatyp
date
Alias
- UMLS CUI [1]
- C2316983
Beskrivning
Diagnosis OTHER COMPLICATIONS SINCE LAST REPORT
Datatyp
text
Alias
- UMLS CUI [1]
- C0011900
Beskrivning
Other diagnosis
Datatyp
text
Alias
- UMLS CUI [1]
- C0205394
Beskrivning
ADDITIONAL THERAPIES SINCE LAST FOLLOW UP
Beskrivning
Additional treatment
Datatyp
integer
Alias
- UMLS CUI [1]
- C1706712
Beskrivning
Treatment given since last report
Datatyp
date
Beskrivning
Cellular therapy
Datatyp
integer
Alias
- UMLS CUI [1]
- C0302189
Beskrivning
Disease status before this cellular therapy
Datatyp
integer
Alias
- UMLS CUI [1]
- C0012634
Beskrivning
Type of cells
Datatyp
integer
Alias
- UMLS CUI [1]
- C0302189
Beskrivning
Type of cells
Datatyp
text
Beskrivning
Chronological number
Datatyp
float
Alias
- UMLS CUI [1]
- C2348184
Beskrivning
Nucleated cells
Datatyp
integer
Måttenheter
- 10^8/kg
Alias
- UMLS CUI [1]
- C1180059
Beskrivning
CD 34+
Datatyp
text
Alias
- UMLS CUI [1]
- C3538723
Beskrivning
CD 3+
Datatyp
text
Alias
- UMLS CUI [1]
- C3542405
Beskrivning
All cells
Datatyp
text
Alias
- UMLS CUI [1]
- C0007584
Beskrivning
Cell therapy indication
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C3146298
- UMLS CUI [1,2]
- C0302189
Beskrivning
Infusion count
Datatyp
float
Alias
- UMLS CUI [1,1]
- C0574032
- UMLS CUI [1,2]
- C0750480
Beskrivning
Acute Graft versus Host Disease
Datatyp
text
Alias
- UMLS CUI [1]
- C0856825
Beskrivning
Disease treatment
Datatyp
integer
Alias
- UMLS CUI [1]
- C0087111
Beskrivning
Datestarted
Datatyp
date
Alias
- UMLS CUI [1]
- C3173309
Beskrivning
Overall main reason
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1706712
- UMLS CUI [1,2]
- C1443309
Beskrivning
Overall main reason
Datatyp
text
Beskrivning
Drugs
Datatyp
integer
Alias
- UMLS CUI [1]
- C0013227
Beskrivning
Drugs
Datatyp
text
Beskrivning
Irradiation (radiotherapy) Site
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0024204
- UMLS CUI [1,2]
- C1522449
Beskrivning
Irradiation (radiotherapy9 Site
Datatyp
text
Beskrivning
Lymphocytopheresis
Datatyp
text
Alias
- UMLS CUI [1]
- C0024226
Beskrivning
Other modality
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0695347
- UMLS CUI [1,2]
- C1521902
Beskrivning
FIRST EVIDENCE OF DISEASE WORSENING SINCE LAST HSCT
Beskrivning
EVIDENCE OF DISEASE ACTIVITY
Datatyp
integer
Alias
- UMLS CUI [1]
- C0544450
Beskrivning
EventDiseaseResponseDate
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0871261
- UMLS CUI [1,3]
- C0441471
- UMLS CUI [1,4]
- C0012634
Beskrivning
Number of relapses/progressions since last HSCT
Datatyp
float
Alias
- UMLS CUI [1,1]
- C0035020
- UMLS CUI [1,2]
- C0035020
Beskrivning
LAST DISEASE AND PATIENT STATUS
Beskrivning
Scripps neurological rating scale
Datatyp
float
Alias
- UMLS CUI [1]
- C0451180
Beskrivning
Kurtzke functional systems
Datatyp
float
Alias
- UMLS CUI [1]
- C3826987
Beskrivning
Kurtzke Expanded Disability Status
Datatyp
float
Alias
- UMLS CUI [1]
- C3887783
Beskrivning
Composite Scale
Datatyp
float
Alias
- UMLS CUI [1]
- C4066222
Beskrivning
MRI BRAIN SCAN
Datatyp
integer
Alias
- UMLS CUI [1]
- C0412675
Beskrivning
Date of most recent MRI scan of brain
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0412675
- UMLS CUI [1,2]
- C0011008
Beskrivning
Results
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0412675
- UMLS CUI [1,2]
- C1274040
Beskrivning
New lesions present on the MRI?
Datatyp
text
Beskrivning
Conception
Datatyp
text
Alias
- UMLS CUI [1]
- C0032961
Beskrivning
Survival Status
Datatyp
integer
Alias
- UMLS CUI [1]
- C1148433
Beskrivning
Performance score
Datatyp
integer
Alias
- UMLS CUI [1]
- C1518965
Beskrivning
Performance score
Datatyp
integer
Alias
- UMLS CUI [1]
- C1518965
Beskrivning
Cause of death
Datatyp
integer
Alias
- UMLS CUI [1]
- C0007465
Beskrivning
HSCT related cause
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0007465
- UMLS CUI [1,2]
- C0472699
Beskrivning
ADDITIONAL NOTES IF APPLICABLE
Similar models
15pp EBMT Multiple Sclerosis Follow up form
- StudyEvent: ODM
C0011008 (UMLS CUI [1,2])
C0856825 (UMLS CUI [1,2])
C0441800 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C2985858 (UMLS CUI [1,2])
C0009566 (UMLS CUI [1,2])
C0085082 (UMLS CUI [1,2])
C0042749 (UMLS CUI [1,3])
C0030498 (UMLS CUI [1,4])
C0011008 (UMLS CUI [1,2])
C3840932 (UMLS CUI-2)
C2348235 (UMLS CUI [1,2])
C0302189 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,2])
C1443309 (UMLS CUI [1,2])
C0678257 (UMLS CUI-2)
C1708745 (UMLS CUI-2)
C0444956 (UMLS CUI-2)
C1522449 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,2])
C0871261 (UMLS CUI [1,2])
C0441471 (UMLS CUI [1,3])
C0012634 (UMLS CUI [1,4])
C0035020 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,2])
C0472699 (UMLS CUI [1,2])