ID

16285

Descrição

ODM form derived from 16pp EBMT Multiple Myeloma 10PCD. please refer to: http://www.ebmt.org/Contents/Data-Management/Registrystructure/MED-ABdatacollectionforms/Pages/MED-AB-data-collection-forms.aspx

Link

http://www.ebmt.org/Contents/Data-Management/Registrystructure/MED-ABdatacollectionforms/Pages/MED-AB-data-collection-forms.aspx

Palavras-chave

  1. 25/04/2016 25/04/2016 -
  2. 09/07/2016 09/07/2016 -
Transferido a

9 de julho de 2016

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

EBMT Inherited Disorders General Information

EBMT Inherited Disorders

EBMT FORM GENERAL INFORMATION
Descrição

EBMT FORM GENERAL INFORMATION

EBMT Centre Identification Code (CIC)
Descrição

EBMT Centre Identification Code

Tipo de dados

text

Alias
UMLS CUI [1]
C0802049
Hospital
Descrição

Hospital

Tipo de dados

text

Alias
UMLS CUI [1]
C0019994
Unit
Descrição

Unit

Tipo de dados

integer

Alias
UMLS CUI [1]
C1519795
Name of contact person
Descrição

Contact person

Tipo de dados

text

Alias
UMLS CUI [1]
C0337611
Telephone number of contact person
Descrição

Telephone

Tipo de dados

text

Alias
UMLS CUI [1]
C1515258
Fax
Descrição

Fax

Tipo de dados

text

Alias
UMLS CUI [1]
C1549619
E-mail
Descrição

E-mail

Tipo de dados

integer

Alias
UMLS CUI [1]
C1705961
Date of this report
Descrição

Date of this report

Tipo de dados

date

Alias
UMLS CUI [1]
C1302584
STUDY/TRIAL
Descrição

Patient following national / international study / trial

Tipo de dados

integer

Alias
UMLS CUI [1]
C1997894
Patient following national / international study / trial
Descrição

Patient following national / international study / trial

Tipo de dados

integer

Alias
UMLS CUI [1]
C1997894
Name of study / trial
Descrição

Name of study / trial

Tipo de dados

text

Alias
UMLS CUI [1]
C0008976
PATIENT
Descrição

PATIENT

To be entered only if patient previously reported
Descrição

Unique Identification Code (UIC)

Tipo de dados

text

Alias
UMLS CUI [1]
C2348585
Hospital Unique Patient Number or Code
Descrição

Hospital Unique Patient Number or Code

Tipo de dados

text

Alias
UMLS CUI [1]
C1827636
First name(s)_surname(s) Registrations will not be accepted if this item is left blank
Descrição

Initials

Tipo de dados

text

Alias
UMLS CUI [1]
C2986440
Date of birth
Descrição

Date of birth

Tipo de dados

date

Alias
UMLS CUI [1]
C0421451
Sex
Descrição

Sex

Tipo de dados

text

Alias
UMLS CUI [1]
C0079399
ABO Group
Descrição

ABO Group

Tipo de dados

integer

Alias
UMLS CUI [1]
C0000778
Rh factor Patient
Descrição

Rh factor

Tipo de dados

integer

Alias
UMLS CUI [1]
C0035403
DISEASE
Descrição

DISEASE

Date of Diagnosis
Descrição

Date of Diagnosis

Tipo de dados

date

Alias
UMLS CUI [1]
C2316983
Primary Disease Diagnosis
Descrição

Check the disease for which this transplant was performed

Tipo de dados

integer

Alias
UMLS CUI [1]
C0277554
Other diagnosis, specify
Descrição

Primary Disease Diagnosis

Tipo de dados

text

Alias
UMLS CUI [1]
C0277554
SPECIFICATIONS OF THE DISEASE
Descrição

SPECIFICATIONS OF THE DISEASE

Has the information requested in this section been submitted with a previous HSCT registration?
Descrição

Previous HSCT registration

Tipo de dados

integer

Alias
UMLS CUI [1]
C1514821
CLASSIFICATION and SPECIFICATIONS OF THE DISEASE
Descrição

CLASSIFICATION and SPECIFICATIONS OF THE DISEASE

Tipo de dados

integer

Alias
UMLS CUI [1]
C0008902
T- B- CELLS SCID, T- B+ CELLS SCID
Descrição

SCID (Severe Combined Immune Deficiency)

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0085110
UMLS CUI [1,2]
C0039194
UMLS CUI [2,1]
C0004561
UMLS CUI [2,2]
C0085110
SCID (Severe Combined Immune Deficiency) if other, please specify
Descrição

SCID (Severe Combined Immune Deficiency)

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0085110
UMLS CUI [1,2]
C0205394
CID (Combined Immune Deficiency)
Descrição

CID (Combined Immune Deficiency)

Tipo de dados

integer

Alias
UMLS CUI [1]
C0085110
CID if other, please specify
Descrição

CID (Combined Immune Deficiency)

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0085110
UMLS CUI [1,2]
C0205394
Other primary immune deficiencies
Descrição

Other primary immune deficiencies

Tipo de dados

integer

Alias
UMLS CUI [1]
C0001175
Inherited disorders of metabolism
Descrição

Inherited disorders of metabolism

Tipo de dados

integer

Alias
UMLS CUI [1]
C0025517
Other inherited disorders
Descrição

Other inherited disorders

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0019247
UMLS CUI [1,2]
C0205394
Stored material
Descrição

Stored material

Tipo de dados

integer

Alias
UMLS CUI [1]
C0370003
Stored material if yes
Descrição

Stored material

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1698986
INHERITANCE
Descrição

Tick only one

Tipo de dados

text

Alias
UMLS CUI [1]
C0242538
Chromosome analysis
Descrição

CYTOGENETICS

Tipo de dados

integer

Alias
UMLS CUI [1]
C0010802
If abnormal
Descrição

Complete only for SCID patients

Tipo de dados

integer

Alias
UMLS CUI [1]
C0026882
NUCLEOTIDES
Descrição

(in clear text)

Tipo de dados

integer

Alias
UMLS CUI [1]
C0028630
PROTEIN
Descrição

(in clear text), For Alpha c, use Allele 1 only

Tipo de dados

text

Alias
UMLS CUI [1]
C0555903
STATUS OF DISEASE AT HSCT
Descrição

STATUS OF DISEASE AT HSCT

Date of HSCT
Descrição

Date of HSCT

Tipo de dados

date

Alias
UMLS CUI [1]
C2584899
HAEMATOLOGICAL VALUES
Descrição

HAEMATOLOGICAL VALUES

Tipo de dados

integer

Alias
UMLS CUI [1]
C0018941
Mixed leukocyte culture (MLC) reactivity
Descrição

T-CELL FUNCTION

Tipo de dados

integer

Alias
UMLS CUI [1]
C0023509
Mitogen induced lymphocyte proliferation
Descrição

T-CELL FUNCTION

Tipo de dados

integer

Alias
UMLS CUI [1]
C0373865
Natural killer activity
Descrição

T-CELL FUNCTION

Tipo de dados

integer

Alias
UMLS CUI [1]
C3890371
IMMUNOGLOBULINS (B-CELL FUNCTION)
Descrição

IMMUNOGLOBULINS (B-CELL FUNCTION)

Tipo de dados

integer

Alias
UMLS CUI [1]
C1859183
Antibody response
Descrição

Antibody response

Tipo de dados

integer

Alias
UMLS CUI [1]
C0235914
Renal impairment
Descrição

CLINICAL STATUS GENERAL MANIFESTATIONS

Tipo de dados

integer

Alias
UMLS CUI [1]
C1565489
Malnutrition
Descrição

CLINICAL STATUS GENERAL MANIFESTATIONS

Tipo de dados

integer

Alias
UMLS CUI [1]
C0162429
Protracted diarrhea
Descrição

CLINICAL STATUS GENERAL MANIFESTATIONS

Tipo de dados

integer

Alias
UMLS CUI [1]
C0473133
Respiratory impairment
Descrição

CLINICAL STATUS GENERAL MANIFESTATIONS

Tipo de dados

integer

Alias
UMLS CUI [1]
C0035229
Liver impairment
Descrição

CLINICAL STATUS GENERAL MANIFESTATIONS

Tipo de dados

integer

Alias
UMLS CUI [1]
C0023895
Infections
Descrição

Infections

Tipo de dados

integer

Alias
UMLS CUI [1]
C0009450
Septicemia
Descrição

Septicemia

Tipo de dados

integer

Alias
UMLS CUI [1]
C0036690
Septicemia if other
Descrição

Septicemia

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0036690
UMLS CUI [1,2]
C0205394
Pulmonary
Descrição

Pulmonary

Tipo de dados

integer

Alias
UMLS CUI [1]
C2709248
Meningeal
Descrição

Meningeal

Tipo de dados

integer

Alias
UMLS CUI [1]
C0948840
Skin infection
Descrição

Skin infection

Tipo de dados

integer

Alias
UMLS CUI [1]
C0037278
Skin infection if other, please specify
Descrição

Skin infection

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0037278
UMLS CUI [1,2]
C0205394
Liver
Descrição

Liver

Tipo de dados

integer

Alias
UMLS CUI [1]
C0023884
Liver if other, please specify
Descrição

Liver

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0023884
UMLS CUI [1,2]
C0205394
Bone or joints
Descrição

Bone or joints

Tipo de dados

integer

Alias
UMLS CUI [1]
C0545594
Bone or joints if other, please specify
Descrição

Bone or joints

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0545594
Gut infection
Descrição

Gut infection

Tipo de dados

integer

Alias
UMLS CUI [1]
C0178238
if other, please specify
Descrição

Gut infection

Tipo de dados

text

Alias
UMLS CUI [1]
C0205394
Undetermined
Descrição

Undetermined

Tipo de dados

integer

if other, please specify
Descrição

Undetermined

Tipo de dados

text

Alias
UMLS CUI [1]
C0205394
Other infections
Descrição

Other infections

Tipo de dados

integer

Alias
UMLS CUI [1]
C0009450
Other infections if other, please specify
Descrição

Other infections

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C0205394
GVHD STATUS PRIOR TO HSCT
Descrição

GVHD STATUS PRIOR TO HSCT

Tipo de dados

integer

Alias
UMLS CUI [1,1]
C0018133
UMLS CUI [1,2]
C0472699
if GVHD STATUS PRIOR TO HSCT present, Organ affected
Descrição

Manifestation

Tipo de dados

integer

Alias
UMLS CUI [1]
C0018133
Lymphadenopathy acute GVH disease
Descrição

Lymphadenopathy acute GVH disease

Tipo de dados

text

Alias
UMLS CUI [1]
C0497156
Cause of the GvHD
Descrição

Cause of the GvHD

Tipo de dados

integer

Alias
UMLS CUI [1]
C0018133
Number of maternal T cells
Descrição

Maternal engraftment

Tipo de dados

float

Alias
UMLS CUI [1]
C3494678
Test used
Descrição

Test used

Tipo de dados

integer

Alias
UMLS CUI [1]
C0022885
Treatment
Descrição

Treatment

Tipo de dados

integer

Alias
UMLS CUI [1]
C0087111
RBC
Descrição

NUMBER OF TRANSFUSIONS BEFORE HSCT

Tipo de dados

integer

Alias
UMLS CUI [1]
C0014772
Platelets
Descrição

Platelets

Tipo de dados

integer

Alias
UMLS CUI [1]
C0005821
ADDITIONAL TREATMENT POST-HSCT
Descrição

ADDITIONAL TREATMENT POST-HSCT

ADDITIONAL DISEASE TREATMENT
Descrição

ADDITIONAL DISEASE TREATMENT

Tipo de dados

boolean

Alias
UMLS CUI [1]
C1706712
ADDITIONAL DISEASE TREATMENT if yes
Descrição

ADDITIONAL DISEASE TREATMENT

Tipo de dados

integer

Alias
UMLS CUI [1]
C1706712
BEST DISEASE RESPONSE AT 100 DAYS POST-HSCT
Descrição

BEST DISEASE RESPONSE AT 100 DAYS POST-HSCT

DISEASE STATUS AT 100 DAYS AFTER HSCT
Descrição

DISEASE STATUS AT 100 DAYS AFTER HSCT

Tipo de dados

integer

As close to the 3rd month interval as possible)
Descrição

Date of assessment

Tipo de dados

date

T-cell
Descrição

RECONSTITUTION CHIMAERISM (ENGRAFTMENT)

Tipo de dados

integer

Alias
UMLS CUI [1]
C0039194
Date achieved
Descrição

T-cell Full

Tipo de dados

date

B-cell
Descrição

RECONSTITUTION CHIMAERISM (ENGRAFTMENT)

Tipo de dados

integer

Alias
UMLS CUI [1]
C0004561
Granulocyte
Descrição

RECONSTITUTION CHIMAERISM (ENGRAFTMENT)

Tipo de dados

integer

Alias
UMLS CUI [1]
C0857490
Monocyte
Descrição

RECONSTITUTION CHIMAERISM (ENGRAFTMENT)

Tipo de dados

integer

Alias
UMLS CUI [1]
C0942447
Red cell
Descrição

RECONSTITUTION CHIMAERISM (ENGRAFTMENT)

Tipo de dados

integer

Alias
UMLS CUI [1]
C0014772
Platelets
Descrição

RECONSTITUTION CHIMAERISM (ENGRAFTMENT)

Tipo de dados

integer

Alias
UMLS CUI [1]
C0005821
Overall engraftment
Descrição

RECONSTITUTION CHIMAERISM (ENGRAFTMENT)

Tipo de dados

integer

Alias
UMLS CUI [1]
C0301944
Haemoglobin (g/dL)
Descrição

HAEMATOLOGICAL RECONSTITUTION

Tipo de dados

float

Unidades de medida
  • g/dL
Alias
UMLS CUI [1]
C0019046
g/dL
Platelets (109/L)
Descrição

HAEMATOLOGICAL RECONSTITUTION

Tipo de dados

float

Unidades de medida
  • 109/L
Alias
UMLS CUI [1]
C0032181
109/L
T-cells (CD3+) (109/L)
Descrição

HAEMATOLOGICAL RECONSTITUTION

Tipo de dados

float

Alias
UMLS CUI [1]
C2025558
B-cells (109/L)
Descrição

HAEMATOLOGICAL RECONSTITUTION

Tipo de dados

float

Alias
UMLS CUI [1]
C0004561
Granulocytes (109/L)
Descrição

HAEMATOLOGICAL RECONSTITUTION

Tipo de dados

float

Alias
UMLS CUI [1]
C0857490
Mixed leukocyte culture (MLC) reactivity
Descrição

IMMUNOLOGICAL RECONSTITUTION T-cells

Tipo de dados

integer

Alias
UMLS CUI [1]
C0023509
Mitogen induced lymphocyte proliferation
Descrição

IMMUNOLOGICAL RECONSTITUTION T-cells

Tipo de dados

integer

Alias
UMLS CUI [1]
C0430308
B-cells
Descrição

B-cells

Tipo de dados

integer

Alias
UMLS CUI [1]
C0004561
Antibody production after vaccination
Descrição

Antibody production after vaccination

Tipo de dados

integer

Alias
UMLS CUI [1]
C3809390
ON-GOING TREATMENT FOR RECONSTITUTION AT 100 DAYS
Descrição

ON-GOING TREATMENT FOR RECONSTITUTION AT 100 DAYS

Tipo de dados

integer

Alias
UMLS CUI [1]
C0301944
ON-GOING TREATMENT FOR RECONSTITUTION AT 100 DAYS if yes
Descrição

ON-GOING TREATMENT FOR RECONSTITUTION AT 100 DAYS

Tipo de dados

text

Alias
UMLS CUI [1]
C0039798
Patient still receiving IV Immunoglobulins
Descrição

Patient still receiving IV Immunoglobulins

Tipo de dados

integer

Alias
UMLS CUI [1]
C0085297
Growth factors (cytokines) administered to the patient?
Descrição

Growth factors (cytokines) administered to the patient?

Tipo de dados

integer

Alias
UMLS CUI [1]
C0018284
FORMS TO BE FILLED IN
Descrição

FORMS TO BE FILLED IN

Type of Transplant
Descrição

Type of Transplant

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0559189
UMLS CUI [1,2]
C0040739

Similar models

EBMT Inherited Disorders

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
EBMT FORM GENERAL INFORMATION
EBMT Centre Identification Code
Item
EBMT Centre Identification Code (CIC)
text
C0802049 (UMLS CUI [1])
Hospital
Item
Hospital
text
C0019994 (UMLS CUI [1])
Unit
Item
Unit
integer
C1519795 (UMLS CUI [1])
Contact person
Item
Name of contact person
text
C0337611 (UMLS CUI [1])
Telephone
Item
Telephone number of contact person
text
C1515258 (UMLS CUI [1])
Fax
Item
Fax
text
C1549619 (UMLS CUI [1])
E-mail
Item
E-mail
integer
C1705961 (UMLS CUI [1])
Date of this report
Item
Date of this report
date
C1302584 (UMLS CUI [1])
Patient following national / international study / trial
Item
STUDY/TRIAL
integer
C1997894 (UMLS CUI [1])
Item
Patient following national / international study / trial
integer
C1997894 (UMLS CUI [1])
Code List
Patient following national / international study / trial
CL Item
no (1)
CL Item
yes (2)
CL Item
unknown (3)
Name of study / trial
Item
Name of study / trial
text
C0008976 (UMLS CUI [1])
Item Group
PATIENT
Unique Identification Code (UIC)
Item
To be entered only if patient previously reported
text
C2348585 (UMLS CUI [1])
Hospital Unique Patient Number or Code
Item
Hospital Unique Patient Number or Code
text
C1827636 (UMLS CUI [1])
Initials
Item
First name(s)_surname(s) Registrations will not be accepted if this item is left blank
text
C2986440 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
Sex
text
C0079399 (UMLS CUI [1])
Code List
Sex
CL Item
Male (1)
CL Item
Female (2)
ABO Group
Item
ABO Group
integer
C0000778 (UMLS CUI [1])
Item
Rh factor Patient
integer
C0035403 (UMLS CUI [1])
Code List
Rh factor Patient
CL Item
Absent (1)
CL Item
Present  (2)
CL Item
Not evaluated (3)
Item Group
DISEASE
Date of Diagnosis
Item
Date of Diagnosis
date
C2316983 (UMLS CUI [1])
Item
Primary Disease Diagnosis
integer
C0277554 (UMLS CUI [1])
Code List
Primary Disease Diagnosis
CL Item
Acute Leukaemia (Acute Leukaemia)
C0085669 (UMLS CUI-1)
CL Item
Acute Myelogenous Leukaemia (AML) (Acute Myelogenous Leukaemia (AML))
C0023467 (UMLS CUI-1)
CL Item
Acute Lymphoblastic Leukaemia (ALL) (Acute Lymphoblastic Leukaemia (ALL))
C0023449 (UMLS CUI-1)
CL Item
Secondary Acute Leukaemia (do not use if transformed from MDS/MPN) (Secondary Acute Leukaemia (do not use if transformed from MDS/MPN))
C0856053 (UMLS CUI-1)
CL Item
Chronic Leukaemia (Chronic Leukaemia)
C0856053 (UMLS CUI-1)
CL Item
Chronic Myeloid Leukaemia (CML) (Chronic Myeloid Leukaemia (CML))
C0023473 (UMLS CUI-1)
CL Item
Chronic Lymphocytic Leukaemia (Chronic Lymphocytic Leukaemia)
C0023434 (UMLS CUI-1)
CL Item
Lymphoma (Lymphoma)
C0024299 (UMLS CUI-1)
CL Item
Non Hodgkin (Non Hodgkin)
C0024305 (UMLS CUI-1)
CL Item
Myeloma/ Plasma cell disorder (Myeloma/ Plasma cell disorder)
C0026764 (UMLS CUI-1)
CL Item
Solid Tumour (Solid Tumour)
C0006826 (UMLS CUI-1)
CL Item
Myelodysplastic syndromes (Myelodysplastic syndromes)
C0280450 (UMLS CUI-1)
CL Item
MDS (MDS)
C3463824 (UMLS CUI-1)
CL Item
MD/ MPN (MD/ MPN)
C1292778 (UMLS CUI-1)
CL Item
Myeloproliferative neoplasm (Myeloproliferative neoplasm)
C1333046 (UMLS CUI-1)
CL Item
Bone marrow failure including Aplastic anaemia (Bone marrow failure including Aplastic anaemia)
C0002874 (UMLS CUI-1)
CL Item
Inherited disorders (Inherited disorders)
C0019247 (UMLS CUI-1)
CL Item
Primary immune deficiencies (Primary immune deficiencies)
C0398686 (UMLS CUI-1)
CL Item
Metabolic disorders (Metabolic disorders)
C0025517 (UMLS CUI-1)
CL Item
Histiocytic disorders (Histiocytic disorders)
C0398597 (UMLS CUI-1)
CL Item
Autoimmune disease (Autoimmune disease)
C0004364 (UMLS CUI-1)
CL Item
Juvenile Idiopathic Arthritis (Juvenile Idiopathic Arthritis)
C1444841 (UMLS CUI-1)
CL Item
Multiple Sclerosis (Multiple Sclerosis)
C0026769 (UMLS CUI-1)
CL Item
Systemic Lupus (Systemic Lupus)
C0024141 (UMLS CUI-1)
CL Item
Systemic Sclerosis (Systemic Sclerosis)
C0036421 (UMLS CUI-1)
CL Item
Haemoglobinopathies (Haemoglobinopathiy)
C0019045 (UMLS CUI-1)
CL Item
Other diagnosis (Other diagnosis)
C0205394 (UMLS CUI-1)
CL Item
Hodgkin´s Disease (Hodgkin´s Disease)
C0019829 (UMLS CUI-1)
Primary Disease Diagnosis
Item
Other diagnosis, specify
text
C0277554 (UMLS CUI [1])
Item Group
SPECIFICATIONS OF THE DISEASE
Item
Has the information requested in this section been submitted with a previous HSCT registration?
integer
C1514821 (UMLS CUI [1])
Code List
Has the information requested in this section been submitted with a previous HSCT registration?
CL Item
Yes: go to `Pre-HSCT treatment` (Yes: go to `Pre-HSCT treatment`)
CL Item
No: Proceed with this section (No: Proceed with this section)
Item
CLASSIFICATION and SPECIFICATIONS OF THE DISEASE
integer
C0008902 (UMLS CUI [1])
Code List
CLASSIFICATION and SPECIFICATIONS OF THE DISEASE
CL Item
primary immune deficiencies (1)
C0398686 (UMLS CUI-1)
CL Item
Inherited disorders of metabolism (2)
C0268605 (UMLS CUI-1)
CL Item
Other inherited disorders (3)
C0019247 (UMLS CUI-1)
CL Item
Familial lymphohistiocytosis (4)
C0272199 (UMLS CUI-1)
Item
T- B- CELLS SCID, T- B+ CELLS SCID
integer
C0085110 (UMLS CUI [1,1])
C0039194 (UMLS CUI [1,2])
C0004561 (UMLS CUI [2,1])
C0085110 (UMLS CUI [2,2])
Code List
T- B- CELLS SCID, T- B+ CELLS SCID
CL Item
Artemis (Artemis)
C0052430 (UMLS CUI-1)
CL Item
Ligase IV (Ligase IV)
C0023689 (UMLS CUI-1)
CL Item
Rag-1 or Rag-2 (Rag-1 or Rag-2)
C0085218 (UMLS CUI-1)
CL Item
T- B- cells SCID, other (T- B- cells SCID, other)
C0205394 (UMLS CUI-1)
CL Item
T- B- cells SCID, unspecified (T- B- cells SCID, unspecified)
C0205370 (UMLS CUI-1)
CL Item
Alpha c (Alpha c)
C0002290 (UMLS CUI-1)
CL Item
JAK 3 (JAK 3)
C0253457 (UMLS CUI-1)
CL Item
IL-7R alpha (IL-7R alpha)
C0971129 (UMLS CUI-1)
CL Item
ZAP 70 deficiency (ZAP 70 deficiency)
C0246976 (UMLS CUI-1)
CL Item
T- B+ cells SCID, other (CD45, CD3 ) (T- B+ cells SCID, other (CD45, CD3 ))
C0054961 (UMLS CUI-1)
CL Item
T- B+ cells SCID, unspecified (T- B+ cells SCID, unspecified)
C0205370 (UMLS CUI-1)
CL Item
ADA deficiency (Adenosine deaminase defic.) (ADA deficiency (Adenosine deaminase defic.))
C0268124 (UMLS CUI-1)
CL Item
PNP (Purine nucleoside phosphorylase defic.) (PNP (Purine nucleoside phosphorylase defic.))
C0268125 (UMLS CUI-1)
CL Item
Reticular dysgenesis (Reticular dysgenesis)
C0272167 (UMLS CUI-1)
CL Item
SCID other (SCID other)
C0205394 (UMLS CUI-1)
C0085110 (UMLS CUI-2)
SCID (Severe Combined Immune Deficiency)
Item
SCID (Severe Combined Immune Deficiency) if other, please specify
integer
C0085110 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
CID (Combined Immune Deficiency)
integer
C0085110 (UMLS CUI [1])
Code List
CID (Combined Immune Deficiency)
CL Item
Omenn syndrome (1)
C2700553 (UMLS CUI-1)
CL Item
CID other (2)
C0205394 (UMLS CUI-1)
CID (Combined Immune Deficiency)
Item
CID if other, please specify
integer
C0085110 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Other primary immune deficiencies
integer
C0001175 (UMLS CUI [1])
Code List
Other primary immune deficiencies
CL Item
Agranulocytosis (Kostmann) (1)
C1853118 (UMLS CUI-1)
CL Item
Ataxia telangiectasia (2)
C0004135 (UMLS CUI-1)
CL Item
Bare lymphocyte syndrome (lack of HLA ag expression) (3)
C0242583 (UMLS CUI-1)
CL Item
Cartilage hair hypoplasia / dyskeratosis congenita (4)
C0167627 (UMLS CUI-1)
CL Item
CD40 Ligand (5)
C0167627 (UMLS CUI-1)
CL Item
Chediak-Higashi syndrome (6)
C0007965 (UMLS CUI-1)
CL Item
Chronic granulomatous disease (7)
C0018203 (UMLS CUI-1)
CL Item
DiGeorge syndrome (8)
C0012236 (UMLS CUI-1)
CL Item
Griscelli syndrome (9)
C1859194 (UMLS CUI-1)
CL Item
Interferon alpha (10)
C0002199 (UMLS CUI-1)
CL Item
IPEX syndrome (11)
C0342288 (UMLS CUI-1)
CL Item
Leukocyte adhesion (12)
C1154393 (UMLS CUI-1)
CL Item
Wiskott Aldrich syndrome (13)
C0043194 (UMLS CUI-1)
CL Item
X-linked lymphoproliferative syndrome (Purtilo) (14)
C0549463 (UMLS CUI-1)
Item
Inherited disorders of metabolism
integer
C0025517 (UMLS CUI [1])
Code List
Inherited disorders of metabolism
CL Item
Adrenoleukodystrophy (Adrenoleukodystrophy)
C0162309 (UMLS CUI-1)
CL Item
Aspartyl glucosaminuria (Aspartyl glucosaminuria)
C0268225 (UMLS CUI-1)
CL Item
B-glucuronidase deficiency (VII) (B-glucuronidase deficiency (VII))
C0085132 (UMLS CUI-1)
CL Item
Fucosidosis (Fucosidosis)
C0016788 (UMLS CUI-1)
CL Item
Gaucher disease (Gaucher disease)
C0017205 (UMLS CUI-1)
CL Item
Glucose storage disease (Glucose storage disease)
C1257958 (UMLS CUI-1)
CL Item
Hunter syndrome (II) (Hunter syndrome (II))
C0026705 (UMLS CUI-1)
CL Item
Hurler syndrome (IH) (Hurler syndrome (IH))
C0342841 (UMLS CUI-1)
CL Item
I-cell disease (I-cell disease)
C0020725 (UMLS CUI-1)
CL Item
Krabbe disease (globoid leukodystrophy) (Krabbe disease (globoid leukodystrophy))
C0023521 (UMLS CUI-1)
CL Item
Lesch-Nyhan (HGPRT deficiency) (Lesch-Nyhan (HGPRT deficiency))
C0023374 (UMLS CUI-1)
CL Item
Mannosidosis (Mannosidosis)
C1257960 (UMLS CUI-1)
CL Item
Maroteaux-Lamy (VI) (Maroteaux-Lamy (VI))
C0026709 (UMLS CUI-1)
CL Item
Metachromatic leukodystrophy (Metachromatic leukodystrophy)
C0023522 (UMLS CUI-1)
CL Item
Morquio (IV) (Morquio (IV))
C0026707 (UMLS CUI-1)
CL Item
Mucolipidoses, not otherwise specified (Mucolipidoses, not otherwise specified)
C0026697 (UMLS CUI-1)
CL Item
Mucopolysaccharidosis (V) (Mucopolysaccharidosis (V))
C0026708 (UMLS CUI-1)
CL Item
Mucopolysaccharidosis, not otherwise specified (Mucopolysaccharidosis, not otherwise specified)
C0026703 (UMLS CUI-1)
CL Item
Niemann-Pick disease (Type A,B) (Niemann-Pick disease (Type A,B))
C3169377 (UMLS CUI-1)
CL Item
Niemann-Pick disease (Type C,D,E) (Niemann-Pick disease (Type C,D,E))
C0220756 (UMLS CUI-1)
CL Item
Polysaccharide hydrolase abnormalities, unspecified (Polysaccharide hydrolase abnormalities, unspecified)
C3274708 (UMLS CUI-1)
CL Item
Sanfilippo (III) (Sanfilippo (III))
C4016924 (UMLS CUI-1)
CL Item
Scheie syndrome (IS) (Scheie syndrome (IS))
C0086431 (UMLS CUI-1)
CL Item
Wolman disease (Wolman disease)
C0043208 (UMLS CUI-1)
CL Item
Other (Other,)
C0205394 (UMLS CUI-1)
CL Item
Neuronal ceriod – lipofuscinosis (Batten disease) (Neuronal ceriod – lipofuscinosis (Batten disease))
C0751383 (UMLS CUI-1)
Item
Other inherited disorders
integer
C0019247 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Code List
Other inherited disorders
CL Item
Glanzmann (1)
C1861195 (UMLS CUI-1)
CL Item
Platelet defect, not otherwise specified (2)
C0235604 (UMLS CUI-1)
CL Item
Osteopetrosis (3)
C0029454 (UMLS CUI-1)
CL Item
Osteoclast defect, not otherwise specified (4)
C0029431 (UMLS CUI-1)
CL Item
Other (5)
C0205394 (UMLS CUI-1)
Item
Stored material
integer
C0370003 (UMLS CUI [1])
Code List
Stored material
CL Item
no  (1)
C1298908 (UMLS CUI-1)
CL Item
yes (2)
C1705108 (UMLS CUI-1)
CL Item
unknown (3)
C0439673 (UMLS CUI-1)
Item
Stored material if yes
integer
C0370003 (UMLS CUI [1,1])
C1698986 (UMLS CUI [1,2])
Code List
Stored material if yes
CL Item
DNA (1)
C0012854 (UMLS CUI-1)
CL Item
PBL (2)
C1518997 (UMLS CUI-1)
CL Item
B-cell line (3)
C3808804 (UMLS CUI-1)
CL Item
Fibroblasts (4)
C0016030 (UMLS CUI-1)
CL Item
Other (5)
C0205394 (UMLS CUI-1)
Item
INHERITANCE
text
C0242538 (UMLS CUI [1])
Code List
INHERITANCE
CL Item
Autosomal recessive  (Autosomal recessive proven)
C0441748 (UMLS CUI-1)
CL Item
X-linked proven (X-linked proven)
C0241764 (UMLS CUI-1)
CL Item
Autosomal recessive suspected (Autosomal recessive suspected)
C0441748 (UMLS CUI-1)
CL Item
X-linked suspected (X-linked suspected)
C0241764 (UMLS CUI-1)
CL Item
unknown (unknown)
C0439673 (UMLS CUI-1)
Item
Chromosome analysis
integer
C0010802 (UMLS CUI [1])
Code List
Chromosome analysis
CL Item
Normal (1)
C0205307 (UMLS CUI-1)
CL Item
Abnormal (2)
C0205161 (UMLS CUI-1)
CL Item
Not done or failed (3)
C1272696 (UMLS CUI-1)
CL Item
Unknown (4)
C0439673 (UMLS CUI-1)
Item
If abnormal
integer
C0026882 (UMLS CUI [1])
Code List
If abnormal
CL Item
Alpha c (1)
C0033634 (UMLS CUI-1)
CL Item
JAK 3 (2)
C0253457 (UMLS CUI-1)
CL Item
Rag-1 (3)
C0085218 (UMLS CUI-1)
CL Item
Rag-2 (4)
C2698932 (UMLS CUI-1)
CL Item
ADA (5)
C1122087 (UMLS CUI-1)
Item
NUCLEOTIDES
integer
C0028630 (UMLS CUI [1])
Code List
NUCLEOTIDES
CL Item
Allele 1 (Allele 1*)
C1633454 (UMLS CUI-1)
CL Item
Allele 2 (Allele 2)
C1632238 (UMLS CUI-1)
Item
PROTEIN
text
C0555903 (UMLS CUI [1])
Code List
PROTEIN
CL Item
Allele 1 (Allele 1)
C1633454 (UMLS CUI-1)
CL Item
Allele 2 (Allele 2)
C1632238 (UMLS CUI-1)
Item Group
STATUS OF DISEASE AT HSCT
Date of HSCT
Item
Date of HSCT
date
C2584899 (UMLS CUI [1])
Item
HAEMATOLOGICAL VALUES
integer
C0018941 (UMLS CUI [1])
Code List
HAEMATOLOGICAL VALUES
CL Item
Platelets  (1)
C0005821 (UMLS CUI-1)
CL Item
White Blood Cells (2)
C0023508 (UMLS CUI-1)
CL Item
Lymphocytes (3)
C0024264 (UMLS CUI-1)
CL Item
T-cells (4)
C0039194 (UMLS CUI-1)
CL Item
CD4+ cells (5)
C0039215 (UMLS CUI-1)
CL Item
CD8+ cells (6)
C0242629 (UMLS CUI-1)
CL Item
NK cells (7)
C0022688 (UMLS CUI-1)
CL Item
B-cells (8)
C0004561 (UMLS CUI-1)
CL Item
Granulocytes (9)
C0857490 (UMLS CUI-1)
CL Item
Reticulocytes (10)
C0035286 (UMLS CUI-1)
Item
Mixed leukocyte culture (MLC) reactivity
integer
C0023509 (UMLS CUI [1])
Code List
Mixed leukocyte culture (MLC) reactivity
CL Item
Absent (1)
C0332197 (UMLS CUI-1)
CL Item
Partial (2)
C0728938 (UMLS CUI-1)
CL Item
Normal (3)
C0205307 (UMLS CUI-1)
CL Item
Not evaluated (4)
C3846720 (UMLS CUI-1)
Item
Mitogen induced lymphocyte proliferation
integer
C0373865 (UMLS CUI [1])
Code List
Mitogen induced lymphocyte proliferation
CL Item
Absent (1)
C0332197 (UMLS CUI-1)
CL Item
Partial (2)
C0728938 (UMLS CUI-1)
CL Item
Normal (3)
C0205307 (UMLS CUI-1)
CL Item
Not evaluated (4)
C3846720 (UMLS CUI-1)
Item
Natural killer activity
integer
C3890371 (UMLS CUI [1])
Code List
Natural killer activity
CL Item
Absent (1)
C0332197 (UMLS CUI-1)
CL Item
Partial (2)
C0728938 (UMLS CUI-1)
CL Item
Normal (3)
C0205307 (UMLS CUI-1)
CL Item
Not evaluated (4)
C3846720 (UMLS CUI-1)
Item
IMMUNOGLOBULINS (B-CELL FUNCTION)
integer
C1859183 (UMLS CUI [1])
Code List
IMMUNOGLOBULINS (B-CELL FUNCTION)
CL Item
Serum IgM (1)
C2229762 (UMLS CUI-1)
CL Item
Serum IgA (2)
C2229758 (UMLS CUI-1)
CL Item
Serum IgG (3)
C2229761 (UMLS CUI-1)
CL Item
Serum IgE (4)
C2229760 (UMLS CUI-1)
Item
Antibody response
integer
C0235914 (UMLS CUI [1])
Code List
Antibody response
CL Item
Absent (1)
C0332197 (UMLS CUI-1)
CL Item
Decreased (2)
C0235827 (UMLS CUI-1)
CL Item
Normal or elevated (3)
C0205307 (UMLS CUI-1)
CL Item
Not evaluated (4)
C3846720 (UMLS CUI-1)
Item
Renal impairment
integer
C1565489 (UMLS CUI [1])
Code List
Renal impairment
CL Item
no (1)
C1298908 (UMLS CUI-1)
CL Item
yes (2)
C1705108 (UMLS CUI-1)
CL Item
Not evaluated (3)
C3846720 (UMLS CUI-1)
CL Item
Unknown (4)
C0439673 (UMLS CUI-1)
Item
Malnutrition
integer
C0162429 (UMLS CUI [1])
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Not evaluated (3)
C3846720 (UMLS CUI-1)
CL Item
Unknown (4)
C0439673 (UMLS CUI-1)
Item
Protracted diarrhea
integer
C0473133 (UMLS CUI [1])
Code List
Protracted diarrhea
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Not evaluated (3)
C3846720 (UMLS CUI-1)
CL Item
Unknown (4)
C0439673 (UMLS CUI-1)
Item
Respiratory impairment
integer
C0035229 (UMLS CUI [1])
Code List
Respiratory impairment
CL Item
No (1)
CL Item
Yes (2)
CL Item
Not evaluated (3)
CL Item
Unknown (4)
Item
Liver impairment
integer
C0023895 (UMLS CUI [1])
Code List
Liver impairment
CL Item
No (1)
CL Item
Yes (2)
CL Item
Not evaluated  (3)
CL Item
unknown (4)
Item
Infections
integer
C0009450 (UMLS CUI [1])
Code List
Infections
CL Item
no (1)
C1298908 (UMLS CUI-1)
CL Item
yes  (2)
C1705108 (UMLS CUI-1)
CL Item
unknown (3)
C0439673 (UMLS CUI-1)
Item
Septicemia
integer
C0036690 (UMLS CUI [1])
Code List
Septicemia
CL Item
Mycobacteria (1)
C0374011 (UMLS CUI-1)
CL Item
Pneumocystis carinii (2)
C0032276 (UMLS CUI-1)
CL Item
Virus (3)
C0042776 (UMLS CUI-1)
CL Item
Bacteria (4)
C0004611 (UMLS CUI-1)
CL Item
Cryptosporidia (5)
C0010418 (UMLS CUI-1)
CL Item
Fungi (6)
C0016832 (UMLS CUI-1)
CL Item
Unknown (7)
C0439673 (UMLS CUI-1)
CL Item
Other (8)
C0205394 (UMLS CUI-1)
Septicemia
Item
Septicemia if other
integer
C0036690 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Pulmonary
integer
C2709248 (UMLS CUI [1])
Code List
Pulmonary
CL Item
Mycobacteria (1)
C0374011 (UMLS CUI-1)
CL Item
Pneumocystis carinii (2)
C0032276 (UMLS CUI-1)
CL Item
Virus (3)
C0042776 (UMLS CUI-1)
CL Item
Bacteria (4)
C0004611 (UMLS CUI-1)
CL Item
Cryptosporidia (5)
C0010418 (UMLS CUI-1)
CL Item
Fungi (6)
C0016832 (UMLS CUI-1)
CL Item
Unknown (7)
C0439673 (UMLS CUI-1)
CL Item
Other (8)
C0205394 (UMLS CUI-1)
Item
Meningeal
integer
C0948840 (UMLS CUI [1])
Code List
Meningeal
CL Item
Mycobacteria (1)
C0026912 (UMLS CUI-1)
CL Item
Pneumocystis carinii (2)
C0032276 (UMLS CUI-1)
CL Item
Virus (3)
C0042776 (UMLS CUI-1)
CL Item
Bacteria (4)
C0004611 (UMLS CUI-1)
CL Item
Cryptosporidiosis (5)
C0010418 (UMLS CUI-1)
CL Item
Fungi (6)
C0016832 (UMLS CUI-1)
CL Item
Unknown (7)
C0439673 (UMLS CUI-1)
CL Item
Other (8)
C0205394 (UMLS CUI-1)
Item
Skin infection
integer
C0037278 (UMLS CUI [1])
Code List
Skin infection
CL Item
Mycobacteria (1)
C0026912 (UMLS CUI-1)
CL Item
Pneumocystis carinii (2)
C0032276 (UMLS CUI-1)
CL Item
Virus (3)
C0042776 (UMLS CUI-1)
CL Item
Bacteria (4)
C0004611 (UMLS CUI-1)
CL Item
Cryptosporidia (5)
C0010418 (UMLS CUI-1)
CL Item
Fungi (6)
C0016832 (UMLS CUI-1)
CL Item
Unknown (7)
C0439673 (UMLS CUI-1)
CL Item
Other (8)
C0205394 (UMLS CUI-1)
Skin infection
Item
Skin infection if other, please specify
text
C0037278 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Liver
integer
C0023884 (UMLS CUI [1])
Code List
Liver
CL Item
Mycobacteria (1)
C0374011 (UMLS CUI-1)
CL Item
Pneumocystis carinii (2)
C0032276 (UMLS CUI-1)
CL Item
Virus (3)
C0042776 (UMLS CUI-1)
CL Item
Bacteria (4)
C0004611 (UMLS CUI-1)
CL Item
Cryptosporidiosis (5)
C0010418 (UMLS CUI-1)
CL Item
Fungi (6)
C0016832 (UMLS CUI-1)
CL Item
Unknown (7)
C0439673 (UMLS CUI-1)
CL Item
Other (8)
C0205394 (UMLS CUI-1)
Liver
Item
Liver if other, please specify
integer
C0023884 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Bone or joints
integer
C0545594 (UMLS CUI [1])
Code List
Bone or joints
CL Item
Mycobacteria (1)
C0374011 (UMLS CUI-1)
CL Item
Pneumocystis carinii (2)
C0032276 (UMLS CUI-1)
CL Item
Virus (3)
C0042776 (UMLS CUI-1)
CL Item
Bacteria (4)
C0004611 (UMLS CUI-1)
CL Item
Cryptosporidia (5)
C0010418 (UMLS CUI-1)
CL Item
Fungi (6)
C0016832 (UMLS CUI-1)
CL Item
Unknown (7)
C0439673 (UMLS CUI-1)
CL Item
Other (8)
C0205394 (UMLS CUI-1)
Bone or joints
Item
Bone or joints if other, please specify
integer
C0205394 (UMLS CUI [1,1])
C0545594 (UMLS CUI [1,2])
Item
Gut infection
integer
C0178238 (UMLS CUI [1])
Code List
Gut infection
CL Item
Mycobacteria (1)
C0026912 (UMLS CUI-1)
CL Item
Pneumocystis carinii (2)
C0032276 (UMLS CUI-1)
CL Item
Virus (3)
C0042776 (UMLS CUI-1)
CL Item
Bacteria (4)
C0004611 (UMLS CUI-1)
CL Item
Cryptosporidiosis (5)
C0010418 (UMLS CUI-1)
CL Item
Fungi (6)
C0016832 (UMLS CUI-1)
CL Item
Unknown (7)
C0439673 (UMLS CUI-1)
CL Item
Other (8)
C0205394 (UMLS CUI-1)
Gut infection
Item
if other, please specify
text
C0205394 (UMLS CUI [1])
Item
Undetermined
integer
Code List
Undetermined
CL Item
Mycobacteria (1)
CL Item
Pneumocystis carinii (2)
CL Item
Virus (3)
CL Item
Bacteria (4)
CL Item
Cryptosporidia (5)
CL Item
Fungi, other (6)
CL Item
Unknown (7)
CL Item
Other (8)
Undetermined
Item
if other, please specify
text
C0205394 (UMLS CUI [1])
Item
Other infections
integer
C0009450 (UMLS CUI [1])
Code List
Other infections
CL Item
Mycobacteria (1)
CL Item
Pneumocystis carinii (2)
CL Item
Virus (3)
CL Item
Bacteria (4)
CL Item
Cryptosporidia (5)
CL Item
Fungi, other (6)
CL Item
Unknown (7)
CL Item
Other (8)
Other infections
Item
Other infections if other, please specify
integer
C0009450 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
GVHD STATUS PRIOR TO HSCT
integer
C0018133 (UMLS CUI [1,1])
C0472699 (UMLS CUI [1,2])
Code List
GVHD STATUS PRIOR TO HSCT
CL Item
Absent (1)
CL Item
Present (2)
CL Item
Not evaluated (3)
CL Item
Unknown (4)
Item
if GVHD STATUS PRIOR TO HSCT present, Organ affected
integer
C0018133 (UMLS CUI [1])
Code List
if GVHD STATUS PRIOR TO HSCT present, Organ affected
CL Item
Gut (Gut)
C1737219 (UMLS CUI-1)
CL Item
Liver (Liver)
C1739104 (UMLS CUI-1)
CL Item
Skin (Skin)
C1739372 (UMLS CUI-1)
Item
Lymphadenopathy acute GVH disease
text
C0497156 (UMLS CUI [1])
Code List
Lymphadenopathy acute GVH disease
CL Item
no (no)
CL Item
yes (yes)
CL Item
unknown (unknown)
Item
Cause of the GvHD
integer
C0018133 (UMLS CUI [1])
Code List
Cause of the GvHD
CL Item
Blood transfusion (1)
C0005841 (UMLS CUI-1)
CL Item
Maternal engraftment (2)
C0301944 (UMLS CUI-1)
CL Item
unknown (3)
C0439673 (UMLS CUI-1)
Maternal engraftment
Item
Number of maternal T cells
float
C3494678 (UMLS CUI [1])
Item
Test used
integer
C0022885 (UMLS CUI [1])
Code List
Test used
CL Item
HLA typing (HLA typing)
C0242318 (UMLS CUI-1)
CL Item
Microsatellite (Microsatellite)
C0920269 (UMLS CUI-1)
CL Item
IL2 T cell line (IL2 T cell line)
C0021756 (UMLS CUI-1)
CL Item
Cytogenetics (Cytogenetics)
C0010802 (UMLS CUI-1)
Item
Treatment
integer
C0087111 (UMLS CUI [1])
Code List
Treatment
CL Item
no (no)
CL Item
yes (yes)
CL Item
unknown (unknown)
Item
RBC
integer
C0014772 (UMLS CUI [1])
CL Item
NONE (NONE)
CL Item
< 20 UNITS (< 20 UNITS)
CL Item
20-50 UNITS (20-50 UNITS)
CL Item
> 50 UNITS (> 50 UNITS)
CL Item
UNKNOWN (UNKNOWN)
Item
Platelets
integer
C0005821 (UMLS CUI [1])
CL Item
NONE (1)
CL Item
< 20 UNITS (2)
CL Item
20-50 UNITS (3)
CL Item
> 50 UNITS (4)
CL Item
UNKNOWN (5)
Item Group
ADDITIONAL TREATMENT POST-HSCT
ADDITIONAL DISEASE TREATMENT
Item
ADDITIONAL DISEASE TREATMENT
boolean
C1706712 (UMLS CUI [1])
Item
ADDITIONAL DISEASE TREATMENT if yes
integer
C1706712 (UMLS CUI [1])
Code List
ADDITIONAL DISEASE TREATMENT if yes
CL Item
Planned (planned before HSCT took place) (1)
C1301732 (UMLS CUI-1)
CL Item
Not planned (for relapse/progression or persistent disease) (2)
C1320712 (UMLS CUI-1)
Item Group
BEST DISEASE RESPONSE AT 100 DAYS POST-HSCT
Item
DISEASE STATUS AT 100 DAYS AFTER HSCT
integer
Code List
DISEASE STATUS AT 100 DAYS AFTER HSCT
CL Item
Cured (1)
CL Item
Improved (2)
CL Item
No change (3)
CL Item
Worse (4)
CL Item
Unknown (5)
Date of assessment
Item
As close to the 3rd month interval as possible)
date
Item
T-cell
integer
C0039194 (UMLS CUI [1])
CL Item
Full (Full)
C3176022 (UMLS CUI-1)
CL Item
Mixed (Mixed)
C0333678 (UMLS CUI-1)
CL Item
Absent (Absent)
C0332197 (UMLS CUI-1)
CL Item
Absent (Absent)
T-cell Full
Item
Date achieved
date
Item
B-cell
integer
C0004561 (UMLS CUI [1])
CL Item
Full (1)
C0333678 (UMLS CUI-1)
CL Item
Partial (2)
C0728938 (UMLS CUI-1)
CL Item
Absent (3)
C0332197 (UMLS CUI-1)
CL Item
Not evaluated (4)
C3846720 (UMLS CUI-1)
Item
Granulocyte
integer
C0857490 (UMLS CUI [1])
CL Item
Full (1)
C0443225 (UMLS CUI-1)
CL Item
Partial (2)
C0728938 (UMLS CUI-1)
CL Item
Absent (3)
C0332197 (UMLS CUI-1)
CL Item
Not evaluated (4)
C3846720 (UMLS CUI-1)
Item
Monocyte
integer
C0942447 (UMLS CUI [1])
CL Item
Full (1)
CL Item
Partial (2)
CL Item
Absent (3)
CL Item
Not evaluated (4)
Item
Red cell
integer
C0014772 (UMLS CUI [1])
CL Item
Full (1)
CL Item
Partial (2)
CL Item
Absent (3)
CL Item
Not evaluated (4)
Item
Platelets
integer
C0005821 (UMLS CUI [1])
CL Item
Full (1)
CL Item
Partial (2)
CL Item
Absent (3)
CL Item
Not evaluated (4)
Item
Overall engraftment
integer
C0301944 (UMLS CUI [1])
Code List
Overall engraftment
CL Item
Full (1)
CL Item
Partial (2)
CL Item
Absent (3)
Haemoglobin (g/dL)
Item
Haemoglobin (g/dL)
float
C0019046 (UMLS CUI [1])
Platelets
Item
Platelets (109/L)
float
C0032181 (UMLS CUI [1])
T-cells (CD3+) (109/L)
Item
T-cells (CD3+) (109/L)
float
C2025558 (UMLS CUI [1])
B-cells
Item
B-cells (109/L)
float
C0004561 (UMLS CUI [1])
Granulocyt
Item
Granulocytes (109/L)
float
C0857490 (UMLS CUI [1])
Item
Mixed leukocyte culture (MLC) reactivity
integer
C0023509 (UMLS CUI [1])
Code List
Mixed leukocyte culture (MLC) reactivity
CL Item
Absent (1)
C0332197 (UMLS CUI-1)
CL Item
Partial (2)
C0728938 (UMLS CUI-1)
CL Item
Normal (3)
C0205307 (UMLS CUI-1)
CL Item
Not evaluated (4)
C3846720 (UMLS CUI-1)
Item
Mitogen induced lymphocyte proliferation
integer
C0430308 (UMLS CUI [1])
Code List
Mitogen induced lymphocyte proliferation
CL Item
Absent (Absent)
CL Item
Partial (Partial)
CL Item
Normal (Normal)
CL Item
Not evaluated (Not evaluated)
Item
B-cells
integer
C0004561 (UMLS CUI [1])
Code List
B-cells
CL Item
Serum IgM (1)
C2229762 (UMLS CUI-1)
CL Item
Serum IgA (2)
C2229758 (UMLS CUI-1)
CL Item
Serum IgE (3)
C2229760 (UMLS CUI-1)
CL Item
Serum IgG (4)
C2229761 (UMLS CUI-1)
Item
Antibody production after vaccination
integer
C3809390 (UMLS CUI [1])
Code List
Antibody production after vaccination
CL Item
Absent (1)
C0332197 (UMLS CUI-1)
CL Item
Decreased (2)
CL Item
Normal or elevated (3)
CL Item
Not evaluated (4)
C3846720 (UMLS CUI-1)
Item
ON-GOING TREATMENT FOR RECONSTITUTION AT 100 DAYS
integer
C0301944 (UMLS CUI [1])
Code List
ON-GOING TREATMENT FOR RECONSTITUTION AT 100 DAYS
CL Item
no (1)
CL Item
yes (2)
CL Item
unknown (3)
Item
ON-GOING TREATMENT FOR RECONSTITUTION AT 100 DAYS if yes
text
C0039798 (UMLS CUI [1])
Code List
ON-GOING TREATMENT FOR RECONSTITUTION AT 100 DAYS if yes
CL Item
Patient still receiving IV Immunoglobulins (Patient still receiving IV Immunoglobulins)
C0085297 (UMLS CUI-1)
CL Item
Growth factors (cytokines) administered to the patient? (Growth factors (cytokines) administered to the patient?)
C0018284 (UMLS CUI-1)
Item
Patient still receiving IV Immunoglobulins
integer
C0085297 (UMLS CUI [1])
Code List
Patient still receiving IV Immunoglobulins
CL Item
no (no)
CL Item
yes (yes)
CL Item
unknown (unknown)
Item
Growth factors (cytokines) administered to the patient?
integer
C0018284 (UMLS CUI [1])
Code List
Growth factors (cytokines) administered to the patient?
CL Item
no (no)
C1298908 (UMLS CUI-1)
CL Item
yes (yes)
C1705108 (UMLS CUI-1)
CL Item
unknown (unknown)
C0439673 (UMLS CUI-1)
Item Group
FORMS TO BE FILLED IN
Item
Type of Transplant
text
C0559189 (UMLS CUI [1,1])
C0040739 (UMLS CUI [1,2])
Code List
Type of Transplant
CL Item
AUTOgraft (proceed to Autograft form) (AUTOgraft (proceed to Autograft form))
CL Item
ALLOgraft or Syngeneic graft (proceed to Allograft form) (ALLOgraft or Syngeneic graft (proceed to Allograft form))
CL Item
Other (contact the EBMT Central Registry for instructions) (Other (contact the EBMT Central Registry for instructions))

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial