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ID

28258

Descripción

Medical History form REGISTRY OF MYELODYSPLASTIC SYNDROMES AND THERAPY-RELATED ACUTE MYELOID LEUKEMIA OBSERVATOIRE DES SYNDROMES MYELODYSPLASIQUES ET DES LEUCEMIES SECONDAIRES CHIMIO ET RADIO INDUITES DES CENTRES DU G.F.M. Groupe Francophone des Myélodysplasies Pr Pierre FENAUX, Paris

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Versiones (1)
  1. 31/12/17 31/12/17 -
Titular de derechos de autor

Clinfile

Subido en

31 de diciembre de 2017

DOI

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Licencia

Creative Commons BY-NC 3.0
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    Medical History Registry myelodysplastic syndromes and therapy-related AML

    Inglés Francés

    Medical History Registry myelodysplastic syndromes and therapy-related AML

    1 formularios  
    MEDICAL HISTORY
    Descripción

    MEDICAL HISTORY

    Alias
    UMLS CUI-1
    C0262926
    Cancer (or any other disease treated by chemotherapy or radiotherapy) or immune disorder
    Descripción

    Cancer or immune disorder

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0006826
    UMLS CUI [2]
    C0021053
    Specify
    Descripción

    Specify

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C1521902
    Date of diagnosis
    Descripción

    Date of diagnosis

    Tipo de datos

    date

    Alias
    UMLS CUI [1]
    C2316983
    Treated by chemotherapy
    Descripción

    Treated by chemotherapy

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C3665472
    Treated by radiotherapy
    Descripción

    Treated by radiotherapy

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C1522449
    Autograft
    Descripción

    Autograft

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0040736
    TOXIC AGENT EXPOSURE
    Descripción

    TOXIC AGENT EXPOSURE

    Alias
    UMLS CUI-1
    C0522757
    Patient exposed to any occupational risk?
    Descripción

    Exposed to occupational risk

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C0476600
    Toxic
    Descripción

    Unknown

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C1407029
    none
    Descripción

    None

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0549184
    tobacco
    Descripción

    Tobacco

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0040329
    solvents
    Descripción

    Solvents

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0037638
    hydrocarbons
    Descripción

    Hydrocarbons

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0020242
    metals
    Descripción

    Metals

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0025552
    mineral dust
    Descripción

    Mineral dust

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0303751
    pesticides, herbicides, fertilizers
    Descripción

    Pesticides, herbicides, fertilizers

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C3840629
    UMLS CUI [2]
    C3840629
    others
    Descripción

    Others

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0205394
    specify
    Descripción

    Specify

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C1521902
    FAMILY HISTORY OF HEMATOLOGICAL MALIGNACIES OR ANY OTHER SOLID CANCER
    Descripción

    FAMILY HISTORY OF HEMATOLOGICAL MALIGNACIES OR ANY OTHER SOLID CANCER

    Alias
    UMLS CUI-1
    C0241889
    UMLS CUI-2
    C0376545
    UMLS CUI-4
    C0241889
    UMLS CUI-5
    C0006826
    unknown
    Descripción

    Unknown

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0439673
    no
    Descripción

    No

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C1298908
    MDS
    Descripción

    MDS

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C3463824
    AML
    Descripción

    AML

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0023467
    others
    Descripción

    Others

    Tipo de datos

    boolean

    Alias
    UMLS CUI [1]
    C0205394
    specify
    Descripción

    Specify

    Tipo de datos

    text

    Alias
    UMLS CUI [1]
    C1521902
    Volver a la parte superior de la página

    Similar models

    Medical History Registry myelodysplastic syndromes and therapy-related AML

    1 formularios
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de datos
    Alias
    Item Group
    MEDICAL HISTORY
    C0262926 (UMLS CUI-1)
    Cancer or immune disorder
    Item
    Cancer (or any other disease treated by chemotherapy or radiotherapy) or immune disorder
    boolean
    C0006826 (UMLS CUI [1])
    C0021053 (UMLS CUI [2])
    Specify
    Item
    Specify
    text
    C1521902 (UMLS CUI [1])
    Date of diagnosis
    Item
    Date of diagnosis
    date
    C2316983 (UMLS CUI [1])
    Treated by chemotherapy
    Item
    Treated by chemotherapy
    boolean
    C3665472 (UMLS CUI [1])
    Treated by radiotherapy
    Item
    Treated by radiotherapy
    boolean
    C1522449 (UMLS CUI [1])
    Autograft
    Item
    Autograft
    boolean
    C0040736 (UMLS CUI [1])
    Item Group
    TOXIC AGENT EXPOSURE
    C0522757 (UMLS CUI-1)
    Item
    Patient exposed to any occupational risk?
    text
    C0476600 (UMLS CUI [1])
    Exposed to occupational risk
    Code List
    Patient exposed to any occupational risk?
    CL Item
    yes (yes)
    CL Item
    no (no)
    CL Item
    UK (UK)
    Unknown
    Item
    Toxic
    boolean
    C1407029 (UMLS CUI [1])
    None
    Item
    none
    boolean
    C0549184 (UMLS CUI [1])
    Tobacco
    Item
    tobacco
    boolean
    C0040329 (UMLS CUI [1])
    Solvents
    Item
    solvents
    boolean
    C0037638 (UMLS CUI [1])
    Hydrocarbons
    Item
    hydrocarbons
    boolean
    C0020242 (UMLS CUI [1])
    Metals
    Item
    metals
    boolean
    C0025552 (UMLS CUI [1])
    Mineral dust
    Item
    mineral dust
    boolean
    C0303751 (UMLS CUI [1])
    Pesticides, herbicides, fertilizers
    Item
    pesticides, herbicides, fertilizers
    boolean
    C3840629 (UMLS CUI [1])
    C3840629 (UMLS CUI [2])
    Others
    Item
    others
    boolean
    C0205394 (UMLS CUI [1])
    Specify
    Item
    specify
    text
    C1521902 (UMLS CUI [1])
    Item Group
    FAMILY HISTORY OF HEMATOLOGICAL MALIGNACIES OR ANY OTHER SOLID CANCER
    C0241889 (UMLS CUI-1)
    C0376545 (UMLS CUI-2)
    C0241889 (UMLS CUI-4)
    C0006826 (UMLS CUI-5)
    Unknown
    Item
    unknown
    boolean
    C0439673 (UMLS CUI [1])
    No
    Item
    no
    boolean
    C1298908 (UMLS CUI [1])
    MDS
    Item
    MDS
    boolean
    C3463824 (UMLS CUI [1])
    AML
    Item
    AML
    boolean
    C0023467 (UMLS CUI [1])
    Others
    Item
    others
    boolean
    C0205394 (UMLS CUI [1])
    Specify
    Item
    specify
    text
    C1521902 (UMLS CUI [1])
    Volver a la parte superior de la página 

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