0 Ratings
ID

42109

Description

Bacteria:S. pneumoniae, Other gram positive (i.e.: other streptococci, staphylococci, listeria …), Haemophilus influenzae, Other gram negative (i.e.: E. coli klebsiella, proteus, serratia, pseudomonas …), Legionella sp, Mycobacteria sp, Other Fungi: Candida sp, Aspergillus sp, Pneumocystis carinii, Other Parasites: Toxoplasma gondii, Other Viruses: HSV, VZV, EBV,CMV, HHV-6,RSV, Other respiratory virus (influenza, parainfluenza, rhinovirus), Adenovirus, HBV, HCV, HIV, Papovavirus, Parvovirus,Other

Keywords

Versions (2)
  1. 6/15/16 6/15/16 -
  2. 4/10/21 4/10/21 - Ahmed Rafee, MD
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April 10, 2021

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    EBMT PLASMA CELL DISORDERS (INCLUDING MULTIPLE MYELOMA)

    English

    EBMT PLASMA CELL DISORDERS (INCLUDING MULTIPLE MYELOMA)

    1 forms  
    PLASMA CELL DISORDERS (INCLUDING MULTIPLE MYELOMA)
    Description

    PLASMA CELL DISORDERS (INCLUDING MULTIPLE MYELOMA)

    Unique Identification Code (UIC) (if known)
    Description

    Unique Identification Code (UIC)

    Data type

    text

    Alias
    UMLS CUI [1]
    C2348585
    Hospital Unique Patient Number
    Description

    Hospital Unique Patient Number

    Data type

    text

    Alias
    UMLS CUI [1]
    C2348585
    Date of this report
    Description

    Date of this report

    Data type

    date

    Alias
    UMLS CUI [1]
    C1302584
    Patient following national / international study / trial
    Description

    Patient in Trial

    Data type

    integer

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

    Name of study / trial

    Data type

    text

    Alias
    UMLS CUI [1]
    C0008976
    First name(s)_surname(s)
    Description

    Initials

    Data type

    text

    Alias
    UMLS CUI [1]
    C2986440
    Date of Birth
    Description

    Date of Birth

    Data type

    date

    Alias
    UMLS CUI [1]
    C0421451
    Date of last HSCT for this patient
    Description

    Date of last HSCT for this patient

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C0472699
    UMLS CUI [1,2]
    C0011008
    PATIENT LAST SEEN
    Description

    PATIENT LAST SEEN

    Alias
    UMLS CUI-1
    C0805839
    Date of Last Contact or Death
    Description

    Date last contact

    Data type

    date

    Alias
    UMLS CUI [1]
    C0805839
    Complete haematological remission obtained after the HSCT in the absence of additional disease treatment
    Description

    Complete haematological remission obtained after the HSCT in the absence of additional disease treatment

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0677874
    GRAFT VERSUS HOST DISEASE (GvHD) SINCE LAST REPORT
    Description

    GRAFT VERSUS HOST DISEASE (GvHD) SINCE LAST REPORT

    Acute Graft versus Host Disease (aGvHD) - Grade
    Description

    aGvHD Grade

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0856825
    UMLS CUI [1,2]
    C0441800
    ACUTE GRAFT VERSUS HOST DISEASE (AGVHD)
    Description

    If present

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0441799
    aGvHD Reason
    Description

    aGvHD Reason

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0392360
    UMLS CUI [1,2]
    C0856825
    Date onset of this episode (if new or recurrent)
    Description

    Date onset of this episode

    Data type

    date

    Measurement units
    • yyyy/mm/dd
    Alias
    UMLS CUI [1]
    C0574845
    yyyy/mm/dd
    aGvHD Stage liver
    Description

    aGvHD Stage liver

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1610054
    aGvHD Stage skin
    Description

    aGvHD Stage skin

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1610605
    aGvHD Resolution
    Description

    aGvHD Resolution

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0856825
    UMLS CUI [1,2]
    C1514893
    aGvHD Date of resolution
    Description

    aGvHD Date of resolution

    Data type

    date

    Measurement units
    • yyyy/mm/dd
    Alias
    UMLS CUI [1,1]
    C0856825
    UMLS CUI [1,2]
    C1514893
    UMLS CUI [1,3]
    C0011008
    yyyy/mm/dd
    Chronic Graft versus Host Disease (cGvHD)
    Description

    Chronic Graft versus Host Disease (cGvHD)

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0867389
    Chronic Graft versus Host Disease (cGvHD)
    Description

    if yes...

    Data type

    integer

    Date of onset
    Description

    Date of onset

    Data type

    date

    Alias
    UMLS CUI [1]
    C0574845
    If present continously since last report, specify cGvHD gade:
    Description

    cGvHD grade

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0867389
    UMLS CUI [1,2]
    C0441799
    cGvHD Organs affected
    Description

    cGvHD Organs affected

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0867389
    UMLS CUI [1,2]
    C2095124
    If resolved, specify the date of resolution:
    Description

    Date of Resolution

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C1514893
    UMLS CUI [1,2]
    C0011008
    OTHER COMPLICATIONS SINCE LAST REPORT
    Description

    OTHER COMPLICATIONS SINCE LAST REPORT

    Infection related complications
    Description

    Infection related complications

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0009450
    UMLS CUI [1,2]
    C0009566
    Bacteremia / fungemia / viremia / parasites
    Description

    Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary. Date Provide different dates for different episodes of the same complication if applicable.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0004610
    UMLS CUI [2]
    C0085082
    UMLS CUI [3]
    C0042749
    UMLS CUI [4]
    C0030498
    Septic shock
    Description

    Date Provide different dates for different episodes of the same complication if applicable. Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0036983
    ARDS
    Description

    Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0035222
    Multiorgan failure due to infection
    Description

    Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary. Provide different dates for different episodes of the same complication if applicable.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0026766
    Pneumonia
    Description

    Provide different dates for different episodes of the same complication if applicable. Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0032285
    Hepatitis
    Description

    Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0019158
    CNS infection
    Description

    Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary. Provide different dates for different episodes of the same complication if applicable.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0007684
    Gut infection
    Description

    Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary. Date Provide different dates for different episodes of the same complication if applicable.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0178238
    Skin infection
    Description

    Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary. Date Provide different dates for different episodes of the same complication if applicable.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0037278
    Cystitis
    Description

    Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary. Date Provide different dates for different episodes of the same complication if applicable.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0010692
    Retinitis
    Description

    Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary. Date Provide different dates for different episodes of the same complication if applicable.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0035333
    Other
    Description

    Pathogen Use the list of pathogens listed after this table for guidance. Use “unknown” if necessary. Date Provide different dates for different episodes of the same complication if applicable.

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0205394
    Non infection related complications
    Description

    Non infection related complications

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0009566
    Idiopathic pneumonia syndrome
    Description

    Idiopathic pneumonia syndrome

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1504431
    VOD
    Description

    NON INFECTION RELATED COMPLICATIONS VOTCO100

    Data type

    text

    Alias
    UMLS CUI [1]
    C0948441
    Cataract
    Description

    NON INFECTION RELATED COMPLICATIONS VOTCO100

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0086543
    Haemorrhagic cystitis, non infectious
    Description

    NON INFECTION RELATED COMPLICATIONS VOTCO100

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0085692
    ARDS, non infectious
    Description

    Specify:

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0035222
    Multiorgan failure, non infectious
    Description

    Multiorgan failure, non infectious

    Data type

    integer

    HSCT-associated microangiopathy
    Description

    Specify:

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0155765
    Renal failure requiring dialysis
    Description

    NON INFECTION RELATED COMPLICATIONS VOTCO100

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0035078
    Haemolytic anaemia due to blood group
    Description

    NON INFECTION RELATED COMPLICATIONS VOTCO100

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0002878
    Aseptic bone necrosis
    Description

    NON INFECTION RELATED COMPLICATIONS VOTCO100

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0158452
    Other INFECTION RELATED COMPLICATIONS if other, please specify
    Description

    NON INFECTION RELATED COMPLICATIONS

    Data type

    integer

    Alias
    UMLS CUI [1]
    C3714514
    Graft loss
    Description

    Graft loss

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0877042
    Overall Chimerism
    Description

    Overall Chimerism

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0333678
    Identification of donor or Cord Blood Unit given by the centre
    Description

    Identification

    Data type

    text

    Alias
    UMLS CUI [1]
    C1718162
    Date of Test
    Description

    Date of Test

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C0024671
    UMLS CUI [1,2]
    C0011008
    Number in the infusion order (if applicable)
    Description

    Number in the infusion order (if applicable)

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2348184
    Cell type on which test was performed (% Donor Cells): BM
    Description

    Bone marrow

    Data type

    float

    Measurement units
    • %
    Alias
    UMLS CUI [1]
    C0005953
    %
    Cell type on which test was performed (% Donor cells): PB mononuclear cells (PBMC)
    Description

    PB mononuclear cells (PBMC)

    Data type

    float

    Measurement units
    • %
    Alias
    UMLS CUI [1]
    C1321301
    %
    Cell type on which test was performed (% Donor cells): T-Cells (Indicate the date(s) and results of all tests done for all donors. Split the results by donor and by the cell type on which the test was performed if applicable. Copy this table as many times as necessary.)
    Description

    T-Cells

    Data type

    float

    Measurement units
    • %
    Alias
    UMLS CUI [1]
    C0039194
    %
    Cell type on which test was performed (% Donor cells): B-Cells
    Description

    B-Cells

    Data type

    float

    Measurement units
    • %
    Alias
    UMLS CUI [1]
    C0004561
    %
    Cell type on which test was performed (% Donor cells): Red blood cells
    Description

    Red blood cells

    Data type

    float

    Measurement units
    • %
    Alias
    UMLS CUI [1]
    C0014772
    %
    Cell type on which test was performed (% Donor cells): Monocytes
    Description

    Monocytes

    Data type

    float

    Measurement units
    • %
    Alias
    UMLS CUI [1]
    C0026473
    %
    Cell type on which test was performed (% Donor cells): PMNs (neutrophils)
    Description

    PMNs (neutrophils)

    Data type

    float

    Measurement units
    • %
    Alias
    UMLS CUI [1]
    C0200633
    %
    Cell type on which test was performed (% Donor cells): Lymphocytes, NOS
    Description

    Lymphocytes, NOS

    Data type

    float

    Measurement units
    • %
    Alias
    UMLS CUI [1]
    C0024264
    %
    Cell type on which test was performed (% Donor cells): Myeloid cells, NOS
    Description

    Myeloid cells, NOS

    Data type

    float

    Measurement units
    • %
    Alias
    UMLS CUI [1]
    C0887899
    %
    Cell type on which test was performed
    Description

    Other

    Data type

    text

    SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED
    Description

    SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED

    Data type

    integer

    If yes, specify date of diagnosis
    Description

    Date of diagnosis

    Data type

    date

    Alias
    UMLS CUI [1]
    C2316983
    SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED
    Description

    Diagnosis

    Data type

    text

    if other, please specify
    Description

    Diagnosis

    Data type

    text

    ADDITIONAL THERAPIES SINCE LAST FOLLOW UP
    Description

    ADDITIONAL THERAPIES SINCE LAST FOLLOW UP

    ADDITIONAL Therapy SINCE LAST FOLLOW UP
    Description

    ADDITIONAL Therapy SINCE LAST FOLLOW UP

    Data type

    text

    Alias
    UMLS CUI [1]
    C1706712
    Date ADDITIONAL THERAPIES SINCE LAST FOLLOW UP started
    Description

    Date started

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C1706712
    UMLS CUI [1,2]
    C0808070
    If yes: Cellular therapy
    Description

    (One cell therapy regimen is defined as any number of infusions given within 10 weeks for the same indication. If more than one regimen of cell therapy has been given since last report, copy this section and complete it as many times as necessary.)

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0302189
    if yes, Disease status before this cellular therapy
    Description

    if yes, Disease status before this cellular therapy

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0018759
    If yes: Type of cells
    Description

    Type of cells

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0302189
    Number of cells infused by type
    Description

    Number of cells infused by type

    Data type

    integer

    Measurement units
    • 10^8/kg
    Total number of cells infused (non DLI only)
    Description

    All cells

    Data type

    integer

    Measurement units
    • x10^6/kg
    Alias
    UMLS CUI [1]
    C0007584
    Chronological number of this cell therapy for this patient
    Description

    Chronological number

    Data type

    float

    Alias
    UMLS CUI [1]
    C2348184
    Indication (check all that apply)
    Description

    (check all that apply)

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C3146298
    UMLS CUI [1,2]
    C0302189
    Number of Infusions (within 10 weeks) (count only infusions that are part of same regimen and given for the same indication)
    Description

    Number of Infusions

    Data type

    float

    Alias
    UMLS CUI [1,1]
    C2348184
    UMLS CUI [1,2]
    C1289919
    Acute Graft versus Host Disease
    Description

    Maximum grade:(after this infusion but before any further infusion/ transplant)

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0856825
    Disease treatment (apart from donor cell infusion or other type of cell therapy)
    Description

    Disease treatment

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0087111
    FIRST EVIDENCE OF RELAPSE OR PROGRESSION SINCE LAST HSCT
    Description

    FIRST EVIDENCE OF RELAPSE OR PROGRESSION SINCE LAST HSCT

    Relapse or Progression
    Description

    Relapse or Progression

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0277556
    UMLS CUI [2]
    C0242656
    If yes, date diagnosed RELAPSE OR PROGRESSION
    Description

    If yes, date diagnosed

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C0035020
    UMLS CUI [1,2]
    C2316983
    LAST DISEASE AND PATIENT STATUS
    Description

    LAST DISEASE AND PATIENT STATUS

    last disease status
    Description

    Last Disease Status

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0421168
    Has patient or partner become pregnant after this HSCT?
    Description

    Conception

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0032961
    Survival Status
    Description

    Survival Status

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1148433
    If alive: Type of score used:
    Description

    If alive: Type of score used:

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1518965
    Performance score
    Description

    Performance score

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1518965
    CAUSE OF DEATH
    Description

    CAUSE OF DEATH

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0007465
    HSCT related cause of death
    Description

    HSCT related cause of death

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0007465
    UMLS CUI [1,2]
    C0472699
    ADDITIONAL NOTES IF APPLICABLE
    Description

    ADDITIONAL NOTES IF APPLICABLE

    Comments
    Description

    Comments

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0947611
    IDENTIFICATION & SIGNATURE
    Description

    IDENTIFICATION & SIGNATURE

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0205396
    UMLS CUI [1,2]
    C1519316
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    EBMT PLASMA CELL DISORDERS (INCLUDING MULTIPLE MYELOMA)

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    PLASMA CELL DISORDERS (INCLUDING MULTIPLE MYELOMA)
    Unique Identification Code (UIC)
    Item
    Unique Identification Code (UIC) (if known)
    text
    C2348585 (UMLS CUI [1])
    Hospital Unique Patient Number
    Item
    Hospital Unique Patient Number
    text
    C2348585 (UMLS CUI [1])
    Date of this report
    Item
    Date of this report
    date
    C1302584 (UMLS CUI [1])
    Item
    Patient following national / international study / trial
    integer
    C1997894 (UMLS CUI [1])
    Patient in Trial
    Code List
    Patient following national / international study / trial
    CL Item
    No (1)
    CL Item
    Yes (2)
    CL Item
    Not evaluated (3)
    CL Item
    Unknown (4)
    Name of study / trial
    Item
    Name of study / trial
    text
    C0008976 (UMLS CUI [1])
    Initials
    Item
    First name(s)_surname(s)
    text
    C2986440 (UMLS CUI [1])
    Date of Birth
    Item
    Date of Birth
    date
    C0421451 (UMLS CUI [1])
    Date of last HSCT for this patient
    Item
    Date of last HSCT for this patient
    date
    C0472699 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Item Group
    PATIENT LAST SEEN
    C0805839 (UMLS CUI-1)
    Date last contact
    Item
    Date of Last Contact or Death
    date
    C0805839 (UMLS CUI [1])
    Item
    Complete haematological remission obtained after the HSCT in the absence of additional disease treatment
    integer
    C0677874 (UMLS CUI [1])
    Complete haematological remission obtained after the HSCT in the absence of additional disease treatment
    Code List
    Complete haematological remission obtained after the HSCT in the absence of additional disease treatment
    CL Item
    Previously reported (1)
    C0205309 (UMLS CUI-1)
    CL Item
    Yes, date (2)
    C1705108 (UMLS CUI-1)
    CL Item
    No  (3)
    C1298908 (UMLS CUI-1)
    CL Item
    Unknown (4)
    C0439673 (UMLS CUI-1)
    Item Group
    GRAFT VERSUS HOST DISEASE (GvHD) SINCE LAST REPORT
    Item
    Acute Graft versus Host Disease (aGvHD) - Grade
    integer
    C0856825 (UMLS CUI [1,1])
    C0441800 (UMLS CUI [1,2])
    aGvHD Grade
    Code List
    Acute Graft versus Host Disease (aGvHD) - Grade
    CL Item
    grade 0 (Absent) (1)
    CL Item
    grade I (2)
    CL Item
    grade II (3)
    CL Item
    grade III (4)
    CL Item
    grade IV (5)
    CL Item
    Not evaluated (6)
    Item
    ACUTE GRAFT VERSUS HOST DISEASE (AGVHD)
    integer
    C0441799 (UMLS CUI [1])
    ACUTE GRAFT VERSUS HOST DISEASE (AGVHD)
    Code List
    ACUTE GRAFT VERSUS HOST DISEASE (AGVHD)
    CL Item
    New onset (New onset)
    C0746890 (UMLS CUI-1)
    CL Item
    Recurrent (Recurrent)
    C2945760 (UMLS CUI-1)
    CL Item
    Persistent (Persistent)
    C0205322 (UMLS CUI-1)
    Item
    aGvHD Reason
    integer
    C0392360 (UMLS CUI [1,1])
    C0856825 (UMLS CUI [1,2])
    aGvHD Reason
    Code List
    aGvHD Reason
    CL Item
    Tapering (1)
    C0441640 (UMLS CUI-1)
    CL Item
    DLI (2)
    C1512034 (UMLS CUI-1)
    CL Item
    Unexplained (3)
    C0439673 (UMLS CUI-1)
    Date onset of this episode
    Item
    Date onset of this episode (if new or recurrent)
    date
    C0574845 (UMLS CUI [1])
    Item
    aGvHD Stage liver
    integer
    C1610054 (UMLS CUI [1])
    Stage skin
    Code List
    aGvHD Stage liver
    CL Item
    None (0)
    CL Item
    Stage 1 (1)
    CL Item
    Stage 2 (2)
    CL Item
    Stage 3 (3)
    CL Item
    Stage 4 (4)
    Item
    aGvHD Stage skin
    integer
    C1610605 (UMLS CUI [1])
    aGvHD Stage liver
    Code List
    aGvHD Stage skin
    CL Item
    0 (1)
    CL Item
    1 (2)
    CL Item
    2 (3)
    CL Item
    3 (4)
    CL Item
    4 (5)
    CL Item
    Not evaluated (6)
    CL Item
    unknown (7)
    aGvHD Resolution
    Item
    aGvHD Resolution
    boolean
    C0856825 (UMLS CUI [1,1])
    C1514893 (UMLS CUI [1,2])
    aGvHD Date of resolution
    Item
    aGvHD Date of resolution
    date
    C0856825 (UMLS CUI [1,1])
    C1514893 (UMLS CUI [1,2])
    C0011008 (UMLS CUI [1,3])
    Item
    Chronic Graft versus Host Disease (cGvHD)
    integer
    C0867389 (UMLS CUI [1])
    Chronic Graft versus Host Disease (cGvHD)
    Code List
    Chronic Graft versus Host Disease (cGvHD)
    CL Item
    No (No)
    CL Item
    Yes (Yes)
    CL Item
    Present continuously since last reported episode (Present continuously since last reported episode)
    CL Item
    Resolved (Resolved)
    Item
    Chronic Graft versus Host Disease (cGvHD)
    integer
    Presence of cGVHD
    Code List
    Chronic Graft versus Host Disease (cGvHD)
    CL Item
    First episode (1)
    CL Item
    Recurrence (2)
    Date of onset
    Item
    Date of onset
    date
    C0574845 (UMLS CUI [1])
    Item
    If present continously since last report, specify cGvHD gade:
    text
    C0867389 (UMLS CUI [1,1])
    C0441799 (UMLS CUI [1,2])
    cGvHD grade
    Code List
    If present continously since last report, specify cGvHD gade:
    CL Item
    Limited (Limited)
    C0439801 (UMLS CUI-1)
    CL Item
    Extensive (Extensive)
    C0205231 (UMLS CUI-1)
    Item
    cGvHD Organs affected
    integer
    C0867389 (UMLS CUI [1,1])
    C2095124 (UMLS CUI [1,2])
    Organs affected
    Code List
    cGvHD Organs affected
    CL Item
    Skin (1)
    C1123023 (UMLS CUI-1)
    CL Item
    Gut (2)
    C0021853 (UMLS CUI-1)
    CL Item
    Liver (3)
    C0023884 (UMLS CUI-1)
    CL Item
    Mouth (4)
    C0230028 (UMLS CUI-1)
    CL Item
    Eyes (5)
    C0015392 (UMLS CUI-1)
    CL Item
    Lung (6)
    C0024109 (UMLS CUI-1)
    CL Item
    Other, specify (7)
    C1299220 (UMLS CUI-1)
    CL Item
    Unknown (8)
    C0439673 (UMLS CUI-1)
    Date of Resolution
    Item
    If resolved, specify the date of resolution:
    date
    C1514893 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Item Group
    OTHER COMPLICATIONS SINCE LAST REPORT
    Infection related complications
    Item
    Infection related complications
    boolean
    C0009450 (UMLS CUI [1,1])
    C0009566 (UMLS CUI [1,2])
    Item
    Bacteremia / fungemia / viremia / parasites
    integer
    C0004610 (UMLS CUI [1])
    C0085082 (UMLS CUI [2])
    C0042749 (UMLS CUI [3])
    C0030498 (UMLS CUI [4])
    Bacteremia / fungemia / viremia / parasites
    Code List
    Bacteremia / fungemia / viremia / parasites
    CL Item
    Pathogen (1)
    CL Item
    Date (2)
    Item
    Septic shock
    integer
    C0036983 (UMLS CUI [1])
    Septic shock
    Code List
    Septic shock
    CL Item
    Pathogen (1)
    CL Item
    Date (2)
    Item
    integer
    C0035222 (UMLS CUI [1])
    ARDS
    Code List
    ARDS
    CL Item
    Date (1)
    CL Item
    Pathogen (2)
    Item
    Multiorgan failure due to infection
    integer
    C0026766 (UMLS CUI [1])
    Multiorgan failure due to infection
    Code List
    Multiorgan failure due to infection
    CL Item
    Pathogen (1)
    C0450254 (UMLS CUI-1)
    CL Item
    Date (2)
    C0011008 (UMLS CUI-1)
    Item
    Pneumonia
    integer
    C0032285 (UMLS CUI [1])
    Pneumonia
    Code List
    Pneumonia
    CL Item
    Pathogen (1)
    C0450254 (UMLS CUI-1)
    CL Item
    Date (2)
    C0011008 (UMLS CUI-1)
    Item
    Hepatitis
    integer
    C0019158 (UMLS CUI [1])
    Hepatitis
    Code List
    Hepatitis
    CL Item
    Pathogen (1)
    C0450254 (UMLS CUI-1)
    CL Item
    Date (2)
    C0011008 (UMLS CUI-1)
    Item
    CNS infection
    integer
    C0007684 (UMLS CUI [1])
    CNS infection
    Code List
    CNS infection
    CL Item
    Pathogen (1)
    C0450254 (UMLS CUI-1)
    CL Item
    Date (2)
    C0011008 (UMLS CUI-1)
    Item
    Gut infection
    integer
    C0178238 (UMLS CUI [1])
    Gut infection
    Code List
    Gut infection
    CL Item
    Pathogen (1)
    C0450254 (UMLS CUI-1)
    CL Item
    Date (2)
    C0011008 (UMLS CUI-1)
    Item
    Skin infection
    integer
    C0037278 (UMLS CUI [1])
    Skin infection
    Code List
    Skin infection
    CL Item
    Pathogen (1)
    C0450254 (UMLS CUI-1)
    CL Item
    Date (2)
    C0011008 (UMLS CUI-1)
    Item
    Cystitis
    integer
    C0010692 (UMLS CUI [1])
    Cystitis
    Code List
    Cystitis
    CL Item
    Pathogen (1)
    C0450254 (UMLS CUI-1)
    CL Item
    Date (2)
    C0011008 (UMLS CUI-1)
    Item
    Retinitis
    integer
    C0035333 (UMLS CUI [1])
    Retinitis
    Code List
    Retinitis
    CL Item
    Pathogen (1)
    C0450254 (UMLS CUI-1)
    CL Item
    Date (2)
    C0011008 (UMLS CUI-1)
    CL Item
    Unknown (3)
    C0439673 (UMLS CUI-1)
    Item
    Other
    integer
    C0205394 (UMLS CUI [1])
    Other
    Code List
    Other
    CL Item
    Pathogen (1)
    C0450254 (UMLS CUI-1)
    CL Item
    Date (2)
    C0011008 (UMLS CUI-1)
    Non infection related complications
    Item
    Non infection related complications
    boolean
    C0009566 (UMLS CUI [1])
    Item
    Idiopathic pneumonia syndrome
    integer
    C1504431 (UMLS CUI [1])
    Idiopathic pneumonia syndrome
    Code List
    Idiopathic pneumonia syndrome
    CL Item
    Yes (Yes)
    CL Item
    No  (No )
    CL Item
    Unknown (Unknown)
    CL Item
    Date (4)
    Item
    VOD
    text
    C0948441 (UMLS CUI [1])
    VOD
    Code List
    VOD
    CL Item
    Yes (Yes)
    CL Item
    No  (No )
    CL Item
    Unknown (Unknown)
    CL Item
    Date (Date)
    Item
    Cataract
    integer
    C0086543 (UMLS CUI [1])
    Cataract
    Code List
    Cataract
    CL Item
    Yes (Yes)
    CL Item
    No (No)
    CL Item
    Unknown (Unknown)
    CL Item
    Date (4)
    Item
    Haemorrhagic cystitis, non infectious
    integer
    C0085692 (UMLS CUI [1])
    Haemorrhagic cystitis, non infectious
    Code List
    Haemorrhagic cystitis, non infectious
    CL Item
    Yes  (Yes )
    CL Item
    No  (No )
    CL Item
    Unknown (Unknown)
    CL Item
    Date (4)
    Item
    ARDS, non infectious
    integer
    C0035222 (UMLS CUI [1])
    ARDS, non infectious
    Code List
    ARDS, non infectious
    CL Item
    Yes (Yes)
    CL Item
    No (No)
    CL Item
    Unknown (Unknown)
    CL Item
    Date (4)
    Item
    Multiorgan failure, non infectious
    integer
    Multiorgan failure, non infectious
    Code List
    Multiorgan failure, non infectious
    CL Item
    Yes (1)
    CL Item
    No (2)
    CL Item
    Unknown (3)
    Item
    HSCT-associated microangiopathy
    integer
    C0155765 (UMLS CUI [1])
    HSCT-associated microangiopathy
    Code List
    HSCT-associated microangiopathy
    CL Item
    Yes (Yes)
    CL Item
    No (No)
    CL Item
    Unknown (Unknown)
    CL Item
    Date (4)
    Item
    Renal failure requiring dialysis
    integer
    C0035078 (UMLS CUI [1])
    Renal failure requiring dialysis
    Code List
    Renal failure requiring dialysis
    CL Item
    Yes (Yes)
    CL Item
    No (No)
    CL Item
    Unknown (Unknown)
    CL Item
    Date (4)
    Item
    Haemolytic anaemia due to blood group
    integer
    C0002878 (UMLS CUI [1])
    Haemolytic anaemia due to blood group
    Code List
    Haemolytic anaemia due to blood group
    CL Item
    Yes (Yes)
    CL Item
    No (No)
    CL Item
    Unknown (Unknown)
    CL Item
    Date (4)
    Item
    Aseptic bone necrosis
    integer
    C0158452 (UMLS CUI [1])
    Aseptic bone necrosis
    Code List
    Aseptic bone necrosis
    CL Item
    Yes (Yes)
    CL Item
    No (No)
    CL Item
    Unknown (Unknown)
    CL Item
    Date (4)
    Other INFECTION RELATED COMPLICATIONS
    Item
    Other INFECTION RELATED COMPLICATIONS if other, please specify
    integer
    C3714514 (UMLS CUI [1])
    Item
    Graft loss
    integer
    C0877042 (UMLS CUI [1])
    GRAFT ASSESSMENT AND HAEMOPOIETIC CHIMAERISM
    Code List
    Graft loss
    CL Item
    No (1)
    CL Item
    Yes (2)
    CL Item
    Not evaluated (3)
    Item
    Overall Chimerism
    integer
    C0333678 (UMLS CUI [1])
    Overall chimaerism
    Code List
    Overall Chimerism
    CL Item
    Full (donor > 95%) (1)
    C0333678 (UMLS CUI-1)
    CL Item
    Mixed (partial) (2)
    C3160715 (UMLS CUI-1)
    CL Item
    Autologuos reconstitution (recipient > 95%) (3)
    C0301944 (UMLS CUI-1)
    CL Item
    Aplasia (4)
    C0243065 (UMLS CUI-1)
    CL Item
    Not evaluated (5)
    C3846720 (UMLS CUI-1)
    Identification
    Item
    Identification of donor or Cord Blood Unit given by the centre
    text
    C1718162 (UMLS CUI [1])
    Date of Test
    Item
    Date of Test
    date
    C0024671 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Item
    Number in the infusion order (if applicable)
    integer
    C2348184 (UMLS CUI [1])
    Number in the infusion order (if applicable)
    Code List
    Number in the infusion order (if applicable)
    CL Item
    ......... (1)
    CL Item
    N/A (2)
    Bone marrow
    Item
    Cell type on which test was performed (% Donor Cells): BM
    float
    C0005953 (UMLS CUI [1])
    PB mononuclear cells (PBMC)
    Item
    Cell type on which test was performed (% Donor cells): PB mononuclear cells (PBMC)
    float
    C1321301 (UMLS CUI [1])
    T-Cells
    Item
    Cell type on which test was performed (% Donor cells): T-Cells (Indicate the date(s) and results of all tests done for all donors. Split the results by donor and by the cell type on which the test was performed if applicable. Copy this table as many times as necessary.)
    float
    C0039194 (UMLS CUI [1])
    B-Cells
    Item
    Cell type on which test was performed (% Donor cells): B-Cells
    float
    C0004561 (UMLS CUI [1])
    Red blood cells
    Item
    Cell type on which test was performed (% Donor cells): Red blood cells
    float
    C0014772 (UMLS CUI [1])
    Monocytes
    Item
    Cell type on which test was performed (% Donor cells): Monocytes
    float
    C0026473 (UMLS CUI [1])
    PMNs (neutrophils)
    Item
    Cell type on which test was performed (% Donor cells): PMNs (neutrophils)
    float
    C0200633 (UMLS CUI [1])
    Lymphocytes, NOS
    Item
    Cell type on which test was performed (% Donor cells): Lymphocytes, NOS
    float
    C0024264 (UMLS CUI [1])
    Myeloid cells, NOS
    Item
    Cell type on which test was performed (% Donor cells): Myeloid cells, NOS
    float
    C0887899 (UMLS CUI [1])
    Other
    Item
    Cell type on which test was performed
    text
    Item
    SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED
    integer
    SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED
    Code List
    SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED
    CL Item
    Previously reported (Previously reported)
    CL Item
    Yes (Yes)
    CL Item
    No at date of this follow-up (No at date of this follow-up)
    Date of diagnosis
    Item
    If yes, specify date of diagnosis
    date
    C2316983 (UMLS CUI [1])
    Item
    SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED
    text
    Diagnosis
    Code List
    SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED
    CL Item
    AML (AML)
    CL Item
    MDS (MDS)
    CL Item
    Lymphoproliferative disorder (Lymphoproliferative disorder)
    CL Item
    Other (Other)
    Diagnosis
    Item
    if other, please specify
    text
    Item Group
    ADDITIONAL THERAPIES SINCE LAST FOLLOW UP
    Item
    ADDITIONAL Therapy SINCE LAST FOLLOW UP
    text
    C1706712 (UMLS CUI [1])
    ADDITIONAL THERAPIES SINCE LAST FOLLOW UP
    Code List
    ADDITIONAL Therapy SINCE LAST FOLLOW UP
    CL Item
    No (No)
    CL Item
    Yes, date started (Yes, date started)
    CL Item
    Unknown (Unknown)
    Date started
    Item
    Date ADDITIONAL THERAPIES SINCE LAST FOLLOW UP started
    date
    C1706712 (UMLS CUI [1,1])
    C0808070 (UMLS CUI [1,2])
    Item
    If yes: Cellular therapy
    integer
    C0302189 (UMLS CUI [1])
    Cellular therapy
    Code List
    If yes: Cellular therapy
    CL Item
    No  (1)
    CL Item
    Yes (Mark disease status before this cellular therapy) (2)
    CL Item
    Unknown (3)
    Item
    if yes, Disease status before this cellular therapy
    integer
    C0018759 (UMLS CUI [1])
    CELLULAR THERAPY
    Code List
    if yes, Disease status before this cellular therapy
    CL Item
    CR (CR)
    C0677874 (UMLS CUI-1)
    CL Item
    Not in CR (Not in CR)
    C0677874 (UMLS CUI-1)
    CL Item
    Not evaluated (Not evaluated)
    C3846720 (UMLS CUI-1)
    Item
    If yes: Type of cells
    integer
    C0302189 (UMLS CUI [1])
    Type of cells
    Code List
    If yes: Type of cells
    CL Item
    Donor lymphocyte infusion (DLI) (1)
    C1512034 (UMLS CUI-1)
    CL Item
    Mesenchymal cells (2)
    C1257975 (UMLS CUI-1)
    CL Item
    Other (3)
    C0205394 (UMLS CUI-1)
    CL Item
    Unknown (4)
    C0439673 (UMLS CUI-1)
    Item
    Number of cells infused by type
    integer
    Nucleated cells
    Code List
    Number of cells infused by type
    CL Item
    Number of Nucleated cells infused (DLI only) (1)
    C1180059 (UMLS CUI-1)
    CL Item
    CD 34+ (cells/kg*) (DLI only) (2)
    C1955216 (UMLS CUI-1)
    CL Item
    CD 3+ (cells/kg*) (DLI only) (3)
    C0483189 (UMLS CUI-1)
    Item
    Total number of cells infused (non DLI only)
    integer
    C0007584 (UMLS CUI [1])
    All cells
    Code List
    Total number of cells infused (non DLI only)
    CL Item
    Number (1)
    CL Item
    Not evaluated (2)
    CL Item
    Unknown (3)
    Chronological number
    Item
    Chronological number of this cell therapy for this patient
    float
    C2348184 (UMLS CUI [1])
    Item
    Indication (check all that apply)
    integer
    C3146298 (UMLS CUI [1,1])
    C0302189 (UMLS CUI [1,2])
    Indication
    Code List
    Indication (check all that apply)
    CL Item
    Planned/ protocol (Planned/ protocol)
    CL Item
    Treatment for disease (Treatment for disease)
    CL Item
    Prophylactic (Prophylactic)
    CL Item
    Mixed chimaerism (Mixed chimaerism)
    CL Item
    Treatment of GvHD (Treatment of GvHD)
    CL Item
    Treatment viral infection (Treatment viral infection)
    CL Item
    Loss/decreased chimaerism (Loss/decreased chimaerism)
    CL Item
    Treatment PTLD, EBV, lymphoma (Treatment PTLD, EBV, lymphoma)
    CL Item
    Other (Other)
    Number of Infusions
    Item
    Number of Infusions (within 10 weeks) (count only infusions that are part of same regimen and given for the same indication)
    float
    C2348184 (UMLS CUI [1,1])
    C1289919 (UMLS CUI [1,2])
    Item
    Acute Graft versus Host Disease
    integer
    C0856825 (UMLS CUI [1])
    Acute Graft versus Host Disease
    Code List
    Acute Graft versus Host Disease
    CL Item
    grade 0 (absent) (grade 0 (absent))
    CL Item
    grade 1 (grade 1)
    CL Item
    grade 2 (grade 2)
    CL Item
    grade 3 (grade 3)
    CL Item
    grade 4 (grade 4)
    CL Item
    present, grade unknown (present, grade unknown)
    Item
    Disease treatment (apart from donor cell infusion or other type of cell therapy)
    integer
    C0087111 (UMLS CUI [1])
    Disease treatment
    Code List
    Disease treatment (apart from donor cell infusion or other type of cell therapy)
    CL Item
    No (1)
    CL Item
    Yes: Planned (planned before HSCT took place) (2)
    CL Item
    Yes: Not planned (for relapse/progression or persistent disease) (3)
    Item Group
    FIRST EVIDENCE OF RELAPSE OR PROGRESSION SINCE LAST HSCT
    Item
    Relapse or Progression
    integer
    C0277556 (UMLS CUI [1])
    C0242656 (UMLS CUI [2])
    Relapse or Progression
    Code List
    Relapse or Progression
    CL Item
    Previously reported (Previously reported)
    C0205309 (UMLS CUI-1)
    CL Item
    No (No)
    C1298908 (UMLS CUI-1)
    CL Item
    Yes (Yes)
    C1705108 (UMLS CUI-1)
    CL Item
    Continous progression since transplant (Continous progression since transplant)
    C0242656 (UMLS CUI-1)
    CL Item
    Unknown (Unknown)
    C0439673 (UMLS CUI-1)
    If yes, date diagnosed
    Item
    If yes, date diagnosed RELAPSE OR PROGRESSION
    date
    C0035020 (UMLS CUI [1,1])
    C2316983 (UMLS CUI [1,2])
    Item Group
    LAST DISEASE AND PATIENT STATUS
    Item
    last disease status
    integer
    C0421168 (UMLS CUI [1])
    Disease response
    Code List
    last disease status
    CL Item
    Complete Remission (Complete Remission)
    C0677874 (UMLS CUI-1)
    CL Item
    Stable disease (Stable disease)
    C0677946 (UMLS CUI-1)
    CL Item
    Relapse (Relapse)
    C0277556 (UMLS CUI-1)
    CL Item
    Treatment failure/ progression (Treatment failure/ progression)
    C0242656 (UMLS CUI-1)
    Item
    Has patient or partner become pregnant after this HSCT?
    integer
    C0032961 (UMLS CUI [1])
    Conception
    Code List
    Has patient or partner become pregnant after this HSCT?
    CL Item
    No (No)
    CL Item
    Yes (Yes)
    CL Item
    Unknown (Unknown)
    Item
    Survival Status
    integer
    C1148433 (UMLS CUI [1])
    Survival Status
    Code List
    Survival Status
    CL Item
    alive (0)
    CL Item
    dead (1)
    Item
    If alive: Type of score used:
    integer
    C1518965 (UMLS CUI [1])
    Performance Score
    Code List
    If alive: Type of score used:
    CL Item
    Karnofsky (Karnofsky)
    CL Item
    Lansky (Lansky)
    CL Item
    Not evaluated (Not evaluated)
    CL Item
    Unknown (Unknown)
    Item
    Performance score
    integer
    C1518965 (UMLS CUI [1])
    Performance score
    Code List
    Performance score
    CL Item
    100 (Normal, NED) (1)
    CL Item
    90 (Normal activity)  (2)
    CL Item
    80 (Normal with effort) (3)
    CL Item
    70 (Cares for self) (4)
    CL Item
    60 (Requires occasional assistance) (5)
    CL Item
    50 (Requires assistance) (6)
    CL Item
    40 (Disabled) (7)
    CL Item
    30 (Severely disabled) (8)
    CL Item
    20 (Very sick) (9)
    CL Item
    10 (Moribund) (10)
    CL Item
    Not evaluated (11)
    CL Item
    Unknown (12)
    Item
    CAUSE OF DEATH
    integer
    C0007465 (UMLS CUI [1])
    CAUSE OF DEATH
    Code List
    CAUSE OF DEATH
    CL Item
    Relapse or progression (Relapse or progression)
    C0277556 (UMLS CUI-1)
    C0242656 (UMLS CUI-2)
    CL Item
    Secondary malignancy (Secondary malignancy)
    C3266877 (UMLS CUI-1)
    CL Item
    HSCT related cause (HSCT related cause)
    C0472699 (UMLS CUI-1)
    C0007465 (UMLS CUI-2)
    CL Item
    Unknown (Unknown)
    C0439673 (UMLS CUI-1)
    CL Item
    Other (Other)
    C0205394 (UMLS CUI-1)
    Item
    HSCT related cause of death
    integer
    C0007465 (UMLS CUI [1,1])
    C0472699 (UMLS CUI [1,2])
    HSCT related cause
    Code List
    HSCT related cause of death
    CL Item
    GvHD (1)
    C0018133 (UMLS CUI-1)
    CL Item
    Interstitial pneumonitis (2)
    C0206061 (UMLS CUI-1)
    CL Item
    Pulmonary toxicity (3)
    C0919924 (UMLS CUI-1)
    CL Item
    Infection bacterial (4)
    C0004623 (UMLS CUI-1)
    CL Item
    Infection viral (5)
    C0042769 (UMLS CUI-1)
    CL Item
    Infection fungal (6)
    C0026946 (UMLS CUI-1)
    CL Item
    Infection parasitic (7)
    C0030498 (UMLS CUI-1)
    CL Item
    Infection unknown (8)
    C0009450 (UMLS CUI-1)
    CL Item
    Rejection / poor graft function (9)
    C1268811 (UMLS CUI-1)
    CL Item
    Veno-occlusive disease (VOD) (10)
    C0948441 (UMLS CUI-1)
    CL Item
    Haemorrhage (11)
    C0019080 (UMLS CUI-1)
    CL Item
    Cardiac toxicity (12)
    C0876994 (UMLS CUI-1)
    CL Item
    Central nervous system toxicity (13)
    C3160947 (UMLS CUI-1)
    CL Item
    Gastro intestinal toxicity (14)
    C0007465 (UMLS CUI-1)
    C1142499 (UMLS CUI-2)
    CL Item
    Skin toxicity (15)
    C1167791 (UMLS CUI-1)
    CL Item
    Renal failure (16)
    C1533077 (UMLS CUI-1)
    CL Item
    Multiple organ failure (17)
    C0026766 (UMLS CUI-1)
    CL Item
    Other (18)
    C0205394 (UMLS CUI-1)
    Item Group
    ADDITIONAL NOTES IF APPLICABLE
    Comments
    Item
    Comments
    integer
    C0947611 (UMLS CUI [1])
    IDENTIFICATION & SIGNATURE
    Item
    IDENTIFICATION & SIGNATURE
    integer
    C0205396 (UMLS CUI [1,1])
    C1519316 (UMLS CUI [1,2])
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