ID
42711
Beskrivning
ODM form derived from 14pp EBMT Solid Tumors 11SoTu.pdf refer to: http://www.ebmt.org/Contents/Data-Management/Registrystructure/MED-ABdatacollectionforms/Pages/MED-AB-data-collection-forms.aspx
Länk
Nyckelord
Versioner (3)
- 2016-04-05 2016-04-05 -
- 2016-07-27 2016-07-27 -
- 2021-09-17 2021-09-17 -
Uppladdad den
17 september 2021
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 3.0
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
EBMT Solid Tumors
EBMT Solid Tumors
- StudyEvent: ODM
Beskrivning
STUDY/TRIAL
Beskrivning
PATIENT
Beskrivning
Unique Identification Code (UIC)
Datatyp
text
Alias
- UMLS CUI [1]
- C2348585
Beskrivning
Hospital Unique Patient Number or Code
Datatyp
text
Alias
- UMLS CUI [1]
- C1827636
Beskrivning
Initials
Datatyp
text
Alias
- UMLS CUI [1]
- C2986440
Beskrivning
Date of Birth
Datatyp
date
Alias
- UMLS CUI [1]
- C0421451
Beskrivning
Sex
Datatyp
text
Alias
- UMLS CUI [1]
- C0079399
Beskrivning
ABO Group
Datatyp
text
Alias
- UMLS CUI [1]
- C0000778
Beskrivning
Rh factor
Datatyp
integer
Alias
- UMLS CUI [1]
- C0035403
Beskrivning
DISEASE
Beskrivning
Date of diagnosis
Datatyp
date
Alias
- UMLS CUI [1]
- C2316983
Beskrivning
Primary Disease Diagnosis
Datatyp
integer
Alias
- UMLS CUI [1]
- C0277554
Beskrivning
SOLID TUMOURS
Beskrivning
INITIAL DIAGNOSIS
Datatyp
integer
Alias
- UMLS CUI [1]
- C0011900
Beskrivning
INITIAL DIAGNOSIS
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0011900
- UMLS CUI [1,2]
- C3845569
Beskrivning
Clinical TNM classification Tumor
Datatyp
integer
Alias
- UMLS CUI [1]
- C0809869
Beskrivning
Clinical TNM classification Tumor Nodes
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0809869
- UMLS CUI [1,2]
- C0024204
Beskrivning
For metastases, 0 indicates “No metastasis”, 1 indicates “Metastasis” and X indicates “Not evaluable
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0027627
- UMLS CUI [1,2]
- C0809869
Beskrivning
Disease-specific staging
Datatyp
integer
Alias
- UMLS CUI [1]
- C0449385
Beskrivning
HISTOLOGICAL SUBCLASSIFICATION Describe
Datatyp
text
Beskrivning
BREAST Cancer
Datatyp
integer
Alias
- UMLS CUI [1]
- C0678222
Beskrivning
RECEPTOR STATUS Estrogen (ER)
Datatyp
integer
Alias
- UMLS CUI [1]
- C0279758
Beskrivning
RECEPTOR STATUS Estrogen (ER)
Datatyp
float
Alias
- UMLS CUI [1]
- C1719706
Beskrivning
RECEPTOR STATUS Progesterone (PgR)
Datatyp
integer
Alias
- UMLS CUI [1]
- C1514471
Beskrivning
RECEPTOR STATUS Progesterone (PgR)
Datatyp
float
Alias
- UMLS CUI [1,1]
- C1514471
- UMLS CUI [1,2]
- C0279759
Beskrivning
RECEPTOR STATUS HER2/neu (c-erb-B2)
Datatyp
integer
Alias
- UMLS CUI [1]
- C1512413
Beskrivning
RECEPTOR STATUS HER2/neu (c-erb-B2)
Datatyp
integer
Alias
- UMLS CUI [1]
- C2348909
Beskrivning
HISTOLOGICAL SUBCLASSIFICATION FOR BREAST CARCINOMA
Beskrivning
Axillary lymph nodes
Datatyp
float
Alias
- UMLS CUI [1,1]
- C0729594
- UMLS CUI [1,2]
- C0746319
Beskrivning
Axillary lymph nodes
Datatyp
float
Alias
- UMLS CUI [1]
- C0807728
Beskrivning
Axillary lymph nodes
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0220825
- UMLS CUI [1,2]
- C0398420
Beskrivning
S.B.R. (Scarff-Bloom-Richardson)
Datatyp
integer
Alias
- UMLS CUI [1]
- C3828224
Beskrivning
Ductal carcinoma
Datatyp
integer
Alias
- UMLS CUI [1]
- C1527349
Beskrivning
Lobular carcinoma
Datatyp
integer
Alias
- UMLS CUI [1]
- C0279563
Beskrivning
CYTOGENETICS
Beskrivning
TREATMENT GIVEN BEFORE THIS HSCT
Beskrivning
if no: Includes a) Patients who have no surgery and go on to have high dose chemotherapy followed immediately by HSCT, or sequential chemotherapy, as the 1st line treatment; or b) Subsequent HSCT within a multiple/ sequential chemotherapy HSCT procedure if yes: Includes surgery or any other treatment, including chemotherapy, given prior to the HSCT and which is not considered part of the preparative (conditioning) regimen
Datatyp
integer
Alias
- UMLS CUI [1]
- C0580351
Beskrivning
FIRST LINE TREATMENT
Beskrivning
treatment start date
Datatyp
date
Alias
- UMLS CUI [1]
- C3173309
Beskrivning
HSCT
Datatyp
integer
Alias
- UMLS CUI [1]
- C0472699
Beskrivning
Upfront (treatment started with a program including high dose chemotherapy followed by HSCT or high dose sequential chemotherapy; adjuvant excluded) Adjuvant (HSCT done in adjuvant-setting)
Datatyp
integer
Alias
- UMLS CUI [1]
- C0472699
Beskrivning
Modality
Datatyp
integer
Alias
- UMLS CUI [1]
- C0695347
Beskrivning
Drugs
Datatyp
integer
Alias
- UMLS CUI [1]
- C0392920
Beskrivning
Drugs
Datatyp
text
Beskrivning
Modality Surgery
Datatyp
text
Beskrivning
Modality
Datatyp
text
Beskrivning
Status of disease after first line treatment (best response)
Datatyp
text
Beskrivning
Criteria used for evaluation
Datatyp
text
Beskrivning
Treatment given
Datatyp
text
Beskrivning
TREATMENT HISTORY BEFORE HSCT
Beskrivning
Date of HSCT
Datatyp
date
Alias
- UMLS CUI [1]
- C2584899
Beskrivning
TREATMENT SUMMARY
Datatyp
integer
Alias
- UMLS CUI [1]
- C0577303
Beskrivning
Chemotherapy
Datatyp
integer
Alias
- UMLS CUI [1]
- C0392920
Beskrivning
Surgery
Datatyp
integer
Alias
- UMLS CUI [1]
- C0543467
Beskrivning
Radiotherapy
Datatyp
integer
Alias
- UMLS CUI [1]
- C1522449
Beskrivning
Modality
Datatyp
integer
Alias
- UMLS CUI [1]
- C0695347
Beskrivning
STATUS OF DISEASE AT HSCT
Beskrivning
STATUS OF DISEASE AT HSCT
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1704632
- UMLS CUI [1,2]
- C0472699
Beskrivning
if CR please specify
Datatyp
integer
Alias
- UMLS CUI [1]
- C0677874
Beskrivning
if Relapse please specify
Datatyp
integer
Alias
- UMLS CUI [1]
- C0035020
Beskrivning
Complete remission (CR) Number
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0237753
- UMLS CUI [1,2]
- C0677874
Beskrivning
Complete relapse Number
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2347944
- UMLS CUI [1,2]
- C0237753
Beskrivning
(complete only for relapse)
Datatyp
integer
Alias
- UMLS CUI [1]
- C2363824
Beskrivning
Organ involved
Datatyp
integer
Alias
- UMLS CUI [1]
- C0449953
Beskrivning
Primary site affected
Datatyp
integer
Alias
- UMLS CUI [1]
- C0449695
Beskrivning
ADDITIONAL TREATMENT POST-HSCT
Beskrivning
BEST DISEASE RESPONSE AT 100 DAYS POST-HSCT
Beskrivning
BEST RESPONSE AT 100 DAYS AFTER HSCT
Datatyp
text
Alias
- UMLS CUI [1]
- C2986560
Beskrivning
LesionAssessmentDate
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0221198
- UMLS CUI [1,3]
- C0031809
Beskrivning
FORMS TO BE FILLED IN
Beskrivning
TYPE OF TRANSPLANT
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0559189
- UMLS CUI [1,2]
- C0040739
Beskrivning
TYPE OF TRANSPLANT
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0559189
- UMLS CUI [1,2]
- C0040739
Similar models
EBMT Solid Tumors
- StudyEvent: ODM
C1508263 (UMLS CUI [1,2])
C3845569 (UMLS CUI [1,2])
C0024204 (UMLS CUI [1,2])
C0809869 (UMLS CUI [1,2])
C0442743 (UMLS CUI-2)
C0279759 (UMLS CUI [1,2])
C0746319 (UMLS CUI [1,2])
C0398420 (UMLS CUI [1,2])
C0472699 (UMLS CUI [1,2])
C0677874 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
C0024204 (UMLS CUI-2)
C0221198 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
C0040739 (UMLS CUI [1,2])