ID

43252

Beschreibung

E2905 Follow Up Disease Evaluation Form Lenalidomide With or Without Epoetin Alfa in Treating Patients With Myelodysplastic Syndrome and Anemia NCT00843882 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0F12A9EE-8D74-6165-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0F12A9EE-8D74-6165-E044-0003BA3F9857

Stichworte

Versionen (4)
  1. 18.12.14 18.12.14 - Martin Dugas
  2. 08.01.15 08.01.15 - Martin Dugas
  3. 23.01.15 23.01.15 - Martin Dugas
  4. 20.09.21 20.09.21 -
Hochgeladen am

20. September 2021

DOI

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Lizenz

Creative Commons BY-NC 3.0 Legacy
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Follow Up Disease Evaluation Form (E2905 NCT00843882)

Englisch

INSTRUCTIONS: Complete this form and submit original to the ECOG Coordinating Center within one week of registration. Keep a copy for your files

1 Formulare  
Header
Beschreibung

Header

ECOG Protocol Number
Beschreibung

Protocol Number ECOG

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C1512162
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25491
ECOG Patient ID
Beschreibung

Patient ID ECOG

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C1512162
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25491
DCI Name
Beschreibung

Generic drug form

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C3242750
NCI Thesaurus Property
C19464
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus ObjectClass-2
C25452
Registration Step
Beschreibung

Registration Number

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C1514821
NCI Thesaurus ObjectClass
C25646
UMLS CUI-2
C0237753
NCI Thesaurus Property
C16154
NCI Thesaurus ValueDomain-2
C16154
Patient Initials (Last, First)
Beschreibung

Patient Initials

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Participating Group Protocol Number
Beschreibung

Study Number Participating Group

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C2347449
NCI Thesaurus Property
C25608
NCI Thesaurus Property-2
C25364
Participating Group Patient ID
Beschreibung

Trial subject ID Participating Group

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C2347449
NCI Thesaurus Property
C25608
NCI Thesaurus Property-2
C25364
Institution/Affiliate
Beschreibung

Institution Name

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C25454
UMLS CUI-1
C1301943
NCI Thesaurus ObjectClass-2
C21541
NCI Thesaurus Property
C25364
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ValueDomain-2
C21541
Please mark an 'X' if data have been amended. (Please circle amended items in red)
Beschreibung

Data amended

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0680532
NCI Thesaurus ObjectClass
C25474
NCI Thesaurus Property
C25416
Date data amended (MM/DD/YYYY)
Beschreibung

Data amended date

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C0680532
NCI Thesaurus ObjectClass
C25474
UMLS CUI-2
C0011008
NCI Thesaurus Property
C25416
NCI Thesaurus ValueDomain-2
C25367
Investigator Signature
Beschreibung

Investigator Signature

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C2346576
NCI Thesaurus Property
C25678
NCI Thesaurus ObjectClass
C17089
Investigator Signature Date
Beschreibung

Investigator Signature Date

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C2346576
NCI Thesaurus Property
C25678
UMLS CUI-2
C0011008
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus ObjectClass
C17089
On Treatment
Beschreibung

On Treatment

On Treatment Report Period (Step 2 - Choose one x)
Beschreibung

Cycle number

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2045829
NCI Thesaurus Property
C25214
NCI Thesaurus Property-2
C25616
NCI Thesaurus ObjectClass
C15368
Specify Cycle
Beschreibung

Chemotherapy cycle

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25214
UMLS CUI-1
C1302181
NCI Thesaurus Property-2
C25616
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ValueDomain-2
C25472
NCI Thesaurus ValueDomain-3
C25275
Off Treatment
Beschreibung

Off Treatment

Off Treatment Report Period (since registration - Choose one x)
Beschreibung

PersonOff-TreatmentTimePeriodType

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25616
UMLS 2011AA Property
C1948053
NCI Thesaurus Property-2
C25601
UMLS 2011AA Property-2
C1518544
NCI Thesaurus Property-3
C25207
UMLS 2011AA Property-3
C0040223
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
Unnamed5
Beschreibung

Unnamed5

MDS classification
Beschreibung

MyelodysplasticSyndromeWorldHealthOrganizationClassificationCategory

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25372
NCI Thesaurus ObjectClass
C3247
NCI Thesaurus Property
C25161
NCI Thesaurus Property-2
C75419
UMLS CUI-1
C3463824
UMLS CUI-2
C0008902
Was bone marrow biopsy done
Beschreibung

BoneMarrowBiopsyInd

Datentyp

boolean

Alias
NCI Thesaurus ValueDomain
C25180
NCI Thesaurus Property
C15189
NCI Thesaurus ObjectClass
C12431
UMLS CUI-1
C0005954
Date of Bone Marrow Biopsy (Aspirate)
Beschreibung

BoneMarrowBiopsyDate

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus Property
C15189
NCI Thesaurus ObjectClass
C12431
UMLS CUI-1
C0005954
UMLS CUI-2
C0011008
Marrow Blasts
Beschreibung

LaboratoryProcedureBoneMarrowBlastCellOutcomePercentageValue

Datentyp

float

Maßeinheiten
  • %
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C12431
NCI Thesaurus Property-2
C20200
NCI Thesaurus Property-3
C12918
NCI Thesaurus ValueDomain
C25613
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI-1
C1982687
%
Marrow Cellularity
Beschreibung

LaboratoryProcedureBoneMarrowCellularityOutcomePercentageValue

Datentyp

float

Maßeinheiten
  • %
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C12431
NCI Thesaurus Property-2
C20200
NCI Thesaurus Property-3
C37923
NCI Thesaurus ValueDomain
C25613
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI-1
C1561532
%
Reason bone marrow cellularity was not recorded
Beschreibung

LaboratoryProcedureBoneMarrowCellularityNegationReportOutcomeReason

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C25594
NCI Thesaurus Property-2
C12431
NCI Thesaurus Property-3
C25375
NCI Thesaurus Property-4
C20200
NCI Thesaurus Property-5
C37923
NCI Thesaurus ValueDomain
C25638
UMLS CUI-1
C1561532
UMLS CUI-2
C1546437
Dysplasia
Beschreibung

DysplasiaPresentInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus Property
C25626
NCI Thesaurus ObjectClass
C4086
UMLS CUI-1
C0334044
Dysplasia type
Beschreibung

DysplasiaHistologyType

Datentyp

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus Property
C16681
NCI Thesaurus ObjectClass
C4086
UMLS CUI-1
C0334044
UMLS CUI-2
C0683312
Is cytogenetic abnormality present now
Beschreibung

CytogeneticAbnormalityPresentIndicator

Datentyp

text

Alias
NCI Thesaurus Property
C25626
NCI Thesaurus ObjectClass
C2950
NCI Metathesaurus ValueDomain
C0021212
UMLS CUI-1
C0008625
Section Ii
Beschreibung

Section Ii

Did the patient require packed red blood cell (PRBC) transfusions (in the last 8 weeks)
Beschreibung

PackedRedBloodCellTransfusionRequirementInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C15409
UMLS 2011AA ObjectClass
C0199962
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
Total number of units PRBC (transfused in the last 8 weeks)
Beschreibung

PackedRedBloodCellTransfusionReceivedUnitCount

Datentyp

float

Alias
NCI Thesaurus ValueDomain
C44278
UMLS 2011AA ValueDomain
C0439148
NCI Thesaurus Property
C25639
UMLS 2011AA Property
C1514756
NCI Thesaurus ValueDomain-2
C25463
UMLS 2011AA ValueDomain-2
C0750480
NCI Thesaurus ObjectClass
C15409
UMLS 2011AA ObjectClass
C0199962
Date of First Transfusion (in the last 8 weeks)
Beschreibung

PackedRedBloodCellTransfusionReceivedFirstDate

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C25639
UMLS 2011AA Property
C1514756
NCI Thesaurus ValueDomain-2
C25509
UMLS 2011AA ValueDomain-2
C1279901
NCI Thesaurus ObjectClass
C15409
UMLS 2011AA ObjectClass
C0199962
Date of most recent PRBC transfusion
Beschreibung

PackedRedBloodCellTransfusionReceivedMostRecentDate

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C25639
UMLS 2011AA Property
C1514756
NCI Thesaurus ObjectClass
C15409
UMLS 2011AA ObjectClass
C0199962
NCI Thesaurus ValueDomain-2
C25577
UMLS 2011AA ValueDomain-2
C1513491
Mds Response
Beschreibung

Mds Response

Best response to date
Beschreibung

MyelodysplasticSyndromeResponseType

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C3247
UMLS 2011AA ObjectClass
C3463824
First observed date
Beschreibung

MyelodysplasticSyndromeResponseFirstDate

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C3247
UMLS 2011AA ObjectClass
C3463824
NCI Thesaurus ValueDomain-2
C25509
UMLS 2011AA ValueDomain-2
C1279901
First Confirmed Date
Beschreibung

MyelodysplasticSyndromeResponseDiagnosisDate

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C3247
UMLS 2011AA ObjectClass
C3463824
NCI Thesaurus ValueDomain-2
C15220
UMLS 2011AA ValueDomain-2
C0011900
Relapse
Beschreibung

DiseaseRelapseInd-3

Datentyp

boolean

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus Property
C18265
NCI Thesaurus ObjectClass
C2991
UMLS CUI-1
C0277556
Date of relapse
Beschreibung

DiseaseRelapseDate

Datentyp

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus Property
C18265
NCI Thesaurus ObjectClass
C2991
UMLS CUI-1
C0035020
UMLS CUI-2
C0011008
If Hematologic improvement
Beschreibung

DiseaseMyelodysplasticSyndromeHematologyResponseType

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C2991
NCI Thesaurus Property
C3247
NCI Thesaurus Property-2
C16673
NCI Thesaurus Property-3
C50995
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0012634
UMLS CUI-2
C3463824
UMLS CUI-3
C0018943
UMLS CUI-4
C1704632
UMLS CUI-5
C0332307
First observed date (HI)
Beschreibung

DiseaseMyelodysplasticSyndromeHematologyResponseFirstDate

Datentyp

date

Alias
NCI Thesaurus ObjectClass
C2991
NCI Thesaurus Property
C3247
NCI Thesaurus Property-2
C16673
NCI Thesaurus Property-3
C50995
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25509
UMLS CUI-1
C0012634
UMLS CUI-2
C3463824
UMLS CUI-3
C0018943
UMLS CUI-4
C1704632
UMLS CUI-5
C0011008
UMLS CUI-6
C1279901
First confirmed date (HI)
Beschreibung

DiseaseMyelodysplasticSyndromeHematologyResponseDiagnosisDate

Datentyp

date

Alias
NCI Thesaurus ObjectClass
C2991
NCI Thesaurus Property
C3247
NCI Thesaurus Property-2
C16673
NCI Thesaurus Property-3
C50995
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C15220
UMLS CUI-1
C0012634
UMLS CUI-2
C3463824
UMLS CUI-3
C0018943
UMLS CUI-4
C1704632
UMLS CUI-5
C0011008
UMLS CUI-6
C0011900
Cytogenetic Response
Beschreibung

CytogeneticResponseType

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C50995
UMLS 2011AA Property
C1704632
NCI Thesaurus ObjectClass
C17938
UMLS 2011AA ObjectClass
C0314603
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Ähnliche Modelle

INSTRUCTIONS: Complete this form and submit original to the ECOG Coordinating Center within one week of registration. Keep a copy for your files

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Header
Protocol Number ECOG
Item
ECOG Protocol Number
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
Patient ID ECOG
Item
ECOG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1512162 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25491 (NCI Thesaurus Property-2)
Generic drug form
Item
DCI Name
text
C25191 (NCI Thesaurus ValueDomain)
C3242750 (UMLS CUI-1)
C19464 (NCI Thesaurus Property)
C25474 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus ObjectClass-2)
Registration Number
Item
Registration Step
text
C25337 (NCI Thesaurus ValueDomain)
C1514821 (UMLS CUI-1)
C25646 (NCI Thesaurus ObjectClass)
C0237753 (UMLS CUI-2)
C16154 (NCI Thesaurus Property)
C16154 (NCI Thesaurus ValueDomain-2)
Patient Initials
Item
Patient Initials (Last, First)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Study Number Participating Group
Item
Participating Group Protocol Number
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Trial subject ID Participating Group
Item
Participating Group Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Institution Name
Item
Institution/Affiliate
text
C25454 (NCI Thesaurus ObjectClass)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
Data amended
Item
Please mark an 'X' if data have been amended. (Please circle amended items in red)
text
C25704 (NCI Thesaurus ValueDomain)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
Data amended date
Item
Date data amended (MM/DD/YYYY)
date
C25164 (NCI Thesaurus ValueDomain)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C0011008 (UMLS CUI-2)
C25416 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
Investigator Signature
Item
Investigator Signature
text
C25704 (NCI Thesaurus ValueDomain)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
Investigator Signature Date
Item
Investigator Signature Date
date
C25164 (NCI Thesaurus ValueDomain)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)
Item Group
On Treatment
Item
On Treatment Report Period (Step 2 - Choose one x)
text
C25284 (NCI Thesaurus ValueDomain)
C2045829 (UMLS CUI-1)
C25214 (NCI Thesaurus Property)
C25616 (NCI Thesaurus Property-2)
C15368 (NCI Thesaurus ObjectClass)
CL.2
Code List
On Treatment Report Period (Step 2 - Choose one x)
CL Item
Cycle 1 Step 2 (Cycle 1 Step 2)
CL Item
Cycle 2 Step 2 (Cycle 2 Step 2)
CL Item
Cycle 3 Step 2 (Cycle 3 Step 2)
CL Item
Cycle 4 Step 2 (Cycle 4 Step 2)
CL Item
Cycle 5 Step 2 (Cycle 5 Step 2)
CL Item
Cycle 6 Step 2 (Cycle 6 Step 2)
CL Item
Cycle 7 Step 2 (Cycle 7 Step 2)
CL Item
Cycle 8 Step 2 (Cycle 8 Step 2)
CL Item
Cycle 9 Step 2 (Cycle 9 Step 2)
CL Item
Cycle 10 Step 2 (Cycle 10 Step 2)
CL Item
Cycle 11 Step 2 (Cycle 11 Step 2)
CL Item
Cycle 12 Step 2 (Cycle 12 Step 2)
CL Item
Cycle 13-step 2 (Cycle 13-Step 2)
CL Item
>cycle 13-step 2 (>Cycle 13-Step 2)
Chemotherapy cycle
Item
Specify Cycle
text
C15368 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C1302181 (UMLS CUI-1)
C25616 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C25472 (NCI Thesaurus ValueDomain-2)
C25275 (NCI Thesaurus ValueDomain-3)
Item Group
Off Treatment
Item
Off Treatment Report Period (since registration - Choose one x)
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
C25601 (NCI Thesaurus Property-2)
C1518544 (UMLS 2011AA Property-2)
C25207 (NCI Thesaurus Property-3)
C0040223 (UMLS 2011AA Property-3)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.3
Code List
Off Treatment Report Period (since registration - Choose one x)
CL Item
3 Months Post End Of Treatment (3 months post end of treatment)
CL Item
6 Months Post End Of Treatment (6 months post end of treatment)
Item Group
Unnamed5
Item
MDS classification
text
C25372 (NCI Thesaurus ValueDomain)
C3247 (NCI Thesaurus ObjectClass)
C25161 (NCI Thesaurus Property)
C75419 (NCI Thesaurus Property-2)
C3463824 (UMLS CUI-1)
C0008902 (UMLS CUI-2)
CL.4
Code List
MDS classification
CL Item
Myelodysplastic Syndrome Associated With Isolated Del (5q) Chromosome Abnormality (MDS associated with isolated del(5q))
C6867 (NCI Thesaurus)
C1292779 (UMLS 2011AA)
CL Item
No Evidence Of Disease (No evidence of disease)
CL Item
Refractory Cytopenia With Multilineage Dysplasia (Refractory Cytopenia with Multilineage Dysplasia)
C8574 (NCI Thesaurus)
C0796466 (UMLS 2011AA)
CL Item
Refractory Cytopenia With Multilineage Dysplasia And Ringed Sideroblasts (Refractory Cytopenia with Multilineage Dysplasia and Ringed Sideroblasts)
C27726 (NCI Thesaurus)
C1301356 (UMLS 2011AA)
CL Item
Chronic Myelomonocytic Leukemia (CMML)
CL Item
Myelodysplastic Syndrome, Unclassifiable (MDS unclassified)
CL Item
Refractory Anemia (RA)
CL Item
Refractory anemia with excess blasts-1 (Raeb-1)
CL Item
Refractory anemia with excess blasts-2 (Raeb-2)
CL Item
Refractory Anemia With Ringed Sideroblasts (RA with Ringed Sideroblasts)
Bone marrow biopsy
Item
Was bone marrow biopsy done
boolean
C25180 (NCI Thesaurus ValueDomain)
C15189 (NCI Thesaurus Property)
C12431 (NCI Thesaurus ObjectClass)
C0005954 (UMLS CUI-1)
Bone marrow biopsy date
Item
Date of Bone Marrow Biopsy (Aspirate)
date
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C15189 (NCI Thesaurus Property)
C12431 (NCI Thesaurus ObjectClass)
C0005954 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Bone Marrow Blasts
Item
Marrow Blasts
float
C25294 (NCI Thesaurus ObjectClass)
C12431 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C12918 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1982687 (UMLS CUI-1)
Bone Marrow Cellularity
Item
Marrow Cellularity
float
C25294 (NCI Thesaurus ObjectClass)
C12431 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C37923 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1561532 (UMLS CUI-1)
Item
Reason bone marrow cellularity was not recorded
text
C25294 (NCI Thesaurus ObjectClass)
C25594 (NCI Thesaurus Property)
C12431 (NCI Thesaurus Property-2)
C25375 (NCI Thesaurus Property-3)
C20200 (NCI Thesaurus Property-4)
C37923 (NCI Thesaurus Property-5)
C25638 (NCI Thesaurus ValueDomain)
C1561532 (UMLS CUI-1)
C1546437 (UMLS CUI-2)
CL.6
Code List
Reason bone marrow cellularity was not recorded
CL Item
Cellularity Status Of Bone Marrow Unknown, Procedure Resulted In No Material To Analyze (Dry Tap or inaspirable)
CL Item
Local Pathologist Did Not Quantify Cellularity (Local pathologist did not quantify cellularity)
Item
Dysplasia
text
C38148 (NCI Thesaurus ValueDomain)
C25626 (NCI Thesaurus Property)
C4086 (NCI Thesaurus ObjectClass)
C0334044 (UMLS CUI-1)
CL.7
Code List
Dysplasia
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Dysplasia type
integer
C25284 (NCI Thesaurus ValueDomain)
C16681 (NCI Thesaurus Property)
C4086 (NCI Thesaurus ObjectClass)
C0334044 (UMLS CUI-1)
C0683312 (UMLS CUI-2)
CL.8
Code List
Dysplasia type
CL Item
Erythroid (1)
CL Item
Megakaryocyte (2)
CL Item
Myeloid (3)
Item
Is cytogenetic abnormality present now
text
C25626 (NCI Thesaurus Property)
C2950 (NCI Thesaurus ObjectClass)
C0021212 (NCI Metathesaurus ValueDomain)
C0008625 (UMLS CUI-1)
CL.9
Code List
Is cytogenetic abnormality present now
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Inevaluable (Inevaluable)
Item Group
Section Ii
Item
Did the patient require packed red blood cell (PRBC) transfusions (in the last 8 weeks)
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C15409 (NCI Thesaurus ObjectClass)
C0199962 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
CL.10
Code List
Did the patient require packed red blood cell (PRBC) transfusions (in the last 8 weeks)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
PackedRedBloodCellTransfusionReceivedUnitCount
Item
Total number of units PRBC (transfused in the last 8 weeks)
float
C44278 (NCI Thesaurus ValueDomain)
C0439148 (UMLS 2011AA ValueDomain)
C25639 (NCI Thesaurus Property)
C1514756 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
C15409 (NCI Thesaurus ObjectClass)
C0199962 (UMLS 2011AA ObjectClass)
PackedRedBloodCellTransfusionReceivedFirstDate
Item
Date of First Transfusion (in the last 8 weeks)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25639 (NCI Thesaurus Property)
C1514756 (UMLS 2011AA Property)
C25509 (NCI Thesaurus ValueDomain-2)
C1279901 (UMLS 2011AA ValueDomain-2)
C15409 (NCI Thesaurus ObjectClass)
C0199962 (UMLS 2011AA ObjectClass)
PackedRedBloodCellTransfusionReceivedMostRecentDate
Item
Date of most recent PRBC transfusion
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25639 (NCI Thesaurus Property)
C1514756 (UMLS 2011AA Property)
C15409 (NCI Thesaurus ObjectClass)
C0199962 (UMLS 2011AA ObjectClass)
C25577 (NCI Thesaurus ValueDomain-2)
C1513491 (UMLS 2011AA ValueDomain-2)
Item Group
Mds Response
Item
Best response to date
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C3247 (NCI Thesaurus ObjectClass)
C3463824 (UMLS 2011AA ObjectClass)
CL.11
Code List
Best response to date
CL Item
Complete Remission (CR)
C4870 (NCI Thesaurus)
C0677874 (UMLS 2011AA)
CL Item
Partial Remission (PR)
C18058 (NCI Thesaurus)
C1521726 (UMLS 2011AA)
CL Item
Stable Disease (SD)
C18213 (NCI Thesaurus)
C0677946 (UMLS 2011AA)
CL Item
Better Hematologic (HI)
C62780 (NCI Thesaurus)
C0205488 (UMLS 2011AA)
C71685 (NCI Thesaurus-3)
C0332272 (UMLS 2011AA-4)
CL Item
Progressive Disease (PD)
C35571 (NCI Thesaurus)
C1335499 (UMLS 2011AA)
CL Item
Transformation To Aml (Transformation to AML)
MyelodysplasticSyndromeResponseFirstDate
Item
First observed date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C3247 (NCI Thesaurus ObjectClass)
C3463824 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus ValueDomain-2)
C1279901 (UMLS 2011AA ValueDomain-2)
MyelodysplasticSyndromeResponseDiagnosisDate
Item
First Confirmed Date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C3247 (NCI Thesaurus ObjectClass)
C3463824 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus ValueDomain-2)
C0011900 (UMLS 2011AA ValueDomain-2)
Relapse
Item
Relapse
boolean
C38148 (NCI Thesaurus ValueDomain)
C18265 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C0277556 (UMLS CUI-1)
Relapse date
Item
Date of relapse
date
C25164 (NCI Thesaurus ValueDomain)
C18265 (NCI Thesaurus Property)
C2991 (NCI Thesaurus ObjectClass)
C0035020 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Item
If Hematologic improvement
text
C2991 (NCI Thesaurus ObjectClass)
C3247 (NCI Thesaurus Property)
C16673 (NCI Thesaurus Property-2)
C50995 (NCI Thesaurus Property-3)
C25284 (NCI Thesaurus ValueDomain)
C0012634 (UMLS CUI-1)
C3463824 (UMLS CUI-2)
C0018943 (UMLS CUI-3)
C1704632 (UMLS CUI-4)
C0332307 (UMLS CUI-5)
CL.13
Code List
If Hematologic improvement
CL Item
Major Erythroid Response (Major erythroid response)
CL Item
Minor Erythroid Response (Minor erythroid response)
CL Item
Relapse Major Erythroid Response (Relaspe MER)
First observed date HI
Item
First observed date (HI)
date
C2991 (NCI Thesaurus ObjectClass)
C3247 (NCI Thesaurus Property)
C16673 (NCI Thesaurus Property-2)
C50995 (NCI Thesaurus Property-3)
C25164 (NCI Thesaurus ValueDomain)
C25509 (NCI Thesaurus ValueDomain-2)
C0012634 (UMLS CUI-1)
C3463824 (UMLS CUI-2)
C0018943 (UMLS CUI-3)
C1704632 (UMLS CUI-4)
C0011008 (UMLS CUI-5)
C1279901 (UMLS CUI-6)
First confirmed date HI
Item
First confirmed date (HI)
date
C2991 (NCI Thesaurus ObjectClass)
C3247 (NCI Thesaurus Property)
C16673 (NCI Thesaurus Property-2)
C50995 (NCI Thesaurus Property-3)
C25164 (NCI Thesaurus ValueDomain)
C15220 (NCI Thesaurus ValueDomain-2)
C0012634 (UMLS CUI-1)
C3463824 (UMLS CUI-2)
C0018943 (UMLS CUI-3)
C1704632 (UMLS CUI-4)
C0011008 (UMLS CUI-5)
C0011900 (UMLS CUI-6)
Item
Cytogenetic Response
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C50995 (NCI Thesaurus Property)
C1704632 (UMLS 2011AA Property)
C17938 (NCI Thesaurus ObjectClass)
C0314603 (UMLS 2011AA ObjectClass)
CL.14
Code List
Cytogenetic Response
CL Item
Complete Cytogenetic Response (Complete Cytogenetic Response)
CL Item
Partial Cytogenetic Response (Partial Cytogenetic Response)
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