ID
43882
Descripción
ODM form derived from 16pp General Info EBMT Lymphoma 04. please refer to: http://www.ebmt.org/Contents/Data-Management/Registrystructure/MED-ABdatacollectionforms/Pages/MED-AB-data-collection-forms.aspx
Link
Palabras clave
Versiones (3)
- 27/9/17 27/9/17 -
- 27/9/17 27/9/17 -
- 20/9/21 20/9/21 -
Subido en
20 de septiembre de 2021
DOI
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Licencia
Creative Commons BY-NC 3.0
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General Info EBMT Lymphoma
16pp General Info EBMT Lymphoma 04
- StudyEvent: ODM
Descripción
GENERAL INFORMATION Patient
Descripción
To be entered only if patient previously reported
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C2348585
Descripción
Hospital Unique Patient Number or Code
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C2926025
Descripción
First name(s)_surname(s)
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2986440
Descripción
Date of birth
Tipo de datos
date
Alias
- UMLS CUI [1]
- C0421451
Descripción
Sex
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0079399
Descripción
ABO Group
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0000778
Descripción
Rh factor
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0035403
Descripción
DISEASE
Descripción
Date of diagnosis
Tipo de datos
date
Alias
- UMLS CUI [1]
- C2316983
Descripción
Check the disease for which this transplant was performed
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0277554
Descripción
LYMPHOMA INITIAL DIAGNOSIS
Descripción
Has the information requested in this section been submitted with a previous transplant registration for this patient?
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0421512
Descripción
Non Hodgkin Lymphoma (NHL)
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0024305
Descripción
Transformed from another type of lymphoma at HSCT?
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0854868
Descripción
Mature T-cell & NK-cell Neoplasms
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1336554
Descripción
HODGKIN LYMPHOMAS
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0019829
Descripción
ANN ARBOR STAGING FOR ADULT NON-BURKITT'S PATIENTS, MURPHY STAGE FOR BURKITT'S DISEASE AND PAEDIATRIC PATIENTS.
Tipo de datos
text
Alias
- UMLS CUI [1]
- C1300072
Descripción
Systemic symptoms
Tipo de datos
text
Alias
- UMLS CUI [1]
- C2039684
Descripción
DISEASE INVOLVEMENT AT DIAGNOSIS
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1272779
Descripción
LDH LEVELS
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0022917
Descripción
Specific sites of involvement
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C2046538
Descripción
TREATMENT GIVEN BEFORE THE 1ST TRANSPLANT
Descripción
Has the information requested in this section been submitted with a previous transplant registration for this patient?
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1514821
Descripción
WAS THE PATIENT TREATED BEFORE THE 1ST TRANSPLANT PROCEDURE?
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0040732
Descripción
Sequential number of this treatment
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0087111
Descripción
Modality Chemo/drug/agent
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0695347
Descripción
If MoAB, radiolabelled
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0392292
Descripción
Radiotherapy
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C1522449
Descripción
Response to this line of therapy
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0521982
Descripción
ADDITIONAL TREATMENT GIVEN BEFORE THE 1ST TRANSPLANT?
Tipo de datos
text
Alias
- UMLS CUI [1]
- C1706712
Descripción
Pharmacotherapy
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0013216
Descripción
Regimen
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0392920
Descripción
Radiotherapy
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C1522449
Descripción
Response to this line of therapy
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0871261
Descripción
DISEASE HISTORY BEFORE HSCT
Descripción
Date of transplant
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C0472699
- UMLS CUI [1,2]
- C0011008
Descripción
(since diagnosis if 1st transplant, or since last reported transplant)
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1708063
Descripción
Modality used at least once
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0695347
Descripción
Splenectomy
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0037995
Descripción
TYPE OF RELAPSE
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0205336
Descripción
CR achieved before the 1st transplant
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0677874
Descripción
TO BE COMPLETED ONLY IF PATIENT HAD A CR BEFORE THE 1ST TRANSPLANT
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0035020
Descripción
STATUS OF DISEASE AT HSCT
Descripción
If patient has ever achieved Complete remission
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0677874
Descripción
RELAPSE
Tipo de datos
boolean
Alias
- UMLS CUI [1]
- C0277556
Descripción
TYPE OF RELAPSE
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0035020
- UMLS CUI [1,2]
- C0035020
Descripción
If patient has never achieved a Complete remission
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0677874
Descripción
NUMBER OF THIS PR
Tipo de datos
text
Alias
- UMLS CUI [1]
- C1521726
Descripción
DISEASE INVOLVEMENT AT TRANSPLANT
Tipo de datos
text
Alias
- UMLS CUI [1]
- C0012634
Descripción
(if patient in CR at HSCT, indicate “No mass”)
Tipo de datos
text
Alias
- UMLS CUI [1]
- C3272927
Descripción
Specific sites of disease
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0027653
Descripción
Number of relapses in the last 12 months unknown
Tipo de datos
integer
Alias
- UMLS CUI [1,1]
- C0035020
- UMLS CUI [1,2]
- C0237753
Descripción
ADDITIONAL TREATMENT POST-HSCT
Descripción
Additional Disease Treatment
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1706712
Descripción
Date started
Tipo de datos
date
Alias
- UMLS CUI [1]
- C2712338
Descripción
Modality
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C0695347
Descripción
Radiotherapy
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1522449
Descripción
BEST DISEASE RESPONSE AT 100 DAYS POST-HSCT
Descripción
BEST RESPONSE AT 100 DAYS AFTER TRANSPLANTATION
Tipo de datos
integer
Alias
- UMLS CUI [1]
- C1704632
Descripción
If Complete remission: Date of CR
Tipo de datos
date
Alias
- UMLS CUI [1,1]
- C4050094
- UMLS CUI [1,2]
- C2316983
Descripción
FORMS TO BE FILLED IN
Similar models
16pp General Info EBMT Lymphoma 04
- StudyEvent: ODM
C3826859 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
C0677874 (UMLS CUI-2)
C0032743 (UMLS CUI-2)
C2316983 (UMLS CUI [1,2])