EBMT Centre Identification Code (CIC)
Item
EBMT Centre Identification Code (CIC)
integer
C2348585 (UMLS CUI [1,1])
C3826859 (UMLS CUI [1,2])
Hospital
Item
Name of the hospital
text
C0019994 (UMLS CUI [1])
Unit
Item
Unit
integer
C1519795 (UMLS CUI [1])
Contact person
Item
Name of contact person
text
C0337611 (UMLS CUI [1])
Telephone
Item
Telephone number
integer
C1515258 (UMLS CUI [1])
Fax
Item
Fax
integer
C1549619 (UMLS CUI [1])
E-Mail
Item
E-Mail
integer
C1705961 (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])
Code List
Patient following national / international study / trial
CL Item
Not evaluated (3)
Name of study / trial
Item
Name of study / trial
text
C0008976 (UMLS CUI [1])
Unique Identification Code (UIC)
Item
Unique Identification Code (UIC)
integer
C2348585 (UMLS CUI [1])
Hospital Unique Patient Number or Code
Item
Hospital Unique Patient Number or Code
text
C1827636 (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])
Item
Sex
text
C0079399 (UMLS CUI [1])
ABO Group
Item
ABO Group
integer
C0000778 (UMLS CUI [1])
Rh factor
Item
Rh factor Donor a
boolean
C0035403 (UMLS CUI [1,1])
C0013018 (UMLS CUI [1,2])
Date of diagnosis
Item
Date of diagnosis
date
C2316983 (UMLS CUI [1])
Item
Check the disease for which this transplant was performed
integer
C0277554 (UMLS CUI [1])
Code List
Check the disease for which this transplant was performed
CL Item
Acute Leukaemia (Acute Leukaemia)
C0085669 (UMLS CUI-1)
CL Item
Acute Myelogenous Leukaemia (AML) (Acute Myelogenous Leukaemia (AML))
C0023467 (UMLS CUI-1)
CL Item
Acute Lymphoblastic Leukaemia (ALL) (Acute Lymphoblastic Leukaemia (ALL))
C0023449 (UMLS CUI-1)
CL Item
Secondary Acute Leukaemia (do not use if transformed from MDS/MPN) (Secondary Acute Leukaemia (do not use if transformed from MDS/MPN))
C0856053 (UMLS CUI-1)
CL Item
Chronic Leukaemia (Chronic Leukaemia)
C0856053 (UMLS CUI-1)
CL Item
Chronic Myeloid Leukaemia (CML) (Chronic Myeloid Leukaemia (CML))
C0023473 (UMLS CUI-1)
CL Item
Chronic Lymphocytic Leukaemia (Chronic Lymphocytic Leukaemia)
C0023434 (UMLS CUI-1)
CL Item
Lymphoma (Lymphoma)
C0024299 (UMLS CUI-1)
CL Item
Non Hodgkin (Non Hodgkin)
C0024305 (UMLS CUI-1)
CL Item
Myeloma/ Plasma cell disorder (Myeloma/ Plasma cell disorder)
C0026764 (UMLS CUI-1)
CL Item
Solid Tumour (Solid Tumour)
C0006826 (UMLS CUI-1)
CL Item
Myelodysplastic syndromes (Myelodysplastic syndromes)
C0280450 (UMLS CUI-1)
CL Item
MDS (MDS)
C3463824 (UMLS CUI-1)
CL Item
MD/ MPN (MD/ MPN)
C1292778 (UMLS CUI-1)
CL Item
Myeloproliferative neoplasm (Myeloproliferative neoplasm)
C1333046 (UMLS CUI-1)
CL Item
Bone marrow failure including Aplastic anaemia (Bone marrow failure including Aplastic anaemia)
C0002874 (UMLS CUI-1)
CL Item
Inherited disorders (Inherited disorders)
C0019247 (UMLS CUI-1)
CL Item
Primary immune deficiencies (Primary immune deficiencies)
C0398686 (UMLS CUI-1)
CL Item
Metabolic disorders (Metabolic disorders)
C0025517 (UMLS CUI-1)
CL Item
Histiocytic disorders (Histiocytic disorders)
C0398597 (UMLS CUI-1)
CL Item
Autoimmune disease (Autoimmune disease)
C0004364 (UMLS CUI-1)
CL Item
Juvenile Idiopathic Arthritis (Juvenile Idiopathic Arthritis)
C1444841 (UMLS CUI-1)
CL Item
Multiple Sclerosis (Multiple Sclerosis)
C0026769 (UMLS CUI-1)
CL Item
Systemic Lupus (Systemic Lupus)
C0024141 (UMLS CUI-1)
CL Item
Systemic Sclerosis (Systemic Sclerosis)
C0036421 (UMLS CUI-1)
CL Item
Other diagnosis (Other diagnosis)
C0205394 (UMLS CUI-1)
CL Item
Hodgkin´s Disease (Hodgkin´s Disease)
C0019829 (UMLS CUI-1)
CL Item
Haemoglobinopathies (Haemoglobinopathies)
C0019045 (UMLS CUI-1)
Item
Has the information requested in this section been submitted with a previous HSCT registration for this patient?
integer
C2348568 (UMLS CUI [1])
Code List
Has the information requested in this section been submitted with a previous HSCT registration for this patient?
CL Item
Yes: go to page 3, Pre-HSCT Treatment (1)
CL Item
No: proceed with this section (2)
EVIDENCE OF UNDERLYING PLASMA CELL DISORDER
Item
EVIDENCE OF UNDERLYING PLASMA CELL DISORDER
boolean
C1959632 (UMLS CUI [1])
Item
In case of EVIDENCE OF UNDERLYING PLASMA CELL DISORDER, please specify:
integer
Code List
In case of EVIDENCE OF UNDERLYING PLASMA CELL DISORDER, please specify:
CL Item
Monoclonal Gammopathy (Monoclonal Gammopathy)
C1136085 (UMLS CUI-1)
CL Item
Multiple Myeloma (Multiple Myeloma)
C0026764 (UMLS CUI-1)
CL Item
Other B-cell malignancy (Other B-cell malignancy)
C1868683 (UMLS CUI-1)
If Other B-cell malignancy, specify
Item
If Other B-cell malignancy, specify
text
Item
Select one as applicable
integer
Code List
Select one as applicable
CL Item
IgG (1)
C0202087 (UMLS CUI-1)
CL Item
IgA (2)
C0202083 (UMLS CUI-1)
CL Item
IgD (3)
C0577612 (UMLS CUI-1)
CL Item
IgE (4)
C0020846 (UMLS CUI-1)
CL Item
IgM (5)
C0202084 (UMLS CUI-1)
CL Item
Absent (6)
C0332197 (UMLS CUI-1)
CL Item
Not evaluated (7)
C3846720 (UMLS CUI-1)
Item
Select one as applicable
integer
Code List
Select one as applicable
CL Item
Not evaluated (4)
Item
If Multiple myeloma: Stage at diagnosis (Salmon and Durie) A
integer
C0278722 (UMLS CUI [1])
Code List
If Multiple myeloma: Stage at diagnosis (Salmon and Durie) A
If Multiple myeloma: Stage at diagnosis (Salmon and Durie) B
Item
If Multiple myeloma: Stage at diagnosis (Salmon and Durie) B
boolean
C0278722 (UMLS CUI [1,1])
C0026764 (UMLS CUI [1,2])
Item
DIAGNOSIS OF AMYLOIDOSIS
integer
C0740340 (UMLS CUI [1,1])
C1550352 (UMLS CUI [1,2])
Code List
DIAGNOSIS OF AMYLOIDOSIS
CL Item
Not evaluated (2)
Item
DIAGNOSIS OF AMYLOIDOSIS via Immunohistochemistry
integer
C0021044 (UMLS CUI [1,1])
C0740340 (UMLS CUI [1,2])
Code List
DIAGNOSIS OF AMYLOIDOSIS via Immunohistochemistry
CL Item
Not evaluated (Not evaluated)
Item
CLINICAL AND LABORATORY DATA
integer
C1516606 (UMLS CUI [1,1])
C1254595 (UMLS CUI [1,2])
Code List
CLINICAL AND LABORATORY DATA
CL Item
Serum creatinine (1)
C0201976 (UMLS CUI-1)
CL Item
Hb (g/dL) (2)
C0019046 (UMLS CUI-1)
CL Item
Total urinary protein excretion (mg/24 h) (3)
C0033687 (UMLS CUI-1)
CL Item
Total urinary albumin excretion (mg/24 h) (4)
C2362049 (UMLS CUI-1)
CL Item
Serum calcium (mmol/L) (5)
C0036785 (UMLS CUI-1)
CL Item
Serum albumin (g/L) (6)
C0036773 (UMLS CUI-1)
CL Item
Serum alkaline phosphatase (IU/L) (7)
C0428334 (UMLS CUI-1)
CL Item
Serum bilirubin (8)
C1278039 (UMLS CUI-1)
CL Item
NT-proBNP (ng/L) (9)
C0754710 (UMLS CUI-1)
CL Item
Serum c-Troponin T (μg/L) (10)
C0077404 (UMLS CUI-1)
BM aspirate
Item
BM aspirate: % plasmacytosis
float
C0857285 (UMLS CUI [1,1])
C0085663 (UMLS CUI [1,2])
BM trephine
Item
BM trephine % plasmacytosis
float
C0398526 (UMLS CUI [1,1])
C0085663 (UMLS CUI [1,2])
Monoclonal Ig in serum
Item
Monoclonal Ig in serum
float
C1532873 (UMLS CUI [1,1])
C3516447 (UMLS CUI [1,2])
Item
Immunofixation of serum
integer
C1271678 (UMLS CUI [1])
Code List
Immunofixation of serum
CL Item
Not evaluated (3)
Item
Free Kappa light chains in serum
integer
C0443743 (UMLS CUI [1])
Code List
Free Kappa light chains in serum
CL Item
Not evaluated (1)
Item
Lambda light chains
integer
C0021037 (UMLS CUI [1])
Code List
Lambda light chains
CL Item
Not evaluated (1)
Item
Immunofixation of urine
integer
C1271641 (UMLS CUI [1])
Code List
Immunofixation of urine
CL Item
Not evaluated (3)
Monoclonal light chains in urine
Item
Monoclonal light chains in urine
integer
C0004965 (UMLS CUI [1])
Serum Beta2 microglobulin
Item
Serum Beta2 microglobulin
float
C0859328 (UMLS CUI [1])
Item
Bone structure (X-ray)
integer
C0262950 (UMLS CUI [1])
Code List
Bone structure (X-ray)
CL Item
Normal (1)
C0205307 (UMLS CUI-1)
CL Item
Lytic lesion (2)
C0221204 (UMLS CUI-1)
CL Item
Not evaluated (3)
C3846720 (UMLS CUI-1)
CL Item
Unknown (4)
C0439673 (UMLS CUI-1)
Item
Macroglossia
integer
C0024421 (UMLS CUI [1])
CL Item
Not evaluated (3)
Item
Periorbital bleeding
integer
C3203729 (UMLS CUI [1])
Code List
Periorbital bleeding
CL Item
Not evaluated (3)
Item
Shoulder pad sign
integer
C0231656 (UMLS CUI [1])
Code List
Shoulder pad sign
CL Item
Not evaluated (3)
Item
Soft Tissues
integer
C0037578 (UMLS CUI [1])
CL Item
Dominant organ(s) involved (Dominant organ(s) involved)
C1527180 (UMLS CUI-1)
CL Item
Additional organ involvement (Additional organ involvement)
C0457576 (UMLS CUI-1)
CL Item
Biopsy (Biopsy)
C0005558 (UMLS CUI-1)
CL Item
No involvement (No involvement)
C1517677 (UMLS CUI-1)
Item
Gastrointestinal Tract
integer
C0017189 (UMLS CUI [1])
Code List
Gastrointestinal Tract
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Heart
integer
C0018787 (UMLS CUI [1])
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Liver
integer
C0023884 (UMLS CUI [1])
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Kidney
integer
C0022646 (UMLS CUI [1])
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Peripheral nerves
integer
C1557517 (UMLS CUI [1])
Code List
Peripheral nerves
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Autonomic nerves
integer
C0206250 (UMLS CUI [1])
Code List
Autonomic nerves
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
if other, please specify
integer
C0457577 (UMLS CUI [1])
Code List
if other, please specify
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Liver span in ultrasound or CT scan (cm craniocaudal diameter)
integer
C1148377 (UMLS CUI [1])
Code List
Liver span in ultrasound or CT scan (cm craniocaudal diameter)
CL Item
Not evaluated (1)
Item
NYHA class
integer
C1275491 (UMLS CUI [1])
LVEF
Item
Left Ventricular Ejection Fraction
float
C0428772 (UMLS CUI [1])
Interventricular septal wall thickness
Item
Interventricular septal wall thickness
float
C0801204 (UMLS CUI [1])
Item
Weight loss
integer
C1262477 (UMLS CUI [1])
CL Item
Not evaluated (3)
Item
Malabsorption
integer
C0024523 (UMLS CUI [1])
CL Item
Not evaluated (3)
Item
GI bleeding
integer
C0017181 (UMLS CUI [1])
CL Item
Not evaluated (3)
Other evidence of gastrointestinal involvement
Item
If other evidence of gastrointestinal involvement, please specify
integer
C0521362 (UMLS CUI [1])
Item
Neurological exam
text
C0027853 (UMLS CUI [1])
Code List
Neurological exam
CL Item
Abnormal ( Abnormal )
CL Item
Not evaluated or failed ( Not evaluated or failed )
CL Item
Unknown ( Unknown)
Neurological exam
Item
Neurological exam: If abnormal: Specify abnormality
integer
C0027853 (UMLS CUI [1])
Item
PNP severity
integer
C0152025 (UMLS CUI [1])
Item
Orthostatic hypotension
integer
C0020651 (UMLS CUI [1])
Code List
Orthostatic hypotension
CL Item
Not evaluated (3)
Item
Intractable diarrhoea
integer
C1857276 (UMLS CUI [1])
Code List
Intractable diarrhoea
CL Item
Not evaluated (3)
Item
Inflexible pulse rate
integer
C0232117 (UMLS CUI [1])
Code List
Inflexible pulse rate
CL Item
Not evaluated (3)
Other sites
Item
Clinical evidence for involvement of other sites
text
C0012634 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
WAS THE PATIENT TREATED BEFORE THE HSCT PROCEDURE?
Item
WAS THE PATIENT TREATED BEFORE THE HSCT PROCEDURE?
boolean
C0420262 (UMLS CUI [1])
Chemotherapy
Item
Chemotherapy
boolean
C0392920 (UMLS CUI [1])
Item
Modality Chemotherapy
integer
Code List
Modality Chemotherapy
CL Item
Chemotherapy regimen (Chemotherapy regimen)
CL Item
Number of cycles (Number of cycles)
Modality
Item
If Other Modality, please specify
integer
C0695347 (UMLS CUI [1])
DATE OF HSCT
Item
DATE OF HSCT
date
C2584899 (UMLS CUI [1])
HSCT TYPE
Item
HSCT TYPE Allogeneic:
boolean
C1515895 (UMLS CUI [1])
Autologous: Date of 1st collection or pheresis
Item
Autologous: Date of 1st collection or pheresis
date
C2584899 (UMLS CUI [1])
Item
Haematological status
integer
C0279810 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
Code List
Haematological status
CL Item
At diagnosis (At diagnosis )
CL Item
CR1 (CR1 )
C0449438 (UMLS CUI-1)
CL Item
CR2 ( CR2 )
C0449438 (UMLS CUI-1)
CL Item
>CR2 ( >CR2 )
C0449438 (UMLS CUI-1)
CL Item
PR1 ( PR1 )
C1521726 (UMLS CUI-1)
CL Item
PR2 ( PR2 )
C1521726 (UMLS CUI-1)
CL Item
>PR2 ( >PR2 )
C1521726 (UMLS CUI-1)
CL Item
No change ( No change )
C0443172 (UMLS CUI-1)
CL Item
Progression (Progression )
C0242656 (UMLS CUI-1)
CL Item
Unknown (Unknown)
C0439673 (UMLS CUI-1)
Item
Organ status
integer
C0449438 (UMLS CUI [1,1])
C0178784 (UMLS CUI [1,2])
CL Item
Response (2)
C0521982 (UMLS CUI-1)
CL Item
No change (3)
C0442739 (UMLS CUI-1)
CL Item
Progression (4)
C0242656 (UMLS CUI-1)
CL Item
Unknown (5)
C0439673 (UMLS CUI-1)
Hb
Item
Hb
float
C0019046 (UMLS CUI [1])
Item
CLINICAL AND LABORATORY DATA
integer
C1516606 (UMLS CUI [1,1])
C1254595 (UMLS CUI [1,2])
Code List
CLINICAL AND LABORATORY DATA
CL Item
Serum creatinine (1)
C0201976 (UMLS CUI-1)
CL Item
Hb (g/dL) (2)
C0019046 (UMLS CUI-1)
CL Item
Total urinary protein excretion (mg/24 h) (3)
C0033687 (UMLS CUI-1)
CL Item
Total urinary albumin excretion (mg/24 h) (4)
C2362049 (UMLS CUI-1)
CL Item
Serum calcium (mmol/L) (5)
C0036785 (UMLS CUI-1)
CL Item
Serum albumin (g/L) (6)
C0036773 (UMLS CUI-1)
CL Item
Serum alkaline phosphatase (IU/L) (7)
C0428334 (UMLS CUI-1)
CL Item
Serum bilirubin (8)
C1278039 (UMLS CUI-1)
CL Item
NT-proBNP (ng/L) (9)
C0754710 (UMLS CUI-1)
CL Item
Serum c-Troponin T (μg/L) (10)
C0077404 (UMLS CUI-1)
BM aspirate
Item
BM aspirate: % plasmacytosis
float
C0857285 (UMLS CUI [1,1])
C0085663 (UMLS CUI [1,2])
BM trephine
Item
BM trephine % plasmacytosis
float
C0398526 (UMLS CUI [1,1])
C0085663 (UMLS CUI [1,2])
Monoclonal Ig in serum
Item
Monoclonal Ig in serum
float
C1532873 (UMLS CUI [1,1])
C3516447 (UMLS CUI [1,2])
Item
Immunofixation of serum
integer
C1271678 (UMLS CUI [1])
Code List
Immunofixation of serum
CL Item
Not evaluated (3)
Item
Free Kappa light chains in serum
integer
C0443743 (UMLS CUI [1])
Code List
Free Kappa light chains in serum
CL Item
Not evaluated (1)
Item
Lambda light chains
integer
C0021037 (UMLS CUI [1])
Code List
Lambda light chains
CL Item
Not evaluated (1)
Item
Immunofixation of urine
integer
C1271641 (UMLS CUI [1])
Code List
Immunofixation of urine
CL Item
Not evaluated (3)
Monoclonal light chains in urine
Item
Monoclonal light chains in urine
integer
C0004965 (UMLS CUI [1])
Serum Beta2 microglobulin
Item
Serum Beta2 microglobulin
float
C0859328 (UMLS CUI [1])
Item
Soft Tissues
integer
C0037578 (UMLS CUI [1])
CL Item
Dominant organ(s) involved (Dominant organ(s) involved)
C1527180 (UMLS CUI-1)
CL Item
Additional organ involvement (Additional organ involvement)
C0457576 (UMLS CUI-1)
CL Item
Biopsy (Biopsy)
C0005558 (UMLS CUI-1)
CL Item
No involvement (No involvement)
C1517677 (UMLS CUI-1)
Item
Gastrointestinal Tract
integer
C0017189 (UMLS CUI [1])
Code List
Gastrointestinal Tract
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Heart
integer
C0018787 (UMLS CUI [1])
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Liver
integer
C0023884 (UMLS CUI [1])
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Kidney
integer
C0022646 (UMLS CUI [1])
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Peripheral nerves
integer
C1557517 (UMLS CUI [1])
Code List
Peripheral nerves
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Autonomic nerves
integer
C0206250 (UMLS CUI [1])
Code List
Autonomic nerves
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
No involvement (4)
Item
Liver span in ultrasound or CT scan (cm craniocaudal diameter)
integer
C1148377 (UMLS CUI [1])
Code List
Liver span in ultrasound or CT scan (cm craniocaudal diameter)
CL Item
Not evaluated (1)
Item
NYHA class
integer
C1275491 (UMLS CUI [1])
LVEF
Item
Left Ventricular Ejection Fraction
float
C0428772 (UMLS CUI [1])
Interventricular septal wall thickness
Item
Interventricular septal wall thickness
float
C0801204 (UMLS CUI [1])
Item
Weight loss
integer
C1262477 (UMLS CUI [1])
CL Item
Not evaluated (3)
Item
Malabsorption
integer
C0024523 (UMLS CUI [1])
CL Item
Not evaluated (3)
Item
GI bleeding
integer
C0017181 (UMLS CUI [1])
CL Item
Not evaluated (3)
Other evidence of gastrointestinal involvement
Item
If other evidence of gastrointestinal involvement, please specify
integer
C0521362 (UMLS CUI [1])
Item
Neurological exam
text
C0027853 (UMLS CUI [1])
Code List
Neurological exam
CL Item
Abnormal ( Abnormal )
CL Item
Not evaluated or failed ( Not evaluated or failed )
CL Item
Unknown ( Unknown)
Neurological exam
Item
Neurological exam: If abnormal: Specify abnormality
integer
C0027853 (UMLS CUI [1])
Item
PNP severity
integer
C0152025 (UMLS CUI [1])
Item
Orthostatic hypotension
integer
C0020651 (UMLS CUI [1])
Code List
Orthostatic hypotension
CL Item
Not evaluated (3)
Item
Intractable diarrhoea
integer
C1857276 (UMLS CUI [1])
Code List
Intractable diarrhoea
CL Item
Not evaluated (3)
Item
Inflexible pulse rate
integer
C0232117 (UMLS CUI [1])
Code List
Inflexible pulse rate
CL Item
Not evaluated (3)
Other sites
Item
Clinical evidence for involvement of other sites
text
C0012634 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Item
BEST HAEMATOLOGICAL RESPONSE TO HSCT AT 100 DAYS
text
Code List
BEST HAEMATOLOGICAL RESPONSE TO HSCT AT 100 DAYS
CL Item
No change (No change )
CL Item
Progression ( Progression )
CL Item
Not evaluable (Not evaluable )
CL Item
Unknown ( Unknown)
DATE RESPONSE ACHIEVED OR ASSESSED
Item
DATE RESPONSE ACHIEVED OR ASSESSED
date
Item
CLINICAL AND LABORATORY DATA
integer
C1516606 (UMLS CUI [1,1])
C1254595 (UMLS CUI [1,2])
Code List
CLINICAL AND LABORATORY DATA
CL Item
Serum creatinine (1)
C0201976 (UMLS CUI-1)
CL Item
Hb (g/dL) (2)
C0019046 (UMLS CUI-1)
CL Item
Total urinary protein excretion (mg/24 h) (3)
C0033687 (UMLS CUI-1)
CL Item
Total urinary albumin excretion (mg/24 h) (4)
C2362049 (UMLS CUI-1)
CL Item
Serum calcium (mmol/L) (5)
C0036785 (UMLS CUI-1)
CL Item
Serum albumin (g/L) (6)
C0036773 (UMLS CUI-1)
CL Item
Serum alkaline phosphatase (IU/L) (7)
C0428334 (UMLS CUI-1)
CL Item
Serum bilirubin (8)
C1278039 (UMLS CUI-1)
CL Item
NT-proBNP (ng/L) (9)
C0754710 (UMLS CUI-1)
CL Item
Serum c-Troponin T (μg/L) (10)
C0077404 (UMLS CUI-1)
Serum creatinine
Item
Serum creatinine
float
C0201976 (UMLS CUI [1])
Creatinine clearance (mL/min)
Item
Creatinine clearance (mL/min)
float
C0373595 (UMLS CUI [1])
Total urinary protein excretion (mg/24 h)
Item
Total urinary protein excretion (mg/24 h)
float
C3897352 (UMLS CUI [1])
Total urinary albumin excretion (mg/24 h)
Item
Total urinary albumin excretion (mg/24 h)
float
C0585937 (UMLS CUI [1])
Serum NT-pro-BNP (ng/L)
Item
Serum NT-pro-BNP (ng/L) CLINICAL AND LABORATORY DATA
float
Serum c-Troponin T (μg/L)
Item
Serum c-Troponin T (μg/L) CLINICAL AND LABORATORY DATA
float
BM aspirate
Item
BM aspirate: % plasmacytosis
float
C0857285 (UMLS CUI [1,1])
C0085663 (UMLS CUI [1,2])
BM trephine
Item
BM trephine % plasmacytosis
float
C0398526 (UMLS CUI [1,1])
C0085663 (UMLS CUI [1,2])
Monoclonal Ig in serum
Item
Monoclonal Ig in serum
float
C1532873 (UMLS CUI [1,1])
C3516447 (UMLS CUI [1,2])
Item
Immunofixation of serum
integer
C1271678 (UMLS CUI [1])
Code List
Immunofixation of serum
CL Item
Not evaluated (3)
Item
Free Kappa light chains in serum
integer
C0443743 (UMLS CUI [1])
Code List
Free Kappa light chains in serum
CL Item
Not evaluated (1)
Item
Lambda light chains
integer
C0021037 (UMLS CUI [1])
Code List
Lambda light chains
CL Item
Not evaluated (1)
Item
Immunofixation of urine
integer
C1271641 (UMLS CUI [1])
Code List
Immunofixation of urine
CL Item
Not evaluated (3)
Monoclonal light chains in urine
Item
Monoclonal light chains in urine
integer
C0004965 (UMLS CUI [1])
Serum Beta2 microglobulin
Item
Serum Beta2 microglobulin
float
C0859328 (UMLS CUI [1])
CL Item
No response/stable disease (2)
CL Item
Progressive disease (3)
CL Item
Not evaluable (4)
CL Item
Not evaluated/not applicable (5)
Liver span in ultrasound or CT scan
Item
Liver Liver span in ultrasound or CT scan (cm craniocaudal diameter)
float
Item
Hepatic response
integer
Code List
Hepatic response
CL Item
No response/stable disease (2)
CL Item
Progressive disease (3)
CL Item
Not evaluable (4)
CL Item
Not evaluated/not applicable (5)
Item
Heart NYHA class
integer
Code List
Heart NYHA class
CL Item
Unknown (Unknown)
Left ventricular ejection fraction
Item
Left ventricular ejection fraction
float
Interventricular septal wall thickness
Item
Interventricular septal wall thickness (mean # mm in echocardiogram)
float
Item
Cardiac response
text
Code List
Cardiac response
CL Item
Response (Response )
CL Item
No response/stable disease ( No response/stable disease )
CL Item
Progressive disease ( Progressive disease)
CL Item
Not evaluable ( Not evaluable )
CL Item
Not evaluated/not applicable ( Not evaluated/not applicable )
CL Item
Unknown ( Unknown)
Item
Weight loss
integer
C1262477 (UMLS CUI [1])
CL Item
Not evaluated (3)
Item
Malabsorption
integer
C0024523 (UMLS CUI [1])
CL Item
Not evaluated (3)
Item
GI bleeding
integer
C0017181 (UMLS CUI [1])
CL Item
Not evaluated (3)
CL Item
No response/stable disease (2)
CL Item
Progressive disease (3)
CL Item
Not evaluable (4)
CL Item
Not evaluated/not applicable (5)
Item
Neurological exam Peripheral neuropathy (Compare current situation to situation before HSCT)
integer
Code List
Neurological exam Peripheral neuropathy (Compare current situation to situation before HSCT)
Item
PNP severity Peripheral neuropathy (Compare current situation to situation before HSCT)
integer
Code List
PNP severity Peripheral neuropathy (Compare current situation to situation before HSCT)
Item
PN response Peripheral neuropathy (Compare current situation to situation before HSCT)
integer
Code List
PN response Peripheral neuropathy (Compare current situation to situation before HSCT)
CL Item
Response (Response )
CL Item
Unknown (Unknown)
CL Item
No response/stable disease (No response/stable disease )
CL Item
Progressive disease (Progressive disease)
CL Item
Not evaluable (Not evaluable )
CL Item
Not evaluated/not applicable (Not evaluated/not applicable )
Item
AN response Autonomic neuropathy
integer
Code List
AN response Autonomic neuropathy
CL Item
Response (Response )
CL Item
No response/stable disease (No response/stable disease )
CL Item
Progressive disease (Progressive disease)
CL Item
Not evaluable (Not evaluable )
CL Item
Not evaluated/not applicable (Not evaluated/not applicable )
CL Item
Unknown (Unknown)
Clinical evidence for involvement of new sites
Item
Clinical evidence for involvement of new sites Evidence of new organ involvement
text
KARNOFSKY
Item
KARNOFSKY
text
Item
Type of Transplant
text
C0559189 (UMLS CUI [1,1])
C0040739 (UMLS CUI [1,2])
Code List
Type of Transplant
CL Item
AUTOgraft (proceed to Autograft form) (AUTOgraft (proceed to Autograft form))
CL Item
ALLOgraft or Syngeneic graft (proceed to Allograft form) (ALLOgraft or Syngeneic graft (proceed to Allograft form))
CL Item
Other (contact the EBMT Central Registry for instructions) (Other (contact the EBMT Central Registry for instructions))
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])
Initialen
Item
Initials
text
C2986440 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Date of HSCT
Item
Date of HSCT
date
C2584899 (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
Code List
Complete haematological remission obtained after the HSCT in the absence of additional disease treatment
CL Item
Previously reported (1)
Item
Maximum Grade of Acute GVHD
text
C0856825 (UMLS CUI [1,1])
C0806909 (UMLS CUI [1,2])
C0441800 (UMLS CUI [1,3])
C1561607 (UMLS CUI [1,4])
Code List
Maximum Grade of Acute GVHD
CL Item
Agvhd Grade 0 (0)
CL Item
Agvhd Grade I (I)
CL Item
Agvhd Grade Ii (II)
CL Item
Agvhd Grade Iii (III)
CL Item
Agvhd Grade Iv (IV)
CL Item
Agvhd Present, Grade Unknown (Present, grade unknown)
Item
If present type of GvHD
integer
C0856825 (UMLS CUI [1])
Code List
If present type of GvHD
Item
Reason for aGvHD
integer
C0392360 (UMLS CUI [1,1])
C0856825 (UMLS CUI [1,2])
Code List
Reason for aGvHD
CL Item
Unexplained (Unexplained)
C0439673 (UMLS CUI-1)
CL Item
Tapering (Tapering)
C0441640 (UMLS CUI-1)
CL Item
DLI (DLI)
C1512034 (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
integer
C0856825 (UMLS CUI [1,1])
C1306673 (UMLS CUI [1,2])
CL Item
Stage skin (1)
C1610605 (UMLS CUI-1)
CL Item
Stage liver (2)
C1610054 (UMLS CUI-1)
CL Item
Stage gut (3)
C0856825 (UMLS CUI-1)
C0017178 (UMLS CUI-2)
Item
aGvHD Resolution
integer
C0856825 (UMLS CUI [1,1])
C1514893 (UMLS CUI [1,2])
Code List
aGvHD Resolution
aGvHD Date of resolution
Item
Date of resolution
date
C0856825 (UMLS CUI [1,1])
C1514893 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Presence of cGvHD
text
C0867389 (UMLS CUI [1])
Code List
Presence of cGvHD
CL Item
Present continously since last reported episode (Present continously since last reported episode)
CL Item
Resolved (Resolved)
Item
Presence of cGVHD if yes
integer
C0867389 (UMLS CUI [1])
Code List
Presence of cGVHD if yes
CL Item
First episode (1)
cGvHD Date of onset
Item
cGvHD Date of onset
date
C0867389 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
cGvHD grade
integer
C0867389 (UMLS CUI [1,1])
C0441800 (UMLS CUI [1,2])
Item
Organs affected
integer
C0449642 (UMLS CUI [1])
Code List
Organs affected
CL Item
Other, specify (7)
Date of Resolution
Item
If resolved, specify the date of resolution:
date
C1514893 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Infection related complications
Item
Infection related complications
boolean
C0009450 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
Item
Bacteraemia / fungemia / viremia / parasites
integer
C0004610 (UMLS CUI [1])
C0085082 (UMLS CUI [2])
C0042749 (UMLS CUI [3])
C0030498 (UMLS CUI [4])
Code List
Bacteraemia / fungemia / viremia / parasites
Item
integer
C0036983 (UMLS CUI [1])
Item
ARDS
integer
C0035222 (UMLS CUI [1])
Item
Multiorgan failure due to infection
integer
C0026766 (UMLS CUI [1])
Code List
Multiorgan failure due to infection
Item
Pneumonia
integer
C0032285 (UMLS CUI [1])
Item
Hepatitis
integer
C0019158 (UMLS CUI [1])
Item
CNS infection
integer
C0007684 (UMLS CUI [1])
Item
Gut infection
integer
C0178238 (UMLS CUI [1])
Item
Skin infection
integer
C0037278 (UMLS CUI [1])
Skin infection
Item
Date Provide different dates for different episodes of the same complication if applicable.
text
Item
Cystitis
integer
C0010692 (UMLS CUI [1])
Item
Retinitis
integer
C0035333 (UMLS CUI [1])
Item
Other
integer
C0205394 (UMLS CUI [1])
Non infection related complications
Item
Non infection related complications
boolean
C0009566 (UMLS CUI [1])
Item
CTC grade Cardiovascular
integer
C0007226 (UMLS CUI [1,1])
C1516728 (UMLS CUI [1,2])
Code List
CTC grade Cardiovascular
Date Cardiovascular
Item
Date Cardiovascular
date
C0007222 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])
Cardiovascular comments
Item
Cardiovascular comments
integer
C0947611 (UMLS CUI [1,1])
C0007222 (UMLS CUI [1,2])
Item
CTC grade Dermatologic
integer
C1516728 (UMLS CUI [1,1])
C0205489 (UMLS CUI [1,2])
Code List
CTC grade Dermatologic
Date Dermatologic
Item
Date Dermatologic
date
C0205489 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])
Dermatologic
Item
Comments
text
C0947611 (UMLS CUI [1,1])
C0205489 (UMLS CUI [1,2])
Item
CTC grade Gastrointestinal
integer
C1516728 (UMLS CUI [1,1])
C0521362 (UMLS CUI [1,2])
Code List
CTC grade Gastrointestinal
Date Gastrointestinal
Item
Date Gastrointestinal
date
C0521362 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])
Gastrointestinal Comments
Item
Gastrointestinal Comments
text
C0521362 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item
CTC grade Haemorrhage
integer
C1516728 (UMLS CUI [1,1])
C0019080 (UMLS CUI [1,2])
Code List
CTC grade Haemorrhage
Date Haemorrhage
Item
Date Haemorrhage
date
C1516728 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])
Haemorrhage Comments
Item
Haemorrhage Comments
text
C1516728 (UMLS CUI [1])
Item
CTC grade Hepatic
integer
C1516728 (UMLS CUI [1,1])
C0205054 (UMLS CUI [1,2])
Code List
CTC grade Hepatic
Date Hepatic
Item
Date Hepatic
date
C1516728 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])
Hepatic Comments
Item
Hepatic Comments
text
C1516728 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item
CTC grade Neurologic
integer
C1516728 (UMLS CUI [1,1])
C0205494 (UMLS CUI [1,2])
Code List
CTC grade Neurologic
Date Neurologic
Item
Date Neurologic
date
C1516728 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])
Neurologic Comments
Item
Neurologic Comments
text
C2316983 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item
CTC grade Pulmonary
integer
C1516728 (UMLS CUI [1,1])
C0024109 (UMLS CUI [1,2])
Code List
CTC grade Pulmonary
Pulmonary Date
Item
Pulmonary Date
date
C1516728 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])
Pulmonary Comments
Item
Pulmonary Comments
text
C1516728 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item
CTC grade Renal
integer
C1516728 (UMLS CUI [1,1])
C0022646 (UMLS CUI [1,2])
Code List
CTC grade Renal
Renal Date
Item
Renal Date
date
C0022646 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])
Renal Comments
Item
Renal Comments
text
C0022646 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item
Other CTC grade
integer
C1516728 (UMLS CUI [1,1])
C0220886 (UMLS CUI [1,2])
Code List
Other CTC grade
Date of other Type
Item
Date of other Type
date
C2316983 (UMLS CUI [1,1])
C0220886 (UMLS CUI [1,2])
Comments of Other type
Item
Comments of Other type
text
C0220886 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item
Graft loss
text
C0877042 (UMLS CUI [1])
CL Item
Not evaluated (Not evaluated)
Item
Overall chimaerism
integer
C0206612 (UMLS CUI [1])
Code List
Overall chimaerism
CL Item
Full (donor >95 %) (1)
CL Item
Mixed (partial) (2)
CL Item
Autologous reconstitution (recipient >95 %) (3)
CL Item
Not evaluated (5)
Date of Test
Item
Date of Test
date
C0011008 (UMLS CUI [1])
Identification
Item
Identification of donor or Cord Blood Unit given by the centre
text
C1718162 (UMLS CUI [1])
Number in the infusion order
Item
Number in the infusion order (if applicable)
text
C0237753 (UMLS CUI [1])
Item
Cell type on which test was performed BM
integer
C0449475 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
Code List
Cell type on which test was performed BM
CL Item
Bone marrow (1)
C0005953 (UMLS CUI-1)
CL Item
PB mononuclear cells (PBMC) (2)
C1321301 (UMLS CUI-1)
CL Item
T-cell (3)
C0039194 (UMLS CUI-1)
CL Item
B-cells (4)
C0004561 (UMLS CUI-1)
CL Item
Red blood cells (5)
C0014772 (UMLS CUI-1)
CL Item
Monocytes (6)
C0026473 (UMLS CUI-1)
CL Item
PMNs (neutrophils) (7)
C0200633 (UMLS CUI-1)
CL Item
Lymphocytes (8)
C0024264 (UMLS CUI-1)
CL Item
Myeloid cells (9)
C0887899 (UMLS CUI-1)
CL Item
Other (10)
C0205394 (UMLS CUI-1)
Item
Laboratory tests used:
integer
C0022885 (UMLS CUI [1])
Code List
Laboratory tests used:
CL Item
FISH (FISH)
C0162789 (UMLS CUI-1)
CL Item
Molecular (Molecular)
C0026376 (UMLS CUI-1)
CL Item
Cytogenetic (Cytogenetic)
C0010802 (UMLS CUI-1)
CL Item
ABO group (ABO group)
C0000778 (UMLS CUI-1)
CL Item
Other (Other)
C0205394 (UMLS CUI-1)
CL Item
unknown (unknown)
C0439673 (UMLS CUI-1)
Item
SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED
integer
C3266877 (UMLS CUI [1])
C0024314 (UMLS CUI [2])
C0027022 (UMLS CUI [3])
Code List
SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED
CL Item
Previously reported (1)
C0205309 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
No at date of this follow-up (3)
C1298908 (UMLS CUI-1)
Date of diagnosis
Item
Date of diagnosis
date
C2316983 (UMLS CUI [1,1])
C1274082 (UMLS CUI [1,2])
Item
Diagnosis Secondary Malignant Neoplasm
integer
C0011900 (UMLS CUI [1,1])
C2939419 (UMLS CUI [1,2])
Code List
Diagnosis Secondary Malignant Neoplasm
CL Item
AML (1)
C0023467 (UMLS CUI-1)
CL Item
MDS (2)
C3463824 (UMLS CUI-1)
CL Item
Lymphoproliferative disorder (3)
C0024314 (UMLS CUI-1)
CL Item
Other (4)
C0205394 (UMLS CUI-1)
If other diagnosis, please specify
Item
If other diagnosis, please specify
text
C0011900 (UMLS CUI [1,1])
C2939419 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item
Treatment given since last report
text
C1706712 (UMLS CUI [1])
Code List
Treatment given since last report
CL Item
Unknown (Unknown)
Date started
Item
Date started
date
Item
If yes: CELLULAR THERAPY 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.
integer
Code List
If yes: CELLULAR THERAPY 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.
Item
Disease status before this cellular therapy
integer
C0012634 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
Code List
Disease status before this cellular therapy
CL Item
Not evaluated (3)
Item
If yes: Type of cells
integer
C0302189 (UMLS CUI [1])
Code List
If yes: Type of cells
CL Item
Donor lymphocyte infusion (DLI) (1)
CL Item
Mesenchymal cells (2)
Item
If DLI, specify the number of cells infused by type: Nucleated cells
text
C1180059 (UMLS CUI [1])
Code List
If DLI, specify the number of cells infused by type: Nucleated cells
CL Item
Evaluated (Evaluated)
CL Item
Not evaluated (Not evaluated)
CL Item
unknown (unknown)
Item
Number of cells infused by type
integer
C2145394 (UMLS CUI [1])
Code List
Number of cells infused by type
CL Item
Nucleated cells (1)
Item
Total number of cells
text
C0007584 (UMLS CUI [1,1])
C2145394 (UMLS CUI [1,2])
Code List
Total number of cells
CL Item
Evaluated (Evaluated)
CL Item
Not Evaluated (Not Evaluated)
CL Item
Unknown (Unknown)
Chronological number
Item
Chronological number of this cell therapy for this patient
float
C2348184 (UMLS CUI [1])
Item
Indication (check all that apply)
text
C3146298 (UMLS CUI [1,1])
C0302189 (UMLS CUI [1,2])
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)
Infusion count
Item
Number of infusions within 10 weeks (count only infusions that are part of same regimen and given for the same indication)
float
C0574032 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Item
Maximum Grade of Acute GVHD
text
C0856825 (UMLS CUI [1,1])
C0441800 (UMLS CUI [1,2])
Code List
Maximum Grade of Acute GVHD
CL Item
Agvhd Grade 0 (0)
CL Item
Agvhd Grade I (I)
CL Item
Agvhd Grade Ii (II)
CL Item
Agvhd Grade Iii (III)
CL Item
Agvhd Grade Iv (IV)
CL Item
Agvhd 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])
Code List
Disease treatment (apart from donor cell infusion or other type of cell therapy)
CL Item
Yes: Planned (planned before HSCT took place) (2)
CL Item
Yes: Not planned (for relapse/progression or persistent disease) (3)
Item
EVIDENCE OF DISEASE ACTIVITY
text
C0544450 (UMLS CUI [1])
Code List
EVIDENCE OF DISEASE ACTIVITY
CL Item
Previously reported (Previously reported)
CL Item
Continuous worsening since HSCT (Continuous worsening since HSCT)
CL Item
Unknown (Unknown)
EVIDENCE OF DISEASE ACTIVITY
Item
If yes, date first noted
date
C0544450 (UMLS CUI [1,1])
C2316983 (UMLS CUI [1,2])
Item
HAEMATOLOGICAL DISEASE STATUS
integer
C0018939 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
Code List
HAEMATOLOGICAL DISEASE STATUS
CL Item
Complete remission (Complete remission)
CL Item
Partial remission (Partial remission)
CL Item
Stable disease (Stable disease)
CL Item
Progression (Progression)
CL Item
Not evaluable (Not evaluable)
CL Item
Unknown (Unknown)
Item
Organ Response
integer
C1817419 (UMLS CUI [1])
CL Item
Not evaluable (4)
Item
CLINICAL AND LABORATORY DATA
integer
C1516606 (UMLS CUI [1,1])
C1254595 (UMLS CUI [1,2])
Code List
CLINICAL AND LABORATORY DATA
CL Item
Serum creatinine (1)
C0201976 (UMLS CUI-1)
CL Item
Hb (g/dL) (2)
C0019046 (UMLS CUI-1)
CL Item
Total urinary protein excretion (mg/24 h) (3)
C0033687 (UMLS CUI-1)
CL Item
Total urinary albumin excretion (mg/24 h) (4)
C2362049 (UMLS CUI-1)
CL Item
Serum calcium (mmol/L) (5)
C0036785 (UMLS CUI-1)
CL Item
Serum albumin (g/L) (6)
C0036773 (UMLS CUI-1)
CL Item
Serum alkaline phosphatase (IU/L) (7)
C0428334 (UMLS CUI-1)
CL Item
Serum bilirubin (8)
C1278039 (UMLS CUI-1)
CL Item
NT-proBNP (ng/L) (9)
C0754710 (UMLS CUI-1)
CL Item
Serum c-Troponin T (μg/L) (10)
C0077404 (UMLS CUI-1)
BM aspirate
Item
BM aspirate: % plasmacytosis
float
C0857285 (UMLS CUI [1,1])
C0085663 (UMLS CUI [1,2])
BM trephine
Item
BM trephine % plasmacytosis
float
C0398526 (UMLS CUI [1,1])
C0085663 (UMLS CUI [1,2])
Monoclonal Ig in serum
Item
Monoclonal Ig in serum
float
C1532873 (UMLS CUI [1,1])
C3516447 (UMLS CUI [1,2])
Item
Immunofixation of serum
integer
C1271678 (UMLS CUI [1])
Code List
Immunofixation of serum
CL Item
Not evaluated (3)
Item
Free Kappa light chains in serum
integer
C0443743 (UMLS CUI [1])
Code List
Free Kappa light chains in serum
CL Item
Not evaluated (1)
Item
Lambda light chains
integer
C0021037 (UMLS CUI [1])
Code List
Lambda light chains
CL Item
Not evaluated (1)
Item
Immunofixation of urine
integer
C1271641 (UMLS CUI [1])
Code List
Immunofixation of urine
CL Item
Not evaluated (3)
Monoclonal light chains in urine
Item
Monoclonal light chains in urine
integer
C0004965 (UMLS CUI [1])
Serum Beta2 microglobulin
Item
Serum Beta2 microglobulin
float
C0859328 (UMLS CUI [1])
Item
Renal response
integer
C0022646 (UMLS CUI [1,1])
C1704632 (UMLS CUI [1,2])
CL Item
No response/stable disease (2)
CL Item
Progressive disease (3)
CL Item
Not evaluable (4)
CL Item
Not evaluated/not applicable (5)
Liver span in ultrasound or CT scan
Item
Liver span (cm craniocaudal diameter)
float
Item
Hepatic response
text
C1817762 (UMLS CUI [1])
Code List
Hepatic response
CL Item
Response (Response)
CL Item
No response/stable disease (No response/stable disease)
CL Item
Progressive disease (Progressive disease)
CL Item
Not evaluable (Not evaluable)
CL Item
Not evaluated/not applicable (Not evaluated/not applicable)
CL Item
Unknown (Unknown)
Item
NYHA class
integer
C1275491 (UMLS CUI [1])
LVEF
Item
Left Ventricular Ejection Fraction
float
C0428772 (UMLS CUI [1])
Interventricular septal wall thickness
Item
Interventricular septal wall thickness (mean # mm in echocardiogram)
float
C0225870 (UMLS CUI [1])
Item
Cardiac response
integer
C1522601 (UMLS CUI [1,1])
C0871261 (UMLS CUI [1,2])
Code List
Cardiac response
CL Item
No response/stable disease (2)
CL Item
Progressive disease (3)
CL Item
Not evaluable (4)
CL Item
Not evaluated/not applicable (5)
Item
Weight loss
integer
C1262477 (UMLS CUI [1])
CL Item
Not evaluated (3)
Item
Malabsorption
integer
C0024523 (UMLS CUI [1])
CL Item
Not evaluated (3)
Item
GI bleeding
integer
C0017181 (UMLS CUI [1])
CL Item
Not evaluated (3)
Item
GI response
integer
C1817419 (UMLS CUI [1,1])
C0521362 (UMLS CUI [1,2])
CL Item
No response/stable disease (2)
CL Item
Progressive disease (3)
CL Item
Not evaluable (4)
CL Item
Not evaluated/not applicable (5)
Item
Neurological exam
integer
C0027853 (UMLS CUI [1])
Code List
Neurological exam
Item
PNP severity
integer
C0152025 (UMLS CUI [1])
Item
PN response
integer
C0031117 (UMLS CUI [1])
CL Item
No response/stable disease (2)
CL Item
Progressive disease (3)
CL Item
Not evaluable (4)
CL Item
Not evaluated/not applicable (5)
Item
Autonomic neuropathy
integer
C0259749 (UMLS CUI [1])
Code List
Autonomic neuropathy
CL Item
No response/stable disease (2)
CL Item
Progressive disease (3)
CL Item
Not evaluable (4)
CL Item
Not evaluated/not applicable (5)
Evidence of new organ involvement
Item
Evidence of new organ involvement
text
C0457576 (UMLS CUI [1])
Item
Has patient or partner become pregnant after this HSCT?
integer
Code List
Has patient or partner become pregnant after this HSCT?
Item
Survival Status
integer
C1148433 (UMLS CUI [1])
Code List
Survival Status
Item
Type of score used PERFORMANCE SCORE (if alive)
integer
Code List
Type of score used PERFORMANCE SCORE (if alive)
Item
Score
integer
C1518965 (UMLS CUI [1])
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)
Item
CAUSE OF DEATH (check only one main cause)
integer
C0007465 (UMLS CUI [1])
Code List
CAUSE OF DEATH (check only one main cause)
CL Item
Due to amyloidosis (progression of disease) (1)
C0002726 (UMLS CUI-1)
C0007465 (UMLS CUI-2)
CL Item
Secondary malignancy (including lymphoproliferative disease) (2)
C0007465 (UMLS CUI-1)
C3266877 (UMLS CUI-2)
CL Item
HSCT related cause (3)
C0007465 (UMLS CUI-1)
C0472699 (UMLS CUI-2)
CL Item
unknown (4)
C0439673 (UMLS CUI-1)
C0007465 (UMLS CUI-2)
CL Item
other (5)
C0007465 (UMLS CUI-1)
C0439673 (UMLS CUI-2)
Item
cGvHD
integer
C0867389 (UMLS CUI [1])
Item
Interstitial pneumonitis Cause of death
integer
C0007465 (UMLS CUI [1,1])
C0206061 (UMLS CUI [1,2])
Code List
Interstitial pneumonitis Cause of death
Item
Pulmonary toxicity Cause
integer
C0007465 (UMLS CUI [1,1])
C0919924 (UMLS CUI [1,2])
Code List
Pulmonary toxicity Cause
Item
Infection:
integer
C0009450 (UMLS CUI [1])
Item
Rejection / poor graft function
integer
C0018129 (UMLS CUI [1])
Code List
Rejection / poor graft function
Item
Veno-Occlusive disease (VOD)
integer
C0007465 (UMLS CUI [1,1])
C0948441 (UMLS CUI [1,2])
Code List
Veno-Occlusive disease (VOD)
Item
Haemorrhage
integer
C0007465 (UMLS CUI [1,1])
C0019080 (UMLS CUI [1,2])
Item
Cardiac toxicity
integer
C0007465 (UMLS CUI [1,1])
C0876994 (UMLS CUI [1,2])
Code List
Cardiac toxicity
Item
Central nervous system toxicity
integer
C0007465 (UMLS CUI [1,1])
C3160947 (UMLS CUI [1,2])
Code List
Central nervous system toxicity
Item
Gastro intestinal toxicity
integer
C0007465 (UMLS CUI [1,1])
C1142499 (UMLS CUI [1,2])
Code List
Gastro intestinal toxicity
Item
Skin toxicity
integer
C1167791 (UMLS CUI [1])
Item
Renal failure
integer
C1533077 (UMLS CUI [1])
Item
Multiple organ failure
integer
C0026766 (UMLS CUI [1])
Code List
Multiple organ failure
Other
Item
If other HSCT related cause, please specify
text
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
IDENTIFICATION & SIGNATURE
Item
IDENTIFICATION & SIGNATURE
text
C0205396 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])