ID

44114

Description

DOCUMENTED PATHOGENS (Use this table for guidance on the pathogens of interest) 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

Mots-clés

  1. 19/06/2016 19/06/2016 -
  2. 10/04/2021 10/04/2021 - Ahmed Rafee, MD
  3. 20/09/2021 20/09/2021 -
Détendeur de droits

Folgt

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20 septembre 2021

DOI

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Creative Commons BY 4.0

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18pp EBMT Amyloidosis

18pp EBMT Amyloidosis

  1. StudyEvent: ODM
    1. 18pp EBMT Amyloidosis
GENERAL INFORMATION TEAM
Description

GENERAL INFORMATION TEAM

EBMT Centre Identification Code (CIC)
Description

EBMT Centre Identification Code (CIC)

Type de données

integer

Alias
UMLS CUI [1,1]
C2348585
UMLS CUI [1,2]
C3826859
Name of the hospital
Description

Hospital

Type de données

text

Alias
UMLS CUI [1]
C0019994
Unit
Description

Unit

Type de données

integer

Alias
UMLS CUI [1]
C1519795
Name of contact person
Description

Contact person

Type de données

text

Alias
UMLS CUI [1]
C0337611
Telephone number
Description

Telephone

Type de données

integer

Alias
UMLS CUI [1]
C1515258
Fax
Description

Fax

Type de données

integer

Alias
UMLS CUI [1]
C1549619
E-Mail
Description

E-Mail

Type de données

integer

Alias
UMLS CUI [1]
C1705961
Date of this report
Description

Date of this report

Type de données

date

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

Patient in Trial

Type de données

integer

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

Name of study / trial

Type de données

text

Alias
UMLS CUI [1]
C0008976
GENERAL INFORMATION PATIENT
Description

GENERAL INFORMATION PATIENT

Unique Identification Code (UIC)
Description

To be entered only if patient previously reported

Type de données

integer

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

Hospital Unique Patient Number or Code

Type de données

text

Alias
UMLS CUI [1]
C1827636
First name(s)_surname(s)
Description

Initials

Type de données

text

Alias
UMLS CUI [1]
C2986440
Date of birth
Description

Date of birth

Type de données

date

Alias
UMLS CUI [1]
C0421451
Sex
Description

Sex

Type de données

text

Alias
UMLS CUI [1]
C0079399
ABO Group
Description

ABO Group

Type de données

integer

Alias
UMLS CUI [1]
C0000778
Rh factor Donor a
Description

Rh factor

Type de données

boolean

Alias
UMLS CUI [1,1]
C0035403
UMLS CUI [1,2]
C0013018
DISEASE
Description

DISEASE

Date of diagnosis
Description

Date of diagnosis

Type de données

date

Alias
UMLS CUI [1]
C2316983
Check the disease for which this transplant was performed
Description

Primary Disease Diagnosis

Type de données

integer

Alias
UMLS CUI [1]
C0277554
AL AMYLOIDOSIS INITIAL DIAGNOSIS
Description

AL AMYLOIDOSIS INITIAL DIAGNOSIS

Has the information requested in this section been submitted with a previous HSCT registration for this patient?
Description

SubmittedPreviously

Type de données

integer

Alias
UMLS CUI [1]
C2348568
EVIDENCE OF UNDERLYING PLASMA CELL DISORDER
Description

EVIDENCE OF UNDERLYING PLASMA CELL DISORDER

Type de données

boolean

Alias
UMLS CUI [1]
C1959632
In case of EVIDENCE OF UNDERLYING PLASMA CELL DISORDER, please specify:
Description

if yes

Type de données

integer

If Other B-cell malignancy, specify
Description

EVIDENCE OF UNDERLYING PLASMA CELL DISORDER

Type de données

text

Select one as applicable
Description

EVIDENCE OF UNDERLYING PLASMA CELL DISORDER

Type de données

integer

Select one as applicable
Description

EVIDENCE OF UNDERLYING PLASMA CELL DISORDER

Type de données

integer

If Multiple myeloma: Stage at diagnosis (Salmon and Durie) A
Description

If Multiple myeloma: Stage at diagnosis (Salmon and Durie) A

Type de données

integer

Alias
UMLS CUI [1]
C0278722
If Multiple myeloma: Stage at diagnosis (Salmon and Durie) B
Description

If Multiple myeloma: Stage at diagnosis (Salmon and Durie) B

Type de données

boolean

Alias
UMLS CUI [1,1]
C0278722
UMLS CUI [1,2]
C0026764
DIAGNOSIS OF AMYLOIDOSIS
Description

Methods Hereditary Amyloidosis

Type de données

integer

Alias
UMLS CUI [1,1]
C0740340
UMLS CUI [1,2]
C1550352
DIAGNOSIS OF AMYLOIDOSIS via Immunohistochemistry
Description

DIAGNOSIS OF AMYLOIDOSIS via Immunohistochemistry

Type de données

integer

Alias
UMLS CUI [1,1]
C0021044
UMLS CUI [1,2]
C0740340
CLINICAL AND LABORATORY DATA
Description

CLINICAL AND LABORATORY DATA

Type de données

integer

Alias
UMLS CUI [1,1]
C1516606
UMLS CUI [1,2]
C1254595
BM aspirate: % plasmacytosis
Description

BM aspirate

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1,1]
C0857285
UMLS CUI [1,2]
C0085663
%
BM trephine % plasmacytosis
Description

BM trephine

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1,1]
C0398526
UMLS CUI [1,2]
C0085663
%
Monoclonal Ig in serum
Description

Monoclonal Ig in serum

Type de données

float

Unités de mesure
  • g/L
Alias
UMLS CUI [1,1]
C1532873
UMLS CUI [1,2]
C3516447
g/L
Immunofixation of serum
Description

Immunofixation of serum

Type de données

integer

Alias
UMLS CUI [1]
C1271678
Free Kappa light chains in serum
Description

Kappa light chains

Type de données

integer

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0443743
Lambda light chains
Description

Lambda light chains

Type de données

integer

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0021037
Immunofixation of urine
Description

Immunofixation of urine

Type de données

integer

Alias
UMLS CUI [1]
C1271641
Monoclonal light chains in urine
Description

Monoclonal light chains in urine

Type de données

integer

Unités de mesure
  • g/24h
Alias
UMLS CUI [1]
C0004965
g/24h
Serum Beta2 microglobulin
Description

Serum Beta2 microglobulin

Type de données

float

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0859328
mg/L
Bone structure (X-ray)
Description

Bone structure (X-ray)

Type de données

integer

Alias
UMLS CUI [1]
C0262950
Macroglossia
Description

Typical clinical symptoms

Type de données

integer

Alias
UMLS CUI [1]
C0024421
Periorbital bleeding
Description

Typical clinical symptoms

Type de données

integer

Alias
UMLS CUI [1]
C3203729
Shoulder pad sign
Description

Typical clinical symptoms

Type de données

integer

Alias
UMLS CUI [1]
C0231656
ORGAN INVOLVEMENT AT DIAGNOSIS
Description

ORGAN INVOLVEMENT AT DIAGNOSIS

Soft Tissues
Description

Soft Tissue

Type de données

integer

Alias
UMLS CUI [1]
C0037578
Gastrointestinal Tract
Description

Gastrointestinal Tract

Type de données

integer

Alias
UMLS CUI [1]
C0017189
Heart
Description

Heart

Type de données

integer

Alias
UMLS CUI [1]
C0018787
Liver
Description

Liver

Type de données

integer

Alias
UMLS CUI [1]
C0023884
Kidney
Description

Kidney

Type de données

integer

Alias
UMLS CUI [1]
C0022646
Peripheral nerves
Description

Peripheral nerves

Type de données

integer

Alias
UMLS CUI [1]
C1557517
Autonomic nerves
Description

Autonomic nerves

Type de données

integer

Alias
UMLS CUI [1]
C0206250
if other, please specify
Description

ORGAN INVOLVEMENT AT DIAGNOSIS

Type de données

integer

Alias
UMLS CUI [1]
C0457577
Liver span in ultrasound or CT scan (cm craniocaudal diameter)
Description

Liver span in ultrasound or CT scan

Type de données

integer

Alias
UMLS CUI [1]
C1148377
NYHA class
Description

NYHA class

Type de données

integer

Alias
UMLS CUI [1]
C1275491
Left Ventricular Ejection Fraction
Description

LVEF

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1]
C0428772
%
Interventricular septal wall thickness
Description

(mean # mm in echocardiogram)

Type de données

float

Unités de mesure
  • mm
Alias
UMLS CUI [1]
C0801204
mm
Weight loss
Description

Weight loss

Type de données

integer

Alias
UMLS CUI [1]
C1262477
Malabsorption
Description

Malabsorption

Type de données

integer

Alias
UMLS CUI [1]
C0024523
GI bleeding
Description

GI Bleeding

Type de données

integer

Alias
UMLS CUI [1]
C0017181
If other evidence of gastrointestinal involvement, please specify
Description

Other evidence of gastrointestinal involvement

Type de données

integer

Alias
UMLS CUI [1]
C0521362
Neurological exam
Description

Neurological exam

Type de données

text

Alias
UMLS CUI [1]
C0027853
Neurological exam: If abnormal: Specify abnormality
Description

Neurological exam

Type de données

integer

Alias
UMLS CUI [1]
C0027853
PNP severity
Description

PNP severity

Type de données

integer

Alias
UMLS CUI [1]
C0152025
Orthostatic hypotension
Description

Orthostatic hypotension

Type de données

integer

Alias
UMLS CUI [1]
C0020651
Intractable diarrhoea
Description

Intractable diarrhoea

Type de données

integer

Alias
UMLS CUI [1]
C1857276
Inflexible pulse rate
Description

Inflexible pulse rate

Type de données

integer

Alias
UMLS CUI [1]
C0232117
Clinical evidence for involvement of other sites
Description

Other sites

Type de données

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0450429
PRE-HSCT TREATMENT
Description

PRE-HSCT TREATMENT

WAS THE PATIENT TREATED BEFORE THE HSCT PROCEDURE?
Description

WAS THE PATIENT TREATED BEFORE THE HSCT PROCEDURE?

Type de données

boolean

Alias
UMLS CUI [1]
C0420262
Chemotherapy
Description

Chemotherapy

Type de données

boolean

Alias
UMLS CUI [1]
C0392920
Modality Chemotherapy
Description

Modality Chemotherapy

Type de données

integer

If Other Modality, please specify
Description

Modality

Type de données

integer

Alias
UMLS CUI [1]
C0695347
HSCT
Description

HSCT

DATE OF HSCT
Description

DATE OF HSCT

Type de données

date

Alias
UMLS CUI [1]
C2584899
HSCT TYPE Allogeneic:
Description

proceed to “Status at Start of Conditioning” on page 4

Type de données

boolean

Alias
UMLS CUI [1]
C1515895
Autologous: Date of 1st collection or pheresis
Description

Autologous: Date of 1st collection or pheresis

Type de données

date

Alias
UMLS CUI [1]
C2584899
STATUS OF DISEASE AT COLLECTION (AUTOGRAFTS ONLY)
Description

STATUS OF DISEASE AT COLLECTION (AUTOGRAFTS ONLY)

Haematological status
Description

Haematological status

Type de données

integer

Alias
UMLS CUI [1]
C0279810
Organ status
Description

At diagnosis

Type de données

integer

Alias
UMLS CUI [1]
C0478647
STATUS OF DISEASE AT START OF CONDITIONING FOR BMT
Description

STATUS OF DISEASE AT START OF CONDITIONING FOR BMT

Haematological status
Description

Haematological status

Type de données

integer

Alias
UMLS CUI [1,1]
C0279810
UMLS CUI [1,2]
C0449438
Organ status
Description

At diagnosis

Type de données

integer

Alias
UMLS CUI [1,1]
C0449438
UMLS CUI [1,2]
C0178784
Hb
Description

CLINICAL AND LABORATORY DATA

Type de données

float

Unités de mesure
  • g/dl
Alias
UMLS CUI [1]
C0019046
g/dl
CLINICAL AND LABORATORY DATA
Description

CLINICAL AND LABORATORY DATA

Type de données

integer

Alias
UMLS CUI [1,1]
C1516606
UMLS CUI [1,2]
C1254595
BM aspirate: % plasmacytosis
Description

BM aspirate

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1,1]
C0857285
UMLS CUI [1,2]
C0085663
%
BM trephine % plasmacytosis
Description

BM trephine

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1,1]
C0398526
UMLS CUI [1,2]
C0085663
%
Monoclonal Ig in serum
Description

Monoclonal Ig in serum

Type de données

float

Unités de mesure
  • g/L
Alias
UMLS CUI [1,1]
C1532873
UMLS CUI [1,2]
C3516447
g/L
Immunofixation of serum
Description

Immunofixation of serum

Type de données

integer

Alias
UMLS CUI [1]
C1271678
Free Kappa light chains in serum
Description

Kappa light chains

Type de données

integer

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0443743
Lambda light chains
Description

Lambda light chains

Type de données

integer

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0021037
Immunofixation of urine
Description

Immunofixation of urine

Type de données

integer

Alias
UMLS CUI [1]
C1271641
Monoclonal light chains in urine
Description

Monoclonal light chains in urine

Type de données

integer

Unités de mesure
  • g/24h
Alias
UMLS CUI [1]
C0004965
g/24h
Serum Beta2 microglobulin
Description

Serum Beta2 microglobulin

Type de données

float

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0859328
mg/L
Soft Tissues
Description

Soft Tissue

Type de données

integer

Alias
UMLS CUI [1]
C0037578
Gastrointestinal Tract
Description

Gastrointestinal Tract

Type de données

integer

Alias
UMLS CUI [1]
C0017189
Heart
Description

Heart

Type de données

integer

Alias
UMLS CUI [1]
C0018787
Liver
Description

Liver

Type de données

integer

Alias
UMLS CUI [1]
C0023884
Kidney
Description

Kidney

Type de données

integer

Alias
UMLS CUI [1]
C0022646
Peripheral nerves
Description

Peripheral nerves

Type de données

integer

Alias
UMLS CUI [1]
C1557517
Autonomic nerves
Description

Autonomic nerves

Type de données

integer

Alias
UMLS CUI [1]
C0206250
Liver span in ultrasound or CT scan (cm craniocaudal diameter)
Description

Liver span in ultrasound or CT scan

Type de données

integer

Alias
UMLS CUI [1]
C1148377
NYHA class
Description

NYHA class

Type de données

integer

Alias
UMLS CUI [1]
C1275491
Left Ventricular Ejection Fraction
Description

LVEF

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1]
C0428772
%
Interventricular septal wall thickness
Description

(mean # mm in echocardiogram)

Type de données

float

Unités de mesure
  • mm
Alias
UMLS CUI [1]
C0801204
mm
Weight loss
Description

Weight loss

Type de données

integer

Alias
UMLS CUI [1]
C1262477
Malabsorption
Description

Malabsorption

Type de données

integer

Alias
UMLS CUI [1]
C0024523
GI bleeding
Description

GI Bleeding

Type de données

integer

Alias
UMLS CUI [1]
C0017181
If other evidence of gastrointestinal involvement, please specify
Description

Other evidence of gastrointestinal involvement

Type de données

integer

Alias
UMLS CUI [1]
C0521362
Neurological exam
Description

Neurological exam

Type de données

text

Alias
UMLS CUI [1]
C0027853
Neurological exam: If abnormal: Specify abnormality
Description

Neurological exam

Type de données

integer

Alias
UMLS CUI [1]
C0027853
PNP severity
Description

PNP severity

Type de données

integer

Alias
UMLS CUI [1]
C0152025
Orthostatic hypotension
Description

Orthostatic hypotension

Type de données

integer

Alias
UMLS CUI [1]
C0020651
Intractable diarrhoea
Description

Intractable diarrhoea

Type de données

integer

Alias
UMLS CUI [1]
C1857276
Inflexible pulse rate
Description

Inflexible pulse rate

Type de données

integer

Alias
UMLS CUI [1]
C0232117
Clinical evidence for involvement of other sites
Description

Other sites

Type de données

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0450429
STATUS OF DISEASE AT 100 DAYS AFTER HSCT
Description

STATUS OF DISEASE AT 100 DAYS AFTER HSCT

BEST HAEMATOLOGICAL RESPONSE TO HSCT AT 100 DAYS
Description

BEST HAEMATOLOGICAL RESPONSE TO HSCT AT 100 DAYS

Type de données

text

DATE RESPONSE ACHIEVED OR ASSESSED
Description

DATE RESPONSE ACHIEVED OR ASSESSED

Type de données

date

CLINICAL AND LABORATORY DATA
Description

CLINICAL AND LABORATORY DATA

Type de données

integer

Alias
UMLS CUI [1,1]
C1516606
UMLS CUI [1,2]
C1254595
Serum creatinine
Description

CLINICAL AND LABORATORY DATA

Type de données

float

Alias
UMLS CUI [1]
C0201976
Creatinine clearance (mL/min)
Description

Creatinine clearance (mL/min)

Type de données

float

Alias
UMLS CUI [1]
C0373595
Total urinary protein excretion (mg/24 h)
Description

CLINICAL AND LABORATORY DATA

Type de données

float

Alias
UMLS CUI [1]
C3897352
Total urinary albumin excretion (mg/24 h)
Description

CLINICAL AND LABORATORY DATA

Type de données

float

Alias
UMLS CUI [1]
C0585937
Serum NT-pro-BNP (ng/L) CLINICAL AND LABORATORY DATA
Description

Serum NT-pro-BNP (ng/L)

Type de données

float

Serum c-Troponin T (μg/L) CLINICAL AND LABORATORY DATA
Description

Serum c-Troponin T (μg/L)

Type de données

float

BM aspirate: % plasmacytosis
Description

BM aspirate

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1,1]
C0857285
UMLS CUI [1,2]
C0085663
%
BM trephine % plasmacytosis
Description

BM trephine

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1,1]
C0398526
UMLS CUI [1,2]
C0085663
%
Monoclonal Ig in serum
Description

Monoclonal Ig in serum

Type de données

float

Unités de mesure
  • g/L
Alias
UMLS CUI [1,1]
C1532873
UMLS CUI [1,2]
C3516447
g/L
Immunofixation of serum
Description

Immunofixation of serum

Type de données

integer

Alias
UMLS CUI [1]
C1271678
Free Kappa light chains in serum
Description

Kappa light chains

Type de données

integer

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0443743
Lambda light chains
Description

Lambda light chains

Type de données

integer

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0021037
Immunofixation of urine
Description

Immunofixation of urine

Type de données

integer

Alias
UMLS CUI [1]
C1271641
Monoclonal light chains in urine
Description

Monoclonal light chains in urine

Type de données

integer

Unités de mesure
  • g/24h
Alias
UMLS CUI [1]
C0004965
g/24h
Serum Beta2 microglobulin
Description

Serum Beta2 microglobulin

Type de données

float

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0859328
mg/L
ORGAN-SPECIFIC RESPONSES AT 100 DAYS AFTER HSCT
Description

ORGAN-SPECIFIC RESPONSES AT 100 DAYS AFTER HSCT

Kidney
Description

Renal response

Type de données

integer

Liver Liver span in ultrasound or CT scan (cm craniocaudal diameter)
Description

Liver span in ultrasound or CT scan

Type de données

float

Hepatic response
Description

Hepatic response

Type de données

integer

Heart NYHA class
Description

NYHA class

Type de données

integer

Left ventricular ejection fraction
Description

Left ventricular ejection fraction

Type de données

float

Unités de mesure
  • %
%
Interventricular septal wall thickness (mean # mm in echocardiogram)
Description

Interventricular septal wall thickness

Type de données

float

Cardiac response
Description

Cardiac response

Type de données

text

Weight loss
Description

Weight loss

Type de données

integer

Alias
UMLS CUI [1]
C1262477
Malabsorption
Description

Malabsorption

Type de données

integer

Alias
UMLS CUI [1]
C0024523
GI bleeding
Description

GI Bleeding

Type de données

integer

Alias
UMLS CUI [1]
C0017181
GI response
Description

GI response

Type de données

integer

Neurological exam Peripheral neuropathy (Compare current situation to situation before HSCT)
Description

Neurological exam

Type de données

integer

PNP severity Peripheral neuropathy (Compare current situation to situation before HSCT)
Description

PNP severity

Type de données

integer

PN response Peripheral neuropathy (Compare current situation to situation before HSCT)
Description

PN response

Type de données

integer

AN response Autonomic neuropathy
Description

AN response

Type de données

integer

Clinical evidence for involvement of new sites Evidence of new organ involvement
Description

Clinical evidence for involvement of new sites

Type de données

text

KARNOFSKY
Description

KARNOFSKY

Type de données

text

FORMS TO BE FILLED IN
Description

FORMS TO BE FILLED IN

Type of Transplant
Description

Type of Transplant

Type de données

text

Alias
UMLS CUI [1,1]
C0559189
UMLS CUI [1,2]
C0040739
FOLLOW UP AL AMYLOIDOSIS
Description

FOLLOW UP AL AMYLOIDOSIS

Unique Identification Code (UIC) (if known)
Description

Unique Identification Code (UIC)

Type de données

text

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

Hospital Unique Patient Number

Type de données

text

Alias
UMLS CUI [1]
C2348585
Initials
Description

Initialen

Type de données

text

Alias
UMLS CUI [1]
C2986440
Date of birth
Description

Date of birth

Type de données

date

Alias
UMLS CUI [1]
C0421451
Date of HSCT
Description

Date of HSCT

Type de données

date

Alias
UMLS CUI [1]
C2584899
PATIENT LAST SEEN
Description

PATIENT LAST SEEN

Date of Last Contact or Death
Description

Date last contact

Type de données

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

Type de données

integer

GRAFT VERSUS HOST DISEASE (GvHD) SINCE LAST REPORT
Description

GRAFT VERSUS HOST DISEASE (GvHD) SINCE LAST REPORT

Maximum Grade of Acute GVHD
Description

Maximum Grade of Acute GVHD

Type de données

text

Alias
UMLS CUI [1,1]
C0856825
UMLS CUI [1,2]
C0806909
UMLS CUI [1,3]
C0441800
UMLS CUI [1,4]
C1561607
If present type of GvHD
Description

If present type of GvHD

Type de données

integer

Alias
UMLS CUI [1]
C0856825
Reason for aGvHD
Description

Reason for aGvHD

Type de données

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

Type de données

date

Unités de mesure
  • yyyy/mm/dd
Alias
UMLS CUI [1]
C0574845
yyyy/mm/dd
aGvHD Stage
Description

aGvHD Stage

Type de données

integer

Alias
UMLS CUI [1,1]
C0856825
UMLS CUI [1,2]
C1306673
aGvHD Resolution
Description

aGvHD Resolution

Type de données

integer

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

aGvHD Date of resolution

Type de données

date

Unités de mesure
  • yyyy/mm/dd
Alias
UMLS CUI [1,1]
C0856825
UMLS CUI [1,2]
C1514893
UMLS CUI [1,3]
C0011008
yyyy/mm/dd
Presence of cGvHD
Description

Chronic Graft versus Host Disease

Type de données

text

Alias
UMLS CUI [1]
C0867389
Presence of cGVHD if yes
Description

Presence of cGVHD

Type de données

integer

Alias
UMLS CUI [1]
C0867389
cGvHD Date of onset
Description

cGvHD Date of onset

Type de données

date

Unités de mesure
  • yyyy/mm/dd
Alias
UMLS CUI [1,1]
C0867389
UMLS CUI [1,2]
C0011008
yyyy/mm/dd
cGvHD grade
Description

cGvHD grade

Type de données

integer

Alias
UMLS CUI [1,1]
C0867389
UMLS CUI [1,2]
C0441800
Organs affected
Description

Organs affected

Type de données

integer

Alias
UMLS CUI [1]
C0449642
If resolved, specify the date of resolution:
Description

Date of Resolution

Type de données

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

Type de données

boolean

Alias
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C0009566
Bacteraemia / fungemia / viremia / parasites
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.

Type de données

integer

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

Type de données

integer

Alias
UMLS CUI [1]
C0036983
ARDS
Description

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

Type de données

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.

Type de données

integer

Alias
UMLS CUI [1]
C0026766
Pneumonia
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.

Type de données

integer

Alias
UMLS CUI [1]
C0032285
Hepatitis
Description

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

Type de données

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.

Type de données

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

Type de données

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.

Type de données

integer

Alias
UMLS CUI [1]
C0037278
Date Provide different dates for different episodes of the same complication if applicable.
Description

Skin infection

Type de données

text

Cystitis
Description

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

Type de données

integer

Alias
UMLS CUI [1]
C0010692
Retinitis
Description

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

Type de données

integer

Alias
UMLS CUI [1]
C0035333
Other
Description

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

Type de données

integer

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

Non infection related complications

Type de données

boolean

Alias
UMLS CUI [1]
C0009566
CTC grade Cardiovascular
Description

CTC grade Cardiovascular

Type de données

integer

Alias
UMLS CUI [1,1]
C0007226
UMLS CUI [1,2]
C1516728
Date Cardiovascular
Description

Date Cardiovascular

Type de données

date

Alias
UMLS CUI [1,1]
C0007222
UMLS CUI [1,2]
C2316983
Cardiovascular comments
Description

Cardiovascular comments

Type de données

integer

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0007222
CTC grade Dermatologic
Description

CTC grade Dermatologic

Type de données

integer

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0205489
Date Dermatologic
Description

Date Dermatologic

Type de données

date

Alias
UMLS CUI [1,1]
C0205489
UMLS CUI [1,2]
C2316983
Comments
Description

Dermatologic

Type de données

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0205489
CTC grade Gastrointestinal
Description

CTC grade Gastrointestinal

Type de données

integer

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0521362
Date Gastrointestinal
Description

Date Gastrointestinal

Type de données

date

Alias
UMLS CUI [1,1]
C0521362
UMLS CUI [1,2]
C2316983
Gastrointestinal Comments
Description

Gastrointestinal Comments

Type de données

text

Alias
UMLS CUI [1,1]
C0521362
UMLS CUI [1,2]
C0947611
CTC grade Haemorrhage
Description

CTC grade Haemorrhage

Type de données

integer

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0019080
Date Haemorrhage
Description

Date Haemorrhage

Type de données

date

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C2316983
Haemorrhage Comments
Description

Haemorrhage Comments

Type de données

text

Alias
UMLS CUI [1]
C1516728
CTC grade Hepatic
Description

CTC grade Hepatic

Type de données

integer

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0205054
Date Hepatic
Description

Date Hepatic

Type de données

date

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C2316983
Hepatic Comments
Description

Hepatic Comments

Type de données

text

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0947611
CTC grade Neurologic
Description

CTC grade Neurologic

Type de données

integer

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0205494
Date Neurologic
Description

Date Neurologic

Type de données

date

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C2316983
Neurologic Comments
Description

Neurologic Comments

Type de données

text

Alias
UMLS CUI [1,1]
C2316983
UMLS CUI [1,2]
C0947611
CTC grade Pulmonary
Description

CTC grade Pulmonary

Type de données

integer

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0024109
Pulmonary Date
Description

Pulmonary Date

Type de données

date

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C2316983
Pulmonary Comments
Description

Pulmonary Comments

Type de données

text

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0947611
CTC grade Renal
Description

CTC grade Renal

Type de données

integer

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0022646
Renal Date
Description

Renal Date

Type de données

date

Alias
UMLS CUI [1,1]
C0022646
UMLS CUI [1,2]
C2316983
Renal Comments
Description

Renal Comments

Type de données

text

Alias
UMLS CUI [1,1]
C0022646
UMLS CUI [1,2]
C0947611
Other CTC grade
Description

Other CTC grade

Type de données

integer

Alias
UMLS CUI [1,1]
C1516728
UMLS CUI [1,2]
C0220886
Date of other Type
Description

Date of other Type

Type de données

date

Alias
UMLS CUI [1,1]
C2316983
UMLS CUI [1,2]
C0220886
Comments of Other type
Description

Comments of Other type

Type de données

text

Alias
UMLS CUI [1,1]
C0220886
UMLS CUI [1,2]
C0947611
Graft loss
Description

Graft loss

Type de données

text

Alias
UMLS CUI [1]
C0877042
Overall chimaerism
Description

Overall chimaerism

Type de données

integer

Alias
UMLS CUI [1]
C0206612
GRAFT ASSESSMENT AND HAEMOPOIETIC CHIMAERISM
Description

GRAFT ASSESSMENT AND HAEMOPOIETIC CHIMAERISM

Date of Test
Description

Date of Test

Type de données

date

Alias
UMLS CUI [1]
C0011008
Identification of donor or Cord Blood Unit given by the centre
Description

Identification

Type de données

text

Alias
UMLS CUI [1]
C1718162
Number in the infusion order (if applicable)
Description

Number in the infusion order

Type de données

text

Alias
UMLS CUI [1]
C0237753
Cell type on which test was performed BM
Description

(% Donor Cells):

Type de données

integer

Unités de mesure
  • %
Alias
UMLS CUI [1,1]
C0449475
UMLS CUI [1,2]
C0022885
Laboratory tests used:
Description

Laboratory tests

Type de données

integer

Alias
UMLS CUI [1]
C0022885
SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED
Description

SECONDARY MALIGNANCY, LYMPHOPROLIFERATIVE OR MYELOPROLIFRATIVE DISORDER DIAGNOSED

Type de données

integer

Alias
UMLS CUI [1]
C3266877
UMLS CUI [2]
C0024314
UMLS CUI [3]
C0027022
Date of diagnosis
Description

Date of diagnosis

Type de données

date

Alias
UMLS CUI [1,1]
C2316983
UMLS CUI [1,2]
C1274082
Diagnosis Secondary Malignant Neoplasm
Description

Diagnosis

Type de données

integer

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C2939419
If other diagnosis, please specify
Description

If other diagnosis, please specify

Type de données

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C2939419
UMLS CUI [1,3]
C0205394
ADDITIONAL THERAPIES SINCE LAST FOLLOW UP
Description

ADDITIONAL THERAPIES SINCE LAST FOLLOW UP

Treatment given since last report
Description

Additional treatment

Type de données

text

Alias
UMLS CUI [1]
C1706712
Date started
Description

Date started

Type de données

date

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.
Description

ADDITIONAL TREATMENT

Type de données

integer

Disease status before this cellular therapy
Description

Disease status before this cellular therapy

Type de données

integer

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0012634
If yes: Type of cells
Description

Type of cells

Type de données

integer

Alias
UMLS CUI [1]
C0302189
If DLI, specify the number of cells infused by type: Nucleated cells
Description

Nucleated cells

Type de données

text

Alias
UMLS CUI [1]
C1180059
Number of cells infused by type
Description

Number of cells infused by type

Type de données

integer

Alias
UMLS CUI [1]
C2145394
Total number of cells
Description

Total number of cells

Type de données

text

Alias
UMLS CUI [1,1]
C0007584
UMLS CUI [1,2]
C2145394
Chronological number of this cell therapy for this patient
Description

Chronological number

Type de données

float

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

Indication

Type de données

text

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

Infusion count

Type de données

float

Alias
UMLS CUI [1,1]
C0574032
UMLS CUI [1,2]
C0750480
Maximum Grade of Acute GVHD
Description

Maximum Grade of Acute GVHD

Type de données

text

Alias
UMLS CUI [1,1]
C0856825
UMLS CUI [1,2]
C0441800
Disease treatment (apart from donor cell infusion or other type of cell therapy)
Description

Disease treatment

Type de données

integer

Alias
UMLS CUI [1]
C0087111
FIRST EVIDENCE OF DISEASE WORSENING SINCE LAST HSCT
Description

FIRST EVIDENCE OF DISEASE WORSENING SINCE LAST HSCT

EVIDENCE OF DISEASE ACTIVITY
Description

EVIDENCE OF DISEASE ACTIVITY

Type de données

text

Alias
UMLS CUI [1]
C0544450
If yes, date first noted
Description

EVIDENCE OF DISEASE ACTIVITY

Type de données

date

Alias
UMLS CUI [1,1]
C0544450
UMLS CUI [1,2]
C2316983
LAST DISEASE AND PATIENT STATUS
Description

LAST DISEASE AND PATIENT STATUS

HAEMATOLOGICAL DISEASE STATUS
Description

HAEMATOLOGICAL DISEASE STATUS

Type de données

integer

Alias
UMLS CUI [1,1]
C0018939
UMLS CUI [1,2]
C0449438
Organ Response
Description

ORGAN RESPONSE

Type de données

integer

Alias
UMLS CUI [1]
C1817419
CLINICAL AND LABORATORY DATA
Description

CLINICAL AND LABORATORY DATA

Type de données

integer

Alias
UMLS CUI [1,1]
C1516606
UMLS CUI [1,2]
C1254595
BM aspirate: % plasmacytosis
Description

BM aspirate

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1,1]
C0857285
UMLS CUI [1,2]
C0085663
%
BM trephine % plasmacytosis
Description

BM trephine

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1,1]
C0398526
UMLS CUI [1,2]
C0085663
%
Monoclonal Ig in serum
Description

Monoclonal Ig in serum

Type de données

float

Unités de mesure
  • g/L
Alias
UMLS CUI [1,1]
C1532873
UMLS CUI [1,2]
C3516447
g/L
Immunofixation of serum
Description

Immunofixation of serum

Type de données

integer

Alias
UMLS CUI [1]
C1271678
Free Kappa light chains in serum
Description

Kappa light chains

Type de données

integer

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0443743
Lambda light chains
Description

Lambda light chains

Type de données

integer

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0021037
Immunofixation of urine
Description

Immunofixation of urine

Type de données

integer

Alias
UMLS CUI [1]
C1271641
Monoclonal light chains in urine
Description

Monoclonal light chains in urine

Type de données

integer

Unités de mesure
  • g/24h
Alias
UMLS CUI [1]
C0004965
g/24h
Serum Beta2 microglobulin
Description

Serum Beta2 microglobulin

Type de données

float

Unités de mesure
  • mg/L
Alias
UMLS CUI [1]
C0859328
mg/L
Renal response
Description

ORGAN-SPECIFIC RESPONSES AT THIS FOLLOW UP

Type de données

integer

Alias
UMLS CUI [1,1]
C0022646
UMLS CUI [1,2]
C1704632
Liver span (cm craniocaudal diameter)
Description

Liver span in ultrasound or CT scan

Type de données

float

Hepatic response
Description

Hepatic response

Type de données

text

Alias
UMLS CUI [1]
C1817762
NYHA class
Description

NYHA class

Type de données

integer

Alias
UMLS CUI [1]
C1275491
Left Ventricular Ejection Fraction
Description

LVEF

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1]
C0428772
%
Interventricular septal wall thickness (mean # mm in echocardiogram)
Description

Interventricular septal wall thickness

Type de données

float

Alias
UMLS CUI [1]
C0225870
Cardiac response
Description

Cardiac response

Type de données

integer

Alias
UMLS CUI [1,1]
C1522601
UMLS CUI [1,2]
C0871261
Weight loss
Description

Weight loss

Type de données

integer

Alias
UMLS CUI [1]
C1262477
Malabsorption
Description

Malabsorption

Type de données

integer

Alias
UMLS CUI [1]
C0024523
GI bleeding
Description

GI bleeding

Type de données

integer

Alias
UMLS CUI [1]
C0017181
GI response
Description

GI response

Type de données

integer

Alias
UMLS CUI [1,1]
C1817419
UMLS CUI [1,2]
C0521362
Neurological exam
Description

Neurological exam

Type de données

integer

Alias
UMLS CUI [1]
C0027853
PNP severity
Description

PNP severity

Type de données

integer

Alias
UMLS CUI [1]
C0152025
PN response
Description

PN response

Type de données

integer

Alias
UMLS CUI [1]
C0031117
Autonomic neuropathy
Description

Autonomic neuropathy

Type de données

integer

Alias
UMLS CUI [1]
C0259749
Evidence of new organ involvement
Description

Clinical evidence for involvement of new sites

Type de données

text

Alias
UMLS CUI [1]
C0457576
Has patient or partner become pregnant after this HSCT?
Description

Has patient or partner become pregnant after this HSCT?

Type de données

integer

Survival Status
Description

Survival Status

Type de données

integer

Alias
UMLS CUI [1]
C1148433
Type of score used PERFORMANCE SCORE (if alive)
Description

Type of score used

Type de données

integer

Score
Description

Performance score

Type de données

integer

Alias
UMLS CUI [1]
C1518965
CAUSE OF DEATH (check only one main cause)
Description

CAUSE OF DEATH

Type de données

integer

Alias
UMLS CUI [1]
C0007465
cGvHD
Description

cGvHD

Type de données

integer

Alias
UMLS CUI [1]
C0867389
Interstitial pneumonitis Cause of death
Description

Interstitial pneumonitis

Type de données

integer

Alias
UMLS CUI [1,1]
C0007465
UMLS CUI [1,2]
C0206061
Pulmonary toxicity Cause
Description

Pulmonary toxicity

Type de données

integer

Alias
UMLS CUI [1,1]
C0007465
UMLS CUI [1,2]
C0919924
Infection
Description

Infection

Type de données

integer

Infection:
Description

Infection

Type de données

integer

Alias
UMLS CUI [1]
C0009450
Rejection / poor graft function
Description

Rejection / poor graft function

Type de données

integer

Alias
UMLS CUI [1]
C0018129
Veno-Occlusive disease (VOD)
Description

Veno-Occlusive disease (VOD)

Type de données

integer

Alias
UMLS CUI [1,1]
C0007465
UMLS CUI [1,2]
C0948441
Haemorrhage
Description

Haemorrhage

Type de données

integer

Alias
UMLS CUI [1,1]
C0007465
UMLS CUI [1,2]
C0019080
Cardiac toxicity
Description

Cardiac toxicity

Type de données

integer

Alias
UMLS CUI [1,1]
C0007465
UMLS CUI [1,2]
C0876994
Central nervous system toxicity
Description

Central nervous system toxicity

Type de données

integer

Alias
UMLS CUI [1,1]
C0007465
UMLS CUI [1,2]
C3160947
Gastro intestinal toxicity
Description

Gastro intestinal toxicity

Type de données

integer

Alias
UMLS CUI [1,1]
C0007465
UMLS CUI [1,2]
C1142499
Skin toxicity
Description

Skin toxicity

Type de données

integer

Alias
UMLS CUI [1]
C1167791
Renal failure
Description

Renal failure

Type de données

integer

Alias
UMLS CUI [1]
C1533077
Multiple organ failure
Description

Multiple organ failure

Type de données

integer

Alias
UMLS CUI [1]
C0026766
If other HSCT related cause, please specify
Description

Other

Type de données

text

ADDITIONAL NOTES IF APPLICABLE
Description

ADDITIONAL NOTES IF APPLICABLE

Comments
Description

Comments

Type de données

text

Alias
UMLS CUI [1]
C0947611
IDENTIFICATION & SIGNATURE
Description

IDENTIFICATION & SIGNATURE

Type de données

text

Alias
UMLS CUI [1,1]
C0205396
UMLS CUI [1,2]
C1519316

Similar models

18pp EBMT Amyloidosis

  1. StudyEvent: ODM
    1. 18pp EBMT Amyloidosis
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
GENERAL INFORMATION TEAM
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
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])
Item Group
GENERAL INFORMATION PATIENT
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])
Code List
Sex
CL Item
Male (1)
CL Item
Female (2)
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])
Item Group
DISEASE
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 Group
AL AMYLOIDOSIS INITIAL DIAGNOSIS
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
Kappa (1)
CL Item
Lambda (2)
CL Item
Absent (3)
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
CL Item
I (I)
CL Item
II (II)
CL Item
III (III)
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
Excluded (1)
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
Done (Done)
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
Negative  (1)
CL Item
Positive  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
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
Negative  (1)
CL Item
Positive  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
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])
Code List
Macroglossia
CL Item
Absent  (1)
CL Item
Present  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
Periorbital bleeding
integer
C3203729 (UMLS CUI [1])
Code List
Periorbital bleeding
CL Item
Absent  (1)
CL Item
Present  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
Shoulder pad sign
integer
C0231656 (UMLS CUI [1])
Code List
Shoulder pad sign
CL Item
Absent  (1)
CL Item
Present  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item Group
ORGAN INVOLVEMENT AT DIAGNOSIS
Item
Soft Tissues
integer
C0037578 (UMLS CUI [1])
Code List
Soft Tissues
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
Biopsy (3)
CL Item
No involvement (4)
Item
Heart
integer
C0018787 (UMLS CUI [1])
Code List
Heart
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
Biopsy (3)
CL Item
No involvement (4)
Item
Liver
integer
C0023884 (UMLS CUI [1])
Code List
Liver
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
Biopsy (3)
CL Item
No involvement (4)
Item
Kidney
integer
C0022646 (UMLS CUI [1])
Code List
Kidney
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
Biopsy (3)
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
Biopsy (3)
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
Biopsy (3)
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
Biopsy (3)
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])
Code List
NYHA class
CL Item
I (1)
CL Item
II (2)
CL Item
III (3)
CL Item
IV (4)
CL Item
not done (99)
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])
Code List
Weight loss
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
Malabsorption
integer
C0024523 (UMLS CUI [1])
Code List
Malabsorption
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
GI bleeding
integer
C0017181 (UMLS CUI [1])
Code List
GI bleeding
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
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
Normal  (Normal )
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])
Code List
PNP severity
CL Item
grade I  (1)
CL Item
grade II  (2)
CL Item
grade III  (3)
CL Item
grade IV (4)
Item
Orthostatic hypotension
integer
C0020651 (UMLS CUI [1])
Code List
Orthostatic hypotension
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
Intractable diarrhoea
integer
C1857276 (UMLS CUI [1])
Code List
Intractable diarrhoea
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
Inflexible pulse rate
integer
C0232117 (UMLS CUI [1])
Code List
Inflexible pulse rate
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Other sites
Item
Clinical evidence for involvement of other sites
text
C0012634 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Item Group
PRE-HSCT TREATMENT
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])
Item Group
HSCT
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 Group
STATUS OF DISEASE AT COLLECTION (AUTOGRAFTS ONLY)
Item
Haematological status
integer
C0279810 (UMLS CUI [1])
Code List
Haematological status
CL Item
At diagnosis  (At diagnosis )
CL Item
CR1  ( CR1 )
C0677874 (UMLS CUI-1)
CL Item
CR2  ( CR2 )
C0677874 (UMLS CUI-1)
CL Item
>CR2  ( >CR2 VNUMSTM)
C0677874 (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
MR (MR)
CL Item
No change  ( No change )
C0442739 (UMLS CUI-1)
CL Item
Progression  ( Progression )
C0242656 (UMLS CUI-1)
CL Item
Unknown ( Unknown)
C0439673 (UMLS CUI-1)
Item
Organ status
integer
C0478647 (UMLS CUI [1])
Code List
Organ status
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)
Item Group
STATUS OF DISEASE AT START OF CONDITIONING FOR BMT
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
MR ( MR)
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])
Code List
Organ status
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
Negative  (1)
CL Item
Positive  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
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
Negative  (1)
CL Item
Positive  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
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])
Code List
Soft Tissues
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
Biopsy (3)
CL Item
No involvement (4)
Item
Heart
integer
C0018787 (UMLS CUI [1])
Code List
Heart
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
Biopsy (3)
CL Item
No involvement (4)
Item
Liver
integer
C0023884 (UMLS CUI [1])
Code List
Liver
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
Biopsy (3)
CL Item
No involvement (4)
Item
Kidney
integer
C0022646 (UMLS CUI [1])
Code List
Kidney
CL Item
Dominant organ(s) involved (1)
CL Item
Additional organ involvement (2)
CL Item
Biopsy (3)
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
Biopsy (3)
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
Biopsy (3)
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])
Code List
NYHA class
CL Item
I (1)
CL Item
II (2)
CL Item
III (3)
CL Item
IV (4)
CL Item
not done (99)
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])
Code List
Weight loss
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
Malabsorption
integer
C0024523 (UMLS CUI [1])
Code List
Malabsorption
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
GI bleeding
integer
C0017181 (UMLS CUI [1])
Code List
GI bleeding
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
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
Normal  (Normal )
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])
Code List
PNP severity
CL Item
grade I  (1)
CL Item
grade II  (2)
CL Item
grade III  (3)
CL Item
grade IV (4)
Item
Orthostatic hypotension
integer
C0020651 (UMLS CUI [1])
Code List
Orthostatic hypotension
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
Intractable diarrhoea
integer
C1857276 (UMLS CUI [1])
Code List
Intractable diarrhoea
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
Inflexible pulse rate
integer
C0232117 (UMLS CUI [1])
Code List
Inflexible pulse rate
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Other sites
Item
Clinical evidence for involvement of other sites
text
C0012634 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Item Group
STATUS OF DISEASE AT 100 DAYS AFTER HSCT
Item
BEST HAEMATOLOGICAL RESPONSE TO HSCT AT 100 DAYS
text
Code List
BEST HAEMATOLOGICAL RESPONSE TO HSCT AT 100 DAYS
CL Item
CR1  (CR1 )
CL Item
CR2  ( CR2 )
CL Item
>CR2 ( >CR2)
CL Item
PR1  (PR1 )
CL Item
PR2  (PR2 )
CL Item
>PR2  ( >PR2 )
CL Item
MR ( MR)
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
Negative  (1)
CL Item
Positive  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
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
Negative  (1)
CL Item
Positive  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
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 Group
ORGAN-SPECIFIC RESPONSES AT 100 DAYS AFTER HSCT
Item
Kidney
integer
Code List
Kidney
CL Item
Response  (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)
CL Item
Unknown (6)
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
Response  (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)
CL Item
Unknown (6)
Item
Heart NYHA class
integer
Code List
Heart NYHA class
CL Item
I (I)
CL Item
II (II)
CL Item
III (III)
CL Item
IV (IV)
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])
Code List
Weight loss
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
Malabsorption
integer
C0024523 (UMLS CUI [1])
Code List
Malabsorption
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
GI bleeding
integer
C0017181 (UMLS CUI [1])
Code List
GI bleeding
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
GI response
integer
Code List
GI response
CL Item
Response  (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)
CL Item
Unknown (6)
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)
CL Item
Improved  (1)
CL Item
Worsened  (2)
CL Item
Unchanged  (3)
CL Item
Unknown (4)
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)
CL Item
grade I  (1)
CL Item
grade II  (2)
CL Item
grade III  (3)
CL Item
grade IV (4)
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 Group
FORMS TO BE FILLED IN
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))
Item Group
FOLLOW UP AL AMYLOIDOSIS
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])
Item Group
PATIENT LAST SEEN
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)
CL Item
Yes, date (2)
CL Item
No (3)
CL Item
Unknown (4)
Item Group
GRAFT VERSUS HOST DISEASE (GvHD) SINCE LAST REPORT
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
CL Item
New onset  (1)
CL Item
Recurrent  (2)
CL Item
Persistent (3)
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])
Code List
aGvHD Stage
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
CL Item
No  (1)
CL Item
Yes (2)
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
No (No)
CL Item
Yes (Yes)
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)
CL Item
Recurrence (2)
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])
Code List
cGvHD grade
CL Item
limited (1)
CL Item
Extensive (2)
Item
Organs affected
integer
C0449642 (UMLS CUI [1])
Code List
Organs affected
CL Item
Skin (1)
CL Item
Gut (2)
CL Item
Liver (3)
CL Item
Mouth (4)
CL Item
Eyes (5)
CL Item
Lung (6)
CL Item
Other, specify (7)
CL Item
Unknown (8)
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
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
CL Item
Pathogen (1)
CL Item
Date (2)
Item
integer
C0036983 (UMLS CUI [1])
Code List
Septic shock
CL Item
Pathogen (1)
CL Item
Date (2)
Item
ARDS
integer
C0035222 (UMLS CUI [1])
Code List
ARDS
CL Item
Pathogen (1)
CL Item
Date (2)
Item
Multiorgan failure due to infection
integer
C0026766 (UMLS CUI [1])
Code List
Multiorgan failure due to infection
CL Item
Pathogen (1)
CL Item
Date (2)
Item
Pneumonia
integer
C0032285 (UMLS CUI [1])
Code List
Pneumonia
CL Item
Pathogen (1)
CL Item
Date (2)
Item
Hepatitis
integer
C0019158 (UMLS CUI [1])
Code List
Hepatitis
CL Item
Pathogen (1)
CL Item
Date (2)
Item
CNS infection
integer
C0007684 (UMLS CUI [1])
Code List
CNS infection
CL Item
Pathogen (1)
Item
Gut infection
integer
C0178238 (UMLS CUI [1])
Code List
Gut infection
CL Item
Pathogen (1)
CL Item
Date (2)
Item
Skin infection
integer
C0037278 (UMLS CUI [1])
Code List
Skin infection
CL Item
Pathogen (1)
CL Item
Date (2)
Skin infection
Item
Date Provide different dates for different episodes of the same complication if applicable.
text
Item
Cystitis
integer
C0010692 (UMLS CUI [1])
Code List
Cystitis
CL Item
Pathogen (1)
CL Item
Date (2)
Item
Retinitis
integer
C0035333 (UMLS CUI [1])
Code List
Retinitis
CL Item
Pathogen (1)
CL Item
Date (2)
Item
Other
integer
C0205394 (UMLS CUI [1])
Code List
Other
CL Item
Pathogen (1)
CL Item
Date (2)
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
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
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
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
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
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
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
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
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
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
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
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
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
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
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
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
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
CL Item
0 (1)
CL Item
1 (2)
CL Item
2 (3)
CL Item
3 (4)
CL Item
4 (5)
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])
Code List
Graft loss
CL Item
No (No)
CL Item
Yes (Yes)
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
Aplasia (4)
CL Item
Not evaluated (5)
Item Group
GRAFT ASSESSMENT AND HAEMOPOIETIC CHIMAERISM
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 Group
ADDITIONAL THERAPIES SINCE LAST FOLLOW UP
Item
Treatment given since last report
text
C1706712 (UMLS CUI [1])
Code List
Treatment given since last report
CL Item
No (No)
CL Item
Yes (Yes)
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.
CL Item
No (1)
CL Item
Yes (2)
CL Item
Unknown (3)
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
CR  (1)
CL Item
Not in CR  (2)
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)
CL Item
Other (3)
CL Item
Unknown (4)
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)
CL Item
CD 34+ (2)
CL Item
CD 3+ (3)
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)
CL Item
Other (Other)
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
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 DISEASE WORSENING SINCE LAST HSCT
Item
EVIDENCE OF DISEASE ACTIVITY
text
C0544450 (UMLS CUI [1])
Code List
EVIDENCE OF DISEASE ACTIVITY
CL Item
Previously reported (Previously reported)
CL Item
No (No)
CL Item
Yes (Yes)
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 Group
LAST DISEASE AND PATIENT STATUS
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])
Code List
Organ Response
CL Item
Response (1)
CL Item
Non Response (2)
CL Item
Progression (3)
CL Item
Not evaluable (4)
CL Item
Unknown (5)
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
Negative  (1)
CL Item
Positive  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
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
Negative  (1)
CL Item
Positive  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
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])
Code List
Renal response
CL Item
Response (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)
CL Item
Unknown (6)
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])
Code List
NYHA class
CL Item
I (1)
CL Item
II (2)
CL Item
III (3)
CL Item
IV (4)
CL Item
unknown (5)
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
Response  (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)
CL Item
Unknown (6)
Item
Weight loss
integer
C1262477 (UMLS CUI [1])
Code List
Weight loss
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
Malabsorption
integer
C0024523 (UMLS CUI [1])
Code List
Malabsorption
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
GI bleeding
integer
C0017181 (UMLS CUI [1])
Code List
GI bleeding
CL Item
No  (1)
CL Item
Yes  (2)
CL Item
Not evaluated  (3)
CL Item
Unknown (4)
Item
GI response
integer
C1817419 (UMLS CUI [1,1])
C0521362 (UMLS CUI [1,2])
Code List
GI response
CL Item
Response  (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)
CL Item
Unknown (6)
Item
Neurological exam
integer
C0027853 (UMLS CUI [1])
Code List
Neurological exam
CL Item
Improved  (1)
CL Item
Worsened  (2)
CL Item
Unchanged  (3)
CL Item
Unknown (4)
Item
PNP severity
integer
C0152025 (UMLS CUI [1])
Code List
PNP severity
CL Item
grade I  (1)
CL Item
grade II  (2)
CL Item
grade III  (3)
CL Item
grade IV (4)
Item
PN response
integer
C0031117 (UMLS CUI [1])
Code List
PN response
CL Item
Response  (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)
CL Item
Unknown (6)
Item
Autonomic neuropathy
integer
C0259749 (UMLS CUI [1])
Code List
Autonomic neuropathy
CL Item
Response  (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)
CL Item
Unknown (6)
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?
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Item
Survival Status
integer
C1148433 (UMLS CUI [1])
Code List
Survival Status
CL Item
alive (0)
CL Item
dead (1)
Item
Type of score used PERFORMANCE SCORE (if alive)
integer
Code List
Type of score used PERFORMANCE SCORE (if alive)
CL Item
Karnofsky (1)
CL Item
Lansky (2)
Item
Score
integer
C1518965 (UMLS CUI [1])
Code List
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 (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])
Code List
cGvHD
CL Item
Yes  (1)
CL Item
No  (2)
CL Item
Unknown (3)
Item
Interstitial pneumonitis Cause of death
integer
C0007465 (UMLS CUI [1,1])
C0206061 (UMLS CUI [1,2])
Code List
Interstitial pneumonitis Cause of death
CL Item
No  (1)
CL Item
Yes (2)
CL Item
Unknown (3)
Item
Pulmonary toxicity Cause
integer
C0007465 (UMLS CUI [1,1])
C0919924 (UMLS CUI [1,2])
Code List
Pulmonary toxicity Cause
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Infection
integer
Code List
Infection
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Infection:
integer
C0009450 (UMLS CUI [1])
Code List
Infection:
CL Item
bacterial  (1)
CL Item
viral  (2)
CL Item
fungal  (3)
CL Item
parasitic  (4)
CL Item
unknown (5)
Item
Rejection / poor graft function
integer
C0018129 (UMLS CUI [1])
Code List
Rejection / poor graft function
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Veno-Occlusive disease (VOD)
integer
C0007465 (UMLS CUI [1,1])
C0948441 (UMLS CUI [1,2])
Code List
Veno-Occlusive disease (VOD)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Haemorrhage
integer
C0007465 (UMLS CUI [1,1])
C0019080 (UMLS CUI [1,2])
Code List
Haemorrhage
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Cardiac toxicity
integer
C0007465 (UMLS CUI [1,1])
C0876994 (UMLS CUI [1,2])
Code List
Cardiac toxicity
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Central nervous system toxicity
integer
C0007465 (UMLS CUI [1,1])
C3160947 (UMLS CUI [1,2])
Code List
Central nervous system toxicity
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Gastro intestinal toxicity
integer
C0007465 (UMLS CUI [1,1])
C1142499 (UMLS CUI [1,2])
Code List
Gastro intestinal toxicity
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Skin toxicity
integer
C1167791 (UMLS CUI [1])
Code List
Skin toxicity
CL Item
Yes  (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Renal failure
integer
C1533077 (UMLS CUI [1])
Code List
Renal failure
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Multiple organ failure
integer
C0026766 (UMLS CUI [1])
Code List
Multiple organ failure
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Other
Item
If other HSCT related cause, please specify
text
Item Group
ADDITIONAL NOTES IF APPLICABLE
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
IDENTIFICATION & SIGNATURE
Item
IDENTIFICATION & SIGNATURE
text
C0205396 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])

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