BLINCYTO_Second_Induction_Cycle (BLINCYTO_Second_Induction_Cycle)
- from 01/04/2018
- Status: inactive
- How to create a CSV file for this data collection?
- Start date: 01/04/2018
- End date creation: 12/08/2024
- End date submission: 12/08/2024
- End date comments: 12/08/2024
1 Patient details
National registry ID
Help
Please encode a social security identification number (SSIN). Please note that the patient ID is always pseudonymised before being transferred to Healthdata.
Technical specs
CSV column name:
patient_id
Required:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
PatientIdentificationNumber
Validation
The validity of the national register number is checked with the mod97 check.
Fields
Section help
Please encode a social security identification number (SSIN). Please note that the patient ID is always pseudonymised before being transferred to Healthdata.
Internal patient ID
Help
This field can be used to enter an internal ID or reference number. It is available for internal use only and is not transferred to Healthdata. If there is an integration between HD4DP and your organisation's patient administration system, additional patient identification information such as date of birth, sex and SSIN can be automatically enriched based on this internal patient ID. Please do not encode the social security identification number (SSIN) in this field. The SSIN must be encoded in the field 'National registry ID of the patient'.
Technical specs
CSV column name:
patient_id|internal_patient_id
Required:
false
Generated
Help
The patient_id|generated column can be set to 'TRUE' for an automatically generated patient_id.This column should only be added in case the patient_id is empty. If the column is set to 'TRUE', a patient_id is automatically generated based on the name, first name, date of birth and sex of the patient.
Technical specs
CSV column name:
patient_id|generated
Required:
false
Options
| Label | Value |
| Yes | TRUE |
| No | FALSE |
Last Name
Help
The name of the patient is never transferred to Healthdata and is available for your information only.
Technical specs
CSV column name:
patient_id|name
Length:
50
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
LastName
First Name
Help
The first name of the patient is never transferred and is available for your information only.
Technical specs
CSV column name:
patient_id|first_name
Length:
50
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
FirstNames
Date of birth
Technical specs
Format:
DD/MM/YYYY
CSV column name:
patient_id|date_of_birth
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
DateOfBirth
Validation
- The date of birth cannot be in the future (error)
- The date of birth cannot be after the date of death (error)
- The date of birth cannot be after the reimbursement approval date (error)
Sex
Technical specs
CSV column name:
patient_id|sex
Required:
false
Options
| Label | Value |
| Female | F |
| Male | M |
| Unknown | U |
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
Gender
Place of residence
Technical specs
CSV column name:
patient_id|place_of_residence
Length:
5
Reference list:
POSTAL_CODE
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
Place of residence
Deceased?
Technical specs
CSV column name:
patient_id|deceased
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
DeathIndicator
Options
| Label | Value |
| Yes | TRUE |
| No | FALSE |
Date of death
Technical specs
Format:
DD/MM/YYYY
CSV column name:
patient_id|date_of_death
Only when:
Required:
false
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.Patient
Data element:
DateOfDeath
Validation
- The date of birth cannot be after the date of death (error)
2 Caregiver
RIZIV/INAMI-code of the physician who requested the reimbursement
Technical specs
CSV column name:
CD_RIZIV_REQE_PHYS
Length:
100
Reference list:
PHYSICIAN
Required:
true
Mapping of the clinical building blocks (indicative only)
Concept:
be.en.hd.HealthProfessional
Data element:
HealthProfessionalIdentificationNumber
3 CIVARS data
Situation of the patient after completing the second treatment cycle
Help
Complete remission is defined as a negative blood test, and an amount of leukemic blasts in bone marrow =<5%.
Technical specs
CSV column name:
CD_PAT_SITN_AFTER_SECON_CYCL
Only when:
Required:
false
Options
| Label | Value |
| STOP: discontinuation of the second treatment cycle and no intention to perform stem cell transplantation | 1 |
| STOP: complete remission achieved in the course of the second treatment cycle and intention to perform a stem cell transplantation | 2 |
| STOP: complete remission achieved at the end of the second treatment cycle and intention to perform a stem cell transplantation | 3 |
| STOP: complete remission not achieved at the end of the second cycle | 4 |
| STOP: any other reason | 5 |
| Intention to start consolidation treatment: complete remission achieved at the end of the second treatment cycle | 6 |
4 Treatment outcome
Number of BLINCYTO vials used?
Help
Please contact your hospital pharmacist to request the exact number of BLINCYTO vials that will be invoiced to RIZIV/INAMI for the treatment cycle provided (First induction cycle OR Second induction cycle OR Consolidation treatment)
Technical specs
CSV column name:
TX_BLINCYTO_VIALS_USED
Required:
true
Complete remission
Fields
Does the patient have minimal residual disease (MRD)?
Help
Testing Minimal Residual Disease is not mandatory. If it is not tested, please select Unknown.
Technical specs
CSV column name:
COMPL_RM|CD_MRD
Required:
true
Options
| Label | Value |
| Yes | 1 |
| No | 0 |
| Unknown | 9 |
Did the patient undergo hematopoietic stem cell transplantation following the BLINCYTO treatment cycle?
Technical specs
CSV column name:
COMPL_RM|CD_HSCT_AFTER_TREAT_CYCL
Only when:
Required:
true
Options
| Label | Value |
| Yes | 1 |
| No | 0 |
Why didn't the patient undergo a transplantation?
Technical specs
CSV column name:
COMPL_RM|CD_REAS_NO_TRSPLT
Only when:
Required:
true
Options
| Label | Value |
| No donor available (or insufficient compatibility) | 1 |
| The patient's general state of health does not allow it | 2 |
| Application of a donor lymphocyte infusion | 3 |
| At the patient's request | 4 |
| Other | 5 |