In this section, you will find the MED-AB data collection forms for HSCT registrations, for cell therapy (non HSCT registrations) and for donor outcome, together with the corresponding manuals.
Completing the data collection forms
If you are using the forms for the first time, please download Submitting data to the EBMT, which contains further information and National Registry contact details.
For help filling out the forms, please refer to the manuals, which are designed to help with the submission of specific data collection forms.
If doubts appear as to how to complete any forms which cannot be resolved by reading the relevant manuals, they should be addressed to the national registry or EBMT Registry which will ensure expert advice is sought in each case. It is very important that the people filling in these forms do point out ambiguities, lack of clarity, etc. Any criticism can only improve the forms and manuals.
Quick access to downloads
Med-A for HSCT Med-B for HSCT Manuals for HSCT
New version Med-A for Cell Therapy (15/03/2107)
The EBMT produces detailed disease specific and HSCT specific forms called MED-B.
A Disease specific Med-B consists of an initial information sheet common to all diseases and procedures, a detailed disease specific pre-HSCT section detailing the diagnosis and pre-HSCT treatment, and a follow up section detailing complications and events that happened after the HSCT. The above is complemented with two HSCT specific Med-B forms: Allograft and Autograft.
All registrations must include a disease specific form and an HSCT specific form. The follow up section of each disease specific form should be submitted yearly. Although not mandatory, the Med-B forms are the basis for all registry-based scientific studies performed within the Working Parties, and the EBMT encourages all centres to fill them in.
The MED-A form contains what is considered the Minimum Essential Data. It is mandatory that these data be submitted for all patients. The First report consists of a common set of data that allows registration of the patient, the disease specific data and a summary of the procedures at day 0, then the remaining post-transplant information at 100 days. The Follow up report consists of a data set common to all diseases and procedures that allows complications and events taking place after the procedure to be registered. For follow up intervals please see the guidelines in Data Submission
The submission of MED-A data is a requirement for a centre to hold full membership in the EBMT, but as the MED-A data is part of the MED-B forms, if MED-B forms are submitted, it is not necessary to submit a MED-A in addition.
The document MED-AB Forms Manual, which details the definition of individual MED-AB items, has been written to help with the filling of these forms. This is a very extensive document and it is meant to be consulted on-line as additions and corrections are frequent.
The Cell Therapy Registry
(CTR) aims to collect data on stem cells, progenitors or mature cells, such as
T-lymphocytes, unmanipulated, such as DLI, or sorted and/or cultured and/or
genetically manipulated, such as CAR-T cells, used for treatment in combination
with hematopoietic stem cell transplantation or alone, and including advanced
therapeutic medicinal products (ATMP), as well as data on the clinical
characteristics and outcome of the patients.
The new form also collects
details of laboratory manipulation for all types of cells before they are
infused into the patient. They include: selection, modification, genetic
engineering and others.
To this end a Med-A for Cell Therapy has been created. It consists of 39 pages including
all the disease sheets and follow up. A manual on how to fill the forms is also available.
While donor characteristics and collection procedures have undergone major changes, donor safety remains a vital issue and is the basis for sustained high donor motivation. To ensure maximal donor safety and availability, information on short and long term donor outcome is important.
For this purpose Donor outcome forms have been implemented under the guidance of the EBMT Donor Outcome Committee and in collaboration with the Swiss Transfusion SRC. It consists of two forms, one for the collection procedure and one for follow up. A manual on how to fill the forms is also available. Join us in this very important exercise by filling these forms regularly.
HSCT Download forms and manuals
Please click on the links below to download or print the paper forms in pdf format.
You can download separate MED-A forms by diagnosis and graft type below. Alternatively you can view the full version. (last modified 13 March 2017)
||ANNUAL FOLLOW UP
Type specific One of the forms below must be submitted for each transplant:
Disease specific Each disease specific form contains the following: patient and centre details, disease specific pre-HSCT clinical history, disease specific follow up.
At least one disease form must be submitted with each transplant
Total Body Irradiation
Clinical Manuals and Reference Documents
Basic transplant registration: comprehensive guide to data collection, using the MED-A as a guide, with information on the EBMT and data submission. This is a PowerPoint presentation that can be used for training (Apr 2012)
MED-AB Forms Manual: Guide to completion of the MED-AB forms.
List of disease classifications: Disease synonyms and sub classifications as applied in the Registry database
List of drug names and synonyms :List covering the different names drugs may be known by in different countries or contexts. It also contains some information on chemotherapy protocols.
Summary of Disease status and Response by disease : Tabular description of disease status or responses relevant for each disease. PDF version
NIH defined criteria for GvHD. Presentation of H. Grenix, Med. Univ. Vienna
Definitions of Infectious Diseases and Complications after Stem Cell Transplant
Cell Therapy (non HSCT)
NEW VERSIONS (15/03/2107) Download forms and manual
Cell Therapy MED-A form
Cell therapy manual –A guide to completion of the Cell Therapy MED-A form
Download forms and manual
Donor Outcome forms
Donor Outcome manual –A guide to completion of the Donor Outcome forms