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Data collection forms & manuals

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 (15/03/2017)    

Donor Outcome


 

HSCT registrations

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. 


 

Cell therapy (non HSCT registrations)

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.

 

 Donor outcome

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. 

HSCT MED-A

You can download separate MED-A forms by diagnosis and graft type below. Alternatively you can view the full version. (last modified 7th September 2017) 

 

Med-A Day 0 by Diagnosis and by Graft type
Autograft Allograft
ACUTE LEUKAEMIAS
Acute myeloid leukaemia (AML)
Precursor lymphoid neoplasms (PLN)
Other acute leukaemias
AUTOIMMUNE DISEASES
BONE MARROW FAILURE inc APLASTIC ANAEMIA & HAEMOGLOBINOPATHY
CHRONIC LEUKAEMIAS
Chronic myeloid leukaemia (CML)
Chronic lymphocytic leukaemia (CLL)
Prolymphocytic leukaemia (PLL) / Other Leukaemias
INHERITED DISORDERS
LYMPHOMAS
Hodgkins
B-cell Non Hodgkins Lymphoma (NHL)
T-cell Non Hodgkins Lymphoma (NHL)
MYELODYSPLASTIC SYNDROMES & MYELOPROLIFERATIVE NEOPLASMS
Myelodysplastic syndromes (MDS)
Combined myelodysplastic / myeloproliferative (MDS/MPN)
Myeloproliferative neoplasms (MPN)
PLASMA CELL DISORDERS (PCD) inc MULTIPLE MYELOMA
SOLID TUMOURS
   
Med-A Day 100 and Follow up by Graft type
Autograft Allograft
DAY 100
ANNUAL FOLLOW UP

 

HSCT MED-B 

Type specific One of the forms below must be submitted for each transplant:

ALLOGRAFT  

AUTOGRAFT  

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

 
 
ACUTE LEUKAEMIA ​​​
BONE MARROW FAILURE SYNDROMES INC APLASTIC ANAEMIA
CML
HAEMOGLOBINOPATHY​
INHERITED DISORDERS    
LYMPHOMA
MDS
MDS/MPN (e.g. CMML, JMML)
MPN​
MULTIPLE SCLEROSIS​
PLASMA CELL DISORDERS INC MULTIPLE MYELOMA 
SOLID TUMOURS​
SYSTEMIC SCLEROSIS​
 

Additional forms

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 (15/03/2017)  Download forms and manual

Cell Therapy MED-A form 

Cell therapy manual –A guide to completion of the Cell Therapy MED-A form

  _________________________________________________________

Donor Outcome

Download forms and manual

Donor Outcome forms

Donor Outcome manual A guide to completion of the Donor Outcome forms
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

 

 News

 
19/09/2017
September 2017 | Vol. 58 - Issue 4 ... Read more >>
15/09/2017
Small Things Making A Difference In Transplantation​​​... Read more >>
13/09/2017
​WMDD is celebrated globally on the third Saturday of September... Read more >>
17/05/2017
The EBMT implements Elsevier’s MACRO platform to upgrade patient registry.... Read more >>
10/05/2016
​More than 60 EBMT centres have already started entering their related donor data. We want to invite... Read more >>
 

 Events

 
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