hconc007-sample / hc_onc_007_data_dictionary.py
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#!/usr/bin/env python3
"""
HC-ONC-007 Leukemia Synthetic Dataset
File 5: Data Dictionary Generator
XpertSystems.ai / XpertPlatform.ai
Generates hc_onc_007_data_dictionary.csv with 200+ fields annotated with:
- Data type, range/values, clinical units
- ICD-10-CM, SNOMED CT, LOINC, NCI Thesaurus, CDISC CDASH codes
Usage: python hc_onc_007_data_dictionary.py [--output_dir ./output]
"""
import csv
import argparse
import os
import sys
# ---------------------------------------------------------------------------
# Data dictionary rows: (field_name, data_type, range_values, unit,
# source_table, icd10_snomed, loinc, nci_code, cdisc_cdash, description)
# ---------------------------------------------------------------------------
FIELDS = [
# ── PATIENT IDENTIFIERS ─────────────────────────────────────────────────
("patient_id", "String", "HO007-00001 … HO007-99999", "", "primary", "", "", "C25364", "USUBJID", "Unique synthetic patient identifier"),
("dataset_version", "String", "1.0", "", "primary", "", "", "", "", "HC-ONC-007 dataset version tag"),
("generation_seed", "Integer", "Any integer", "", "primary", "", "", "", "", "NumPy random seed used to generate this record"),
# ── DEMOGRAPHICS ────────────────────────────────────────────────────────
("age_at_diagnosis", "Integer", "1 – 95", "Years", "primary", "C91-C95", "30525-0", "C25150", "AGE", "Patient age in whole years at leukemia diagnosis"),
("age_group", "String", "Pediatric/AYA/Adult/Elderly", "", "primary", "", "", "C25150", "AGEGR1", "Pediatric <18; AYA 18-39; Adult 40-64; Elderly 65+"),
("sex", "String", "Male/Female", "", "primary", "", "76689-9", "C28421", "SEX", "Biological sex at birth"),
("race_ethnicity", "String", "Non-Hispanic White/Black/Hispanic/Asian/Other", "", "primary", "", "72826-1", "C17049", "RACE", "Self-reported race/ethnicity per OMB categories"),
("bmi_kg_m2", "Float", "14.0 – 48.0", "kg/mΒ²", "primary", "", "39156-5", "C16358", "BMI", "Body mass index at diagnosis"),
("ecog_ps", "Integer", "0 – 4", "ECOG score","primary", "", "", "C102404", "ECOGCD", "ECOG performance status (0=fully active; 4=bedridden)"),
("smoking_status", "String", "Never/Former/Current", "", "primary", "", "72166-2", "C19796", "SMOKESTAT", "Smoking status at diagnosis"),
("prior_malignancy", "Boolean", "True/False", "", "primary", "Z85", "", "C27993", "", "Prior history of any malignancy"),
("prior_chemo", "Boolean", "True/False", "", "primary", "Z79.899", "", "C15632", "", "Exposure to prior chemotherapy (therapy-related AML risk)"),
("prior_radiation", "Boolean", "True/False", "", "primary", "Z85.6", "", "C15313", "", "Prior radiation therapy exposure"),
# ── DIAGNOSIS ───────────────────────────────────────────────────────────
("diagnosis_date", "Date", "YYYY-MM-DD", "", "primary", "", "", "C68615", "DXDT", "Date of confirmed leukemia diagnosis"),
("leukemia_subtype", "String", "AML/ALL/CML/CLL/APL", "", "primary", "C91-C95", "", "C3171", "DXTESTCD", "Primary leukemia subtype"),
("icd10_code", "String", "C91.0-C95.9", "", "primary", "ICD-10-CM", "", "", "DXTERM", "ICD-10-CM code for leukemia subtype and phase"),
("diagnosis_method", "String", "BM_biopsy/PB_flow/cytogenetics","", "primary", "", "", "C17649", "", "Primary diagnostic method used"),
("who_2022_classification", "String", "See codebook", "", "primary", "", "", "C27966", "", "WHO 2022 leukemia classification string"),
("fab_classification", "String", "M0-M7/L1-L3/CML-CP/etc.", "", "primary", "", "", "C9105", "", "FAB morphological classification (legacy but retained)"),
# ── AML-SPECIFIC ─────────────────────────────────────────────────────────
("aml_eln2022_risk", "String", "Favorable/Intermediate/Adverse","", "primary", "", "", "C168802", "AMLRISK", "ELN 2022 AML risk group based on cytogenetics+molecular"),
("aml_de_novo", "Boolean", "True/False", "", "primary", "C92.00", "", "", "", "De novo AML (vs. therapy-related or MDS-evolved)"),
("aml_secondary", "Boolean", "True/False", "", "primary", "C92.60", "", "", "", "AML evolved from prior MDS or MPN"),
("aml_cbf", "Boolean", "True/False", "", "primary", "", "", "", "", "Core-binding factor AML: inv(16) or t(8;21)"),
# ── ALL-SPECIFIC ─────────────────────────────────────────────────────────
("all_immunophenotype", "String", "B-ALL/T-ALL", "", "primary", "C91.00", "", "C7539", "", "ALL immunophenotype: B-cell or T-cell lineage"),
("all_ph_positive", "Boolean", "True/False", "", "primary", "", "", "", "", "Philadelphia chromosome positive ALL (BCR-ABL1)"),
("all_ph_like", "Boolean", "True/False", "", "primary", "", "", "", "", "Ph-like ALL (CRLF2 rearrangement or other JAK/STAT)"),
("all_nci_risk", "String", "Standard/High", "", "primary", "", "", "C15195", "", "NCI risk classification: SR WBC<50K age<10; else HR"),
("all_cnb_involvement", "Boolean", "True/False", "", "primary", "C91.00", "", "", "", "CNS involvement at diagnosis (CNS1/2/3 status)"),
# ── CML-SPECIFIC ─────────────────────────────────────────────────────────
("cml_phase", "String", "CP/AP/BC", "", "primary", "C92.10", "", "C3171", "", "CML phase: chronic/accelerated/blast crisis"),
("cml_sokal_score", "Float", "0.4 – 3.5", "", "primary", "", "", "", "", "Sokal prognostic score for CML at diagnosis"),
("cml_eutos_score", "Integer", "0 – 450", "", "primary", "", "", "", "", "EUTOS score (spleen size + basophil %)"),
("cml_hasford_score", "Float", "200 – 2000", "", "primary", "", "", "", "", "Hasford (Euro) score for CML risk stratification"),
# ── CLL-SPECIFIC ─────────────────────────────────────────────────────────
("cll_rai_stage", "Integer", "0 – 4", "Rai stage", "primary", "C91.10", "", "C94032", "", "Rai staging: 0=lymphocytosis; 4=thrombocytopenia"),
("cll_binet_stage", "String", "A/B/C", "", "primary", "", "", "C94032", "", "Binet staging: A<3 areas; C=anemia or thrombocytopenia"),
("cll_watch_wait", "Boolean", "True/False", "", "primary", "", "", "", "", "Patient managed with watchful waiting (no active Rx)"),
# ── APL-SPECIFIC ─────────────────────────────────────────────────────────
("apl_sanz_risk", "String", "Low/Intermediate/High", "", "primary", "C92.40", "", "", "", "Sanz APL risk: Low WBC<10K pltβ‰₯40K; High WBCβ‰₯10K"),
("apl_pml_rara_variant", "String", "Bcr1/Bcr2/Bcr3/Variant", "", "primary", "", "", "", "", "PML-RARA transcript variant (bcr1 most common ~55%)"),
# ── CBC AT DIAGNOSIS ────────────────────────────────────────────────────
("wbc_x10e9_l", "Float", "0.1 – 400.0", "Γ—10⁹/L", "primary", "", "6690-2", "C51953", "WBC", "White blood cell count at diagnosis"),
("hemoglobin_g_dl", "Float", "3.5 – 16.5", "g/dL", "primary", "", "718-7", "C51948", "HGB", "Hemoglobin concentration at diagnosis"),
("platelets_x10e9_l", "Float", "5.0 – 500.0", "Γ—10⁹/L", "primary", "", "777-3", "C51951", "PLAT", "Platelet count at diagnosis"),
("blasts_percent_pb", "Float", "0.0 – 99.0", "%", "primary", "", "26446-6", "C51952", "BLASTPCT", "Peripheral blood blast percentage at diagnosis"),
("blasts_percent_bm", "Float", "0.0 – 99.0", "%", "primary", "", "57027-3", "C51952", "BMBLAS", "Bone marrow blast percentage at diagnosis"),
("lactate_dehydrogenase", "Float", "100 – 5000", "U/L", "primary", "", "14804-9", "C64547", "LDH", "LDH at diagnosis; surrogate for tumor burden"),
("uric_acid_mg_dl", "Float", "2.0 – 18.0", "mg/dL", "primary", "", "3084-1", "C64547", "", "Uric acid; TLS risk marker"),
("creatinine_mg_dl", "Float", "0.4 – 8.0", "mg/dL", "primary", "", "2160-0", "C64548", "CREAT", "Serum creatinine at diagnosis"),
("bilirubin_total_mg_dl", "Float", "0.1 – 15.0", "mg/dL", "primary", "", "1975-2", "C64547", "BILI", "Total bilirubin at diagnosis"),
("spleen_size_cm", "Float", "8.0 – 30.0", "cm", "primary", "", "", "C12419", "", "Spleen size below costal margin (cm) for CML scoring"),
# ── CYTOGENETICS ────────────────────────────────────────────────────────
("karyotype_result", "String", "Normal/Complex/t(9;22)/etc.", "", "primary", "", "", "C16321", "CYTORES", "Conventional karyotype result (ISCN notation)"),
("cytogenetics_risk", "String", "Favorable/Intermediate/Adverse","", "primary", "", "", "C16321", "CYTORISK", "Cytogenetic risk group per ELN/NCCN/SWOG"),
("chromosome_count", "Integer", "40 – 92", "", "primary", "", "", "", "", "Modal chromosome number from karyotype"),
("complex_karyotype", "Boolean", "True/False", "", "primary", "", "", "", "", "β‰₯3 unrelated chromosomal abnormalities; adverse"),
("monosomal_karyotype", "Boolean", "True/False", "", "primary", "", "", "", "", "β‰₯2 monosomies or 1 monosomy + structural; adverse AML"),
("t_8_21", "Boolean", "True/False", "", "primary", "", "", "", "", "t(8;21)(q22;q22.1) RUNX1-RUNX1T1; CBF-AML favorable"),
("inv_16_t_16_16", "Boolean", "True/False", "", "primary", "", "", "", "", "inv(16)(p13.1q22)/t(16;16) CBF-MYH11; CBF-AML favorable"),
("t_15_17", "Boolean", "True/False", "", "primary", "", "", "", "", "t(15;17)(q24;q21) PML-RARA; diagnostic of APL"),
("t_9_22_bcr_abl1", "Boolean", "True/False", "", "primary", "", "", "", "", "t(9;22)(q34;q11.2) BCR-ABL1; CML/Ph+ ALL defining"),
("del_5q_monosomy5", "Boolean", "True/False", "", "primary", "", "", "", "", "del(5q) or -5; adverse AML cytogenetic marker"),
("del_7q_monosomy7", "Boolean", "True/False", "", "primary", "", "", "", "", "del(7q) or -7; adverse AML cytogenetic marker"),
("del_17p", "Boolean", "True/False", "", "primary", "", "", "", "", "del(17p) TP53 locus; adverse AML/CLL marker"),
("t_v_11q23_kmt2a", "Boolean", "True/False", "", "primary", "", "", "", "", "KMT2A (MLL) rearrangement; intermediate-adverse"),
("etv6_runx1", "Boolean", "True/False", "", "primary", "", "", "", "", "t(12;21) ETV6-RUNX1; favorable pediatric B-ALL"),
("hyperdiploidy_all", "Boolean", "True/False", "", "primary", "", "", "", "", "High hyperdiploidy (51-65 chr); favorable pediatric ALL"),
("cll_del13q", "Boolean", "True/False", "", "primary", "", "", "", "", "del(13q14) sole abnormality; favorable CLL"),
("cll_del11q", "Boolean", "True/False", "", "primary", "", "", "", "", "del(11q22) ATM; unfavorable CLL"),
("cll_trisomy12", "Boolean", "True/False", "", "primary", "", "", "", "", "Trisomy 12; intermediate CLL; NOTCH1 association"),
# ── MOLECULAR PANEL ──────────────────────────────────────────────────────
("npm1_mutation", "Boolean", "True/False", "", "molecular", "", "81901-7", "C49136", "NPM1MUT", "NPM1 mutation (exon 12); favorable ELN if FLT3-ITD-low"),
("flt3_itd", "Boolean", "True/False", "", "molecular", "", "55201-2", "C49136", "FLT3ITD", "FLT3-ITD mutation; adverse if allelic ratio β‰₯0.5"),
("flt3_itd_allelic_ratio", "Float", "0.0 – 5.0", "", "molecular", "", "", "", "FLT3AR", "FLT3-ITD allelic ratio (ITD/WT peak ratio)"),
("flt3_tkd", "Boolean", "True/False", "", "molecular", "", "55201-2", "C49136", "FLT3TKD", "FLT3-TKD (D835/I836) point mutation"),
("idh1_mutation", "Boolean", "True/False", "", "molecular", "", "79429-1", "C49136", "IDH1MUT", "IDH1 R132 mutation; ivosidenib targetable; ~8% AML"),
("idh2_mutation", "Boolean", "True/False", "", "molecular", "", "79430-9", "C49136", "IDH2MUT", "IDH2 R140/R172 mutation; enasidenib targetable; ~10%"),
("dnmt3a_mutation", "Boolean", "True/False", "", "molecular", "", "", "C49136", "DNMT3AMUT", "DNMT3A mutation (R882 hotspot most common); ~20% AML"),
("tp53_mutation", "Boolean", "True/False", "", "molecular", "", "10198-7", "C49136", "TP53MUT", "TP53 biallelic mutation; highly adverse ELN 2022"),
("cebpa_biallelic", "Boolean", "True/False", "", "molecular", "", "", "C49136", "CEBPAMUT", "CEBPA biallelic mutation; favorable ELN 2022"),
("runx1_mutation", "Boolean", "True/False", "", "molecular", "", "", "C49136", "", "RUNX1 mutation (non-t(8;21)); adverse ELN 2022"),
("asxl1_mutation", "Boolean", "True/False", "", "molecular", "", "", "C49136", "", "ASXL1 mutation; adverse ELN 2022 marker"),
("bcr_abl1_transcript", "String", "p210/p190/p230/None", "", "molecular", "", "51358-7", "C49136", "BCRABL1", "BCR-ABL1 fusion transcript type (CML/Ph+ALL)"),
("bcr_abl1_is_baseline", "Float", "0.001 – 100.0", "% IS", "molecular", "", "51358-7", "", "BCRABL1IS", "BCR-ABL1 International Scale % at diagnosis"),
("ighv_mutation_status", "String", "Mutated/Unmutated/NA", "", "molecular", "", "", "C49136", "IGHVMUT", "IGHV somatic hypermutation status for CLL prognosis"),
("sf3b1_mutation", "Boolean", "True/False", "", "molecular", "", "", "C49136", "", "SF3B1 mutation; associated with MDS; favorable CLL"),
("notch1_mutation", "Boolean", "True/False", "", "molecular", "", "", "C49136", "", "NOTCH1 mutation in CLL; adverse; ibrutinib resistance"),
("btk_mutation", "Boolean", "True/False", "", "molecular", "", "", "C49136", "BTKMUT", "BTK C481S mutation; ibrutinib resistance marker"),
# ── TREATMENT LINE 1 ────────────────────────────────────────────────────
("l1_regimen", "String", "See treatment codebook", "", "primary", "", "", "C15326", "TRT01P", "First-line treatment regimen name"),
("l1_start_date", "Date", "YYYY-MM-DD", "", "primary", "", "", "C68615", "TRT01SDT", "First-line treatment start date"),
("l1_end_date", "Date", "YYYY-MM-DD", "", "primary", "", "", "C68615", "TRT01EDT", "First-line treatment end date"),
("l1_cycles_planned", "Integer", "1 – 12", "cycles", "primary", "", "", "", "", "Number of chemotherapy cycles planned for line 1"),
("l1_cycles_received", "Integer", "0 – 12", "cycles", "primary", "", "", "", "", "Actual cycles received (may differ due to toxicity)"),
("l1_dose_reduction", "Boolean", "True/False", "", "primary", "", "", "", "", "Any dose reduction applied during line 1 treatment"),
("l1_venetoclax", "Boolean", "True/False", "", "primary", "", "", "C105538","", "Venetoclax included in first-line regimen"),
("l1_intensive_chemo", "Boolean", "True/False", "", "primary", "", "", "C15632", "", "Intensive induction chemotherapy (7+3, HyperCVAD, BFM)"),
("l1_tki", "Boolean", "True/False", "", "primary", "", "", "C51033", "", "Tyrosine kinase inhibitor included in line 1"),
("l1_tki_agent", "String", "Imatinib/Dasatinib/Nilotinib/Ponatinib/Bosutinib/Asciminib/None","","primary","","", "C51033","TKI1AGNT", "Specific TKI agent used in first line"),
("l1_btki", "Boolean", "True/False", "", "primary", "", "", "C129785","", "BTK inhibitor (ibrutinib/acalabrutinib/zanubrutinib) used"),
("l1_atra", "Boolean", "True/False", "", "primary", "", "", "C538", "", "All-trans retinoic acid (ATRA) given; APL treatment"),
("l1_arsenic_trioxide", "Boolean", "True/False", "", "primary", "", "", "C947", "", "Arsenic trioxide (ATO) given; APL standard of care"),
("l1_car_t", "Boolean", "True/False", "", "primary", "", "", "C173420","", "CAR-T cell therapy administered in first line"),
("l1_blinatumomab", "Boolean", "True/False", "", "primary", "", "", "C116130","", "Blinatumomab (BiTE) administered; ALL MRD+ consolidation"),
# ── RESPONSE / REMISSION ─────────────────────────────────────────────────
("best_response", "String", "CR/CRi/CRh/MLFS/PR/SD/PD/NR", "", "primary", "", "", "C49206", "BESTRESP", "Best overall response achieved during treatment"),
("cr_achieved", "Boolean", "True/False", "", "primary", "", "", "C49206", "CRFL", "Complete remission achieved (blasts <5%)"),
("cr_date", "Date", "YYYY-MM-DD", "", "primary", "", "", "", "CRDT", "Date of first documented complete remission"),
("time_to_cr_days", "Integer", "14 – 120", "Days", "primary", "", "", "", "CRDT", "Days from treatment start to first CR confirmation"),
("mrd_negativity_achieved", "Boolean", "True/False", "", "primary", "", "81901-7", "C173817","MRDFL", "MRD negativity achieved at any timepoint"),
("mrd_method", "String", "Flow_cytometry/NGS/PCR/ddPCR/None","", "primary", "", "", "C173817","MRDMETH", "MRD assessment method used"),
("mrd_sensitivity", "String", "1e-4/1e-5/1e-6/NA", "", "primary", "", "", "", "", "MRD assay sensitivity threshold"),
("ccyr_achieved", "Boolean", "True/False", "", "primary", "", "51360-3", "", "", "Complete cytogenetic response (0% Ph+ metaphases; CML)"),
("mmr_achieved", "Boolean", "True/False", "", "primary", "", "51360-3", "", "MMR", "Major molecular response BCR-ABL1 ≀0.1% IS (CML)"),
("dmr_cmr4_achieved", "Boolean", "True/False", "", "primary", "", "", "", "", "Deep MR: MR4.0 BCR-ABL1 ≀0.01% IS (TFR eligibility)"),
("relapse", "Boolean", "True/False", "", "primary", "", "", "C26766", "RELFL", "Disease relapse after achieving CR"),
("relapse_date", "Date", "YYYY-MM-DD", "", "primary", "", "", "", "RELDT", "Date of confirmed relapse"),
("refractory", "Boolean", "True/False", "", "primary", "", "", "C38155", "", "Primary refractory disease (no CR with induction)"),
# ── MRD LONGITUDINAL (hc_onc_007_mrd_longitudinal.csv) ──────────────────
("mrd_assessment_month", "Integer", "0 – 60", "Month", "mrd_long", "", "", "", "", "Month of MRD assessment from treatment start"),
("mrd_value_percent", "Float", "0.00001 – 100.0", "% IS or %", "mrd_long", "", "81901-7", "", "MRDVAL", "Quantitative MRD value (BCR-ABL1 IS% or % blasts by NGS)"),
("mrd_log_reduction", "Float", "0.0 – 6.0", "log10", "mrd_long", "", "", "", "", "Log10 reduction from diagnostic baseline"),
("mrd_negative_flag", "Boolean", "True/False", "", "mrd_long", "", "", "", "MRDFL", "MRD below sensitivity threshold at this timepoint"),
("wbc_concurrent", "Float", "0.5 – 20.0", "Γ—10⁹/L", "mrd_long", "", "6690-2", "", "WBC", "Concurrent WBC at MRD assessment timepoint"),
("hgb_concurrent", "Float", "6.0 – 17.0", "g/dL", "mrd_long", "", "718-7", "", "HGB", "Concurrent hemoglobin at MRD assessment timepoint"),
("plt_concurrent", "Float", "10.0 – 450.0", "Γ—10⁹/L", "mrd_long", "", "777-3", "", "PLAT", "Concurrent platelets at MRD assessment timepoint"),
# ── BMT / HSCT ────────────────────────────────────────────────────────────
("bmt_performed", "Boolean", "True/False", "", "bmt", "", "", "C15342", "BMTFL", "Bone marrow / stem cell transplant performed"),
("bmt_type", "String", "Allogeneic/Autologous/None", "", "bmt", "", "57372-3", "C15342", "BMTTYPE", "Transplant type: allogeneic (donor) or autologous"),
("bmt_date", "Date", "YYYY-MM-DD", "", "bmt", "", "", "", "BMTDT", "Date of stem cell infusion (Day 0)"),
("bmt_donor_type", "String", "MRD_10/10/MUD_10/10/MUD_8/10/Haplo/UCB/Autologous","","bmt","","", "C15342","DONRTYPE", "Donor HLA match category"),
("hla_match_grade", "String", "10/10/9/10/8/10/Haplo", "", "bmt", "", "", "C25392", "HLAGRDE", "HLA allele match grade (high-res 8-loci)"),
("conditioning_regimen", "String", "Cy+TBI/Bu+Cy/Flu+Mel/Flu+Bu2/BEAM/Mel200","","bmt","", "", "C15326", "CONDREG", "Pre-transplant conditioning regimen"),
("conditioning_intensity", "String", "Myeloablative/RIC/NMA", "", "bmt", "", "", "", "CONDINT", "Conditioning intensity: MAC, RIC, or non-myeloablative"),
("gcsf_priming", "Boolean", "True/False", "", "bmt", "", "", "", "", "G-CSF used for stem cell mobilization"),
("cd34_x10e6_kg", "Float", "1.0 – 20.0", "Γ—10⁢/kg", "bmt", "", "", "", "CD34DOSE", "CD34+ cell dose infused per kg body weight"),
("engraftment_day", "Integer", "10 – 45", "Days", "bmt", "", "", "", "ENGDAY", "Day of neutrophil engraftment (ANC β‰₯0.5Γ—10⁹/L x2)"),
("plt_engraftment_day", "Integer", "12 – 60", "Days", "bmt", "", "", "", "PLTENGDAY", "Day of platelet engraftment (β‰₯20Γ—10⁹/L unsupported)"),
("chimerism_day30", "Float", "0.0 – 100.0", "%", "bmt", "", "", "", "CHIM30", "Donor chimerism % at Day +30 post-transplant"),
("chimerism_day100", "Float", "0.0 – 100.0", "%", "bmt", "", "", "", "CHIM100", "Donor chimerism % at Day +100 post-transplant"),
("chimerism_day180", "Float", "0.0 – 100.0", "%", "bmt", "", "", "", "CHIM180", "Donor chimerism % at Day +180 post-transplant"),
("chimerism_pattern", "String", "Full/Mixed/Split/Falling", "", "bmt", "", "", "", "", "Chimerism pattern interpretation"),
("acute_gvhd", "Boolean", "True/False", "", "bmt", "", "49874-9", "C26782", "AGVHDFL", "Acute GvHD of any grade occurred"),
("acute_gvhd_grade", "String", "I/II/III/IV/None", "", "bmt", "", "49874-9", "C26782", "AGVHDGRD", "Acute GvHD grade per MAGIC/modified Glucksberg criteria"),
("acute_gvhd_organs", "String", "Skin/GI/Liver/Multi", "", "bmt", "", "", "", "", "Organs involved in acute GvHD episode"),
("chronic_gvhd", "Boolean", "True/False", "", "bmt", "", "49874-9", "C26782", "CGVHDFL", "Chronic GvHD occurred (NIH 2014 criteria)"),
("chronic_gvhd_severity", "String", "Mild/Moderate/Severe/None", "", "bmt", "", "", "C26782", "CGVHDSEV", "Chronic GvHD severity per NIH 2014 global scoring"),
("gvhd_treatment", "String", "Steroids/Ruxolitinib/Ibrutinib/ECP/None","","bmt","", "", "", "GVHDTRT", "Primary GvHD treatment received"),
("vod_sos", "Boolean", "True/False", "", "bmt", "", "", "C26760", "VODSOSFL", "Veno-occlusive disease/sinusoidal obstruction syndrome"),
("vod_severity", "String", "Mild/Moderate/Severe/Very_Severe/None","", "bmt", "", "", "", "VODSEV", "VOD/SOS severity per EBMT 2016 criteria"),
("defibrotide_used", "Boolean", "True/False", "", "bmt", "", "", "", "", "Defibrotide administered for VOD/SOS treatment"),
("nrm_event", "Boolean", "True/False", "", "bmt", "", "", "C61357", "NRMFL", "Non-relapse mortality event occurred post-transplant"),
("nrm_cause", "String", "GvHD/Infection/Organ_failure/Other/None","","bmt","", "", "", "NRMCAUSE", "Cause of non-relapse mortality if applicable"),
("relapse_post_bmt", "Boolean", "True/False", "", "bmt", "", "", "C26766", "RELBTFL", "Disease relapse after BMT"),
("relapse_post_bmt_date", "Date", "YYYY-MM-DD", "", "bmt", "", "", "", "RELBTDT", "Date of post-BMT relapse confirmation"),
("dli_given", "Boolean", "True/False", "", "bmt", "", "", "", "", "Donor lymphocyte infusion given post-transplant"),
# ── TOXICITY ─────────────────────────────────────────────────────────────
("tls_occurred", "Boolean", "True/False", "", "primary", "", "", "C26780", "TLSFL", "Tumor lysis syndrome occurred (Cairo-Bishop criteria)"),
("tls_severity", "String", "Laboratory/Clinical/None", "", "primary", "", "", "C26780", "TLSSEV", "TLS severity: lab (biochemical) or clinical (organ)"),
("differentiation_syndrome","Boolean", "True/False", "", "primary", "", "", "", "DIFSYNFL", "Differentiation syndrome (APL/IDH inhibitor therapy)"),
("diff_syndrome_grade", "String", "Mild/Moderate/Severe/None", "", "primary", "", "", "", "", "Differentiation syndrome grade per Montesinos 2009"),
("febrile_neutropenia", "Boolean", "True/False", "", "primary", "", "5905-5", "C26780", "FNFL", "Febrile neutropenia episode during treatment"),
("invasive_fungal_infection","Boolean","True/False", "", "primary", "", "", "C26780", "IFIFL", "Invasive fungal infection (aspergillosis/candida)"),
("cardiotoxicity", "Boolean", "True/False", "", "primary", "", "55133-7", "C62435", "CARDFL", "Cardiotoxicity: LVEF drop β‰₯10pts or symptomatic CHF"),
("lvef_baseline", "Float", "30.0 – 75.0", "%", "primary", "", "10230-8", "", "LVEF0", "Baseline LVEF by echocardiography before anthracycline"),
("lvef_nadir", "Float", "20.0 – 70.0", "%", "primary", "", "10230-8", "", "LVEFMIN", "LVEF nadir during or after chemotherapy"),
("peripheral_neuropathy", "String", "Grade 0/1/2/3/4 (CTCAE 5.0)", "", "primary", "", "", "C27992", "PERINPGRD", "Peripheral neuropathy grade (bortezomib/vincristine)"),
("fact_leu_score", "Float", "0.0 – 176.0", "points", "primary", "", "", "C21007", "FACTLEU", "FACT-Leu quality of life total score"),
("ctcae_grade_max", "Integer", "0 – 5", "CTCAE", "primary", "", "", "C41331", "CTCAEMAX", "Maximum CTCAE grade for any AE during treatment"),
("hospitalization_days_l1", "Integer", "0 – 365", "Days", "primary", "", "", "", "HOSPDAYS", "Total hospitalization days during first-line treatment"),
# ── SURVIVAL ─────────────────────────────────────────────────────────────
("os_months", "Float", "0.1 – 240.0", "Months", "primary", "", "", "C61590", "OSMOS", "Overall survival in months from diagnosis"),
("os_event", "Boolean", "True/False", "", "primary", "", "", "C61590", "OSFLEVT", "OS event: True=death; False=censored"),
("efs_months", "Float", "0.1 – 240.0", "Months", "primary", "", "", "C61590", "EFSMOS", "Event-free survival (relapse, progression, or death)"),
("efs_event", "Boolean", "True/False", "", "primary", "", "", "C61590", "EFSFLEVT", "EFS event flag"),
("lfs_months", "Float", "0.1 – 240.0", "Months", "primary", "", "", "C61590", "LFSMOS", "Leukemia-free survival from CR date"),
("lfs_event", "Boolean", "True/False", "", "primary", "", "", "C61590", "LFSFLEVT", "LFS event flag (relapse or death in CR)"),
("grfs_months", "Float", "0.1 – 240.0", "Months", "bmt", "", "", "", "GRFSMOS", "GvHD-free relapse-free survival (post-BMT)"),
("grfs_event", "Boolean", "True/False", "", "bmt", "", "", "", "GRFSFLEVT", "GRFS event flag (severe cGvHD, relapse, or death)"),
("cause_of_death", "String", "Disease/NRM/Toxicity/Other/NA","", "primary", "", "", "C28554", "CODTERM", "Primary cause of death if OS event=True"),
("os_1yr", "Boolean", "True/False", "", "primary", "", "", "", "OS1YRFL", "Alive at 1 year from diagnosis (binary endpoint)"),
("os_2yr", "Boolean", "True/False", "", "primary", "", "", "", "OS2YRFL", "Alive at 2 years from diagnosis"),
("os_5yr", "Boolean", "True/False", "", "primary", "", "", "", "OS5YRFL", "Alive at 5 years from diagnosis"),
("efs_1yr", "Boolean", "True/False", "", "primary", "", "", "", "EFS1YRFL", "Event-free at 1 year from diagnosis"),
("efs_2yr", "Boolean", "True/False", "", "primary", "", "", "", "EFS2YRFL", "Event-free at 2 years from diagnosis"),
]
# ── ML FEATURES (from hc_onc_007_ml_features.csv) ────────────────────────────
ML_FIELDS = [
("f_subtype_aml", "Binary", "0/1", "", "ml_features", "","","","","One-hot: AML subtype"),
("f_subtype_all", "Binary", "0/1", "", "ml_features", "","","","","One-hot: ALL subtype"),
("f_subtype_cml", "Binary", "0/1", "", "ml_features", "","","","","One-hot: CML subtype"),
("f_subtype_cll", "Binary", "0/1", "", "ml_features", "","","","","One-hot: CLL subtype"),
("f_subtype_apl", "Binary", "0/1", "", "ml_features", "","","","","One-hot: APL subtype"),
("f_age_grp_pediatric", "Binary", "0/1", "", "ml_features", "","","","","Age group: pediatric <18"),
("f_age_grp_aya", "Binary", "0/1", "", "ml_features", "","","","","Age group: AYA 18-39"),
("f_age_grp_elderly", "Binary", "0/1", "", "ml_features", "","","","","Age group: elderly β‰₯65"),
("f_ecog_ordinal", "Integer", "0–4", "", "ml_features", "","","","","ECOG PS as ordinal integer"),
("f_eln2022_ordinal", "Integer", "0/1/2", "", "ml_features", "","","","","ELN 2022: 0=Favorable, 1=Int, 2=Adverse"),
("f_cbf_aml", "Binary", "0/1", "", "ml_features", "","","","","Core-binding factor AML flag"),
("f_apl_flag", "Binary", "0/1", "", "ml_features", "","","","","APL with PML-RARA flag"),
("f_ph_positive", "Binary", "0/1", "", "ml_features", "","","","","BCR-ABL1 positive (CML or Ph+ ALL)"),
("f_adverse_cyto_count", "Integer", "0–8", "", "ml_features", "","","","","Count of adverse cytogenetic markers present"),
("f_favorable_cyto_count", "Integer", "0–4", "", "ml_features", "","","","","Count of favorable cytogenetic markers present"),
("f_aml_adverse_composite", "Float", "0.0–1.0", "", "ml_features", "","","","","Composite adverse molecular score (AML)"),
("f_aml_favorable_composite","Float", "0.0–1.0", "", "ml_features", "","","","","Composite favorable molecular score (AML)"),
("f_cll_fish_risk_ordinal", "Integer", "0/1/2", "", "ml_features", "","","","","CLL FISH risk: 0=del13q/normal, 1=+12, 2=del11q/del17p"),
("f_bcr_abl1_log_baseline", "Float", "0.0–5.0", "log10","ml_features","","","","","Log10 BCR-ABL1 IS% at baseline"),
("f_hyperleukocytosis", "Binary", "0/1", "", "ml_features", "","","","","WBC β‰₯100Γ—10⁹/L flag (TLS/leukapheresis risk)"),
("f_severe_anemia", "Binary", "0/1", "", "ml_features", "","","","","Hemoglobin <8.0 g/dL at diagnosis"),
("f_hematologic_burden", "Float", "0.0–10.0", "", "ml_features", "","","","","Composite hematologic burden score (WBC+blasts+LDH)"),
("f_venetoclax_used", "Binary", "0/1", "", "ml_features", "","","","","Venetoclax in treatment regimen"),
("f_intensive_chemo", "Binary", "0/1", "", "ml_features", "","","","","Intensive induction chemotherapy flag"),
("f_tki_generation", "Integer", "0/1/2/3", "", "ml_features", "","","","","TKI generation: 0=none, 1=imatinib, 2=dasatinib/nilotinib, 3=ponatinib+"),
("f_btki_used", "Binary", "0/1", "", "ml_features", "","","","","BTK inhibitor administered"),
("f_atra_ato_regimen", "Binary", "0/1", "", "ml_features", "","","","","ATRA+ATO regimen (APL standard of care)"),
("f_mrd_depth_score", "Integer", "0–4", "", "ml_features", "","","","","MRD response depth: 0=no CR, 1=CR/MRD+, 2=MRDneg flow, 3=MRDneg PCR, 4=MRDneg NGS"),
("f_early_cr", "Binary", "0/1", "", "ml_features", "","","","","CR achieved within 60 days of treatment start"),
("f_early_mrd_clearance", "Binary", "0/1", "", "ml_features", "","","","","MRD negativity within 3 months of treatment start"),
("f_bmt_performed", "Binary", "0/1", "", "ml_features", "","","","","Transplant performed flag"),
("f_donor_ordinal", "Integer", "0–4", "", "ml_features", "","","","","Donor type ordinal: 0=auto, 1=MRD10/10, 2=MUD10/10, 3=MUD8/10, 4=Haplo/UCB"),
("f_hla_match_score", "Float", "0.0–1.0", "", "ml_features", "","","","","HLA match fraction (e.g. 10/10=1.0, 8/10=0.8)"),
("f_mac_conditioning", "Binary", "0/1", "", "ml_features", "","","","","Myeloablative conditioning flag"),
("f_agvhd_severity", "Integer", "0–4", "", "ml_features", "","","","","Acute GvHD grade as integer (0=none, 4=life-threatening)"),
("f_cgvhd_severity", "Integer", "0–3", "", "ml_features", "","","","","Chronic GvHD: 0=none, 1=mild, 2=moderate, 3=severe"),
("f_vod_flag", "Binary", "0/1", "", "ml_features", "","","","","VOD/SOS occurred post-transplant"),
("f_nrm_flag", "Binary", "0/1", "", "ml_features", "","","","","Non-relapse mortality event"),
("f_full_chimerism", "Binary", "0/1", "", "ml_features", "","","","","Full donor chimerism at Day +100"),
("f_bmt_complication_score","Float", "0.0–10.0", "", "ml_features", "","","","","Composite BMT complication score (GvHD+NRM+VOD)"),
("f_toxicity_burden", "Float", "0.0–10.0", "", "ml_features", "","","","","Composite treatment toxicity burden score"),
("f_qol_delta", "Float", "-176.0–176.0", "", "ml_features", "","","","","FACT-Leu QoL change from baseline during treatment"),
]
def main():
parser = argparse.ArgumentParser(description="HC-ONC-007 Data Dictionary Generator")
parser.add_argument("--output_dir", default="./output", help="Output directory for CSV file")
args = parser.parse_args()
os.makedirs(args.output_dir, exist_ok=True)
out_path = os.path.join(args.output_dir, "hc_onc_007_data_dictionary.csv")
header = [
"field_name", "data_type", "range_values", "unit",
"source_table", "icd10_snomed", "loinc_code", "nci_code",
"cdisc_cdash", "description"
]
all_rows = []
for row in FIELDS:
all_rows.append(list(row))
for row in ML_FIELDS:
all_rows.append(list(row))
with open(out_path, "w", newline="", encoding="utf-8") as f:
writer = csv.writer(f, quoting=csv.QUOTE_ALL)
writer.writerow(header)
writer.writerows(all_rows)
print(f"βœ… HC-ONC-007 Data Dictionary β†’ {out_path}")
print(f" Total fields documented: {len(all_rows)}")
print(f" Primary cohort fields: {sum(1 for r in all_rows if r[4]=='primary')}")
print(f" BMT module fields: {sum(1 for r in all_rows if r[4]=='bmt')}")
print(f" MRD longitudinal fields: {sum(1 for r in all_rows if r[4]=='mrd_long')}")
print(f" ML feature fields: {sum(1 for r in all_rows if r[4]=='ml_features')}")
print(f" Molecular panel fields: {sum(1 for r in all_rows if r[4]=='molecular')}")
if __name__ == "__main__":
main()