{
  "id": 19790,
  "label": "chronic myelomonocytic leukemia",
  "model": {
    "label": "Mondo Disease Ontology (MONDO)",
    "source": 0
  },
  "type_id": 0,
  "reference_id": "MONDO:0020311",
  "properties": {
    "xrefs": [
      "DOID:0080188",
      "EFO:1001779",
      "GARD:0008225",
      "ICD10CM:C93.1",
      "ICDO:9945/3",
      "MEDGEN:44125",
      "MESH:D015477",
      "MedDRA:10009018",
      "NANDO:2200014",
      "NCIT:C3178",
      "ONCOTREE:CMML",
      "Orphanet:98823",
      "SCTID:127225006",
      "UMLS:C0023480",
      "icd11.foundation:2073226578"
    ],
    "synonyms": [
      "CMML",
      "chronic myelomonocytic leukaemia (CMML)",
      "chronic myelomonocytic leukemia",
      "chronic myelomonocytic leukemia (CMML)"
    ],
    "categories": [
      {
        "ref": "MONDO:0002081",
        "name": "musculoskeletal system disorder"
      },
      {
        "ref": "MONDO:0003900",
        "name": "connective tissue disorder"
      },
      {
        "ref": "MONDO:0005046",
        "name": "immune system disorder"
      },
      {
        "ref": "MONDO:0005570",
        "name": "hematologic disorder"
      }
    ],
    "definition": "A myelodysplastic/myeloproliferative neoplasm which is characterized by persistent monocytosis, absence of a Philadelphia chromosome and BCR/ABL fusion gene, fewer than 20 percent blasts in the bone marrow and blood, myelodysplasia, and absence of PDGFRA or PDGFRB rearrangement."
  },
  "isLeaf": false,
  "isRoot": false,
  "child_count": 1,
  "parents": [
    {
      "id": 3274,
      "label": "chronic leukemia",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        6789
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:1036",
          "ICD9:208.10",
          "MEDGEN:220905",
          "NCIT:C3483",
          "SCTID:92812005",
          "UMLS:C1279296"
        ],
        "synonyms": [
          "chronic leukaemia (disease)",
          "chronic leukemia",
          "chronic leukemia (disease)",
          "leukaemia (disease), chronic",
          "leukemia (disease), chronic",
          "adult chronic leukaemia"
        ],
        "categories": [
          {
            "ref": "MONDO:0005570",
            "name": "hematologic disorder"
          }
        ],
        "definition": "A slowly progressing leukemia characterized by a clonal (malignant) proliferation of maturing and mature myeloid cells or mature lymphocytes. When the clonal cellular population is composed of myeloid cells, the process is called chronic myelogenous leukemia. When the clonal cellular population is composed of lymphocytes, it is classified as chronic lymphocytic leukemia, hairy cell leukemia, or T-cell large granular lymphocyte leukemia."
      },
      "child_count": 8,
      "reference_id": "MONDO:0001014"
    },
    {
      "id": 7847,
      "label": "myelodysplastic/myeloproliferative neoplasm",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        19727
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:4972",
          "EFO:1000388",
          "GARD:0024368",
          "ICDO:9975/3",
          "MEDGEN:226981",
          "NCIT:C27262",
          "ONCOTREE:MDS%2FMPN",
          "SCTID:445738007",
          "UMLS:C1301355"
        ],
        "synonyms": [
          "MDS-MPD",
          "MDS/MPD",
          "myelodysplastic myeloproliferative disease",
          "myelodysplastic/myeloproliferative disease",
          "myelodysplastic/myeloproliferative diseases",
          "myelodysplastic/myeloproliferative disorder",
          "myelodysplastic/myeloproliferative disorders",
          "myeloproliferative/myelodysplastic disorders",
          "myeloproliferative/myelodysplastic syndromes",
          "MDS/MPN",
          "MPD-MDS",
          "MPD/MDS",
          "myelodysplastic/myeloproliferative neoplasm",
          "myelodysplastic/myeloproliferative neoplasms"
        ],
        "categories": [
          {
            "ref": "MONDO:0002081",
            "name": "musculoskeletal system disorder"
          },
          {
            "ref": "MONDO:0003900",
            "name": "connective tissue disorder"
          },
          {
            "ref": "MONDO:0005046",
            "name": "immune system disorder"
          },
          {
            "ref": "MONDO:0005570",
            "name": "hematologic disorder"
          }
        ],
        "definition": "A category of clonal hematopoietic disorders that have both myelodysplastic and myeloproliferative features at the time of initial presentation."
      },
      "child_count": 2,
      "reference_id": "MONDO:0006311"
    },
    {
      "id": 19728,
      "label": "myelodysplastic/myeloproliferative disease",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        16513
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "GARD:0009351",
          "MESH:D054437",
          "Orphanet:98275"
        ],
        "categories": [
          {
            "ref": "MONDO:0005570",
            "name": "hematologic disorder"
          }
        ],
        "definition": "Clonal myeloid disorders that possess both dysplastic and proliferative features but are not properly classified as either MYELODYSPLASTIC SYNDROMES or MYELOPROLIFERATIVE disorderS."
      },
      "child_count": 2,
      "reference_id": "MONDO:0020077"
    }
  ],
  "children": [
    {
      "id": 12983,
      "label": "juvenile myelomonocytic leukemia",
      "isLeaf": true,
      "isRoot": false,
      "parents": [
        19790
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:0050458",
          "EFO:1000309",
          "GARD:0009884",
          "ICD10CM:C93.3",
          "ICDO:9946/3",
          "MEDGEN:138109",
          "MESH:D054429",
          "MedDRA:10023249",
          "NANDO:2200014",
          "NANDO:2200015",
          "NCIT:C9233",
          "NORD:1316",
          "OMIM:607785",
          "ONCOTREE:JMML",
          "Orphanet:86834",
          "SCTID:445227008",
          "UMLS:C0349639",
          "icd11.foundation:1786015803"
        ],
        "synonyms": [
          "chronic myelomonocytic leukaemia",
          "chronic myelomonocytic leukemia",
          "JCML",
          "JMML",
          "juvenile chronic myelogenous leukaemia",
          "juvenile chronic myelogenous leukemia",
          "juvenile chronic myeloid leukaemia",
          "juvenile chronic myeloid leukemia",
          "juvenile chronic myelomonocytic leukaemia",
          "juvenile chronic myelomonocytic leukemia",
          "juvenile myelomonocytic leukemia",
          "juvenile myelomonocytic leukemia, autosomal dominant, somatic mutation",
          "leukemia, juvenile myelomonocytic, autosomal dominant, somatic mutation",
          "leukemia, juvenile myelomonocytic, somatic",
          "leukemia, chronic myelomonocytic",
          "leukemia, juvenile myelomonocytic"
        ],
        "categories": [
          {
            "ref": "MONDO:0002081",
            "name": "musculoskeletal system disorder"
          },
          {
            "ref": "MONDO:0003900",
            "name": "connective tissue disorder"
          },
          {
            "ref": "MONDO:0005046",
            "name": "immune system disorder"
          },
          {
            "ref": "MONDO:0005570",
            "name": "hematologic disorder"
          }
        ],
        "definition": "A myelodysplastic/myeloproliferative neoplasm of childhood that is characterized by proliferation principally of the granulocytic and monocytic lineages. Myelomonocytic proliferation is seen in the bone marrow and the blood. The leukemic cells may infiltrate any tissue, however liver, spleen, lymph nodes, skin, and respiratory tract are the most common sites of involvement. (WHO, 2001)"
      },
      "child_count": 0,
      "reference_id": "MONDO:0011908"
    }
  ],
  "roots": [
    {
      "id": 3274,
      "label": "chronic leukemia"
    },
    {
      "id": 7847,
      "label": "myelodysplastic/myeloproliferative neoplasm"
    },
    {
      "id": 19728,
      "label": "myelodysplastic/myeloproliferative disease"
    }
  ]
}