Anglais

AML- Register_Progress sheet_SAL_University hospital dresden

1 Formulaires  
Patient information
Description

Patient information

Patient name:
Description

Patient name

Type de données

text

Patient ID:
Description

Patient ID

Type de données

integer

Clinic code:
Description

Clinic code

Type de données

integer

Date of birth:
Description

Date of birth

Type de données

date

Gender:
Description

gender

Type de données

text

Date of last Progress sheet:
Description

date

Type de données

date

Date of previous contact:
Description

date

Type de données

date

Number of therapies since the last visit (Chemotherapy, immunotherapies, small molecules, transplants):
Description

Therapy number

Type de données

integer

Patient alive
Description

Patient alive

CR by acute promyelocytic leukemia (leukocytes >=1,0 GPt/l ; platelets >=100 GPt/l):
Description

complete remission

Type de données

text

CRi (Leukocytes <1,0 GPt/l):
Description

complete remission

Type de données

boolean

CRp (Leukocytes >=1,0 GPt/l ; Platelets <100 GPt/l):
Description

complete remission

Type de données

boolean

No CR by by acute promyelocytic leukemia :
Description

complete remission

Type de données

text

Patient dead (Please fill only when the patient is dead)
Description

Patient dead (Please fill only when the patient is dead)

Date of death:
Description

death date

Type de données

date

Cause of death:
Description

Cause of death

Type de données

text

For other, please mention:
Description

Other

Type de données

text

Recurrence
Description

Recurrence

Recurrence since last documentation?
Description

recurrence

Type de données

boolean

Date of recurrence:
Description

date

Type de données

date

Recurrence number:
Description

recurrence number

Type de données

integer

Localization:
Description

localization

Type de données

text

Tumor site:
Description

site

Type de données

text

Therapy and delayed effect:
Description

therapy; delayed effect

Type de données

text

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Similar models

AML- Register_Progress sheet_SAL_University hospital dresden

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Patient information
Patient name
Item
Patient name:
text
Patient ID
Item
Patient ID:
integer
Clinic code
Item
Clinic code:
integer
Date of birth
Item
Date of birth:
date
Item
Gender:
text
gender
Code List
Gender:
CL Item
male (1)
CL Item
female (2)
date
Item
Date of last Progress sheet:
date
date
Item
Date of previous contact:
date
Therapy number
Item
Number of therapies since the last visit (Chemotherapy, immunotherapies, small molecules, transplants):
integer
Item Group
Patient alive
Item
CR by acute promyelocytic leukemia (leukocytes >=1,0 GPt/l ; platelets >=100 GPt/l):
text
complete remission
Code List
CR by acute promyelocytic leukemia (leukocytes >=1,0 GPt/l ; platelets >=100 GPt/l):
CL Item
hematological (1)
CL Item
molecular (2)
complete remission
Item
CRi (Leukocytes <1,0 GPt/l):
boolean
complete remission
Item
CRp (Leukocytes >=1,0 GPt/l ; Platelets <100 GPt/l):
boolean
Item
No CR by by acute promyelocytic leukemia :
text
complete remission
Code List
No CR by by acute promyelocytic leukemia :
CL Item
primary refractory; hematological (1)
CL Item
primary refractory; molecular (2)
CL Item
recurrence; hematological (3)
CL Item
recurrence; molecular (4)
Item Group
Patient dead (Please fill only when the patient is dead)
death date
Item
Date of death:
date
Item
Cause of death:
text
Cause of death
Code List
Cause of death:
CL Item
due to tumor (1)
CL Item
unknown (2)
CL Item
other (3)
Other
Item
For other, please mention:
text
Item Group
Recurrence
recurrence
Item
Recurrence since last documentation?
boolean
date
Item
Date of recurrence:
date
recurrence number
Item
Recurrence number:
integer
Item
Localization:
text
localization
Code List
Localization:
CL Item
bone marrow/ blood (1)
CL Item
extramedullary (2)
site
Item
Tumor site:
text
Item
Therapy and delayed effect:
text
therapy; delayed effect
Code List
Therapy and delayed effect:
CL Item
secondary malignancy (1)
CL Item
chronic GvHD (2)
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