Englisch

AML- Register_Progress sheet_SAL_University hospital dresden

1 Formulare  
Patient information
Beschreibung

Patient information

Patient name:
Beschreibung

Patient name

Datentyp

text

Patient ID:
Beschreibung

Patient ID

Datentyp

integer

Clinic code:
Beschreibung

Clinic code

Datentyp

integer

Date of birth:
Beschreibung

Date of birth

Datentyp

date

Gender:
Beschreibung

gender

Datentyp

text

Date of last Progress sheet:
Beschreibung

date

Datentyp

date

Date of previous contact:
Beschreibung

date

Datentyp

date

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

Therapy number

Datentyp

integer

Patient alive
Beschreibung

Patient alive

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

complete remission

Datentyp

text

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

complete remission

Datentyp

boolean

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

complete remission

Datentyp

boolean

No CR by by acute promyelocytic leukemia :
Beschreibung

complete remission

Datentyp

text

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

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

Date of death:
Beschreibung

death date

Datentyp

date

Cause of death:
Beschreibung

Cause of death

Datentyp

text

For other, please mention:
Beschreibung

Other

Datentyp

text

Recurrence
Beschreibung

Recurrence

Recurrence since last documentation?
Beschreibung

recurrence

Datentyp

boolean

Date of recurrence:
Beschreibung

date

Datentyp

date

Recurrence number:
Beschreibung

recurrence number

Datentyp

integer

Localization:
Beschreibung

localization

Datentyp

text

Tumor site:
Beschreibung

site

Datentyp

text

Therapy and delayed effect:
Beschreibung

therapy; delayed effect

Datentyp

text

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Ähnliche Modelle

AML- Register_Progress sheet_SAL_University hospital dresden

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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