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Organ function prior to high dose chemo

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Show identification of patient
Description

Show identification of patient

Patient
Description

Dummy item in ItemGroup 'Display patient'

Data type

text

Cardiac function
Description

Cardiac function

Evaluation method
Description

Cardiac function evaluation method

Data type

integer

% of Shortening fraction (LV-SF)
Description

Shortening fraction (LV-SF)

Data type

integer

Measurement units
  • %
%
% of ejection fraction (EF)
Description

Ejection fraction (EF)

Data type

integer

Measurement units
  • %
%
Glomerular filtration
Description

Glomerular filtration

Evaluated by
Description

Glomular filtration evaluation method

Data type

integer

Result
Description

Glomular filtration result

Data type

integer

Measurement units
  • ml/min/1.73 m²
ml/min/1.73 m²
Tubular function
Description

Tubular function

Evaluated
Description

Tubular function evaluated

Data type

integer

TP/CCrea or TmP/GFR
Description

TP/CCrea or TmP/GFR result

Data type

float

Measurement units
  • mmol/l
mmol/l
HCO3
Description

HCO3

Data type

float

Measurement units
  • mmol/l
mmol/l
Liver function
Description

Liver function

SGOT
Description

SGOT result

Data type

integer

Upper value of SGOT for the Lab
Description

Upper value SGOT of lab

Data type

integer

Lung function
Description

Lung function

Result
Description

Lung function result

Data type

integer

Lung compliance (% of theoretical value)
Description

Lung compliance result

Data type

integer

Measurement units
  • %
%
CO diffusion (% of theoretical value)
Description

CO diffusion

Data type

integer

Measurement units
  • %
%
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Similar models

Organ function prior to high dose chemo

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Dummy item in ItemGroup 'Display patient'
Item
Patient
text
Item
Evaluation method
integer
Cardiac function evaluation method
Code List
Evaluation method
CL Item
Evaluated by echocardiography (1)
CL Item
Evaluated by scintigraphy (2)
Shortening fraction (LV-SF)
Item
% of Shortening fraction (LV-SF)
integer
Ejection fraction (EF)
Item
% of ejection fraction (EF)
integer
Item
Evaluated by
integer
Glomular filtration evaluation method
Code List
Evaluated by
CL Item
Evaluated by creatinine clearance (1)
CL Item
Evaluated by EDTA (2)
Glomular filtration result
Item
Result
integer
Item
Evaluated
integer
NoYes
Code List
Evaluated
CL Item
No (0)
CL Item
Yes (1)
TP/CCrea or TmP/GFR result
Item
TP/CCrea or TmP/GFR
float
HCO3
Item
HCO3
float
Item Group
SGOT result
Item
SGOT
integer
Upper value SGOT of lab
Item
Upper value of SGOT for the Lab
integer
Item Group
Item
Result
integer
Lung function result
Code List
Result
CL Item
Normal (1)
CL Item
Reduced (2)
Lung compliance result
Item
Lung compliance (% of theoretical value)
integer
CO diffusion
Item
CO diffusion (% of theoretical value)
integer
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