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Immunosuppressive Therapy

1 forms  
Show identification of patient
Description

Show identification of patient

Dummy
Description

Dummy

Data type

text

Type of ATG
Description

Type of ATG

Art des ATG
Description

Type of ATG

Data type

integer

Andere Art der ATG
Description

Other type of ATG

Data type

text

Day 1 to 8
Description

Day 1 to 8

Datum Tag 1
Description

Date day 1

Data type

date

Absolute Dosis Tag 1
Description

Total dose day 1

Data type

integer

Measurement units
  • mg
  • ml
mg
Dosis Tag 1
Description

Dose day 1

Data type

float

Measurement units
  • mg/kg Körpergewicht
mg/kg Körpergewicht
Datum Tag 2
Description

Date day 2

Data type

date

Absolute Dosis Tag 2
Description

Total dose day 2

Data type

integer

Measurement units
  • ml
  • mg
ml
Dosis Tag 2
Description

Dose day 2

Data type

float

Measurement units
  • mg/kg Körpergewicht
mg/kg Körpergewicht
Datum Tag 3
Description

Date day 3

Data type

date

Absolute Dosis Tag 3
Description

Total dose day 3

Data type

integer

Measurement units
  • mg
  • ml
mg
Dosis Tag 3
Description

Dose day 3

Data type

float

Measurement units
  • mg/kg Körpergewicht
mg/kg Körpergewicht
Datum Tag 4
Description

Date day 4

Data type

date

Absolute Dosis Tag 4
Description

Total dose day 4

Data type

integer

Measurement units
  • mg
  • ml
mg
Dosis Tag 4
Description

Dose day 4

Data type

float

Measurement units
  • mg/kg Körpergewicht
mg/kg Körpergewicht
Datum Tag 5
Description

Date day 5

Data type

date

Absolute Dosis Tag 5
Description

Total dose day 5

Data type

integer

Measurement units
  • mg
  • ml
mg
Dosis Tag 5
Description

Dose day 5

Data type

float

Measurement units
  • mg/kg Körpergewicht
mg/kg Körpergewicht
Datum Tag 6
Description

Date day 6

Data type

date

Absolute Dosis Tag 6
Description

Total dose day 6

Data type

integer

Measurement units
  • mg
  • ml
mg
Dosis Tag 6
Description

Dose day 6

Data type

float

Measurement units
  • mg/kg Körpergewicht
mg/kg Körpergewicht
Datum Tag 7
Description

Date day 7

Data type

date

Absolute Dosis Tag 7
Description

Total dose day 7

Data type

integer

Measurement units
  • mg
  • ml
mg
Dosis Tag 7
Description

Dose day 7

Data type

float

Measurement units
  • mg/kg Körpergewicht
mg/kg Körpergewicht
Datum Tag 8
Description

Date day 8

Data type

date

Absolute Dosis Tag 8
Description

Total dose day 8

Data type

integer

Measurement units
  • mg
  • ml
mg
Dosis Tag 8
Description

Dose day 8

Data type

float

Measurement units
  • mg/kg Körpergewicht
mg/kg Körpergewicht
Steroids
Description

Steroids

Steroide
Description

Steroids

Data type

integer

Datum der ersten Dosis
Description

Date of first dose

Data type

date

Datum der letzten Dosis
Description

Date of last dose

Data type

date

Cyclosporin A
Description

Cyclosporin A

Datum der ersten Dosis
Description

Date of first dose

Data type

date

G-CSF
Description

G-CSF

G-CSF
Description

G-CSF

Data type

integer

Datum der ersten Dosis
Description

Date of first dose

Data type

date

Maximale Dosis
Description

Maximum dose

Data type

integer

Measurement units
  • µg/kg/d
µg/kg/d
Ausschleichen
Description

Tapering

Data type

integer

Datum der ersten Reduktion
Description

Date of first tapering

Data type

date

Datum der letzten Dosis
Description

Date of last dose

Data type

date

Gesamtdosis Tag 0-30
Description

Total dose day 0-30

Data type

integer

Measurement units
  • µg/kg
µg/kg
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Similar models

Immunosuppressive Therapy

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Dummy
Item
Dummy
text
Item Group
Item
Art des ATG
integer
Type of ATG
Code List
Art des ATG
CL Item
Thymoglobulin (Genzyme) (1)
CL Item
ATG rabbit (Fresenius) (2)
CL Item
ATGAM horse (Merieux) (3)
CL Item
ATGAM horse (Pfizer) (4)
CL Item
Andere (99)
Other type of ATG
Item
Andere Art der ATG
text
Item Group
Date day 1
Item
Datum Tag 1
date
Total dose day 1
Item
Absolute Dosis Tag 1
integer
Dose day 1
Item
Dosis Tag 1
float
Date day 2
Item
Datum Tag 2
date
Total dose day 2
Item
Absolute Dosis Tag 2
integer
Dose day 2
Item
Dosis Tag 2
float
Date day 3
Item
Datum Tag 3
date
Total dose day 3
Item
Absolute Dosis Tag 3
integer
Dose day 3
Item
Dosis Tag 3
float
Date day 4
Item
Datum Tag 4
date
Total dose day 4
Item
Absolute Dosis Tag 4
integer
Dose day 4
Item
Dosis Tag 4
float
Date day 5
Item
Datum Tag 5
date
Total dose day 5
Item
Absolute Dosis Tag 5
integer
Dose day 5
Item
Dosis Tag 5
float
Date day 6
Item
Datum Tag 6
date
Total dose day 6
Item
Absolute Dosis Tag 6
integer
Dose day 6
Item
Dosis Tag 6
float
Date day 7
Item
Datum Tag 7
date
Total dose day 7
Item
Absolute Dosis Tag 7
integer
Dose day 7
Item
Dosis Tag 7
float
Date day 8
Item
Datum Tag 8
date
Total dose day 8
Item
Absolute Dosis Tag 8
integer
Dose day 8
Item
Dosis Tag 8
float
Item Group
Item
Steroide
integer
NoYes
Code List
Steroide
CL Item
Nein (1)
CL Item
Ja (2)
Date of first dose
Item
Datum der ersten Dosis
date
Date of last dose
Item
Datum der letzten Dosis
date
Item Group
Date of first dose
Item
Datum der ersten Dosis
date
Item Group
Item
G-CSF
integer
NoYes
Code List
G-CSF
CL Item
Nein (1)
CL Item
Ja (2)
Date of first dose
Item
Datum der ersten Dosis
date
Maximum dose
Item
Maximale Dosis
integer
Item
Ausschleichen
integer
NoYes
Code List
Ausschleichen
CL Item
Nein (1)
CL Item
Ja (2)
Date of first tapering
Item
Datum der ersten Reduktion
date
Date of last dose
Item
Datum der letzten Dosis
date
Total dose day 0-30
Item
Gesamtdosis Tag 0-30
integer
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