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Relapse or progression

1 forms  
Show identification of patient
Description

Show identification of patient

Dummy
Description

Dummy

Data type

text

Relapse or progression
Description

Relapse or progression

Date of relapse/progression
Description

Date of relapse/progression

Data type

date

Chronological no. of this relapse/progression
Description

Chronological no. of relapse/progression

Data type

integer

Localization bone marrow
Description

Relapse in BM

Data type

integer

Localization CNS
Description

Relapse in CNS

Data type

integer

Localization testis
Description

Relapse in testis

Data type

integer

Other site
Description

Other site

Data type

integer

Please specify other type of localization
Description

Please specify other type of localization

Data type

text

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Similar models

Relapse or progression

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Dummy
Item
Dummy
text
Date of relapse/progression
Item
Date of relapse/progression
date
Chronological no. of relapse/progression
Item
Chronological no. of this relapse/progression
integer
Item
Localization bone marrow
integer
NoYes
Code List
Localization bone marrow
CL Item
No (1)
CL Item
Yes (2)
Item
Localization CNS
integer
NoYes
Code List
Localization CNS
CL Item
No (1)
CL Item
Yes (2)
Item
Localization testis
integer
NoYes
Code List
Localization testis
CL Item
No (1)
CL Item
Yes (2)
Item
Other site
integer
NoYes
Code List
Other site
CL Item
No (1)
CL Item
Yes (2)
Please specify other type of localization
Item
Please specify other type of localization
text
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