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26672_Common Data Elements Myeloid Leukemia (MDS AML CML) - Global Disease Course

- 9/20/21 - 13 forms, 3 itemgroups, 11 items, 1 language
Itemgroups: Global Disease Course, Red Cell Transfusion, Platelet Cell Transfusion
Common Data Elements Myeloid Leukemia (MDS, AML, CML) for use in clinical routine and clinical trial documentation. https://www.ncbi.nlm.nih.gov/pubmed/27577388

Physical Examination/Follow up

3 itemgroups 14 items

Administrative/Demographic Details

1 itemgroup 11 items

Medical History

3 itemgroups 9 items

Lab: Cytology/Cytogenetics/Cytochemistry

1 itemgroup 29 items

Lab: Immunophenotyping

1 itemgroup 17 items

Lab: Molecular Genetics

1 itemgroup 27 items

Acute Myeloid Leukemia - Treatment Details

- 9/20/21 - 13 forms, 6 itemgroups, 39 items, 1 language
Itemgroups: Therapeutic procedure; Details, Adverse Event, Hemopoietic stem cell transplant, Platelet Engraftment, Neutrophil Engraftment, Therapeutic procedure; Status
Acute Myeloid Leukemia Common Data Elements Holz

Medical History

6 itemgroups 20 items

Lab: Cytology/Cytogenetics/Cytochemistry

3 itemgroups 43 items

Lab: Molecular Genetics, Immunophenotyping, Cytogenetics

1 itemgroup 1 item

Physical Examination/Follow-up

4 itemgroups 27 items

Lab: Infectiology

1 itemgroup 11 items

Lab: Molecular Genetics

1 itemgroup 23 items

Hematology/ Oncology request form University Hospital Cologne

- 9/17/21 - 1 form, 5 itemgroups, 73 items, 1 language
Itemgroups: patient information, laboratory procedure requested, radiology request, other examination, nursing medication request
Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: HO-Anforderungsbogen

Hematology/ Oncology request elaboration form University Hospital Cologne

- 9/17/21 - 1 form, 4 itemgroups, 74 items, 1 language
Itemgroups: patient information, laboratory procedure requested, radiology request, other examination
Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: HO-Ausarbeitungsbogen

Hematology/ Oncology execution form University Hospital Cologne - Hematology/ Oncology execution elaboration form University Hospital Cologne

- 9/17/21 - 1 form, 4 itemgroups, 75 items, 1 language
Itemgroups: patient information, laboratory procedure executed, radiologic examination execution, other examination
Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: HO-Durchführungsbogen

Hematology Oncology Order Form, University Hospital Cologne

- 5/6/17 - 1 form, 1 itemgroup, 12 items, 1 language
Itemgroup: Hematology/Oncology Order
Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: HO_Anforderung

A. Disease and general conditions of the aftercare Questionnaire for aftercare ABC study - A. Disease and general conditions of the aftercare Questionnaire for aftercare

- 10/26/16 - 1 form, 10 itemgroups, 85 items, 1 language
Itemgroups: therapy blood cancer, Aftercare condition, Period aftercare, Medical Examination, medical support, Supportive care, relapse blood cancer, symptoms relapse blood cancer, Medical Examination Relapse blood cancer, therapy Relapse blood cancer
Study part: A. Disease and general conditions of the aftercare Questionnaire for aftercare ABC Study. Aftercare pattern in adult patients with blood cancer and blood cancer early stage: Impact on health related endpoints, quality of life and health resource use. University clinic essen, (Klinik für Hämatologie Uniklinik Essen, UKE), department hematology. Permission granted by Claudia Ose.

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