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EBMT Multiple Myeloma General Information - 16pp EBMT Multiple Myeloma 10PCD

- 2016-06-29 - 1 Formulär, 18 Item-grupper, 283 Dataelement, 1 Språk
Item-grupper: EBMT FORM GENERAL INFORMATION, PATIENT, DISEASE, PLASMA CELL DISORDERS (INCLUDING MULTIPLE MYELOMA), PRE-HSCT TREATMENT, HSCT, STATUS OF DISEASE AT COLLECTION, DISEASE STATUS AT HSCT, ADDITIONAL TREATMENT POST-HSCT, STATUS OF DISEASE AT 100 DAYS AFTER HSCT, FORMS TO BE FILLED IN, PLASMA CELL DISORDERS (INCLUDING MULTIPLE MYELOMA), PATIENT LAST SEEN, GRAFT VERSUS HOST DISEASE (GvHD) SINCE LAST REPORT, OTHER COMPLICATIONS SINCE LAST REPORT, ADDITIONAL THERAPIES SINCE LAST FOLLOW UP, FIRST EVIDENCE OF RELAPSE OR PROGRESSION SINCE LAST HSCT, LAST DISEASE AND PATIENT STATUS
DOCUMENTED PATHOGENS (Use this table for guidance on the pathogens of interest) Bacteria:S. pneumoniae,OHaemophilus influenzaether gram positive (i.e.: other streptococci, staphylococci, listeria …), Other gram negative (i.e.: E. coli klebsiella, proteus, serratia, pseudomonas …), Legionella sp,Mycobacteria sp, Other Fungi:Candida sp, Aspergillus sp, Pneumocystis carinii, Other Parasites: Toxoplasma gondii, Other Viruses: HSV, VZV, EBV,CMV,HHV-6, RSV,Other respiratory virus (influenza, parainfluenza, rhinovirus),Adenovirus, HBV, HCV, HIV,Papovavirus, Parvovirus, Other

German Myeloma Patient Outcome Scale (MyPOS) - MyPOS

- 2022-03-15 - 1 Formulär, 8 Item-grupper, 40 Dataelement, 1 Språk
Item-grupper: Administratative Angaben, Symptome und Nebenwirkungen - Beeinträchtigung in der letzten Woche, Beeinträchtigung durch weitere Symptome, Verlauf der letzten Woche (Teil 1), Verlauf der letzten Woche (Teil 2), Probleme und Sorgen, Sorgen und Ängste, Ausfüllen des Fragebogens
Die Nutzung des MyPOS ist kostenfrei, es wird aber eine (kostenfreie) Registrierung auf der POS-Website (www.pos-pal.org) gewünscht. Um eine Information über Nutzung und/oder Änderung wird seitens des POS-Team explizit gebeten. Affiliation: Dr. med. Christina Gerlach M.Sc. Oberärztin | Klinik für Palliativmedizin Fachärztin für Innere Medizin, Hämatologie & Onkologie; Notfallmedizin, Palliativmedizin Universitätsklinikum Heidelberg | Im Neuenheimer Feld 305 | 69120 Heidelberg Tel. +49 6221 56-310683 | Fax. +49 6221 56-7203 | E-Mail: christina.gerlach@med.uni-heidelberg.de http://www.klinikum.uni-heidelberg.de Gerlach, C., Taylor, K., Ferner, M. et al. Challenges in the cultural adaptation of the German Myeloma Patient Outcome Scale (MyPOS): an outcome measure to support routine symptom assessment in myeloma care. BMC Cancer 20, 245 (2020). https://doi.org/10.1186/s12885-020-06730-7

Leukemia and Lymphoma tumor board Oncology Form University Hospital Cologne

- 2017-05-04 - 1 Formulär, 1 Item-grupp, 35 Dataelement, 1 Språk
Item-grupp: Leukemia and Lymphoma tumor board request
Leukemia and Lymphoma tumor board request form at the endocrinology polyclinic department University Hospital Cologne. Asking questions regarding basic patient information, tumor board organisation, diagnosis and comorbidity, pathology and tumor staging as well as diagnostic imaging. ODM derived from routine documentation of University Hospital Cologne.

AML Discharge Letter Example I UKM

- 2021-03-15 - 1 Formulär, 14 Item-grupper, 36 Dataelement, 1 Språk
Item-grupper: Administrative Data, Diagnosis, Secondary Diagnoses, Allergies, Therapy and course of disease, Current reason for presentation, Immunophenotyping, Medical History, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Medication List, Procedures
AML Discharge Letter Example I UKM provided by PD Schliemann.

Immunophenotyping form Hematology UKM - Immunophenotyping form

- 2021-09-17 - 1 Formulär, 3 Item-grupper, 27 Dataelement, 2 Språk
Item-grupper: Patient demographics, Biospecimen, Immun Analysis
Immunophenotyping form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Prof. Dr. Berdel

AML Discharge Letter Example V UKM

- 2021-03-15 - 1 Formulär, 13 Item-grupper, 43 Dataelement, 1 Språk
Item-grupper: Administrative Data, Diagnosis, Secondary Diagnoses, Allergies, Therapy and course of disease, Current reason for presentation, Medical History, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Medication List, Procedures
AML Discharge Letter Example V UKM provided by PD Schliemann.

AML Discharge Letter Example VII UKM

- 2017-12-10 - 1 Formulär, 12 Item-grupper, 41 Dataelement, 1 Språk
Item-grupper: Administrative Data, Diagnosis, Secondary Diagnoses, Current reason for presentation, Donor typing, Medical History, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Medication List, Procedures
AML Discharge Letter Example VII UKM provided by PD Schliemann.

AML Discharge Letter Example VI UKM

- 2017-12-10 - 1 Formulär, 13 Item-grupper, 39 Dataelement, 1 Språk
Item-grupper: Administrative Data, Diagnosis, Secondary Diagnoses, Allergies, Prior Therapy, Current reason for presentation, Medical History, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Medication List, Procedures
AML Discharge Letter Example VI UKM provided by PD Schliemann.

AML Discharge Letter Example IV UKM

- 2017-12-10 - 1 Formulär, 11 Item-grupper, 40 Dataelement, 1 Språk
Item-grupper: Administrative Data, Diagnosis, Secondary Diagnoses, Current reason for presentation, Medical History, Medication List, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Procedures
AML Discharge Letter Example IV UKM provided by PD Schliemann.

AML Discharge Letter Example III UKM

- 2017-12-10 - 1 Formulär, 10 Item-grupper, 39 Dataelement, 1 Språk
Item-grupper: Administrative Data, Diagnosis, Current reason for presentation, Medical History, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Medication List, Procedures
AML Discharge Letter Example III UKM provided by PD Schliemann.

AML Discharge Letter Example II UKM

- 2017-12-10 - 1 Formulär, 12 Item-grupper, 46 Dataelement, 1 Språk
Item-grupper: Administrative Data, Diagnosis, Secondary Diagnoses, Prior Therapy, Current reason for presentation, Medical History, Medication List, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Procedures
AML Discharge Letter Example II UKM provided by PD Schliemann.

Biobank

- 2015-06-27 - 1 Formulär, 5 Item-grupper, 30 Dataelement, 2 Språk
Item-grupper: Patient informations, Diagnosis, Karyotype, Examination, Sample taken
"Biobank MS"converted to ODM format. Used as a routine documentation by the university hospital muenster.

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