Selected data models

You must log in to select data models for download or further analysis.

- 4/24/18 - 1 form, 18 itemgroups, 68 items, 1 language
Itemgroups: Identification Numbers, Post Treatment Follow-Up, Health Care Resource Utilization , If Yes to Hospitalization, FACT-An, Stem Cell Transplant (SCT) Follow-Up, If ’Yes’ please indicate chemotherapy regimen/agents below, Total body irradiation, Signature-Name of Person, Patient Assignment Sheet, Patient Assignment Sheet, Patient Log, Patient Log , Month of Report, Outcome, Form D, Laboratory Reference Ranges, Referance Range
- 4/24/18 - 1 form, 12 itemgroups, 36 items, 1 language
Itemgroups: Identification Numbers, Serious Adverse Experiences, 12-Lead Electrocardiogram, Echocardiogram or Multiple Gated Acquisition Scanning (MUGA), If Yes for the obtained Ejection Fraction, Chest X-Ray, Supportive Therapy (Including Erythropoietin), If Yes to Supportive Therapy (Including Erythropoietin), Supportive Anti-Infective Therapy, If Yes to Supportive Anti-Infective Therapy, Concominant Medication, If Yes to Concominant Medication