Contents |
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Purpose
Record the patient's received transfusions.
Transfusions eCRF
Field Name | Description / Instructions | Format |
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Visit Date | The Visit Date is optional on this case report form. Hit the "Tab" key to leave it empty and move to the Date field. | DD-MMM-YYYY |
Course #(d) | Indicates the course number the transfusion is related to based on their date and the Course Initiation start dates. | 5 digits |
Day in Course(d) | Indicates the day since the beginning of course the transfusion is related to based on their date and the Course Initiation start dates. | 5 digits |
Date(m) | Enter the date that the transfusion was done. | DD-MMM-YYYY |
Time(m) | Enter the time the transfusion was done. | HH(24):MM |
Transfusion Component(m) | Select the transfusion component from the pick list. | Use pick list. |
(#) of Units(m) | Enter the blood component number of units transfused (in Units) | 3 digits |
Legend: (d) derived field, (m) RDC mandatory, (c) for CTEP reporting only.
Validations
Code | Description | Resolutions |
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TF01 | Transfusion date is in the future. | Enter a date that is equal to or prior to the current date. |
TF02 | Two or more transfusions with the same date and time. | There can only be one transfusion for a date and time. |
Derivations
Code | Field Name | Description |
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TF1001 | Course # | Course number is derived based on the course initiation start dates and the transfusion date. |
TF1002 | Day in Course | Number of days since the beginning of the course is derived from the course initiation start date and the transfusion date. |