Record the patient's received transfusions.
Description / Instructions
The Visit Date is optional on this case report form. Hit the "Tab" key to leave it empty and move to the Date field.
Indicates the course number the transfusion is related to based on their date and the Course Initiation start dates.
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.
Enter the date that the transfusion was done.
Enter the time the transfusion was done.
Select the transfusion component from the pick list.
Use pick list.
(#) of Units(m)
Enter the blood component number of units transfused (in Units)
Legend: (d) derived field, (m) RDC mandatory, (c) for CTEP reporting only.
Transfusion date is in the future.
Enter a date that is equal to or prior to the current date.
Two or more transfusions with the same date and time.
There can only be one transfusion for a date and time.
Course number is derived based on the course initiation start dates and the transfusion date.
Day in Course
Number of days since the beginning of the course is derived from the course initiation start date and the transfusion date.