Contents |
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Purpose
Chronic GVHD - Characteristics at Enrollment eCRF
Field Name |
Description / Instructions |
Format |
---|---|---|
Visit Date |
The Visit Date is required. |
DD-MMM-YYYY |
cGVHD Original Seattle Classification |
|
Use pick list |
cGVHD Revised Seattle Classification |
|
Use pick list |
Organs Involved | Select up to 9 organs involved from the pick list. | Use pick list |
Current cGVHD Systemic Therapy? |
|
Use pick list |
Agent Name | Select up to 5 generic agents from the pick list if currently under systemic cGVHD therapy. | Use pick list |
Weight | Number (99.999) | |
% Change in Last (3) months | Number (99) | |
Weight Change |
|
Use pick list |
Date of Biopsy | DD-MMM-YYYY | |
Organ | Select the organ from the picklist. | Use pick list |
Findings | Enter the biopsy finding results. | 200 characters |
Autoimmune Manifestations List | 200 characters |
Legend: (d) derived field, (m) RDC mandatory, (c) for CTEP reporting only.
Validations
Code |
Description |
Resolutions |
---|---|---|
There are no validations. |
Derivations
Code |
Field Name |
Description |
---|---|---|
There are no derivations. |
Overview
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