Follow Up Export
Doctor Identification Code | Patient Identification | Reporting Interval Year/Quarter | Reporting Interval Evaluation | RIGHT Eye Involvement | Right Eye Foot | Right Eye Metre | Right Eye Decimal | Right Eye LogMAR | Right Ocular involvement during reporting interval | Right Eye Other Tissue Input | Right Eye Vitrectomy during reporting interval | Right Eye Intravitreal methotrexate | Right Eye Number of MTX Injections | Right Eye MTX Unit Dose [mg/0.1mL] | Right Eye Intravitreal rituximab | Right Eye Number of RITUX Injections | Right Eye RITUX Unit Dose [mg/0.1mL] | Right Eye Intravitreal melphalan | Right Eye Number of melphalan injections | Right Eye Unit dose of melphalan [ mg/0.1mL ] | Right Eye Other Intravitreal Drug | Right Eye Other Intravitreal Drug Name | RIGHT Eye Number of Other Intravitreal Drug Injections | Right Eye Unit dose of Other Intravitreal Drug | Right Eye other Intravitreal Drug Units (e.g. mg/0.1mL) | Right Eye Ocular Irradiation | Right Eye Total dose [ Gy ] | Right Eye Focal ocular treatment during reporting interval | Right Eye Complications during reporting interval | Right Eye Other complication OR Ocular surgery | Right Eye status at end of reporting interval | Right Eye Status Define This | LEFT Eye Involvement | Left Eye Foot | Left Eye Metre | Left Eye Decimal | Left Eye LogMAR | Left Ocular involvement during reporting interval | Left Eye Other Tissue Input | Left Eye Vitrectomy during reporting interval | Left Eye Intravitreal methotrexate | Left Eye Number of MTX Injections | Left Eye MTX Unit Dose [mg/0.1mL] | Left Eye Intravitreal rituximab | Left Eye Number of RITUX Injections | Left Eye RITUX Unit Dose [mg/0.1mL] | Left Eye Intravitreal melphalan | Left Eye Number of melphalan injections | Left Eye Unit dose of melphalan [ mg/0.1mL ] | Left Eye Other Intravitreal Drug | Left Eye Other Intravitreal Drug Name | Left Eye Number of Other Intravitreal Drug injections | Left Eye Unit dose of Other Intravitreal drug | Left Eye Other Intravitreal Drug Units (e.g. mg/0.1mL) | Left Eye Ocular Irradiation | Left Eye Total dose [ Gy ] | Left Eye Focal ocular treatment during reporting interval | Left Eye Complications during reporting interval | Left Eye Other complication OR Ocular surgery | Left Eye status at end of reporting interval | Left Eye Status Define This | Extra-ocular involvement at any time during reporting interval | Extra-ocular involvement Other Input | Extra-ocular treatment during reporting interval | Extra-ocular Treatment Other Input | Complications of extra-ocular treatment during reporting interval | Extra-ocular Treatment Complications Other Input | Years | Months | Patient Status at End of Reporting Interval | Cause of death | Revised non-lymphoma diagnosis input | Comments | Progress |
Doctor Identification Code | Patient Identification | Reporting Interval Year/Quarter | Reporting Interval Evaluation | RIGHT Eye Involvement | Right Eye Foot | Right Eye Metre | Right Eye Decimal | Right Eye LogMAR | Right Ocular involvement during reporting interval | Right Eye Other Tissue Input | Right Eye Vitrectomy during reporting interval | Right Eye Intravitreal methotrexate | Right Eye Number of MTX Injections | Right Eye MTX Unit Dose [mg/0.1mL] | Right Eye Intravitreal rituximab | Right Eye Number of RITUX Injections | Right Eye RITUX Unit Dose [mg/0.1mL] | Right Eye Intravitreal melphalan | Right Eye Number of melphalan injections | Right Eye Unit dose of melphalan [ mg/0.1mL ] | Right Eye Other Intravitreal Drug | Right Eye Other Intravitreal Drug Name | RIGHT Eye Number of Other Intravitreal Drug Injections | Right Eye Unit dose of Other Intravitreal Drug | Right Eye other Intravitreal Drug Units (e.g. mg/0.1mL) | Right Eye Ocular Irradiation | Right Eye Total dose [ Gy ] | Right Eye Focal ocular treatment during reporting interval | Right Eye Complications during reporting interval | Right Eye Other complication OR Ocular surgery | Right Eye status at end of reporting interval | Right Eye Status Define This | LEFT Eye Involvement | Left Eye Foot | Left Eye Metre | Left Eye Decimal | Left Eye LogMAR | Left Ocular involvement during reporting interval | Left Eye Other Tissue Input | Left Eye Vitrectomy during reporting interval | Left Eye Intravitreal methotrexate | Left Eye Number of MTX Injections | Left Eye MTX Unit Dose [mg/0.1mL] | Left Eye Intravitreal rituximab | Left Eye Number of RITUX Injections | Left Eye RITUX Unit Dose [mg/0.1mL] | Left Eye Intravitreal melphalan | Left Eye Number of melphalan injections | Left Eye Unit dose of melphalan [ mg/0.1mL ] | Left Eye Other Intravitreal Drug | Left Eye Other Intravitreal Drug Name | Left Eye Number of Other Intravitreal Drug injections | Left Eye Unit dose of Other Intravitreal drug | Left Eye Other Intravitreal Drug Units (e.g. mg/0.1mL) | Left Eye Ocular Irradiation | Left Eye Total dose [ Gy ] | Left Eye Focal ocular treatment during reporting interval | Left Eye Complications during reporting interval | Left Eye Other complication OR Ocular surgery | Left Eye status at end of reporting interval | Left Eye Status Define This | Extra-ocular involvement at any time during reporting interval | Extra-ocular involvement Other Input | Extra-ocular treatment during reporting interval | Extra-ocular Treatment Other Input | Complications of extra-ocular treatment during reporting interval | Extra-ocular Treatment Complications Other Input | Years | Months | Patient Status at End of Reporting Interval | Cause of death | Revised non-lymphoma diagnosis input | Comments | Progress |