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 Eye Ocular involvement during reporting interval | Right Eye Other Ocular Tissue Input | Right Eye Vitrectomy during reporting interval | Right Eye Intraocular methotrexate | Right Eye Number of MTX Injections | Right Eye MTX Unit Dose [mg/0.1mL] | Right Eye Intraocular rituximab | Right Eye Number of RITUX Injections | Right Eye RITUX Unit Dose [mg/0.1mL] | Right Eye Other Intraocular Drug | Right Eye Other Intraocular Drug Name | RIGHT Eye Number of other Intraocular Drug Injections | Right Eye Unit dose of other Intraocular drug | Right Eye other Intraocular Drug Units (e.g. mg/mL) | 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 | 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 Eye Ocular involvement during reporting interval | Left Eye Other Ocular Tissue Input | Left Eye Vitrectomy during reporting interval | Left Eye Intraocular methotrexate | Left Eye Number of MTX Injections | Left Eye MTX Unit Dose [mg/0.1mL] | Left Eye Intraocular rituximab | Left Eye Number of RITUX Injections | Left Eye RITUX Unit Dose [mg/0.1mL] | Left Eye Other Intraocular Drug | Left Eye Other Intraocular Drug Name | Left Eye Number of other intraocular drug injections | Left Eye Unit dose of other Intraocular drug | Left Eye other Intraocular Drug Units (e.g. mg/mL) | 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 | 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 | Extensive treatment during reporting interval | Extensive Treatment Other Input | Complications of extensive treatment during reporting interval | Extensive 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 Eye Ocular involvement during reporting interval | Right Eye Other Ocular Tissue Input | Right Eye Vitrectomy during reporting interval | Right Eye Intraocular methotrexate | Right Eye Number of MTX Injections | Right Eye MTX Unit Dose [mg/0.1mL] | Right Eye Intraocular rituximab | Right Eye Number of RITUX Injections | Right Eye RITUX Unit Dose [mg/0.1mL] | Right Eye Other Intraocular Drug | Right Eye Other Intraocular Drug Name | RIGHT Eye Number of other Intraocular Drug Injections | Right Eye Unit dose of other Intraocular drug | Right Eye other Intraocular Drug Units (e.g. mg/mL) | 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 | 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 Eye Ocular involvement during reporting interval | Left Eye Other Ocular Tissue Input | Left Eye Vitrectomy during reporting interval | Left Eye Intraocular methotrexate | Left Eye Number of MTX Injections | Left Eye MTX Unit Dose [mg/0.1mL] | Left Eye Intraocular rituximab | Left Eye Number of RITUX Injections | Left Eye RITUX Unit Dose [mg/0.1mL] | Left Eye Other Intraocular Drug | Left Eye Other Intraocular Drug Name | Left Eye Number of other intraocular drug injections | Left Eye Unit dose of other Intraocular drug | Left Eye other Intraocular Drug Units (e.g. mg/mL) | 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 | 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 | Extensive treatment during reporting interval | Extensive Treatment Other Input | Complications of extensive treatment during reporting interval | Extensive Complications Other Input | Years | Months | Patient Status at End of Reporting Interval | Cause of death | Revised non-lymphoma diagnosis input | Comments | Progress |