CDEs
Forms
Date of infection
Has the patient been hospitalized?
Has the patient been hospitalized (other than for transplant)
Date of hospitalization
Has the patient experienced any Unexpected, Grade 3-5 Adverse Events?
Date of onset of Unexpected, Grade 3-5 Adverse Event
Did the patient experience a new onset of leg ulceration during this assessment period?
Did the patient experience a new onset of acute chest syndrome requiring hospitalization during this assessment period?
How many times was the patient hospitalized for acute chest syndrome during this assessment period?
Date of first occurrence of acute chest syndrome requiring hospitalization during this assessment period
Did the patient experience a new onset of painful vaso-occlusive crisis requiring hospitalization OR parenteral opioid drugs in the outpatient setting during this assessment period?
How many times was the patient hospitalized for painful vaso-occlusive crisis during this assessment period?
Start of assessment period
End of assessment period
Maximum overall grade of acute GVHD during this assessment period
Did new clinical signs and/or symptoms of acute GVHD develop during this assessment period?
Date of diagnosis of acute GVHD
Skin abnormalities
Upper GI abnormalities
Lower GI abnormalities
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