Description: This BO Template is used to add Custom Form data for Visits.
Example: Base Haematology Pathology Annotation Form
Column Name | Datatype | Mandatory? | Description | Permissible Values | Validations |
|---|---|---|---|---|---|
| Record ID | Integer | No | Need not be specified while adding a new record | ||
| Visit Name | String | Yes | Visit should be existing within the system | ||
| Specimen Procedure | String | No | Valid value from the list | Permissible Values File | |
| Comment | String | No | |||
| Other Specimen Procedure | String | No | |||
| Biopsy Or Aspirate Site | String | No | Left posterior illiac crest/ Not applicable/ Not specified/ Other/ Right posterior illiac crest/ Sternum | ||
| Adequacy Of Specimen | String | No | Limited/ Not Specified/ Satisfactory/ Unsatisfactory | ||
| Cytogenetics Status | String | No | Not Specified/ Not performed/ Performed/ Performed - See separate report | ||
| Cytogenetics Result | String | No | |||
| Immuno Phenotyping Status | String | No | Not Specified/ Not performed/ Performed/ Performed - See separate report | ||
| Immuno Phenotyping Result | String | No | |||
| Immuno Phenotyping Method Used | String | No | |||
| Other Biopsy Or Aspirate Site | String | No | |||
| Pathologic Finding#1#Pathologic Finding Details | String | No | In case of Sub Forms, Pathologic Finding#2#Pathologic Finding Details Pathologic Finding#2#Detail Pathologic Finding#3#Pathologic Finding Details Pathologic Finding#3#Detail | Permissible Values File | |
| Pathologic Finding#1#Detail | String | No | |||
| Histologic Type#1#Type | String | No | In case of Sub Forms, Histologic Type#2#Type Histologic Type#2#Details Histologic Type#3#Type Histologic Type#3#Details | Permissible Values File | |
| Histologic Type#1#Details | String | No |