Data Collection Forms: Version 1.1.14
Release Date: September 28, 2020
*Every form is not revised in every release on the web based data entry system. The latest update date to each form can be found below.
PHTS is now collecting infection data on COVID-19 infections in transplanted patients.
| Date | Form | Time |
|---|---|---|
| 04/30/2020 | COVID-19 Patient Enrollment Form: For transplanted patients not enrolled in PHTS | At time of infection |
| 09/28/2020 | Form 6C: Infection COVID-19 | At time of infection pre OR post transplant |
| 09/28/2020 | COVID-19 Data Entry Manual |
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| Date | Form | Time |
|---|---|---|
| 01/30/2020 | Patient Enrollment | At time of enrolling patient into PHTS |
| 01/03/2020 | Form 1: Initial Patient Entry at Listing | At time of listing |
| 06/08/2020 | Form 1RL: Patient Relisting | At time of re-listing |
| 01/03/2020 | Form 1T: Transplant Information | At time of transplant |
| 7/29/2019 | Form 2: Donor | At time of transplant |
| 10/23/2017 | Form 3: Initial Immunosuppression & Antibiotics | 30 days post-transplant |
| 11/04/2019 | Form 4: Coronary Evaluation | At time of event post-transplant |
| 7/29/2019 | Form 5: Rejection | At time of event post-transplant |
| 01/03/2020 | Form 6: Infection | At time of event post-transplant |
| 01/03/2020 | Form 7: Malignancy/Lymphoproliferative Disease | At time of event post-transplant |
| 09/28/2020 | Form 8: Post Transplant Yearly Status Report | Annually post-transplant |
| 10/23/2017 | Form 9: Coronary Revascularization | At time of event post-transplant |
| 11/04/2019 | Form 10: Death | At time of death post-listing OR post-transplant |
| 06/08/2020 | Form 12: Pre-Transplant Follow-up | Annually pre-transplant |
| 01/03/2020 | Form 14: Dialysis/Renal Transplant | At time of event post-listing OR post-transplant |
| 7/29/2019 | Form 15: Mechanical Circulatory Support Events | At time of event post-listing OR post-transplant |
| 09/28/2020 | All Forms | |
| 09/28/2020 | Version 1.1.14 Final Manual | |