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CAPSURE Pages: Baseline 07, Prostate Pathology: DRE
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Patient Directory
Baseline 01 Information
Birthdate, ethnicity, insurance
Baseline 02 Cancer Staging Information
Initial biopsy, Prostate volume, PSA, TNM
Baseline 03 Cancer State Evaluation: Test 1
CBC, PAP, TRUS, MRI, CT, Ultrasound, X-Ray, etc.
Baseline 04 Cancer State Evaluation: Test 2
IVP, Cystoscopy, Other tests
Baseline 05 Prostate Pathology: Methods 1
Core needle biopsy, FNA, TUR, Other methods
Baseline 06 Prostate Pathology: Methods 2
Core needle biopsy, FNA, TUR, Other methods
Baseline 07 Prostate Pathology: DRE
Digital-Rectal Examination, Initial & subsequent evaluation
Baseline 08 Prostate Pathology: Systematics
Systematic/mapped biopsy, Initial and subsequent evaluation
Baseline 09 Prostate Pathology: Non-systematic
Non-systematic/non-mapped biopsy, Initial and subsequent evaluation
Baseline 10 Treatment
Waiting, Radical prostatectomy, Lymphadenectomy
Baseline 11 Treatment (cont)
Cryosurgery/cryoablation, Radiation therapy
Baseline 12 Hormonal Therapy
Orchiectomy, LHRH agonist, Anti-androgen
Baseline 13 Hormonal Therapy (cont)
DES, Finasteride, other treatments, hot flashes
Baseline 14 Baseline Progress Note
Visit reason, Current stage and staging
Baseline 15 Baseline Progress Note (cont)
New diagnoses, Treatment plan, DRE, Labs ordered
Baseline 16 Baseline Progress Note (cont)
Imaging studies, Clinic procedures
Baseline 17 Baseline Progress Note (cont)
Signs and symptoms, Other treatments this visit
Baseline 18 Baseline Progress Note (cont)
Karnofsky, Clinical trial
Baseline 19 Baseline Progress Note (cont)
Medications - specific
Baseline 20 Baseline Progress Note (cont)
Medications - other, Comments
Baseline 21 Patient Decline Form
For patients who decline to participate
Lab note 01
PSA, Hematology, and Chemistry
Lab note 02
Urinalysis and Other Tests
Progress Note 01 Visit Reason
Reason for visit, current staging, TNM staging
Progress Note 02 Diagnoses
Diagnoses, treatment plan, DRE, labs ordered
Progress Note 03 Imaging
Imaging studies ordered, clinic procedures
Progress Note 04 Surgery 1
Transrectal biopsy, rad. prostatectomy, lymphadenectomy
Progress Note 05 Surgery 2
Cryosurgery/cryoablation, radiation therapy
Progress Note 06 Signs & Symptoms
Other treatments, signs and symptoms
Progress Note 07 Karnofsky
Karnofsky scale and description
Progress Note 08 Medications 1
Medications - specific
Progress Note 09 Medications 2
Medications - other comments