DePICTrb Database corrections October 2017 Since search for Institution, would not need a column for institution; BUT with Medchart whoever logs in would see all patients they care for, and some may be in a different Primary Site? Ie Institution….better to use primary and secondary site.... Why are the dates so weird? The unit of the grey marks is not clear…is it weeks? Can we make it better?

When pointing the hand is in the way to See the date….can they be a bit displaced? Maybe put the “hand” on the left? right eye left eye

Timeline….. Staging summary: change from T3dN0M0H1 To cT3d(T2b)N0M0H1 NOTE indication in () of the cT for the lesser involved eye Note to add H0* as NEWLY designated in the genetic testing event….. right eye left eye

How do we get new, institution-specific defaults into these lists? Need to “add Institution” If a patient belongs to more than one right eye left eye

How do we get new, defaults into these lists? right eye left eye

ALL DRAWING NEEDS TO REPLICATED ON THE CLINIC VISITS and Initial visit right eye left eye Default settings should be set as in Oliver Twist’s drawings…. For lines (bleeding, vessel) set default to thickness 6, opacity 8, color as is; For objects (tumor, regressing tumor, inactive tumor, suspicious, scarring) set default to Fill= color (ie yellow tumor, etc) and line black thickness 1; For retinal detachment line 40, opacity 38, no fill (just the pen) For Attached retina see the pink color for Oliver left eye, line 20, opacity 38 pen (vitreous seeds are ok, enucleation is OK).

The font size is too small and the Buttons are grey? Can it all be black And much more visible.

The TNM scoring should be “cT” not “T” and “cN…” and “cM...”

right eye left eye right eye left eye

Reiterate changes for EUA and implement “Images” (and drawings) on Clinic and Initial Visits right eye left eye

right eye left eye

The TNM scoring should be “pT” not “T” and “pN…” and “pM...”

Second Second

Second Insert a NEW field “Site” With menu: Orbit Bone Skin Soft tissue Other….... Insert a NEW field “Type” With menu: Sarcoma Melanoma Liposarcoma Fibrosarcoma ??Go to snowmed searchable list Other….... This list does not work for RB

Second NEW FIELDS: Site….. Type….. Diagnosis Clinical (date) Symptoms Signs Incidental Radiological (date) MRI Whole body MRI Ultrasound Other….. Pathology (type and date) Metastatic Yes/No If yes, site Show this “radiation” on the timeline as a green line as for radiation for “other” but with respect to the eye….(ie use the same symbol on the timeline) Name of institution Add “Other” treatment…..

Move to

Use this space for more legend items… Use this space for more legend items….(Second cancer: orange line; Metastasis: red line; Eye Surgery: light green circle, on relevant eye)

Add a new field: RB extension Opens a new page NEW FIELDS: Institution Type Orbital CNS metastasis Distant metastasis Diagnosis Clinical (date) Symptoms Signs Incidental Radiological (date) MRI Whole body MRI Ultrasound Other….. Pathology (type and date) RB extension

Add a new field Site of Procedure: Right eye Left eye Other Can this be a compulsory field (*) with three check boxes: Right eye, left eye and Other? (if “Other” and neither right or left checked, get a grey line on timeline, or and light green circle symbol on whichever eye?)

Remove the garbage pail from focal events Since it does not work!!! X X X X X X X X etc

Can this be a compulsory field (*) with three check boxes: Right eye, left eye and Other? (if “Other” and neither right or left checked, get a line on timeline, or and radiation symbol on whichever eye?) Delete brachytherapy here, and place into

Radiation (Other) Radiation (right/left eye) Brachytherapy

Can the legend scale better to not extend outside the end of the timeline, and not have empty space *? * Intraocular chemotherapy

move brachytherapy to Procedures Tab and use green fill, translucent 38% no line, to draw the area .......NEED A NEW OCULAR PROCEDURE called Brachtherapy See June 21, 2017 Oliver Twist Brachytherapy Procedures

Can we have different word? “Technology” ?????

Clinic and Initial Visit should have tabs for Visit Details/ Exam/ Imaging/ Tumors/ and Plan but NOT Procedures

Again, how to get rid of this “default” to “Demo Institution” which is incorrect…

Changes: Intra-ocular chemotherapy Site: Vitreous Ant. Chamber Both Session number: Paracentesis: Y N Amount: ?? mg (we can add cytopathology or not) Injection: Site: ?? O’clock hour Distance from limbus Cryotherapy: number Successful injection: Y or no Drugs: Drug 1: Dose: ADD Drug Details Remove

For Intraarterial chemotherapy I suggest adding it as a separate event from the EUA As most centers do it in a separate setting than EUA Changes: Session number: Start time: End time: Duration: Successful cannulation: Y or no Femoral A: Rt Lt Both Eye: Rt Lt Both (Tandem) Artery: Ophthalmic Middle meningeal Drugs: Drug 1: Dose: ADD Drug Details

Enucleation Primary Secondary Indication Active disease blind eye Why Ocularist and not Surgeon? Why ocularist in enucleation? Optic nerve length: mm Extraocular signs: Y N Globe Open: Y N Site: Then:

Add Implant replacement Indication: exposure infection