1. 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?

2. 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

3. 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

4. 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

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

6. 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).

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

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

9. right eye
left eye
right eye
left eye

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

11. right eye
left eye

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

13. Second
Second

14. 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

15. 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…..

16. Move to

17. 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)

18. 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

19. 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?)

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

22. 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

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

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

25. 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

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

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

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

30. 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

31. 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

32. 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:

33. Add
Implant replacement
Indication: exposure infection