Clinical Data Collection

Comprehensive Medical Research Encounter Form

Session ID: EGFR-INTAKE-2026

1. Basic Information

Hospital *

Hospital ID *

Patient Unique ID *

2. Demographics

Age *

Sex *

Weight (kg) *

3. Clinical Profile

CKD Stage *

Diabetic *

4. Upload Method

Separate Files Use this when Left kidney, Right kidney, and Clinical Report are available as individual files. Single ZIP Package Use this when all patient Images and Clinical documents are available together in one ZIP file.

5. Separate Patient Files (All uploads mandatory)

UPLOAD LEFT KIDNEY Left kidney medical image UPLOAD RIGHT KIDNEY Right kidney medical image UPLOAD EGFR REPORT Clinical report document

6. Ultrasound Video (Optional if you don't have Ultrasound Video of this Patient)

UPLOAD ULTRASOUND VIDEO Patient Ultrasound Video file

Data Collection Operations

Hospital submissions, upload health, and renal data intake monitoring

Awaiting live submissions

0 PENDING REVIEW

0 HOSPITALS ACTIVE

0 UPLOADED RECORDS

0 FILES SELECTED

0 MB UPLOAD SIZE

0 VIDEOS ATTACHED

Submission Pipeline

Ready for VM and GCS uploads

1 Review Cross-check patient metadata and selected files before upload

2 Upload Track progress while files move to the VM backend

3 Store Sync hospital folders into private Cloud Storage

Upload Activity

CKD Stage Distribution

Age Distribution (10yr buckets)

Diabetic vs Non-Diabetic

Dialysis Status

Intake Completeness

Live checks from pending review and recent submissions

0 Separate-file records

0 ZIP-package records

0 Clinical documents

0 Ultrasound videos

Hospitals Reporting

Recent Uploads

Latest batches saved by this browser session

Batch	Hospital	Patient ID	Method	Files	Destination	Status
No uploads completed in this session.