Cancer Patient Digital Twin
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Personal Information
First Name*
First name is required
Last Name*
Last name is required
Date of Birth*
Date of birth is required
Gender*
Select gender
Male
Female
Other
Please select a gender
Email Address*
Please enter a valid email address
Phone Number
Cancer Profile
Cancer Type*
Select cancer type
Breast Cancer
Lung Cancer
Prostate Cancer
Colorectal Cancer
Melanoma
Leukemia
Lymphoma
Other
Please select a cancer type
Diagnosis Date*
Diagnosis date is required
Stage*
Select stage
Stage I
Stage II
Stage III
Stage IV
Please select a stage
Initial Tumor Size (mm)*
Please enter a valid tumor size
Tumor Location
Genetic Markers
Comma-separated list of genetic markers (e.g., BRCA1, HER2)
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Record Type*
Select record type
Vital Signs
Lab Result
Imaging
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Record Date*
Please enter a valid date and time
Vital Signs
Heart Rate (bpm)
BP Systolic (mmHg)
BP Diastolic (mmHg)
Temperature (°C)
Oxygen Saturation (%)
Lab Results
WBC (K/µL)
RBC (M/µL)
Platelets (K/µL)
Hemoglobin (g/dL)
Tumor Marker 1
Tumor Marker 2
Tumor Measurements
Tumor Size (mm)
Please enter a valid tumor size
Notes
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