Description:

HEM Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF1B0A30-0B37-31B9-E034-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF1B0A30-0B37-31B9-E034-0003BA3F9857
Keywords:
  1. 9/19/12 9/19/12 -
  2. 5/28/15 5/28/15 -
Uploaded on:

May 28, 2015

DOI:
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License :
Creative Commons BY-NC 3.0 Legacy
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Header Module
Record Neutrophil Count And Specimen Collection Dates
Did the patient achieve ANC recovery =>500/mm3 on three consecutive
Record Chimerism Assay Data For Marrow And/or Blood
Marrow
Was a chimerism performed on a marrow sample
Method of evaluation
Cell type
Marrow assay results
T Cell Chimerism
Was a chimerism performed on a T cell sample
Type of sample
T cell assay results
Did the patient achieve a stem cell re-infusion due to inadequate hematopoietic function

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