ID

1725

Description

Revision 2 of Form 2005 - Confirmation of HLA Typing Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6ED9405D-0A4A-B4A1-E040-BB89AD4327FC

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6ED9405D-0A4A-B4A1-E040-BB89AD4327FC

Keywords

Versions (3)
  1. 9/19/12 9/19/12 -
  2. 7/18/17 7/18/17 - Martin Dugas
  3. 9/20/21 9/20/21 -
Uploaded on

September 19, 2012

DOI

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License

Creative Commons BY-NC 3.0
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Follow-Up - 2005 Revision 2 - Confirmation of HLA Typing - 2920322v1.0

English

This form must be completed for all non-NMDP allogeneic or syngeneic donors or recipients, or non-NMDP cord blood units. If the donor, recipient, or cord blood unit was secured through the NMDP, then report HLA typing on the appropriate NMDP forms. A separate copy of this form should be completed for each non-NMDP donor, recipient, or cord blood unit.

1 forms  
Registry Use Only
Description

Registry Use Only

Sequence number:
Description

ClinicalDataFormSequenceNumber

Data type

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C19464
UMLS 2011AA Property
C0376315
NCI Thesaurus ObjectClass
C15783
UMLS 2011AA ObjectClass
C1516606
NCI Thesaurus ValueDomain
C25673
UMLS 2011AA ValueDomain
C1519249
Date received:
Description

ClinicalDataFormReceivedDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C19464
UMLS 2011AA Property
C0376315
NCI Thesaurus ValueDomain
C25639
UMLS 2011AA ValueDomain
C1514756
NCI Thesaurus ObjectClass
C15783
UMLS 2011AA ObjectClass
C1516606
Identification Data
Description

Identification Data

CIBMTR Center Number:
Description

HematopoieticStemCellTransplantationRecipientInstitution::CenterforInternationalBloodandMarrowTransplantResearchFacilityNumber

Data type

double

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C53268
UMLS 2011AA Property
C1709854
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain
C41206
UMLS 2011AA ValueDomain
C1272753
NCI Thesaurus ValueDomain
C62574
UMLS 2011AA ValueDomain
C1547538
CIBMTR Recipient ID:
Description

HematopoieticStemCellTransplantationRecipientIdentificationNumber

Data type

double

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C53268
UMLS 2011AA Property
C1709854
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain
C25737
UMLS 2011AA ValueDomain
C0205396
Specify non-NMDP donor:
Description

NegationInstitution::NationalMarrowDonorProgramHematopoieticStemCellGraftTissueDonorType

Data type

text

Alias
NCI Thesaurus ObjectClass
C25594
UMLS 2011AA ObjectClass
C1518422
NCI Thesaurus ObjectClass
C25168
UMLS 2011AA ObjectClass
C0040288
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus ObjectClass
C41206
UMLS 2011AA ObjectClass
C1272753
NCI Thesaurus Property
C25284
UMLS 2011AA Property
C0332307
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C25168
UMLS 2011AA ValueDomain
C0040288
What is the transplant donor or infant date of birth?
Description

InfantOrTissueDonorBirthDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C25168
UMLS 2011AA ObjectClass
C0040288
NCI Thesaurus ObjectClass
C37998
UMLS 2011AA ObjectClass
C1518602
NCI Thesaurus ObjectClass
C27956
UMLS 2011AA ObjectClass
C0021270
NCI Thesaurus Property
C25155
UMLS 2011AA Property
C0005615
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
What is the transplant donor or infant gender?
Description

InfantOrTissueDonorGenderType

Data type

text

Alias
NCI Thesaurus ObjectClass
C25168
UMLS 2011AA ObjectClass
C0040288
NCI Thesaurus ObjectClass
C37998
UMLS 2011AA ObjectClass
C1518602
NCI Thesaurus ObjectClass
C27956
UMLS 2011AA ObjectClass
C0021270
NCI Thesaurus Property
C17357
UMLS 2011AA Property
C0079399
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
Non-NMDP unrelated donor / cord blood unit ID: (not applicable for related donor)
Description

HematopoieticStemCellTransplantationUnrelatedOrUmbilicalCordBloodTissueDonorNotInstitution::NationalMarrowDonorProgramIdentifier

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C25328
UMLS 2011AA Property
C0445356
NCI Thesaurus Property
C25168
UMLS 2011AA Property
C0040288
NCI Thesaurus Property
C37998
UMLS 2011AA Property
C1518602
NCI Thesaurus Property
C13300
UMLS 2011AA Property
C0162371
NCI Thesaurus ValueDomain
C25364
UMLS 2011AA ValueDomain
C0600091
NCI Thesaurus ValueDomain
C25594
UMLS 2011AA ValueDomain
C1518422
NCI Thesaurus ValueDomain
C41206
UMLS 2011AA ValueDomain
C1272753
Today's date:
Description

ClinicalDataFormTodayDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C19464
UMLS 2011AA Property
C0376315
NCI Thesaurus ObjectClass
C15783
UMLS 2011AA ObjectClass
C1516606
NCI Thesaurus ValueDomain
C41134
UMLS 2011AA ValueDomain
C0750526
Date of hematopoietic stem cell transplantation (HSCT) for which this form is being completed:
Description

HematopoieticStemCellTransplantationOccurrenceDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C15342
UMLS 2011AA ValueDomain
C0029216
What source was used for the hematopoietic stem cell transplantation?
Description

HematopoieticStemCellGraftSourceName

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus Property
C25683
UMLS 2011AA Property
C0449416
NCI Thesaurus ValueDomain
C12551
UMLS 2011AA ValueDomain
C0018956
NCI Thesaurus ValueDomain
C25683
UMLS 2011AA ValueDomain
C0449416
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
What type of hematopoietic stem cell transplant was used?
Description

HematopoieticStemCellGraftTypeName

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus Property
C25284
UMLS 2011AA Property
C0332307
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C12551
UMLS 2011AA ValueDomain
C0018956
NCI Thesaurus ValueDomain
C12981
UMLS 2011AA ValueDomain
C0332835
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Specify the other hematopoietic stem cell transplant type:
Description

HematopoieticStemCellGraftOtherTypeSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus Property
C25284
UMLS 2011AA Property
C0332307
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C17649
UMLS 2011AA ValueDomain
C0205394
Hla Typing Source
Description

Hla Typing Source

Please specify the person for whom this typing is being done:
Description

HLATypingSourceType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C71329
UMLS 2011AA ObjectClass
C0242318
NCI Thesaurus Property
C25683
UMLS 2011AA Property
C0449416
NCI Thesaurus ValueDomain
C25683
UMLS 2011AA ValueDomain
C0449416
Was the recipient's mother used as the donor?
Description

RecipientMotherDonorYesNoCharacterIndicator

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Thesaurus Property
C25189
UMLS 2011AA Property
C0026591
NCI Thesaurus ObjectClass
C53268
UMLS 2011AA ObjectClass
C1709854
NCI Thesaurus Property
C48284
UMLS 2011AA Property
C0013018
Was the recipient's father used as the donor?
Description

RecipientFatherDonorYesNoCharacterIndicator

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Thesaurus Property
C25174
UMLS 2011AA Property
C0015671
NCI Thesaurus ObjectClass
C53268
UMLS 2011AA ObjectClass
C1709854
NCI Thesaurus Property
C48284
UMLS 2011AA Property
C0013018
Specify person and typing:
Description

HLATypingSourceSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C71329
UMLS 2011AA ObjectClass
C0242318
NCI Thesaurus ValueDomain
C71329
UMLS 2011AA ValueDomain
C0242318
NCI Thesaurus Property
C25683
UMLS 2011AA Property
C0449416
Hlatyping By Dna Technology
Description

Hlatyping By Dna Technology

Is a copy of the lab report attached?
Description

LaboratoryFindingReportInclusionYesorNoResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C25375
UMLS 2011AA ObjectClass
C0684224
NCI Thesaurus ObjectClass
C36292
UMLS 2011AA ObjectClass
C0587081
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
NCI Thesaurus Property
C25532
UMLS 2011AA Property
C1512693
Hla Typing By Dna Technology: Class I
Description

Hla Typing By Dna Technology: Class I

Number of A alleles provided:
Description

HLA-AGeneGenotypingAlleleCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C28585
UMLS 2011AA ObjectClass
C1333899
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
NCI Thesaurus Property
C45447
UMLS 2011AA Property
C1285573
First A* allele designations:
Description

HLA-AGeneFirstAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C28585
UMLS 2011AA ObjectClass
C1333899
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Second A* allele designations:
Description

HLA-AGeneSecondAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C28585
UMLS 2011AA ObjectClass
C1333899
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Number of B alleles provided:
Description

HLA-BGeneGenotypingAlleleCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C62778
UMLS 2011AA ObjectClass
C1415561
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
NCI Thesaurus Property
C45447
UMLS 2011AA Property
C1285573
First B* allele designations:
Description

HLA-BGeneFirstAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C62778
UMLS 2011AA ObjectClass
C1415561
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Second B* allele designations:
Description

HLA-BGeneSecondAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C62778
UMLS 2011AA ObjectClass
C1415561
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Number of C alleles provided:
Description

HLA-CGeneGenotypingAlleleCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C62758
UMLS 2011AA ObjectClass
C1415562
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
NCI Thesaurus Property
C45447
UMLS 2011AA Property
C1285573
First C* allele designations:
Description

HLA-CGeneFirstAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C62758
UMLS 2011AA ObjectClass
C1415562
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Second C* allele designations:
Description

HLA-CGeneSecondAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C62758
UMLS 2011AA ObjectClass
C1415562
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Hla Typing By Dna Technology: Class I
Description

Hla Typing By Dna Technology: Class I

Number of DRB1 alleles provided:
Description

HLA-DRB1GeneGenotypingAlleleCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C19409
UMLS 2011AA ObjectClass
C1415576
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
NCI Thesaurus Property
C45447
UMLS 2011AA Property
C1285573
First DRB1* allele designations:
Description

HLA-DRB1GeneFirstAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C19409
UMLS 2011AA ObjectClass
C1415576
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Second DRB1* allele designations:
Description

HLA-DRB1GeneSecondAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C19409
UMLS 2011AA ObjectClass
C1415576
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Hla Typing By Dna Technology: Class Ii (optional)
Description

Hla Typing By Dna Technology: Class Ii (optional)

Number of DRB3 alleles provided:
Description

HLA-DRB3GeneGenotypingAlleleCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C71259
UMLS 2011AA ObjectClass
C1415578
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
NCI Thesaurus Property
C45447
UMLS 2011AA Property
C1285573
First DRB3* allele designations:
Description

HLA-DRB3GeneFirstAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C71259
UMLS 2011AA ObjectClass
C1415578
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Second DRB3* allele designations:
Description

HLA-DRB3GeneSecondAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C71259
UMLS 2011AA ObjectClass
C1415578
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Number of DRB4 alleles provided:
Description

HLA-DRB4GeneGenotypingAlleleCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C71261
UMLS 2011AA ObjectClass
C1415579
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
NCI Thesaurus Property
C45447
UMLS 2011AA Property
C1285573
First DRB4* allele designations:
Description

HLA-DRB4GeneFirstAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C71261
UMLS 2011AA ObjectClass
C1415579
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Second DRB4* allele designations:
Description

HLA-DRB4GeneSecondAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C71261
UMLS 2011AA ObjectClass
C1415579
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Number of DRB5 alleles provided:
Description

HLA-DRB5GeneGenotypingAlleleCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C71263
UMLS 2011AA ObjectClass
C1415580
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
NCI Thesaurus Property
C45447
UMLS 2011AA Property
C1285573
First DRB5 * allele designations:
Description

HLA-DRB5GeneFirstAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C71263
UMLS 2011AA ObjectClass
C1415580
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Second DRB5 * allele designations:
Description

HLA-DRB5GeneSecondAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C71263
UMLS 2011AA ObjectClass
C1415580
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Number of DQB1 alleles provided:
Description

HLA-DQB1GeneGenotypingAlleleCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C70614
UMLS 2011AA ObjectClass
C1415572
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
NCI Thesaurus Property
C45447
UMLS 2011AA Property
C1285573
First DQB1* allele designations:
Description

HLA-DQB1GeneFirstAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C70614
UMLS 2011AA ObjectClass
C1415572
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Second DQB1* allele designations:
Description

HLA-DQB1GeneSecondAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C70614
UMLS 2011AA ObjectClass
C1415572
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Number of DPB1 alleles provided:
Description

HLA-DPB1GeneGenotypingAlleleCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C29953
UMLS 2011AA ObjectClass
C1333900
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
NCI Thesaurus Property
C45447
UMLS 2011AA Property
C1285573
First DPB1* allele designations:
Description

HLA-DPB1GeneFirstAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C29953
UMLS 2011AA ObjectClass
C1333900
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Second DPB1* allele designations:
Description

HLA-DPB1GeneSecondAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C29953
UMLS 2011AA ObjectClass
C1333900
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Number of DQA1 alleles provided?
Description

HLA-DQA1GeneGenotypingAlleleCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C71265
UMLS 2011AA ObjectClass
C1415570
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
NCI Thesaurus Property
C45447
UMLS 2011AA Property
C1285573
First DQA1* allele designations:
Description

HLA-DQA1GeneFirstAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C71265
UMLS 2011AA ObjectClass
C1415570
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Second DQA1* allele designations:
Description

HLA-DQA1GeneSecondAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C71265
UMLS 2011AA ObjectClass
C1415570
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Number of DPA1 alleles provided:
Description

HLA-DPA1GeneGenotypingAlleleCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C71267
UMLS 2011AA ObjectClass
C1415567
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
NCI Thesaurus Property
C45447
UMLS 2011AA Property
C1285573
First DPA1* allele designations:
Description

HLA-DPA1GeneFirstAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C71267
UMLS 2011AA ObjectClass
C1415567
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Second DPA1* allele designations:
Description

HLA-DPA1GeneSecondAlleleDescriptionSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C71267
UMLS 2011AA ObjectClass
C1415567
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C16277
UMLS 2011AA Property
C0002085
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25365
UMLS 2011AA ValueDomain
C0678257
NCI Thesaurus ValueDomain
C16277
UMLS 2011AA ValueDomain
C0002085
Antigens Defined By Serologic Typing
Description

Antigens Defined By Serologic Typing

Number of A antigens provided:
Description

HLA-AGeneSerologicalAntigenCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus Property
C41264
UMLS 2011AA Property
C0205473
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ObjectClass
C28585
UMLS 2011AA ObjectClass
C1333899
1st A antigen specificity:
Description

HLA-AGeneFirstAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C28585
UMLS 2011AA ObjectClass
C1333899
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ValueDomain
C28585
UMLS 2011AA ValueDomain
C1333899
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
2nd A antigen specificity
Description

HLA-AGeneSecondAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C28585
UMLS 2011AA ObjectClass
C1333899
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ValueDomain
C28585
UMLS 2011AA ValueDomain
C1333899
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Number of B antigens provided:
Description

HLA-BGeneSerologicalAntigenCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus Property
C41264
UMLS 2011AA Property
C0205473
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ObjectClass
C62778
UMLS 2011AA ObjectClass
C1415561
First B antigen specificity:
Description

HLA-BGeneFirstAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C62778
UMLS 2011AA ObjectClass
C1415561
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ValueDomain
C62778
UMLS 2011AA ValueDomain
C1415561
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Second B antigen specificity:
Description

HLA-BGeneSecondAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C62778
UMLS 2011AA ObjectClass
C1415561
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ValueDomain
C62778
UMLS 2011AA ValueDomain
C1415561
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Optional Antigen Reporting: Antigens Defined By Serologic Typing
Description

Optional Antigen Reporting: Antigens Defined By Serologic Typing

Number of C antigens provided:
Description

HLA-CGeneSerologicalAntigenCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus Property
C41264
UMLS 2011AA Property
C0205473
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ObjectClass
C62758
UMLS 2011AA ObjectClass
C1415562
First C antigen specificity
Description

HLA-CGeneFirstAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C62758
UMLS 2011AA ObjectClass
C1415562
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ValueDomain
C62758
UMLS 2011AA ValueDomain
C1415562
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Second C antigen specificity:
Description

HLA-CGeneSecondAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C62758
UMLS 2011AA ObjectClass
C1415562
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ValueDomain
C62758
UMLS 2011AA ValueDomain
C1415562
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Bw4 specificity present?
Description

HLA-Bw4AntigenPresentLaboratoryFindingYesorNoResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
NCI Thesaurus ObjectClass
C71269
UMLS 2011AA ObjectClass
C0062832
Bw6 specificity present?
Description

HLA-Bw6AntigenPresentLaboratoryFindingYesorNoResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
NCI Thesaurus ObjectClass
C71270
UMLS 2011AA ObjectClass
C0062845
Number of DR antigens provided
Description

HLA-DRAntigenSerologicalAntigenCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus Property
C41264
UMLS 2011AA Property
C0205473
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ObjectClass
C16692
UMLS 2011AA ObjectClass
C0019764
First DR antigen specificity:
Description

HLA-DRAntigenFirstAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C16692
UMLS 2011AA ObjectClass
C0019764
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C16692
UMLS 2011AA ValueDomain
C0019764
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Second DR antigen specificity:
Description

HLA-DRAntigenSecondAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C16692
UMLS 2011AA ObjectClass
C0019764
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C16692
UMLS 2011AA ValueDomain
C0019764
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
DR51 specificity present?
Description

HLA-DR51AntigenPresentLaboratoryFindingYesorNoResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
NCI Thesaurus ObjectClass
C71271
UMLS 2011AA ObjectClass
C0246598
DR52 specificity present?
Description

HLA-DR52AntigenPresentLaboratoryFindingYesorNoResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
NCI Thesaurus ObjectClass
C71272
UMLS 2011AA ObjectClass
C0062880
DR53 specificity present?
Description

HLA-DR53AntigenPresentLaboratoryFindingYesorNoResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
NCI Thesaurus ObjectClass
C71273
UMLS 2011AA ObjectClass
C0062872
Number of DQ antigens provided:
Description

HLA-DQAntigenSerologicalAntigenCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus Property
C41264
UMLS 2011AA Property
C0205473
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ObjectClass
C62792
UMLS 2011AA ObjectClass
C0019761
First DQ antigen specificity:
Description

HLA-DQAntigenFirstAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C62792
UMLS 2011AA ObjectClass
C0019761
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C62792
UMLS 2011AA ValueDomain
C0019761
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Second DQ antigen specificity:
Description

HLA-DQAntigenSecondAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C62792
UMLS 2011AA ObjectClass
C0019761
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C62792
UMLS 2011AA ValueDomain
C0019761
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Number of DP antigens provided:
Description

HLA-DPAntigenSerologicalAntigenCount

Data type

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus Property
C41264
UMLS 2011AA Property
C0205473
NCI Thesaurus ValueDomain
C268
UMLS 2011AA ValueDomain
C0003320
NCI Thesaurus ObjectClass
C71274
UMLS 2011AA ObjectClass
C0019759
First DP antigen specificity:
Description

HLA-DPAntigenFirstAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C71274
UMLS 2011AA ObjectClass
C0019759
NCI Thesaurus Property
C25509
UMLS 2011AA Property
C1279901
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C71274
UMLS 2011AA ValueDomain
C0019759
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Second DP antigen specificity:
Description

HLA-DPAntigenSecondAntigenName

Data type

text

Alias
NCI Thesaurus ObjectClass
C71274
UMLS 2011AA ObjectClass
C0019759
NCI Thesaurus Property
C25666
UMLS 2011AA Property
C0205436
NCI Thesaurus Property
C268
UMLS 2011AA Property
C0003320
NCI Thesaurus ValueDomain
C71274
UMLS 2011AA ValueDomain
C0019759
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Author Information
Description

Author Information

First Name
Description

PersonGiven/FirstName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property
C40974
UMLS 2011AA Property
C1443235
Last Name
Description

PersonFamily/LastName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property
C40975
UMLS 2011AA Property
C1301584
Telephone number:
Description

ContactPersonLocationTelephoneNumber

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus ObjectClass
C25461
UMLS 2011AA ObjectClass
C0337611
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain
C25395
UMLS 2011AA ValueDomain
C0039457
Fax number:
Description

ContactPersonLocationFaxNumber

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus ObjectClass
C25461
UMLS 2011AA ObjectClass
C0337611
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain
C25210
UMLS 2011AA ValueDomain
C0085205
EMail Address
Description

PersonEmailAddressText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C42775
UMLS 2011AA Property
C1705961
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This form must be completed for all non-NMDP allogeneic or syngeneic donors or recipients, or non-NMDP cord blood units. If the donor, recipient, or cord blood unit was secured through the NMDP, then report HLA typing on the appropriate NMDP forms. A separate copy of this form should be completed for each non-NMDP donor, recipient, or cord blood unit.

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Registry Use Only
ClinicalDataFormSequenceNumber
Item
Sequence number:
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C15783 (NCI Thesaurus ObjectClass)
C1516606 (UMLS 2011AA ObjectClass)
C25673 (NCI Thesaurus ValueDomain)
C1519249 (UMLS 2011AA ValueDomain)
ClinicalDataFormReceivedDate
Item
Date received:
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C25639 (NCI Thesaurus ValueDomain)
C1514756 (UMLS 2011AA ValueDomain)
C15783 (NCI Thesaurus ObjectClass)
C1516606 (UMLS 2011AA ObjectClass)
Item Group
Identification Data
HematopoieticStemCellTransplantationRecipientInstitution::CenterforInternationalBloodandMarrowTransplantResearchFacilityNumber
Item
CIBMTR Center Number:
double
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C53268 (NCI Thesaurus Property)
C1709854 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C41206 (NCI Thesaurus ValueDomain)
C1272753 (UMLS 2011AA ValueDomain)
C62574 (NCI Thesaurus ValueDomain)
C1547538 (UMLS 2011AA ValueDomain)
HematopoieticStemCellTransplantationRecipientIdentificationNumber
Item
CIBMTR Recipient ID:
double
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C53268 (NCI Thesaurus Property)
C1709854 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25737 (NCI Thesaurus ValueDomain)
C0205396 (UMLS 2011AA ValueDomain)
Item
Specify non-NMDP donor:
text
C25594 (NCI Thesaurus ObjectClass)
C1518422 (UMLS 2011AA ObjectClass)
C25168 (NCI Thesaurus ObjectClass)
C0040288 (UMLS 2011AA ObjectClass)
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C41206 (NCI Thesaurus ObjectClass)
C1272753 (UMLS 2011AA ObjectClass)
C25284 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25168 (NCI Thesaurus ValueDomain)
C0040288 (UMLS 2011AA ValueDomain)
CL.1
Code List
Specify non-NMDP donor:
CL Item
Donor Relationship (Related donor)
C25648 (NCI Thesaurus)
C0439849 (UMLS 2011AA)
C25168 (NCI Thesaurus)
C0040288 (UMLS 2011AA)
CL Item
Negation National Marrow Donor Program Donor Unrelated (Non-NMDP unrelated donor)
C25328 (NCI Thesaurus)
C0445356 (UMLS 2011AA)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25168 (NCI Thesaurus)
C0040288 (UMLS 2011AA)
C62593 (NCI Thesaurus)
C1882036 (UMLS 2011AA)
CL Item
Negation National Marrow Donor Program Umbilical Cord Blood Unit (Non-NMDP cord blood unit)
C44278 (NCI Thesaurus)
C0439148 (UMLS 2011AA)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C13300 (NCI Thesaurus)
C0162371 (UMLS 2011AA)
C62593 (NCI Thesaurus)
C1882036 (UMLS 2011AA)
InfantOrTissueDonorBirthDate
Item
What is the transplant donor or infant date of birth?
date
C25168 (NCI Thesaurus ObjectClass)
C0040288 (UMLS 2011AA ObjectClass)
C37998 (NCI Thesaurus ObjectClass)
C1518602 (UMLS 2011AA ObjectClass)
C27956 (NCI Thesaurus ObjectClass)
C0021270 (UMLS 2011AA ObjectClass)
C25155 (NCI Thesaurus Property)
C0005615 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item
What is the transplant donor or infant gender?
text
C25168 (NCI Thesaurus ObjectClass)
C0040288 (UMLS 2011AA ObjectClass)
C37998 (NCI Thesaurus ObjectClass)
C1518602 (UMLS 2011AA ObjectClass)
C27956 (NCI Thesaurus ObjectClass)
C0021270 (UMLS 2011AA ObjectClass)
C17357 (NCI Thesaurus Property)
C0079399 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.2
Code List
What is the transplant donor or infant gender?
CL Item
Female (female)
C16576 (NCI Thesaurus)
C0015780 (UMLS 2011AA)
CL Item
Male (male)
C20197 (NCI Thesaurus)
C0024554 (UMLS 2011AA)
HematopoieticStemCellTransplantationUnrelatedOrUmbilicalCordBloodTissueDonorNotInstitution::NationalMarrowDonorProgramIdentifier
Item
Non-NMDP unrelated donor / cord blood unit ID: (not applicable for related donor)
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C25328 (NCI Thesaurus Property)
C0445356 (UMLS 2011AA Property)
C25168 (NCI Thesaurus Property)
C0040288 (UMLS 2011AA Property)
C37998 (NCI Thesaurus Property)
C1518602 (UMLS 2011AA Property)
C13300 (NCI Thesaurus Property)
C0162371 (UMLS 2011AA Property)
C25364 (NCI Thesaurus ValueDomain)
C0600091 (UMLS 2011AA ValueDomain)
C25594 (NCI Thesaurus ValueDomain)
C1518422 (UMLS 2011AA ValueDomain)
C41206 (NCI Thesaurus ValueDomain)
C1272753 (UMLS 2011AA ValueDomain)
ClinicalDataFormTodayDate
Item
Today's date:
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C15783 (NCI Thesaurus ObjectClass)
C1516606 (UMLS 2011AA ObjectClass)
C41134 (NCI Thesaurus ValueDomain)
C0750526 (UMLS 2011AA ValueDomain)
HematopoieticStemCellTransplantationOccurrenceDate
Item
Date of hematopoietic stem cell transplantation (HSCT) for which this form is being completed:
date
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C15342 (NCI Thesaurus ValueDomain)
C0029216 (UMLS 2011AA ValueDomain)
Item
What source was used for the hematopoietic stem cell transplantation?
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
C12551 (NCI Thesaurus ValueDomain)
C0018956 (UMLS 2011AA ValueDomain)
C25683 (NCI Thesaurus ValueDomain)
C0449416 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.3
Code List
What source was used for the hematopoietic stem cell transplantation?
CL Item
Unrelated Allogenic (Allogeneic, unrelated)
C25328 (NCI Thesaurus)
C0445356 (UMLS 2011AA)
C28343 (NCI Thesaurus)
C1515895 (UMLS 2011AA)
CL Item
Related Allogenic (Allogeneic, related)
C25648 (NCI Thesaurus)
C0439849 (UMLS 2011AA)
C28343 (NCI Thesaurus)
C1515895 (UMLS 2011AA)
CL Item
Syngeneic (Syngeneic (identical twin))
Item
What type of hematopoietic stem cell transplant was used?
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C25284 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C12551 (NCI Thesaurus ValueDomain)
C0018956 (UMLS 2011AA ValueDomain)
C12981 (NCI Thesaurus ValueDomain)
C0332835 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.4
Code List
What type of hematopoietic stem cell transplant was used?
CL Item
Bone Marrow (Marrow)
C12431 (NCI Thesaurus)
C0005953 (UMLS 2011AA)
CL Item
Peripheral Blood Stem Cell (PBSC)
C12946 (NCI Thesaurus)
C1518999 (UMLS 2011AA)
CL Item
Umbilical Cord Blood (Cord blood)
C13300 (NCI Thesaurus)
C0162371 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
HematopoieticStemCellGraftOtherTypeSpecify
Item
Specify the other hematopoietic stem cell transplant type:
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C25284 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA Property)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ValueDomain)
C0205394 (UMLS 2011AA ValueDomain)
Item Group
Hla Typing Source
Item
Please specify the person for whom this typing is being done:
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C71329 (NCI Thesaurus ObjectClass)
C0242318 (UMLS 2011AA ObjectClass)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
C25683 (NCI Thesaurus ValueDomain)
C0449416 (UMLS 2011AA ValueDomain)
CL.5
Code List
Please specify the person for whom this typing is being done:
CL Item
Recipient Final Hla Typing (Recipient--final typing)
C53268 (NCI Thesaurus)
C1709854 (UMLS 2011AA)
C25508 (NCI Thesaurus)
C0205088 (UMLS 2011AA)
C71329 (NCI Thesaurus)
C0242318 (UMLS 2011AA)
CL Item
Recipient Mother Confirmed Hla Typing (Recipient's mother--confirmatory typing)
C25458 (NCI Thesaurus)
C0750484 (UMLS 2011AA)
C25189 (NCI Thesaurus)
C0026591 (UMLS 2011AA)
C53268 (NCI Thesaurus)
C1709854 (UMLS 2011AA)
C71329 (NCI Thesaurus)
C0242318 (UMLS 2011AA)
CL Item
Recipient Father Confirmed Hla Typing (Recipient's father--confirmatory typing)
C25458 (NCI Thesaurus)
C0750484 (UMLS 2011AA)
C25174 (NCI Thesaurus)
C0015671 (UMLS 2011AA)
C53268 (NCI Thesaurus)
C1709854 (UMLS 2011AA)
C71329 (NCI Thesaurus)
C0242318 (UMLS 2011AA)
CL Item
Donor Confirmed Hla Typing (Donor--confirmatory typing)
C25458 (NCI Thesaurus)
C0750484 (UMLS 2011AA)
C48284 (NCI Thesaurus)
C0013018 (UMLS 2011AA)
C71329 (NCI Thesaurus)
C0242318 (UMLS 2011AA)
CL Item
Umbilical Cord Blood Confirmed Hla Typing (Cord blood unit--confirmatory typing)
C25458 (NCI Thesaurus)
C0750484 (UMLS 2011AA)
C13300 (NCI Thesaurus)
C0162371 (UMLS 2011AA)
C71329 (NCI Thesaurus)
C0242318 (UMLS 2011AA)
CL Item
Umbilical Cord Blood Mother Hla Typing (Maternal HLA typing)
C25189 (NCI Thesaurus)
C0026591 (UMLS 2011AA)
C13300 (NCI Thesaurus)
C0162371 (UMLS 2011AA)
C71329 (NCI Thesaurus)
C0242318 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Item
Was the recipient's mother used as the donor?
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25189 (NCI Thesaurus Property)
C0026591 (UMLS 2011AA Property)
C53268 (NCI Thesaurus ObjectClass)
C1709854 (UMLS 2011AA ObjectClass)
C48284 (NCI Thesaurus Property)
C0013018 (UMLS 2011AA Property)
CL.6
Code List
Was the recipient's mother used as the donor?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Was the recipient's father used as the donor?
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25174 (NCI Thesaurus Property)
C0015671 (UMLS 2011AA Property)
C53268 (NCI Thesaurus ObjectClass)
C1709854 (UMLS 2011AA ObjectClass)
C48284 (NCI Thesaurus Property)
C0013018 (UMLS 2011AA Property)
CL.7
Code List
Was the recipient's father used as the donor?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
HLATypingSourceSpecify
Item
Specify person and typing:
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C71329 (NCI Thesaurus ObjectClass)
C0242318 (UMLS 2011AA ObjectClass)
C71329 (NCI Thesaurus ValueDomain)
C0242318 (UMLS 2011AA ValueDomain)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
Item Group
Hlatyping By Dna Technology
Item
Is a copy of the lab report attached?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25375 (NCI Thesaurus ObjectClass)
C0684224 (UMLS 2011AA ObjectClass)
C36292 (NCI Thesaurus ObjectClass)
C0587081 (UMLS 2011AA ObjectClass)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
C25532 (NCI Thesaurus Property)
C1512693 (UMLS 2011AA Property)
CL.8
Code List
Is a copy of the lab report attached?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item Group
Hla Typing By Dna Technology: Class I
Item
Number of A alleles provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C28585 (NCI Thesaurus ObjectClass)
C1333899 (UMLS 2011AA ObjectClass)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
C45447 (NCI Thesaurus Property)
C1285573 (UMLS 2011AA Property)
CL.9
Code List
Number of A alleles provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
CL Item
Without Analysis (Not tested)
C25391 (NCI Thesaurus)
C0936012 (UMLS 2011AA)
C25718 (NCI Thesaurus)
C0332288 (UMLS 2011AA)
HLA-AGeneFirstAlleleDescriptionSpecify
Item
First A* allele designations:
text
C28585 (NCI Thesaurus ObjectClass)
C1333899 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
HLA-AGeneSecondAlleleDescriptionSpecify
Item
Second A* allele designations:
text
C28585 (NCI Thesaurus ObjectClass)
C1333899 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
Item
Number of B alleles provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C62778 (NCI Thesaurus ObjectClass)
C1415561 (UMLS 2011AA ObjectClass)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
C45447 (NCI Thesaurus Property)
C1285573 (UMLS 2011AA Property)
CL.10
Code List
Number of B alleles provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
CL Item
Without Analysis (Not tested)
C25391 (NCI Thesaurus)
C0936012 (UMLS 2011AA)
C25718 (NCI Thesaurus)
C0332288 (UMLS 2011AA)
HLA-BGeneFirstAlleleDescriptionSpecify
Item
First B* allele designations:
text
C62778 (NCI Thesaurus ObjectClass)
C1415561 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
HLA-BGeneSecondAlleleDescriptionSpecify
Item
Second B* allele designations:
text
C62778 (NCI Thesaurus ObjectClass)
C1415561 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
Item
Number of C alleles provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C62758 (NCI Thesaurus ObjectClass)
C1415562 (UMLS 2011AA ObjectClass)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
C45447 (NCI Thesaurus Property)
C1285573 (UMLS 2011AA Property)
CL.11
Code List
Number of C alleles provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
CL Item
Without Analysis (Not tested)
C25391 (NCI Thesaurus)
C0936012 (UMLS 2011AA)
C25718 (NCI Thesaurus)
C0332288 (UMLS 2011AA)
HLA-CGeneFirstAlleleDescriptionSpecify
Item
First C* allele designations:
text
C62758 (NCI Thesaurus ObjectClass)
C1415562 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
HLA-CGeneSecondAlleleDescriptionSpecify
Item
Second C* allele designations:
text
C62758 (NCI Thesaurus ObjectClass)
C1415562 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
Item Group
Hla Typing By Dna Technology: Class I
Item
Number of DRB1 alleles provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C19409 (NCI Thesaurus ObjectClass)
C1415576 (UMLS 2011AA ObjectClass)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
C45447 (NCI Thesaurus Property)
C1285573 (UMLS 2011AA Property)
CL.12
Code List
Number of DRB1 alleles provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
CL Item
Without Analysis (Not tested)
C25391 (NCI Thesaurus)
C0936012 (UMLS 2011AA)
C25718 (NCI Thesaurus)
C0332288 (UMLS 2011AA)
HLA-DRB1GeneFirstAlleleDescriptionSpecify
Item
First DRB1* allele designations:
text
C19409 (NCI Thesaurus ObjectClass)
C1415576 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
HLA-DRB1GeneSecondAlleleDescriptionSpecify
Item
Second DRB1* allele designations:
text
C19409 (NCI Thesaurus ObjectClass)
C1415576 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
Item Group
Hla Typing By Dna Technology: Class Ii (optional)
Item
Number of DRB3 alleles provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C71259 (NCI Thesaurus ObjectClass)
C1415578 (UMLS 2011AA ObjectClass)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
C45447 (NCI Thesaurus Property)
C1285573 (UMLS 2011AA Property)
CL.13
Code List
Number of DRB3 alleles provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
CL Item
None (None)
C41132 (NCI Thesaurus)
C0549184 (UMLS 2011AA)
CL Item
Without Analysis (Not tested)
C25391 (NCI Thesaurus)
C0936012 (UMLS 2011AA)
C25718 (NCI Thesaurus)
C0332288 (UMLS 2011AA)
HLA-DRB3GeneFirstAlleleDescriptionSpecify
Item
First DRB3* allele designations:
text
C71259 (NCI Thesaurus ObjectClass)
C1415578 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
HLA-DRB3GeneSecondAlleleDescriptionSpecify
Item
Second DRB3* allele designations:
text
C71259 (NCI Thesaurus ObjectClass)
C1415578 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
Item
Number of DRB4 alleles provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C71261 (NCI Thesaurus ObjectClass)
C1415579 (UMLS 2011AA ObjectClass)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
C45447 (NCI Thesaurus Property)
C1285573 (UMLS 2011AA Property)
CL.14
Code List
Number of DRB4 alleles provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
CL Item
None (None)
C41132 (NCI Thesaurus)
C0549184 (UMLS 2011AA)
CL Item
Without Analysis (Not tested)
C25391 (NCI Thesaurus)
C0936012 (UMLS 2011AA)
C25718 (NCI Thesaurus)
C0332288 (UMLS 2011AA)
HLA-DRB4GeneFirstAlleleDescriptionSpecify
Item
First DRB4* allele designations:
text
C71261 (NCI Thesaurus ObjectClass)
C1415579 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
HLA-DRB4GeneSecondAlleleDescriptionSpecify
Item
Second DRB4* allele designations:
text
C71261 (NCI Thesaurus ObjectClass)
C1415579 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
Item
Number of DRB5 alleles provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C71263 (NCI Thesaurus ObjectClass)
C1415580 (UMLS 2011AA ObjectClass)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
C45447 (NCI Thesaurus Property)
C1285573 (UMLS 2011AA Property)
CL.15
Code List
Number of DRB5 alleles provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
CL Item
None (None)
C41132 (NCI Thesaurus)
C0549184 (UMLS 2011AA)
CL Item
Without Analysis (Not tested)
C25391 (NCI Thesaurus)
C0936012 (UMLS 2011AA)
C25718 (NCI Thesaurus)
C0332288 (UMLS 2011AA)
HLA-DRB5GeneFirstAlleleDescriptionSpecify
Item
First DRB5 * allele designations:
text
C71263 (NCI Thesaurus ObjectClass)
C1415580 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
HLA-DRB5GeneSecondAlleleDescriptionSpecify
Item
Second DRB5 * allele designations:
text
C71263 (NCI Thesaurus ObjectClass)
C1415580 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
Item
Number of DQB1 alleles provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C70614 (NCI Thesaurus ObjectClass)
C1415572 (UMLS 2011AA ObjectClass)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
C45447 (NCI Thesaurus Property)
C1285573 (UMLS 2011AA Property)
CL.16
Code List
Number of DQB1 alleles provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
HLA-DQB1GeneFirstAlleleDescriptionSpecify
Item
First DQB1* allele designations:
text
C70614 (NCI Thesaurus ObjectClass)
C1415572 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
HLA-DQB1GeneSecondAlleleDescriptionSpecify
Item
Second DQB1* allele designations:
text
C70614 (NCI Thesaurus ObjectClass)
C1415572 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
Item
Number of DPB1 alleles provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C29953 (NCI Thesaurus ObjectClass)
C1333900 (UMLS 2011AA ObjectClass)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
C45447 (NCI Thesaurus Property)
C1285573 (UMLS 2011AA Property)
CL.17
Code List
Number of DPB1 alleles provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
HLA-DPB1GeneFirstAlleleDescriptionSpecify
Item
First DPB1* allele designations:
text
C29953 (NCI Thesaurus ObjectClass)
C1333900 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
HLA-DPB1GeneSecondAlleleDescriptionSpecify
Item
Second DPB1* allele designations:
text
C29953 (NCI Thesaurus ObjectClass)
C1333900 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
Item
Number of DQA1 alleles provided?
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C71265 (NCI Thesaurus ObjectClass)
C1415570 (UMLS 2011AA ObjectClass)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
C45447 (NCI Thesaurus Property)
C1285573 (UMLS 2011AA Property)
CL.18
Code List
Number of DQA1 alleles provided?
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
HLA-DQA1GeneFirstAlleleDescriptionSpecify
Item
First DQA1* allele designations:
text
C71265 (NCI Thesaurus ObjectClass)
C1415570 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
HLA-DQA1GeneSecondAlleleDescriptionSpecify
Item
Second DQA1* allele designations:
text
C71265 (NCI Thesaurus ObjectClass)
C1415570 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
Item
Number of DPA1 alleles provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C71267 (NCI Thesaurus ObjectClass)
C1415567 (UMLS 2011AA ObjectClass)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
C45447 (NCI Thesaurus Property)
C1285573 (UMLS 2011AA Property)
CL.19
Code List
Number of DPA1 alleles provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
HLA-DPA1GeneFirstAlleleDescriptionSpecify
Item
First DPA1* allele designations:
text
C71267 (NCI Thesaurus ObjectClass)
C1415567 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
HLA-DPA1GeneSecondAlleleDescriptionSpecify
Item
Second DPA1* allele designations:
text
C71267 (NCI Thesaurus ObjectClass)
C1415567 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C16277 (NCI Thesaurus Property)
C0002085 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus ValueDomain)
C0678257 (UMLS 2011AA ValueDomain)
C16277 (NCI Thesaurus ValueDomain)
C0002085 (UMLS 2011AA ValueDomain)
Item Group
Antigens Defined By Serologic Typing
Item
Number of A antigens provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C41264 (NCI Thesaurus Property)
C0205473 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C28585 (NCI Thesaurus ObjectClass)
C1333899 (UMLS 2011AA ObjectClass)
CL.20
Code List
Number of A antigens provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
Item
1st A antigen specificity:
text
C28585 (NCI Thesaurus ObjectClass)
C1333899 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C28585 (NCI Thesaurus ValueDomain)
C1333899 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.21
Code List
1st A antigen specificity:
CL Item
A1 Antigen (A1)
CL Item
A2 Antigen 1st A2 Antigen (A2)
CL Item
A203 Antigen (A203)
CL Item
A210 Antigen (A210)
CL Item
A3 Antigen (A3)
CL Item
A9 Antigen (A9)
CL Item
A10 Antigen (A10)
CL Item
A11 Antigen (A11)
CL Item
A19 Antigen (A19)
CL Item
A23(9) Antigen (A23(9))
CL Item
A24(9) Antigen (A24(9))
CL Item
A2403 Antigen (A2403)
CL Item
A25(10) Antigen (A25(10))
CL Item
A26(10) Antigen (A26(10))
CL Item
A28 Antigen (A28)
CL Item
A29(19) Antigen (A29(19))
CL Item
A30(19) Antigen (A30(19))
CL Item
A31(19) Antigen (A31(19))
CL Item
A32(19) Antigen (A32(19))
CL Item
A33(19) Antigen (A33(19))
CL Item
A34(10) Antigen (A34(10))
CL Item
A36 Antigen (A36)
CL Item
A43 Antigen (A43)
CL Item
A66(10) Antigen (A66(10))
CL Item
A68(28) Antigen (A68(28))
CL Item
A69(28) Antigen (A69(28))
CL Item
A74(19) Antigen (A74(19))
CL Item
A80 Antigen (A80)
CL Item
Ax Antigen (AX)
Item
2nd A antigen specificity
text
C28585 (NCI Thesaurus ObjectClass)
C1333899 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C28585 (NCI Thesaurus ValueDomain)
C1333899 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.22
Code List
2nd A antigen specificity
CL Item
A1 Antigen (A1)
CL Item
A2 Antigen 1st A2 Antigen (A2)
CL Item
A203 Antigen (A203)
CL Item
A210 Antigen (A210)
CL Item
A3 Antigen (A3)
CL Item
A9 Antigen (A9)
CL Item
A10 Antigen (A10)
CL Item
A11 Antigen (A11)
CL Item
A19 Antigen (A19)
CL Item
A23(9) Antigen (A23(9))
CL Item
A24(9) Antigen (A24(9))
CL Item
A2403 Antigen (A2403)
CL Item
A25(10) Antigen (A25(10))
CL Item
A26(10) Antigen (A26(10))
CL Item
A28 Antigen (A28)
CL Item
A29(19) Antigen (A29(19))
CL Item
A30(19) Antigen (A30(19))
CL Item
A31(19) Antigen (A31(19))
CL Item
A32(19) Antigen (A32(19))
CL Item
A33(19) Antigen (A33(19))
CL Item
A34(10) Antigen (A34(10))
CL Item
A36 Antigen (A36)
CL Item
A43 Antigen (A43)
CL Item
A66(10) Antigen (A66(10))
CL Item
A68(28) Antigen (A68(28))
CL Item
A69(28) Antigen (A69(28))
CL Item
A74(19) Antigen (A74(19))
CL Item
A80 Antigen (A80)
CL Item
Ax Antigen (AX)
Item
Number of B antigens provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C41264 (NCI Thesaurus Property)
C0205473 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C62778 (NCI Thesaurus ObjectClass)
C1415561 (UMLS 2011AA ObjectClass)
CL.23
Code List
Number of B antigens provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
Item
First B antigen specificity:
text
C62778 (NCI Thesaurus ObjectClass)
C1415561 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C62778 (NCI Thesaurus ValueDomain)
C1415561 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.24
Code List
First B antigen specificity:
CL Item
B5 Antigen (B5)
CL Item
B7 Antigen (B7)
CL Item
B703 Antigen (B703)
CL Item
B8 Antigen (B8)
CL Item
B12 Antigen Specificity (B12)
CL Item
B13 Antigen (B13)
CL Item
B14 Antigen (B14)
CL Item
B15 Antigen (B15)
CL Item
B16 Antigen (B16)
CL Item
B17 Antigen (B17)
CL Item
B18 Antigen (B18)
CL Item
B21 Antigen (B21)
CL Item
B22 Antigen (B22)
CL Item
B27 Antigen (B27)
CL Item
B2708 Antigen (B2708)
CL Item
B35 Antigen (B35)
CL Item
B37 Antigen (B37)
CL Item
B38(16) Antigen (B38(16))
CL Item
B39(16) Antigen (B39(16))
CL Item
B3901 Antigen (B3901)
CL Item
B3902 Antigen (B3902)
CL Item
B40 Antigen (B40)
CL Item
B4005 Antigen (B4005)
CL Item
B41 Antigen (B41)
CL Item
B42 Antigen (B42)
CL Item
B44(12) Antigen (B44(12))
CL Item
B45(12) Antigen (B45(12))
CL Item
B46 Antigen (B46)
CL Item
B47 Antigen (B47)
CL Item
B48 Antigen (B48)
CL Item
B49(21) Antigen (B49(21))
CL Item
B50(21) Antigen (B50(21))
CL Item
B51(5) Antigen (B51(5))
CL Item
B5102 Antigen (B5102)
CL Item
B5103 Antigen (B5103)
CL Item
B52(5) Antigen (B52(5))
CL Item
B53 Antigen (B53)
CL Item
B54(22) Antigen (B54(22))
CL Item
B55(22) Antigen (B55(22))
CL Item
B56(22) Antigen (B56(22))
CL Item
B57(17) Antigen (B57(17))
CL Item
B58(17) Antigen (B58(17))
CL Item
B59 Antigen (B59)
CL Item
B60(40) Antigen (B60(40))
CL Item
B61(40) Antigen (B61(40))
CL Item
B62(15) Antigen (B62(15))
CL Item
B63(15) Antigen (B63(15))
CL Item
B64(14) Antigen (B64(14))
CL Item
B65(14) Antigen (B65(14))
CL Item
B67 Antigen (B67)
CL Item
B70 Antigen (B70)
CL Item
B71(70) Antigen (B71(70))
CL Item
B72(70) Antigen (B72(70))
CL Item
B73 Antigen (B73)
CL Item
B75(15) Antigen (B75(15))
CL Item
B76(15) Antigen (B76(15))
CL Item
B77(15) Antigen (B77(15))
CL Item
B78 Antigen (B78)
CL Item
B81 Antigen (B81)
CL Item
B82 Antigen (B82)
CL Item
Bx Antigen (BX)
Item
Second B antigen specificity:
text
C62778 (NCI Thesaurus ObjectClass)
C1415561 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C62778 (NCI Thesaurus ValueDomain)
C1415561 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.25
Code List
Second B antigen specificity:
CL Item
B5 Antigen (B5)
CL Item
B7 Antigen (B7)
CL Item
B703 Antigen (B703)
CL Item
B8 Antigen (B8)
CL Item
B12 Antigen Specificity (B12)
CL Item
B13 Antigen (B13)
CL Item
B14 Antigen (B14)
CL Item
B15 Antigen (B15)
CL Item
B16 Antigen (B16)
CL Item
B17 Antigen (B17)
CL Item
B18 Antigen (B18)
CL Item
B21 Antigen (B21)
CL Item
B22 Antigen (B22)
CL Item
B27 Antigen (B27)
CL Item
B2708 Antigen (B2708)
CL Item
B35 Antigen (B35)
CL Item
B37 Antigen (B37)
CL Item
B38(16) Antigen (B38(16))
CL Item
B39(16) Antigen (B39(16))
CL Item
B3901 Antigen (B3901)
CL Item
B3902 Antigen (B3902)
CL Item
B40 Antigen (B40)
CL Item
B4005 Antigen (B4005)
CL Item
B41 Antigen (B41)
CL Item
B42 Antigen (B42)
CL Item
B44(12) Antigen (B44(12))
CL Item
B45(12) Antigen (B45(12))
CL Item
B46 Antigen (B46)
CL Item
B47 Antigen (B47)
CL Item
B48 Antigen (B48)
CL Item
B49(21) Antigen (B49(21))
CL Item
B50(21) Antigen (B50(21))
CL Item
B51(5) Antigen (B51(5))
CL Item
B5102 Antigen (B5102)
CL Item
B5103 Antigen (B5103)
CL Item
B52(5) Antigen (B52(5))
CL Item
B53 Antigen (B53)
CL Item
B54(22) Antigen (B54(22))
CL Item
B55(22) Antigen (B55(22))
CL Item
B56(22) Antigen (B56(22))
CL Item
B57(17) Antigen (B57(17))
CL Item
B58(17) Antigen (B58(17))
CL Item
B59 Antigen (B59)
CL Item
B60(40) Antigen (B60(40))
CL Item
B61(40) Antigen (B61(40))
CL Item
B62(15) Antigen (B62(15))
CL Item
B63(15) Antigen (B63(15))
CL Item
B64(14) Antigen (B64(14))
CL Item
B65(14) Antigen (B65(14))
CL Item
B67 Antigen (B67)
CL Item
B70 Antigen (B70)
CL Item
B71(70) Antigen (B71(70))
CL Item
B72(70) Antigen (B72(70))
CL Item
B73 Antigen (B73)
CL Item
B75(15) Antigen (B75(15))
CL Item
B76(15) Antigen (B76(15))
CL Item
B77(15) Antigen (B77(15))
CL Item
B78 Antigen (B78)
CL Item
B81 Antigen (B81)
CL Item
B82 Antigen (B82)
CL Item
Bx Antigen (BX)
Item Group
Optional Antigen Reporting: Antigens Defined By Serologic Typing
Item
Number of C antigens provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C41264 (NCI Thesaurus Property)
C0205473 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C62758 (NCI Thesaurus ObjectClass)
C1415562 (UMLS 2011AA ObjectClass)
CL.26
Code List
Number of C antigens provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
Item
First C antigen specificity
text
C62758 (NCI Thesaurus ObjectClass)
C1415562 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C62758 (NCI Thesaurus ValueDomain)
C1415562 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.27
Code List
First C antigen specificity
CL Item
Cw1 Antigen (Cw1)
CL Item
Cw2 Antigen (Cw2)
CL Item
Cw3 Antigen (Cw3)
CL Item
Cw4 Antigen (Cw4)
CL Item
Cw5 Antigen (Cw5)
CL Item
Cw6 Antigen (Cw6)
CL Item
Cw7 Antigen (Cw7)
CL Item
Cw8 Antigen (Cw8)
CL Item
Cw9(w3) Antigen (Cw9(w3))
CL Item
Cw10(w3) Antigen (Cw10(w3))
CL Item
Cx Antigen (CX)
Item
Second C antigen specificity:
text
C62758 (NCI Thesaurus ObjectClass)
C1415562 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C62758 (NCI Thesaurus ValueDomain)
C1415562 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.28
Code List
Second C antigen specificity:
CL Item
Cw1 Antigen (Cw1)
CL Item
Cw2 Antigen (Cw2)
CL Item
Cw3 Antigen (Cw3)
CL Item
Cw4 Antigen (Cw4)
CL Item
Cw5 Antigen (Cw5)
CL Item
Cw6 Antigen (Cw6)
CL Item
Cw7 Antigen (Cw7)
CL Item
Cw8 Antigen (Cw8)
CL Item
Cw9(w3) Antigen (Cw9(w3))
CL Item
Cw10(w3) Antigen (Cw10(w3))
CL Item
Cx Antigen (CX)
Item
Bw4 specificity present?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
C71269 (NCI Thesaurus ObjectClass)
C0062832 (UMLS 2011AA ObjectClass)
CL.29
Code List
Bw4 specificity present?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Bw6 specificity present?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
C71270 (NCI Thesaurus ObjectClass)
C0062845 (UMLS 2011AA ObjectClass)
CL.30
Code List
Bw6 specificity present?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Number of DR antigens provided
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C41264 (NCI Thesaurus Property)
C0205473 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C16692 (NCI Thesaurus ObjectClass)
C0019764 (UMLS 2011AA ObjectClass)
CL.31
Code List
Number of DR antigens provided
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
Item
First DR antigen specificity:
text
C16692 (NCI Thesaurus ObjectClass)
C0019764 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C16692 (NCI Thesaurus ValueDomain)
C0019764 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.32
Code List
First DR antigen specificity:
CL Item
Dr1 Antigen (DR1)
CL Item
Dr103 Antigen (DR103)
CL Item
Dr2 Antigen (DR2)
CL Item
Dr3 Antigen (DR3)
CL Item
Dr4 Antigen (DR4)
CL Item
Dr5 Antigen (DR5)
CL Item
Dr6 Antigen (DR6)
CL Item
Dr7 Antigen (DR7)
CL Item
Dr8 Antigen (DR8)
CL Item
Dr9 Antigen (DR9)
CL Item
Dr10 Antigen (DR10)
CL Item
Dr11(5) Antigen (DR11(5))
CL Item
Dr12(5) Antigen (DR12(5))
CL Item
Dr13(6) Antigen (DR13(6))
CL Item
Dr14(6) Antigen (DR14(6))
CL Item
Dr1403 Antigen (DR1403)
CL Item
Dr1404 Antigen (DR1404)
CL Item
Dr15(2) Antigen (DR15(2))
CL Item
Dr16(2) Antigen (DR16(2))
CL Item
Dr17(3) Antigen (DR17(3))
CL Item
Dr18(3) Antigen (DR18(3))
CL Item
Drx Antigen (DRX)
Item
Second DR antigen specificity:
text
C16692 (NCI Thesaurus ObjectClass)
C0019764 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C16692 (NCI Thesaurus ValueDomain)
C0019764 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.33
Code List
Second DR antigen specificity:
CL Item
Dr1 Antigen (DR1)
CL Item
Dr103 Antigen (DR103)
CL Item
Dr2 Antigen (DR2)
CL Item
Dr3 Antigen (DR3)
CL Item
Dr4 Antigen (DR4)
CL Item
Dr5 Antigen (DR5)
CL Item
Dr6 Antigen (DR6)
CL Item
Dr7 Antigen (DR7)
CL Item
Dr8 Antigen (DR8)
CL Item
Dr9 Antigen (DR9)
CL Item
Dr10 Antigen (DR10)
CL Item
Dr11(5) Antigen (DR11(5))
CL Item
Dr12(5) Antigen (DR12(5))
CL Item
Dr13(6) Antigen (DR13(6))
CL Item
Dr14(6) Antigen (DR14(6))
CL Item
Dr1403 Antigen (DR1403)
CL Item
Dr1404 Antigen (DR1404)
CL Item
Dr15(2) Antigen (DR15(2))
CL Item
Dr16(2) Antigen (DR16(2))
CL Item
Dr17(3) Antigen (DR17(3))
CL Item
Dr18(3) Antigen (DR18(3))
CL Item
Drx Antigen (DRX)
Item
DR51 specificity present?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
C71271 (NCI Thesaurus ObjectClass)
C0246598 (UMLS 2011AA ObjectClass)
CL.34
Code List
DR51 specificity present?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
DR52 specificity present?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
C71272 (NCI Thesaurus ObjectClass)
C0062880 (UMLS 2011AA ObjectClass)
CL.35
Code List
DR52 specificity present?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
DR53 specificity present?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
C71273 (NCI Thesaurus ObjectClass)
C0062872 (UMLS 2011AA ObjectClass)
CL.36
Code List
DR53 specificity present?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Number of DQ antigens provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C41264 (NCI Thesaurus Property)
C0205473 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C62792 (NCI Thesaurus ObjectClass)
C0019761 (UMLS 2011AA ObjectClass)
CL.37
Code List
Number of DQ antigens provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
Item
First DQ antigen specificity:
text
C62792 (NCI Thesaurus ObjectClass)
C0019761 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C62792 (NCI Thesaurus ValueDomain)
C0019761 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.38
Code List
First DQ antigen specificity:
CL Item
Dq1 Antigen (DQ1)
CL Item
Dq2 Antigen (DQ2)
CL Item
Dq3 Antigen (DQ3)
CL Item
Dq4 Antigen (DQ4)
CL Item
Dq5(1) Antigen (DQ5(1))
CL Item
Dq6(1) (DQ6(1))
CL Item
Dq7(3) Antigen (DQ7(3))
CL Item
Dq8(3) Antigen (DQ8(3))
CL Item
Dq9(3) Antigen (DQ9(3))
CL Item
Dqx Antigen (DQX)
Item
Second DQ antigen specificity:
text
C62792 (NCI Thesaurus ObjectClass)
C0019761 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C62792 (NCI Thesaurus ValueDomain)
C0019761 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.39
Code List
Second DQ antigen specificity:
CL Item
Dq1 Antigen (DQ1)
CL Item
Dq2 Antigen (DQ2)
CL Item
Dq3 Antigen (DQ3)
CL Item
Dq4 Antigen (DQ4)
CL Item
Dq5(1) Antigen (DQ5(1))
CL Item
Dq6(1) (DQ6(1))
CL Item
Dq7(3) Antigen (DQ7(3))
CL Item
Dq8(3) Antigen (DQ8(3))
CL Item
Dq9(3) Antigen (DQ9(3))
CL Item
Dqx Antigen (DQX)
Item
Number of DP antigens provided:
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C41264 (NCI Thesaurus Property)
C0205473 (UMLS 2011AA Property)
C268 (NCI Thesaurus ValueDomain)
C0003320 (UMLS 2011AA ValueDomain)
C71274 (NCI Thesaurus ObjectClass)
C0019759 (UMLS 2011AA ObjectClass)
CL.40
Code List
Number of DP antigens provided:
CL Item
Integer::1 (One)
CL Item
Integer::2 (Two)
Item
First DP antigen specificity:
text
C71274 (NCI Thesaurus ObjectClass)
C0019759 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C71274 (NCI Thesaurus ValueDomain)
C0019759 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.41
Code List
First DP antigen specificity:
CL Item
Dpw1 Antigen (DPw1)
CL Item
Dpw2 Antigen (DPw2)
CL Item
Dpw3 Antigen (DPw3)
CL Item
Dpw4 Antigen (DPw4)
CL Item
Dpw5 Antigen (DPw5)
CL Item
Dpw6 Antigen (DPw6)
CL Item
Dpx Antigen (DPX)
Item
Second DP antigen specificity:
text
C71274 (NCI Thesaurus ObjectClass)
C0019759 (UMLS 2011AA ObjectClass)
C25666 (NCI Thesaurus Property)
C0205436 (UMLS 2011AA Property)
C268 (NCI Thesaurus Property)
C0003320 (UMLS 2011AA Property)
C71274 (NCI Thesaurus ValueDomain)
C0019759 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.42
Code List
Second DP antigen specificity:
CL Item
Dpw1 Antigen (DPw1)
CL Item
Dpw2 Antigen (DPw2)
CL Item
Dpw3 Antigen (DPw3)
CL Item
Dpw4 Antigen (DPw4)
CL Item
Dpw5 Antigen (DPw5)
CL Item
Dpw6 Antigen (DPw6)
CL Item
Dpx Antigen (DPX)
Item Group
Author Information
PersonGiven/FirstName
Item
First Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C40974 (NCI Thesaurus Property)
C1443235 (UMLS 2011AA Property)
PersonFamily/LastName
Item
Last Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C40975 (NCI Thesaurus Property)
C1301584 (UMLS 2011AA Property)
ContactPersonLocationTelephoneNumber
Item
Telephone number:
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25461 (NCI Thesaurus ObjectClass)
C0337611 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25395 (NCI Thesaurus ValueDomain)
C0039457 (UMLS 2011AA ValueDomain)
ContactPersonLocationFaxNumber
Item
Fax number:
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25461 (NCI Thesaurus ObjectClass)
C0337611 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25210 (NCI Thesaurus ValueDomain)
C0085205 (UMLS 2011AA ValueDomain)
PersonEmailAddressText
Item
EMail Address
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C42775 (NCI Thesaurus Property)
C1705961 (UMLS 2011AA Property)
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