ID

1960

Description

2451 Revision 1 - Chimerism Studies Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9542E77F-E1D1-5D08-E040-BB89AD435C29

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9542E77F-E1D1-5D08-E040-BB89AD435C29

Keywords

Versions (4)
  1. 9/19/12 9/19/12 -
  2. 7/26/17 7/26/17 - Martin Dugas
  3. 7/26/17 7/26/17 - Martin Dugas
  4. 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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Lab - 2451 Revision 1 - Chimerism Studies - 3160257v1.0

English

No Instruction available.

1 forms  
  1. StudyEvent: 2451 Revision 1 - Chimerism Studies
    1. No Instruction available.
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
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
Hsct Type
Description

Hsct Type

HSCT type
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
Was a particular hematopoietic stem cell source used?
Description

HematopoieticStemCellGraftSourceTherapyInd-2

Data type

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus Property
C25683
UMLS 2011AA Property
C0449416
Product Type
Description

Product Type

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
Was a particular hematopoietic stem cell transplant type used?
Description

HematopoieticStemCellGraftTypeTherapyInd-2

Data type

text

Alias
NCI Thesaurus Property
C25284
UMLS 2011AA Property
C0332307
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
Specify the other hematopoietic stem cell transplant type: (Answer only if the response to CDE 2730912 is "Other" )
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
Follow Up Visit
Description

Follow Up Visit

Visit
Description

Follow-upReportPostTransplantationTimepointResearchActivityReportType

Data type

text

Alias
NCI Thesaurus ObjectClass
C16033
UMLS 2011AA ObjectClass
C1522577
NCI Thesaurus ObjectClass
C25375
UMLS 2011AA ObjectClass
C0684224
NCI Thesaurus Property
C38008
UMLS 2011AA Property
C0687676
NCI Thesaurus Property
C15342
UMLS 2011AA Property
C0029216
NCI Thesaurus Property
C68568
UMLS 2011AA Property
C2348792
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C16033
UMLS 2011AA ValueDomain
C1522577
NCI Thesaurus ValueDomain
C25375
UMLS 2011AA ValueDomain
C0684224
NCI Thesaurus ValueDomain
C15429
UMLS 2011AA ValueDomain
C0242481
Vital Status
Description

Vital Status

Date of actual contact with the recipient to determine the medical status for this follow-up report:
Description

ActualFollow-upOccurrenceDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C16033
UMLS 2011AA ObjectClass
C1522577
NCI Thesaurus ObjectClass
C25274
UMLS 2011AA ObjectClass
C0237400
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
Chimerism Studies
Description

Chimerism Studies

Were chimerism studies performed? (Post-HSCT)
Description

ChimerismLaboratoryProcedurePerformedIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Thesaurus ValueDomain
C49488
UMLS 2011AA ValueDomain
C1705108
NCI Thesaurus ValueDomain
C49487
UMLS 2011AA ValueDomain
C1298908
NCI Thesaurus ValueDomain
C48660
UMLS 2011AA ValueDomain
C1272460
NCI Thesaurus ValueDomain
C17998
UMLS 2011AA ValueDomain
C0439673
NCI Thesaurus ValueDomain
C49484
UMLS 2011AA ValueDomain
C1272696
Are chimerism laboratory reports attached to this form?
Description

LaboratoryFindingReportInclusionYesorNoResponse

Data type

text

Alias
NCI Thesaurus ObjectClass
C25375
UMLS 2011AA ObjectClass
C0684224
NCI Thesaurus ObjectClass
C36292
UMLS 2011AA ObjectClass
C0587081
NCI Thesaurus Property
C25532
UMLS 2011AA Property
C1512693
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Were infusions from more than one donor given?
Description

HematopoieticStemCellTransplantationMultipleTissueDonorTherapyInd-2

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C25168
UMLS 2011AA Property
C0040288
NCI Thesaurus Property
C17648
UMLS 2011AA Property
C0439064
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Specify donor gender:
Description

TransplantDonorGenderType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C25168
UMLS 2011AA ObjectClass
C0040288
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus Property
C17357
UMLS 2011AA Property
C0079399
Chimerism Studies
Description

Chimerism Studies

Date
Description

SampleCollectionDate

Data type

date

Alias
NCI Thesaurus Property
C25164
UMLS 2011AA Property
C0011008
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25453
UMLS 2011AA ObjectClass
C1516698
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
Method
Description

ChimerismLaboratoryProcedureEvaluationMethodPerformedAssessmentType

Data type

text

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus Property
C81265
UMLS 2011AA Property
C2911685
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
Specify (Specify the chimerism laboratory procedure method type)
Description

ChimerismLaboratoryProcedureEvaluationMethodPerformedSpecifyText

Data type

text

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus Property
C81265
UMLS 2011AA Property
C2911685
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
Cell type
Description

ChimerismLaboratoryProcedurePerformedCellType

Data type

text

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C12508
UMLS 2011AA ValueDomain
C0007634
Specify (Specify the chimerism laboratory procedure cell type)
Description

ChimerismLaboratoryProcedurePerformedCellTypeSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C12508
UMLS 2011AA ValueDomain
C0007634
Total cells examined
Description

ChimerismLaboratoryProcedureCellExaminedTotalCount

Data type

double

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus ValueDomain
C25304
UMLS 2011AA ValueDomain
C0439810
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Number of donor cells
Description

ChimerismLaboratoryProcedureTissueDonorCellExaminedTotalCount

Data type

double

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus Property
C25168
UMLS 2011AA Property
C0040288
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus ValueDomain
C25304
UMLS 2011AA ValueDomain
C0439810
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Number of host cells
Description

ChimerismLaboratoryProcedureHostCellExaminedTotalCount

Data type

double

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus Property
C66819
UMLS 2011AA Property
C1167395
NCI Thesaurus ValueDomain
C25304
UMLS 2011AA ValueDomain
C0439810
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Percent donor cells, quantitative method
Description

ChimerismLaboratoryProcedureTissueDonorCellExaminedOutcomePercentageInteger::0DecimalPlaceValue

Data type

double

Measurement units
  • %
Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus Property
C25168
UMLS 2011AA Property
C0040288
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus ValueDomain
C45255
UMLS 2011AA ValueDomain
C1708523
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain
C42646
UMLS 2011AA ValueDomain
C1707640
%
Were donor cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
Description

ChimerismNegationQuantitativeLaboratoryProcedureTissueDonorCellPresentLaboratoryFindingResult

Data type

text

Alias
NCI Thesaurus ObjectClass
C25594
UMLS 2011AA ObjectClass
C1518422
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C70766
UMLS 2011AA ObjectClass
C0392762
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus Property
C25168
UMLS 2011AA Property
C0040288
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Percent host cells, quantitative method
Description

ChimerismLaboratoryProcedureHostCellExaminedOutcomePercentageInteger::0DecimalPlaceValue

Data type

double

Measurement units
  • %
Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus Property
C66819
UMLS 2011AA Property
C1167395
NCI Thesaurus ValueDomain
C45255
UMLS 2011AA ValueDomain
C1708523
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain
C42646
UMLS 2011AA ValueDomain
C1707640
%
Were host cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
Description

ChimerismNegationQuantitativeLaboratoryProcedureHostCellPresentLaboratoryFindingResult

Data type

text

Alias
NCI Thesaurus ObjectClass
C25594
UMLS 2011AA ObjectClass
C1518422
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C70766
UMLS 2011AA ObjectClass
C0392762
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus Property
C66819
UMLS 2011AA Property
C1167395
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Chimerism Studies
Description

Chimerism Studies

NMDP donor ID:
Description

HematopoieticStemCellTransplantationTissueDonorTypeInstitution::NationalMarrowDonorProgramIdentifier

Data type

double

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C25284
UMLS 2011AA Property
C0332307
NCI Thesaurus Property
C25168
UMLS 2011AA Property
C0040288
NCI Thesaurus ValueDomain
C25364
UMLS 2011AA ValueDomain
C0600091
NCI Thesaurus ValueDomain
C41206
UMLS 2011AA ValueDomain
C1272753
NMDP Cord Blood Unit ID:
Description

HematopoieticStemCellTransplantationUmbilicalCordBloodTypeInstitution::NationalMarrowDonorProgramIdentifier

Data type

double

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C25284
UMLS 2011AA Property
C0332307
NCI Thesaurus Property
C13300
UMLS 2011AA Property
C0162371
NCI Thesaurus ValueDomain
C25364
UMLS 2011AA ValueDomain
C0600091
NCI Thesaurus ValueDomain
C41206
UMLS 2011AA ValueDomain
C1272753
Non-NMDP Cord Blood Unit (CBU) ID:
Description

HematopoieticStemCellTransplantationUmbilicalCordBloodTypeNotInstitution::NationalMarrowDonorProgramIdentifier

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C25284
UMLS 2011AA Property
C0332307
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
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
Non-NMDP donor ID: (Unrelated)
Description

HematopoieticStemCellTransplantationTissueDonorNotInstitution::NationalMarrowDonorProgramIdentifier

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C25168
UMLS 2011AA Property
C0040288
NCI Thesaurus ValueDomain
C25364
UMLS 2011AA ValueDomain
C0600091
NCI Thesaurus ValueDomain
C25594
UMLS 2011AA ValueDomain
C1518422
NCI Thesaurus ValueDomain
C41206
UMLS 2011AA ValueDomain
C1272753
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
Date
Description

SampleCollectionDate

Data type

date

Alias
NCI Thesaurus Property
C25164
UMLS 2011AA Property
C0011008
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25453
UMLS 2011AA ObjectClass
C1516698
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
Method
Description

ChimerismLaboratoryProcedureEvaluationMethodPerformedAssessmentType

Data type

text

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus Property
C81265
UMLS 2011AA Property
C2911685
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
Specify (Specify the chimerism laboratory procedure method type)
Description

ChimerismLaboratoryProcedureEvaluationMethodPerformedSpecifyText

Data type

text

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus Property
C81265
UMLS 2011AA Property
C2911685
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
Cell type
Description

ChimerismLaboratoryProcedurePerformedCellType

Data type

text

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C12508
UMLS 2011AA ValueDomain
C0007634
Specify (Specify the chimerism laboratory procedure cell type)
Description

ChimerismLaboratoryProcedurePerformedCellTypeSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C12508
UMLS 2011AA ValueDomain
C0007634
Total cells examined
Description

ChimerismLaboratoryProcedureCellExaminedTotalCount

Data type

double

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus ValueDomain
C25304
UMLS 2011AA ValueDomain
C0439810
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Number of donor cells
Description

ChimerismLaboratoryProcedureTissueDonorCellExaminedTotalCount

Data type

double

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus Property
C25168
UMLS 2011AA Property
C0040288
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus ValueDomain
C25304
UMLS 2011AA ValueDomain
C0439810
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Number of host cells
Description

ChimerismLaboratoryProcedureHostCellExaminedTotalCount

Data type

double

Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus Property
C66819
UMLS 2011AA Property
C1167395
NCI Thesaurus ValueDomain
C25304
UMLS 2011AA ValueDomain
C0439810
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Percent donor cells, quantitative method
Description

ChimerismLaboratoryProcedureTissueDonorCellExaminedOutcomePercentageInteger::0DecimalPlaceValue

Data type

double

Measurement units
  • %
Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus Property
C25168
UMLS 2011AA Property
C0040288
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus ValueDomain
C45255
UMLS 2011AA ValueDomain
C1708523
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain
C42646
UMLS 2011AA ValueDomain
C1707640
%
Were donor cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
Description

ChimerismNegationQuantitativeLaboratoryProcedureTissueDonorCellPresentLaboratoryFindingResult

Data type

text

Alias
NCI Thesaurus ObjectClass
C25594
UMLS 2011AA ObjectClass
C1518422
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C70766
UMLS 2011AA ObjectClass
C0392762
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus Property
C25168
UMLS 2011AA Property
C0040288
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Percent host cells, quantitative method
Description

ChimerismLaboratoryProcedureHostCellExaminedOutcomePercentageInteger::0DecimalPlaceValue

Data type

double

Measurement units
  • %
Alias
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus Property
C66819
UMLS 2011AA Property
C1167395
NCI Thesaurus ValueDomain
C45255
UMLS 2011AA ValueDomain
C1708523
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain
C42646
UMLS 2011AA ValueDomain
C1707640
%
Were host cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
Description

ChimerismNegationQuantitativeLaboratoryProcedureHostCellPresentLaboratoryFindingResult

Data type

text

Alias
NCI Thesaurus ObjectClass
C25594
UMLS 2011AA ObjectClass
C1518422
NCI Thesaurus ObjectClass
C62582
UMLS 2011AA ObjectClass
C0333678
NCI Thesaurus ObjectClass
C70766
UMLS 2011AA ObjectClass
C0392762
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus Property
C12508
UMLS 2011AA Property
C0007634
NCI Thesaurus Property
C66819
UMLS 2011AA Property
C1167395
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Donor Cellular Infusion (dci) Information Part 2 Of 2
Description

Donor Cellular Infusion (dci) Information Part 2 Of 2

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
E-mail 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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  1. StudyEvent: 2451 Revision 1 - Chimerism Studies
    1. No Instruction available.
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)
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 Group
Hsct Type
Item
HSCT type
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.1
Code List
HSCT type
CL Item
Autologous (Autologous)
C28000 (NCI Thesaurus)
C0439859 (UMLS 2011AA)
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
Was a particular hematopoietic stem cell source used?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
CL.2
Code List
Was a particular hematopoietic stem cell source used?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item Group
Product Type
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.3
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
Multiple Umbilical Cord Blood (Multiple cord blood units infused)
C13300 (NCI Thesaurus)
C0162371 (UMLS 2011AA)
C17648 (NCI Thesaurus)
C0439064 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Item
Was a particular hematopoietic stem cell transplant type used?
text
C25284 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
CL.4
Code List
Was a particular hematopoietic stem cell transplant type used?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
HematopoieticStemCellGraftOtherTypeSpecify
Item
Specify the other hematopoietic stem cell transplant type: (Answer only if the response to CDE 2730912 is "Other" )
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
Follow Up Visit
Item
Visit
text
C16033 (NCI Thesaurus ObjectClass)
C1522577 (UMLS 2011AA ObjectClass)
C25375 (NCI Thesaurus ObjectClass)
C0684224 (UMLS 2011AA ObjectClass)
C38008 (NCI Thesaurus Property)
C0687676 (UMLS 2011AA Property)
C15342 (NCI Thesaurus Property)
C0029216 (UMLS 2011AA Property)
C68568 (NCI Thesaurus Property)
C2348792 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C16033 (NCI Thesaurus ValueDomain)
C1522577 (UMLS 2011AA ValueDomain)
C25375 (NCI Thesaurus ValueDomain)
C0684224 (UMLS 2011AA ValueDomain)
C15429 (NCI Thesaurus ValueDomain)
C0242481 (UMLS 2011AA ValueDomain)
CL.5
Code List
Visit
CL Item
Integer::100 Day Report (100 day)
C25301 (NCI Thesaurus)
C0439228 (UMLS 2011AA)
C45255 (NCI Thesaurus)
C1708523 (UMLS 2011AA)
C25375 (NCI Thesaurus)
C0684224 (UMLS 2011AA)
CL Item
Integer::6 Month Report (6 Months)
C45255 (NCI Thesaurus)
C1708523 (UMLS 2011AA)
C29846 (NCI Thesaurus)
C0439231 (UMLS 2011AA)
C25375 (NCI Thesaurus)
C0684224 (UMLS 2011AA)
CL Item
Integer::1 Year Report (1 year)
C45255 (NCI Thesaurus)
C1708523 (UMLS 2011AA)
C25375 (NCI Thesaurus)
C0684224 (UMLS 2011AA)
C29848 (NCI Thesaurus)
C0439234 (UMLS 2011AA)
CL Item
Integer::2 Year Report (2 years)
C45255 (NCI Thesaurus)
C1708523 (UMLS 2011AA)
C25375 (NCI Thesaurus)
C0684224 (UMLS 2011AA)
C29848 (NCI Thesaurus)
C0439234 (UMLS 2011AA)
Item Group
Vital Status
ActualFollow-upOccurrenceDate
Item
Date of actual contact with the recipient to determine the medical status for this follow-up report:
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C16033 (NCI Thesaurus ObjectClass)
C1522577 (UMLS 2011AA ObjectClass)
C25274 (NCI Thesaurus ObjectClass)
C0237400 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
Item Group
Chimerism Studies
Item
Were chimerism studies performed? (Post-HSCT)
text
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C49488 (NCI Thesaurus ValueDomain)
C1705108 (UMLS 2011AA ValueDomain)
C49487 (NCI Thesaurus ValueDomain)
C1298908 (UMLS 2011AA ValueDomain)
C48660 (NCI Thesaurus ValueDomain)
C1272460 (UMLS 2011AA ValueDomain)
C17998 (NCI Thesaurus ValueDomain)
C0439673 (UMLS 2011AA ValueDomain)
C49484 (NCI Thesaurus ValueDomain)
C1272696 (UMLS 2011AA ValueDomain)
CL.6
Code List
Were chimerism studies performed? (Post-HSCT)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Are chimerism laboratory reports attached to this form?
text
C25375 (NCI Thesaurus ObjectClass)
C0684224 (UMLS 2011AA ObjectClass)
C36292 (NCI Thesaurus ObjectClass)
C0587081 (UMLS 2011AA ObjectClass)
C25532 (NCI Thesaurus Property)
C1512693 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.7
Code List
Are chimerism laboratory reports attached to this form?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Were infusions from more than one donor given?
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C25168 (NCI Thesaurus Property)
C0040288 (UMLS 2011AA Property)
C17648 (NCI Thesaurus Property)
C0439064 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.8
Code List
Were infusions from more than one donor given?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Specify donor gender:
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25168 (NCI Thesaurus ObjectClass)
C0040288 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C17357 (NCI Thesaurus Property)
C0079399 (UMLS 2011AA Property)
CL.9
Code List
Specify donor gender:
CL Item
Male (male)
C20197 (NCI Thesaurus)
C0024554 (UMLS 2011AA)
CL Item
Female (female)
C16576 (NCI Thesaurus)
C0015780 (UMLS 2011AA)
Item Group
Chimerism Studies
SampleCollectionDate
Item
Date
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25453 (NCI Thesaurus ObjectClass)
C1516698 (UMLS 2011AA ObjectClass)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
Item
Method
text
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C81265 (NCI Thesaurus Property)
C2911685 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.15
Code List
Method
CL Item
Cytogenetics (Conventional (Standard) Cytogenetics)
C16487 (NCI Thesaurus)
C0010802 (UMLS 2011AA)
CL Item
Fluorescence In Situ Hybridization (Fluorescence in situ Hybridization (FISH))
C17563 (NCI Thesaurus)
C0162789 (UMLS 2011AA)
CL Item
Restriction Fragment Length Polymorphism (Restriction Fragment Length Polymorphism (RFLP))
C17093 (NCI Thesaurus)
C0035268 (UMLS 2011AA)
CL Item
Human Leukocyte Antigen Test (HLA Typing)
CL Item
Minisatellite Repeat (VNTR or STR, micro or mini satellite)
C13334 (NCI Thesaurus)
C0242827 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
ChimerismLaboratoryProcedureEvaluationMethodPerformedSpecifyText
Item
Specify (Specify the chimerism laboratory procedure method type)
text
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C81265 (NCI Thesaurus Property)
C2911685 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
Item
Cell type
text
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C12508 (NCI Thesaurus ValueDomain)
C0007634 (UMLS 2011AA ValueDomain)
CL.16
Code List
Cell type
CL Item
Bone Marrow (Bone marrow (BM))
C12431 (NCI Thesaurus)
C0005953 (UMLS 2011AA)
CL Item
Peripheral Blood Mononuclear Cell (Peripheral blood mononuclear cells (PBMC))
C12954 (NCI Thesaurus)
C1321301 (UMLS 2011AA)
CL Item
T-lymphocyte (T-cell)
C12476 (NCI Thesaurus)
C0039194 (UMLS 2011AA)
CL Item
B-lymphocyte (B-cells)
C12474 (NCI Thesaurus)
C0004561 (UMLS 2011AA)
CL Item
Erythrocyte (Red blood cells)
C12521 (NCI Thesaurus)
C0014792 (UMLS 2011AA)
CL Item
Monocyte (Monocytes)
C12547 (NCI Thesaurus)
C0026473 (UMLS 2011AA)
CL Item
Neutrophil (PMNs (neutrophils))
C12533 (NCI Thesaurus)
C0027950 (UMLS 2011AA)
CL Item
Lymphocyte Not Otherwise Specified (Lymphocytes, not otherwise specified)
C19594 (NCI Thesaurus)
C1518425 (UMLS 2011AA)
C12535 (NCI Thesaurus)
C0024264 (UMLS 2011AA)
CL Item
Myeloid Not Otherwise Specified (Myeloid cells, not otherwise specified)
C19594 (NCI Thesaurus)
C1518425 (UMLS 2011AA)
C13349 (NCI Thesaurus)
C0439677 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
ChimerismLaboratoryProcedurePerformedCellTypeSpecify
Item
Specify (Specify the chimerism laboratory procedure cell type)
text
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C12508 (NCI Thesaurus ValueDomain)
C0007634 (UMLS 2011AA ValueDomain)
ChimerismLaboratoryProcedureCellExaminedTotalCount
Item
Total cells examined
double
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
ChimerismLaboratoryProcedureTissueDonorCellExaminedTotalCount
Item
Number of donor cells
double
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25168 (NCI Thesaurus Property)
C0040288 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
ChimerismLaboratoryProcedureHostCellExaminedTotalCount
Item
Number of host cells
double
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C66819 (NCI Thesaurus Property)
C1167395 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
ChimerismLaboratoryProcedureTissueDonorCellExaminedOutcomePercentageInteger::0DecimalPlaceValue
Item
Percent donor cells, quantitative method
double
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25168 (NCI Thesaurus Property)
C0040288 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C45255 (NCI Thesaurus ValueDomain)
C1708523 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C42646 (NCI Thesaurus ValueDomain)
C1707640 (UMLS 2011AA ValueDomain)
Item
Were donor cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
text
C25594 (NCI Thesaurus ObjectClass)
C1518422 (UMLS 2011AA ObjectClass)
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C70766 (NCI Thesaurus ObjectClass)
C0392762 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C25168 (NCI Thesaurus Property)
C0040288 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.17
Code List
Were donor cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
CL Item
Present (Present)
C25626 (NCI Thesaurus)
C0150312 (UMLS 2011AA)
ChimerismLaboratoryProcedureHostCellExaminedOutcomePercentageInteger::0DecimalPlaceValue
Item
Percent host cells, quantitative method
double
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C66819 (NCI Thesaurus Property)
C1167395 (UMLS 2011AA Property)
C45255 (NCI Thesaurus ValueDomain)
C1708523 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C42646 (NCI Thesaurus ValueDomain)
C1707640 (UMLS 2011AA ValueDomain)
Item
Were host cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
text
C25594 (NCI Thesaurus ObjectClass)
C1518422 (UMLS 2011AA ObjectClass)
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C70766 (NCI Thesaurus ObjectClass)
C0392762 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C66819 (NCI Thesaurus Property)
C1167395 (UMLS 2011AA Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.18
Code List
Were host cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
CL Item
Present (Present)
C25626 (NCI Thesaurus)
C0150312 (UMLS 2011AA)
Item Group
Chimerism Studies
HematopoieticStemCellTransplantationTissueDonorTypeInstitution::NationalMarrowDonorProgramIdentifier
Item
NMDP donor ID:
double
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C25284 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA Property)
C25168 (NCI Thesaurus Property)
C0040288 (UMLS 2011AA Property)
C25364 (NCI Thesaurus ValueDomain)
C0600091 (UMLS 2011AA ValueDomain)
C41206 (NCI Thesaurus ValueDomain)
C1272753 (UMLS 2011AA ValueDomain)
HematopoieticStemCellTransplantationUmbilicalCordBloodTypeInstitution::NationalMarrowDonorProgramIdentifier
Item
NMDP Cord Blood Unit ID:
double
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C25284 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA Property)
C13300 (NCI Thesaurus Property)
C0162371 (UMLS 2011AA Property)
C25364 (NCI Thesaurus ValueDomain)
C0600091 (UMLS 2011AA ValueDomain)
C41206 (NCI Thesaurus ValueDomain)
C1272753 (UMLS 2011AA ValueDomain)
HematopoieticStemCellTransplantationUmbilicalCordBloodTypeNotInstitution::NationalMarrowDonorProgramIdentifier
Item
Non-NMDP Cord Blood Unit (CBU) ID:
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C25284 (NCI Thesaurus Property)
C0332307 (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)
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)
HematopoieticStemCellTransplantationTissueDonorNotInstitution::NationalMarrowDonorProgramIdentifier
Item
Non-NMDP donor ID: (Unrelated)
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C25168 (NCI Thesaurus Property)
C0040288 (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)
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.14
Code List
What is the transplant donor or infant gender?
CL Item
Male (male)
C20197 (NCI Thesaurus)
C0024554 (UMLS 2011AA)
CL Item
Female (female)
C16576 (NCI Thesaurus)
C0015780 (UMLS 2011AA)
SampleCollectionDate
Item
Date
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25453 (NCI Thesaurus ObjectClass)
C1516698 (UMLS 2011AA ObjectClass)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
Item
Method
text
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C81265 (NCI Thesaurus Property)
C2911685 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.15
Code List
Method
CL Item
Cytogenetics (Conventional (Standard) Cytogenetics)
C16487 (NCI Thesaurus)
C0010802 (UMLS 2011AA)
CL Item
Fluorescence In Situ Hybridization (Fluorescence in situ Hybridization (FISH))
C17563 (NCI Thesaurus)
C0162789 (UMLS 2011AA)
CL Item
Restriction Fragment Length Polymorphism (Restriction Fragment Length Polymorphism (RFLP))
C17093 (NCI Thesaurus)
C0035268 (UMLS 2011AA)
CL Item
Human Leukocyte Antigen Test (HLA Typing)
CL Item
Minisatellite Repeat (VNTR or STR, micro or mini satellite)
C13334 (NCI Thesaurus)
C0242827 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
ChimerismLaboratoryProcedureEvaluationMethodPerformedSpecifyText
Item
Specify (Specify the chimerism laboratory procedure method type)
text
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C81265 (NCI Thesaurus Property)
C2911685 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
Item
Cell type
text
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C12508 (NCI Thesaurus ValueDomain)
C0007634 (UMLS 2011AA ValueDomain)
CL.16
Code List
Cell type
CL Item
Bone Marrow (Bone marrow (BM))
C12431 (NCI Thesaurus)
C0005953 (UMLS 2011AA)
CL Item
Peripheral Blood Mononuclear Cell (Peripheral blood mononuclear cells (PBMC))
C12954 (NCI Thesaurus)
C1321301 (UMLS 2011AA)
CL Item
T-lymphocyte (T-cell)
C12476 (NCI Thesaurus)
C0039194 (UMLS 2011AA)
CL Item
B-lymphocyte (B-cells)
C12474 (NCI Thesaurus)
C0004561 (UMLS 2011AA)
CL Item
Erythrocyte (Red blood cells)
C12521 (NCI Thesaurus)
C0014792 (UMLS 2011AA)
CL Item
Monocyte (Monocytes)
C12547 (NCI Thesaurus)
C0026473 (UMLS 2011AA)
CL Item
Neutrophil (PMNs (neutrophils))
C12533 (NCI Thesaurus)
C0027950 (UMLS 2011AA)
CL Item
Lymphocyte Not Otherwise Specified (Lymphocytes, not otherwise specified)
C19594 (NCI Thesaurus)
C1518425 (UMLS 2011AA)
C12535 (NCI Thesaurus)
C0024264 (UMLS 2011AA)
CL Item
Myeloid Not Otherwise Specified (Myeloid cells, not otherwise specified)
C19594 (NCI Thesaurus)
C1518425 (UMLS 2011AA)
C13349 (NCI Thesaurus)
C0439677 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
ChimerismLaboratoryProcedurePerformedCellTypeSpecify
Item
Specify (Specify the chimerism laboratory procedure cell type)
text
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C12508 (NCI Thesaurus ValueDomain)
C0007634 (UMLS 2011AA ValueDomain)
ChimerismLaboratoryProcedureCellExaminedTotalCount
Item
Total cells examined
double
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
ChimerismLaboratoryProcedureTissueDonorCellExaminedTotalCount
Item
Number of donor cells
double
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25168 (NCI Thesaurus Property)
C0040288 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
ChimerismLaboratoryProcedureHostCellExaminedTotalCount
Item
Number of host cells
double
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C66819 (NCI Thesaurus Property)
C1167395 (UMLS 2011AA Property)
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
ChimerismLaboratoryProcedureTissueDonorCellExaminedOutcomePercentageInteger::0DecimalPlaceValue
Item
Percent donor cells, quantitative method
double
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25168 (NCI Thesaurus Property)
C0040288 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C45255 (NCI Thesaurus ValueDomain)
C1708523 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C42646 (NCI Thesaurus ValueDomain)
C1707640 (UMLS 2011AA ValueDomain)
Item
Were donor cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
text
C25594 (NCI Thesaurus ObjectClass)
C1518422 (UMLS 2011AA ObjectClass)
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C70766 (NCI Thesaurus ObjectClass)
C0392762 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C25168 (NCI Thesaurus Property)
C0040288 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.17
Code List
Were donor cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
CL Item
Present (Present)
C25626 (NCI Thesaurus)
C0150312 (UMLS 2011AA)
ChimerismLaboratoryProcedureHostCellExaminedOutcomePercentageInteger::0DecimalPlaceValue
Item
Percent host cells, quantitative method
double
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C66819 (NCI Thesaurus Property)
C1167395 (UMLS 2011AA Property)
C45255 (NCI Thesaurus ValueDomain)
C1708523 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C42646 (NCI Thesaurus ValueDomain)
C1707640 (UMLS 2011AA ValueDomain)
Item
Were host cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
text
C25594 (NCI Thesaurus ObjectClass)
C1518422 (UMLS 2011AA ObjectClass)
C62582 (NCI Thesaurus ObjectClass)
C0333678 (UMLS 2011AA ObjectClass)
C70766 (NCI Thesaurus ObjectClass)
C0392762 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C12508 (NCI Thesaurus Property)
C0007634 (UMLS 2011AA Property)
C66819 (NCI Thesaurus Property)
C1167395 (UMLS 2011AA Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.18
Code List
Were host cells present as determined by non-quantitative means? (If performed by non-quantitative method, indicate the presence of donor cells.)
CL Item
Present (Present)
C25626 (NCI Thesaurus)
C0150312 (UMLS 2011AA)
Item Group
Donor Cellular Infusion (dci) Information Part 2 Of 2
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
E-mail 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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