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)
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
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 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)
Code List
Was a particular hematopoietic stem cell source used?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
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)
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)
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
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 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)
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
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)
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)
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)
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)
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)
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 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 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)
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)
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)
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)
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 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 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)
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)
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)
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)