ID

2737

Description

The patient's received transfusions. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AD24E1F2-5135-264F-E040-BB89AD430ED7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AD24E1F2-5135-264F-E040-BB89AD430ED7

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 8/29/17 8/29/17 -
Uploaded on

September 19, 2012

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License

Creative Commons BY-NC 3.0 Legacy
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Treatment - Transfusion - 3281161v1.0

English

No Instruction available.

1 forms  
  1. StudyEvent: Transfusion
    1. No Instruction available.
Transfusion
Description

Transfusion

Visit Date
Description

FormCompletionDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C40988
UMLS 2011AA ObjectClass
C1516308
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
Course #
Description

CourseNumber

Data type

double

Alias
NCI Thesaurus Property
C25337
UMLS 2011AA Property
C0237753
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C25379
UMLS 2011AA ObjectClass
C0750729
Day in Course (Cycle)
Description

CourseDayNumber

Data type

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C25301
UMLS 2011AA Property
C0439228
NCI Thesaurus ObjectClass
C25379
UMLS 2011AA ObjectClass
C0750729
Date (Enter the date that the transfusion was done.)
Description

BloodComponentTransfusionDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C25409
UMLS 2011AA Property
C1533734
NCI Thesaurus ObjectClass
C15192
UMLS 2011AA ObjectClass
C0005841
NCI Thesaurus ObjectClass
C81304
UMLS 2011AA ObjectClass
C0456388
Time (Enter the time the transfusion was done.)
Description

ProcedureTime

Data type

time

Alias
NCI Thesaurus ObjectClass
C25218
UMLS 2011AA ObjectClass
C1948041
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
NCI Thesaurus ObjectClass
C71104
UMLS 2011AA ObjectClass
C0008976
NCI Thesaurus Property
C42614
UMLS 2011AA Property
C0027365
Transfusion Component (Select the transfusion component from the pick list.)
Description

BloodComponentTransfusionTextName

Data type

text

Alias
NCI Thesaurus ObjectClass
C15192
UMLS 2011AA ObjectClass
C0005841
NCI Thesaurus ObjectClass
C81304
UMLS 2011AA ObjectClass
C0456388
NCI Thesaurus Property
C25409
UMLS 2011AA Property
C1533734
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
# of Units (Enter the blood component number of units transfused in Units)
Description

TransfuseBloodComponentUnits

Data type

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C25409
UMLS 2011AA Property
C1533734
NCI Thesaurus ObjectClass
C15192
UMLS 2011AA ObjectClass
C0005841
NCI Thesaurus ObjectClass
C81304
UMLS 2011AA ObjectClass
C0456388
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Similar models

No Instruction available.

1 forms
  1. StudyEvent: Transfusion
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Transfusion
FormCompletionDate
Item
Visit Date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
CourseNumber
Item
Course #
double
C25337 (NCI Thesaurus Property)
C0237753 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS 2011AA ObjectClass)
CourseDayNumber
Item
Day in Course (Cycle)
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25301 (NCI Thesaurus Property)
C0439228 (UMLS 2011AA Property)
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS 2011AA ObjectClass)
BloodComponentTransfusionDate
Item
Date (Enter the date that the transfusion was done.)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25409 (NCI Thesaurus Property)
C1533734 (UMLS 2011AA Property)
C15192 (NCI Thesaurus ObjectClass)
C0005841 (UMLS 2011AA ObjectClass)
C81304 (NCI Thesaurus ObjectClass)
C0456388 (UMLS 2011AA ObjectClass)
ProcedureTime
Item
Time (Enter the time the transfusion was done.)
time
C25218 (NCI Thesaurus ObjectClass)
C1948041 (UMLS 2011AA ObjectClass)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C71104 (NCI Thesaurus ObjectClass)
C0008976 (UMLS 2011AA ObjectClass)
C42614 (NCI Thesaurus Property)
C0027365 (UMLS 2011AA Property)
Item
Transfusion Component (Select the transfusion component from the pick list.)
text
C15192 (NCI Thesaurus ObjectClass)
C0005841 (UMLS 2011AA ObjectClass)
C81304 (NCI Thesaurus ObjectClass)
C0456388 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus Property)
C1533734 (UMLS 2011AA Property)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.1
Code List
Transfusion Component (Select the transfusion component from the pick list.)
CL Item
Albumin (Albumin)
C214 (NCI Thesaurus)
C0001924 (UMLS 2011AA)
CL Item
Cryoprecipitate (Cryoprecipitate)
CL Item
Fresh Frozen Plasma (FFP)
C0016709 (NCI Metathesaurus)
CL Item
No Blood Product (No Blood Products)
CL Item
Packed Red Blood Cells Transfusion (Packed RBC)
CL Item
Packed Autologous Red Blood Cells Transfusion (Packed RBC, Autologous)
CL Item
Packed Autologous Irradiated Red Blood Cells Transfusion (Packed RBC, Autologous, Irradiated)
CL Item
Packed Autologous Leukoreduced Red Blood Cells Transfusion (Packed RBC, Autologous, Leukoreduced)
CL Item
Packed Irradiated Red Blood Cells Transfusion (Packed RBC, Irradiated)
CL Item
Irradiated Leukocyte-reduced Packed Red Blood Cell Transfusion (Packed RBC, Irradiated and Leukoreduced)
C25640 (NCI Thesaurus)
C0392756 (UMLS 2011AA)
C12529 (NCI Thesaurus)
C0023516 (UMLS 2011AA)
C28365 (NCI Thesaurus)
C1517600 (UMLS 2011AA)
C15409 (NCI Thesaurus)
C0199962 (UMLS 2011AA)
CL Item
Packed Leukopoor Red Blood Cells Transfusion (Packed RBC, Leukopoor)
CL Item
Packed Leukoreduced Red Blood Cells Transfusion (Packed RBC, Leukoreduced)
CL Item
Platelet (Platelet)
CL Item
Platelets, Hla-matched (Platelets, HLA Match)
CL Item
Platelets, Irradiated (Platelets, Irradiated)
CL Item
Irradiated Leukocyte-reduced Platelet Transfusion (Platelets, Irradiated and Leukoreduced)
C25640 (NCI Thesaurus)
C0392756 (UMLS 2011AA)
C12529 (NCI Thesaurus)
C0023516 (UMLS 2011AA)
C15366 (NCI Thesaurus)
C0086818 (UMLS 2011AA)
C28365 (NCI Thesaurus)
C1517600 (UMLS 2011AA)
CL Item
Platelets, Leukoreduced (Platelets, Leukoreduced)
CL Item
White Blood Cells (WBC)
CL Item
White Blood Cells, Irradiated (WBC, Irradiated)
CL Item
Whole Blood (Whole Blood)
C0370231 (NCI Metathesaurus)
TransfuseBloodComponentUnits
Item
# of Units (Enter the blood component number of units transfused in Units)
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25409 (NCI Thesaurus Property)
C1533734 (UMLS 2011AA Property)
C15192 (NCI Thesaurus ObjectClass)
C0005841 (UMLS 2011AA ObjectClass)
C81304 (NCI Thesaurus ObjectClass)
C0456388 (UMLS 2011AA ObjectClass)
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