ID

3330

Description

Transfusion form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=014B402B-15D3-3092-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=014B402B-15D3-3092-E044-0003BA3F9857

Keywords

Versions (1)
  1. 9/19/12 9/19/12 -
Uploaded on

September 19, 2012

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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On-Study - TRANSFUSION - 2406819v1.0

English

Dates will appear as 'DD-MON-YYYY'

1 forms  
  1. StudyEvent: TRANSFUSION
    1. Dates will appear as 'DD-MON-YYYY'
Transfusion
Description

Transfusion

Course Number
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
Course Day Number
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
Blood Component Transfusion Date
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
Lab Collection Time
Description

LabCollectionTime

Data type

time

Alias
NCI Thesaurus Property
C25453
UMLS 2011AA Property
C1516698
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
Blood Component Transfusion Text Name
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
Transfuse Blood Component 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
Comments
Description

Comments

Note Date
Description

NoteDate

Data type

date

Alias
NCI Thesaurus Property
C25164
UMLS 2011AA Property
C0011008
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Metathesaurus ObjectClass
C1317574
Research Comments Text
Description

ResearchCommentsText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
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Similar models

Dates will appear as 'DD-MON-YYYY'

1 forms
  1. StudyEvent: TRANSFUSION
    1. Dates will appear as 'DD-MON-YYYY'
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Transfusion
CourseNumber
Item
Course Number
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
Course Day Number
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
Blood Component Transfusion Date
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)
LabCollectionTime
Item
Lab Collection Time
time
C25453 (NCI Thesaurus Property)
C1516698 (UMLS 2011AA Property)
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
Item
Blood Component Transfusion Text Name
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
Blood Component Transfusion Text Name
CL Item
Cryoprecipitate (Cryoprecipitate)
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
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
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
Transfuse Blood Component 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)
Item Group
Comments
NoteDate
Item
Note Date
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C1317574 (NCI Metathesaurus ObjectClass)
ResearchCommentsText
Item
Research Comments Text
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)
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