Description:

2451 Revision 1 - Chimerism Studies Lab - 2451 Revision 1 - Chimerism Studies - 3160257v1.0 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
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  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 20, 2021

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Creative Commons BY-NC 3.0
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Chimerism Studies NHLBI

No Instruction available.

  1. StudyEvent: 2451 Revision 1 - Chimerism Studies
    1. No Instruction available.
Registry Use Only
Identification Data
HSCT Type
HSCT type
Was a particular hematopoietic stem cell source used?
Product Type
What type of hematopoietic stem cell transplant was used?
Was a particular hematopoietic stem cell transplant type used?
Follow Up Visit
Visit
Vital Status
Chimerism Studies
Were chimerism studies performed?
Are chimerism laboratory reports attached to this form?
Were infusions from more than one donor given?
Specify donor gender
Chimerism Studies - Single Donor
Method
Cell type
%
Were donor cells present as determined by non-quantitative means?
%
Were host cells present as determined by non-quantitative means?
Chimerism Studies - Multiple Donors
What is the transplant donor or infant gender?
Method
Cell type
%
Were donor cells present as determined by non-quantitative means?
%
Were host cells present as determined by non-quantitative means?
Author Information

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