ID

7584

Beschrijving

DTX Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF1A56B4-3737-1DDD-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF1A56B4-3737-1DDD-E034-0003BA3F9857

Trefwoorden

Versies (4)
  1. 19-09-12 19-09-12 -
  2. 08-08-14 08-08-14 - Martin Dugas
  3. 09-01-15 09-01-15 - Martin Dugas
  4. 26-06-15 26-06-15 - Martin Dugas
Geüploaded op

9 januari 2015

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy
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Leukemia, Myelocytic, Acute null Treatment - DTX - 2395226v3.0

Engels

No Instruction available.

1 Formulieren  
For questions 1-28, record the highest grade of toxicity present after initiation of mobilization, but prior to apheresis. Record the grade of toxicity present at the time of contact with the donor, approximately 4 weeks after completion of apheresis
Beschrijving

For questions 1-28, record the highest grade of toxicity present after initiation of mobilization, but prior to apheresis. Record the grade of toxicity present at the time of contact with the donor, approximately 4 weeks after completion of apheresis

Visit number
Beschrijving

Hospital Admission Ordinal Number

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16696
NCI Thesaurus Property
C25385
UMLS CUI-1
C1549755
Segment
Beschrijving

Segment

Datatype

text

Flu-like Sumptoms
Beschrijving

Flu-like Sumptoms

Fever in absence of infections
Beschrijving

CTCAdverseEventFeverGrade

Datatype

float

Alias
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus Property
C3038
UMLS 2011AA Property
C0015967
NCI Thesaurus Property-2
C25365
UMLS 2011AA Property-2
C0678257
NCI Thesaurus ValueDomain
C3038
UMLS 2011AA ValueDomain
C0015967
NCI Thesaurus ValueDomain-2
C18000
UMLS 2011AA ValueDomain-2
C0919553
Constitutional Symptoms
Beschrijving

Constitutional Symptoms

Fatigue (lethargy, malaise, asthenia)
Beschrijving

CTCAdverseEventFatigueGrade

Datatype

float

Alias
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus Property
C3036
UMLS 2011AA Property
C0015672
NCI Thesaurus Property-2
C25365
UMLS 2011AA Property-2
C0678257
NCI Thesaurus ValueDomain
C3036
UMLS 2011AA ValueDomain
C0015672
NCI Thesaurus ValueDomain-2
C18000
UMLS 2011AA ValueDomain-2
C0919553
Ocular/visual
Beschrijving

Ocular/visual

Inflammation of the eyes
Beschrijving

CommonToxicityCriteriaAdverseEventOtherVisualGrade

Datatype

float

Alias
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
NCI Thesaurus Property-2
C38059
UMLS 2011AA Property-2
C0234621
Dermatologic
Beschrijving

Dermatologic

Skin (rash)
Beschrijving

CommonToxicityCriteriaAdverseEventSkinRashGrade

Datatype

float

Alias
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
NCI Metathesaurus Property
CL323683
Local
Beschrijving

CommonToxicityCriteriaAdverseEventPruritusGrade

Datatype

float

Alias
NCI Thesaurus Property
C3344
UMLS 2011AA Property
C0033774
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
Ulceration
Beschrijving

CommonToxicityCriteriaAdverseEventSkinUlcerationGrade

Datatype

float

Alias
NCI Thesaurus Property
C12470
UMLS 2011AA Property
C1123023
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
NCI Thesaurus Property-2
C25757
UMLS 2011AA Property-2
C0041582
Cardiac
Beschrijving

Cardiac

Hypotension (low blood pressure)
Beschrijving

CommonToxicityCriteriaAdverseEventHypotensionGrade

Datatype

float

Alias
NCI Thesaurus Property
C3128
UMLS 2011AA Property
C0020649
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
Pulmonary
Beschrijving

Pulmonary

Pneumothorax
Beschrijving

CommonToxicityCriteriaAdverseEventPneumothoraxGrade

Datatype

float

Alias
NCI Thesaurus Property
C38006
UMLS 2011AA Property
C0032326
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
Gastrointestinal
Beschrijving

Gastrointestinal

Nausea
Beschrijving

CommonToxicityCriteriaAdverseEventNauseaGrade

Datatype

float

Alias
NCI Thesaurus Property
C3258
UMLS 2011AA Property
C0027497
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
Vomiting
Beschrijving

CommonToxicityCriteriaAdverseEventVomitingGrade

Datatype

float

Alias
NCI Thesaurus Property
C3442
UMLS 2011AA Property
C0042963
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
Anorexia
Beschrijving

CTCAdverseEventAnorexiaGrade

Datatype

float

Alias
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus Property
C2875
UMLS 2011AA Property
C0003123
NCI Thesaurus Property-2
C25365
UMLS 2011AA Property-2
C0678257
NCI Thesaurus ValueDomain
C2875
UMLS 2011AA ValueDomain
C0003123
NCI Thesaurus ValueDomain-2
C18000
UMLS 2011AA ValueDomain-2
C0919553
Vascular
Beschrijving

Vascular

Venous thrombosis/embolism
Beschrijving

Common Toxicity Criteria Adverse Event Vascular Access Thrombosis Grade

Datatype

text

Alias
NCI Thesaurus Property
C26891
NCI Thesaurus ObjectClass
C49704
NCI Thesaurus ValueDomain
C18000
NCI Metathesaurus Property
C0750138
UMLS CUI-1
C0040053
Neurologic
Beschrijving

Neurologic

Insomnia
Beschrijving

CommonToxicityCriteriaAdverseEventInsomniaGrade

Datatype

float

Alias
NCI Thesaurus Property
C28286
UMLS 2011AA Property
C0917801
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
Dizziness, vertigo, lightheadedness
Beschrijving

CommonToxicityCriteriaAdverseEventDizzinessGrade

Datatype

float

Alias
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
NCI Thesaurus Property
C37943
UMLS 2011AA Property
C0012833
Syncope
Beschrijving

CommonToxicityCriteriaAdverseEventSyncopeGrade

Datatype

float

Alias
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
NCI Thesaurus Property
C35053
UMLS 2011AA Property
C0039070
Hematological
Beschrijving

Hematological

Low platelet count
Beschrijving

CommonToxicityCriteriaAdverseEventPlateletCountGrade

Datatype

float

Alias
NCI Metathesaurus Property
C0032181
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
Infection Sites
Beschrijving

Infection Sites

For Each Of The Sites Listed Below, Indicate The Severity Of Infection Present
Beschrijving

For Each Of The Sites Listed Below, Indicate The Severity Of Infection Present

Other site
Beschrijving

Common Toxicity Criteria Adverse Event (CTCAE) Febrile Neutropenia Infection Grade

Datatype

text

Alias
NCI Metathesaurus Property
C0746883
NCI Thesaurus Property
C26726
NCI Thesaurus ObjectClass
C49704
NCI Thesaurus ValueDomain
C18000
UMLS CUI-1
C0746883
Specify site
Beschrijving

CTCAdverseEventSiteSpecify

Datatype

text

Alias
NCI Thesaurus ObjectClass
C41331
UMLS 2011AA ObjectClass
C0877248
Peripheral IV site
Beschrijving

PeripheralIVsite

Datatype

text

Central catheter site
Beschrijving

Centralcathetersite

Datatype

text

Pain Sites
Beschrijving

Pain Sites

For Each Of The Sites Listed Below, Indicate The Severity Of Pain Present
Beschrijving

For Each Of The Sites Listed Below, Indicate The Severity Of Pain Present

Other site
Beschrijving

CommonToxicityCriteriaAdverseEventOtherPainGrade

Datatype

float

Alias
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property-2
C3303
UMLS 2011AA Property-2
C0030193
NCI Thesaurus ObjectClass
C49704
UMLS 2011AA ObjectClass
C1516728
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
Specify site
Beschrijving

DiseaseInvolvedSiteSpecify

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus Property-2
C25547
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
Back
Beschrijving

Back

Datatype

text

Bone
Beschrijving

Bone

Datatype

text

Limb (leg or arm)
Beschrijving

Limb(legorarm)

Datatype

text

Joint
Beschrijving

Joint

Datatype

text

Muscle
Beschrijving

Muscle

Datatype

text

Headache
Beschrijving

Headache

Datatype

text

Neck
Beschrijving

Neck

Datatype

text

IV site
Beschrijving

IVsite

Datatype

text

Donor Pre-apheresis Vital Signs
Beschrijving

Donor Pre-apheresis Vital Signs

Pulse
Beschrijving

Pulse Rate

Datatype

integer

Maateenheden
  • beats/min
Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus ObjectClass-2
C25749
NCI Thesaurus Property
C25636
UMLS CUI-1
C0232117
beats/min
Blood pressure
Beschrijving

Blood Systolic Pressure Measurement

Datatype

integer

Maateenheden
  • mmHg
Alias
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus Property
C25214
NCI Thesaurus ObjectClass
C25298
UMLS CUI-1
C0871470
mmHg
Temperature
Beschrijving

Person Temperature

Datatype

float

Maateenheden
  • °C
Alias
UMLS CUI-1
C0005903
°C
Donor Pre-apheresis Hematology
Beschrijving

Donor Pre-apheresis Hematology

Date of sample collection
Beschrijving

HematologyLabCollectedDate

Datatype

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus ValueDomain-2
C25452
WBC
Beschrijving

LaboratoryProcedureLeukocyteCerebrospinalFluidOutcomeSpecifiedValue

Datatype

float

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C12692
UMLS 2011AA Property
C0007806
NCI Thesaurus Property-2
C12529
UMLS 2011AA Property-2
C0023516
NCI Thesaurus Property-3
C20200
UMLS 2011AA Property-3
C1274040
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Platelets
Beschrijving

Platelets

Datatype

float

Maateenheden
  • 1000/uL
Alias
NCI Thesaurus Property
C20200
UMLS CUI-1
C0005821
NCI Thesaurus Property-2
C12520
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
1000/uL
Hematocrit
Beschrijving

LaboratoryProcedureErythrocyteResultCount

Datatype

float

Alias
NCI Thesaurus Property
C12521
UMLS 2011AA Property
C0014792
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
Hemoglobin
Beschrijving

LaboratoryProcedureHemoglobinResultSpecifiedValue

Datatype

float

Maateenheden
  • g/dL
Alias
NCI Thesaurus Property
C16676
UMLS 2011AA Property
C0019046
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
g/dL
First Apheresis
Beschrijving

First Apheresis

Time procedure started
Beschrijving

StartTime

Datatype

time

Alias
NCI Thesaurus ObjectClass
C25431
UMLS 2011AA ObjectClass
C0439659
NCI Thesaurus ObjectClass-2
C25409
UMLS 2011AA ObjectClass-2
C1533734
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Metathesaurus Property
CL219258
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
Time procedure ended
Beschrijving

StopTime

Datatype

time

Alias
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
NCI Thesaurus ObjectClass
C25409
UMLS 2011AA ObjectClass
C1533734
NCI Thesaurus Property-2
C65125
UMLS 2011AA Property-2
C1947925
Does your center's blood cell separator calculate the time to complete the procedure
Beschrijving

SpecimenCellCountInd-3

Datatype

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
NCI Thesaurus Property
C25256
UMLS 2011AA Property
C1265611
Volume of whole blood cell processed
Beschrijving

WholeBloodTubesSubmittedCount

Datatype

float

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C41067
UMLS 2011AA ObjectClass
C1608383
NCI Thesaurus Property
C25695
UMLS 2011AA Property
C1515023
NCI Metathesaurus Property
C0175730
Did the donor receive clacium replacement to treat or prevent symptoms of hypocalcemia
Beschrijving

CalciumNutritionalSupplementUseInd-3

Datatype

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C331
UMLS 2011AA ObjectClass
C0006675
NCI Thesaurus ObjectClass-2
C1505
UMLS 2011AA ObjectClass-2
C0242295
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
Procedure time from the blood cell separator
Beschrijving

Proceduretimefromthebloodcellseparator

Datatype

text

Specify Therapy
Beschrijving

Specify Therapy

Oral calcium for prevention
Beschrijving

Oralcalciumforprevention

Datatype

boolean

IV calcium for prevention
Beschrijving

IVcalciumforprevention

Datatype

boolean

Oral calcium for treatment
Beschrijving

Oralcalciumfortreatment

Datatype

boolean

IV calcium for treatment
Beschrijving

IVcalciumfortreatment

Datatype

boolean

Did the donor experience symptoms of hypocalcemia
Beschrijving

Didthedonorexperiencesymptomsofhypocalcemia

Datatype

boolean

Specify symptoms
Beschrijving

Specifysymptoms

Datatype

text

Second Apheresis
Beschrijving

Second Apheresis

Time procedure started
Beschrijving

StartTime

Datatype

time

Alias
NCI Thesaurus ObjectClass
C25431
UMLS 2011AA ObjectClass
C0439659
NCI Thesaurus ObjectClass-2
C25409
UMLS 2011AA ObjectClass-2
C1533734
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Metathesaurus Property
CL219258
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
Time procedure ended
Beschrijving

StopTime

Datatype

time

Alias
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
NCI Thesaurus ObjectClass
C25409
UMLS 2011AA ObjectClass
C1533734
NCI Thesaurus Property-2
C65125
UMLS 2011AA Property-2
C1947925
Does your center's blood cell separator calculate the time to complete the procedure
Beschrijving

SpecimenCellCountInd-3

Datatype

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
NCI Thesaurus Property
C25256
UMLS 2011AA Property
C1265611
Volume of whole blood cell processed
Beschrijving

WholeBloodTubesSubmittedCount

Datatype

float

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C41067
UMLS 2011AA ObjectClass
C1608383
NCI Thesaurus Property
C25695
UMLS 2011AA Property
C1515023
NCI Metathesaurus Property
C0175730
Did the donor receive clacium replacement to treat or prevent symptoms of hypocalcemia
Beschrijving

CalciumNutritionalSupplementUseInd-3

Datatype

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C331
UMLS 2011AA ObjectClass
C0006675
NCI Thesaurus ObjectClass-2
C1505
UMLS 2011AA ObjectClass-2
C0242295
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
Was a second apheresis prodecure performed
Beschrijving

Wasasecondapheresisprodecureperformed

Datatype

boolean

Procedure time from the blood cell separator
Beschrijving

Proceduretimefromthebloodcellseparator

Datatype

text

Specify Therapy
Beschrijving

Specify Therapy

Oral calcium for prevention
Beschrijving

Oralcalciumforprevention

Datatype

boolean

IV calcium for prevention
Beschrijving

IVcalciumforprevention

Datatype

boolean

Oral calcium for treatment
Beschrijving

Oralcalciumfortreatment

Datatype

boolean

IV calcium for treatment
Beschrijving

IVcalciumfortreatment

Datatype

boolean

Did the donor experience symptoms of hypocalcemia
Beschrijving

Didthedonorexperiencesymptomsofhypocalcemia

Datatype

boolean

Specify symptoms
Beschrijving

Specifysymptoms

Datatype

text

Third Apheresis
Beschrijving

Third Apheresis

Time procedure started
Beschrijving

StartTime

Datatype

time

Alias
NCI Thesaurus ObjectClass
C25431
UMLS 2011AA ObjectClass
C0439659
NCI Thesaurus ObjectClass-2
C25409
UMLS 2011AA ObjectClass-2
C1533734
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Metathesaurus Property
CL219258
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
Time procedure ended
Beschrijving

StopTime

Datatype

time

Alias
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
NCI Thesaurus ObjectClass
C25409
UMLS 2011AA ObjectClass
C1533734
NCI Thesaurus Property-2
C65125
UMLS 2011AA Property-2
C1947925
Does your center's blood cell separator calculate the time to complete the procedure
Beschrijving

SpecimenCellCountInd-3

Datatype

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
NCI Thesaurus Property
C25256
UMLS 2011AA Property
C1265611
Volume of whole blood cell processed
Beschrijving

WholeBloodTubesSubmittedCount

Datatype

float

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C41067
UMLS 2011AA ObjectClass
C1608383
NCI Thesaurus Property
C25695
UMLS 2011AA Property
C1515023
NCI Metathesaurus Property
C0175730
Did the donor receive clacium replacement to treat or prevent symptoms of hypocalcemia
Beschrijving

CalciumNutritionalSupplementUseInd-3

Datatype

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C331
UMLS 2011AA ObjectClass
C0006675
NCI Thesaurus ObjectClass-2
C1505
UMLS 2011AA ObjectClass-2
C0242295
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
Was a third apheresis prodecure performed
Beschrijving

Wasathirdapheresisprodecureperformed

Datatype

boolean

Procedure time from the blood cell separator
Beschrijving

Proceduretimefromthebloodcellseparator

Datatype

text

Specify Therapy
Beschrijving

Specify Therapy

Oral calcium for prevention
Beschrijving

Oralcalciumforprevention

Datatype

boolean

IV calcium for prevention
Beschrijving

IVcalciumforprevention

Datatype

boolean

Oral calcium for treatment
Beschrijving

Oralcalciumfortreatment

Datatype

boolean

IV calcium for treatment
Beschrijving

IVcalciumfortreatment

Datatype

boolean

Did the donor experience symptoms of hypocalcemia
Beschrijving

Didthedonorexperiencesymptomsofhypocalcemia

Datatype

boolean

Specify symptoms
Beschrijving

Specifysymptoms

Datatype

text

Donor Post-apheresis Hematology
Beschrijving

Donor Post-apheresis Hematology

Date of sample collection
Beschrijving

HematologyLabCollectedDate

Datatype

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus ValueDomain-2
C25452
WBC
Beschrijving

LaboratoryProcedureLeukocyteCerebrospinalFluidOutcomeSpecifiedValue

Datatype

float

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C12692
UMLS 2011AA Property
C0007806
NCI Thesaurus Property-2
C12529
UMLS 2011AA Property-2
C0023516
NCI Thesaurus Property-3
C20200
UMLS 2011AA Property-3
C1274040
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Platelets
Beschrijving

Platelets

Datatype

float

Maateenheden
  • 1000/uL
Alias
NCI Thesaurus Property
C20200
UMLS CUI-1
C0005821
NCI Thesaurus Property-2
C12520
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
1000/uL
Hematocrit
Beschrijving

LaboratoryProcedureErythrocyteResultCount

Datatype

float

Alias
NCI Thesaurus Property
C12521
UMLS 2011AA Property
C0014792
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
Hemoglobin
Beschrijving

LaboratoryProcedureHemoglobinResultSpecifiedValue

Datatype

float

Maateenheden
  • g/dL
Alias
NCI Thesaurus Property
C16676
UMLS 2011AA Property
C0019046
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
g/dL
Comments
Beschrijving

Research Comments

Datatype

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0947611
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
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1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
For questions 1-28, record the highest grade of toxicity present after initiation of mobilization, but prior to apheresis. Record the grade of toxicity present at the time of contact with the donor, approximately 4 weeks after completion of apheresis
Visit number
Item
Visit number
text
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI-1)
Segment
Item
Segment
text
Item Group
Flu-like Sumptoms
CTCAdverseEventFeverGrade
Item
Fever in absence of infections
float
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C3038 (NCI Thesaurus Property)
C0015967 (UMLS 2011AA Property)
C25365 (NCI Thesaurus Property-2)
C0678257 (UMLS 2011AA Property-2)
C3038 (NCI Thesaurus ValueDomain)
C0015967 (UMLS 2011AA ValueDomain)
C18000 (NCI Thesaurus ValueDomain-2)
C0919553 (UMLS 2011AA ValueDomain-2)
Item Group
Constitutional Symptoms
CTCAdverseEventFatigueGrade
Item
Fatigue (lethargy, malaise, asthenia)
float
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C3036 (NCI Thesaurus Property)
C0015672 (UMLS 2011AA Property)
C25365 (NCI Thesaurus Property-2)
C0678257 (UMLS 2011AA Property-2)
C3036 (NCI Thesaurus ValueDomain)
C0015672 (UMLS 2011AA ValueDomain)
C18000 (NCI Thesaurus ValueDomain-2)
C0919553 (UMLS 2011AA ValueDomain-2)
Item Group
Ocular/visual
CommonToxicityCriteriaAdverseEventOtherVisualGrade
Item
Inflammation of the eyes
float
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C38059 (NCI Thesaurus Property-2)
C0234621 (UMLS 2011AA Property-2)
Item Group
Dermatologic
CommonToxicityCriteriaAdverseEventSkinRashGrade
Item
Skin (rash)
float
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
CL323683 (NCI Metathesaurus Property)
CommonToxicityCriteriaAdverseEventPruritusGrade
Item
Local
float
C3344 (NCI Thesaurus Property)
C0033774 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
CommonToxicityCriteriaAdverseEventSkinUlcerationGrade
Item
Ulceration
float
C12470 (NCI Thesaurus Property)
C1123023 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C25757 (NCI Thesaurus Property-2)
C0041582 (UMLS 2011AA Property-2)
Item Group
Cardiac
CommonToxicityCriteriaAdverseEventHypotensionGrade
Item
Hypotension (low blood pressure)
float
C3128 (NCI Thesaurus Property)
C0020649 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
Item Group
Pulmonary
CommonToxicityCriteriaAdverseEventPneumothoraxGrade
Item
Pneumothorax
float
C38006 (NCI Thesaurus Property)
C0032326 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
Item Group
Gastrointestinal
CommonToxicityCriteriaAdverseEventNauseaGrade
Item
Nausea
float
C3258 (NCI Thesaurus Property)
C0027497 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
CommonToxicityCriteriaAdverseEventVomitingGrade
Item
Vomiting
float
C3442 (NCI Thesaurus Property)
C0042963 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
CTCAdverseEventAnorexiaGrade
Item
Anorexia
float
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C2875 (NCI Thesaurus Property)
C0003123 (UMLS 2011AA Property)
C25365 (NCI Thesaurus Property-2)
C0678257 (UMLS 2011AA Property-2)
C2875 (NCI Thesaurus ValueDomain)
C0003123 (UMLS 2011AA ValueDomain)
C18000 (NCI Thesaurus ValueDomain-2)
C0919553 (UMLS 2011AA ValueDomain-2)
Item Group
Vascular
Item
Venous thrombosis/embolism
text
C26891 (NCI Thesaurus Property)
C49704 (NCI Thesaurus ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0750138 (NCI Metathesaurus Property)
C0040053 (UMLS CUI-1)
CL.12
Code List
Venous thrombosis/embolism
CL Item
None (None (Grade 0))
C41132 (NCI Thesaurus)
C0549184 (UMLS 2011AA)
CL Item
Deep Vein Thrombosis Or Cardiac Thrombosis; Intervention (e.g., Anticoagulation, Lysis, Filter, Invasive Procedure) Not Indicated (Deep vein thrombosis, or cardiac thrombosis; intervention not indicated (Grade 2))
CL Item
Deep Vein Thrombosis Or Cardiac Thrombosis; Intervention (e.g., Anticoagulation, Lysis, Filter, Invasive Procedure) Indicated (Deep vein thrombosis, or cardiac thrombosis; intervention indicated (Grade 3))
CL Item
Embolic Event Including Pulmonary Embolism Or Life-threatening Thrombus (Embolic event including pumonary embolism or life-threatening thrombus (Grade 4))
Item Group
Neurologic
CommonToxicityCriteriaAdverseEventInsomniaGrade
Item
Insomnia
float
C28286 (NCI Thesaurus Property)
C0917801 (UMLS 2011AA Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
CommonToxicityCriteriaAdverseEventDizzinessGrade
Item
Dizziness, vertigo, lightheadedness
float
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C37943 (NCI Thesaurus Property)
C0012833 (UMLS 2011AA Property)
CommonToxicityCriteriaAdverseEventSyncopeGrade
Item
Syncope
float
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
C35053 (NCI Thesaurus Property)
C0039070 (UMLS 2011AA Property)
Item Group
Hematological
CommonToxicityCriteriaAdverseEventPlateletCountGrade
Item
Low platelet count
float
C0032181 (NCI Metathesaurus Property)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
Item Group
Infection Sites
Item Group
For Each Of The Sites Listed Below, Indicate The Severity Of Infection Present
Item
Other site
text
C0746883 (NCI Metathesaurus Property)
C26726 (NCI Thesaurus Property)
C49704 (NCI Thesaurus ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0746883 (UMLS CUI-1)
CL.19
Code List
Other site
CL Item
None (Grade 0)
CL Item
Localized, local intervention indicated (Grade 2)
CL Item
IV antibiotic, antifungal, antiviral intervention indicated (Grade 3)
CL Item
Life-threatening consequences (Grade 4)
CTCAdverseEventSiteSpecify
Item
Specify site
text
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
Item
Peripheral IV site
text
CL.17
Code List
Peripheral IV site
CL Item
None (Grade 0) (None (Grade 0))
CL Item
Localized, local intervention indicated (Grade 2) (Localized, local intervention indicated (Grade 2))
CL Item
IV antibiotic, antifungal, antiviral intervention indciated (Grade 3) (IV antibiotic, antifungal, antiviral intervention indciated (Grade 3))
CL Item
Life-threatening consequences (Grade 4) (Life-threatening consequences (Grade 4))
Item
Central catheter site
text
CL.18
Code List
Central catheter site
CL Item
None (Grade 0) (None (Grade 0))
CL Item
Localized, local intervention indicated (Grade 2) (Localized, local intervention indicated (Grade 2))
CL Item
IV antibiotic, antifungal, antiviral intervention indciated (Grade 3) (IV antibiotic, antifungal, antiviral intervention indciated (Grade 3))
CL Item
Life-threatening consequences (Grade 4) (Life-threatening consequences (Grade 4))
Item Group
Pain Sites
Item Group
For Each Of The Sites Listed Below, Indicate The Severity Of Pain Present
CommonToxicityCriteriaAdverseEventOtherPainGrade
Item
Other site
float
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C3303 (NCI Thesaurus Property-2)
C0030193 (UMLS 2011AA Property-2)
C49704 (NCI Thesaurus ObjectClass)
C1516728 (UMLS 2011AA ObjectClass)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
DiseaseInvolvedSiteSpecify
Item
Specify site
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25547 (NCI Thesaurus Property-2)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
Item
Back
text
CL.20
Code List
Back
CL Item
None (Grade 0) (None (Grade 0))
CL Item
Mild pain not interfering with function (Grade 1) (Mild pain not interfering with function (Grade 1))
CL Item
Moderate pain interfering with function but not ADL (Grade 2) (Moderate pain interfering with function but not ADL (Grade 2))
CL Item
Severe pain severly interfering with ADL (Grade 3) (Severe pain severly interfering with ADL (Grade 3))
CL Item
Disabling (Grade 4) (Disabling (Grade 4))
Item
Bone
text
CL.21
Code List
Bone
CL Item
None (Grade 0) (None (Grade 0))
CL Item
Mild pain not interfering with function (Grade 1) (Mild pain not interfering with function (Grade 1))
CL Item
Moderate pain interfering with function but not ADL (Grade 2) (Moderate pain interfering with function but not ADL (Grade 2))
CL Item
Severe pain severly interfering with ADL (Grade 3) (Severe pain severly interfering with ADL (Grade 3))
CL Item
Disabling (Grade 4) (Disabling (Grade 4))
Item
Limb (leg or arm)
text
CL.22
Code List
Limb (leg or arm)
CL Item
None (Grade 0) (None (Grade 0))
CL Item
Mild pain not interfering with function (Grade 1) (Mild pain not interfering with function (Grade 1))
CL Item
Moderate pain interfering with function but not ADL (Grade 2) (Moderate pain interfering with function but not ADL (Grade 2))
CL Item
Severe pain severly interfering with ADL (Grade 3) (Severe pain severly interfering with ADL (Grade 3))
CL Item
Disabling (Grade 4) (Disabling (Grade 4))
Item
Joint
text
CL.23
Code List
Joint
CL Item
None (Grade 0) (None (Grade 0))
CL Item
Mild pain not interfering with function (Grade 1) (Mild pain not interfering with function (Grade 1))
CL Item
Moderate pain interfering with function but not ADL (Grade 2) (Moderate pain interfering with function but not ADL (Grade 2))
CL Item
Severe pain severly interfering with ADL (Grade 3) (Severe pain severly interfering with ADL (Grade 3))
CL Item
Disabling (Grade 4) (Disabling (Grade 4))
Item
Muscle
text
CL.24
Code List
Muscle
CL Item
None (Grade 0) (None (Grade 0))
CL Item
Mild pain not interfering with function (Grade 1) (Mild pain not interfering with function (Grade 1))
CL Item
Moderate pain interfering with function but not ADL (Grade 2) (Moderate pain interfering with function but not ADL (Grade 2))
CL Item
Severe pain severly interfering with ADL (Grade 3) (Severe pain severly interfering with ADL (Grade 3))
CL Item
Disabling (Grade 4) (Disabling (Grade 4))
Item
Headache
text
CL.25
Code List
Headache
CL Item
None (Grade 0) (None (Grade 0))
CL Item
Mild pain not interfering with function (Grade 1) (Mild pain not interfering with function (Grade 1))
CL Item
Moderate pain interfering with function but not ADL (Grade 2) (Moderate pain interfering with function but not ADL (Grade 2))
CL Item
Severe pain severly interfering with ADL (Grade 3) (Severe pain severly interfering with ADL (Grade 3))
CL Item
Disabling (Grade 4) (Disabling (Grade 4))
Item
Neck
text
CL.26
Code List
Neck
CL Item
None (Grade 0) (None (Grade 0))
CL Item
Mild pain not interfering with function (Grade 1) (Mild pain not interfering with function (Grade 1))
CL Item
Moderate pain interfering with function but not ADL (Grade 2) (Moderate pain interfering with function but not ADL (Grade 2))
CL Item
Severe pain severly interfering with ADL (Grade 3) (Severe pain severly interfering with ADL (Grade 3))
CL Item
Disabling (Grade 4) (Disabling (Grade 4))
Item
IV site
text
CL.27
Code List
IV site
CL Item
None (Grade 0) (None (Grade 0))
CL Item
Mild pain not interfering with function (Grade 1) (Mild pain not interfering with function (Grade 1))
CL Item
Moderate pain interfering with function but not ADL (Grade 2) (Moderate pain interfering with function but not ADL (Grade 2))
CL Item
Severe pain severly interfering with ADL (Grade 3) (Severe pain severly interfering with ADL (Grade 3))
CL Item
Disabling (Grade 4) (Disabling (Grade 4))
Item Group
Donor Pre-apheresis Vital Signs
Pulse Rate
Item
Pulse
integer
C25337 (NCI Thesaurus ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C25749 (NCI Thesaurus ObjectClass-2)
C25636 (NCI Thesaurus Property)
C0232117 (UMLS CUI-1)
Systolic blood pressure
Item
Blood pressure
integer
C25209 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus Property)
C25298 (NCI Thesaurus ObjectClass)
C0871470 (UMLS CUI-1)
Body Temperature
Item
Temperature
float
C0005903 (UMLS CUI-1)
Item Group
Donor Pre-apheresis Hematology
HematologyLabCollectedDate
Item
Date of sample collection
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25452 (NCI Thesaurus ValueDomain-2)
LaboratoryProcedureLeukocyteCerebrospinalFluidOutcomeSpecifiedValue
Item
WBC
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C12692 (NCI Thesaurus Property)
C0007806 (UMLS 2011AA Property)
C12529 (NCI Thesaurus Property-2)
C0023516 (UMLS 2011AA Property-2)
C20200 (NCI Thesaurus Property-3)
C1274040 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
Platelets
Item
Platelets
float
C20200 (NCI Thesaurus Property)
C0005821 (UMLS CUI-1)
C12520 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
LaboratoryProcedureErythrocyteResultCount
Item
Hematocrit
float
C12521 (NCI Thesaurus Property)
C0014792 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
LaboratoryProcedureHemoglobinResultSpecifiedValue
Item
Hemoglobin
float
C16676 (NCI Thesaurus Property)
C0019046 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
Item Group
First Apheresis
StartTime
Item
Time procedure started
time
C25431 (NCI Thesaurus ObjectClass)
C0439659 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus ObjectClass-2)
C1533734 (UMLS 2011AA ObjectClass-2)
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
CL219258 (NCI Metathesaurus Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
StopTime
Item
Time procedure ended
time
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C25409 (NCI Thesaurus ObjectClass)
C1533734 (UMLS 2011AA ObjectClass)
C65125 (NCI Thesaurus Property-2)
C1947925 (UMLS 2011AA Property-2)
SpecimenCellCountInd-3
Item
Does your center's blood cell separator calculate the time to complete the procedure
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)
WholeBloodTubesSubmittedCount
Item
Volume of whole blood cell processed
float
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C41067 (NCI Thesaurus ObjectClass)
C1608383 (UMLS 2011AA ObjectClass)
C25695 (NCI Thesaurus Property)
C1515023 (UMLS 2011AA Property)
C0175730 (NCI Metathesaurus Property)
CalciumNutritionalSupplementUseInd-3
Item
Did the donor receive clacium replacement to treat or prevent symptoms of hypocalcemia
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C331 (NCI Thesaurus ObjectClass)
C0006675 (UMLS 2011AA ObjectClass)
C1505 (NCI Thesaurus ObjectClass-2)
C0242295 (UMLS 2011AA ObjectClass-2)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
Proceduretimefromthebloodcellseparator
Item
Procedure time from the blood cell separator
text
Item Group
Specify Therapy
Oralcalciumforprevention
Item
Oral calcium for prevention
boolean
IVcalciumforprevention
Item
IV calcium for prevention
boolean
Oralcalciumfortreatment
Item
Oral calcium for treatment
boolean
IVcalciumfortreatment
Item
IV calcium for treatment
boolean
Didthedonorexperiencesymptomsofhypocalcemia
Item
Did the donor experience symptoms of hypocalcemia
boolean
Item
Specify symptoms
text
CL.36
Code List
Specify symptoms
CL Item
Transient numbness or tingling (Transient numbness or tingling)
CL Item
Persistent, moderate numbness or tingling (Persistent, moderate numbness or tingling)
CL Item
Severe numbness or tingling (Severe numbness or tingling)
CL Item
Tetany (Tetany)
Item Group
Second Apheresis
StartTime
Item
Time procedure started
time
C25431 (NCI Thesaurus ObjectClass)
C0439659 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus ObjectClass-2)
C1533734 (UMLS 2011AA ObjectClass-2)
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
CL219258 (NCI Metathesaurus Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
StopTime
Item
Time procedure ended
time
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C25409 (NCI Thesaurus ObjectClass)
C1533734 (UMLS 2011AA ObjectClass)
C65125 (NCI Thesaurus Property-2)
C1947925 (UMLS 2011AA Property-2)
SpecimenCellCountInd-3
Item
Does your center's blood cell separator calculate the time to complete the procedure
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)
WholeBloodTubesSubmittedCount
Item
Volume of whole blood cell processed
float
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C41067 (NCI Thesaurus ObjectClass)
C1608383 (UMLS 2011AA ObjectClass)
C25695 (NCI Thesaurus Property)
C1515023 (UMLS 2011AA Property)
C0175730 (NCI Metathesaurus Property)
CalciumNutritionalSupplementUseInd-3
Item
Did the donor receive clacium replacement to treat or prevent symptoms of hypocalcemia
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C331 (NCI Thesaurus ObjectClass)
C0006675 (UMLS 2011AA ObjectClass)
C1505 (NCI Thesaurus ObjectClass-2)
C0242295 (UMLS 2011AA ObjectClass-2)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
Wasasecondapheresisprodecureperformed
Item
Was a second apheresis prodecure performed
boolean
Proceduretimefromthebloodcellseparator
Item
Procedure time from the blood cell separator
text
Item Group
Specify Therapy
Oralcalciumforprevention
Item
Oral calcium for prevention
boolean
IVcalciumforprevention
Item
IV calcium for prevention
boolean
Oralcalciumfortreatment
Item
Oral calcium for treatment
boolean
IVcalciumfortreatment
Item
IV calcium for treatment
boolean
Didthedonorexperiencesymptomsofhypocalcemia
Item
Did the donor experience symptoms of hypocalcemia
boolean
Item
Specify symptoms
text
CL.45
Code List
Specify symptoms
CL Item
Transient numbness or tingling (Transient numbness or tingling)
CL Item
Persistent, moderate numbness or tingling (Persistent, moderate numbness or tingling)
CL Item
Severe numbness or tingling (Severe numbness or tingling)
CL Item
Tetany (Tetany)
Item Group
Third Apheresis
StartTime
Item
Time procedure started
time
C25431 (NCI Thesaurus ObjectClass)
C0439659 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus ObjectClass-2)
C1533734 (UMLS 2011AA ObjectClass-2)
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
CL219258 (NCI Metathesaurus Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
StopTime
Item
Time procedure ended
time
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C25409 (NCI Thesaurus ObjectClass)
C1533734 (UMLS 2011AA ObjectClass)
C65125 (NCI Thesaurus Property-2)
C1947925 (UMLS 2011AA Property-2)
SpecimenCellCountInd-3
Item
Does your center's blood cell separator calculate the time to complete the procedure
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)
WholeBloodTubesSubmittedCount
Item
Volume of whole blood cell processed
float
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C41067 (NCI Thesaurus ObjectClass)
C1608383 (UMLS 2011AA ObjectClass)
C25695 (NCI Thesaurus Property)
C1515023 (UMLS 2011AA Property)
C0175730 (NCI Metathesaurus Property)
CalciumNutritionalSupplementUseInd-3
Item
Did the donor receive clacium replacement to treat or prevent symptoms of hypocalcemia
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C331 (NCI Thesaurus ObjectClass)
C0006675 (UMLS 2011AA ObjectClass)
C1505 (NCI Thesaurus ObjectClass-2)
C0242295 (UMLS 2011AA ObjectClass-2)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
Wasathirdapheresisprodecureperformed
Item
Was a third apheresis prodecure performed
boolean
Proceduretimefromthebloodcellseparator
Item
Procedure time from the blood cell separator
text
Item Group
Specify Therapy
Oralcalciumforprevention
Item
Oral calcium for prevention
boolean
IVcalciumforprevention
Item
IV calcium for prevention
boolean
Oralcalciumfortreatment
Item
Oral calcium for treatment
boolean
IVcalciumfortreatment
Item
IV calcium for treatment
boolean
Didthedonorexperiencesymptomsofhypocalcemia
Item
Did the donor experience symptoms of hypocalcemia
boolean
Item
Specify symptoms
text
CL.54
Code List
Specify symptoms
CL Item
Transient numbness or tingling (Transient numbness or tingling)
CL Item
Persistent, moderate numbness or tingling (Persistent, moderate numbness or tingling)
CL Item
Severe numbness or tingling (Severe numbness or tingling)
Item Group
Donor Post-apheresis Hematology
HematologyLabCollectedDate
Item
Date of sample collection
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25452 (NCI Thesaurus ValueDomain-2)
LaboratoryProcedureLeukocyteCerebrospinalFluidOutcomeSpecifiedValue
Item
WBC
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C12692 (NCI Thesaurus Property)
C0007806 (UMLS 2011AA Property)
C12529 (NCI Thesaurus Property-2)
C0023516 (UMLS 2011AA Property-2)
C20200 (NCI Thesaurus Property-3)
C1274040 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
Platelets
Item
Platelets
float
C20200 (NCI Thesaurus Property)
C0005821 (UMLS CUI-1)
C12520 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
LaboratoryProcedureErythrocyteResultCount
Item
Hematocrit
float
C12521 (NCI Thesaurus Property)
C0014792 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
LaboratoryProcedureHemoglobinResultSpecifiedValue
Item
Hemoglobin
float
C16676 (NCI Thesaurus Property)
C0019046 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
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