ID

7584

Beskrivning

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

Länk

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

Nyckelord

Versioner (4)
  1. 2012-09-19 2012-09-19 -
  2. 2014-08-08 2014-08-08 - Martin Dugas
  3. 2015-01-09 2015-01-09 - Martin Dugas
  4. 2015-06-26 2015-06-26 - Martin Dugas
Uppladdad den

9 januari 2015

DOI

För en begäran logga in.

Licens

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

Engelsk

No Instruction available.

1 Formulär  
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
Beskrivning

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
Beskrivning

Hospital Admission Ordinal Number

Datatyp

text

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

Segment

Datatyp

text

Flu-like Sumptoms
Beskrivning

Flu-like Sumptoms

Fever in absence of infections
Beskrivning

CTCAdverseEventFeverGrade

Datatyp

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
Beskrivning

Constitutional Symptoms

Fatigue (lethargy, malaise, asthenia)
Beskrivning

CTCAdverseEventFatigueGrade

Datatyp

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
Beskrivning

Ocular/visual

Inflammation of the eyes
Beskrivning

CommonToxicityCriteriaAdverseEventOtherVisualGrade

Datatyp

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
Beskrivning

Dermatologic

Skin (rash)
Beskrivning

CommonToxicityCriteriaAdverseEventSkinRashGrade

Datatyp

float

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

CommonToxicityCriteriaAdverseEventPruritusGrade

Datatyp

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
Beskrivning

CommonToxicityCriteriaAdverseEventSkinUlcerationGrade

Datatyp

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
Beskrivning

Cardiac

Hypotension (low blood pressure)
Beskrivning

CommonToxicityCriteriaAdverseEventHypotensionGrade

Datatyp

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
Beskrivning

Pulmonary

Pneumothorax
Beskrivning

CommonToxicityCriteriaAdverseEventPneumothoraxGrade

Datatyp

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
Beskrivning

Gastrointestinal

Nausea
Beskrivning

CommonToxicityCriteriaAdverseEventNauseaGrade

Datatyp

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
Beskrivning

CommonToxicityCriteriaAdverseEventVomitingGrade

Datatyp

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
Beskrivning

CTCAdverseEventAnorexiaGrade

Datatyp

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
Beskrivning

Vascular

Venous thrombosis/embolism
Beskrivning

Common Toxicity Criteria Adverse Event Vascular Access Thrombosis Grade

Datatyp

text

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

Neurologic

Insomnia
Beskrivning

CommonToxicityCriteriaAdverseEventInsomniaGrade

Datatyp

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
Beskrivning

CommonToxicityCriteriaAdverseEventDizzinessGrade

Datatyp

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
Beskrivning

CommonToxicityCriteriaAdverseEventSyncopeGrade

Datatyp

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
Beskrivning

Hematological

Low platelet count
Beskrivning

CommonToxicityCriteriaAdverseEventPlateletCountGrade

Datatyp

float

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

Infection Sites

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

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

Other site
Beskrivning

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

Datatyp

text

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

CTCAdverseEventSiteSpecify

Datatyp

text

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

PeripheralIVsite

Datatyp

text

Central catheter site
Beskrivning

Centralcathetersite

Datatyp

text

Pain Sites
Beskrivning

Pain Sites

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

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

Other site
Beskrivning

CommonToxicityCriteriaAdverseEventOtherPainGrade

Datatyp

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
Beskrivning

DiseaseInvolvedSiteSpecify

Datatyp

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
Beskrivning

Back

Datatyp

text

Bone
Beskrivning

Bone

Datatyp

text

Limb (leg or arm)
Beskrivning

Limb(legorarm)

Datatyp

text

Joint
Beskrivning

Joint

Datatyp

text

Muscle
Beskrivning

Muscle

Datatyp

text

Headache
Beskrivning

Headache

Datatyp

text

Neck
Beskrivning

Neck

Datatyp

text

IV site
Beskrivning

IVsite

Datatyp

text

Donor Pre-apheresis Vital Signs
Beskrivning

Donor Pre-apheresis Vital Signs

Pulse
Beskrivning

Pulse Rate

Datatyp

integer

Måttenheter
  • 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
Beskrivning

Blood Systolic Pressure Measurement

Datatyp

integer

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

Person Temperature

Datatyp

float

Måttenheter
  • °C
Alias
UMLS CUI-1
C0005903
°C
Donor Pre-apheresis Hematology
Beskrivning

Donor Pre-apheresis Hematology

Date of sample collection
Beskrivning

HematologyLabCollectedDate

Datatyp

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
Beskrivning

LaboratoryProcedureLeukocyteCerebrospinalFluidOutcomeSpecifiedValue

Datatyp

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
Beskrivning

Platelets

Datatyp

float

Måttenheter
  • 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
Beskrivning

LaboratoryProcedureErythrocyteResultCount

Datatyp

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
Beskrivning

LaboratoryProcedureHemoglobinResultSpecifiedValue

Datatyp

float

Måttenheter
  • 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
Beskrivning

First Apheresis

Time procedure started
Beskrivning

StartTime

Datatyp

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
Beskrivning

StopTime

Datatyp

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
Beskrivning

SpecimenCellCountInd-3

Datatyp

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
Beskrivning

WholeBloodTubesSubmittedCount

Datatyp

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
Beskrivning

CalciumNutritionalSupplementUseInd-3

Datatyp

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
Beskrivning

Proceduretimefromthebloodcellseparator

Datatyp

text

Specify Therapy
Beskrivning

Specify Therapy

Oral calcium for prevention
Beskrivning

Oralcalciumforprevention

Datatyp

boolean

IV calcium for prevention
Beskrivning

IVcalciumforprevention

Datatyp

boolean

Oral calcium for treatment
Beskrivning

Oralcalciumfortreatment

Datatyp

boolean

IV calcium for treatment
Beskrivning

IVcalciumfortreatment

Datatyp

boolean

Did the donor experience symptoms of hypocalcemia
Beskrivning

Didthedonorexperiencesymptomsofhypocalcemia

Datatyp

boolean

Specify symptoms
Beskrivning

Specifysymptoms

Datatyp

text

Second Apheresis
Beskrivning

Second Apheresis

Time procedure started
Beskrivning

StartTime

Datatyp

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
Beskrivning

StopTime

Datatyp

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
Beskrivning

SpecimenCellCountInd-3

Datatyp

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
Beskrivning

WholeBloodTubesSubmittedCount

Datatyp

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
Beskrivning

CalciumNutritionalSupplementUseInd-3

Datatyp

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
Beskrivning

Wasasecondapheresisprodecureperformed

Datatyp

boolean

Procedure time from the blood cell separator
Beskrivning

Proceduretimefromthebloodcellseparator

Datatyp

text

Specify Therapy
Beskrivning

Specify Therapy

Oral calcium for prevention
Beskrivning

Oralcalciumforprevention

Datatyp

boolean

IV calcium for prevention
Beskrivning

IVcalciumforprevention

Datatyp

boolean

Oral calcium for treatment
Beskrivning

Oralcalciumfortreatment

Datatyp

boolean

IV calcium for treatment
Beskrivning

IVcalciumfortreatment

Datatyp

boolean

Did the donor experience symptoms of hypocalcemia
Beskrivning

Didthedonorexperiencesymptomsofhypocalcemia

Datatyp

boolean

Specify symptoms
Beskrivning

Specifysymptoms

Datatyp

text

Third Apheresis
Beskrivning

Third Apheresis

Time procedure started
Beskrivning

StartTime

Datatyp

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
Beskrivning

StopTime

Datatyp

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
Beskrivning

SpecimenCellCountInd-3

Datatyp

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
Beskrivning

WholeBloodTubesSubmittedCount

Datatyp

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
Beskrivning

CalciumNutritionalSupplementUseInd-3

Datatyp

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
Beskrivning

Wasathirdapheresisprodecureperformed

Datatyp

boolean

Procedure time from the blood cell separator
Beskrivning

Proceduretimefromthebloodcellseparator

Datatyp

text

Specify Therapy
Beskrivning

Specify Therapy

Oral calcium for prevention
Beskrivning

Oralcalciumforprevention

Datatyp

boolean

IV calcium for prevention
Beskrivning

IVcalciumforprevention

Datatyp

boolean

Oral calcium for treatment
Beskrivning

Oralcalciumfortreatment

Datatyp

boolean

IV calcium for treatment
Beskrivning

IVcalciumfortreatment

Datatyp

boolean

Did the donor experience symptoms of hypocalcemia
Beskrivning

Didthedonorexperiencesymptomsofhypocalcemia

Datatyp

boolean

Specify symptoms
Beskrivning

Specifysymptoms

Datatyp

text

Donor Post-apheresis Hematology
Beskrivning

Donor Post-apheresis Hematology

Date of sample collection
Beskrivning

HematologyLabCollectedDate

Datatyp

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
Beskrivning

LaboratoryProcedureLeukocyteCerebrospinalFluidOutcomeSpecifiedValue

Datatyp

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
Beskrivning

Platelets

Datatyp

float

Måttenheter
  • 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
Beskrivning

LaboratoryProcedureErythrocyteResultCount

Datatyp

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
Beskrivning

LaboratoryProcedureHemoglobinResultSpecifiedValue

Datatyp

float

Måttenheter
  • 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
Beskrivning

Research Comments

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0947611
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
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Similar models

No Instruction available.

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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