CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Assessments and Examinations
CRF: Physical Exam Form - 1507

47 results.
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type Source Form Set Form Field
C59012 Radionuclide glomerular filtration rate measurement date RadnucldGFRMeasrDate Date of the patient's radionuclide GFR (glomerular filtration rate) measurement. Date of the patient's radionuclide GFR (glomerular filtration rate) measurement. Radionuclide GFR date sample obtained Date or Date & Time Adult;Pediatric Proposed 1.00 2019-01-07 15:15:05.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASGFRDT
C58725 Tricuspid valve regurgitant jet velocity echocardiograph measurement TRJVEchcrdgrphMeasr Measurement in meters per second of the subject/participant's tricuspid valve regurgitant jet velocity (TRJV) by echocardiograph. Measurement in meters per second of the subject/participant's tricuspid valve regurgitant jet velocity (TRJV) by echocardiograph. Record patient's tricuspid regurgitant jet velocity (TRJV) Numeric Values Adult;Pediatric Proposed 1.00 2018-12-06 10:46:12.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 99.9 Meter per second BMTCTN 1507A Release 5.10 1507A (ENR) JSCTRJVA
C59023 Six minute walk test indicate code 6MinWalkTestIndCode Code indicating whether the patient performed the six minute walk test. Code indicating whether the patient performed the six minute walk test. Did the patient perform the six-minute walk test? 1;2;1;2 Yes;No;Yes;No Numeric Values Adult;Pediatric Proposed 1.00 2019-01-08 12:08:34.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

Single Pre-Defined Value Selected

BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASPERF
C58871 Forced expiratory volume 1 second measurement date FEV1MeasurementDate Date on which the FEV1 (forced expiratory volume in 1 second) measurement was taken Date on which the FEV1 (forced expiratory volume in 1 second) measurement was taken FEV1 date test performed Date or Date & Time Adult;Pediatric Proposed 1.00 2018-12-14 13:47:37.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Follow Up/Chronic GVHD Form (FGV) FGFEV1DT
C59013 Urine albumin creatinine ratio value UrnAlbuminCreatnineRatioVal Value, in milligrams per gram, of the patient's urine albumin to creatinine ratio. Value, in milligrams per gram, of the patient's urine albumin to creatinine ratio. Urine albumin-to-creatinine ratio most recent date Numeric Values Adult;Pediatric Proposed 1.00 2019-01-07 16:31:34.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 999 milligram per gram BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASUACR
C58733 Oxygen saturation measurement date OxygenSaturationMeasrDate Date on which the measurement of the subject/participant's oxygen saturation level was obtained. Date on which the measurement of the subject/participant's oxygen saturation level was obtained. Oxygen saturation date test performed Date or Date & Time Adult;Pediatric Proposed 1.00 2018-12-06 11:52:29.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 1507A (ENR) HSCO2DT
C59024 Six minute walk test not perform reason code 6MinWalkTestNotPrfmRsnCode Code denoting the reason why the patient did not perform the six minute walk test. Code denoting the reason why the patient did not perform the six minute walk test. Record why the six-minute walk test was not performed 1;2;3;4;9 Patient refused;Patient was hospitalized;Patient had unstable angina during the previous month;Patient had myocardial infarction during the previous month;Other contraindication Numeric Values Adult;Pediatric Proposed 1.00 2019-01-08 12:11:05.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

Single Pre-Defined Value Selected

BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASNOPERF
C59003 Lactic acid dehydrogenase most recent measurement LctcAcdDhydrgnsMstRctMeasr Most recent measurement, in units per liter, of the patient's lactic acid dehydrogenase level. Most recent measurement, in units per liter, of the patient's lactic acid dehydrogenase level. Record patient's most recent LDH level Numeric Values Adult;Pediatric Proposed 1.00 2019-01-07 14:43:47.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 999 units per liter BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASLDH
C59014 Urine albumin creatinine ratio sample date UrnAlbumnCreatnineRatioSplDate Date on which the patient's urine albumin to creatinine ratio sample was collected. Date on which the patient's urine albumin to creatinine ratio sample was collected. Urine albumin-to-creatinine ratio date sample obtained Date or Date & Time Adult;Pediatric Proposed 1.00 2019-01-07 16:31:34.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASACRDT
C58734 Diffusion capacity lung carbon monoxide measurement date DLCOMeasurementDate Date on which the subject/participant's diffusion capacity of the lung for carbon monoxide (DLCO) was measured. Date on which the subject/participant's diffusion capacity of the lung for carbon monoxide (DLCO) was measured. DLCO (corrected for hemoglobin) date test performed Date or Date & Time Adult;Pediatric Proposed 1.00 2018-12-06 11:56:11.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 1507A (ENR) HSCDLCDT
C59025 Six minute walk test not perform reason code other text 6MinWalkTestNotPrfmRsnCodeOTH The free-text field related to 'Six minute walk test not perform reason code' specifying other text. The free-text field related to 'Six minute walk test not perform reason code' specifying other text. Specify other reason the six-minute walk test was not performed Alphanumeric Adult;Pediatric Proposed 1.00 2019-01-08 12:15:16.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations 100

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASNOPSP
C59004 Lactic acid dehydrogenase most recent measurement date LctcAcdDhydrgnsMstRctMeasrDate Date of the most recent measurement of the patient's lactic acid dehydrogenase level. Date of the most recent measurement of the patient's lactic acid dehydrogenase level. Date LDH test performed Date or Date & Time Adult;Pediatric Proposed 1.00 2019-01-07 14:43:47.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASLDHDT
C59015 Forced expiratory volume 1 second percent predicted value FEV1PctPredictVal Value of the measured FEV1 (forced expiratory volume 1 second) expressed as a percentage of the predicted FEV1 value. Value of the measured FEV1 (forced expiratory volume 1 second) expressed as a percentage of the predicted FEV1 value. FEV1 percent predicted Numeric Values Adult;Pediatric Proposed 1.00 2019-01-08 11:44:35.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 999 percent BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASFEVPP
C58738 Creatinine clearance most recent measurement CreatininClearMostRecntMeasr Measurement of creatinine clearance from the most recent sample taken from the subject/participant Measurement of creatinine clearance from the most recent sample taken from the subject/participant 24-hour urine creatinine clearance most recent value Numeric Values Adult;Pediatric Proposed 1.00 2018-12-06 12:09:07.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 999.99 milliliter per minute per 1.73 square meters BMTCTN 1507A Release 5.10 1507A (ENR) HSCCRCL
C59026 Six minute walk test date 6MinWalkTestDate Date on which the six minute walk test was performed. Date on which the six minute walk test was performed. Record the date the six-minute walk test was performed Date or Date & Time Adult;Pediatric Proposed 1.00 2019-01-08 12:17:16.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PAS6MWDT
C59005 Reticulocyte most recent count value ReticulocytMstRcntCtVal Value of the patient's most recent reticulocyte count, in percent Value of the patient's most recent reticulocyte count, in percent Record patient's most recent reticulocyte count Numeric Values Adult;Pediatric Proposed 1.00 2019-01-07 14:49:12.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 9.9 percent BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASRETIC
C01554 Oxygen saturation measurement O2SatMeasr Value, as a percent, of baseline O2 saturation (SPO2) in nocturnal oximetry, as part of Nocturnal Oximetry. Value, as a percent, of baseline O2 saturation (SPO2) in nocturnal oximetry, as part of Nocturnal Oximetry. Oxygen saturation most recent value Numeric Values Adult;Pediatric Proposed 3.00 2013-07-22 16:57:17.79 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 100 percent DeBaun Forms
C59016 Forced vital capacity percent predicted value FVCPctPredictVal Value of the measured FVC (forced vital capacity) expressed as a percentage of the predicted FVC value. Value of the measured FVC (forced vital capacity) expressed as a percentage of the predicted FVC value. FVC percent predicted Numeric Values Adult;Pediatric Proposed 1.00 2019-01-08 11:44:35.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 999 percent BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASFVCPP
C58739 Creatinine clearance sample date CreatininClearanceSampleDate Date on which the sample for creatinine clearance measurement was taken from the subject/participant. Date on which the sample for creatinine clearance measurement was taken from the subject/participant. 24-hour urine creatinine clearance date sample obtained Date or Date & Time Adult;Pediatric Proposed 1.00 2018-12-06 12:12:19.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 1507A (ENR) HSCCRDT
C59027 Six minute walk test total distance measurement 6MinWalkTestTotDistMeasr Measurement, in meters, of the total distance the patient walked during the six minute walk test. Measurement, in meters, of the total distance the patient walked during the six minute walk test. Record the total distance walked during the six-minute walk test Numeric Values Adult;Pediatric Proposed 1.00 2019-01-08 12:18:48.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 999 meter BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASDISTA
C59006 Reticulocyte most recent count date ReticulocytMstRcntCtDate Date of the patient's most recent reticulocyte count Date of the patient's most recent reticulocyte count Date reticulocyte count obtained Date or Date & Time Adult;Pediatric Proposed 1.00 2019-01-07 14:49:12.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASRETDT
C10172 Forced vital capacity result ForcedVitalCapacityReslt Value representing the Forced Vital Capacity (FVC), in Liters, as the maximum volume of air that can be exhaled as rapidly, forcefully, and completely as possible from the point of maximal inhalation. Value representing the Forced Vital Capacity (FVC), in Liters, as the maximum volume of air that can be exhaled as rapidly, forcefully, and completely as possible from the point of maximal inhalation. FVC most recent value Numeric Values Adult;Pediatric Proposed 3.00 2013-07-22 16:57:17.79 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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liter
C59017 FEV1/FVC ratio percent predict value FEV1FVCRatioPctPredictVal Ratio of FEV1 (forced expiratory volume 1 second) divided by FVC (forced vital capacity) expressed as a percentage of the predicted FEV1/FVC ratio Ratio of FEV1 (forced expiratory volume 1 second) divided by FVC (forced vital capacity) expressed as a percentage of the predicted FEV1/FVC ratio FEV1/FVC percent predicted Numeric Values Adult;Pediatric Proposed 1.00 2019-01-08 11:50:57.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 999 percent BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASFFPP
C58742 Bilirubin most recent direct measurement BlrubinMstRcntDrctMeasr Measurement in milligrams per deciliter for the most recent direct measurement of bilirubin. Measurement in milligrams per deciliter for the most recent direct measurement of bilirubin. Record patient's most recent direct bilirubin value Numeric Values Adult;Pediatric Proposed 1.00 2018-12-07 13:01:37.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 9.9 milligram per deciliter BMTCTN 1507A Release 5.10 1507A (ENR) HSCBILI
C59028 Six minute walk test complete indicate code 6MinWalkTestCompletIndCode Code indicating whether the patient completed the six minute walk test. Code indicating whether the patient completed the six minute walk test. Did the patient complete the six-minute walk test? 1;2;1;2 Yes;No;Yes;No Numeric Values Adult;Pediatric Proposed 1.00 2019-01-08 12:20:50.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

Single Pre-Defined Value Selected

BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASCOMPL
C59007 Serum ferritin measurement SerumFerritinMeasr Measurement of the patient's serum ferritin level, in nanograms per milliliter Measurement of the patient's serum ferritin level, in nanograms per milliliter Record patient's serum ferritin level Numeric Values Adult;Pediatric Proposed 1.00 2019-01-07 14:53:22.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 999 nanogram per milliliter BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASFELV
C10173 Forced expiratory volume second result ForcedExpiratoryVolumSecondRes Value representing the Amount of air, in Liters, that can be blown in the first second in the FVC maneuver (FEV1) Value representing the Amount of air, in Liters, that can be blown in the first second in the FVC maneuver (FEV1) FEV1 most recent value Numeric Values Adult;Pediatric Proposed 3.00 2013-07-22 16:57:17.79 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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liter
C59018 Forced vital capacity measurement date FVCMeasurementDate Date on which the FVC (forced vital capacity) measurement was taken Date on which the FVC (forced vital capacity) measurement was taken FVC date test performed Date or Date & Time Adult;Pediatric Proposed 1.00 2018-12-14 13:47:37.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASFVCDT
C58744 Bilirubin direct measurement sample date BlrbnDrctMeasrSamplDate Date on which sample was taken for direct measurement of bilirubin. Date on which sample was taken for direct measurement of bilirubin. Date direct bilirubin test performed Date or Date & Time Adult;Pediatric Proposed 1.00 2018-12-07 13:22:08.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 1507A (ENR) HSCBILDT
C59029 Six minute walk test duration 6MinWalkTestDur Duration for which the patient performed the six minute walk test, in seconds. Duration for which the patient performed the six minute walk test, in seconds. Record the amount of time the patient walked Numeric Values Adult;Pediatric Proposed 1.00 2019-01-08 12:22:52.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 360 second BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASTIMES
C59008 Serum ferritin measurement date SerumFerritinMeasrDate Date of the patient's serum ferritin level measurement Date of the patient's serum ferritin level measurement Date serum ferritin level obtained Date or Date & Time Adult;Pediatric Proposed 1.00 2019-01-07 14:53:22.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASFEDT
C10174 FEV1/FVC percentage value FEV1FVCPercentageVal Forced Expired Volume in One Second (FEV1) volume divided by Forced Vital Capacity (FVC), expressed as percent Forced Expired Volume in One Second (FEV1) volume divided by Forced Vital Capacity (FVC), expressed as percent FEV1/FVC most recent value Numeric Values Adult;Pediatric Proposed 3.00 2013-07-22 09:34:41.527 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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C59019 FEV1 FVC ratio measurement date FEV1FVCRatioMeasrDate Date on which the ratio of FEV1 (forced expiratory volume 1 second) to FVC (forced vital capacity) was measured. Date on which the ratio of FEV1 (forced expiratory volume 1 second) to FVC (forced vital capacity) was measured. FEV1/FVC date test performed Date or Date & Time Adult;Pediatric Proposed 1.00 2019-01-08 11:58:44.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASFERDT
C58802 Hemoglobin S measurement HemoglobinSMeasr Measurement of the subject/participant's hemoglobin S (HbS) level, in percent Measurement of the subject/participant's hemoglobin S (HbS) level, in percent Record patient's most recent Hemoglobin S level Numeric Values Adult;Pediatric Proposed 1.00 2018-12-12 12:30:10.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 99.9 percent BMTCTN 1507A Release 5.10 Follow Up Status Form - 1507 (F23) F23HMSVL
C59030 Six minute walk test stop early reason 6MinWalkTestStopEarlyRsn Reason why the patient stopped the six minute walk test early. Reason why the patient stopped the six minute walk test early. Record why the patient stopped early Alphanumeric Adult;Pediatric Proposed 1.00 2019-01-08 12:25:14.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations 100

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASEARLY
C59009 Karnofsky Lansky score date KarnofskyLanskyScoreDate Date on which patient's Karnofsky/Lansky performance score was obtained Date on which patient's Karnofsky/Lansky performance score was obtained Date performance score obtained Date or Date & Time Adult;Pediatric Proposed 1.00 2019-01-07 15:02:35.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASKLPDT
C10179 Diffusion Capacity Corrected measurement DiffusionCapacityCorrectdMeasr Diffusion Capacity Corrected (DLCO CORR) = A correction for predicted value is made using patients Hemoglobin Diffusion Capacity Corrected (DLCO CORR) = A correction for predicted value is made using patients Hemoglobin DLCO (corrected for hemoglobin) most recent value Numeric Values Adult;Pediatric Proposed 3.00 2013-07-22 09:34:41.527 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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C59020 Total lung capacity measurement TLCMeasr Measurement, in liters, of TLC (total lung capacity). Measurement, in liters, of TLC (total lung capacity). TLC most recent value Numeric Values Adult;Pediatric Proposed 1.00 2019-01-08 12:01:47.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 9.99 liter BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASTLC
C58803 Hemoglobin S measurement date HemoglobinSMeasrDate Date on which the subject/participant's hemoglobin S (HbS) level was measured Date on which the subject/participant's hemoglobin S (HbS) level was measured Date HbS level obtained Date or Date & Time Adult;Pediatric Proposed 1.00 2018-12-12 12:32:37.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Follow Up Status Form - 1507 (F23) F23HSVDT
C59010 Renal function test type code RenalFunctionTestTypeCode Code denoting the type of renal function test performed. Code denoting the type of renal function test performed. Record type of renal function test performed 1;2 24-hour urine creatinine clearance;Radionuclide GFR Numeric Values Adult;Pediatric Proposed 1.00 2019-01-07 15:09:36.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

Single Pre-Defined Value Selected

BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASRFT
C10724 Echocardiogram performed date and time EchcrdgrmPerfrmDateTime Date (and time, if applicable and known) the echocardiography was performed Date (and time, if applicable and known) the echocardiography was performed Date echocardiogram or MUGA scan was performed Date or Date & Time Adult;Pediatric Proposed 3.00 2013-07-25 08:54:08.2 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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C59021 Total lung capacity percent predict value TLCPctPredictVal Value of the measured TLC (total lung capacity) expressed as a percentage of the predicted TLC value. Value of the measured TLC (total lung capacity) expressed as a percentage of the predicted TLC value. TLC percent predicted Numeric Values Adult;Pediatric Proposed 1.00 2019-01-08 12:03:41.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 999 percent BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASTLCPP
C58804 Red blood cell transfusion most recent date RBCTxfusMostRecentDate Date of the subject/participant's most recent RBC (red blood cell) transfusion Date of the subject/participant's most recent RBC (red blood cell) transfusion Record the date of the patient's last red blood cell (RBC) transfusion Date or Date & Time Adult;Pediatric Proposed 1.00 2018-12-12 12:34:37.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Follow Up Status Form - 1507 (F23) F23RBCDT
C59011 Radionuclide glomerular filtration rate measurement RadnucldGFRMeasr Measurement, in milliliters per minute per 1.73 meter^2, of the patient's radionuclide GFR (glomerular filtration rate). Measurement, in milliliters per minute per 1.73 meter^2, of the patient's radionuclide GFR (glomerular filtration rate). Radionuclide GFR most recent value Numeric Values Adult;Pediatric Proposed 1.00 2019-01-07 15:15:05.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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0 999.9 milliliter per minute per 1.73 meter^2 BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASGFR
C18027 Comment text CmmntTxt Provide any additional information that pertains to the question. Provide any additional information that pertains to the question. Comments Alphanumeric Adult;Pediatric Proposed 3.00 2013-07-16 14:01:43.01 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations 4000

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DeBaun Forms
C59022 Total lung capacity measurement date TLCMeasrDate Date on which the total lung capacity (TLC) was measured. Date on which the total lung capacity (TLC) was measured. TLC date test performed Date or Date & Time Adult;Pediatric Proposed 1.00 2019-01-08 12:05:57.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

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BMTCTN 1507A Release 5.10 Physical Exam Form - 1507 (PAS) PASTLCDT
C58855 Karnofsky Lansky minimum score code KarnLanMinScorCode Code denoting the minimum score on the Karnofsky or Lansky scale. Code denoting the minimum score on the Karnofsky or Lansky scale. Record patient's Karnofsky/Lansky performance score 02;03;04;05;06;07;08;09;10;01;11 90 (Normal Activity/Minor Restriction in Strenuous Play);80 (Normal Activity with Effort/Restricted in Strenuous Play);70 (Unable to Carry On Normal Activity/Less Time Spent in Play);60 (Requires Occasional Assistance/Minimal Active Play);50 (Requires Considerable Assistance/No Active Play);40 (Disabled/Able to Initiate Quiet Activities);30 (Severely Disabled/Needs Assistance for Quiet Play);20 (Very Sick/Limited to Very Passive Activity);10 (Moribund, Completely Disabled);100 (Normal, No Complaints/Fully Active);0 (Dead) Numeric Values Adult;Pediatric Proposed 1.00 2018-12-14 11:50:05.0 Physical Exam Form - 1507 Assessments and Examinations Physical Examinations

Single Pre-Defined Value Selected

BMTCTN 1507A Release 5.10 Follow Up/Chronic GVHD Form (FGV) FGDGKNLN
47 results.
CSV