CDE Detailed Report
Disease: sites
Sub-Domain: Disease Related Events
CRF: scdc
Sub-Domain: Disease Related Events
CRF: scdc
8 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 | Domain | CDASH Variable | CDASH Definition | CDASH Label | Controlled Terminology | Prompt | Essentiality | Question Text | CDASH imp guidance | SDTM IG target | csDSR | PhenX | Data Type | CRF Completion Inst | SDTMIG Target Var | SDTMIG Target Map | Codelist Name | PVs | Pre Pop Value | Query Display | List Style |
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C58807 | Secondary graft failure sample date | SecndryGraftFailurSampleDate | Date on which the sample pertaining to secondary graft failure was taken | Date on which the sample pertaining to secondary graft failure was taken | Record date of collection of the sample indicating secondary graft failure | Date or Date & Time | Adult;Pediatric | Proposed | 1.00 | 2018-12-12 12:42:25.0 | Secondary Graft Failure | Disease Related Events | History of Disease Event |
Free-Form Entry |
BMTCTN | 1507A Release 5.10 | Follow Up Status Form - 1507 (F23) | F23DNHDT | |||||||||||||||||||||||||||||
C58984 | Absolute neutrophil count drop below 500 per microliter after condition regimen initiate indicate code | ANCDpBl500PrULAfCnRgInIndCode | Code indicating whether the patient's ANC (absolute neutrophil count) dropped below 500 per microliter after initiation of conditioning regimen. | Code indicating whether the patient's ANC (absolute neutrophil count) dropped below 500 per microliter after initiation of conditioning regimen. | Was there a decline in neutrophil counts to <500/mm^3 for three consecutive measurements on different days after initial neutrophil engraftment? | 1;2;1;2 | Yes;No;Yes;No | Numeric Values | Adult;Pediatric | Proposed | 1.00 | 2019-01-07 12:03:22.0 | Secondary Graft Failure | Disease Related Events | History of Disease Event |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | Hematopoiesis Form (HF6) | ANCDRP | |||||||||||||||||||||||||||
C58986 | Absolute neutrophil count measurement | ANCMeasr | Measurement of ANC (absolute neutrophil count) per microliter. | Measurement of ANC (absolute neutrophil count) per microliter. | Record the neutrophil count | Numeric Values | Adult;Pediatric | Proposed | 1.00 | 2019-01-07 12:13:05.0 | Secondary Graft Failure | Disease Related Events | History of Disease Event |
Free-Form Entry |
0 | 99999 | Count per microliter | BMTCTN | 1507A Release 5.10 | Hematopoiesis Form (HF6) | D1ANC | ||||||||||||||||||||||||||
C58987 | Absolute neutrophil count measurement date | ANCMeasrDate | Date on which ANC (absolute neutrophil count) was measured. | Date on which ANC (absolute neutrophil count) was measured. | Record the neutrophil specimen collection date | Date or Date & Time | Adult;Pediatric | Proposed | 1.00 | 2019-01-07 12:15:34.0 | Secondary Graft Failure | Disease Related Events | History of Disease Event |
Free-Form Entry |
BMTCTN | 1507A Release 5.10 | Hematopoiesis Form (HF6) | D1ANCDT | |||||||||||||||||||||||||||||
C58996 | Chimerism assay result donor percent value | ChmrsmAssyRsltDonrPctVal | Value in percent of the proportion of donor cells in the chimerism assay being recorded. | Value in percent of the proportion of donor cells in the chimerism assay being recorded. | Record percent donor cell | Numeric Values | Adult;Pediatric | Proposed | 1.00 | 2019-01-07 13:51:22.0 | Secondary Graft Failure | Disease Related Events | History of Disease Event |
Free-Form Entry |
0 | 99 | percent | BMTCTN | 1507A Release 5.10 | Hematopoiesis Form (HF6) | MRWPCTD | ||||||||||||||||||||||||||
C59033 | Growth factor administer after neutrophil count decline indicate code | GFAdmAftNtphlCtDclnIndCode | Code indicating whether growth factor was administered following decline in neutrophil counts. | Code indicating whether growth factor was administered following decline in neutrophil counts. | Was growth factor administered following the decline in neutrophil counts? | 1;2;1;2 | Yes;No;Yes;No | Numeric Values | Adult;Pediatric | Proposed | 1.00 | 2019-01-09 12:46:37.0 | Secondary Graft Failure | Disease Related Events | History of Disease Event |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | Secondary Graft Failure (SGR) | GIVEGF | |||||||||||||||||||||||||||
C59035 | Donor chimerism below 5 percent indicate code | DonrChimrsmBelw5PctIndCode | Code indicating whether donor chimerism is below 5 percent donor cells. | Code indicating whether donor chimerism is below 5 percent donor cells. | Has the percent of donor chimerism decreased to <5% donor? | 1;2;1;2 | Yes;No;Yes;No | Numeric Values | Adult;Pediatric | Proposed | 1.00 | 2019-01-09 12:49:50.0 | Secondary Graft Failure | Disease Related Events | History of Disease Event |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | Secondary Graft Failure (SGR) | DONDEC | |||||||||||||||||||||||||||
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 | Secondary Graft Failure | Disease Related Events | History of Disease Event | 4000 |
Free-Form Entry |
DeBaun Forms |
8 results.