CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Treatment/Intervention Data
CRF: Secondary Graft Failure

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
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 Treatment/Intervention Data Transplantation/Stem Cell Transplant 4000

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DeBaun Forms
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 Treatment/Intervention Data Transplantation/Stem Cell Transplant

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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 Treatment/Intervention Data Transplantation/Stem Cell Transplant

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 Treatment/Intervention Data Transplantation/Stem Cell Transplant

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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 Treatment/Intervention Data Transplantation/Stem Cell Transplant

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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 Treatment/Intervention Data Transplantation/Stem Cell Transplant

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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 Treatment/Intervention Data Transplantation/Stem Cell Transplant

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 Treatment/Intervention Data Transplantation/Stem Cell Transplant

Single Pre-Defined Value Selected

BMTCTN 1507A Release 5.10 Secondary Graft Failure (SGR) DONDEC
8 results.
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