Sub-Domain: Treatment/Intervention Data
CRF:
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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C60093 | Reticulocyte count | ReticulocyteCt | Count of reticulocytes | Count of reticulocytes | Retic Count | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-01-14 13:06:05.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
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C60403 | Reticulocyte hemoglobin count | ReticulocyteHgCt | The count of as related to amount of hemoglobin in the reticulocytes. | The count of as related to amount of hemoglobin in the reticulocytes. | Retic-HB (pg) | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-01-14 13:06:05.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
pg | ||||||||||||||||||||||||||||||||
C59180 | Lactate dehydrogenase measurement | LactateDehydrogenaseMeasr | Measurement value for lactate dehydrogenase (units not specified). | Measurement value for lactate dehydrogenase (units not specified). | LDH | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2019-03-26 13:38:50.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
PhenX | Specialty Collection_Cardio-Pulm-Renal | Lactate Dehydrogenase level | n/a | |||||||||||||||||||||||||||||
C60420 | Partial pressure oxygen value | PO2Val | The value as related to partial pressure of oxygen. | The value as related to partial pressure of oxygen. | PO2 mmHg | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 01:25:46.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
mmHg | ||||||||||||||||||||||||||||||||
C60144 | Blood sample collect date | BloodSamplCollectDate | Date on which a sample of the subject/participant's blood was collected. | Date on which a sample of the subject/participant's blood was collected. | Date blood sample drawn | Date or Date & Time | Adult;Pediatric | Exploratory | 1.00 | 2021-01-15 16:40:21.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
LB | LBDAT |
Specimen Collection Date |
Collection Date |
What was the date of the lab specimen collection? |
LBDTC | Char | Record the date when specimen collection was done using this format (DD-MON-YYYY). | Prompt | ||||||||||||||||||||||||
C60410 | Lactate dehydrogenase sample analysis date | LDHSamplAnalyDate | The date related to lactate dehydrogenase sample sent for analysis. | The date related to lactate dehydrogenase sample sent for analysis. | Date sample sent for LDH analysis | Date or Date & Time | Adult;Pediatric | Exploratory | 1.00 | 2021-01-15 16:40:21.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
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C59607 | Basophils percent value | BasophilsPrcntVal | Value in percent of basophils measurement during complete blood panel test | Value in percent of basophils measurement during complete blood panel test | %Basophil | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2019-04-15 16:12:13.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
0 | 100 | percent | PhenX | Core tier 1 | Complete blood count | n/a | ||||||||||||||||||||||||||
C60421 | Red blood cell dense percentage value | RBCDensePerVal | The percentage related to dense red blood cells. | The percentage related to dense red blood cells. | Dense Red Blood Cell % | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 01:30:05.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
Percentage | ||||||||||||||||||||||||||||||||
C60394 | Laboratory procedure nucleated red blood cell count | LabProcNuclRBCCt | The count related to nucleated red blood cell. | The count related to nucleated red blood cell. | Nucleated RBC | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-04 23:39:20.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
/100 WBC | ||||||||||||||||||||||||||||||||
C60411 | Hemoglobin S variant high-performance liquid chromatography assessment percentage value | HgSVarHPLCAssPerVal | The percentage related to hemoglobin S as assessed through high-performance liquid chromatography. | The percentage related to hemoglobin S as assessed through high-performance liquid chromatography. | % Hemoglobin S | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 00:44:48.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
Percentage | ||||||||||||||||||||||||||||||||
C59608 | Lymphocyte count | LymphocyteCt | Count indicating amount of lymphocyte (1000 cells/uL) as measured during the complete blood count panel test | Count indicating amount of lymphocyte (1000 cells/uL) as measured during the complete blood count panel test | Lymphocyte | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2019-04-15 16:14:58.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
thousand cells per microliter | PhenX | Core tier 1 | Complete blood count | n/a | ||||||||||||||||||||||||||||
C60422 | Red blood cell dense assessment type | RBCDenseAssessTyp | The type of assessment as related to dense red blood cells. | The type of assessment as related to dense red blood cells. | Dense Red Blood Cell Measure by | Light-scattering method;Measured by ADVIA hematology analyzer | Light-scattering method;Measured by ADVIA hematology analyzer | Alphanumeric | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 01:30:05.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Single Pre-Defined Value Selected |
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C60395 | Laboratory procedure red blood cell count | LabProcRBCCt | The red blood cell count. | The red blood cell count. | RBC | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-04 23:41:57.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
x10E12/L | ||||||||||||||||||||||||||||||||
C14052 | Hemoglobin measurement | HemoglobMeasr | The measurement for hemoglobin. | The measurement for hemoglobin. | HGB | Numeric Values | Adult;Pediatric | Exploratory | 3.00 | 2013-06-21 00:00:00.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
g/dL | DeBaun Forms | |||||||||||||||||||||||||||||||
C60412 | Hemoglobin C variant high-performance liquid chromatography assessment percentage value | HgCVarHPLCAssPerVal | The percentage related to hemoglobin C as assessed through high-performance liquid chromatography. | The percentage related to hemoglobin C as assessed through high-performance liquid chromatography. | % Hemoglobin C | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 00:44:48.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
Percentage | ||||||||||||||||||||||||||||||||
C59609 | Monocyte count | MonocyteCt | Count indicating monocyte (1000 cells/uL) during complete blood count panel test | Count indicating monocyte (1000 cells/uL) during complete blood count panel test | Monocyte | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2019-04-15 16:21:50.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
thousand cells per microliter | PhenX | Core tier 1 | Complete blood count | n/a | ||||||||||||||||||||||||||||
C60396 | Mean corpuscular volume value | MCVVal | Value indicating mean corpuscular volume (MCV) (fL) as measured during the complete blood count panel test. | Value indicating mean corpuscular volume (MCV) (fL) as measured during the complete blood count panel test. | MCV | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2019-04-15 16:33:51.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
fL | ||||||||||||||||||||||||||||||||
C57964 | Laboratory procedure percent neutrophils value | LabProcedurePrctNeutrophilsVal | Value of percent neutrophils. | Value of percent neutrophils. | %Neutrophils | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2018-01-22 11:03:02.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
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C60413 | Hemoglobin F variant high-performance liquid chromatography assessment percentage value | HgFVarHPLCAssPerVal | The percentage related to hemoglobin F as assessed through high-performance liquid chromatography. | The percentage related to hemoglobin F as assessed through high-performance liquid chromatography. | % Hemoglobin F | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 00:44:48.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
Percentage | ||||||||||||||||||||||||||||||||
C59611 | Eosinophils count | EosinophilsCt | Count indicating Eosinophils (1000 cells/uL) amount as measured in the complete blood count panel test. | Count indicating Eosinophils (1000 cells/uL) amount as measured in the complete blood count panel test. | Eosinophil | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2019-04-15 16:25:11.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
thousand cells per microliter | PhenX | Core tier 1 | Complete blood test | n/a | ||||||||||||||||||||||||||||
C60397 | Red blood cell distribution width coefficient of variation percentage value | RDWCVPerVal | The value as related to Red blood cell distribution width coefficient of variation (RDW-CV) percentage value | The value as related to Red blood cell distribution width coefficient of variation (RDW-CV) percentage value | %RDW-CV | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-06 00:29:16.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
Percentage | ||||||||||||||||||||||||||||||||
C57965 | Laboratory procedure percent lymphocytes value | LabProcedurePrctLymphocytesVal | Value of percent lymphocytes. | Value of percent lymphocytes. | %Lymphocyte | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2018-01-22 11:03:02.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
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C60414 | Hemoglobin A variant high-performance liquid chromatography assessment percentage value | HgAVarHPLCAssPerVal | The percentage related to hemoglobin A as assessed through high-performance liquid chromatography. | The percentage related to hemoglobin A as assessed through high-performance liquid chromatography. | % Hemoglobin A | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 00:44:48.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
Percentage | ||||||||||||||||||||||||||||||||
C59612 | Basophils count | BasophilsCt | Count indicating basophils (1000 cells/uL) amount as measured during the complete blood count panel test | Count indicating basophils (1000 cells/uL) amount as measured during the complete blood count panel test | Basophil | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2019-04-15 16:26:50.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
thousand cells per microliter | PhenX | Core tier 1 | Complete blood test | n/a | ||||||||||||||||||||||||||||
C60398 | Complete blood count differentials date | CompleteBloodCountDifferDate | The date as related to the complete blood count test with differentials. | The date as related to the complete blood count test with differentials. | Date sample sent for differentials | Date or Date & Time | Adult;Pediatric | Exploratory | 1.00 | 2020-09-01 13:30:18.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
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C57969 | Laboratory procedure percent monocytes value | LabProcedurePrctMonocytesVal | Value of percent monocytes. | Value of percent monocytes. | %Monocyte | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2018-01-22 11:03:02.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
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C60415 | Hemoglobin A2 variant high-performance liquid chromatography assessment percentage value | HgA2VarHPLCAssPerVal | The percentage related to hemoglobin A2 as assessed through high-performance liquid chromatography. | The percentage related to hemoglobin A2 as assessed through high-performance liquid chromatography. | % Hemoglobin A2 | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 00:44:48.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
Percentage | ||||||||||||||||||||||||||||||||
C59616 | Mean corpuscular hemoglobin concentration value | MCHCVal | Value indicating mean corpuscular hemoglobin concentration (MCHC) (g/dL) amount as measured during the complete blood count panel test | Value indicating mean corpuscular hemoglobin concentration (MCHC) (g/dL) amount as measured during the complete blood count panel test | MCHC | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2019-04-15 16:33:51.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
grams per deciliter | PhenX | Core tier 1 | Complete blood test | n/a | ||||||||||||||||||||||||||||
C60399 | Laboratory procedure neutrophil count | LabProcNeutrophilCt | The count as related to neutrophils. | The count as related to neutrophils. | Neutrophil | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-06 01:26:07.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
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C57970 | Laboratory procedure hematocrit value | LabProcedureHematpcritVal | Value of hematocrit. | Value of hematocrit. | %HCT | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2018-01-22 11:03:02.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
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C60416 | Hemoglobin other variant high-performance liquid chromatography assessment percentage value | HgOtherVarHPLCAssPerVal | The percentage related to hemoglobin other variant as assessed through high-performance liquid chromatography. | The percentage related to hemoglobin other variant as assessed through high-performance liquid chromatography. | % Other | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 00:44:48.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
Percentage | ||||||||||||||||||||||||||||||||
C59957 | Complete blood count date | CompleteBloodCountDate | Date on which the complete blood count test was performed. | Date on which the complete blood count test was performed. | Date sample sent for CBC | Date or Date & Time | Adult;Pediatric | Exploratory | 1.00 | 2020-09-01 13:30:18.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
CIBMTR | n/a | Form 2031 revision 2 | 9 | |||||||||||||||||||||||||||||
C60400 | Laboratory procedure automated immature granuloctyes percentage value | LabProcAutImmGranPerVal | The percentage as related to automated immature granuloctyles. | The percentage as related to automated immature granuloctyles. | %Automated Immature Gran | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-06 01:27:51.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
Percentage | ||||||||||||||||||||||||||||||||
C58397 | Laboratory procedure percent eosinophils value | LabProcedurePrctEosinophlsVal | Value of percent eosinophils. | Value of percent eosinophils. | %Eosinphil | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2018-01-22 11:03:02.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
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C60417 | Whole blood viscosity sample assessment date | WholeBloodViscSampleDate | The date of sample being sent for whole blood viscosity assessment. | The date of sample being sent for whole blood viscosity assessment. | Date sample sent for viscosity testing | Date or Date & Time | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 00:57:48.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
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C59958 | White blood cell count | WhiteBloodCellCt | Count of white blood cells (WBC) in the subject/participant's complete blood cell (CBC) sample. | Count of white blood cells (WBC) in the subject/participant's complete blood cell (CBC) sample. | WBC | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2020-09-01 13:36:15.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
CIBMTR | n/a | Form 2031 revision 2 | 10. WBC: | |||||||||||||||||||||||||||||
C60401 | Reticulocyte percentage value | RetiPerVal | The percentage as related to reticulocytes | The percentage as related to reticulocytes | Retic % | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-06 01:59:49.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
Percentage | ||||||||||||||||||||||||||||||||
C58944 | Blood sample date | BloodSampleDate | Date on which blood sample was obtained. | Date on which blood sample was obtained. | Date sample received | Date or Date & Time | Adult;Pediatric | Exploratory | 1.00 | 2019-01-04 13:56:08.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
BMTCTN | 1507A Release 5.10 | Acute GVHD Form (GVH) | TROUGHDT | |||||||||||||||||||||||||||||
C60418 | Whole blood viscosity value | WholeBloodViscVal | The value as related to blood viscosity or measure of the resistance of blood to flow. | The value as related to blood viscosity or measure of the resistance of blood to flow. | Viscosity | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 00:57:48.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
cP | ||||||||||||||||||||||||||||||||
C59968 | Platelet count value | PlateletCountVal | Value of the count of platelets in the subject/participant's complete blood cell (CBC) sample. | Value of the count of platelets in the subject/participant's complete blood cell (CBC) sample. | PLT | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2020-09-01 13:36:15.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
CIBMTR | n/a | Form 2031 revision 2 | 15: Platelets | |||||||||||||||||||||||||||||
C60402 | Laboratory procedure immature reticulocyte fraction percentage value | LabProcImmReticFractPerVal | The percentage as related to immature reticulocyte fraction. | The percentage as related to immature reticulocyte fraction. | %Automated Immature Gran | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-06 01:27:51.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
Percentage | ||||||||||||||||||||||||||||||||
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 sample sent for Retic count | Date or Date & Time | Adult;Pediatric | Exploratory | 1.00 | 2019-01-07 14:49:12.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |
BMTCTN | 1507A Release 5.10 | Physical Exam Form - 1507 (PAS) | PASRETDT | |||||||||||||||||||||||||||||
C60419 | Ektacytometry delta elongation index red blood cell deformability result value | EktaEIRBCDefoResVal | The value as related to delta or change from maximum red blood cell deformability under normoxic conditions minus minimum red blood cell deformability under hypoxic conditions. | The value as related to delta or change from maximum red blood cell deformability under normoxic conditions minus minimum red blood cell deformability under hypoxic conditions. | Delta EI (EImax - Eimin) | Numeric Values | Adult;Pediatric | Exploratory | 1.00 | 2021-04-08 00:57:48.0 | Adhesion and Viscosity | Treatment/Intervention Data | cookie-policy |
Free-Form Entry |