CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Additional Proposed Instruments
CRF: Transplant Form (TXP) - BMTCTN 15070
Sub-Domain: Additional Proposed Instruments
CRF: Transplant Form (TXP) - BMTCTN 15070
5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59083 | Pre-transplant CMV antibody status | PreTrnsplntCMVAntbdyStatus | Status indicating the patient's pre-transplant Cytomegalovirus (CMV) antibody immunoglobulin G (IgG) status | Status indicating the patient's pre-transplant Cytomegalovirus (CMV) antibody immunoglobulin G (IgG) status | Record the patient's pre-transplant CMV antibody (IgG) status: | 1;2 | Positive;Negative | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-14 10:30:43.0 | Transplant Form (TXP) - BMTCTN 15070 | Additional Proposed Instruments | Other |
Single Pre-Defined Value Selected |
BMTCTN | 1507A Release 5.10 | Transplant Form (TXP) | CMVSTAT | |||||||||||||||||||||||||||
| C59084 | IUBMID patient code | IUBMIDPtntCode | Code indicating IUBMID for patient | Code indicating IUBMID for patient | IUBMID for this patient (if available): | Alphanumeric | Adult;Pediatric | Proposed | 1.00 | 2019-01-14 11:02:21.0 | Transplant Form (TXP) - BMTCTN 15070 | Additional Proposed Instruments | Other | 255 |
Free-Form Entry |
BMTCTN | 1507A Release 5.10 | Transplant Form (TXP) | T_IUBMID | ||||||||||||||||||||||||||||
| 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 | Transplant Form (TXP) - BMTCTN 15070 | Additional Proposed Instruments | Other | 4000 |
Free-Form Entry |
DeBaun Forms | |||||||||||||||||||||||||||||||
| C59081 | Initiation conditioning regimen date | InitnConsRgmnDate | Date indicating the initiation of conditioning regimen | Date indicating the initiation of conditioning regimen | Record date of initiation of conditioning regimen: | Date or Date & Time |
Data sharing instructions: When date/time data are prepared for aggregation or sharing, they should be converted to the format specified by ISO 8601; YYYY-MM-DD T:hh:mm:ss. |
Adult;Pediatric | Proposed | 1.00 | 2019-01-14 10:23:24.0 | Transplant Form (TXP) - BMTCTN 15070 | Additional Proposed Instruments | Other |
Free-Form Entry |
BMTCTN | 1507A Release 5.10 | Transplant Form (TXP) | CONDNGDT | ||||||||||||||||||||||||||||
| C59082 | Hematopoietic stem cell infusion date | HemtpcStemCellInfsnDate | Date indicating hematopoietic stem cell infusion | Date indicating hematopoietic stem cell infusion | Record date of hematopoietic stem cell infusion | Date or Date & Time |
Data sharing instructions: When date/time data are prepared for aggregation or sharing, they should be converted to the format specified by ISO 8601; YYYY-MM-DD T:hh:mm:ss. |
Adult;Pediatric | Proposed | 1.00 | 2019-01-14 10:27:55.0 | Transplant Form (TXP) - BMTCTN 15070 | Additional Proposed Instruments | Other |
Free-Form Entry |
BMTCTN | 1507A Release 5.10 | Transplant Form (TXP) | TXDTTXP |
5 results.