| Name | F10 |
| Description | Formal Request for Stem Cell or Lymphocyte Collection |
| Name of field on form | Dictionary label (description) | EMDIS fields (matching dictionary field) | WMDA XML fields (matching dictionary field) |
|---|---|---|---|
|
Preferred date (collection/shipment) 2 (Second preferred date for collection / CBU shipment per TC) |
ALTER_DATE1 |
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Preferred date (collection/shipment) 3 (Third preferred date for collection / CBU shipment per TC) |
ALTER_DATE2 |
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Total number of days of conditioning regimen (The number of condititioning days the patient will have prior to transplantation) |
COND_DAYS |
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Number of previous HPC donations (Number of times a donor has previously donated either HPC(A) or HPC(M)) |
D_NMBR_MARR D_NMBR_PBSC |
NMBR_MARR NMBR_PBSC |
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Preferred date (collection/shipment) 1 (First preferred date for collection / CBU shipment per TC) |
PROP_DATE |
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Product request (Requesting TC/registry's product preference) |
WOR_REQ_TYPE |
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Weight (Weight measured in kilograms) |
D_WEIGHT P_WEIGHT |
WEIGHT |
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Blood Group (ABO) (Blood Group (ABO)) |
CB_ABO D_ABO D_ABO (IDM_RES) P_ABO |
ABO |
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Blood Group (Rhesus) (Blood Group (Rhesus)) |
RHESUS |
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First line of address (The first line of an address, generally for an organisation, can be any format) |
ADDR_1 |
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Second line of address (The second line of an address, generally for an organisation, can be any format) |
ADDR_2 |
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Third line address (The third line of an address, generally for an organisation, can be any format) |
ADDR_3 |
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City Address (The city of an address, generally for an organisation, can be any format) |
CITY |
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CMV antibodies test result (The test result to reflect the evidence of CMV antibodies) |
CB_ANTI_CMV CB_MAT_ANTI_CMV D_ANTI_CMV P_CMV |
ANTI_CMV |
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Country (The country of an address, generally for an organisation, can be any format) |
COUNTRY |
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Email (email address, generally for an organisation, can be any format) |
EMAIL |
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Fax Number (Fax number, usually of an organisation) |
FAX |
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Receiving institution (Institution receiving a product ( sample, HPC)) |
INST_MARR_SENT INST_SMP_SENT |
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Invoice institution (institution responsible for paying, usually requesting TC or registry) |
INST_PAY |
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Request date (Date of request) |
REQ_DATE |
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Postal Code (Postal code (or zip code) of an address) |
ZIP |
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Date of birth (Birth date) |
CB_BIRTH_DATE D_BIRTH_DATE P_BIRTH_DATE |
BIRTH_DATE |
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Diagnosis details (Additional explanatory text describing diagnosis of the patient) |
P_DIAG_TEXT |
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Institution (Identification of an institution, usually refers to a receiving or sending regsitry.) |
INST_ID |
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Contact phone number (The listed phone number to contact at an organisation usually a registry or transplant centre) |
PHONE |
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Donor Identification ( to be replaced by GRID) (Donor Idenitification assigned by donor registry) |
D_ID |
ID |
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First name (Given name of an individual) |
P_FNAME |
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Patient Identification (Patient identification assigned by patient registry) |
P_ID |
RSV_PAT |
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Last name (Surname of an individual) |
P_LNAME |