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Form code contains:
Description contains:
Uses dictionary field:
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Acceptable sample reception days
Acknowledgment ID
ADCU collection type
ADCU ID
Administrative action
Alternative workup request type
Anti-HIV 1/ Anti-HIV 2
Bank Accreditation
Blood Group (ABO)
Blood Group (Rhesus)
Blood sample requirements (amount)
Blood sample requirements (tube type)
CBU match list
CCR5
Chagas antibodies test result
Chagas NAT result
City Address
CMV antibodies test result
CMV antibodies test result date
CMV NAT result
CMV NAT result date
Collected CD3+
Collected CD34+
Collected number of unit mononuclear cells
Collected Total nucleated Cells (TNC)
Collection Date
CONFIRM
Contact Person
Contact phone number
Contigous/attached segments
Cord Blood Bank
Cord Blood Bank Manufacturing ID
Cord Blood Unit Identification
Country
Creation Time
Date of birth
Date of donor autologous blood unit
Date of sample collection
Diagnosis details
Disease stage
Donor ALT status
Donor Attribute
Donor blood transfusions
Donor Checkup date
Donor Clearance date
Donor contact date
Donor Identification ( to be replaced by GRID)
Donor information
Donor information session
Donor location identifier
Donor pregnancies
Donor product preference
Donor still of interest
Donor Type
DUMMY
Earliest Sample Collection Date
Email
Epstein Barr Virus (EBV) antibodies test result
Ethnicity
Fax Number
First line of address
First name
G-CSF Start
GRID
GVH_REAC
Height
Hemoglobinopathy screen
Hepatitis B antibodies
Hepatitis B core antibody test result
Hepatitis B surface antibody test result
Hepatitis B surface antigen test result
Hepatitis B virus (HBV) NAT result
Hepatitis C virus (HCV) antibodies test result
Hepatitis C virus (HCV) NAT result
Hepatitis E virus (HEV) antibodies test result
Hepatitis E virus (HEV) NAT result
HIV-1 and HIV-2 antibodies test result
HIV-1 NAT result
HIV NAT result
HIV p24 antigen test result
HLA-A (molecular)
HLA-A (serological)
HLA-B (molecular)
HLA-B (serological)
HLA-C (molecular)
HLA-C (serological)
HLA-DPA1 (molecular)
HLA-DPB1 (molecular)
HLA-DQA1 (molecular)
HLA-DQB1 (molecular)
HLA-DQB1 (serological)
HLA-DRB1 (molecular)
HLA-DRB1 (serological)
HLA-DRB3 (molecular)
HLA-DRB4 (molecular)
HLA-DRB5 (molecular)
HLA-E (molecular)
HLA Nomenclature Version
Human T-Lymphotropic Virus (HTLV) type 1/2 antibodies test result
HVG_REAC
ID on sample label
Infectious Disease Marker
Institution
Institution type
Invoice institution
Killer immunoglobulin-like receptor (KIR) GL string
KIR gene 2DL1
KIR gene 2DL2
KIR gene 2DL3
KIR gene 2DL4
KIR gene 2DL5A
KIR gene 2DL5B
KIR gene 2DP1
KIR gene 2DS1
KIR gene 2DS2
KIR gene 2DS3
KIR gene 2DS4
KIR gene 2DS5
KIR gene 3DL1
KIR gene 3DL2
KIR gene 3DL3
KIR gene 3DP1
KIR gene 3DS1
Last name
Latest Sample Collection Date
Local unit ID
Lues test result
Matchlist date
Maternal ID
Maternal plasma aliquots
Maternal plasma available
Maternal serum aliquots
Maternal serum available
Maximum request CBUs
Maximum requested donors (AB)
Maximum requested donors (ABDR)
MICA
MICB
Microbial Screen(bacteria)
Minimum HPC(M) volume
MLC_GVH
MLC_HVG
Mononuclear cells per kilogram
MSG_CODE
Number of HPC(M) tubes
Number of matched A-B donors
Number of matched A-B-DRB1 donors
Number of nucleated cells per kilo
Number of previous HPC donations
Number of Unit bags
ORG_DEN
Other viable cell aliquots
PARAM
Parvo-B19 PCR
Patient Diagnosis
Patient Diagnosis date
Patient Identification
Patient location identifier
Patient matching preferences (AB)
Patient matching preferences (ABDR)
Patient matching preferences (ADCU)
Patient matching preferences (CBU)
Patient search status
Physical Examination Date
Physical Examination Result
Postal Code
Pre-collection sample date
Preferred date (collection/shipment) 1
Preferred date (collection/shipment) 2
Preferred date (collection/shipment) 3
Preliminary Search Results
Processed CD3+
Processed CD34+
Product request
QA date
Quantity of maternal serum
REASON_CHNG
REASON_CNCL
REC_DATE1
REC_DATE2
Receipt acknowledgement date
Receiving institution
Receiving registry Hub
REF_CODE
REG_RCV
REG_SND
REMARK
REQ_TYPE
Request date
Request denial reason
Requested number of research cells
Required Anticoagulant
Required CD34+/kg
Required CD3+/kg
Reservation Expiry date
RESOLUT
RES_TYPE
Result date
Sample Collection Date
Scheduled delivery date
Search Status
Search Status change
Second line of address
Sending registry hub
SEND_PREF
SENT_DATE
Sex
Status end date
Syphilis serological test result
Test date
Third line address
Total colony forming units (CFU)
Total nucleated Cells (TNC) in CBU
Total Nucleated Red Blood cells
Total number of days of conditioning regimen
Total Red Blood cells
Toxoplasmosis antibodies test result
Transplant Date
Transplant physician
Transport Medium for HPC(M)
TXT_LINEn
Unit Bag ID
Unit Bag Type
Unit collection date
Unit confirmatory typing sample type
Unit cryopreservation date
Unit cryopreservation method
Unit DNA sample availability
Unit microbial screen (fungal)
Unit plasma aliquots
Unit Plasma Available
Unit processing Date
Unit processing method
Unit processing system
Unit product modification
Unit red cell aliquots
Unit serum aliquots
Unit serum available
Unit verification typing date
Unit viability
Unit viability type
Unit volume at collection
Unit volume at cryopreservation
Unit volume reduction method
Urgency
Viability Date
Viability Method
Weight
West Nile Virus (WNV) NAT result
Work up request confirmation date
Filter
Form Code
Description
Link
C10
Collection Report
C20
Abnormal Donor Finding Letter
C30
Notification Unable to Clear Donor
CB30
Cord Blood Unit Shipment Request
DF1
Donor Assessment Post Stem Cell Donation (1 week following donation)
DF2
Donor Assessment Post Stem Cell Donation (1 month following donation)
DF3
Annual Donor Assessment Post Stem Cell Donation
F10
Formal Request for Stem Cell or Lymphocyte Collection
F20
Previous Transplant History
F30
Final Compatibility Test Results
F50
IDM Testing to be Performed During Donor Workup
F60
Donor Final Clearance Pre-Stem Cell Collection
F70
Verification of Cell Product
F80
Notification of Donor Clearance
F90
Request for Patient's Siblings Service
S50
Notification of Verification Typing Sample Shipment
S60
Donor HLA Verification Typing Results
S70
Discrepant Typing Report
T10
Courier & Emergency Contact Information During Stem Cell Transportation
T20
Emergency Stem Cell Storage Directions
T30
Transport of Stem Cell Product Audit
T40
Courier Letter
T50
Proforma Invoice
F40
Prescription for Stem Cell and Lymphocyte Collection (2x as one whole form)
S40
Blood Sample Request for Verification Typing
CB10
Cord Blood Unit - Information and Typing Request
S10
Preliminary Search Request
S20
Request for Extended Donor HLA Typing
S30
Donor Extended Typing Test Results
CB21
HPC, Cord Blood Unit Report
TF1
Stem Cell Transplantation Follow-Up