Contents |
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Purpose
Record the transplant date and related pre and post test results.
Chimerism eCRF:
Field Descriptions and Instructions
Field Name | Description / Instructions | Format |
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Visit Date(m) | Date the first test was performed. | DD-MMM-YYYY |
Date of Transplant(m) | Date the transplant was performed. | DD-MMM-YYYY |
Course #(d) | Indicates the course number the test is related to based on their date and the Course Initiation start dates. | 5 digits |
Day in Course(d) | Indicates the day since the beginning of course the test is related to based on their date and the Course Initiation start dates. | 5 digits |
Day in Course(d) | Enter the time the procedure was performed. | HH(24):MM |
Date of Test(m) | Date the test was performed | DD-MMM-YYYY |
Time of Test | Time the test was performed. | HH(24):MM |
Days Post Transplant(d) | Number of days before or after the transplant that the test was done. It will be a negative number if test was done before the transplant. | 5 digits |
Specimen(m) | Select a specimen from the pick list. | Use pick list. |
Result (%)(m) | Test results in percentage. | 12 digits and 5 decimal |
Comments | Enter comments applicable to the test. | 200 characters |
Legend: (d) derived field, (m) RDC mandatory, (c) for CTEP reporting only.
Validations
Code | Description | Resolutions |
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CHM01 | Duplicate Specimen, Date of Test and Time of Test. | A Specimen must have a unique Date of Test and Time of Test. Review the Specimen and/or the Date of Test and Time of Test. |
CHM02 | Result (%) is out of range. | Result % must be between 0 and 100%. |
Derivations
Code | Field Name | Description |
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CHM1001 | Course # | Course number is derived based on the course initiation start dates and the Date of Test. |
CHM1002 | Day in Course | Number of days since the beginning of the course is derived from the course initiation start date and the Date of Test. |
CHM1003 | Days Post Transplant | Number of days before or after the transplant that the test was done. It will be a negative number if test was done before the transplant. |