Form Pre-Transplant Inf Pre-Transplant Inf Pre-Transplant Information Collection

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Overview

Header Definitions
Pre-Transplant Information Coll
Transplant Procedure_Product
Post-Transplant Periodic Inform
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Sheet 1: Header Definitions

Information Collection Domains	Indicates the category of information collection by time period that corresponds to the burden table. For each of the following domains, there is a corresponding tab. 1- Pre-Transplant Information Collection 2- Transplant Procedure and Product Information 3- Post-Transplant Periodic Information Collection Below are the defintions for each column heading.
Column Header Title	Column Header Title Definitions
Item ID	Unique identifier
Time Point	Indicates the information collection domain
Information Collection Domain Sub-Type	Identifies a grouping of information collection within a domain and roughly corresponds to domain titles currently found on CIBMTR data collection instruments.
Information Collection Domain Additional Sub Domain	Identifies a grouping of information collection within domain sub-types and roughly correspons to section headers currently found on CIBMTR data collection instruments.
Information Collection may be requested multiple times	Response options are "yes" or "no". Some information may be collected at "multiple" time points or in multiple iterations. For example: prior infusion information, drugs as part of the preparative regimen, chimerism studies performed on different dates, etc.
Current Information Collection Data Element (if applicable)	Depicts the information collection data element currently being requested. A single data element is depicted in grey or white color.
Current Information Collection Data Element Response Option (if applicable)	Depicts the information collection data element response option currently being requested.
Information Collection update	Notes the type of update. The options are:
	No Change
	Deletion of Information Requested (Deletion of data element and/or data element response option)
	Addition of Information Requested (Addition of data element and/or data element response option)
	Change/Clarification of Information Requested (Update of data element)
	Change/Clarification of Information Requested and Deletion of Response Option (Update of data element and deletion of data element response option)
	Change/Clarification of Information Requested and Addition of Response Option (Update of data element and addition of data element response option)
	Merged to Check all that Apply (Deletion of Information Requested) (Allows selection from a list of data element response options and deletion of data element and/or data element response option)
	Merged to Check all that Apply (Addition of Information Requested) (Allows selection from a list of data element response options and addition of data element and/or data element response option)
	Merged from Multiple to Grid (Deletion of Information Requested) (Data element captured in grid format, deletion of data element and/or data element response option (Example: Chimerism Studies data capture))
	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable) (Data element captured in grid format, deletion of data element and/or data element response option and auto-filled (Example: Chimerism Studies data capture))
	Merged from Multiple to Grid (Addition of Information Requested) (Data element captured in Grid format - addition of data element and/or data element response option (Example: Chimerism Studies data capture))
	New Structure and Addition of Information Requested (New technical validation intended to reduce burden and addition of data element response option (Example: "Registry or UCB Bank ID" data capture))
	New Structure and Change/Clarification of Information Requested (New technical validation intended to reduce burden and update of data element response option (Example: "Registry or UCB Bank ID" data capture))
	New Structure for Allogeneic Boost Data Capture (New information collection domain sub-type without data element or data element response option changes (Example: Donor Cellular Infusion data capture))
	New Structure for Allogeneic Boost Data Capture (Addition of Information Requested) (New information collection domain sub-type and addition of data element and/or data element response option (Example: Donor Cellular Infusion data capture))
	New Functionality (New technical feature intended to reduce burden)
	Addition of Instructional text (Addition of instructional text that indicates an action)
Proposed Information Collection Data Element Update (if applicable)	Depicts the proposed information collection data element requested.
Proposed Information Collection Data Element Response Option Update (if applicable)	Depicts the proposed information collection data element response option.
Instructional Text Indicating an Action	Response options are "yes" or "no". Instructive text that indicates an action (Example: Request to submit documentation to CIBMTR). This is the only instructional text included within the information collection domains.
Rationale for Information Collection Update	The following options identify the rationale for the change:
	Capture data accurately
	Be consistent with current clinical landscape, improve transplant outcome data
	Typographical/grammatical errors corrected for clarification
	Reduce burden
	Reduce burden - information no longer needed
	Reduce burden - prevent / reduce data redundancy
	Reduce burden - allogeneic boost data capture
	Reduce burden - reduce data entry
	Reduce burden - reduce requirement for multiple sets of data

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Sheet 2: Pre-Transplant Information Coll

Item ID	Time Point	Information Collection Domain Sub-Type	Information Collection Domain Additional Sub Domain	Information Collection may be requested multiple times	Current Information Collection Data Element (if applicable)	Current Information Collection Data Element Response Option (if applicable)	Information Collection update	Proposed Information Collection Data Element Update (if applicable)	Proposed Information Collection Data Element Response Option Update (if applicable)	Instructional Text Indicating an Action	Rationale for Information Collection Update
PRE0001	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Key Fields	No	EBMT Code (CIC):	Auto-filled field	No Change	No Change	No Change	No
PRE0002	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Date of birth:	Open text	No Change	No Change	No Change	No
PRE0003	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Sex	Male	No Change	No Change	No Change	No
PRE0004	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Sex	Female	No Change	No Change	No Change	No
PRE0005	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Ethnicity	Hispanic or Latino	Change/Clarification of Information Requested	Geographic ancestry	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0006	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Ethnicity	Not Hispanic or Latino	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0007	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Ethnicity	Not applicable (not a resident of the USA)	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0008	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Ethnicity	Unknown	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0009	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race	White	Change/Clarification of Information Requested	Geographic ancestry	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0010	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race	Black or African American	Change/Clarification of Information Requested	Geographic ancestry	Black or African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0011	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race	Asian	Change/Clarification of Information Requested	Geographic ancestry	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0012	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race	American Indian or Alaska Native	Change/Clarification of Information Requested	Geographic ancestry	Indigenous American	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0013	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race	Native Hawaiian or Other Pacific Islander	Change/Clarification of Information Requested	Geographic ancestry	Pacific Islander	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0014	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race	Not reported	Change/Clarification of Information Requested	Geographic ancestry	Prefer not to answer	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0015	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race	Unknown	Change/Clarification of Information Requested	Geographic ancestry	Not otherwise specified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0016	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry	Jewish	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0017	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry	Middle Eastern or North African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0018	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Eastern European	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0019	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Mediterranean	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0020	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Middle Eastern	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0021	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	North Coast of Africa	Change/Clarification of Information Requested	Geographic ancestry detail	North African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0022	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	North American	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0023	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Northern European	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0024	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Western European	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0025	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	White Caribbean	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0026	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	White South or Central American	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0027	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Other White	Change/Clarification of Information Requested	Geographic ancestry detail	Not otherwise specified White	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0028	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	African	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0029	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	African American	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0030	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Black Caribbean	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0031	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Black South or Central American	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0032	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Other Black	Change/Clarification of Information Requested	Geographic ancestry detail	Not otherwise specified Black/African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0033	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Alaskan Native or Aleut	Change/Clarification of Information Requested	Geographic ancestry detail	Alaska Native	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0034	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	North American Indian	Change/Clarification of Information Requested	Geographic ancestry detail	Indigenous North American	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0035	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	American Indian, South or Central America	Change/Clarification of Information Requested	Geographic ancestry detail	Indigenous South/Central American	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0036	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Caribbean Indian	Change/Clarification of Information Requested	Geographic ancestry detail	Indigenous Caribbean	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0037	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	South Asian	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0038	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Filipino (Pilipino)	Change/Clarification of Information Requested	Geographic ancestry detail	Filipino	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0039	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Japanese	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0040	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Korean	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0041	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Chinese	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0042	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Vietnamese	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0043	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Other Southeast Asian	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0044	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Guamanian	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0045	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Hawaiian	Change/Clarification of Information Requested	Geographic ancestry detail	Native Hawaiian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0046	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Samoan	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0047	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Other Pacific Islander	Change/Clarification of Information Requested	Geographic ancestry detail	Not otherwise specified Pacific Islander	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0048	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail	Unknown	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0049	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Caribbean Indian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0050	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Indian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0051	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Malaysian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0052	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Mongolian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0053	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Pakistani	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0054	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Taiwanese	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0055	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Thai	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0056	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Other Indian Subcontinent	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0057	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Not otherwise specified Asian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0058	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	East African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0059	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	South African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0060	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	West African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0061	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Brazilian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0062	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Caribbean Hispanic	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0063	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Cuban	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0064	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Mexican	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0065	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Puerto Rican	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0066	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	South / Central American Hispanic	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0067	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Not otherwise specified Hispanic / Latino	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0068	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Indigenous Caribbean	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0069	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Not otherwise specified Indigenous American	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0070	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Ashkenazi	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0071	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Mizrahi	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0072	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Sephardi	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0073	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Not otherwise specified Jewish	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0074	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Arab Peninsula	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0075	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Central Asian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0076	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	East Mediterranean	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0077	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Not otherwise specified Middle Eastern / North African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0078	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Melanesian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0079	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Micronesian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0080	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Polynesian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0081	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Russian or Former Soviet Union	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0082	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Southern European	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0083	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Afghanistan	No Change	No Change	No Change	No
PRE0084	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Aland Islands	No Change	No Change	No Change	No
PRE0085	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Albania	No Change	No Change	No Change	No
PRE0086	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Algeria	No Change	No Change	No Change	No
PRE0087	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	American Samoa	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0088	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Andorra	No Change	No Change	No Change	No
PRE0089	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Angola	No Change	No Change	No Change	No
PRE0090	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Anguilla	No Change	No Change	No Change	No
PRE0091	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Antarctica	No Change	No Change	No Change	No
PRE0092	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Antigua and Barbuda	No Change	No Change	No Change	No
PRE0093	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Argentina	No Change	No Change	No Change	No
PRE0094	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Armenia	No Change	No Change	No Change	No
PRE0095	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Aruba	No Change	No Change	No Change	No
PRE0096	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Australia	No Change	No Change	No Change	No
PRE0097	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Austria	No Change	No Change	No Change	No
PRE0098	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Azerbaijan	No Change	No Change	No Change	No
PRE0099	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Bahamas	No Change	No Change	No Change	No
PRE0100	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Bahrain	No Change	No Change	No Change	No
PRE0101	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Bangladesh	No Change	No Change	No Change	No
PRE0102	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Barbados	No Change	No Change	No Change	No
PRE0103	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Belarus	No Change	No Change	No Change	No
PRE0104	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Belgium	No Change	No Change	No Change	No
PRE0105	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Belize	No Change	No Change	No Change	No
PRE0106	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Benin	No Change	No Change	No Change	No
PRE0107	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Bermuda	No Change	No Change	No Change	No
PRE0108	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Bhutan	No Change	No Change	No Change	No
PRE0109	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Bolivia	No Change	No Change	No Change	No
PRE0110	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Bonaire, Sint Eustatius and Saba	No Change	No Change	No Change	No
PRE0111	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Bosnia and Herzegovina	No Change	No Change	No Change	No
PRE0112	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Botswana	No Change	No Change	No Change	No
PRE0113	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Bouvet Island	No Change	No Change	No Change	No
PRE0114	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Brazil	No Change	No Change	No Change	No
PRE0115	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	British Indian Ocean Territory	No Change	No Change	No Change	No
PRE0116	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	British Virgin Islands	No Change	No Change	No Change	No
PRE0117	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Brunei Darussalam	No Change	No Change	No Change	No
PRE0118	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Bulgaria	No Change	No Change	No Change	No
PRE0119	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Burkina Faso	No Change	No Change	No Change	No
PRE0120	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Burundi	No Change	No Change	No Change	No
PRE0121	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Cambodia	No Change	No Change	No Change	No
PRE0122	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Cameroon	No Change	No Change	No Change	No
PRE0123	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Canada	No Change	No Change	No Change	No
PRE0124	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Cape Verde	No Change	No Change	No Change	No
PRE0125	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Cayman Islands	No Change	No Change	No Change	No
PRE0126	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Central African Republic	No Change	No Change	No Change	No
PRE0127	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Chad	No Change	No Change	No Change	No
PRE0128	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Chile	No Change	No Change	No Change	No
PRE0129	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	China	No Change	No Change	No Change	No
PRE0130	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Christmas Island	No Change	No Change	No Change	No
PRE0131	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Cocos (Keeling) Islands	No Change	No Change	No Change	No
PRE0132	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Colombia	No Change	No Change	No Change	No
PRE0133	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Comoros	No Change	No Change	No Change	No
PRE0134	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Congo, Democratic Republic of the	No Change	No Change	No Change	No
PRE0135	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Congo, Republic of the	No Change	No Change	No Change	No
PRE0136	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Cook Islands	No Change	No Change	No Change	No
PRE0137	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Costa Rica	No Change	No Change	No Change	No
PRE0138	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Cote d'Ivoire	No Change	No Change	No Change	No
PRE0139	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Croatia	No Change	No Change	No Change	No
PRE0140	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Cuba	No Change	No Change	No Change	No
PRE0141	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Curacao	No Change	No Change	No Change	No
PRE0142	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Cyprus	No Change	No Change	No Change	No
PRE0143	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Czech Republic	No Change	No Change	No Change	No
PRE0144	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Denmark	No Change	No Change	No Change	No
PRE0145	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Djibouti	No Change	No Change	No Change	No
PRE0146	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Dominica	No Change	No Change	No Change	No
PRE0147	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Dominican Republic	No Change	No Change	No Change	No
PRE0148	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Ecuador	No Change	No Change	No Change	No
PRE0149	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Egypt	No Change	No Change	No Change	No
PRE0150	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	El Salvador	No Change	No Change	No Change	No
PRE0151	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Equatorial Guinea	No Change	No Change	No Change	No
PRE0152	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Eritrea	No Change	No Change	No Change	No
PRE0153	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Estonia	No Change	No Change	No Change	No
PRE0154	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Ethiopia	No Change	No Change	No Change	No
PRE0155	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Falkland Islands	No Change	No Change	No Change	No
PRE0156	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Faroe Islands	No Change	No Change	No Change	No
PRE0157	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Fiji	No Change	No Change	No Change	No
PRE0158	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Finland	No Change	No Change	No Change	No
PRE0159	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	France	No Change	No Change	No Change	No
PRE0160	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	French Guiana	No Change	No Change	No Change	No
PRE0161	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	French Polynesia	No Change	No Change	No Change	No
PRE0162	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	French Southern Territories	No Change	No Change	No Change	No
PRE0163	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Gabon	No Change	No Change	No Change	No
PRE0164	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Gambia	No Change	No Change	No Change	No
PRE0165	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Georgia	No Change	No Change	No Change	No
PRE0166	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Germany	No Change	No Change	No Change	No
PRE0167	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Ghana	No Change	No Change	No Change	No
PRE0168	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Gibraltar	No Change	No Change	No Change	No
PRE0169	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Greece	No Change	No Change	No Change	No
PRE0170	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Greenland	No Change	No Change	No Change	No
PRE0171	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Grenada	No Change	No Change	No Change	No
PRE0172	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Guadeloupe	No Change	No Change	No Change	No
PRE0173	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Guam	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0174	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Guatemala	No Change	No Change	No Change	No
PRE0175	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Guernsey	No Change	No Change	No Change	No
PRE0176	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Guinea	No Change	No Change	No Change	No
PRE0177	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Guinea-Bissau	No Change	No Change	No Change	No
PRE0178	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Guyana	No Change	No Change	No Change	No
PRE0179	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Haiti	No Change	No Change	No Change	No
PRE0180	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Heard Island and McDonald Islands	No Change	No Change	No Change	No
PRE0181	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Holy See	No Change	No Change	No Change	No
PRE0182	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Honduras	No Change	No Change	No Change	No
PRE0183	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Hong Kong	No Change	No Change	No Change	No
PRE0184	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Hungary	No Change	No Change	No Change	No
PRE0185	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Iceland	No Change	No Change	No Change	No
PRE0186	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	India	No Change	No Change	No Change	No
PRE0187	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Indonesia	No Change	No Change	No Change	No
PRE0188	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Iran	No Change	No Change	No Change	No
PRE0189	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Iraq	No Change	No Change	No Change	No
PRE0190	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Ireland	No Change	No Change	No Change	No
PRE0191	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Isle of Man	No Change	No Change	No Change	No
PRE0192	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Israel	No Change	No Change	No Change	No
PRE0193	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Italy	No Change	No Change	No Change	No
PRE0194	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Jamaica	No Change	No Change	No Change	No
PRE0195	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Japan	No Change	No Change	No Change	No
PRE0196	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Jersey	No Change	No Change	No Change	No
PRE0197	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Jordan	No Change	No Change	No Change	No
PRE0198	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Kazakhstan	No Change	No Change	No Change	No
PRE0199	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Kenya	No Change	No Change	No Change	No
PRE0200	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Kiribati	No Change	No Change	No Change	No
PRE0201	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Kuwait	No Change	No Change	No Change	No
PRE0202	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Kyrgyzstan	No Change	No Change	No Change	No
PRE0203	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Laos	No Change	No Change	No Change	No
PRE0204	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Latvia	No Change	No Change	No Change	No
PRE0205	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Lebanon	No Change	No Change	No Change	No
PRE0206	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Lesotho	No Change	No Change	No Change	No
PRE0207	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Liberia	No Change	No Change	No Change	No
PRE0208	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Libya	No Change	No Change	No Change	No
PRE0209	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Liechtenstein	No Change	No Change	No Change	No
PRE0210	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Lithuania	No Change	No Change	No Change	No
PRE0211	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Luxembourg	No Change	No Change	No Change	No
PRE0212	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Macau	No Change	No Change	No Change	No
PRE0213	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Macedonia	No Change	No Change	No Change	No
PRE0214	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Madagascar	No Change	No Change	No Change	No
PRE0215	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Malawi	No Change	No Change	No Change	No
PRE0216	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Malaysia	No Change	No Change	No Change	No
PRE0217	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Maldives	No Change	No Change	No Change	No
PRE0218	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Mali	No Change	No Change	No Change	No
PRE0219	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Malta	No Change	No Change	No Change	No
PRE0220	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Marshall Islands	No Change	No Change	No Change	No
PRE0221	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Martinique	No Change	No Change	No Change	No
PRE0222	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Mauritania	No Change	No Change	No Change	No
PRE0223	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Mauritius	No Change	No Change	No Change	No
PRE0224	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Mayotte	No Change	No Change	No Change	No
PRE0225	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Mexico	No Change	No Change	No Change	No
PRE0226	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Micronesia	No Change	No Change	No Change	No
PRE0227	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Moldova	No Change	No Change	No Change	No
PRE0228	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Monaco	No Change	No Change	No Change	No
PRE0229	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Mongolia	No Change	No Change	No Change	No
PRE0230	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Montenegro	No Change	No Change	No Change	No
PRE0231	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Montserrat	No Change	No Change	No Change	No
PRE0232	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Morocco	No Change	No Change	No Change	No
PRE0233	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Mozambique	No Change	No Change	No Change	No
PRE0234	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Myanmar	No Change	No Change	No Change	No
PRE0235	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Namibia	No Change	No Change	No Change	No
PRE0236	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Nauru	No Change	No Change	No Change	No
PRE0237	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Nepal	No Change	No Change	No Change	No
PRE0238	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Netherlands	No Change	No Change	No Change	No
PRE0239	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Netherlands Antilles	No Change	No Change	No Change	No
PRE0240	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	New Caledonia	No Change	No Change	No Change	No
PRE0241	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	New Zealand	No Change	No Change	No Change	No
PRE0242	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Nicaragua	No Change	No Change	No Change	No
PRE0243	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Niger	No Change	No Change	No Change	No
PRE0244	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Nigeria	No Change	No Change	No Change	No
PRE0245	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Niue	No Change	No Change	No Change	No
PRE0246	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Norfolk Island	No Change	No Change	No Change	No
PRE0247	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	North Korea	No Change	No Change	No Change	No
PRE0248	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Northern Mariana Islands	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0249	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Norway	No Change	No Change	No Change	No
PRE0250	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Oman	No Change	No Change	No Change	No
PRE0251	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Pakistan	No Change	No Change	No Change	No
PRE0252	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Palau	No Change	No Change	No Change	No
PRE0253	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Palestine, State of	No Change	No Change	No Change	No
PRE0254	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Panama	No Change	No Change	No Change	No
PRE0255	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Papua New Guinea	No Change	No Change	No Change	No
PRE0256	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Paraguay	No Change	No Change	No Change	No
PRE0257	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Peru	No Change	No Change	No Change	No
PRE0258	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Philippines	No Change	No Change	No Change	No
PRE0259	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Pitcairn Islands	No Change	No Change	No Change	No
PRE0260	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Poland	No Change	No Change	No Change	No
PRE0261	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Portugal	No Change	No Change	No Change	No
PRE0262	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Puerto Rico	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0263	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Qatar	No Change	No Change	No Change	No
PRE0264	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Reunion	No Change	No Change	No Change	No
PRE0265	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Romania	No Change	No Change	No Change	No
PRE0266	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Russia	No Change	No Change	No Change	No
PRE0267	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Rwanda	No Change	No Change	No Change	No
PRE0268	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Saint Barthelemy	No Change	No Change	No Change	No
PRE0269	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Saint Helena	No Change	No Change	No Change	No
PRE0270	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Saint Kitts and Nevis	No Change	No Change	No Change	No
PRE0271	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Saint Lucia	No Change	No Change	No Change	No
PRE0272	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Saint Martin, French	No Change	No Change	No Change	No
PRE0273	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Saint Pierre and Miquelon	No Change	No Change	No Change	No
PRE0274	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Saint Vincent and the Grenadines	No Change	No Change	No Change	No
PRE0275	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Samoa	No Change	No Change	No Change	No
PRE0276	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	San Marino	No Change	No Change	No Change	No
PRE0277	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Sao Tome and Principe	No Change	No Change	No Change	No
PRE0278	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Saudi Arabia	No Change	No Change	No Change	No
PRE0279	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Senegal	No Change	No Change	No Change	No
PRE0280	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Serbia	No Change	No Change	No Change	No
PRE0281	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Seychelles	No Change	No Change	No Change	No
PRE0282	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Sierra Leone	No Change	No Change	No Change	No
PRE0283	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Singapore	No Change	No Change	No Change	No
PRE0284	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Sint Maarten, Dutch	No Change	No Change	No Change	No
PRE0285	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Slovak Republic	No Change	No Change	No Change	No
PRE0286	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Slovenia	No Change	No Change	No Change	No
PRE0287	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Solomon Islands	No Change	No Change	No Change	No
PRE0288	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Somalia	No Change	No Change	No Change	No
PRE0289	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	South Africa	No Change	No Change	No Change	No
PRE0290	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	South Georgia and the South Sandwich Islands	No Change	No Change	No Change	No
PRE0291	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	South Korea	No Change	No Change	No Change	No
PRE0292	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	South Sudan	No Change	No Change	No Change	No
PRE0293	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Spain	No Change	No Change	No Change	No
PRE0294	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Sri Lanka	No Change	No Change	No Change	No
PRE0295	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Sudan	No Change	No Change	No Change	No
PRE0296	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Suriname	No Change	No Change	No Change	No
PRE0297	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Svalbard and Jan Mayen	No Change	No Change	No Change	No
PRE0298	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Swaziland	No Change	No Change	No Change	No
PRE0299	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Sweden	No Change	No Change	No Change	No
PRE0300	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Switzerland	No Change	No Change	No Change	No
PRE0301	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Syria	No Change	No Change	No Change	No
PRE0302	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Taiwan	No Change	No Change	No Change	No
PRE0303	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Tajikistan	No Change	No Change	No Change	No
PRE0304	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Tanzania	No Change	No Change	No Change	No
PRE0305	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Thailand	No Change	No Change	No Change	No
PRE0306	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Timor-Leste	No Change	No Change	No Change	No
PRE0307	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Togo	No Change	No Change	No Change	No
PRE0308	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Tokelau	No Change	No Change	No Change	No
PRE0309	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Tonga	No Change	No Change	No Change	No
PRE0310	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Trinidad and Tobago	No Change	No Change	No Change	No
PRE0311	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Tunisia	No Change	No Change	No Change	No
PRE0312	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Turkey	No Change	No Change	No Change	No
PRE0313	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Turkmenistan	No Change	No Change	No Change	No
PRE0314	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Turks and Caicos Islands	No Change	No Change	No Change	No
PRE0315	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Tuvalu	No Change	No Change	No Change	No
PRE0316	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Uganda	No Change	No Change	No Change	No
PRE0317	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Ukraine	No Change	No Change	No Change	No
PRE0318	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	United Arab Emirates	No Change	No Change	No Change	No
PRE0319	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	United Kingdom (England, Wales, Scotland, Northern Ireland)	No Change	No Change	No Change	No
PRE0320	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	United States	No Change	No Change	No Change	No
PRE0321	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	United States Minor Outlying Islands	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0322	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	United States Virgin Islands	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0323	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Uruguay	No Change	No Change	No Change	No
PRE0324	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Uzbekistan	No Change	No Change	No Change	No
PRE0325	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Vanuatu	No Change	No Change	No Change	No
PRE0326	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Venezuela	No Change	No Change	No Change	No
PRE0327	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Vietnam	No Change	No Change	No Change	No
PRE0328	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Wallis and Futuna Islands	No Change	No Change	No Change	No
PRE0329	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Western Sahara	No Change	No Change	No Change	No
PRE0330	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Yemen	No Change	No Change	No Change	No
PRE0331	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Zambia	No Change	No Change	No Change	No
PRE0332	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Country of primary residence	Zimbabwe	No Change	No Change	No Change	No
PRE0333	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Acre	No Change	No Change	No Change	No
PRE0334	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Alagoas	No Change	No Change	No Change	No
PRE0335	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Amapá	No Change	No Change	No Change	No
PRE0336	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Amazonas	No Change	No Change	No Change	No
PRE0337	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Bahia	No Change	No Change	No Change	No
PRE0338	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Ceará	No Change	No Change	No Change	No
PRE0339	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Distrito Federal	No Change	No Change	No Change	No
PRE0340	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Espírito Santo	No Change	No Change	No Change	No
PRE0341	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Goiás	No Change	No Change	No Change	No
PRE0342	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Maranhão	No Change	No Change	No Change	No
PRE0343	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Mato Grosso	No Change	No Change	No Change	No
PRE0344	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Mato Grosso do Sul	No Change	No Change	No Change	No
PRE0345	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Minas Gerais	No Change	No Change	No Change	No
PRE0346	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Pará	No Change	No Change	No Change	No
PRE0347	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Paraiba	No Change	No Change	No Change	No
PRE0348	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Paraná	No Change	No Change	No Change	No
PRE0349	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Pernambuco	No Change	No Change	No Change	No
PRE0350	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Piaui	No Change	No Change	No Change	No
PRE0351	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Rio de Janeiro	No Change	No Change	No Change	No
PRE0352	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Rio Grande do Norte	No Change	No Change	No Change	No
PRE0353	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Rio Grande do Sul	No Change	No Change	No Change	No
PRE0354	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Rondônia	No Change	No Change	No Change	No
PRE0355	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Roraima	No Change	No Change	No Change	No
PRE0356	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Santa Catarina	No Change	No Change	No Change	No
PRE0357	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	São Paulo	No Change	No Change	No Change	No
PRE0358	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Sergipe	No Change	No Change	No Change	No
PRE0359	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Tocantins	No Change	No Change	No Change	No
PRE0360	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	Alberta	No Change	No Change	No Change	No
PRE0361	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	British Columbia	No Change	No Change	No Change	No
PRE0362	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	Manitoba	No Change	No Change	No Change	No
PRE0363	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	New Brunswick	No Change	No Change	No Change	No
PRE0364	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	Newfoundland and Labrador	No Change	No Change	No Change	No
PRE0365	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	Nova Scotia	No Change	No Change	No Change	No
PRE0366	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	Ontario	No Change	No Change	No Change	No
PRE0367	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	Prince Edward Island	No Change	No Change	No Change	No
PRE0368	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	Quebec	No Change	No Change	No Change	No
PRE0369	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	Saskatchewan	No Change	No Change	No Change	No
PRE0370	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	Northwest Territories	No Change	No Change	No Change	No
PRE0371	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	Nunavut	No Change	No Change	No Change	No
PRE0372	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Province or territory of residence of recipient	Yukon	No Change	No Change	No Change	No
PRE0373	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Alabama	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0374	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Alaska	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0375	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Arizona	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0376	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Arkansas	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0377	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	California	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0378	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Colorado	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0379	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Connecticut	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0380	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Delaware	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0381	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	District of Columbia	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0382	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Florida	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0383	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Georgia	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0384	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Hawaii	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0385	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Idaho	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0386	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Illinois	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0387	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Indiana	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0388	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Iowa	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0389	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Kansas	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0390	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Kentucky	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0391	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Louisiana	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0392	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Maine	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0393	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Maryland	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0394	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Massachusetts	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0395	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Michigan	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0396	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Minnesota	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0397	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Mississippi	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0398	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Missouri	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0399	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Montana	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0400	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Nebraska	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0401	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Nevada	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0402	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	New Hampshire	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0403	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	New Jersey	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0404	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	New Mexico	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0405	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	New York	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0406	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	North Carolina	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0407	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	North Dakota	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0408	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Ohio	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0409	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Oklahoma	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0410	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Oregon	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0411	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Pennsylvania	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0412	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Rhode Island	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0413	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	South Carolina	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0414	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	South Dakota	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0415	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Tennessee	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0416	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Texas	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0417	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Utah	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0418	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Vermont	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0419	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Virginia	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0420	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Washington	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0421	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	West Virginia	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0422	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Wisconsin	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0423	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	State of residence of recipient	Wyoming	Change/Clarification of Information Requested	State / territory of residence of recipient	No Change	No	Capture data accurately
PRE0424	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Is the recipient stationed on an overseas US military base?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0425	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Is the recipient stationed on an overseas US military base?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0426	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	NMDP recipient ID (RID):	Open text	No Change	No Change	No Change	No
PRE0427	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Zip or postal code for place of reicpient's residence	Open text	No Change	No Change	No Change	No
PRE0428	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Does the recipient require interpreter services?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0429	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Does the recipient require interpreter services?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0430	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Does the recipient require interpreter services?	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0431	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Is the recipient an emancipated minor?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0432	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Is the recipient an emancipated minor?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0433	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify the recipient's current relationship status	Single, never married	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0434	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify the recipient's current relationship status	Married or living with a partner	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0435	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify the recipient's current relationship status	Separated / Divorced	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0436	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify the recipient's current relationship status	Widowed	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0437	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	What is the highest degree or level of school that the recipient has completed?	Under school age or no schooling	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0438	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	What is the highest degree or level of school that the recipient has completed?	Up to 8th grade	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0439	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	What is the highest degree or level of school that the recipient has completed?	9th to 12th grade, no diploma	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0440	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	What is the highest degree or level of school that the recipient has completed?	High school diploma or equivalent (GED)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0441	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	What is the highest degree or level of school that the recipient has completed?	Some college, no degree	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0442	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	What is the highest degree or level of school that the recipient has completed?	Vocational or associate degree	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0443	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	What is the highest degree or level of school that the recipient has completed?	College degree (B.A. / B.S.)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0444	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	What is the highest degree or level of school that the recipient has completed?	Advanced degree (e.g. Master's or Doctorate program)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0445	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	What is the highest degree or level of school that the recipient has completed?	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0446	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Is the recipient covered by health insurance?	yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0447	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Is the recipient covered by health insurance?	no	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0448	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	Private health insurance	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0449	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	National Health Insurance	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0450	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	Medicare	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0451	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	Medigap	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0452	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	Medicaid	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0453	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	Children's Health Insurance Program	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0454	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	Military-related health care	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0455	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	Indian Health Service	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0456	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	State-sponsored health plan	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0457	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	Disability insurance	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0458	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	Other government program	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0459	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify type of health insurance	Other health insurance coverage	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0460	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify private insurance type	Private insurance through a current or former employer or union (of this person or another family member)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0461	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify private insurance type	Private insurance purchased directly from an insurance company (by this person or another family member)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0462	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify private insurance type	Private insurance, type unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0463	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify Medicare type	Original or Traditional Medicare	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0464	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify Medicare type	Medicare Advantage	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0465	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify Medicare type	Medicare, not otherwise specified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0466	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify other government program:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0467	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No			Addition of Information Requested	Specify other health insurance:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0468	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Is the recipient participating in a clinical trial?	Yes	No Change	No Change	No Change	No
PRE0469	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	No	Is the recipient participating in a clinical trial?	No	No Change	No Change	No Change	No
PRE0470	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor		Change/Clarification of Information Requested and Addition of Response Option	Sponsor	ANZCTR	No	Capture data accurately
PRE0471	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor	BMT CTN	Change/Clarification of Information Requested	Sponsor	No Change	No	Capture data accurately
PRE0472	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor	CIBMTR CRO Services	Change/Clarification of Information Requested	Sponsor	No Change	No	Capture data accurately
PRE0473	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor	COG	Change/Clarification of Information Requested	Sponsor	No Change	No	Capture data accurately
PRE0474	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor		Change/Clarification of Information Requested and Addition of Response Option	Sponsor	ECOG	No	Capture data accurately
PRE0475	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor	PIDTC	Change/Clarification of Information Requested	Sponsor	No Change	No	Capture data accurately
PRE0476	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor		Change/Clarification of Information Requested and Addition of Response Option	Sponsor	PTCTC	No	Capture data accurately
PRE0477	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor		Change/Clarification of Information Requested and Addition of Response Option	Sponsor	SWOG	No	Capture data accurately
PRE0478	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor	USIDNET	Change/Clarification of Information Requested	Sponsor	No Change	No	Capture data accurately
PRE0479	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor		Change/Clarification of Information Requested and Addition of Response Option	Sponsor	Corporate / Industry	No	Capture data accurately
PRE0480	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor		Change/Clarification of Information Requested and Addition of Response Option	Sponsor	Investigator initiated	No	Capture data accurately
PRE0481	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor	PedAL	Change/Clarification of Information Requested and Deletion of Response Option	Sponsor		No	Capture data accurately
PRE0482	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study Sponsor	Other sponsor	Change/Clarification of Information Requested	Sponsor	No Change	No	Capture data accurately
PRE0483	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes			Addition of Information Requested	Specify ACTRN number:	Open text	No	Capture data accurately
PRE0484	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes			Addition of Information Requested	Specify corporate / industry sponsor name:	Open text	No	Capture data accurately
PRE0485	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Specify other sponsor:	Open text	No Change	No Change	No Change	No
PRE0486	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Study ID Number	Dropdown with a frequently updated list of active studies – changes in response options do not affect burden	Change/Clarification of Information Requested	Protocol ID	No Change	No	Capture data accurately
PRE0487	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Subject ID:	Open text	No Change	No Change	No Change	No
PRE0488	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Recipient Information	Yes	Specify the ClinicalTrials.gov identification number:	Open text	No Change	No Change	No Change	No
PRE0489	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	No	Multiple donors?	yes	No Change	No Change	No Change	No
PRE0490	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	No	Multiple donors?	no	No Change	No Change	No Change	No
PRE0491	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	No	Specify number of donors:	Open text	No Change	No Change	No Change	No
PRE0492	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify donor	Autologous	No Change	No Change	No Change	No
PRE0493	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify donor	Allogeneic, related donor	No Change	No Change	No Change	No
PRE0494	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify donor	Allogeneic, unrelated donor	No Change	No Change	No Change	No
PRE0495	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify product type	Bone marrow	No Change	No Change	No Change	No
PRE0496	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify product type	PBSC	No Change	No Change	No Change	No
PRE0497	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify product type	Single cord blood unit	No Change	No Change	No Change	No
PRE0498	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify product type	Other product	No Change	No Change	No Change	No
PRE0499	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify other product:	Open text	No Change	No Change	No Change	No
PRE0500	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Is the product genetically modified?	Yes	No Change	No Change	No Change	No
PRE0501	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Is the product genetically modified?	No	No Change	No Change	No Change	No
PRE0502	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the related donor type	Syngeneic (monozygotic twin)	No Change	No Change	No Change	No
PRE0503	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the related donor type	HLA-identical sibling (may include non-monozygotic twin)	No Change	No Change	No Change	No
PRE0504	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the related donor type	HLA-matched other relative (does NOT include a haplo-identical donor)	No Change	No Change	No Change	No
PRE0505	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the related donor type	HLA-mismatched relative	Change/Clarification of Information Requested	No Change	HLA-mismatched relative (includes haplo-identical donor)	No	Capture data accurately
PRE0506	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Mother	No Change	No Change	No Change	No
PRE0507	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Father	No Change	No Change	No Change	No
PRE0508	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Child	No Change	No Change	No Change	No
PRE0509	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Sibling	No Change	No Change	No Change	No
PRE0510	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Fraternal twin	No Change	No Change	No Change	No
PRE0511	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Maternal aunt	Change/Clarification of Information Requested	No Change	Aunt	No	Capture data accurately
PRE0512	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Maternal uncle	Change/Clarification of Information Requested	No Change	Uncle	No	Capture data accurately
PRE0513	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Maternal cousin	Change/Clarification of Information Requested	No Change	Cousin	No	Capture data accurately
PRE0514	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Paternal aunt	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0515	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Paternal uncle	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0516	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Paternal cousin	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0517	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Grandparent	No Change	No Change	No Change	No
PRE0518	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Grandchild	No Change	No Change	No Change	No
PRE0519	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the biological relationship of the donor to the recipient	Other biological relative	No Change	No Change	No Change	No
PRE0520	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify other biological relative:	Open text	No Change	No Change	No Change	No
PRE0521	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Degree of mismatch	HLA-mismatched 1 allele	No Change	No Change	No Change	No
PRE0522	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Degree of mismatch	HLA-mismatched ≥2 HLA alleles	No Change	No Change	No Change	No
PRE0523	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify unrelated donor type	HLA matched unrelated	No Change	No Change	No Change	No
PRE0524	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify unrelated donor type	HLA mismatched unrelated	No Change	No Change	No Change	No
PRE0525	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Did NMDP / Be the Match facilitate the procurement, collection, or transportation of the product?	Yes	Change/Clarification of Information Requested	Did NMDP facilitate the procurement, collection, or transportation of the product?	No Change	No	Capture data accurately
PRE0526	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Did NMDP / Be the Match facilitate the procurement, collection, or transportation of the product?	No	Change/Clarification of Information Requested	Did NMDP facilitate the procurement, collection, or transportation of the product?	No Change	No	Capture data accurately
PRE0527	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Was this donor used for any prior HCTs?	yes	No Change	No Change	No Change	No
PRE0528	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Was this donor used for any prior HCTs?	no	No Change	No Change	No Change	No
PRE0529	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Global Registration Identifier for Donors (GRID)	Open text	No Change	No Change	No Change	No
PRE0530	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	NMDP cord blood unit ID:	Open text	No Change	No Change	No Change	No
PRE0531	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry donor ID:	Open text	No Change	No Change	No Change	No
PRE0532	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Non-NMDP cord blood unit ID:	Open text	No Change	No Change	No Change	No
PRE0533	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Is the CBU ID also the ISBT DIN number?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0534	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Is the CBU ID also the ISBT DIN number?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0535	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Is the CBU ID also the ISBT DIN number?	Unknown	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0536	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the ISBT DIN number:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0537	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(A) Austrian Bone Marrow Donors	New Structure and Change/Clarification of Information Requested	No Change	[AT](2614)Austrian Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0538	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(ACB) Austrian Cord Blood Registry	New Structure and Change/Clarification of Information Requested	No Change	[AT](2614)Austrian Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0539	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(ACCB) StemCyte, Inc	New Structure and Change/Clarification of Information Requested	No Change	[US](8379)StemCyte Inc. United States	No	Reduce burden - reduce data entry
PRE0540	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(AE) Emirates Bone Marrow Donor Registry	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0541	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(AM) Armenian Bone Marrow Donor Registry Charitable Trust	New Structure and Change/Clarification of Information Requested	No Change	[AM](5019)Armenian Bone Marrow Donor Registry Charitable Trust	No	Reduce burden - reduce data entry
PRE0542	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(AOCB) University of Colorado Cord Blood Bank	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0543	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(AR) Argentine CPH Donors Registry	New Structure and Change/Clarification of Information Requested	No Change	[AR](5117)Argentine HSC Donors Registry - INCUCAI	No	Reduce burden - reduce data entry
PRE0544	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(ARCB) BANCEL - Argentina Cord Blood Bank	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0545	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(AUCB) Australian Cord Blood Registry	New Structure and Change/Clarification of Information Requested	No Change	[AU](7748)Australian Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0546	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(AUS) Australian / New Zealand Bone Marrow Donor Registry	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0547	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(B) Marrow Donor Program Belgium	New Structure and Change/Clarification of Information Requested	No Change	[BE](4201)Marrow Donor Program Registry Belgium	No	Reduce burden - reduce data entry
PRE0548	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(BCB) Belgium Cord Blood Registry	New Structure and Change/Clarification of Information Requested	No Change	[BE](4201)Marrow Donor Program Registry Belgium	No	Reduce burden - reduce data entry
PRE0549	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(BG) Bulgarian Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[BG](7197)Bulgarian Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0550	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(BR) INCA/REDOMO	New Structure and Change/Clarification of Information Requested	No Change	[BR](8766)REDOME - Registro Nacional de Doadores Voluntarios de Medula Ossea	No	Reduce burden - reduce data entry
PRE0551	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(BSCB) British Bone Marrow Registry - Cord Blood	New Structure and Change/Clarification of Information Requested	No Change	[GB](2731)NHS Blood and Transplant - BBMR	No	Reduce burden - reduce data entry
PRE0552	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(CB) Cord Blood Registry	New Structure and Change/Clarification of Information Requested	No Change	[US]Cord Blood Registry	No	Reduce burden - reduce data entry
PRE0553	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(CH) Swiss BloodStem Cells - Adult Donors	New Structure and Change/Clarification of Information Requested	No Change	[CH](9341)Blutspende SRK Schweiz AG	No	Reduce burden - reduce data entry
PRE0554	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(CHCB) Swiss Blood Stem Cells - Cord Blood	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0555	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(CKCB) Celgene Cord Blood Bank	New Structure and Change/Clarification of Information Requested	No Change	[US](7470)Celularity, Inc.	No	Reduce burden - reduce data entry
PRE0556	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(CN) China Marrow Donor Program (CMDP)	New Structure and Change/Clarification of Information Requested	No Change	[CN](2197)China Marrow Donor Program	No	Reduce burden - reduce data entry
PRE0557	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(CNCB) Shan Dong Cord Blood Bank	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0558	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(CND) Canadian Blood Services Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[CA](5103)Canadian Blood Services Stem Cell Registry	No	Reduce burden - reduce data entry
PRE0559	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(CS2) Czech National Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[CZ](5440)Czech National Marrow Donor Registry Plzeň	No	Reduce burden - reduce data entry
PRE0560	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(CSCR) Czech Stem Cells Registry	New Structure and Change/Clarification of Information Requested	No Change	[CZ](4753)Czech Stem Cells Registry Prague (CSCR)	No	Reduce burden - reduce data entry
PRE0561	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(CY) Cyprus Paraskevaidio Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[CY](4278)Cyprus Paraskevaidio Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0562	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(CY2) The Cyprus Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[CY](9751)Cyprus Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0563	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(D) ZKRD - Zentrales Knochenmarkspender - Register Deutschland Adult Donors	New Structure and Change/Clarification of Information Requested	No Change	[DE](6939)ZKRD - Zentrales Knochenmarkspender-Register Deutschland	No	Reduce burden - reduce data entry
PRE0564	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(DCB) ZKRD - Zentrales Knochenmarkspender - Register Deutschland Cord Blood	New Structure and Change/Clarification of Information Requested	No Change	[DE](6939)ZKRD - Zentrales Knochenmarkspender-Register Deutschland	No	Reduce burden - reduce data entry
PRE0565	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(DK) The Danish Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[DK](2015)Danish Stem Cell Donors - West	No	Reduce burden - reduce data entry
PRE0566	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(DK2) Bone Marrow Donors Copenhagen (BMDC)	New Structure and Change/Clarification of Information Requested	No Change	[DK](7484)Danish Stem Cell Donors - East (DSDE)	No	Reduce burden - reduce data entry
PRE0567	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(DUCB) German Branch of the European Cord Blood Bank	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0568	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(E) REDMO	New Structure and Change/Clarification of Information Requested	No Change	[ES](7813)Registro de Donantes de Médula Ósea (REDMO)	No	Reduce burden - reduce data entry
PRE0569	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(ECB) Spanish Cord Blood Registry	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0570	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(F) France Greffe de Moelle - Adult Donors	New Structure and Change/Clarification of Information Requested	No Change	[FR](1804)France Greffe de Moelle Registry - FGM	No	Reduce burden - reduce data entry
PRE0571	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(FCB) France Greffe de Moelle - Cord Blood	New Structure and Change/Clarification of Information Requested	No Change	[FR](1804)France Greffe de Moelle Registry - FGM	No	Reduce burden - reduce data entry
PRE0572	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(FI) Finnish Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[FI](9738)Finnish Stem Cell Registry	No	Reduce burden - reduce data entry
PRE0573	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(FICB) Finnish Cord Blood Registry	New Structure and Change/Clarification of Information Requested	No Change	[FI](9738)Finnish Stem Cell Registry	No	Reduce burden - reduce data entry
PRE0574	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(GB) The Anthony Nolan Trust	New Structure and Change/Clarification of Information Requested	No Change	[GB](6354)Anthony Nolan	No	Reduce burden - reduce data entry
PRE0575	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(GB3) Welsh Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[GB](1726)Welsh Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0576	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(GB4) British Bone Marrow Registry	New Structure and Change/Clarification of Information Requested	No Change	[GB](2731)NHS Blood and Transplant - BBMR	No	Reduce burden - reduce data entry
PRE0577	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(GR) Unrelated Hematopoietic Stem Cell Donor Registry Greece	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0578	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(GRCB) Michigan Community Blood Centers Cord Blood Bank	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0579	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(H) Hungarian Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[HU](1695)Hungarian Stem Cell Donor Registry	No	Reduce burden - reduce data entry
PRE0580	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(HEM) Hema-Quebec	New Structure and Change/Clarification of Information Requested	No Change	[CA](6912)Hema-Quebec Stem Cell Donor Registry	No	Reduce burden - reduce data entry
PRE0581	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(HK) Hong Kong Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[CN](4070)Hong Kong Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0582	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(HR) Croatian Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[HR](5712)Croatian Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0583	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(I) Italian Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[IT](7450)Italian Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0584	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(I3CB) Sheba Medical Centre Cord Blood Registry	New Structure and Change/Clarification of Information Requested	No Change	[IL](4068)Chaim Sheba Medical Center	No	Reduce burden - reduce data entry
PRE0585	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(ICB) Italian Cord Blood Bank Network	New Structure and Change/Clarification of Information Requested	No Change	[IT](7450)Italian Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0586	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(IL) Hadassah BMDR	New Structure and Change/Clarification of Information Requested	No Change	[IL](5239)Bone Marrow and Cord Blood Bank Registry Hadassah University Hospital	No	Reduce burden - reduce data entry
PRE0587	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(IL2) Ezer Mizion Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[IL](4987)Ezer Mizion Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0588	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(IL3) Sheba Medical Center Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[IL](4068)Chaim Sheba Medical Center	No	Reduce burden - reduce data entry
PRE0589	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(ILCB) Isreal Cord Blood Bank	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0590	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(IN) Asian Indian Donor Marrow Registry	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0591	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(IN2) Dept. of Transfusion Medicine	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0592	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(IRL) The Irish Unrelated Bone Marrow Panel	New Structure and Change/Clarification of Information Requested	No Change	[IE](5590)Irish Unrelated Bone Marrow Registry	No	Reduce burden - reduce data entry
PRE0593	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(JP) Japan Marrow Donor Program	New Structure and Change/Clarification of Information Requested	No Change	[JP](4364)JMDP - Japan Marrow Donor Program	No	Reduce burden - reduce data entry
PRE0594	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(KR) Korea Marrow Donor Program	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0595	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(LT) Lithuanian National Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[LT](2073)Lithuanian National Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0596	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(LVCB) Leuven Cord Blood Bank	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0597	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(MACB) Victoria Angel Registry of Hope	New Structure and Change/Clarification of Information Requested	No Change	[CA](3066)Victoria Angel Registry of Hope	No	Reduce burden - reduce data entry
PRE0598	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(MX) Mexican Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[MX](1671)Mexican BMDR - DONORMO	No	Reduce burden - reduce data entry
PRE0599	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(N) The Norwegian Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[NO](7214)Norwegian Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0600	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(NL) Europdonor Foundation- Adult Donors	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0601	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(NLCB) Europdonor Foundation - Cord Blood	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0602	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(NYCB) National Cord Blood Program, New York Blood Center	New Structure and Change/Clarification of Information Requested	No Change	[US](8691)National Cord Blood Program New York Blood Center	No	Reduce burden - reduce data entry
PRE0603	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(P) Portuguese Bone Marrow Donors Registry	New Structure and Change/Clarification of Information Requested	No Change	[PT](7358)CEDACE/Portuguese BMD Registry	No	Reduce burden - reduce data entry
PRE0604	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(PL) National Polish Bone Marrow Registry	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0605	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(PL2) Unrelated Bone Marrow Donor Registry -Adult Donors	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0606	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(PL3) Against Leukemia Foundation Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[PL](3918)Against Leukemia Foundation (ALF) Warsaw	No	Reduce burden - reduce data entry
PRE0607	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(PL4) Ursula Jaworska Foundation - Bone Marrow Donor Registry	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0608	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(PL5) Polish Central Bone Marrow Donor Registry - Adult Donors	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0609	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(PMCB) Elie Katz Umbilical Cord Blood Program	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0610	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(R) Russian Bone Marrow Donor Registry	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0611	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(R2) Karelian Registry of Unrelated Donors of Hematopoietic Stem Cells	New Structure and Change/Clarification of Information Requested	No Change	[RU](8256)Karelian Registry of Hematopoietic Stem Cells	No	Reduce burden - reduce data entry
PRE0612	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(S) Tobias Registry of Swedish Bone Marrow Donors	New Structure and Change/Clarification of Information Requested	No Change	[SE](5285)Tobias Registry	No	Reduce burden - reduce data entry
PRE0613	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(SG) Singapore Bone Marrow Donor Programme (BMDP)	New Structure and Change/Clarification of Information Requested	No Change	[SG](3785)Singapore BMDP	No	Reduce burden - reduce data entry
PRE0614	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(SK) Slovak National Bone Marrow Donor Registry	New Structure and Change/Clarification of Information Requested	No Change	[SK](1005)Slovak National BMD Registry	No	Reduce burden - reduce data entry
PRE0615	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(SKCB) Eurocord Slovakia / Slovak Pacental Stem Cell Registry	New Structure and Change/Clarification of Information Requested	No Change	[SK](4398)Slovenský register placentárnych krvotvorných buniek- Eurocord-Slovakia (SRPKB)	No	Reduce burden - reduce data entry
PRE0616	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(SLCBB) St Louis Cord Blood Bank	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0617	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(SLO) Slovenia Donor	New Structure and Change/Clarification of Information Requested	No Change	[SI](4565)Slovenia Donor	No	Reduce burden - reduce data entry
PRE0618	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(SM) San Marino Bone Marrow Donor Registry	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0619	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(T1CB) TRAN - Cord Blood	New Structure and Change/Clarification of Information Requested	No Change	[TR](3893)Ankara University Faculty of Medicine/TRAN Ankara	No	Reduce burden - reduce data entry
PRE0620	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(TACB) StemCyte, Inc. Taiwan	New Structure and Change/Clarification of Information Requested	No Change	[CN](5812)StemCyte Taiwan	No	Reduce burden - reduce data entry
PRE0621	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(TECB) Healthbanks Biotech, Co., Ltd	New Structure and Change/Clarification of Information Requested	No Change	[CN](6692)Healthbanks biomedical Co. Ltd.	No	Reduce burden - reduce data entry
PRE0622	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(TH) Thai Stem Cell Donor Registry (TSCDR)	New Structure and Change/Clarification of Information Requested	No Change	[TH](8362)Thai National Stem Cell Donor Registry	No	Reduce burden - reduce data entry
PRE0623	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(TOCB) Tokyo Cord Blood Bank	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0624	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(TPCB) BIONET / BabyBanks	New Structure and Change/Clarification of Information Requested	No Change	[CN](6459)Bionet Corporation	No	Reduce burden - reduce data entry
PRE0625	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(TRAN) TRAN - Adult Donors	New Structure and Change/Clarification of Information Requested	No Change	[TR](3893)Ankara University Faculty of Medicine/TRAN Ankara	No	Reduce burden - reduce data entry
PRE0626	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(TRIS) Bone Marrow Bank of Istanbul Medical Faculty	New Structure and Change/Clarification of Information Requested	No Change	[TR](5509)Blood and Bone Marrow Donor Registry of Istanbul Medical Faculty	No	Reduce burden - reduce data entry
PRE0627	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(TW) Buddhist Tzu Chi Stem Cells Center - Adult Donors	New Structure and Change/Clarification of Information Requested	No Change	[CN](3458)Buddhist Tzu Chi Stem Cells Center - BTCSCC	No	Reduce burden - reduce data entry
PRE0628	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(TWCB) Buddhist Tzu Chi Stem Cells Center - Cord Blood	New Structure and Change/Clarification of Information Requested	No Change	[CN](3458)Buddhist Tzu Chi Stem Cells Center - BTCSCC	No	Reduce burden - reduce data entry
PRE0629	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(U1CB) National Marrow Donor Program - Cord Blood	New Structure and Change/Clarification of Information Requested	No Change	[US](3553)NMDP	No	Reduce burden - reduce data entry
PRE0630	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(USA1) National Marrow Donor Program - Adult Donors	New Structure and Change/Clarification of Information Requested	No Change	[US](3553)NMDP	No	Reduce burden - reduce data entry
PRE0631	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(USA2) America Bone Marrow Donor Registry	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0632	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(UY) SINDOME	New Structure and Change/Clarification of Information Requested	No Change	[UY](6517)Sindome	No	Reduce burden - reduce data entry
PRE0633	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(VIAC) Viacord	New Structure and Change/Clarification of Information Requested	No Change	[US]Viacord	No	Reduce burden - reduce data entry
PRE0634	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(W3CB) Polish Central Bone Marrow Donor Registry - Cord Blood	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0635	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(WACB) Unrelated Bone Marrow Donor Registry - Cord Blood	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0636	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(ZA) South African Bone Marrow Registry	New Structure and Change/Clarification of Information Requested	No Change	[ZA](8118)South African Bone Marrow Registry	No	Reduce burden - reduce data entry
PRE0637	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID	(OTH) Other Registry	No Change	No Change	No Change	No
PRE0638	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[AE](5003)EMBDR Emirates Marrow Blood Donor Registry Sharjah Blood Transfusion & Research Center	No	Reduce burden - reduce data entry
PRE0639	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[AT](4961)Verein Geben für Leben	No	Reduce burden - reduce data entry
PRE0640	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[AT](8162)Vita 34 Gesellschaft für Zelltransplantate mbH	No	Reduce burden - reduce data entry
PRE0641	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[CL](1574)Fundación de Beneficencia Pública DKMS	No	Reduce burden - reduce data entry
PRE0642	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[CL](4946)Fundacion de Beneficencia Publica DKMS	No	Reduce burden - reduce data entry
PRE0643	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[CN](1212)Supercell Biotechnology Corporation	No	Reduce burden - reduce data entry
PRE0644	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[CN](1714)Meribank Biotech Co. Ltd	No	Reduce burden - reduce data entry
PRE0645	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[CN](3105)Hong Kong Red Cross Blood Transfusion Service Cord Blood Bank	No	Reduce burden - reduce data entry
PRE0646	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[CN](6681)Beijing New Sunshine Charity Foundation	No	Reduce burden - reduce data entry
PRE0647	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[CN](9281) Mononuclear Therapeutics Limited	No	Reduce burden - reduce data entry
PRE0648	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[DE](2547)VKS Paraguay	No	Reduce burden - reduce data entry
PRE0649	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[DE](4596)DKMS Registry gGmbH	No	Reduce burden - reduce data entry
PRE0650	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[DE](4744)DKMS Stem Cell Bank gGmbH	No	Reduce burden - reduce data entry
PRE0651	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[DE](4908)José Carreras Cord Blood Bank Düsseldorf-Universitätsklinikum Düsseldorf	No	Reduce burden - reduce data entry
PRE0652	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[DE](5525)DKMS Donor Center	No	Reduce burden - reduce data entry
PRE0653	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[ES](2329)DKMS Espana	No	Reduce burden - reduce data entry
PRE0654	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[GB](3509)Precious Cells International	No	Reduce burden - reduce data entry
PRE0655	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[GB](9968)DKMS United Kingdom	No	Reduce burden - reduce data entry
PRE0656	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[GR](1461)Centre of Bone Marrow Donor Volunteers - Save a life, University of Patras	No	Reduce burden - reduce data entry
PRE0657	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[GR](4979)EOM Hellenic Transplant Organization	No	Reduce burden - reduce data entry
PRE0658	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[IN](2824) GeneBandhu New Delhi	No	Reduce burden - reduce data entry
PRE0659	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[IN](4131)MDR Marrow Donor Registry India Mumbai	No	Reduce burden - reduce data entry
PRE0660	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[IN](4460)Be The Cure Registry by Jeevan Stem Cell Foundation	No	Reduce burden - reduce data entry
PRE0661	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[IN](5451)Bangalore Medical Services Trust, Rotary Bangalore - TTK Blood Bank	No	Reduce burden - reduce data entry
PRE0662	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[IN](8196)The Arjan Vir Foundation	No	Reduce burden - reduce data entry
PRE0663	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[IN](8486)DATRI Blood Stem Cell Donors Registry	No	Reduce burden - reduce data entry
PRE0664	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[IN](9935)DKMS BMST Foundation India	No	Reduce burden - reduce data entry
PRE0665	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[IR](1102)Royan Institute Cord Blood Bank	No	Reduce burden - reduce data entry
PRE0666	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[IR](3146)Taleghani Stem Cell Transplantation and Cell Therapy Center	No	Reduce burden - reduce data entry
PRE0667	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[IR](4993)Iranian National Stem Cell Donor Network (INSCDN)	No	Reduce burden - reduce data entry
PRE0668	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[IR](6887)Iranian Stem Cell Donor Program (ISCDP)	No	Reduce burden - reduce data entry
PRE0669	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[KR](8405)National Institute of Organ_Tissue_Blood Management Korea	No	Reduce burden - reduce data entry
PRE0670	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[KZ](5070) National Register of Bone Marrow Donors in the Republic of Kazakhstan (NRDKMRK)	No	Reduce burden - reduce data entry
PRE0671	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[LU](3099) Luxembourg Marrow Donor Program (LMDP)	No	Reduce burden - reduce data entry
PRE0672	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[MK](2285)Scientific Foundation SPIROSKI - Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0673	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[MK](4307)MBMDR - Macedonian Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0674	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[MX](9275)Be The Match Mexico	No	Reduce burden - reduce data entry
PRE0675	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[NG](3034)Bone Marrow Registry Nigeria	No	Reduce burden - reduce data entry
PRE0676	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[NL](1131)Sanquin	No	Reduce burden - reduce data entry
PRE0677	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[NL](8139)Matchis Foundation	No	Reduce burden - reduce data entry
PRE0678	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[NZ](8261)New Zealand Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0679	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[PE](6132)Dirección General de Donaciones, Trasplantes y Banco de Sangre - Ministerio de Salud	No	Reduce burden - reduce data entry
PRE0680	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[PL](5391) Poltransplant	No	Reduce burden - reduce data entry
PRE0681	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[PL](7414)Fundacja DKMS	No	Reduce burden - reduce data entry
PRE0682	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[QA](7593)National Center for Cancer Care & Research - Qatar Stem Cell Donor Registry	No	Reduce burden - reduce data entry
PRE0683	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[RO](1372)National Registry of Hematopoietic Stem Cells Voluntary Donors	No	Reduce burden - reduce data entry
PRE0684	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[RU](4381)National Bone Marrow Donors Registry named after Vasya Perevoshchikov	No	Reduce burden - reduce data entry
PRE0685	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[RU](5971)BMD Registry Blood Banks of Russia	No	Reduce burden - reduce data entry
PRE0686	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[RU](8714)Kirov Research Institute of Hematology and Blood Transfusion (KRIHBT)	No	Reduce burden - reduce data entry
PRE0687	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[RU](9778)HPC Registry (Samara)	No	Reduce burden - reduce data entry
PRE0688	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[SA](1810) King Faisal Specialist Hospital & Research Centre Stem Cell Donor Registry (KFSH&RC;-UDR)	No	Reduce burden - reduce data entry
PRE0689	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[SA](2107)Saudi Stem Cells Donor Registry	No	Reduce burden - reduce data entry
PRE0690	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[SG](4291)Singapore Cord Blood Bank	No	Reduce burden - reduce data entry
PRE0691	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[TR](3503)TURKOK - Turkish Stem Cell Coordination Centre	No	Reduce burden - reduce data entry
PRE0692	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[UA](6933)Ukrainian Bone Marrow Donor Registry	No	Reduce burden - reduce data entry
PRE0693	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[US](1033)Gift of Life Marrow Registry	No	Reduce burden - reduce data entry
PRE0694	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[US](4857)Celebration Stem Cell Centre	No	Reduce burden - reduce data entry
PRE0695	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[US](5081)DKMS United States of America	No	Reduce burden - reduce data entry
PRE0696	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[US](5315)C.W. Bill Young Department of Defense Marrow Donor Program/Georgetown University	No	Reduce burden - reduce data entry
PRE0697	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[US](5928)Mayo Clinic	No	Reduce burden - reduce data entry
PRE0698	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[US](6579)Cleveland Cord Blood Center	No	Reduce burden - reduce data entry
PRE0699	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Registry or UCB Bank ID		New Structure and Addition of Information Requested	No Change	[ZA](6738)DKMS Africa	No	Reduce burden - reduce data entry
PRE0700	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify other Registry or UCB Bank:	Open text	No Change	No Change	No Change	No
PRE0701	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor date of birth	Known	No Change	No Change	No Change	No
PRE0702	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor date of birth	Unknown	No Change	No Change	No Change	No
PRE0703	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor date of birth [value]:	Open text	No Change	No Change	No Change	No
PRE0704	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor age	Known	No Change	No Change	No Change	No
PRE0705	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor age	Unknown	No Change	No Change	No Change	No
PRE0706	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor age:	Open text	No Change	No Change	No Change	No
PRE0707	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Months	checked	No Change	No Change	No Change	No
PRE0708	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	years	checked	No Change	No Change	No Change	No
PRE0709	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor sex	male	No Change	No Change	No Change	No
PRE0710	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor sex	female	No Change	No Change	No Change	No
PRE0711	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify blood type	A	No Change	No Change	No Change	No
PRE0712	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify blood type	B	No Change	No Change	No Change	No
PRE0713	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify blood type	AB	No Change	No Change	No Change	No
PRE0714	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify blood type	O	No Change	No Change	No Change	No
PRE0715	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify Rh factor	Positive	No Change	No Change	No Change	No
PRE0716	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify Rh factor	Negative	No Change	No Change	No Change	No
PRE0717	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor CMV-antibodies (IgG or Total)	Reactive	No Change	No Change	No Change	No
PRE0718	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor CMV-antibodies (IgG or Total)	Non-reactive	No Change	No Change	No Change	No
PRE0719	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor CMV-antibodies (IgG or Total)	Indeterminate	No Change	No Change	No Change	No
PRE0720	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor CMV-antibodies (IgG or Total)	Not done	No Change	No Change	No Change	No
PRE0721	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Donor CMV-antibodies (IgG or Total)	Not applicable	No Change	No Change	No Change	No
PRE0722	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Has the donor signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to the NMDP / CIBMTR?	Yes	Change/Clarification of Information Requested	Has the donor signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to NMDP / CIBMTR?	No Change	No	Capture data accurately
PRE0723	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Has the donor signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to the NMDP / CIBMTR?	No	Change/Clarification of Information Requested	Has the donor signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to NMDP / CIBMTR?	No Change	No	Capture data accurately
PRE0724	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Has the donor signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to the NMDP / CIBMTR?	Not approached	Change/Clarification of Information Requested	Has the donor signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to NMDP / CIBMTR?	No Change	No	Capture data accurately
PRE0725	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Has the donor signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to the NMDP / CIBMTR?	Not applicable	Change/Clarification of Information Requested	Has the donor signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to NMDP / CIBMTR?	No Change	No	Capture data accurately
PRE0726	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Date form was signed:	Open text	No Change	No Change	No Change	No
PRE0727	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Did the donor submit a research sample to the NMDP/CIBMTR repository?	yes	No Change	No Change	No Change	No
PRE0728	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Did the donor submit a research sample to the NMDP/CIBMTR repository?	no	No Change	No Change	No Change	No
PRE0729	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Research sample donor ID:	Open text	No Change	No Change	No Change	No
PRE0730	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify number of products infused from this donor:	Open text	No Change	No Change	No Change	No
PRE0731	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify the number of these products intended to achieve hematopoietic engraftment:	Open text	No Change	No Change	No Change	No
PRE0732	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	What agents were used to mobilize the autologous recipient for this HCT?	G-CSF (TBO-filgrastim, filgrastim, Granix, Neupogen)	Change/Clarification of Information Requested	No Change	G-CSF (TBO-filgrastim, filgrastim, Granix, Neupogen and biosimilars)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0733	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	What agents were used to mobilize the autologous recipient for this HCT?	GM-CSF (sargramostim, Leukine)	No Change	No Change	No Change	No
PRE0734	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	What agents were used to mobilize the autologous recipient for this HCT?	Pegylated G-CSF (pegfilgrastim, Neulasta)	No Change	No Change	No Change	No
PRE0735	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	What agents were used to mobilize the autologous recipient for this HCT?	Motixafortide (Aphexda)	No Change	No Change	No Change	No
PRE0736	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	What agents were used to mobilize the autologous recipient for this HCT?	Plerixafor (Mozobil)	Change/Clarification of Information Requested	No Change	Plerixafor (Mozobil and biosimilars)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0737	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	What agents were used to mobilize the autologous recipient for this HCT?	Combined with chemotherapy	No Change	No Change	No Change	No
PRE0738	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	What agents were used to mobilize the autologous recipient for this HCT?	Anti-CD20 (rituximab, Rituxan)	No Change	No Change	No Change	No
PRE0739	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	What agents were used to mobilize the autologous recipient for this HCT?	Other agent	No Change	No Change	No Change	No
PRE0740	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify other agent:	Open text	No Change	No Change	No Change	No
PRE0741	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Name of product	Betibeglogene autotemcel (Zynteglo®)	No Change	No Change	No Change	No
PRE0742	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Name of product	Elivaldogene autotemcel (Skysona®)	No Change	No Change	No Change	No
PRE0743	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Name of product	Exagamglogene autotemcel	Change/Clarification of Information Requested	No Change	Exagamglogene autotemcel (Casgevy ®)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0744	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Name of product		Addition of Information Requested	No Change	Lovotibeglogene autotemcel (Lyfgenia ™)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0745	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Name of product	Other name	No Change	No Change	No Change	No
PRE0746	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Donor Information	Yes	Specify other name:	Open text	No Change	No Change	No Change	No
PRE0747	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Is a subsequent HCT planned as part of the overall treatment protocol?	yes	No Change	No Change	No Change	No
PRE0748	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Is a subsequent HCT planned as part of the overall treatment protocol?	no	No Change	No Change	No Change	No
PRE0749	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Specify subsequent HCT planned	Autologous	No Change	No Change	No Change	No
PRE0750	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Specify subsequent HCT planned	Allogeneic	No Change	No Change	No Change	No
PRE0751	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Has the recipient ever had a prior HCT?	Yes	No Change	No Change	No Change	No
PRE0752	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Has the recipient ever had a prior HCT?	No	No Change	No Change	No Change	No
PRE0753	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Specify the number of prior HCTs:	Open text	No Change	No Change	No Change	No
PRE0754	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Were all prior HCTs reported to the CIBMTR?	Yes	No Change	No Change	No Change	No
PRE0755	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Were all prior HCTs reported to the CIBMTR?	No	No Change	No Change	No Change	No
PRE0756	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Were all prior HCTs reported to the CIBMTR?	Unknown	No Change	No Change	No Change	No
PRE0757	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Date of the prior HCT:	Open text	No Change	No Change	No Change	No
PRE0758	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Date estimated	checked	No Change	No Change	No Change	No
PRE0759	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Was the prior HCT performed at a different institution?	Yes	No Change	No Change	No Change	No
PRE0760	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Was the prior HCT performed at a different institution?	No	No Change	No Change	No Change	No
PRE0761	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes			Addition of Information Requested	Was the prior HCT performed at a CIBMTR Affiliated Network Center?	Yes	No	Capture data accurately
PRE0762	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes			Addition of Information Requested	Was the prior HCT performed at a CIBMTR Affiliated Network Center?	No	No	Capture data accurately
PRE0763	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes			New Functionality	CIBMTR Center Number (CCN):	Dropdown with a frequently updated list of active transplant centers - changes in response options do not affect burden	No	Reduce burden - reduce data entry
PRE0764	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Name:	Open text	No Change	No Change	No Change	No
PRE0765	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	City:	Open text	No Change	No Change	No Change	No
PRE0766	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	State:	Open text	No Change	No Change	No Change	No
PRE0767	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Country:	Open text	No Change	No Change	No Change	No
PRE0768	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	What was the HPC source for the prior HCT?	Autologous	Change/Clarification of Information Requested	What was the donor source(s) for the prior HCT?	No Change	No	Capture data accurately
PRE0769	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	What was the HPC source for the prior HCT?	Allogeneic, unrelated	Change/Clarification of Information Requested	What was the donor source(s) for the prior HCT?	No Change	No	Capture data accurately
PRE0770	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	What was the HPC source for the prior HCT?	Allogeneic, related	Change/Clarification of Information Requested	What was the donor source(s) for the prior HCT?	No Change	No	Capture data accurately
PRE0771	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes			Addition of Information Requested	Specify product type	Bone marrow	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0772	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes			Addition of Information Requested	Specify product type	PBSC	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0773	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes			Addition of Information Requested	Specify product type	Single cord blood unit	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0774	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes			Addition of Information Requested	Specify product type	Other product	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0775	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes			Addition of Information Requested	Specify other product:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0776	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Reason for current HCT	Graft failure / insufficient hematopoietic recovery	Change/Clarification of Information Requested	No Change	Graft failure	No	Capture data accurately
PRE0777	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Reason for current HCT		Addition of Information Requested	No Change	Poor graft function / insufficient donor chimerism	No	Capture data accurately
PRE0778	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Reason for current HCT	Persistent primary disease	No Change	No Change	No Change	No
PRE0779	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Reason for current HCT	Recurrent primary disease	No Change	No Change	No Change	No
PRE0780	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Reason for current HCT	Planned subsequent HCT, per protocol	No Change	No Change	No Change	No
PRE0781	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Reason for current HCT	New malignancy	No Change	No Change	No Change	No
PRE0782	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Reason for current HCT	Insufficient chimerism	Deletion of Information Requested	No Change		No	Capture data accurately
PRE0783	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Reason for current HCT	Other	No Change	No Change	No Change	No
PRE0784	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Date of graft failure / rejection:	Open text	No Change	No Change	No Change	No
PRE0785	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Date of relapse:	Open text	No Change	No Change	No Change	No
PRE0786	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Date of secondary malignancy:	Open text	No Change	No Change	No Change	No
PRE0787	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Specify other reason:	Open text	No Change	No Change	No Change	No
PRE0788	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Has the recipient ever had a prior cellular therapy?	Yes	No Change	No Change	No Change	No
PRE0789	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Has the recipient ever had a prior cellular therapy?	No	No Change	No Change	No Change	No
PRE0790	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Has the recipient ever had a prior cellular therapy?	Unknown	No Change	No Change	No Change	No
PRE0791	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Were all prior cellular therapies reported to the CIBMTR?	Yes	No Change	No Change	No Change	No
PRE0792	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Were all prior cellular therapies reported to the CIBMTR?	No	No Change	No Change	No Change	No
PRE0793	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Were all prior cellular therapies reported to the CIBMTR?	Unknown	No Change	No Change	No Change	No
PRE0794	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Date of the prior cellular therapy:	Open text	No Change	No Change	No Change	No
PRE0795	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Was the cellular therapy performed at a different institution?	Yes	No Change	No Change	No Change	No
PRE0796	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Was the cellular therapy performed at a different institution?	No	No Change	No Change	No Change	No
PRE0797	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes			Addition of Information Requested	Was the prior cellular therapies performed at a CIBMTR Affiliated Network Center?	Yes	No	Capture data accurately
PRE0798	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes			Addition of Information Requested	Was the prior cellular therapies performed at a CIBMTR Affiliated Network Center?	No	No	Capture data accurately
PRE0799	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes			New Functionality	CIBMTR Center Number (CCN): [CIBMTR Affiliated Network Center]	Dropdown with a frequently updated list of active transplant centers - changes in response options do not affect burden	No	Reduce burden - reduce data entry
PRE0800	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Name: [institution that performed last HCT]	Open text	Change/Clarification of Information Requested	Name: [Non-CIBMTR Affiliated Network Centers ONLY]	No Change	No	Reduce burden
PRE0801	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	City: [institution that performed last HCT]	Open text	Change/Clarification of Information Requested	City: [Non-CIBMTR Affiliated Network Centers ONLY]	No Change	No	Reduce burden
PRE0802	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	State: [institution that performed last HCT]	Open text	Change/Clarification of Information Requested	State [Non-CIBMTR Affiliated Network Centers ONLY]	No Change	No	Reduce burden
PRE0803	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Country: [institution that performed last HCT]	Open text	Change/Clarification of Information Requested	Country: [Non-CIBMTR Affiliated Network Centers ONLY]	No Change	No	Reduce burden
PRE0804	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Specify the source(s) for the prior cellular therapy	Autologous	Change/Clarification of Information Requested	Specify the donor source(s) for the prior cellular therapy	No Change	No	Capture data accurately
PRE0805	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Specify the source(s) for the prior cellular therapy	Allogeneic, unrelated	Change/Clarification of Information Requested	Specify the donor source(s) for the prior cellular therapy	No Change	No	Capture data accurately
PRE0806	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	Yes	Specify the source(s) for the prior cellular therapy	Allogeneic, related	Change/Clarification of Information Requested	Specify the donor source(s) for the prior cellular therapy	No Change	No	Capture data accurately
PRE0807	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Has the recipient signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to the NMDP / CIBMTR?	Yes	Change/Clarification of Information Requested	Has the recipient signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to NMDP / CIBMTR?	No Change	No	Capture data accurately
PRE0808	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Has the recipient signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to the NMDP / CIBMTR?	No	Change/Clarification of Information Requested	Has the recipient signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to NMDP / CIBMTR?	No Change	No	Capture data accurately
PRE0809	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Has the recipient signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to the NMDP / CIBMTR?	Not approached	Change/Clarification of Information Requested	Has the recipient signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to NMDP / CIBMTR?	No Change	No	Capture data accurately
PRE0810	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Has the recipient signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to the NMDP / CIBMTR?	Not applicable	Change/Clarification of Information Requested	Has the recipient signed an IRB / ethics committee (or similar body) approved consent form to donate research blood samples to NMDP / CIBMTR?	No Change	No	Capture data accurately
PRE0811	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Date form signed	Open text	No Change	No Change	No Change	No
PRE0812	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Did the recipient submit a research sample to the NMDP/CIBMTR repository?	Yes	No Change	No Change	No Change	No
PRE0813	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Did the recipient submit a research sample to the NMDP/CIBMTR repository?	No	No Change	No Change	No Change	No
PRE0814	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Hematopoietic Cellular Transplant (HCT) and Cellular Therapy	No	Research sample recipient ID	Open text	No Change	No Change	No Change	No
PRE0815	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	What scale was used to determine the recipient’s functional status?	Karnofsky	No Change	No Change	No Change	No
PRE0816	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	What scale was used to determine the recipient’s functional status?	Lansky	No Change	No Change	No Change	No
PRE0817	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Karnofsky Scale	100 Normal; no complaints; no evidence of disease	No Change	No Change	No Change	No
PRE0818	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Karnofsky Scale	90 Able to carry on normal activity	No Change	No Change	No Change	No
PRE0819	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Karnofsky Scale	80 Normal activity with effort	No Change	No Change	No Change	No
PRE0820	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Karnofsky Scale	70 Cares for self; unable to carry on normal activity or to do active work	No Change	No Change	No Change	No
PRE0821	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Karnofsky Scale	60 Requires occasional assistance but is able to care for most needs	No Change	No Change	No Change	No
PRE0822	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Karnofsky Scale	50 Requires considerable assistance and frequent medical care	No Change	No Change	No Change	No
PRE0823	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Karnofsky Scale	40 Disabled; requires special care and assistance	No Change	No Change	No Change	No
PRE0824	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Karnofsky Scale	30 Severely disabled; hospitalization indicated, although death not imminent	No Change	No Change	No Change	No
PRE0825	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Karnofsky Scale	20 Very sick; hospitalization necessary	No Change	No Change	No Change	No
PRE0826	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Karnofsky Scale	10 Moribund; fatal process progressing rapidly	No Change	No Change	No Change	No
PRE0827	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Lansky Scale	100 Fully active	No Change	No Change	No Change	No
PRE0828	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Lansky Scale	90 Minor restriction in physically strenuous play	No Change	No Change	No Change	No
PRE0829	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Lansky Scale	80 Restricted in strenuous play, tires more easily, otherwise active	No Change	No Change	No Change	No
PRE0830	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Lansky Scale	70 Both greater restrictions of, and less time spent in, active play	No Change	No Change	No Change	No
PRE0831	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Lansky Scale	60 Ambulatory up to 50% of time, limited active play with assistance / supervision	No Change	No Change	No Change	No
PRE0832	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Lansky Scale	50 Considerable assistance required for any active play; fully able to engage in quiet play	No Change	No Change	No Change	No
PRE0833	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Lansky Scale	40 Able to initiate quiet activities	No Change	No Change	No Change	No
PRE0834	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Lansky Scale	30 Needs considerable assistance for quiet activity	No Change	No Change	No Change	No
PRE0835	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Lansky Scale	20 Limited to very passive activity initiated by others (e.g., TV)	No Change	No Change	No Change	No
PRE0836	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Lansky Scale	10 Completely disabled, not even passive play	No Change	No Change	No Change	No
PRE0837	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Specify blood type	A	No Change	No Change	No Change	No
PRE0838	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Specify blood type	B	No Change	No Change	No Change	No
PRE0839	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Specify blood type	AB	No Change	No Change	No Change	No
PRE0840	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Specify blood type	O	No Change	No Change	No Change	No
PRE0841	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Specify blood type		Addition of Information Requested	No Change	Mixed	No	Capture data accurately
PRE0842	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Specify Rh factor	Positive	No Change	No Change	No Change	No
PRE0843	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Specify Rh factor	Negative	No Change	No Change	No Change	No
PRE0844	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Recipient CMV-antibodies (IgG or Total)	Reactive	No Change	No Change	No Change	No
PRE0845	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Recipient CMV-antibodies (IgG or Total)	Non-reactive	No Change	No Change	No Change	No
PRE0846	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Recipient CMV-antibodies (IgG or Total)	Indeterminate	No Change	No Change	No Change	No
PRE0847	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Recipient CMV-antibodies (IgG or Total)	Not done	No Change	No Change	No Change	No
PRE0848	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Height at initiation of pre-HCT preparative regimen:	Open text	Change/Clarification of Information Requested	Height at start of preparative regimen:	No Change	No	Capture data accurately
PRE0849	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	inches	checked	No Change	No Change	No Change	No
PRE0850	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	centimeters	checked	No Change	No Change	No Change	No
PRE0851	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	Actual weight at initiation of pre-HCT preparative regimen:	Open text	Change/Clarification of Information Requested	Actual weight at start of the preparative regimen:	Open text	No	Capture data accurately
PRE0852	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	pounds	checked	No Change	No Change	No Change	No
PRE0853	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Clinical Status of Recipient Prior to the Preparative Regimen (Conditioning)	No	kilograms	checked	No Change	No Change	No Change	No
PRE0854	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Has the patient been infected with COVID-19 (SARS-CoV-2) based on a positive test result at any time prior to the start of the preparative regimen / infusion?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0855	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Has the patient been infected with COVID-19 (SARS-CoV-2) based on a positive test result at any time prior to the start of the preparative regimen / infusion?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0856	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Did the patient require hospitalization for management of COVID-19 (SARS-CoV-2) infection?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0857	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Did the patient require hospitalization for management of COVID-19 (SARS-CoV-2) infection?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0858	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Was mechanical ventilation used for COVID-19 (SARS-CoV-2) infection?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0859	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Was mechanical ventilation used for COVID-19 (SARS-CoV-2) infection?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0860	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Was a vaccine for COVID-19 (SARS-CoV-2) received?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0861	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Was a vaccine for COVID-19 (SARS-CoV-2) received?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0862	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Was a vaccine for COVID-19 (SARS-CoV-2) received?	Unknown	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0863	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify vaccine brand	AstraZeneca	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0864	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify vaccine brand	Johnson & Johnson / Janssen	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0865	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify vaccine brand	Moderna	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0866	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify vaccine brand	Novavax	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0867	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify vaccine brand	Pfizer-BioNTECH	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0868	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify vaccine brand	Other (specify)	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0869	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify other type:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0870	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Select dose(s) received	One dose	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0871	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Select dose(s) received	First dose	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0872	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Select dose(s) received	Second dose	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0873	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Select dose(s) received	Third dose	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0874	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Select dose(s) received	Booster dose	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0875	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Date received:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0876	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Date estimated	checked	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE0877	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Is there a history of mechanical ventilation?	yes	No Change	No Change	No Change	No
PRE0878	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Is there a history of mechanical ventilation?	no	No Change	No Change	No Change	No
PRE0879	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Is there a history of invasive fungal infection?	Yes	No Change	No Change	No Change	No
PRE0880	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Is there a history of invasive fungal infection?	No	No Change	No Change	No Change	No
PRE0881	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Does the recipient have known complex congenital heart disease?	Yes	No Change	No Change	No Change	No
PRE0882	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Does the recipient have known complex congenital heart disease?	No	No Change	No Change	No Change	No
PRE0883	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Did the recipient have a prior malignancy?	Yes	No	Capture data accurately
PRE0884	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Did the recipient have a prior malignancy?	No	No	Capture data accurately
PRE0885	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Acute lymphoblastic leukemia (ALL)	No Change	No Change	No Change	No
PRE0886	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Acute myeloid leukemia (AML / ANLL)	No Change	No Change	No Change	No
PRE0887	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Breast cancer	No Change	No Change	No Change	No
PRE0888	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Central nervous system (CNS) malignancy (e.g. glioblastoma, astrocytoma)	No Change	No Change	No Change	No
PRE0889	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Chronic lymphocytic leukemia	No Change	No Change	No Change	No
PRE0890	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Chronic myeloid leukemia	No Change	No Change	No Change	No
PRE0891	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Gastrointestinal malignancy (e.g. colon, rectum, stomach, pancreas, intestine)	No Change	No Change	No Change	No
PRE0892	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Genitourinary malignancy (e.g. kidney, bladder, ovary, testicle, genitalia, uterus, cervix)	No Change	No Change	No Change	No
PRE0893	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Lung cancer	No Change	No Change	No Change	No
PRE0894	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Lymphoma	No Change	No Change	No Change	No
PRE0895	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Myelodysplasia / myeloproliferative neoplasm (MDS / MPN)	No Change	No Change	No Change	No
PRE0896	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Melanoma	No Change	No Change	No Change	No
PRE0897	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Multiple myeloma / plasma cell disorder (PCD)	No Change	No Change	No Change	No
PRE0898	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Oropharyngeal cancer (e.g. tongue, buccal mucosa)	No Change	No Change	No Change	No
PRE0899	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Sarcoma	No Change	No Change	No Change	No
PRE0900	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Thyroid cancer	No Change	No Change	No Change	No
PRE0901	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Other skin malignancy (basal cell, squamous)	No Change	No Change	No Change	No
PRE0902	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Other hematologic malignancy	No Change	No Change	No Change	No
PRE0903	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify prior malignancy	Other solid tumor	No Change	No Change	No Change	No
PRE0904	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify other hematologic malignancy:	Open text	No Change	No Change	No Change	No
PRE0905	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify other solid tumor:	Open text	No Change	No Change	No Change	No
PRE0906	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Was the prior malignancy treated?	Yes	No	Capture data accurately
PRE0907	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Was the prior malignancy treated?	No	No	Capture data accurately
PRE0908	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Were there any co-existing diseases or organ impairment present according to the HCT comorbidity index (HCT-CI)?	Yes	No Change	No Change	No Change	No
PRE0909	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Were there any co-existing diseases or organ impairment present according to the HCT comorbidity index (HCT-CI)?	No	No Change	No Change	No Change	No
PRE0910	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Arrhythmia	No Change	No Change	No Change	No
PRE0911	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Cardiac	No Change	No Change	No Change	No
PRE0912	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Cerebrovascular disease	No Change	No Change	No Change	No
PRE0913	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Diabetes	No Change	No Change	No Change	No
PRE0914	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Heart valve disease	No Change	No Change	No Change	No
PRE0915	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Hepatic, mild	No Change	No Change	No Change	No
PRE0916	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Hepatic, moderate / severe	No Change	No Change	No Change	No
PRE0917	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Infection	No Change	No Change	No Change	No
PRE0918	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Inflammatory bowel disease	No Change	No Change	No Change	No
PRE0919	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Obesity	No Change	No Change	No Change	No
PRE0920	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Peptic ulcer	No Change	No Change	No Change	No
PRE0921	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Psychiatric disturbance	No Change	No Change	No Change	No
PRE0922	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Pulmonary, moderate	No Change	No Change	No Change	No
PRE0923	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Pulmonary, severe	No Change	No Change	No Change	No
PRE0924	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Renal, moderate / severe	No Change	No Change	No Change	No
PRE0925	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Rheumatologic	No Change	No Change	No Change	No
PRE0926	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Specify co-existing diseases or organ impairment	Prior malignancy	Deletion of Information Requested	No Change		No	Reduce burden - prevent / reduce data redundancy
PRE0927	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Was the recipient on dialysis immediately prior to start of preparative regimen?	Yes	No Change	No Change	No Change	No
PRE0928	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Was the recipient on dialysis immediately prior to start of preparative regimen?	No	No Change	No Change	No Change	No
PRE0929	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Was the recipient on dialysis immediately prior to start of preparative regimen?	Unknown	No Change	No Change	No Change	No
PRE0930	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Serum ferritin	Known	No Change	No Change	No Change	No
PRE0931	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Serum ferritin	Unknown	No Change	No Change	No Change	No
PRE0932	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	[Serum ferritin value in ng/mL (μg/L)]	Open text	Change/Clarification of Information Requested	Serum ferritin [value in ng/mL (μg/L)]	No Change	No	Capture data accurately
PRE0933	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Date sample collected:	Open text	No Change	No Change	No Change	No
PRE0934	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Upper limit of normal for your institution:	Open text	No Change	No Change	No Change	No
PRE0935	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	C-reactive protein (CRP)	Known	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0936	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	C-reactive protein (CRP)	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0937	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	C-reactive protein (CRP) [value]:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0938	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	mg/dL	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0939	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	mg/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0940	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Date sample collected:	Open Test	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0941	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Upper limit of normal for your institution:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0942	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Cystatin-C	Known	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0943	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Cystatin-C	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0944	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Cystatin-C [value in mg/L]:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0945	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Date sample collected:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0946	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Glomerular filtration rate (GFR) before start of preparative regimen (pediatric only)	Known	Change/Clarification of Information Requested	Glomerular filtration rate (GFR)	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0947	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Glomerular filtration rate (GFR) before start of preparative regimen (pediatric only)	Unknown	Change/Clarification of Information Requested	Glomerular filtration rate (GFR)	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0948	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Glomerular filtration rate (GFR) [value in mL/min/1.73m2]	Open text	No Change	No Change	No Change	No
PRE0949	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	GFR estimated	checked	No	Capture data accurately
PRE0950	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Date sample collected:	Open text	No	Capture data accurately
PRE0951	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Serum albumin	Known	No Change	No Change	No Change	No
PRE0952	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Serum albumin	Unknown	No Change	No Change	No Change	No
PRE0953	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	[Serum albumin value]:	Open text	Change/Clarification of Information Requested	Serum albumin [value]:	No Change	No	Capture data accurately
PRE0954	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	g/dL	checked	No Change	No Change	No Change	No
PRE0955	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	g/L	checked	No Change	No Change	No Change	No
PRE0956	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Date sample collected:	Open text	No Change	No Change	No Change	No
PRE0957	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Platelets	Known	No Change	No Change	No Change	No
PRE0958	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Platelets	Unknown	No Change	No Change	No Change	No
PRE0959	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	[Platelets value]	Open text	Change/Clarification of Information Requested	Platelets [value]:	No Change	No	Capture data accurately
PRE0960	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	x 10⁹/L (x 10³/mm³)	checked	No Change	No Change	No Change	No
PRE0961	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	x 10⁶/L	checked	Change/Clarification of Information Requested	x 10⁶/L (x 1/mm³) (x1/µL) (cells/µL)	No Change	No	Capture data accurately
PRE0962	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Date sample collected:	Open text	No	Capture data accurately
PRE0963	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Were platelets transfused ≤ 7 days before date of test?	Yes	No Change	No Change	No Change	No
PRE0964	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Were platelets transfused ≤ 7 days before date of test?	No	No Change	No Change	No Change	No
PRE0965	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Were platelets transfused ≤ 7 days before date of test?	Unknown	No Change	No Change	No Change	No
PRE0966	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Weight loss over the preceding 12 months %:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0967	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No			Addition of Information Requested	Montreal Cognitive Assessment (MoCA) Score:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0968	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Did the recipient have a prior solid organ transplant?	Yes	No Change	No Change	No Change	No
PRE0969	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	No	Did the recipient have a prior solid organ transplant?	No	No Change	No Change	No Change	No
PRE0970	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify organ	Bowel	No Change	No Change	No Change	No
PRE0971	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify organ	Heart	No Change	No Change	No Change	No
PRE0972	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify organ	Kidney(s)	No Change	No Change	No Change	No
PRE0973	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify organ	Liver	No Change	No Change	No Change	No
PRE0974	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify organ	Lung(s)	No Change	No Change	No Change	No
PRE0975	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify organ	Pancreas	No Change	No Change	No Change	No
PRE0976	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify organ	Other organ	No Change	No Change	No Change	No
PRE0977	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Specify other organ:	Open text	No Change	No Change	No Change	No
PRE0978	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Comorbid Conditions	Yes	Year of prior solid organ transplant:	Open text	No Change	No Change	No Change	No
PRE0979	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No			Addition of Information Requested	Dosing weight used for preparative regimen orders:	Open Text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0980	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No			Addition of Information Requested	pounds	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0981	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No			Addition of Information Requested	kilograms	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE0982	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Was a pre-HCT preparative regimen prescribed?	yes	No Change	No Change	No Change	No
PRE0983	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Was a pre-HCT preparative regimen prescribed?	no	No Change	No Change	No Change	No
PRE0984	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Classify the recipient’s prescribed preparative regimen	Myeloablative	No Change	No Change	No Change	No
PRE0985	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Classify the recipient’s prescribed preparative regimen	Non-myeloablative (NST)	No Change	No Change	No Change	No
PRE0986	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Classify the recipient’s prescribed preparative regimen	Reduced intensity (RIC)	No Change	No Change	No Change	No
PRE0987	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Was irradiation planned as part of the pre-HCT preparative regimen?	yes	No Change	No Change	No Change	No
PRE0988	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Was irradiation planned as part of the pre-HCT preparative regimen?	no	No Change	No Change	No Change	No
PRE0989	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	What was the prescribed radiation field?	Total body	No Change	No Change	No Change	No
PRE0990	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	What was the prescribed radiation field?	Total body by intensity-modulated radiation therapy (IMRT)	No Change	No Change	No Change	No
PRE0991	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	What was the prescribed radiation field?	Total lymphoid or nodal regions	No Change	No Change	No Change	No
PRE0992	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	What was the prescribed radiation field?	Thoracoabdominal region	No Change	No Change	No Change	No
PRE0993	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Total prescribed dose:	Open text	No Change	No Change	No Change	No
PRE0994	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Gy	checked	No Change	No Change	No Change	No
PRE0995	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	cGy	checked	No Change	No Change	No Change	No
PRE0996	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Date started:	Open text	No Change	No Change	No Change	No
PRE0997	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Was the radiation fractionated?	yes	No Change	No Change	No Change	No
PRE0998	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Was the radiation fractionated?	no	No Change	No Change	No Change	No
PRE0999	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	No	Total number of fractions:	Open text	No Change	No Change	No Change	No
PRE1000	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Azathioprine	No Change	No Change	No Change	No
PRE1001	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Bendamustine	No Change	No Change	No Change	No
PRE1002	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Bortezomib	No Change	No Change	No Change	No
PRE1003	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Busulfan	No Change	No Change	No Change	No
PRE1004	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Carboplatin	No Change	No Change	No Change	No
PRE1005	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Carmustine (BCNU)	No Change	No Change	No Change	No
PRE1006	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	CCNU (Lomustine)	No Change	No Change	No Change	No
PRE1007	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Cisplatin	No Change	No Change	No Change	No
PRE1008	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug		Addition of Information Requested	No Change	Cladribine	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1009	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Clofarabine (Clolar)	No Change	No Change	No Change	No
PRE1010	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Cyclophosphamide (Cytoxan)	No Change	No Change	No Change	No
PRE1011	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Cytarabine (Ara-C)	No Change	No Change	No Change	No
PRE1012	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug		Addition of Information Requested	No Change	Intrathecal cytarabine (Ara-C)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1013	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Etoposide (VP-16, VePesid)	No Change	No Change	No Change	No
PRE1014	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Fludarabine	No Change	No Change	No Change	No
PRE1015	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Gemcitabine	No Change	No Change	No Change	No
PRE1016	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Hydroxyurea (Hydrea)	No Change	No Change	No Change	No
PRE1017	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Ibritumomab tiuxetan (Zevalin)	No Change	No Change	No Change	No
PRE1018	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Ifosfamide	No Change	No Change	No Change	No
PRE1019	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Melphalan (L-Pam)	No Change	No Change	No Change	No
PRE1020	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Methylprednisolone	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1021	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug		Addition of Information Requested	No Change	Intrathecal methotrexate	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1022	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Pentostatin	No Change	No Change	No Change	No
PRE1023	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Propylene glycol-free melphalan	No Change	No Change	No Change	No
PRE1024	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Rituximab (Rituxan)	No Change	No Change	No Change	No
PRE1025	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Thiotepa	No Change	No Change	No Change	No
PRE1026	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug		Addition of Information Requested	No Change	Intrathecal thiotepa	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1027	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Tositumomab (Bexxar)	No Change	No Change	No Change	No
PRE1028	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Treosulfan	No Change	No Change	No Change	No
PRE1029	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Vincristine	No Change	No Change	No Change	No
PRE1030	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Drug	Other drug	No Change	No Change	No Change	No
PRE1031	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Specify other drug:	Open text	No Change	No Change	No Change	No
PRE1032	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Total prescribed dose value:	Open text	No Change	No Change	No Change	No
PRE1033	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	mg/m2	checked	No Change	No Change	No Change	No
PRE1034	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	mg/kg	checked	No Change	No Change	No Change	No
PRE1035	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes			Addition of Information Requested	mg	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1036	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	AUC (mg x h/L)	checked	No Change	No Change	No Change	No
PRE1037	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	AUC (µmol x min/L)	checked	No Change	No Change	No Change	No
PRE1038	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	CSS (ng/mL)	checked	No Change	No Change	No Change	No
PRE1039	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Date started:	Open text	No Change	No Change	No Change	No
PRE1040	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Specify administration	Oral	No Change	No Change	No Change	No
PRE1041	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Specify administration	IV	No Change	No Change	No Change	No
PRE1042	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Pre-HCT Preparative Regimen (Conditioning)	Yes	Specify administration	Both	No Change	No Change	No Change	No
PRE1043	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Specify drugs given	ALG, ALS, ATG, ATS	No Change	No Change	No Change	No
PRE1044	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Specify drugs given	Alemtuzumab (Campath)	No Change	No Change	No Change	No
PRE1045	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Specify drugs given	Defibrotide	No Change	No Change	No Change	No
PRE1046	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Specify drugs given	KGF	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1047	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Specify drugs given	Ursodiol	No Change	No Change	No Change	No
PRE1048	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Specify drugs given	None	No Change	No Change	No Change	No
PRE1049	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Total prescribed dose [in mg/kg]	Open text	Change/Clarification of Information Requested	Total prescribed dose of ATG [in mg/kg]:	No Change	No	Capture data accurately
PRE1050	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Specify source	ATGAM (horse)	No Change	No Change	No Change	No
PRE1051	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Specify source	ATG - Fresnius (rabbit)	Change/Clarification of Information Requested	No Change	ATG - Fresenius (rabbit)	No	Typographical/grammatical errors corrected for clarification
PRE1052	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Specify source	Thymoglobulin (rabbit)	No Change	No Change	No Change	No
PRE1053	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Specify source	Other	No Change	No Change	No Change	No
PRE1054	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Specify other source:	Open text	No Change	No Change	No Change	No
PRE1055	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	Total prescribed dose:	Open text	Change/Clarification of Information Requested	Total prescribed dose of Campath:	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1056	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	mg	checked	No Change	No Change	No Change	No
PRE1057	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	mg/kg	checked	No Change	No Change	No Change	No
PRE1058	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Additional Drugs Given In the Peri-Transplant Period	No	mg/m²	checked	No Change	No Change	No Change	No
PRE1059	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Was GVHD prophylaxis planned?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1060	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Was GVHD prophylaxis planned?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1061	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Abatacept	Change/Clarification of Information Requested	Specify drugs	No Change	No	Capture data accurately
PRE1062	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Anti CD 25 (Zenapax, Daclizumab, AntiTAC)	Deletion of Information Requested			No	Capture data accurately
PRE1063	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Blinded randomized trial	Change/Clarification of Information Requested	Specify drugs	No Change	No	Capture data accurately
PRE1064	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Bortezomib	Deletion of Information Requested			No	Catpure data accurately
PRE1065	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	CD34 enriched (CD34+ selection)	Change/Clarification of Information Requested	Specify intervention	No Change	No	Capture data accurately
PRE1066	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Corticosteriods (systemic)	Change/Clarification of Information Requested	Specify drugs	No Change	No	Capture data accurately
PRE1067	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Cyclophosphamide (Cytoxan)	Change/Clarification of Information Requested	Specify drugs	No Change	No	Capture data accurately
PRE1068	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Cyclosporine (CSA, Neoral, Sandimmune)	Change/Clarification of Information Requested	Specify drugs	No Change	No	Capture data accurately
PRE1069	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention		Addition of Information Requested	Specify drugs	Emapalumab-Izsg (Gamifant)	No	Capture data accurately
PRE1070	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Extra-corporeal photopheresis (ECP)	Change/Clarification of Information Requested	Specify drugs	No Change	No	Capture data accurately
PRE1071	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Ex-vivo T-cell depletion	Change/Clarification of Information Requested	Specify intervention	No Change	No	Capture data accurately
PRE1072	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Filgotinib	Deletion of Information Requested			No	Capture data accurately
PRE1073	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Maraviroc	Deletion of Information Requested			No	Capture data accurately
PRE1074	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Methotrexate (MTX) (Amethopterin)	Change/Clarification of Information Requested	Specify drugs	No Change	No	Capture data accurately
PRE1075	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Mycophenolate mofetil (MMF) (Cellcept)	Change/Clarification of Information Requested	Specify drugs	No Change	No	Capture data accurately
PRE1076	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention		Addition of Information Requested	Specify drugs	Obinutuzumab (Gazyva)	No	Capture data accurately
PRE1077	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Ruxolitinib	Change/Clarification of Information Requested	Specify drugs	Ruxolitinib (Jakifi)	No	Capture data accurately
PRE1078	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Sirolimus (Rapamycin, Rapamune)	Change/Clarification of Information Requested	Specify drugs	No Change	No	Capture data accurately
PRE1079	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Tacrolimus (FK506)	Change/Clarification of Information Requested	Specify drugs	No Change	No	Capture data accurately
PRE1080	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Tocilizumab	Change/Clarification of Information Requested	Specify drugs	Tocilizumab (Actemra)	No	Capture data accurately
PRE1081	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention		Addition of Information Requested	Specify drugs	None	No	Capture data accurately
PRE1082	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention	Other agent	Change/Clarification of Information Requested	Specify drugs	Other drug	No	Capture data accurately
PRE1083	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention		Change/Clarification of Information Requested and Addition of Response Option	Specify intervention	None	No	Capture data accurately
PRE1084	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify drugs / intervention		Change/Clarification of Information Requested and Addition of Response Option	Specify intervention	Other intervention	No	Capture data accurately
PRE1085	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No	Specify other agent:	Open text	Change/Clarification of Information Requested	Specify other drug:	No Change	No	Capture data accurately
PRE1086	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	Planned start date of abatacept:	Open Text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1087	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	Total planned number of doses of abatacept:	Open Text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1088	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	mg/kg	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1089	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	mg/m²	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1090	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	Planned start date of cyclophosphamide:	Open Text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1091	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	Total planned number of doses of cyclophosphamide:	Open Text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1092	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	mg/kg	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1093	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	mg/m²	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1094	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	Planned start date of methotrexate:	Open Text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1095	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	Total planned number of doses of methotrexate:	Open Text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1096	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	mg/kg	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1097	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	mg/m²	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1098	Pre-Transplant Information Collection	Pre-Transplant Essential Data	GVHD Prophylaxis	No			Addition of Information Requested	Specify other intervention:	Open Text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1099	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Is additional post-HCT therapy planned?	yes	No Change	No Change	No Change	No
PRE1100	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Is additional post-HCT therapy planned?	no	No Change	No Change	No Change	No
PRE1101	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Azacitidine (Vidaza)	No Change	No Change	No Change	No
PRE1102	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Blinatumomab	No Change	No Change	No Change	No
PRE1103	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Bortezomib (Velcade)	No Change	No Change	No Change	No
PRE1104	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Bosutinib	No Change	No Change	No Change	No
PRE1105	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Brentuximab	No Change	No Change	No Change	No
PRE1106	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Carfilzomib	No Change	No Change	No Change	No
PRE1107	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 1	No	Specify post-HCT therapy planned		Addition of Information Requested	No Change	CAR-T	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1108	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Cellular therapy	No Change	No Change	No Change	No
PRE1109	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Crenolanib	No Change	No Change	No Change	No
PRE1110	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Daratumumab	No Change	No Change	No Change	No
PRE1111	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Dasatinib	No Change	No Change	No Change	No
PRE1112	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Decitabine	No Change	No Change	No Change	No
PRE1113	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Elotuzumab	No Change	No Change	No Change	No
PRE1114	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Enasidenib	No Change	No Change	No Change	No
PRE1115	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Gilteritinib	No Change	No Change	No Change	No
PRE1116	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Ibrutinib	No Change	No Change	No Change	No
PRE1117	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Imanitib mesylate (Gleevec, Glivec)	No Change	No Change	No Change	No
PRE1118	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Intrathecal therapy	No Change	No Change	No Change	No
PRE1119	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Ivosidenib	No Change	No Change	No Change	No
PRE1120	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Ixazomib	No Change	No Change	No Change	No
PRE1121	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Lenalidomide (Revlimid)	No Change	No Change	No Change	No
PRE1122	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Lestaurtinib	No Change	No Change	No Change	No
PRE1123	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Local radiotherapy	No Change	No Change	No Change	No
PRE1124	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Midostaurin	No Change	No Change	No Change	No
PRE1125	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Nilotinib	No Change	No Change	No Change	No
PRE1126	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Obinutuzumab	No Change	No Change	No Change	No
PRE1127	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Pacritinib	No Change	No Change	No Change	No
PRE1128	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Ponatinib	No Change	No Change	No Change	No
PRE1129	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Quizartinib	No Change	No Change	No Change	No
PRE1130	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Rituximab (Rituxan, MabThera)	No Change	No Change	No Change	No
PRE1131	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Sorafenib	No Change	No Change	No Change	No
PRE1132	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Sunitinib	No Change	No Change	No Change	No
PRE1133	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Thalidomide (Thalomid)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1134	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned		Addition of Information Requested	No Change	Venetoclax (Venclexta)	No	Capture data accurately
PRE1135	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Other therapy	No Change	No Change	No Change	No
PRE1136	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify post-HCT therapy planned	Unknown	No Change	No Change	No Change	No
PRE1137	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Post-HCT Disease Therapy Planned as of Day 0	No	Specify other therapy:	Open text	No Change	No Change	No Change	No
PRE1138	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Prior Exposure: Potential Study Eligibility	No	Specify if the recipient received any of the following (at any time prior to HCT / infusion)	Blinatumomab (Blincyto)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1139	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Prior Exposure: Potential Study Eligibility	No	Specify if the recipient received any of the following (at any time prior to HCT / infusion)	Gemtuzumab ozogamicin (Mylotarg)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1140	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Prior Exposure: Potential Study Eligibility	No	Specify if the recipient received any of the following (at any time prior to HCT / infusion)	Inotuzumab ozogamicin (Besponsa)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1141	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Prior Exposure: Potential Study Eligibility	No	Specify if the recipient received any of the following (at any time prior to HCT / infusion)	Adienne Tepadina®	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1142	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Prior Exposure: Potential Study Eligibility	No	Specify if the recipient received any of the following (at any time prior to HCT / infusion)	Mogamulizumab (Poteligeo)	No Change	No Change	No Change	No
PRE1143	Pre-Transplant Information Collection	Pre-Transplant Essential Data	Prior Exposure: Potential Study Eligibility	No	Specify if the recipient received any of the following (at any time prior to HCT / infusion)	None	No Change	No Change	No Change	No
PRE1144	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Was the HCT impacted for a reason related to the COVID-19 (SARS-CoV-2) pandemic?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1145	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Was the HCT impacted for a reason related to the COVID-19 (SARS-CoV-2) pandemic?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1146	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Is the HCT date different than the originally intended HCT date?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1147	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Is the HCT date different than the originally intended HCT date?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1148	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Original date of HCT:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1149	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Date estimated	checked	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1150	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Is the donor different than the originally intended donor?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1151	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Is the donor different than the originally intended donor?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1152	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Specify the originally intended donor	Unrelated donor	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1153	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Specify the originally intended donor	Syngeneic	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1154	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Specify the originally intended donor	HLA-identical sibling	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1155	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Specify the originally intended donor	HLA-matched other relative	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1156	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Specify the originally intended donor	HLA-mismatched relative	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1157	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Is the product type (bone marrow, PBSC, cord blood unit) different than the originally intended product type?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1158	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Is the product type (bone marrow, PBSC, cord blood unit) different than the originally intended product type?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1159	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Specify the originally intended product type	Bone marrow	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1160	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Specify the originally intended product type	PBSC	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1161	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Specify the originally intended product type	Single cord blood unit	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1162	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Specify the originally intended product type	Other product	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1163	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Specify other product type:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1164	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Was the current product thawed from a cryopreserved state prior to infusion?	yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1165	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Was the current product thawed from a cryopreserved state prior to infusion?	no	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1166	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Did the preparative regimen change from the original plan?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1167	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Did the preparative regimen change from the original plan?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1168	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Did the GVHD prophylaxis change from the original plan?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1169	Pre-Transplant Information Collection	Pre-Transplant Essential Data	COVID-19 (SARS-CoV-2) Impact on Hematopoietic Cell Transplantation (HCT)	No	Did the GVHD prophylaxis change from the original plan?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1170	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	Date of diagnosis of primary disease for HCT / Cellular therapy	Open text	Change/Clarification of Information Requested	Date of diagnosis of primary disease for infusion	No Change	No	Capture data accurately
PRE1171	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Acute myelogenous leukemia (AML)	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1172	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Acute lymphoblastic leukemia (ALL)	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1173	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Acute leukemia of ambiguous lineage and other myeloid neoplasms	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	Acute leukemia of mixed or ambiguous lineage	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1174	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Chronic myeloid leukemia (CML)	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1175	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Myelodysplastic syndrome (MDS)	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1176	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Myeloproliferative neoplasms (MPN)	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1177	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Other leukemia	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1178	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Hodgkin lymphoma	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1179	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Non-Hodgkin lymphoma	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1180	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Multiple myeloma / plasma cell disorder (PCD)	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1181	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Solid tumors	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1182	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Aplastic Anemia	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1183	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Inherited bone marrow failure syndromes	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1184	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Hemoglobinopathies	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1185	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Paroxysmal nocturnal hemoglobinuria (PNH)	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1186	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Disorders of the immune system	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	Inborn Errors of Immunity (IEI)	No	Capture data accurately
PRE1187	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Inherited abnormalities of platelets	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1188	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Inherited disorders of metabolism	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1189	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Histiocytic disorders	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1190	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Autoimmune diseases	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1191	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Tolerance induction associated with solid organ transplant	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1192	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Recessive dystrophic epidermolysis bullosa	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1193	Pre-Transplant Information Collection	Disease Classification	Primary Disease for Infusion	No	What was the primary disease for which the HCT / cellular therapy was performed?	Other disease	Change/Clarification of Information Requested	What was the primary disease for which the infusion was performed?	No Change	No	Capture data accurately
PRE1194	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with MLLT3::KMT2A fusion	No Change	No Change	No Change	No
PRE1195	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with other KMT2A rearrangements	No Change	No Change	No Change	No
PRE1196	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with DEK::NUP214 fusion	No Change	No Change	No Change	No
PRE1197	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with MECOM (EVI1), GATA2 rearrangement	No Change	No Change	No Change	No
PRE1198	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with Other MECOM rearrangements	No Change	No Change	No Change	No
PRE1199	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with RBM15::MRTFA fusion	No Change	No Change	No Change	No
PRE1200	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with RUNX1::RUNX1T1 fusion	No Change	No Change	No Change	No
PRE1201	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with CBFB::MYH11 fusion	No Change	No Change	No Change	No
PRE1202	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute promyelocytic leukemia with PML::RARA fusion	No Change	No Change	No Change	No
PRE1203	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute promyelocytic leukemia with other RARA fusions	No Change	No Change	No Change	No
PRE1204	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with BCR::ABL1 fusion	No Change	No Change	No Change	No
PRE1205	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with NPM1 mutation	No Change	No Change	No Change	No
PRE1206	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with CEBPA mutation	No Change	No Change	No Change	No
PRE1207	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with myelodysplasia - related	No Change	No Change	No Change	No
PRE1208	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with NUP98 rearrangement	No Change	No Change	No Change	No
PRE1209	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with mutated TP53	No Change	No Change	No Change	No
PRE1210	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with other defined genetic alterations	No Change	No Change	No Change	No
PRE1211	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with minimal differentiation	No Change	No Change	No Change	No
PRE1212	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia without maturation	No Change	No Change	No Change	No
PRE1213	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia with maturation	No Change	No Change	No Change	No
PRE1214	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myelomonocytic leukemia	No Change	No Change	No Change	No
PRE1215	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute monocytic leukemia	No Change	No Change	No Change	No
PRE1216	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute erythroid leukemia	No Change	No Change	No Change	No
PRE1217	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute megakaryoblastic leukemia	No Change	No Change	No Change	No
PRE1218	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute basophilic leukemia	No Change	No Change	No Change	No
PRE1219	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Myeloid sarcoma	No Change	No Change	No Change	No
PRE1220	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the AML classification	Acute myeloid leukemia, not otherwise specified	No Change	No Change	No Change	No
PRE1221	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Did AML transform from MDS or MPN?	Yes, MDS	No Change	No Change	No Change	No
PRE1222	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Did AML transform from MDS or MPN?	Yes, MPN	No Change	No Change	No Change	No
PRE1223	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Did AML transform from MDS or MPN?	No	No Change	No Change	No Change	No
PRE1224	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Is the disease (AML) therapy related?	yes	No Change	No Change	No Change	No
PRE1225	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Is the disease (AML) therapy related?	no	No Change	No Change	No Change	No
PRE1226	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Is the disease (AML) therapy related?	Unknown	No Change	No Change	No Change	No
PRE1227	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Did the recipient have a predisposing condition?	Yes	Change/Clarification of Information Requested	Did the recipient have a predisposing condition or antecedent hematologic disorder?	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1228	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Did the recipient have a predisposing condition?	No	Change/Clarification of Information Requested	Did the recipient have a predisposing condition or antecedent hematologic disorder?	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1229	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Did the recipient have a predisposing condition?	Unknown	Change/Clarification of Information Requested	Did the recipient have a predisposing condition or antecedent hematologic disorder?	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1230	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Aplastic anemia	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1231	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Biallelic germline BLM variant (Bloom syndrome)	Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1232	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Childhood MDS with low blasts, hypocellular	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1233	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Childhood MDS with low blasts, not otherwise specified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1234	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Childhood MDS with increased blasts	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1235	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Chronic eosinophilic leukemia	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1236	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Chronic myelomonocytic leukemia (CMML), Myelodysplastic	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1237	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Chronic myelomonocytic leukemia (CMML), Myeloproliferative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1238	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Chronic neutrophilic leukemia	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1239	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Diamond-Blackfan Anemia (pure red cell aplasia)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1240	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Down syndrome	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1241	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Essential thrombocythemia	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1242	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Fanconi anemia	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1243	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Germline CEBPA variant (CEBPA-associated familial AML)	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1244	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Germline DDX41 variant	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1245	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Germline TP53 variant (Li-Fraumeni Syndrome)	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1246	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Germline RUNX1 variant	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1247	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Germline ANKRD26 variant (Thrombocytopenia 2)	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1248	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Germline ETV6 variant (Thrombocytopenia 5)	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1249	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Germline GATA2 variant (GATA2 deficiency)	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1250	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Germline SAMD9 variant (MIRAGE Syndrome)	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1251	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Germline SAMD9L variant (SAMD9L-related Ataxia Pancytopenia Syndrome)	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1252	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Juvenile myelomonocytic leukemia (JMML)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1253	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	MDS, with low blasts (MDS-LB; <5% BM, <2% PB)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1254	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	MDS, hypoplastic (MDS-h) <=25% cellularity by age	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1255	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	MDS with increased blasts (MDS-IB1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1256	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	MDS with increased blasts (MDS-IB2)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1257	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	MDS with fibrosis (MDS-f)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1258	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	MDS / MPN with ring sideroblasts (>=15% ring sideroblasts and wild type SF3B1) and thrombocytosis	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1259	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Myelodysplastic / myeloproliferative neoplasm with neutrophilia	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1260	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Myelodysplastic / myeloproliferative neoplasm with SF3B1 mutation and thrombocytosis	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1261	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Myelodysplastic / myeloproliferative neoplasm, NOS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1262	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Myelodysplastic syndrome with low blasts and isolated 5q deletion (MDS-5q)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1263	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Myelodysplastic syndrome with low blasts and SF3B1 mutation (MDS-SF3B1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1264	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Myelodysplastic syndrome with low blasts and ring sideroblasts (>=15% ring sideroblasts and wild type SF3B1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1265	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Myelodysplastic syndrome with biallelic TP53 inactivation (MDS-biTP53)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1266	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Myeloproliferative neoplasm (MPN), NOS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1267	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Polycythemia vera (PCV)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1268	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify AML predisposing condition or antecedent hematologic disorder	Primary myelofibrosis (PMF)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1269	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	RASopathies (Neurofibromatosis type 1, CBL syndrome, Noonan syndrome, Noonan syndrome-like disorders	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1270	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Severe congenital neutropenia (SCN)	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1271	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Shwachman-Diamond syndrome (SDS)	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1272	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Telomere biology disorders (Dyskeratosis congenita and others)	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1273	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify condition	Other condition	Change/Clarification of Information Requested	Specify AML predisposing condition or antecedent hematologic disorder	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1274	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify other condition:	Open text	Change/Clarification of Information Requested	Specify other AML predisposing condition antecedent hematologic disorder:	No Change	No	Capture data accurately
PRE1275	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested (karyotyping or FISH)?	yes	No Change	No Change	No Change	No
PRE1276	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested (karyotyping or FISH)?	no	No Change	No Change	No Change	No
PRE1277	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested (karyotyping or FISH)?	Unknown	No Change	No Change	No Change	No
PRE1278	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via FISH?	Yes	No Change	No Change	No Change	No
PRE1279	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via FISH?	No	No Change	No Change	No Change	No
PRE1280	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via FISH?		Addition of Information Requested	No Change	Unknown	No	Capture data accurately
PRE1281	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE1282	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE1283	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE1284	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1285	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE1286	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE1287	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE1288	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE1289	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE1290	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-17	No Change	No Change	No Change	No
PRE1291	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-18	No Change	No Change	No Change	No
PRE1292	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-X	No Change	No Change	No Change	No
PRE1293	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE1294	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE1295	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE1296	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+11	No Change	No Change	No Change	No
PRE1297	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+13	No Change	No Change	No Change	No
PRE1298	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+14	No Change	No Change	No Change	No
PRE1299	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE1300	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+22	No Change	No Change	No Change	No
PRE1301	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(3;3)	Change/Clarification of Information Requested	No Change	t(3;3), RPN1 / MECOM or RPN1 / EVI1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1302	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(6;9)	Change/Clarification of Information Requested	No Change	t(6;9), DEK / NUP214 (CAN)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1303	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities		Addition of Information Requested	No Change	t(8;16), KATA6A::CREBBP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1304	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(8;21)	Change/Clarification of Information Requested	No Change	t(8;21), RUNX1T1 / RUNX1 or ETO / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1305	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;11)	Change/Clarification of Information Requested	No Change	t(9;11), MLLT3 (AF9) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1306	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;22)	Change/Clarification of Information Requested	No Change	t(9;22), BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1307	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(15;17) and variants	Change/Clarification of Information Requested	No Change	t(15;17) and variants, PML / RARA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1308	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(16;16)	Change/Clarification of Information Requested	No Change	t(16;16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1309	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(3q) / 3q-	No Change	No Change	No Change	No
PRE1310	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE1311	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE1312	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(9q) / 9q-	No Change	No Change	No Change	No
PRE1313	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE1314	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(16q) / 16q-	No Change	No Change	No Change	No
PRE1315	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(17q) / 17q-	No Change	No Change	No Change	No
PRE1316	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE1317	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(21q) / 21q-	No Change	No Change	No Change	No
PRE1318	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(3)	Change/Clarification of Information Requested	No Change	inv(3), RPN1 / MECOM (EVI1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1319	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(16)	Change/Clarification of Information Requested	No Change	inv(16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1320	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities		Addition of Information Requested	No Change	t(3q26.2;v), MECOM (EVI1) - rearranged	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1321	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	(11q23) any abnormality	Change/Clarification of Information Requested	No Change	(11q23) any abnormality, MLL (KMT2A)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1322	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	12p any abnormality	No Change	No Change	No Change	No
PRE1323	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE1324	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE1325	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE1326	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via karyotyping?	Yes	No Change	No Change	No Change	No
PRE1327	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via karyotyping?	No	No Change	No Change	No Change	No
PRE1328	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via karyotyping?		Addition of Information Requested	No Change	Unknown	No	Capture data accurately
PRE1329	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE1330	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	No evaluable metaphases	No Change	No Change	No Change	No
PRE1331	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE1332	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE1333	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1334	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE1335	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE1336	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE1337	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE1338	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE1339	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-17	No Change	No Change	No Change	No
PRE1340	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-18	No Change	No Change	No Change	No
PRE1341	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-X	No Change	No Change	No Change	No
PRE1342	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE1343	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE1344	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE1345	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+11	No Change	No Change	No Change	No
PRE1346	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+13	No Change	No Change	No Change	No
PRE1347	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+14	No Change	No Change	No Change	No
PRE1348	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE1349	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+22	No Change	No Change	No Change	No
PRE1350	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(3;3)	No Change	No Change	No Change	No
PRE1351	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(6;9)	No Change	No Change	No Change	No
PRE1352	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(8;21)	No Change	No Change	No Change	No
PRE1353	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;11)	No Change	No Change	No Change	No
PRE1354	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;22)	No Change	No Change	No Change	No
PRE1355	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(15;17) and variants	No Change	No Change	No Change	No
PRE1356	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(16;16)	No Change	No Change	No Change	No
PRE1357	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(3q) / 3q-	No Change	No Change	No Change	No
PRE1358	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE1359	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE1360	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(9q) / 9q-	No Change	No Change	No Change	No
PRE1361	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE1362	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(16q) / 16q-	No Change	No Change	No Change	No
PRE1363	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(17q) / 17q-	No Change	No Change	No Change	No
PRE1364	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE1365	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(21q) / 21q-	No Change	No Change	No Change	No
PRE1366	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(3)	No Change	No Change	No Change	No
PRE1367	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(16)	No Change	No Change	No Change	No
PRE1368	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	(11q23) any abnormality	No Change	No Change	No Change	No
PRE1369	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	12p any abnormality	No Change	No Change	No Change	No
PRE1370	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE1371	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE1372	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE1373	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE1374	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were tests for molecular markers performed?	yes	Deletion of Information Requested			No	Reduce burden
PRE1375	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were tests for molecular markers performed?	no	Deletion of Information Requested			No	Reduce burden
PRE1376	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were tests for molecular markers performed?	Unknown	Deletion of Information Requested			No	Reduce burden
PRE1377	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ASXL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1378	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ASXL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1379	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ASXL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1380	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCOR	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1381	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCOR	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1382	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCOR	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1383	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCR::ABL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1384	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCR::ABL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1385	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCR::ABL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1386	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	CEBPA	Positive	No Change	No Change	No Change	No
PRE1387	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	CEBPA	Negative	No Change	No Change	No Change	No
PRE1388	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	CEBPA	Not Done	No Change	No Change	No Change	No
PRE1389	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	Specify the CEBPA variant mutation	bZip in-frame mutation	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1390	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	Specify the CEBPA variant mutation	Other	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1391	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	Specify the CEBPA variant mutation	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1392	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the CEBPA mutation	Biallelic	Change/Clarification of Information Requested	Specify CEBPA allelic expression	No Change	No	Capture data accurately
PRE1393	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the CEBPA mutation	Monoallelic	Change/Clarification of Information Requested	Specify CEBPA allelic expression	No Change	No	Capture data accurately
PRE1394	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the CEBPA mutation	Unknown	Change/Clarification of Information Requested	Specify CEBPA allelic expression	No Change	No	Capture data accurately
PRE1395	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	DDX41	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1396	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	DDX41	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1397	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	DDX41	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1398	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	EZH2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1399	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	EZH2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1400	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	EZH2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1401	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – TKD	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1402	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – TKD	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1403	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – TKD	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1404	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – ITD mutation	Positive	Change/Clarification of Information Requested	FLT3 – ITD	No Change	No	Capture data accurately
PRE1405	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – ITD mutation	Negative	Change/Clarification of Information Requested	FLT3 – ITD	No Change	No	Capture data accurately
PRE1406	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – ITD mutation	Not Done	Change/Clarification of Information Requested	FLT3 – ITD	No Change	No	Capture data accurately
PRE1407	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 - ITD allelic ratio	Known	No Change	No Change	No Change	No
PRE1408	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 - ITD allelic ratio	Unknown	No Change	No Change	No Change	No
PRE1409	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify FLT3 - ITD allelic ratio:	Open text	No Change	No Change	No Change	No
PRE1410	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	GATA2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1411	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	GATA2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1412	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	GATA2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1413	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH1	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1414	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH1	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1415	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH1	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1416	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH2	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1417	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH2	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1418	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH2	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1419	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	KIT	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1420	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	KIT	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1421	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	KIT	Not done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1422	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	NPM1	Positive	No Change	No Change	No Change	No
PRE1423	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	NPM1	Negative	No Change	No Change	No Change	No
PRE1424	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	NPM1	Not Done	No Change	No Change	No Change	No
PRE1425	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	RUNX1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1426	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	RUNX1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1427	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	RUNX1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1428	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SF3B1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1429	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SF3B1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1430	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SF3B1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1431	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SRSF2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1432	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SRSF2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1433	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SRSF2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1434	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	STAG2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1435	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	STAG2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1436	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	STAG2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1437	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	TP53	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1438	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	TP53	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1439	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	TP53	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1440	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	U2AF1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1441	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	U2AF1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1442	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	U2AF1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1443	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ZRSR2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1444	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ZRSR2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1445	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ZRSR2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1446	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Other molecular marker	Positive	Merged to Check all that Apply (Deletion of Information Requested)	Specify any other positive molecular marker(s) identified		No	Reduce burden
PRE1447	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Other molecular marker	Negative	Merged to Check all that Apply (Deletion of Information Requested)	Specify any other positive molecular marker(s) identified		No	Reduce burden
PRE1448	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Other molecular marker	Not Done	Merged to Check all that Apply (Deletion of Information Requested)	Specify any other positive molecular marker(s) identified		No	Reduce burden
PRE1449	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	FLT3-TKD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1450	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1451	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1452	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	KIT	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1453	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	Other molecular marker	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1454	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1455	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify other molecular marker	Open text	Change/Clarification of Information Requested	Specify other positive molecular marker(s):	No Change	No	Capture data accurately
PRE1456	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Reduce burden
PRE1457	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested (karyotyping or FISH)?	yes	No Change	No Change	No Change	No
PRE1458	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested (karyotyping or FISH)?	no	No Change	No Change	No Change	No
PRE1459	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested (karyotyping or FISH)?	unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1460	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via FISH?	Yes	No Change	No Change	No Change	No
PRE1461	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via FISH?	No	No Change	No Change	No Change	No
PRE1462	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE1463	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE1464	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	Yes	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE1465	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1466	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE1467	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE1468	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE1469	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE1470	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE1471	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-17	No Change	No Change	No Change	No
PRE1472	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-18	No Change	No Change	No Change	No
PRE1473	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-X	No Change	No Change	No Change	No
PRE1474	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE1475	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE1476	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE1477	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+11	No Change	No Change	No Change	No
PRE1478	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+13	No Change	No Change	No Change	No
PRE1479	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+14	No Change	No Change	No Change	No
PRE1480	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE1481	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+22	No Change	No Change	No Change	No
PRE1482	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(3;3)	Change/Clarification of Information Requested	No Change	t(3;3), RPN1 / MECOM or RPN1 / EVI1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1483	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(6;9)	Change/Clarification of Information Requested	No Change	t(6;9), DEK / NUP214 (CAN)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1484	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities		Addition of Information Requested	No Change	t(8;16), KATA6A::CREBBP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1485	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(8;21)	Change/Clarification of Information Requested	No Change	t(8;21), RUNX1T1 / RUNX1 or ETO / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1486	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;11)	Change/Clarification of Information Requested	No Change	t(9;11), MLLT3 (AF9) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1487	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;22)	Change/Clarification of Information Requested	No Change	t(9;22), BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1488	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(15;17) and variants	Change/Clarification of Information Requested	No Change	t(15;17) and variants, PML / RARA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1489	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(16;16)	Change/Clarification of Information Requested	No Change	t(16;16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1490	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(3q) / 3q-	No Change	No Change	No Change	No
PRE1491	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE1492	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE1493	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(9q) / 9q-	No Change	No Change	No Change	No
PRE1494	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE1495	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(16q) / 16q-	No Change	No Change	No Change	No
PRE1496	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(17q) / 17q-	No Change	No Change	No Change	No
PRE1497	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE1498	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(21q) / 21q-	No Change	No Change	No Change	No
PRE1499	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(3)	Change/Clarification of Information Requested	No Change	inv(3), RPN1 / MECOM (EVI1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1500	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(16)	Change/Clarification of Information Requested	No Change	inv(16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1501	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities		Addition of Information Requested	No Change	t(3q26.2;v), MECOM (EVI1) - rearranged	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1502	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	(11q23) any abnormality	Change/Clarification of Information Requested	No Change	(11q23) any abnormality, MLL (KMT2A)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1503	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	12p any abnormality	No Change	No Change	No Change	No
PRE1504	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE1505	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE1506	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE1507	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via karyotyping?	Yes	No Change	No Change	No Change	No
PRE1508	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via karyotyping?	No	No Change	No Change	No Change	No
PRE1509	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE1510	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	No evaluable metaphases	No Change	No Change	No Change	No
PRE1511	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE1512	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	Yes	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE1513	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1514	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE1515	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE1516	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE1517	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE1518	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE1519	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-17	No Change	No Change	No Change	No
PRE1520	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-18	No Change	No Change	No Change	No
PRE1521	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-X	No Change	No Change	No Change	No
PRE1522	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE1523	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE1524	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE1525	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+11	No Change	No Change	No Change	No
PRE1526	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+13	No Change	No Change	No Change	No
PRE1527	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+14	No Change	No Change	No Change	No
PRE1528	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE1529	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+22	No Change	No Change	No Change	No
PRE1530	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(3;3)	No Change	No Change	No Change	No
PRE1531	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(6;9)	No Change	No Change	No Change	No
PRE1532	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(8;21)	No Change	No Change	No Change	No
PRE1533	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;11)	No Change	No Change	No Change	No
PRE1534	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;22)	No Change	No Change	No Change	No
PRE1535	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(15;17) and variants	No Change	No Change	No Change	No
PRE1536	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(16;16)	No Change	No Change	No Change	No
PRE1537	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(3q) / 3q-	No Change	No Change	No Change	No
PRE1538	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE1539	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE1540	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(9q) / 9q-	No Change	No Change	No Change	No
PRE1541	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE1542	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(16q) / 16q-	No Change	No Change	No Change	No
PRE1543	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(17q) / 17q-	No Change	No Change	No Change	No
PRE1544	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE1545	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(21q) / 21q-	No Change	No Change	No Change	No
PRE1546	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(3)	No Change	No Change	No Change	No
PRE1547	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(16)	No Change	No Change	No Change	No
PRE1548	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	(11q23) any abnormality	No Change	No Change	No Change	No
PRE1549	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	12p any abnormality	No Change	No Change	No Change	No
PRE1550	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE1551	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE1552	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE1553	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE1554	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were tests for molecular markers performed?	yes	Deletion of Information Requested			No	Reduce burden
PRE1555	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were tests for molecular markers performed?	no	Deletion of Information Requested			No	Reduce burden
PRE1556	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were tests for molecular markers performed?	Unknown	Deletion of Information Requested			No	Reduce burden
PRE1557	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ASXL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1558	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ASXL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1559	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ASXL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1560	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCOR	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1561	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCOR	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1562	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCOR	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1563	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCR::ABL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1564	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCR::ABL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1565	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCR::ABL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1566	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	CEBPA	Positive	No Change	No Change	No Change	No
PRE1567	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	CEBPA	Negative	No Change	No Change	No Change	No
PRE1568	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	CEBPA	Not Done	No Change	No Change	No Change	No
PRE1569	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	Specify the CEBPA variant mutation	bZip in-frame mutation	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1570	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	Specify the CEBPA variant mutation	Other	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1571	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	Specify the CEBPA variant mutation	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1572	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the CEBPA mutation	Biallelic	Change/Clarification of Information Requested	Specify CEBPA allelic expression	No Change	No	Capture data accurately
PRE1573	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the CEBPA mutation	Monoallelic	Change/Clarification of Information Requested	Specify CEBPA allelic expression	No Change	No	Capture data accurately
PRE1574	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the CEBPA mutation	Unknown	Change/Clarification of Information Requested	Specify CEBPA allelic expression	No Change	No	Capture data accurately
PRE1575	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	DDX41	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1576	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	DDX41	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1577	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	DDX41	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1578	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	EZH2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1579	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	EZH2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1580	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	EZH2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1581	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – TKD	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1582	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – TKD	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1583	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – TKD	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1584	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – ITD mutation	Positive	Change/Clarification of Information Requested	FLT3 – ITD	No Change	No	Capture data accurately
PRE1585	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – ITD mutation	Negative	Change/Clarification of Information Requested	FLT3 – ITD	No Change	No	Capture data accurately
PRE1586	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – ITD mutation	Not Done	Change/Clarification of Information Requested	FLT3 – ITD	No Change	No	Capture data accurately
PRE1587	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 - ITD allelic ratio	Known	No Change	No Change	No Change	No
PRE1588	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 - ITD allelic ratio	Unknown	No Change	No Change	No Change	No
PRE1589	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify FLT3 - ITD allelic ratio:	Open text	No Change	No Change	No Change	No
PRE1590	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	GATA2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1591	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	GATA2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1592	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	GATA2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1593	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH1	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1594	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH1	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1595	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH1	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1596	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH2	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1597	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH2	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1598	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH2	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1599	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	KIT	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1600	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	KIT	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1601	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	KIT	Not done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1602	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	NPM1	Positive	No Change	No Change	No Change	No
PRE1603	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	NPM1	Negative	No Change	No Change	No Change	No
PRE1604	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	NPM1	Not Done	No Change	No Change	No Change	No
PRE1605	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	RUNX1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1606	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	RUNX1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1607	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	RUNX1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1608	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SF3B1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1609	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SF3B1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1610	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SF3B1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1611	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SRSF2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1612	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SRSF2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1613	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SRSF2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1614	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	STAG2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1615	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	STAG2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1616	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	STAG2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1617	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	TP53	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1618	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	TP53	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1619	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	TP53	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1620	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	U2AF1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1621	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	U2AF1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1622	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	U2AF1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1623	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ZRSR2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1624	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ZRSR2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1625	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ZRSR2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1626	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Other molecular marker	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1627	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Other molecular marker	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1628	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Other molecular marker	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1629	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	FLT3-TKD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1630	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1631	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1632	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	KIT	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1633	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	Other molecular marker	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1634	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1635	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify other molecular marker	Open text	Change/Clarification of Information Requested	Specify other positive molecular marker(s):	No Change	No	Capture data accurately
PRE1636	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Reduce burden
PRE1637	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested (karyotyping or FISH)?	yes	No Change	No Change	No Change	No
PRE1638	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested (karyotyping or FISH)?	no	No Change	No Change	No Change	No
PRE1639	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested (karyotyping or FISH)?	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1640	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via FISH?	Yes	No Change	No Change	No Change	No
PRE1641	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via FISH?	No	No Change	No Change	No Change	No
PRE1642	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE1643	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE1644	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE1645	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1646	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE1647	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE1648	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE1649	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE1650	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE1651	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-17	No Change	No Change	No Change	No
PRE1652	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-18	No Change	No Change	No Change	No
PRE1653	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-X	No Change	No Change	No Change	No
PRE1654	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE1655	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE1656	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE1657	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+11	No Change	No Change	No Change	No
PRE1658	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+13	No Change	No Change	No Change	No
PRE1659	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+14	No Change	No Change	No Change	No
PRE1660	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE1661	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+22	No Change	No Change	No Change	No
PRE1662	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(3;3)	Change/Clarification of Information Requested	No Change	t(3;3), RPN1 / MECOM or RPN1 / EVI1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1663	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(6;9)	Change/Clarification of Information Requested	No Change	t(6;9), DEK / NUP214 (CAN)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1664	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities		Addition of Information Requested	No Change	t(8;16), KATA6A::CREBBP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1665	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(8;21)	Change/Clarification of Information Requested	No Change	t(8;21), RUNX1T1 / RUNX1 or ETO / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1666	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;11)	Change/Clarification of Information Requested	No Change	t(9;11), MLLT3 (AF9) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1667	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;22)	Change/Clarification of Information Requested	No Change	t(9;22), BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1668	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(15;17) and variants	Change/Clarification of Information Requested	No Change	t(15;17) and variants, PML / RARA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1669	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(16;16)	Change/Clarification of Information Requested	No Change	t(16;16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1670	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(3q) / 3q-	No Change	No Change	No Change	No
PRE1671	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE1672	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE1673	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(9q) / 9q-	No Change	No Change	No Change	No
PRE1674	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE1675	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(16q) / 16q-	No Change	No Change	No Change	No
PRE1676	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(17q) / 17q-	No Change	No Change	No Change	No
PRE1677	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE1678	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(21q) / 21q-	No Change	No Change	No Change	No
PRE1679	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(3)	Change/Clarification of Information Requested	No Change	inv(3), RPN1 / MECOM (EVI1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1680	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(16)	Change/Clarification of Information Requested	No Change	inv(16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1681	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities		Addition of Information Requested	No Change	t(3q26.2;v), MECOM (EVI1) - rearranged	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1682	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	(11q23) any abnormality	Change/Clarification of Information Requested	No Change	(11q23) any abnormality, MLL (KMT2A)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1683	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	12p any abnormality	No Change	No Change	No Change	No
PRE1684	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE1685	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE1686	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE1687	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via karyotyping?	Yes	No Change	No Change	No Change	No
PRE1688	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were cytogenetics tested via karyotyping?	No	No Change	No Change	No Change	No
PRE1689	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE1690	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	No evaluable metaphases	No Change	No Change	No Change	No
PRE1691	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE1692	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE1693	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1694	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE1695	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE1696	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE1697	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE1698	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE1699	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-17	No Change	No Change	No Change	No
PRE1700	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-18	No Change	No Change	No Change	No
PRE1701	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-X	No Change	No Change	No Change	No
PRE1702	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE1703	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE1704	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE1705	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+11	No Change	No Change	No Change	No
PRE1706	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+13	No Change	No Change	No Change	No
PRE1707	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+14	No Change	No Change	No Change	No
PRE1708	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE1709	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	+22	No Change	No Change	No Change	No
PRE1710	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(3;3)	No Change	No Change	No Change	No
PRE1711	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(6;9)	No Change	No Change	No Change	No
PRE1712	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(8;21)	No Change	No Change	No Change	No
PRE1713	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;11)	No Change	No Change	No Change	No
PRE1714	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(9;22)	No Change	No Change	No Change	No
PRE1715	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(15;17) and variants	No Change	No Change	No Change	No
PRE1716	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	t(16;16)	No Change	No Change	No Change	No
PRE1717	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(3q) / 3q-	No Change	No Change	No Change	No
PRE1718	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE1719	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE1720	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(9q) / 9q-	No Change	No Change	No Change	No
PRE1721	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE1722	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(16q) / 16q-	No Change	No Change	No Change	No
PRE1723	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(17q) / 17q-	No Change	No Change	No Change	No
PRE1724	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE1725	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	del(21q) / 21q-	No Change	No Change	No Change	No
PRE1726	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(3)	No Change	No Change	No Change	No
PRE1727	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	inv(16)	No Change	No Change	No Change	No
PRE1728	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	(11q23) any abnormality	No Change	No Change	No Change	No
PRE1729	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	12p any abnormality	No Change	No Change	No Change	No
PRE1730	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE1731	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE1732	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE1733	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE1734	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were tests for molecular markers performed?	yes	Deletion of Information Requested			No	Reduce burden
PRE1735	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were tests for molecular markers performed?	no	Deletion of Information Requested			No	Reduce burden
PRE1736	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Were tests for molecular markers performed?	Unknown	Deletion of Information Requested			No	Reduce burden
PRE1737	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ASXL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1738	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ASXL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1739	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ASXL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1740	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCOR	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1741	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCOR	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1742	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCOR	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1743	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCR::ABL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1744	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCR::ABL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1745	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	BCR::ABL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1746	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	CEBPA	Positive	No Change	No Change	No Change	No
PRE1747	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	CEBPA	Negative	No Change	No Change	No Change	No
PRE1748	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	CEBPA	Not Done	No Change	No Change	No Change	No
PRE1749	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	Specify the CEBPA variant mutation	bZip in-frame mutation	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1750	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	Specify the CEBPA variant mutation	Other	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1751	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	Specify the CEBPA variant mutation	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1752	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the CEBPA mutation	Biallelic	Change/Clarification of Information Requested	Specify CEBPA allelic expression	No Change	No	Capture data accurately
PRE1753	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the CEBPA mutation	Monoallelic	Change/Clarification of Information Requested	Specify CEBPA allelic expression	No Change	No	Capture data accurately
PRE1754	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify the CEBPA mutation	Unknown	Change/Clarification of Information Requested	Specify CEBPA allelic expression	No Change	No	Capture data accurately
PRE1755	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	DDX41	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1756	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	DDX41	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1757	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	DDX41	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1758	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	EZH2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1759	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	EZH2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1760	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	EZH2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1761	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – TKD	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1762	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – TKD	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1763	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – TKD	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1764	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – ITD mutation	Positive	Change/Clarification of Information Requested	FLT3 – ITD	No Change	No	Capture data accurately
PRE1765	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – ITD mutation	Negative	Change/Clarification of Information Requested	FLT3 – ITD	No Change	No	Capture data accurately
PRE1766	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 – ITD mutation	Not Done	Change/Clarification of Information Requested	FLT3 – ITD	No Change	No	Capture data accurately
PRE1767	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 - ITD allelic ratio	Known	No Change	No Change	No Change	No
PRE1768	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	FLT3 - ITD allelic ratio	Unknown	No Change	No Change	No Change	No
PRE1769	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify FLT3 - ITD allelic ratio:	Open text	No Change	No Change	No Change	No
PRE1770	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	GATA2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1771	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	GATA2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1772	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	GATA2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1773	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH1	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1774	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH1	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1775	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH1	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1776	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH2	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1777	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH2	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1778	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	IDH2	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1779	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	KIT	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1780	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	KIT	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1781	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	KIT	Not done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1782	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	NPM1	Positive	No Change	No Change	No Change	No
PRE1783	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	NPM1	Negative	No Change	No Change	No Change	No
PRE1784	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	NPM1	Not Done	No Change	No Change	No Change	No
PRE1785	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	RUNX1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1786	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	RUNX1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1787	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	RUNX1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1788	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SF3B1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1789	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SF3B1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1790	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SF3B1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1791	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SRSF2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1792	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SRSF2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1793	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	SRSF2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1794	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	STAG2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1795	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	STAG2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1796	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	STAG2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1797	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	TP53	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1798	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	TP53	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1799	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	TP53	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1800	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	U2AF1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1801	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	U2AF1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1802	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	U2AF1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1803	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ZRSR2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1804	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ZRSR2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1805	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	ZRSR2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1806	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Other molecular marker	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1807	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Other molecular marker	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1808	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Other molecular marker	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1809	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	FLT3-TKD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1810	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1811	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1812	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	KIT	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1813	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	Other molecular marker	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1814	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any other positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1815	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify other molecular marker	Open text	Change/Clarification of Information Requested	Specify other positive molecular marker(s):	No Change	No	Capture data accurately
PRE1816	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Reduce burden
PRE1817	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Did the recipient have central nervous system leukemia at any time prior to the start of the preparative regimen / infusion?	yes	No Change	No Change	No Change	No
PRE1818	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Did the recipient have central nervous system leukemia at any time prior to the start of the preparative regimen / infusion?	no	No Change	No Change	No Change	No
PRE1819	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Did the recipient have central nervous system leukemia at any time prior to the start of the preparative regimen / infusion?	Unknown	No Change	No Change	No Change	No
PRE1820	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	What was the disease status?	Primary induction failure	No Change	No Change	No Change	No
PRE1821	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	What was the disease status?	1st complete remission	No Change	No Change	No Change	No
PRE1822	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	What was the disease status?	2nd complete remission	No Change	No Change	No Change	No
PRE1823	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	What was the disease status?	>3rd complete remission	No Change	No Change	No Change	No
PRE1824	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	What was the disease status?	1st relapse	No Change	No Change	No Change	No
PRE1825	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	What was the disease status?	2nd relapse	No Change	No Change	No Change	No
PRE1826	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	What was the disease status?	>3rd relapse	No Change	No Change	No Change	No
PRE1827	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	What was the disease status?	No treatment	No Change	No Change	No Change	No
PRE1828	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	How many cycles of induction therapy were required to achieve 1st complete remission?	1	No Change	No Change	No Change	No
PRE1829	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	How many cycles of induction therapy were required to achieve 1st complete remission?	2	No Change	No Change	No Change	No
PRE1830	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	How many cycles of induction therapy were required to achieve 1st complete remission?	>3	No Change	No Change	No Change	No
PRE1831	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	How many cycles of induction therapy were required to achieve 1st complete remission?		Addition of Information Requested	No Change	Treatment not given in cycles	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1832	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	Date CR first achieved:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1833	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No			Addition of Information Requested	Date of most recent relapse:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1834	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify method(s) that was used to assess measurable residual disease status	FISH	No Change	No Change	No Change	No
PRE1835	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify method(s) that was used to assess measurable residual disease status	Karyotyping	No Change	No Change	No Change	No
PRE1836	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify method(s) that was used to assess measurable residual disease status	Flow Cytometry	No Change	No Change	No Change	No
PRE1837	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify method(s) that was used to assess measurable residual disease status	PCR	No Change	No Change	No Change	No
PRE1838	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify method(s) that was used to assess measurable residual disease status	NGS	No Change	No Change	No Change	No
PRE1839	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Specify method(s) that was used to assess measurable residual disease status	Not assessed	No Change	No Change	No Change	No
PRE1840	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was measurable residual disease detected by FISH?	Yes	No Change	No Change	No Change	No
PRE1841	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was measurable residual disease detected by FISH?	No	No Change	No Change	No Change	No
PRE1842	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was measurable residual disease detected by karyotyping assay?	Yes	No Change	No Change	No Change	No
PRE1843	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was measurable residual disease detected by karyotyping assay?	No	No Change	No Change	No Change	No
PRE1844	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was measurable residual disease detected by flow cytometry?	Yes	No Change	No Change	No Change	No
PRE1845	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was measurable residual disease detected by flow cytometry?	No	No Change	No Change	No Change	No
PRE1846	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Which leukemia immunophenotype was used for measurable residual disease detection?	Original leukemia immunophenotype	No Change	No Change	No Change	No
PRE1847	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Which leukemia immunophenotype was used for measurable residual disease detection?	Aberrant phenotype	No Change	No Change	No Change	No
PRE1848	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Lower limit of detection [original]:	Open text	No Change	No Change	No Change	No
PRE1849	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Lower limit of detection [aberrant]:	Open text	No Change	No Change	No Change	No
PRE1850	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was measurable residual disease detected by PCR?	Yes	No Change	No Change	No Change	No
PRE1851	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was measurable residual disease detected by PCR?	No	No Change	No Change	No Change	No
PRE1852	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was measurable residual disease detected by NGS?	Yes	No Change	No Change	No Change	No
PRE1853	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Was measurable residual disease detected by NGS?	No	No Change	No Change	No Change	No
PRE1854	Pre-Transplant Information Collection	Disease Classification	Acute Myeloid Leukemia (AML)	No	Date assessed:	Open Text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE1855	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma, NOS	No Change	No Change	No Change	No
PRE1856	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with high hyperdiploidy	No Change	No Change	No Change	No
PRE1857	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with hypodiploidy	No Change	No Change	No Change	No
PRE1858	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma, with iAMP21	No Change	No Change	No Change	No
PRE1859	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with BCR::ABL1 fusion	No Change	No Change	No Change	No
PRE1860	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma, BCR::ABL1-like features	No Change	No Change	No Change	No
PRE1861	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with KMT2A rearrangement	No Change	No Change	No Change	No
PRE1862	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with ETV6::RUNX1 fusion	No Change	No Change	No Change	No
PRE1863	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with ETV6::RUNX1-like features	No Change	No Change	No Change	No
PRE1864	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with TCF3::PBX1 fusion	No Change	No Change	No Change	No
PRE1865	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with IGH::IL3 fusion	No Change	No Change	No Change	No
PRE1866	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with TCF3::HLF fusion	No Change	No Change	No Change	No
PRE1867	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with DUX4 rearrangement	No Change	No Change	No Change	No
PRE1868	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with IG::MYC fusion	No Change	No Change	No Change	No
PRE1869	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with MEF2D rearrangement	No Change	No Change	No Change	No
PRE1870	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with ZNF384 rearrangement	No Change	No Change	No Change	No
PRE1871	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with NUTM1 rearrangement	No Change	No Change	No Change	No
PRE1872	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with PAX5alt abnormalities	No Change	No Change	No Change	No
PRE1873	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	B-lymphoblastic leukemia / lymphoma with PAX5 p.P80R abnormalities	No Change	No Change	No Change	No
PRE1874	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	T-lymphoblastic leukemia / lymphoma	No Change	No Change	No Change	No
PRE1875	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	Early T-precursor lymphoblastic leukemia / lymphoma	No Change	No Change	No Change	No
PRE1876	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	Early T-precursor lymphoblastic leukemia / lymphoma, with BCL11B rearrangement	No Change	No Change	No Change	No
PRE1877	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify ALL classification	Natural killer (NK)- cell lymphoblastic leukemia / lymphoma	No Change	No Change	No Change	No
PRE1878	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Did the recipient have a predisposing condition?	yes	No Change	No Change	No Change	No
PRE1879	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Did the recipient have a predisposing condition?	no	No Change	No Change	No Change	No
PRE1880	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Did the recipient have a predisposing condition?	Unknown	No Change	No Change	No Change	No
PRE1881	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Aplastic anemia	No Change	No Change	No Change	No
PRE1882	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Biallelic germline BLM variant (Bloom syndrome)	No Change	No Change	No Change	No
PRE1883	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Down Syndrome	No Change	No Change	No Change	No
PRE1884	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Fanconi anemia	No Change	No Change	No Change	No
PRE1885	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Germline DDX41 variant	No Change	No Change	No Change	No
PRE1886	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Germline TP53 variant (Li-Fraumeni Syndrome)	No Change	No Change	No Change	No
PRE1887	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Germline RUNX1 variant (familial platelet disorder with associated myeloid malignancy, FPD-MM)	No Change	No Change	No Change	No
PRE1888	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Germline ANKRD26 variant (Thrombocytopenia 2)	No Change	No Change	No Change	No
PRE1889	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Germline ETV6 variant (Thrombocytopenia 5)	No Change	No Change	No Change	No
PRE1890	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Germline PAX5 mutation	No Change	No Change	No Change	No
PRE1891	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Germline IKZF1 mutation	No Change	No Change	No Change	No
PRE1892	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify condition	Other condition	No Change	No Change	No Change	No
PRE1893	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify other condition:	Open text	No Change	No Change	No Change	No
PRE1894	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were tyrosine kinase inhibitors given for therapy at any time prior to the start of the preparative regimen / infusion?	yes	No Change	No Change	No Change	No
PRE1895	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were tyrosine kinase inhibitors given for therapy at any time prior to the start of the preparative regimen / infusion?	no	No Change	No Change	No Change	No
PRE1896	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Information Requested	Specify tyrosine kinase inhibitors	Dasatinib (Spycel)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1897	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Information Requested	Specify tyrosine kinase inhibitors	Imatinib (Gleevec)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1898	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Information Requested	Specify tyrosine kinase inhibitors	Nilotinib (AMN107, Tasigna)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1899	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Information Requested	Specify tyrosine kinase inhibitors	Ponatinib (Iclusig)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1900	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Information Requested	Specify tyrosine kinase inhibitors	Other	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1901	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Information Requested	Specify other tyrosine kinase inhibitor:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1902	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested (karyotyping or FISH)?	yes	No Change	No Change	No Change	No
PRE1903	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested (karyotyping or FISH)?	no	No Change	No Change	No Change	No
PRE1904	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested (karyotyping or FISH)?	Unknown	No Change	No Change	No Change	No
PRE1905	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via FISH?	Yes	No Change	No Change	No Change	No
PRE1906	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via FISH?	No	No Change	No Change	No Change	No
PRE1907	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via FISH?		Addition of Information Requested	No Change	Unknown	No	Capture data accurately
PRE1908	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE1909	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE1910	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE1911	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1912	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE1913	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE1914	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE1915	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE1916	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE1917	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE1918	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1919	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+17	No Change	No Change	No Change	No
PRE1920	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE1921	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(1;19)	Change/Clarification of Information Requested	No Change	t(1;19), PBX1 / TCF3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1922	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(2;8)	Change/Clarification of Information Requested	No Change	t(2;8), IGK / MYC	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1923	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(4;11)	Change/Clarification of Information Requested	No Change	t(4;11), AFF1 (AF4) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1924	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(5;14)	Change/Clarification of Information Requested	No Change	t(5;14), IL3 / IGH or TLX3 / BCL11B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1925	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;14)	Change/Clarification of Information Requested	No Change	t(8;14), MYC / IGH (TRAD)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1926	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;22)	Change/Clarification of Information Requested	No Change	t(8;22), MYC / IGL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1927	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(9;22)	Change/Clarification of Information Requested	No Change	t(9;22), BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1928	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(10;14)	Change/Clarification of Information Requested	No Change	t(10;14), TLX1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1929	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(11;14)	Change/Clarification of Information Requested	No Change	t(11;14), CCND1 / IGH or LMO1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1930	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(12;21)	Change/Clarification of Information Requested	No Change	t(12;21), TEL / AML1 or ETV6 / RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1931	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(6q) / 6q-	No Change	No Change	No Change	No
PRE1932	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	del(7p12.2), IZKF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1933	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(9p) / 9p-	No Change	No Change	No Change	No
PRE1934	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE1935	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	add(14q)	No Change	No Change	No Change	No
PRE1936	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	(11q23) any abnormality	Change/Clarification of Information Requested	No Change	(11q23) any abnormality, MLL (KMT2A)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1937	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	9p any abnormality	Change/Clarification of Information Requested	No Change	9p any abnormality (except for del(9p) / 9p–)	No	Capture data accurately
PRE1938	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	12p any abnormality	Change/Clarification of Information Requested	No Change	12p any abnormality (except for del(12p) / 12p–)	No	Capture data accurately
PRE1939	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	15q14 NUTM1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1940	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hyperdiploid (> 50)	No Change	No Change	No Change	No
PRE1941	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hypodiploid (< 46)	No Change	No Change	No Change	No
PRE1942	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	iAMP21	No Change	No Change	No Change	No
PRE1943	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE1944	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify other abnormality	Open text	No Change	No Change	No Change	No
PRE1945	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE1946	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via karyotyping?	Yes	No Change	No Change	No Change	No
PRE1947	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via karyotyping?	No	No Change	No Change	No Change	No
PRE1948	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via karyotyping?		Addition of Information Requested	No Change	Unknown	No	Capture data accurately
PRE1949	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE1950	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	No evaluable metaphases	No Change	No Change	No Change	No
PRE1951	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE1952	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE1953	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1954	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE1955	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE1956	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE1957	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE1958	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE1959	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE1960	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1961	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+17	No Change	No Change	No Change	No
PRE1962	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE1963	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(1;19)	No Change	No Change	No Change	No
PRE1964	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(2;8)	No Change	No Change	No Change	No
PRE1965	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(4;11)	No Change	No Change	No Change	No
PRE1966	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(5;14)	No Change	No Change	No Change	No
PRE1967	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;14)	No Change	No Change	No Change	No
PRE1968	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;22)	No Change	No Change	No Change	No
PRE1969	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(9;22)	No Change	No Change	No Change	No
PRE1970	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(10;14)	No Change	No Change	No Change	No
PRE1971	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(11;14)	No Change	No Change	No Change	No
PRE1972	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(12;21)	No Change	No Change	No Change	No
PRE1973	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(6q) / 6q-	No Change	No Change	No Change	No
PRE1974	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	del(7p12.2)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1975	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(9p) / 9p-	No Change	No Change	No Change	No
PRE1976	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE1977	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	add(14q)	No Change	No Change	No Change	No
PRE1978	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	(11q23) any abnormality	No Change	No Change	No Change	No
PRE1979	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	9p any abnormality	Change/Clarification of Information Requested	No Change	9p any abnormality (except for del(9p) / 9p–)	No	Capture data accurately
PRE1980	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	12p any abnormality	Change/Clarification of Information Requested	No Change	12p any abnormality (except for del(12p) / 12p–)	No	Capture data accurately
PRE1981	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	15q14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE1982	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hyperdiploid (> 50)	No Change	No Change	No Change	No
PRE1983	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hypodiploid (< 46)	No Change	No Change	No Change	No
PRE1984	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	iAMP21	Deletion of Information Requested	No Change		No	Capture data accurately
PRE1985	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE1986	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify other abnormality	Open text	No Change	No Change	No Change	No
PRE1987	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE1988	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE1989	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were tests for molecular markers performed?	yes	Deletion of Information Requested			No	Reduce burden
PRE1990	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were tests for molecular markers performed?	no	Deletion of Information Requested			No	Reduce burden
PRE1991	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were tests for molecular markers performed?	Unknown	Deletion of Information Requested			No	Reduce burden
PRE1992	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	BCR / ABL	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1993	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	BCR / ABL	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1994	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	BCR / ABL	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1995	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	TEL-AML / AML1	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1996	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	TEL-AML / AML1	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1997	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	TEL-AML / AML1	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1998	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Other molecular marker	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE1999	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Other molecular marker	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2000	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Other molecular marker	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2001	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2002	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	ABL2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2003	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2004	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	BRAF	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2005	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2006	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	CSF1R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2007	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DGKH	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2008	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DNM2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2009	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DNMT3A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2010	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DYRK1a	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2011	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EBF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2012	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	ECT2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2013	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EED	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2014	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EP300	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2015	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EPOR	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2016	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EZH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2017	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	FGFR1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2018	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	FLT3-ITD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2019	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	FLT3-TKD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2020	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	GATA3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2021	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2022	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2023	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IGFR1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2024	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IGH-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2025	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IKZF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2026	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IL2RB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2027	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IL7R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2028	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	JAK1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2029	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	JAK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2030	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	JAK3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2031	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	KIT	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2032	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	KRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2033	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	LMO2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2034	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	LYL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2035	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	LYN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2036	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	NOTCH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2037	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	NRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2038	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	NTRK3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2039	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	P2RY8-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2040	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PAX5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2041	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PDGFRA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2042	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PDGFRB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2043	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PTK2B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2044	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	RELN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2045	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2046	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	SH2B3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2047	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	SUZ12	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2048	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TEL-AML / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2049	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TP53	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2050	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TSLP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2051	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TYK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2052	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	Other	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2053	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2054	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify other molecular marker	Open text	Change/Clarification of Information Requested	Specify other positive molecular marker(s):	No Change	No	Capture data accurately
PRE2055	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Reduce burden
PRE2056	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested (karyotyping or FISH)?	yes	No Change	No Change	No Change	No
PRE2057	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested (karyotyping or FISH)?	no	No Change	No Change	No Change	No
PRE2058	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested (karyotyping or FISH)?	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE2059	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via FISH?	Yes	No Change	No Change	No Change	No
PRE2060	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via FISH?	No	No Change	No Change	No Change	No
PRE2061	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE2062	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE2063	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	Yes	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE2064	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE2065	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE2066	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE2067	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE2068	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE2069	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE2070	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE2071	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2072	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+17	No Change	No Change	No Change	No
PRE2073	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE2074	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(1;19)	Change/Clarification of Information Requested	No Change	t(1;19), PBX1 / TCF3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2075	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(2;8)	Change/Clarification of Information Requested	No Change	t(2;8), IGK / MYC	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2076	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(4;11)	Change/Clarification of Information Requested	No Change	t(4;11), AFF1 (AF4) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2077	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(5;14)	Change/Clarification of Information Requested	No Change	t(5;14), IL3 / IGH or TLX3 / BCL11B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2078	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;14)	Change/Clarification of Information Requested	No Change	t(8;14), MYC / IGH (TRAD)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2079	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;22)	Change/Clarification of Information Requested	No Change	t(8;22), MYC / IGL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2080	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(9;22)	Change/Clarification of Information Requested	No Change	t(9;22), BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2081	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(10;14)	Change/Clarification of Information Requested	No Change	t(10;14), TLX1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2082	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(11;14)	Change/Clarification of Information Requested	No Change	t(11;14), CCND1 / IGH or LMO1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2083	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(12;21)	Change/Clarification of Information Requested	No Change	t(12;21), TEL / AML1 or ETV6 / RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2084	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(6q) / 6q-	No Change	No Change	No Change	No
PRE2085	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	del(7p12.2), IZKF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2086	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(9p) / 9p-	No Change	No Change	No Change	No
PRE2087	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE2088	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	add(14q)	No Change	No Change	No Change	No
PRE2089	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	(11q23) any abnormality	Change/Clarification of Information Requested	No Change	(11q23) any abnormality, MLL (KMT2A)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2090	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	9p any abnormality	Change/Clarification of Information Requested	No Change	9p any abnormality (except for del(9p) / 9p–)	No	Capture data accurately
PRE2091	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	12p any abnormality	Change/Clarification of Information Requested	No Change	12p any abnormality (except for del(12p) / 12p–)	No	Capture data accurately
PRE2092	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	15q14 NUTM1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2093	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hyperdiploid (> 50)	No Change	No Change	No Change	No
PRE2094	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hypodiploid (< 46)	No Change	No Change	No Change	No
PRE2095	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	iAMP21	No Change	No Change	No Change	No
PRE2096	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE2097	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify other abnormality	Open text	No Change	No Change	No Change	No
PRE2098	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE2099	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via karyotyping?	Yes	No Change	No Change	No Change	No
PRE2100	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via karyotyping?	No	No Change	No Change	No Change	No
PRE2101	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	Yes	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE2102	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE2103	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	No evaluable metaphases	No Change	No Change	No Change	No
PRE2104	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE2105	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE2106	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE2107	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE2108	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE2109	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE2110	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE2111	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE2112	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2113	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+17	No Change	No Change	No Change	No
PRE2114	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE2115	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(1;19)	No Change	No Change	No Change	No
PRE2116	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(2;8)	No Change	No Change	No Change	No
PRE2117	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(4;11)	No Change	No Change	No Change	No
PRE2118	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(5;14)	No Change	No Change	No Change	No
PRE2119	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;14)	No Change	No Change	No Change	No
PRE2120	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;22)	No Change	No Change	No Change	No
PRE2121	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(9;22)	No Change	No Change	No Change	No
PRE2122	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(10;14)	No Change	No Change	No Change	No
PRE2123	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(11;14)	No Change	No Change	No Change	No
PRE2124	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(12;21)	No Change	No Change	No Change	No
PRE2125	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(6q) / 6q-	No Change	No Change	No Change	No
PRE2126	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	del(7p12.2)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2127	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(9p) / 9p-	No Change	No Change	No Change	No
PRE2128	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE2129	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	add(14q)	No Change	No Change	No Change	No
PRE2130	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	(11q23) any abnormality	No Change	No Change	No Change	No
PRE2131	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	9p any abnormality	Change/Clarification of Information Requested	No Change	9p any abnormality (except for del(9p) / 9p–)	No	Capture data accurately
PRE2132	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	12p any abnormality	Change/Clarification of Information Requested	No Change	12p any abnormality (except for del(12p) / 12p–)	No	Capture data accurately
PRE2133	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	15q14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2134	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hyperdiploid (> 50)	No Change	No Change	No Change	No
PRE2135	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hypodiploid (< 46)	No Change	No Change	No Change	No
PRE2136	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	iAMP21	Deletion of Information Requested	No Change		No	Capture data accurately
PRE2137	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE2138	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify other abnormality	Open text	No Change	No Change	No Change	No
PRE2139	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE2140	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE2141	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were tests for molecular markers performed?	yes	Deletion of Information Requested			No	Reduce burden
PRE2142	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were tests for molecular markers performed?	no	Deletion of Information Requested			No	Reduce burden
PRE2143	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were tests for molecular markers performed?	Unknown	Deletion of Information Requested			No	Reduce burden
PRE2144	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	BCR / ABL	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2145	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	BCR / ABL	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2146	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	BCR / ABL	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2147	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	TEL-AML / AML1	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2148	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	TEL-AML / AML1	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2149	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	TEL-AML / AML1	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2150	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Other molecular marker	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2151	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Other molecular marker	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2152	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Other molecular marker	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2153	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2154	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	ABL2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2155	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2156	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	BRAF	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2157	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2158	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	CSF1R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2159	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DGKH	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2160	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DNM2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2161	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DNMT3A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2162	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DYRK1a	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2163	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EBF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2164	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	ECT2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2165	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EED	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2166	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EP300	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2167	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EPOR	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2168	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EZH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2169	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	FGFR1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2170	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	FLT3-ITD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2171	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	FLT3-TKD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2172	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	GATA3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2173	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2174	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2175	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IGFR1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2176	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IGH-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2177	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IKZF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2178	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IL2RB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2179	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IL7R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2180	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	JAK1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2181	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	JAK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2182	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	JAK3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2183	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	KIT	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2184	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	KRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2185	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	LMO2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2186	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	LYL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2187	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	LYN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2188	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	NOTCH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2189	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	NRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2190	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	NTRK3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2191	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	P2RY8-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2192	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PAX5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2193	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PDGFRA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2194	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PDGFRB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2195	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PTK2B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2196	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	RELN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2197	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2198	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	SH2B3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2199	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	SUZ12	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2200	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TEL-AML / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2201	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TP53	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2202	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TSLP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2203	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TYK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2204	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	Other	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2205	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2206	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify other molecular marker	Open text	Change/Clarification of Information Requested	Specify other positive molecular marker(s):	No Change	No	Capture data accurately
PRE2207	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Reduce burden
PRE2208	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested (karyotyping or FISH)?	yes	No Change	No Change	No Change	No
PRE2209	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested (karyotyping or FISH)?	no	No Change	No Change	No Change	No
PRE2210	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested (karyotyping or FISH)?	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE2211	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via FISH?	Yes	No Change	No Change	No Change	No
PRE2212	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via FISH?	No	No Change	No Change	No Change	No
PRE2213	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE2214	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE2215	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE2216	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE2217	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE2218	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE2219	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE2220	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE2221	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE2222	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE2223	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2224	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+17	No Change	No Change	No Change	No
PRE2225	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE2226	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(1;19)	Change/Clarification of Information Requested	No Change	t(1;19), PBX1 / TCF3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2227	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(2;8)	Change/Clarification of Information Requested	No Change	t(2;8), IGK / MYC	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2228	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(4;11)	Change/Clarification of Information Requested	No Change	t(4;11), AFF1 (AF4) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2229	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(5;14)	Change/Clarification of Information Requested	No Change	t(5;14), IL3 / IGH or TLX3 / BCL11B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2230	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;14)	Change/Clarification of Information Requested	No Change	t(8;14), MYC / IGH (TRAD)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2231	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;22)	Change/Clarification of Information Requested	No Change	t(8;22), MYC / IGL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2232	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(9;22)	Change/Clarification of Information Requested	No Change	t(9;22), BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2233	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(10;14)	Change/Clarification of Information Requested	No Change	t(10;14), TLX1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2234	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(11;14)	Change/Clarification of Information Requested	No Change	t(11;14), CCND1 / IGH or LMO1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2235	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(12;21)	Change/Clarification of Information Requested	No Change	t(12;21), TEL / AML1 or ETV6 / RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2236	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(6q) / 6q-	No Change	No Change	No Change	No
PRE2237	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	del(7p12.2), IZKF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2238	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(9p) / 9p-	No Change	No Change	No Change	No
PRE2239	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE2240	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	add(14q)	No Change	No Change	No Change	No
PRE2241	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	(11q23) any abnormality	Change/Clarification of Information Requested	No Change	(11q23) any abnormality, MLL (KMT2A)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2242	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	9p any abnormality	Change/Clarification of Information Requested	No Change	9p any abnormality (except for del(9p) / 9p–)	No	Capture data accurately
PRE2243	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	12p any abnormality	Change/Clarification of Information Requested	No Change	12p any abnormality (except for del(12p) / 12p–)	No	Capture data accurately
PRE2244	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	15q14 NUTM1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2245	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hyperdiploid (> 50)	No Change	No Change	No Change	No
PRE2246	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hypodiploid (< 46)	No Change	No Change	No Change	No
PRE2247	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	iAMP21	No Change	No Change	No Change	No
PRE2248	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE2249	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify other abnormality	Open text	No Change	No Change	No Change	No
PRE2250	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE2251	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via karyotyping?	Yes	No Change	No Change	No Change	No
PRE2252	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were cytogenetics tested via karyotyping?	No	No Change	No Change	No Change	No
PRE2253	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE2254	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	No evaluable metaphases	No Change	No Change	No Change	No
PRE2255	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE2256	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE2257	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE2258	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE2259	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE2260	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE2261	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE2262	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+4	No Change	No Change	No Change	No
PRE2263	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE2264	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2265	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+17	No Change	No Change	No Change	No
PRE2266	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	+21	No Change	No Change	No Change	No
PRE2267	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(1;19)	No Change	No Change	No Change	No
PRE2268	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(2;8)	No Change	No Change	No Change	No
PRE2269	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(4;11)	No Change	No Change	No Change	No
PRE2270	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(5;14)	No Change	No Change	No Change	No
PRE2271	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;14)	No Change	No Change	No Change	No
PRE2272	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(8;22)	No Change	No Change	No Change	No
PRE2273	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(9;22)	No Change	No Change	No Change	No
PRE2274	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(10;14)	No Change	No Change	No Change	No
PRE2275	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(11;14)	No Change	No Change	No Change	No
PRE2276	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	t(12;21)	No Change	No Change	No Change	No
PRE2277	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(6q) / 6q-	No Change	No Change	No Change	No
PRE2278	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	del(7p12.2)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2279	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(9p) / 9p-	No Change	No Change	No Change	No
PRE2280	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE2281	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	add(14q)	No Change	No Change	No Change	No
PRE2282	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	(11q23) any abnormality	No Change	No Change	No Change	No
PRE2283	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	9p any abnormality	Change/Clarification of Information Requested	No Change	9p any abnormality (except for del(9p) / 9p–)	No	Capture data accurately
PRE2284	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	12p any abnormality	Change/Clarification of Information Requested	No Change	12p any abnormality (except for del(12p) / 12p–)	No	Capture data accurately
PRE2285	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities		Addition of Information Requested	No Change	15q14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2286	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hyperdiploid (> 50)	No Change	No Change	No Change	No
PRE2287	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Hypodiploid (< 46)	No Change	No Change	No Change	No
PRE2288	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	iAMP21	Deletion of Information Requested	No Change		No	Capture data accurately
PRE2289	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE2290	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify other abnormality	Open text	No Change	No Change	No Change	No
PRE2291	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE2292	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE2293	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were tests for molecular markers performed?	yes	Deletion of Information Requested			No	Reduce burden
PRE2294	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were tests for molecular markers performed?	no	Deletion of Information Requested			No	Reduce burden
PRE2295	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Were tests for molecular markers performed?	Unknown	Deletion of Information Requested			No	Reduce burden
PRE2296	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	BCR / ABL	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2297	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	BCR / ABL	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2298	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	BCR / ABL	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2299	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	TEL-AML / AML1	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2300	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	TEL-AML / AML1	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2301	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	TEL-AML / AML1	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2302	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Other molecular marker	Positive	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2303	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Other molecular marker	Negative	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2304	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Other molecular marker	Not Done	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE2305	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2306	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	ABL2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2307	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2308	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	BRAF	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2309	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2310	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	CSF1R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2311	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DGKH	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2312	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DNM2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2313	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DNMT3A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2314	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	DYRK1a	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2315	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EBF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2316	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	ECT2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2317	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EED	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2318	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EP300	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2319	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EPOR	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2320	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	EZH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2321	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	FGFR1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2322	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	FLT3-ITD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2323	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	FLT3-TKD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2324	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	GATA3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2325	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2326	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2327	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IGFR1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2328	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IGH-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2329	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IKZF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2330	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IL2RB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2331	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	IL7R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2332	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	JAK1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2333	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	JAK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2334	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	JAK3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2335	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	KIT	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2336	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	KRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2337	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	LMO2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2338	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	LYL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2339	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	LYN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2340	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	NOTCH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2341	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	NRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2342	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	NTRK3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2343	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	P2RY8-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2344	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PAX5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2345	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PDGFRA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2346	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PDGFRB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2347	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	PTK2B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2348	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	RELN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2349	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2350	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	SH2B3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2351	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	SUZ12	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2352	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TEL-AML / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2353	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TP53	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2354	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TSLP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2355	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	TYK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2356	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	Other	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2357	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Merged to Check all that Apply (Addition of Information Requested)	Specify any positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2358	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify other molecular marker	Open text	Change/Clarification of Information Requested	Specify other positive molecular marker(s):	No Change	No	Capture data accurately
PRE2359	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Reduce burden
PRE2360	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Did the recipient have central nervous system leukemia at any time prior to the start of the preparative regimen / infusion?	yes	No Change	No Change	No Change	No
PRE2361	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Did the recipient have central nervous system leukemia at any time prior to the start of the preparative regimen / infusion?	no	No Change	No Change	No Change	No
PRE2362	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Did the recipient have central nervous system leukemia at any time prior to the start of the preparative regimen / infusion?	Unknown	No Change	No Change	No Change	No
PRE2363	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	What was the disease status?	Primary induction failure	No Change	No Change	No Change	No
PRE2364	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	What was the disease status?	1st complete remission	No Change	No Change	No Change	No
PRE2365	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	What was the disease status?	2nd complete remission	No Change	No Change	No Change	No
PRE2366	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	What was the disease status?	>3rd complete remission	No Change	No Change	No Change	No
PRE2367	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	What was the disease status?	1st relapse	No Change	No Change	No Change	No
PRE2368	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	What was the disease status?	2nd relapse	No Change	No Change	No Change	No
PRE2369	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	What was the disease status?	>3rd relapse	No Change	No Change	No Change	No
PRE2370	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	What was the disease status?	No treatment	No Change	No Change	No Change	No
PRE2371	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	How many cycles of induction therapy were required to achieve 1st complete remission?	1	No Change	No Change	No Change	No
PRE2372	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	How many cycles of induction therapy were required to achieve 1st complete remission?	2	No Change	No Change	No Change	No
PRE2373	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	How many cycles of induction therapy were required to achieve 1st complete remission?	>3	No Change	No Change	No Change	No
PRE2374	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	How many cycles of induction therapy were required to achieve 1st complete remission?		Addition of Information Requested	No Change	Treatment not given in cycles	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2375	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Information Requested	Date CR first achieved:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2376	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Date of most recent relapse	Open text	No Change	No Change	No Change	No
PRE2377	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify method(s) that was used to assess measurable residual disease status	FISH	No Change	No Change	No Change	No
PRE2378	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify method(s) that was used to assess measurable residual disease status	Karyotyping	No Change	No Change	No Change	No
PRE2379	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify method(s) that was used to assess measurable residual disease status	Flow Cytometry	No Change	No Change	No Change	No
PRE2380	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify method(s) that was used to assess measurable residual disease status	PCR	No Change	No Change	No Change	No
PRE2381	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify method(s) that was used to assess measurable residual disease status	NGS	No Change	No Change	No Change	No
PRE2382	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify method(s) that was used to assess measurable residual disease status		Addition of Information Requested	No Change	ClonoSEQ	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2383	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Specify method(s) that was used to assess measurable residual disease status	Not assessed	No Change	No Change	No Change	No
PRE2384	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was measurable residual disease detected by FISH?	Yes	No Change	No Change	No Change	No
PRE2385	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was measurable residual disease detected by FISH?	No	No Change	No Change	No Change	No
PRE2386	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was measurable residual disease detected by karyotyping assay?	Yes	No Change	No Change	No Change	No
PRE2387	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was measurable residual disease detected by karyotyping assay?	No	No Change	No Change	No Change	No
PRE2388	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was measurable residual disease detected by flow cytometry?	Yes	No Change	No Change	No Change	No
PRE2389	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was measurable residual disease detected by flow cytometry?	No	No Change	No Change	No Change	No
PRE2390	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Which leukemia immunophenotype was used for measurable residual disease detection?	Original leukemia immunophenotype	No Change	No Change	No Change	No
PRE2391	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Which leukemia immunophenotype was used for measurable residual disease detection?	Aberrant phenotype	No Change	No Change	No Change	No
PRE2392	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Lower limit of detection [original]:	Open text	No Change	No Change	No Change	No
PRE2393	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Lower limit of detection [aberrant]:	Open text	No Change	No Change	No Change	No
PRE2394	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was measurable residual disease detected by PCR?	Yes	No Change	No Change	No Change	No
PRE2395	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was measurable residual disease detected by PCR?	No	No Change	No Change	No Change	No
PRE2396	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was measurable residual disease detected by NGS?	Yes	No Change	No Change	No Change	No
PRE2397	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Was measurable residual disease detected by NGS?	No	No Change	No Change	No Change	No
PRE2398	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Information Requested	Was measurable residual disease detected by ClonoSEQ?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2399	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No			Addition of Information Requested	Was measurable residual disease detected by ClonoSEQ?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2400	Pre-Transplant Information Collection	Disease Classification	Acute Lymphoblastic Leukemia (ALL)	No	Date assessed:	Open Text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE2401	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Specify acute leukemias of mixed or ambiguous	Blastic plasmacytoid dendritic cell neoplasm	No Change	No Change	No Change	No
PRE2402	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Specify acute leukemias of mixed or ambiguous	Acute undifferentiated leukemia	No Change	No Change	No Change	No
PRE2403	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Specify acute leukemias of mixed or ambiguous	Mixed phenotype acute leukemia (MPAL) with BCR::ABL1 fusion	No Change	No Change	No Change	No
PRE2404	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Specify acute leukemias of mixed or ambiguous	Mixed phenotype acute leukemia with KMT2A rearrangement	No Change	No Change	No Change	No
PRE2405	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Specify acute leukemias of mixed or ambiguous	Mixed-phenotype acute leukemia with ZNF384 rearrangement	No Change	No Change	No Change	No
PRE2406	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Specify acute leukemias of mixed or ambiguous	Acute leukemia of ambiguous lineage with BCL11B rearrangement	No Change	No Change	No Change	No
PRE2407	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Specify acute leukemias of mixed or ambiguous	Mixed-phenotype acute leukemia, B / myeloid	No Change	No Change	No Change	No
PRE2408	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Specify acute leukemias of mixed or ambiguous	Mixed-phenotype acute leukemia, T / myeloid	No Change	No Change	No Change	No
PRE2409	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Specify acute leukemias of mixed or ambiguous	Mixed-phenotype acute leukemia, rare types	No Change	No Change	No Change	No
PRE2410	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Specify acute leukemias of mixed or ambiguous	Acute leukemia of ambiguous lineage, NOS	No Change	No Change	No Change	No
PRE2411	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Specify other acute leukemia of ambiguous lineage or myeloid neoplasm	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE2412	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested (karyotyping or FISH)?	yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2413	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested (karyotyping or FISH)?	no	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2414	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested (karyotyping or FISH)?	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2415	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via FISH?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2416	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via FISH?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2417	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via FISH?	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2418	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	Abnormalities identified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2419	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	No abnormalities	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2420	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2421	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	>3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2422	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	3 - 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2423	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	> 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2424	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2425	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-7	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2426	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2427	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-18	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2428	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-X	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2429	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-Y	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2430	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+4	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2431	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+8	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2432	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2433	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2434	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+13	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2435	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2436	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2437	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+21	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2438	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+22	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2439	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(1;19), PBX1 / TCF3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2440	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(2;8), IGK / MYC	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2441	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(3;3), RPN1 / MECOM or RPN1 / EVI1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2442	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(4;11), AFF1 (AF4) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2443	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(5;14), IL3 / IGH or TLX3 / BCL11B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2444	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(6;9), DEK / NUP214 (CAN)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2445	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;14), MYC / IGH (TRAD)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2446	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;16), KATA6A::CREBBP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2447	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;22), MYC / IGL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2448	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;21), RUNX1T1 / RUNX1 or ETO / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2449	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;11), MLLT3 (AF9) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2450	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;22), BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2451	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(10;14), TLX1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2452	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(11;14), CCND1 / IGH or LMO1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2453	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(12;21), TEL / AML1 or ETV6 / RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2454	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(15;17) and variants, PML / RARA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2455	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	(16;16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2456	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(3q) / 3q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2457	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(5q) / 5q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2458	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(6q) / 6q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2459	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7p12.2), (IZKF1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2460	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7q) / 7q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2461	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9p) / 9p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2462	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9q) / 9q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2463	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(11q) / 11q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2464	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(12p) / 12p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2465	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(16q) / 16q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2466	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(17q) / 17q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2467	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(20q) / 20q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2468	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(21q) / 21q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2469	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(3), RPN1 / MECOM (EVI1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2470	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2471	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	add(14q)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2472	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(3q26.2;v) / MECOM(EVI1)-rearranged	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2473	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	(11q23) any abnormality, MLL (KMT2A)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2474	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	9p any abnormality (except for del(9p) / 9p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2475	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	12p any abnormality (except for del(12p) / 12p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2476	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	15q14 NUTM1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2477	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hyperdiploid (> 50)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2478	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hypodiploid (< 46)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2479	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	iAMP21	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2480	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Other abnormality	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2481	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify other abnormality:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2482	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Be consistent with current clinical landscape, improve transplant outcome data
PRE2483	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via karyotyping?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2484	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via karyotyping?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2485	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via karyotyping?	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2486	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	Abnormalities identified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2487	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	No evaluable metaphases	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2488	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	No abnormalities	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2489	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2490	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	>3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2491	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	3 - 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2492	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	> 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2493	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2494	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-7	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2495	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2496	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-18	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2497	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-X	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2498	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-Y	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2499	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+4	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2500	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+8	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2501	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2502	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2503	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+13	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2504	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2505	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2506	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+21	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2507	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+22	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2508	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(1;19)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2509	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(2;8)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2510	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(3;3)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2511	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(4;11)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2512	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(5;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2513	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(6;9)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2514	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2515	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;21)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2516	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;22)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2517	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;11)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2518	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;22)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2519	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(10;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2520	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(11;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2521	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(12;21)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2522	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(15;17) and variants	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2523	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(16;16)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2524	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(3q) / 3q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2525	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(5q) / 5q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2526	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(6q) / 6q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2527	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7p12.2)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2528	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7q) / 7q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2529	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9p) / 9p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2530	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9q) / 9q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2531	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(11q) / 11q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2532	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(12p) / 12p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2533	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(16q) / 16q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2534	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(17q) / 17q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2535	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(20q) / 20q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2536	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(21q) / 21q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2537	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(3)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2538	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(16)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2539	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	add(14q)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2540	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	(11q23) any abnormality	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2541	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	9p any abnormality (except for del(9p) / 9p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2542	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	12p any abnormality (except for del(12p) / 12p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2543	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	15q14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2544	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hyperdiploid (> 50)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2545	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hypodiploid (< 46)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2546	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Other abnormality	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2547	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify other abnormality:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2548	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Be consistent with current clinical landscape, improve transplant outcome data
PRE2549	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ASXL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2550	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ASXL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2551	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ASXL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2552	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCOR	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2553	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCOR	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2554	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCOR	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2555	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCR::ABL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2556	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCR::ABL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2557	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCR::ABL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2558	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	CEBPA	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2559	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	CEBPA	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2560	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	CEBPA	Not Done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2561	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify the CEBPA variant mutation	bZip in-frame mutation	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2562	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify the CEBPA variant mutation	Other	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2563	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify the CEBPA variant mutation	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2564	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify CEBPA allelic expression	Biallelic	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2565	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify CEBPA allelic expression	Monoallelic	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2566	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify CEBPA allelic expression	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2567	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	DDX41	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2568	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	DDX41	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2569	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	DDX41	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2570	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	EZH2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2571	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	EZH2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2572	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	EZH2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2573	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 – ITD	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2574	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 – ITD	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2575	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 – ITD	Not Done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2576	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 - ITD allelic ratio	Known	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2577	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 - ITD allelic ratio	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2578	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify FLT3 - ITD allelic ratio:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2579	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	GATA2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2580	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	GATA2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2581	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	GATA2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2582	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	NPM1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2583	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	NPM1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2584	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	NPM1	Not Done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2585	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	RUNX1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2586	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	RUNX1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2587	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	RUNX1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2588	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SF3B1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2589	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SF3B1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2590	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SF3B1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2591	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SRSF2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2592	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SRSF2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2593	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SRSF2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2594	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	STAG2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2595	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	STAG2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2596	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	STAG2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2597	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	TP53	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2598	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	TP53	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2599	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	TP53	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2600	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	U2AF1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2601	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	U2AF1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2602	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	U2AF1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2603	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ZRSR2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2604	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ZRSR2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2605	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ZRSR2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2606	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2607	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	ABL2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2608	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	BRAF	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2609	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2610	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	CSF1R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2611	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DGKH	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2612	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DNM2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2613	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DNMT3A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2614	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DYRK1A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2615	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EBF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2616	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	ECT2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2617	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EED	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2618	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EP300	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2619	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EPOR	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2620	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	FLT3-TKD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2621	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	GATA3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2622	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2623	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2624	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IGFR1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2625	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IGH-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2626	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IKZF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2627	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IL2RB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2628	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IL7R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2629	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	JAK1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2630	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	JAK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2631	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	JAK3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2632	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	KIT	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2633	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	KRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2634	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	LMO2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2635	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	LYL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2636	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	LYN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2637	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	NOTCH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2638	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	P2RY8-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2639	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PAX5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2640	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PDGFRA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2641	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PDGFRB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2642	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PTK2B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2643	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	RELN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2644	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	SH2B3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2645	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	SUZ12	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2646	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	TEL-AML / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2647	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	TSLP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2648	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	TYK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2649	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	Other molecular marker	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2650	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2651	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify other positive molecular marker(s):	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2652	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the molecular marker report	Be consistent with current clinical landscape, improve transplant outcome data
PRE2653	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested (karyotyping or FISH)?	yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2654	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested (karyotyping or FISH)?	no	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2655	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via FISH?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2656	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via FISH?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2657	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	Abnormalities identified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2658	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	No abnormalities	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2659	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	Yes			Addition of Information Requested	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2660	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	>3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2661	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	3 - 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2662	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	> 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2663	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2664	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-7	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2665	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2666	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-18	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2667	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-X	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2668	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-Y	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2669	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+4	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2670	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+8	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2671	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2672	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2673	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+13	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2674	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2675	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2676	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+21	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2677	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+22	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2678	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(1;19), PBX1 / TCF3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2679	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(2;8), IGK / MYC	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2680	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(3;3), RPN1 / MECOM or RPN1 / EVI1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2681	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(4;11), AFF1 (AF4) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2682	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(5;14), IL3 / IGH or TLX3 / BCL11B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2683	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(6;9), DEK / NUP214 (CAN)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2684	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;14), MYC / IGH (TRAD)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2685	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;16), KATA6A::CREBBP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2686	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;22), MYC / IGL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2687	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;21), RUNX1T1 / RUNX1 or ETO / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2688	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;11), MLLT3 (AF9) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2689	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;22), BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2690	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(10;14), TLX1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2691	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(11;14), CCND1 / IGH or LMO1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2692	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(12;21), TEL / AML1 or ETV6 / RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2693	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(15;17) and variants, PML / RARA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2694	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	(16;16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2695	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(3q) / 3q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2696	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(5q) / 5q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2697	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(6q) / 6q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2698	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7p12.2), (IZKF1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2699	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7q) / 7q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2700	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9p) / 9p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2701	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9q) / 9q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2702	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(11q) / 11q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2703	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(12p) / 12p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2704	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(16q) / 16q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2705	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(17q) / 17q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2706	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(20q) / 20q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2707	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(21q) / 21q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2708	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(3), RPN1 / MECOM (EVI1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2709	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2710	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	add(14q)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2711	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(3q26.2;v) / MECOM(EVI1)-rearranged	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2712	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	(11q23) any abnormality, MLL (KMT2A)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2713	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	9p any abnormality (except for del(9p) / 9p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2714	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	12p any abnormality (except for del(12p) / 12p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2715	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	15q14 NUTM1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2716	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hyperdiploid (> 50)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2717	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hypodiploid (< 46)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2718	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	iAMP21	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2719	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Other abnormality	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2720	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify other abnormality:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2721	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Be consistent with current clinical landscape, improve transplant outcome data
PRE2722	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via karyotyping?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2723	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via karyotyping?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2724	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	Abnormalities identified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2725	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	No evaluable metaphases	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2726	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	No abnormalities	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2727	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	Yes			Addition of Information Requested	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2728	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	>3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2729	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	3 - 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2730	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	> 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2731	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2732	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-7	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2733	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2734	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-18	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2735	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-X	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2736	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-Y	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2737	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+4	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2738	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+8	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2739	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2740	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2741	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+13	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2742	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2743	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2744	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+21	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2745	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+22	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2746	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(1;19)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2747	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(2;8)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2748	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(3;3)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2749	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(4;11)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2750	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(5;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2751	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(6;9)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2752	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2753	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;21)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2754	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;22)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2755	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;11)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2756	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;22)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2757	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(10;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2758	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(11;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2759	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(12;21)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2760	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(15;17) and variants	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2761	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(16;16)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2762	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(3q) / 3q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2763	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(5q) / 5q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2764	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(6q) / 6q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2765	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7p12.2)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2766	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7q) / 7q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2767	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9p) / 9p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2768	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9q) / 9q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2769	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(11q) / 11q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2770	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(12p) / 12p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2771	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(16q) / 16q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2772	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(17q) / 17q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2773	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(20q) / 20q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2774	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(21q) / 21q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2775	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(3)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2776	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(16)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2777	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	add(14q)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2778	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	(11q23) any abnormality	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2779	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	9p any abnormality (except for del(9p) / 9p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2780	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	12p any abnormality (except for del(12p) / 12p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2781	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	15q14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2782	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hyperdiploid (> 50)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2783	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hypodiploid (< 46)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2784	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Other abnormality	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2785	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify other abnormality:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2786	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Be consistent with current clinical landscape, improve transplant outcome data
PRE2787	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ASXL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2788	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ASXL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2789	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ASXL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2790	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCOR	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2791	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCOR	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2792	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCOR	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2793	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCR::ABL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2794	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCR::ABL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2795	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCR::ABL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2796	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	CEBPA	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2797	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	CEBPA	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2798	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	CEBPA	Not Done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2799	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify the CEBPA variant mutation	bZip in-frame mutation	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2800	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify the CEBPA variant mutation	Other	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2801	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify the CEBPA variant mutation	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2802	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify CEBPA allelic expression	Biallelic	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2803	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify CEBPA allelic expression	Monoallelic	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2804	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify CEBPA allelic expression	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2805	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	DDX41	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2806	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	DDX41	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2807	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	DDX41	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2808	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	EZH2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2809	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	EZH2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2810	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	EZH2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2811	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 – ITD	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2812	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 – ITD	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2813	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 – ITD	Not Done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2814	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 - ITD allelic ratio	Known	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2815	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 - ITD allelic ratio	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2816	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify FLT3 - ITD allelic ratio:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2817	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	GATA2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2818	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	GATA2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2819	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	GATA2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2820	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	NPM1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2821	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	NPM1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2822	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	NPM1	Not Done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2823	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	RUNX1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2824	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	RUNX1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2825	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	RUNX1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2826	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SF3B1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2827	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SF3B1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2828	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SF3B1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2829	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SRSF2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2830	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SRSF2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2831	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SRSF2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2832	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	STAG2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2833	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	STAG2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2834	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	STAG2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2835	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	TP53	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2836	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	TP53	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2837	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	TP53	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2838	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	U2AF1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2839	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	U2AF1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2840	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	U2AF1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2841	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ZRSR2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2842	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ZRSR2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2843	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ZRSR2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2844	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2845	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	ABL2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2846	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	BRAF	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2847	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2848	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	CSF1R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2849	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DGKH	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2850	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DNM2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2851	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DNMT3A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2852	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DYRK1A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2853	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EBF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2854	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	ECT2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2855	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EED	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2856	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EP300	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2857	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EPOR	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2858	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	FLT3-TKD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2859	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	GATA3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2860	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2861	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2862	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IGFR1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2863	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IGH-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2864	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IKZF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2865	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IL2RB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2866	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IL7R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2867	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	JAK1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2868	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	JAK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2869	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	JAK3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2870	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	KIT	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2871	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	KRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2872	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	LMO2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2873	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	LYL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2874	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	LYN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2875	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	NOTCH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2876	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	P2RY8-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2877	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PAX5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2878	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PDGFRA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2879	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PDGFRB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2880	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PTK2B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2881	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	RELN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2882	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	SH2B3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2883	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	SUZ12	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2884	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	TEL-AML / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2885	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	TSLP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2886	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	TYK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2887	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	Other molecular marker	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2888	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2889	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify other positive molecular marker(s):	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2890	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the molecular marker report	Be consistent with current clinical landscape, improve transplant outcome data
PRE2891	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested (karyotyping or FISH)?	yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2892	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested (karyotyping or FISH)?	no	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2893	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via FISH?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2894	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via FISH?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2895	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	Abnormalities identified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2896	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	No abnormalities	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2897	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2898	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	>3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2899	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	3 - 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2900	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	> 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2901	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2902	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-7	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2903	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2904	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-18	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2905	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-X	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2906	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-Y	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2907	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+4	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2908	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+8	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2909	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2910	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2911	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+13	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2912	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2913	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2914	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+21	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2915	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+22	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2916	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(1;19), PBX1 / TCF3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2917	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(2;8), IGK / MYC	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2918	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(3;3), RPN1 / MECOM or RPN1 / EVI1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2919	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(4;11), AFF1 (AF4) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2920	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(5;14), IL3 / IGH or TLX3 / BCL11B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2921	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(6;9), DEK / NUP214 (CAN)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2922	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;14), MYC / IGH (TRAD)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2923	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;16), KATA6A::CREBBP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2924	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;22), MYC / IGL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2925	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;21), RUNX1T1 / RUNX1 or ETO / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2926	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;11), MLLT3 (AF9) / MLL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2927	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;22), BCR::ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2928	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(10;14), TLX1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2929	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(11;14), CCND1 / IGH or LMO1 / TRAD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2930	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(12;21), TEL / AML1 or ETV6 / RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2931	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(15;17) and variants, PML / RARA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2932	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	(16;16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2933	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(3q) / 3q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2934	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(5q) / 5q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2935	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(6q) / 6q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2936	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7p12.2), (IZKF1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2937	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7q) / 7q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2938	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9p) / 9p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2939	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9q) / 9q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2940	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(11q) / 11q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2941	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(12p) / 12p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2942	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(16q) / 16q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2943	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(17q) / 17q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2944	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(20q) / 20q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2945	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(21q) / 21q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2946	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(3), RPN1 / MECOM (EVI1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2947	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(16), MYH11 / CBFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2948	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	add(14q)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2949	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(3q26.2;v) / MECOM(EVI1)-rearranged	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2950	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	(11q23) any abnormality, MLL (KMT2A)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2951	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	9p any abnormality (except for del(9p) / 9p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2952	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	12p any abnormality (except for del(12p) / 12p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2953	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	15q14 NUTM1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2954	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hyperdiploid (> 50)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2955	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hypodiploid (< 46)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2956	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	iAMP21	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2957	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Other abnormality	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2958	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify other abnormality:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2959	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Be consistent with current clinical landscape, improve transplant outcome data
PRE2960	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via karyotyping?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2961	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Were cytogenetics tested via karyotyping?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2962	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	Abnormalities identified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2963	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	No evaluable metaphases	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2964	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Results of tests	No abnormalities	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2965	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2966	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	>3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2967	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	3 - 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2968	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify number of distinct cytogenetic abnormalities	> 5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2969	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2970	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-7	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2971	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2972	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-18	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2973	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-X	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2974	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	-Y	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2975	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+4	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2976	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+8	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2977	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+10	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2978	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2979	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+13	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2980	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2981	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2982	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+21	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2983	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	+22	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2984	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(1;19)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2985	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(2;8)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2986	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(3;3)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2987	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(4;11)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2988	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(5;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2989	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(6;9)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2990	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2991	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;21)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2992	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(8;22)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2993	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;11)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2994	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(9;22)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2995	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(10;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2996	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(11;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2997	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(12;21)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2998	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(15;17) and variants	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE2999	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	t(16;16)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3000	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(3q) / 3q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3001	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(5q) / 5q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3002	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(6q) / 6q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3003	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7p12.2)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3004	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(7q) / 7q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3005	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9p) / 9p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3006	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(9q) / 9q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3007	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(11q) / 11q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3008	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(12p) / 12p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3009	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(16q) / 16q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3010	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(17q) / 17q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3011	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(20q) / 20q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3012	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	del(21q) / 21q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3013	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(3)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3014	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	inv(16)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3015	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	add(14q)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3016	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	(11q23) any abnormality	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3017	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	9p any abnormality (except for del(9p) / 9p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3018	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	12p any abnormality (except for del(12p) / 12p–)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3019	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	15q14	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3020	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hyperdiploid (> 50)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3021	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Hypodiploid (< 46)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3022	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify abnormalities	Other abnormality	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3023	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify other abnormality:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3024	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Be consistent with current clinical landscape, improve transplant outcome data
PRE3025	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ASXL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3026	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ASXL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3027	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ASXL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3028	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCOR	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3029	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCOR	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3030	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCOR	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3031	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCR::ABL1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3032	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCR::ABL1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3033	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	BCR::ABL1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3034	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	CEBPA	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3035	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	CEBPA	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3036	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	CEBPA	Not Done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3037	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify the CEBPA variant mutation	bZip in-frame mutation	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3038	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify the CEBPA variant mutation	Other	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3039	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify the CEBPA variant mutation	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3040	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify CEBPA allelic expression	Biallelic	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3041	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify CEBPA allelic expression	Monoallelic	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3042	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify CEBPA allelic expression	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3043	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	DDX41	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3044	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	DDX41	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3045	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	DDX41	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3046	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	EZH2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3047	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	EZH2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3048	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	EZH2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3049	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 – ITD	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3050	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 – ITD	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3051	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 – ITD	Not Done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3052	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 - ITD allelic ratio	Known	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3053	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	FLT3 - ITD allelic ratio	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3054	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify FLT3 - ITD allelic ratio:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3055	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	GATA2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3056	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	GATA2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3057	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	GATA2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3058	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	NPM1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3059	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	NPM1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3060	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	NPM1	Not Done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3061	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	RUNX1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3062	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	RUNX1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3063	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	RUNX1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3064	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SF3B1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3065	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SF3B1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3066	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SF3B1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3067	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SRSF2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3068	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SRSF2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3069	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	SRSF2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3070	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	STAG2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3071	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	STAG2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3072	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	STAG2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3073	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	TP53	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3074	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	TP53	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3075	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	TP53	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3076	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	U2AF1	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3077	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	U2AF1	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3078	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	U2AF1	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3079	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ZRSR2	Positive	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3080	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ZRSR2	Negative	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3081	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	ZRSR2	Not done	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3082	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	ABL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3083	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	ABL2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3084	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	BRAF	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3085	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3086	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	CSF1R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3087	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DGKH	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3088	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DNM2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3089	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DNMT3A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3090	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	DYRK1A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3091	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EBF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3092	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	ECT2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3093	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EED	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3094	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EP300	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3095	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	EPOR	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3096	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	FLT3-TKD	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3097	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	GATA3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3098	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3099	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3100	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IGFR1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3101	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IGH-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3102	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IKZF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3103	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IL2RB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3104	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	IL7R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3105	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	JAK1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3106	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	JAK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3107	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	JAK3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3108	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	KIT	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3109	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	KRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3110	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	LMO2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3111	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	LYL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3112	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	LYN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3113	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	NOTCH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3114	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	P2RY8-CRLF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3115	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PAX5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3116	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PDGFRA	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3117	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PDGFRB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3118	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	PTK2B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3119	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	RELN	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3120	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	SH2B3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3121	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	SUZ12	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3122	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	TEL-AML / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3123	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	TSLP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3124	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	TYK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3125	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	Other molecular marker	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3126	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify any other positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3127	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Information Requested	Specify other positive molecular marker(s):	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3128	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the molecular marker report	Be consistent with current clinical landscape, improve transplant outcome data
PRE3129	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	What was the disease status?	Primary induction failure	No Change	No Change	No Change	No
PRE3130	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	What was the disease status?	1st complete remission	No Change	No Change	No Change	No
PRE3131	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	What was the disease status?	2nd complete remission	No Change	No Change	No Change	No
PRE3132	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	What was the disease status?	>3rd complete remission	No Change	No Change	No Change	No
PRE3133	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	What was the disease status?	1st relapse	No Change	No Change	No Change	No
PRE3134	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	What was the disease status?	2nd relapse	No Change	No Change	No Change	No
PRE3135	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	What was the disease status?	>3rd relapse	No Change	No Change	No Change	No
PRE3136	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	What was the disease status?	No treatment	No Change	No Change	No Change	No
PRE3137	Pre-Transplant Information Collection	Disease Classification	Acute Leukemias of Mixed or Ambiguous Lineage	No	Date assessed:	Open text	Deletion of Information Requested			No	Reduce burden
PRE3138	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Was therapy given prior to this HCT?	yes	Change/Clarification of Information Requested	Was therapy given prior to this infusion?	No Change	No	Capture data accurately
PRE3139	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Was therapy given prior to this HCT?	no	Change/Clarification of Information Requested	Was therapy given prior to this infusion?	No Change	No	Capture data accurately
PRE3140	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Combination chemotherapy	yes	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3141	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Combination chemotherapy	no	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3142	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Hydroxyurea (Droxia, Hydrea)	yes	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3143	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Hydroxyurea (Droxia, Hydrea)	no	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3144	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Tyrosine kinase inhibitor	yes	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3145	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Tyrosine kinase inhibitor	no	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3146	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Interferon-alpha (Intron, Roferon) (includes PEG)	yes	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3147	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Interferon-alpha (Intron, Roferon) (includes PEG)	no	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3148	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Other therapy	yes	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3149	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Other therapy	no	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3150	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No			Merged to Check all that Apply (Addition of information requested)	Specify the therapy for CML	Combination chemotherapy	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3151	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No			Merged to Check all that Apply (Addition of information requested)	Specify the therapy for CML	Hydroxyurea (Droxia, Hydrea)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3152	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No			Merged to Check all that Apply (Addition of information requested)	Specify the therapy for CML	Interferon-a (Intron, Roferon) (includes PEG)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3153	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No			Merged to Check all that Apply (Addition of information requested)	Specify the therapy for CML	Tyrosine kinase inhibitor	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3154	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No			Merged to Check all that Apply (Addition of information requested)	Specify the therapy for CML	Other therapy	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3155	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Specify other therapy:	Open Text	Change/Clarification of Information Requested	Specify other therapy for CML	No Change	No	Capture data accurately
PRE3156	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	What was the disease status?	Complete hematologic response (CHR) preceded only by chronic phase	No Change	No Change	No Change	No
PRE3157	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	What was the disease status?	Complete hematologic response (CHR) preceded by accelerated phase and/or blast phase	No Change	No Change	No Change	No
PRE3158	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	What was the disease status?	Chronic phase	No Change	No Change	No Change	No
PRE3159	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	What was the disease status?	Accelerated phase	No Change	No Change	No Change	No
PRE3160	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	What was the disease status?	Blast phase	No Change	No Change	No Change	No
PRE3161	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Specify level of response	No cytogenetic response (No CyR)	No Change	No Change	No Change	No
PRE3162	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Specify level of response	Minimal cytogenetic response	No Change	No Change	No Change	No
PRE3163	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Specify level of response	Minor cytogenetic response	No Change	No Change	No Change	No
PRE3164	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Specify level of response	Partial cytogenetic response (PCyR)	No Change	No Change	No Change	No
PRE3165	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Specify level of response	Complete cytogenetic response (CCyR)	No Change	No Change	No Change	No
PRE3166	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Specify level of response	Major molecular remission (MMR)	No Change	No Change	No Change	No
PRE3167	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Specify level of response	Complete molecular remission (CMR)	No Change	No Change	No Change	No
PRE3168	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No			Addition of Information Requested	Specify blast phase phenotype	Lymphoid	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3169	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No			Addition of Information Requested	Specify blast phase phenotype	Myeloid	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3170	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No			Addition of Information Requested	Specify blast phase phenotype	Mixed phenotype	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3171	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No			Addition of Information Requested	Specify blast phase phenotype	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3172	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Number	1st	No Change	No Change	No Change	No
PRE3173	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Number	2nd	No Change	No Change	No Change	No
PRE3174	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Number	3rd or higher	No Change	No Change	No Change	No
PRE3175	Pre-Transplant Information Collection	Disease Classification	Chronic Myeloid Leukemia (CML)	No	Date assessed:	Open Text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE3176	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic syndrome with low blasts and isolated 5q deletion (MDS-5q)	No Change	No Change	No Change	No
PRE3177	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic syndrome with low blasts and SF3B1 mutation (MDS-SF3B1)	No Change	No Change	No Change	No
PRE3178	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic syndrome with low blasts and ring sideroblasts (>=15% ring sideroblasts and wild type SF3B1)	No Change	No Change	No Change	No
PRE3179	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic syndrome with biallelic TP53 inactivation (MDS-biTP53)	No Change	No Change	No Change	No
PRE3180	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic syndrome with low blasts (MDS-LB; <5% BM, <2%PB)	No Change	No Change	No Change	No
PRE3181	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic syndrome, hypoplastic (MDS-h) <=25% cellularity by age	No Change	No Change	No Change	No
PRE3182	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic syndrome with increased blasts (MDS-IB1)	No Change	No Change	No Change	No
PRE3183	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic syndrome with increased blasts (MDS-IB2)	No Change	No Change	No Change	No
PRE3184	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic syndrome with fibrosis (MDS-f)	No Change	No Change	No Change	No
PRE3185	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Childhood MDS with low blasts, hypocellular	No Change	No Change	No Change	No
PRE3186	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Childhood MDS with low blasts, not otherwise specified	No Change	No Change	No Change	No
PRE3187	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Childhood MDS with increased blasts	No Change	No Change	No Change	No
PRE3188	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Chronic myelomonocytic leukemia (CMML), Myelodysplastic	No Change	No Change	No Change	No
PRE3189	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Chronic myelomonocytic leukemia (CMML), Myeloproliferative	No Change	No Change	No Change	No
PRE3190	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic/myeloproliferative neoplasm with SF3B1 mutation and thrombocytosis	No Change	No Change	No Change	No
PRE3191	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	MDS/MPN with ring sideroblasts (>=15% ring sideroblasts and wild type SF3B1) and thrombocytosis	No Change	No Change	No Change	No
PRE3192	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Juvenile myelomonocytic leukemia (JMML)	No Change	No Change	No Change	No
PRE3193	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic/myeloproliferative neoplasm with neutrophilia	No Change	No Change	No Change	No
PRE3194	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the MDS subtype at diagnosis?	Myelodysplastic syndrome / myeloproliferative neoplasm, NOS	No Change	No Change	No Change	No
PRE3195	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the pathology report used for diagnosis	Reduce burden - information no longer needed
PRE3196	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the pathology report used for diagnosis	Reduce burden - information no longer needed
PRE3197	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was the disease MDS therapy related?	yes	No Change	No Change	No Change	No
PRE3198	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was the disease MDS therapy related?	no	No Change	No Change	No Change	No
PRE3199	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was the disease MDS therapy related?	Unknown	No Change	No Change	No Change	No
PRE3200	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Did the recipient have a predisposing condition?	yes	No Change	No Change	No Change	No
PRE3201	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Did the recipient have a predisposing condition?	no	No Change	No Change	No Change	No
PRE3202	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Did the recipient have a predisposing condition?	Unknown	No Change	No Change	No Change	No
PRE3203	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Aplastic anemia	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3204	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Germline CEBPA variant (CEBPA-associated familial AML)	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3205	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Germline DDX41 variant	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3206	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Germline ANKRD26 variant (Thrombocytopenia 2)	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3207	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Germline ETV6 variant (Thrombocytopenia 5)	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3208	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Diamond-Blackfan Anemia	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3209	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify MDS predisposing condition	Essential thrombocythemia	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3210	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Fanconi anemia	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3211	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Germline GATA2 variant (GATA2 deficiency)	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3212	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Germline TP53 variant (Li-Fraumeni Syndrome)	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3213	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Paroxysmal nocturnal hemoglobinuria	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3214	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition		Change/Clarification of Information Requested and Addition of Response Option	Specify MDS predisposing condition	Polycythemia vera	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3215	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Germline RUNX1 variant	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3216	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Germline SAMD9 variant (MIRAGE Syndrome)	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3217	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	SAMD9L variant (SAMD9L-related Ataxia Pancytopenia Syndrome)	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3218	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Severe congenital neutropenia	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3219	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Shwachman-Diamond Syndrome	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3220	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Telomere biology disorder	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3221	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify condition	Other condition	Change/Clarification of Information Requested	Specify MDS predisposing condition	No Change	No	Capture data accurately
PRE3222	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify other condition:	Other condition	Change/Clarification of Information Requested	Specify other MDS predisposing condition	No Change	No	Capture data accurately
PRE3223	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in bone marrow	Known	No Change	No Change	No Change	No
PRE3224	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in bone marrow	Unknown	No Change	No Change	No Change	No
PRE3225	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in bone marrow percentage	Open text	No Change	No Change	No Change	No
PRE3226	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	WBC	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3227	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	WBC	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3228	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Neutrophils	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3229	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Neutrophils	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3230	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in blood	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3231	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in blood	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3232	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Hemoglobin	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3233	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Hemoglobin	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3234	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Platelets	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3235	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Platelets	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3236	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	WBC	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3237	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Neutrophils	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3238	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Blasts in blood	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3239	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Hemoglobin	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3240	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Platelets	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3241	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3242	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Date CBC drawn:	Open text	Change/Clarification of Information Requested	Date complete blood count (CBC) drawn:	No Change	No	Capture data accurately
PRE3243	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	WBC value	Open text	No Change	No Change	No Change	No
PRE3244	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	x 109/L (x 103/mm3)	checked	No Change	No Change	No Change	No
PRE3245	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	x 106/L	checked	Change/Clarification of Information Requested	No Change	106/L (x1/mm3) (x1/µL) (cells µL)	No	Capture data accurately
PRE3246	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Neutrophils percentage	Open text	No Change	No Change	No Change	No
PRE3247	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in blood percentage	Open text	No Change	No Change	No Change	No
PRE3248	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Hemoglobin value	Open text	No Change	No Change	No Change	No
PRE3249	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	g/dL	checked	No Change	No Change	No Change	No
PRE3250	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	g/L	checked	No Change	No Change	No Change	No
PRE3251	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	mmol/L	checked	No Change	No Change	No Change	No
PRE3252	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were RBC transfused < 30 days before date of test?	Yes	No Change	No Change	No Change	No
PRE3253	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were RBC transfused < 30 days before date of test?	No	No Change	No Change	No Change	No
PRE3254	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Platelets value	Open text	No Change	No Change	No Change	No
PRE3255	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	x 109/L (x 103/mm3)	checked	No Change	No Change	No Change	No
PRE3256	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	x 106/L	checked	Change/Clarification of Information Requested	No Change	106/L (x1/mm3) (x1/µL) (cells µL)	No	Capture data accurately
PRE3257	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were platelets transfused < 7 days before date of test?	Yes	No Change	No Change	No Change	No
PRE3258	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were platelets transfused < 7 days before date of test?	No	No Change	No Change	No Change	No
PRE3259	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested (karyotyping or FISH)?	yes	No Change	No Change	No Change	No
PRE3260	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested (karyotyping or FISH)?	no	No Change	No Change	No Change	No
PRE3261	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested (karyotyping or FISH)?	Unknown	No Change	No Change	No Change	No
PRE3262	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested via FISH?	Yes	No Change	No Change	No Change	No
PRE3263	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested via FISH?	No	No Change	No Change	No Change	No
PRE3264	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested via FISH?		Addition of Information Requested	No Change	Unknown	No	Capture data accurately
PRE3265	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Sample source	Blood	No Change	No Change	No Change	No
PRE3266	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Sample source	Bone marrow	No Change	No Change	No Change	No
PRE3267	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE3268	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE3269	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE3270	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3271	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE3272	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE3273	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE3274	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE3275	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE3276	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-13	No Change	No Change	No Change	No
PRE3277	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-20	No Change	No Change	No Change	No
PRE3278	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE3279	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE3280	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	+19	No Change	No Change	No Change	No
PRE3281	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(1;3)	Change/Clarification of Information Requested	No Change	t(1;3), PRDM16 / RPN1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3282	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(2;11)	No Change	No Change	No Change	No
PRE3283	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(3;3)	Change/Clarification of Information Requested	No Change	t(3;3), RPN1 / MECOM (EVI1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3284	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(3;21)	Change/Clarification of Information Requested	No Change	t(3;21), MECOM / RUNX1or EVI1 / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3285	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(6;9)	Change/Clarification of Information Requested	No Change	t(6;9), DEK / NUP214	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3286	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(11;16)	Change/Clarification of Information Requested	No Change	t(11;16), KMT2A (MLL) CREBBP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3287	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(3q) / 3q-	No Change	No Change	No Change	No
PRE3288	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE3289	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE3290	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(9q) / 9q-	No Change	No Change	No Change	No
PRE3291	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE3292	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE3293	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(13q) / 13q-	No Change	No Change	No Change	No
PRE3294	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE3295	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	inv(3)	Change/Clarification of Information Requested	No Change	inv(3), RPN1 / MECOM or RPN1 / EVI1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3296	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	i17q	No Change	No Change	No Change	No
PRE3297	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE3298	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE3299	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE3300	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE3301	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested via karyotyping?	Yes	No Change	No Change	No Change	No
PRE3302	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested via karyotyping?	No	No Change	No Change	No Change	No
PRE3303	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested via karyotyping?		Addition of Information Requested	No Change	Unknown	No	Capture data accurately
PRE3304	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Sample source	Blood	No Change	No Change	No Change	No
PRE3305	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Sample source	Bone marrow	No Change	No Change	No Change	No
PRE3306	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE3307	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Results of tests	No evaluable metaphases	No Change	No Change	No Change	No
PRE3308	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE3309	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE3310	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3311	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE3312	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE3313	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE3314	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE3315	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE3316	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-13	No Change	No Change	No Change	No
PRE3317	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-20	No Change	No Change	No Change	No
PRE3318	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE3319	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE3320	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	+19	No Change	No Change	No Change	No
PRE3321	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(1;3)	No Change	No Change	No Change	No
PRE3322	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(2;11)	No Change	No Change	No Change	No
PRE3323	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(3;3)	No Change	No Change	No Change	No
PRE3324	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(3;21)	No Change	No Change	No Change	No
PRE3325	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(6;9)	No Change	No Change	No Change	No
PRE3326	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(11;16)	No Change	No Change	No Change	No
PRE3327	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(3q) / 3q-	No Change	No Change	No Change	No
PRE3328	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE3329	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE3330	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(9q) / 9q-	No Change	No Change	No Change	No
PRE3331	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE3332	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE3333	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(13q) / 13q-	No Change	No Change	No Change	No
PRE3334	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE3335	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	inv(3)	No Change	No Change	No Change	No
PRE3336	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	i17q	No Change	No Change	No Change	No
PRE3337	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE3338	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE3339	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE3340	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE3341	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ASXL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3342	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	BCOR	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3343	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	BCORL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3344	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	CBL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3345	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	CSF3R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3346	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	CUX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3347	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	DNMT3A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3348	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ETV6	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3349	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	EZH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3350	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	FLT3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3351	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	GATA2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3352	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3353	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3354	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	JAK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3355	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	KRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3356	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3357	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NPM1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3358	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3359	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	P53 (TP53)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3360	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PHF6	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3361	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PPM1D	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3362	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PTPN11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3363	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3364	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SETBP1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3365	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SF3B1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3366	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SRSF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3367	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	STAG2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3368	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	TET2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3369	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	U2AF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3370	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	WT1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3371	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ZRSR2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3372	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	Other molecular marker	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3373	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3374	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify other positive molecular marker(s):	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3375	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Amino acid change	Known	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3376	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Amino acid change	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3377	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	p.:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3378	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Be consistent with current clinical landscape, improve transplant outcome data
PRE3379	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Did the recipient progress or transform to a different MDS subtype or AML between diagnosis and the start of the preparative regimen/ infusion?	Yes	No Change	No Change	No Change	No
PRE3380	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Did the recipient progress or transform to a different MDS subtype or AML between diagnosis and the start of the preparative regimen/ infusion?	No	No Change	No Change	No Change	No
PRE3381	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic syndrome with low blasts and isolated 5q deletion (MDS-5q)	No Change	No Change	No Change	No
PRE3382	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic syndrome with low blasts and SF3B1 mutation (MDS-SF3B1)	No Change	No Change	No Change	No
PRE3383	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic syndrome with low blasts and ring sideroblasts (>=15% ring sideroblasts and wild type SF3B1)	No Change	No Change	No Change	No
PRE3384	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic syndrome with biallelic TP53 inactivation (MDS-biTP53)	No Change	No Change	No Change	No
PRE3385	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic syndrome with low blasts (MDS-LB; <5% BM, <2%PB)	No Change	No Change	No Change	No
PRE3386	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic syndrome, hypoplastic (MDS-h) <=25% cellularity by age	No Change	No Change	No Change	No
PRE3387	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic syndrome with increased blasts (MDS-IB1)	No Change	No Change	No Change	No
PRE3388	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic syndrome with increased blasts (MDS-IB2)	No Change	No Change	No Change	No
PRE3389	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic syndrome with fibrosis (MDS-f)	No Change	No Change	No Change	No
PRE3390	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Childhood MDS with low blasts, hypocellular	No Change	No Change	No Change	No
PRE3391	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Childhood MDS with low blasts, not otherwise specified	No Change	No Change	No Change	No
PRE3392	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Childhood MDS with increased blasts	No Change	No Change	No Change	No
PRE3393	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Chronic myelomonocytic leukemia (CMML), Myelodysplastic	No Change	No Change	No Change	No
PRE3394	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Chronic myelomonocytic leukemia (CMML), Myeloproliferative	No Change	No Change	No Change	No
PRE3395	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic/myeloproliferative neoplasm with neutrophilia	No Change	No Change	No Change	No
PRE3396	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic/myeloproliferative neoplasm with SF3B1 mutation and thrombocytosis	No Change	No Change	No Change	No
PRE3397	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	MDS/MPN with ring sideroblasts (>=15% ring sideroblasts and wild type SF3B1) and thrombocytosis	No Change	No Change	No Change	No
PRE3398	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Myelodysplastic syndrome / myeloproliferative neoplasm, NOS	No Change	No Change	No Change	No
PRE3399	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the MDS subtype or AML after transformation	Transformed to AML	No Change	No Change	No Change	No
PRE3400	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the date of the most recent transformation:	Open text	No Change	No Change	No Change	No
PRE3401	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Date of MDS diagnosis:	Open text	No Change	No Change	No Change	No
PRE3402	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in bone marrow	Known	No Change	No Change	No Change	No
PRE3403	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in bone marrow	Unknown	No Change	No Change	No Change	No
PRE3404	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in bone marrow percentage	Open text	No Change	No Change	No Change	No
PRE3405	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	WBC	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3406	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	WBC	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3407	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Neutrophils	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3408	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Neutrophils	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3409	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in blood	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3410	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in blood	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3411	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Hemoglobin	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3412	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Hemoglobin	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3413	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	WBC	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3414	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Neutrophils	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3415	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Blasts in blood	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3416	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Hemoglobin	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3417	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3418	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Date CBC drawn:	Open text	Change/Clarification of Information Requested	Date complete blood count (CBC) drawn:	No Change	No	Capture data accurately
PRE3419	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	WBC value	Open text	No Change	No Change	No Change	No
PRE3420	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	x 109/L (x 103/mm3)	checked	No Change	No Change	No Change	No
PRE3421	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	x 106/L	checked	Change/Clarification of Information Requested	No Change	106/L (x1/mm3) (x1/µL) (cells µL)	No	Capture data accurately
PRE3422	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Neutrophils percentage	Open text	No Change	No Change	No Change	No
PRE3423	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Blasts in blood percentage	Open text	No Change	No Change	No Change	No
PRE3424	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Hemoglobin value	Open text	No Change	No Change	No Change	No
PRE3425	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	g/dL	checked	No Change	No Change	No Change	No
PRE3426	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	g/L	checked	No Change	No Change	No Change	No
PRE3427	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	mmol/L	checked	No Change	No Change	No Change	No
PRE3428	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were RBC transfused < 30 days before date of test?	Yes	No Change	No Change	No Change	No
PRE3429	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were RBC transfused < 30 days before date of test?	No	No Change	No Change	No Change	No
PRE3430	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Platelets	Known	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3431	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Platelets	Unknown	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3432	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Platelets value	Open text	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3433	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	x 109/L (x 103/mm3)	checked	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3434	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	x 106/L	checked	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3435	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were platelets transfused < 7 days before date of test?	Yes	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3436	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were platelets transfused < 7 days before date of test?	No	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3437	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested (karyotyping or FISH)?	yes	No Change	No Change	No Change	No
PRE3438	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested (karyotyping or FISH)?	no	No Change	No Change	No Change	No
PRE3439	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested (karyotyping or FISH)?	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3440	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested via FISH?	Yes	No Change	No Change	No Change	No
PRE3441	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested via FISH?	No	No Change	No Change	No Change	No
PRE3442	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Sample source	Blood	No Change	No Change	No Change	No
PRE3443	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Sample source	Bone marrow	No Change	No Change	No Change	No
PRE3444	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE3445	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE3446	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE3447	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3448	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE3449	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE3450	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE3451	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE3452	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE3453	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-13	No Change	No Change	No Change	No
PRE3454	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-20	No Change	No Change	No Change	No
PRE3455	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE3456	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE3457	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	+19	No Change	No Change	No Change	No
PRE3458	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(1;3)	Change/Clarification of Information Requested	No Change	t(1;3), PRDM16 / RPN1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3459	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(2;11)	No Change	No Change	No Change	No
PRE3460	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(3;3)	Change/Clarification of Information Requested	No Change	t(3;3), RPN1 / MECOM (EVI1)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3461	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(3;21)	Change/Clarification of Information Requested	No Change	t(3;21), MECOM / RUNX1or EVI1 / AML1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3462	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(6;9)	Change/Clarification of Information Requested	No Change	t(6;9), DEK / NUP214	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3463	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(11;16)	Change/Clarification of Information Requested	No Change	t(11;16), KMT2A (MLL) CREBBP	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3464	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(3q) / 3q-	No Change	No Change	No Change	No
PRE3465	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE3466	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE3467	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(9q) / 9q-	No Change	No Change	No Change	No
PRE3468	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE3469	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE3470	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(13q) / 13q-	No Change	No Change	No Change	No
PRE3471	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE3472	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	inv(3)	Change/Clarification of Information Requested	No Change	inv(3), RPN1 / MECOM or RPN1 / EVI1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3473	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	i17q	No Change	No Change	No Change	No
PRE3474	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE3475	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE3476	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE3477	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE3478	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested via karyotyping?	Yes	No Change	No Change	No Change	No
PRE3479	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Were cytogenetics tested via karyotyping?	No	No Change	No Change	No Change	No
PRE3480	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Sample source	Blood	No Change	No Change	No Change	No
PRE3481	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Sample source	Bone marrow	No Change	No Change	No Change	No
PRE3482	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE3483	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Results of tests	No evaluable metaphases	No Change	No Change	No Change	No
PRE3484	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE3485	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE3486	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3487	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE3488	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE3489	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE3490	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE3491	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE3492	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-13	No Change	No Change	No Change	No
PRE3493	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-20	No Change	No Change	No Change	No
PRE3494	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE3495	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE3496	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	+19	No Change	No Change	No Change	No
PRE3497	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(1;3)	No Change	No Change	No Change	No
PRE3498	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(2;11)	No Change	No Change	No Change	No
PRE3499	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(3;3)	No Change	No Change	No Change	No
PRE3500	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(3;21)	No Change	No Change	No Change	No
PRE3501	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(6;9)	No Change	No Change	No Change	No
PRE3502	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	t(11;16)	No Change	No Change	No Change	No
PRE3503	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(3q) / 3q-	No Change	No Change	No Change	No
PRE3504	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE3505	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE3506	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(9q) / 9q-	No Change	No Change	No Change	No
PRE3507	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE3508	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE3509	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(13q) / 13q-	No Change	No Change	No Change	No
PRE3510	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE3511	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	inv(3)	No Change	No Change	No Change	No
PRE3512	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	i17q	No Change	No Change	No Change	No
PRE3513	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE3514	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE3515	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE3516	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE3517	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ASXL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3518	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	BCOR	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3519	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	BCORL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3520	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	CBL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3521	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	CSF3R	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3522	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	CUX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3523	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	DNMT3A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3524	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ETV6	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3525	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	EZH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3526	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	FLT3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3527	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	GATA2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3528	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3529	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3530	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	JAK2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3531	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	KRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3532	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3533	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NPM1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3534	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3535	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	P53 (TP53)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3536	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PHF6	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3537	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PPM1D	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3538	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PTPN11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3539	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3540	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SETBP1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3541	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SF3B1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3542	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SRSF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3543	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	STAG2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3544	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	TET2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3545	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	U2AF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3546	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	WT1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3547	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ZRSR2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3548	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	Other molecular marker	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3549	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3550	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Specify other positive molecular marker(s):	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3551	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Amino acid change	Known	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3552	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	Amino acid change	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3553	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	Yes			Addition of Information Requested	p.:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3554	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Be consistent with current clinical landscape, improve transplant outcome data
PRE3555	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the disease status?	Complete remission (CR)	No Change	No Change	No Change	No
PRE3556	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the disease status?	Hematologic improvement (HI)	No Change	No Change	No Change	No
PRE3557	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the disease status?	No response (NR) / stable disease (SD)	No Change	No Change	No Change	No
PRE3558	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the disease status?	Progression from hematologic improvement (Prog from HI)	No Change	No Change	No Change	No
PRE3559	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the disease status?	Relapse from complete remission (Rel from CR)	No Change	No Change	No Change	No
PRE3560	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	What was the disease status?	Not assessed	Change/Clarification of Information Requested	No Change	No treatment	No	Capture data accurately
PRE3561	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the cell lines examined to determine HI status	HI-E	No Change	No Change	No Change	No
PRE3562	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the cell lines examined to determine HI status	HI-P	No Change	No Change	No Change	No
PRE3563	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify the cell lines examined to determine HI status	HI-N	No Change	No Change	No Change	No
PRE3564	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify transfusion dependence	Non-transfused (NTD)	No Change	No Change	No Change	No
PRE3565	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Specify transfusion dependence	Low-transfusion burden (LTB)	No Change	No Change	No Change	No
PRE3566	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Date assessed:	Open Text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE3567	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the MPN subtype at diagnosis?	Chronic neutrophilic leukemia	No Change	No Change	No Change	No
PRE3568	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the MPN subtype at diagnosis?	Chronic eosinophilic leukemia	No Change	No Change	No Change	No
PRE3569	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the MPN subtype at diagnosis?	Essential thrombocythemia	No Change	No Change	No Change	No
PRE3570	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the MPN subtype at diagnosis?	Myeloproliferative neoplasm, NOS	No Change	No Change	No Change	No
PRE3571	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the MPN subtype at diagnosis?	Polycythemia vera (PCV)	No Change	No Change	No Change	No
PRE3572	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the MPN subtype at diagnosis?	Primary myelofibrosis (PMF)	No Change	No Change	No Change	No
PRE3573	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the MPN subtype at diagnosis?	Cutaneous mastocytosis (CM)	No Change	No Change	No Change	No
PRE3574	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the MPN subtype at diagnosis?	Mast cell sarcoma (MCS)	No Change	No Change	No Change	No
PRE3575	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the MPN subtype at diagnosis?	Systemic mastocytosis	No Change	No Change	No Change	No
PRE3576	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify systemic mastocytosis	Indolent systemic mastocytosis (ISM)	No Change	No Change	No Change	No
PRE3577	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify systemic mastocytosis	Smoldering systemic mastocytosis (SSM)	No Change	No Change	No Change	No
PRE3578	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify systemic mastocytosis	Systemic mastocytosis with an associated hematological neoplasm (SM-AHN)	No Change	No Change	No Change	No
PRE3579	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify systemic mastocytosis	Aggressive systemic mastocytosis (ASM)	No Change	No Change	No Change	No
PRE3580	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify systemic mastocytosis	Mast cell leukemia (MCL)	No Change	No Change	No Change	No
PRE3581	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify systemic mastocytosis	Bone marrow mastocytosis	No Change	No Change	No Change	No
PRE3582	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the pathology report used for diagnosis	Reduce burden - information no longer needed
PRE3583	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the pathology report used for diagnosis	Reduce burden - information no longer needed
PRE3584	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have constitutional symptoms?	Yes	No Change	No Change	No Change	No
PRE3585	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have constitutional symptoms?	No	No Change	No Change	No Change	No
PRE3586	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have constitutional symptoms?	Unknown	No Change	No Change	No Change	No
PRE3587	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in bone marrow	Known	No Change	No Change	No Change	No
PRE3588	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in bone marrow	Unknown	No Change	No Change	No Change	No
PRE3589	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in bone marrow percentage	Open text	No Change	No Change	No Change	No
PRE3590	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	WBC	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3591	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	WBC	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3592	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Neutrophils	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3593	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Neutrophils	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3594	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in blood	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3595	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in blood	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3596	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Hemoglobin	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3597	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Hemoglobin	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3598	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Platelets	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3599	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Platelets	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3600	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	WBC	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3601	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Neutrophils	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3602	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Blasts in blood	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3603	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Hemoglobin	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3604	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Platelets	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3605	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3606	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Date CBC drawn:	Open text	Change/Clarification of Information Requested	Date complete blood count (CBC) drawn:	No Change	No	Capture data accurately
PRE3607	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	WBC value	Open text	No Change	No Change	No Change	No
PRE3608	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	x 109/L (x 103/mm3)	checked	No Change	No Change	No Change	No
PRE3609	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	x 106/L	checked	Change/Clarification of Information Requested	No Change	106/L (x1/mm3) (x1/µL) (cells µL)	No	Capture data accurately
PRE3610	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Neutrophils percentage	Open text	No Change	No Change	No Change	No
PRE3611	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in blood percentage	Open text	No Change	No Change	No Change	No
PRE3612	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Hemoglobin value	Open text	No Change	No Change	No Change	No
PRE3613	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	g/dL	checked	No Change	No Change	No Change	No
PRE3614	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	g/L	checked	No Change	No Change	No Change	No
PRE3615	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	mmol/L	checked	No Change	No Change	No Change	No
PRE3616	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were RBC transfused < 30 days before date of test?	Yes	No Change	No Change	No Change	No
PRE3617	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were RBC transfused < 30 days before date of test?	No	No Change	No Change	No Change	No
PRE3618	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Platelets value	Open text	No Change	No Change	No Change	No
PRE3619	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	x 109/L (x 103/mm3)	checked	No Change	No Change	No Change	No
PRE3620	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	x 106/L	checked	Change/Clarification of Information Requested	No Change	106/L (x1/mm3) (x1/µL) (cells µL)	No	Capture data accurately
PRE3621	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were platelets transfused < 7 days before date of test?	Yes	No Change	No Change	No Change	No
PRE3622	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were platelets transfused < 7 days before date of test?	No	No Change	No Change	No Change	No
PRE3623	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested (karyotyping or FISH)?	yes	No Change	No Change	No Change	No
PRE3624	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested (karyotyping or FISH)?	no	No Change	No Change	No Change	No
PRE3625	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested (karyotyping or FISH)?	Unknown	No Change	No Change	No Change	No
PRE3626	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested via FISH?	Yes	No Change	No Change	No Change	No
PRE3627	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested via FISH?	No	No Change	No Change	No Change	No
PRE3628	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested via FISH?		Addition of Information Requested	No Change	Unknown	No	Capture data accurately
PRE3629	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Sample source	Blood	No Change	No Change	No Change	No
PRE3630	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Sample source	Bone marrow	No Change	No Change	No Change	No
PRE3631	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE3632	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE3633	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE3634	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3635	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE3636	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE3637	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE3638	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE3639	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE3640	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE3641	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE3642	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	+9	No Change	No Change	No Change	No
PRE3643	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(1;any)	No Change	No Change	No Change	No
PRE3644	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(3q21;any)	Change/Clarification of Information Requested	No Change	t(3q21;any), MECOM, RPN1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3645	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(11q23;any)	Change/Clarification of Information Requested	No Change	t(11q23;any), KMT2A (MLL)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3646	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(12p11.2;any)	No Change	No Change	No Change	No
PRE3647	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(6;9)	Change/Clarification of Information Requested	No Change	t(6;9), DEK/NUP214	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3648	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE3649	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE3650	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE3651	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE3652	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(13q) / 13q-	No Change	No Change	No Change	No
PRE3653	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE3654	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	dup(1)	No Change	No Change	No Change	No
PRE3655	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	inv(3)	No Change	No Change	No Change	No
PRE3656	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	i17q	No Change	No Change	No Change	No
PRE3657	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE3658	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE3659	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE3660	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE3661	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested via karyotyping?	Yes	No Change	No Change	No Change	No
PRE3662	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested via karyotyping?	No	No Change	No Change	No Change	No
PRE3663	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested via karyotyping?		Addition of Information Requested	No Change	Unknown	No	Capture data accurately
PRE3664	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Sample source	Blood	No Change	No Change	No Change	No
PRE3665	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Sample source	Bone marrow	No Change	No Change	No Change	No
PRE3666	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE3667	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Results of tests	No evaluable metaphases	No Change	No Change	No Change	No
PRE3668	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE3669	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE3670	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3671	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE3672	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE3673	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE3674	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE3675	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE3676	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE3677	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE3678	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	+9	No Change	No Change	No Change	No
PRE3679	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(1;any)	No Change	No Change	No Change	No
PRE3680	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(3q21;any)	No Change	No Change	No Change	No
PRE3681	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(11q23;any)	No Change	No Change	No Change	No
PRE3682	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(12p11.2;any)	No Change	No Change	No Change	No
PRE3683	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(6;9)	No Change	No Change	No Change	No
PRE3684	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE3685	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE3686	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE3687	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE3688	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(13q) / 13q-	No Change	No Change	No Change	No
PRE3689	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE3690	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	dup(1)	No Change	No Change	No Change	No
PRE3691	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	inv(3)	No Change	No Change	No Change	No
PRE3692	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	i17q	No Change	No Change	No Change	No
PRE3693	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE3694	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE3695	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE3696	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE3697	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were tests for driver mutations performed?	Yes	No Change	No Change	No Change	No
PRE3698	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were tests for driver mutations performed?	No	No Change	No Change	No Change	No
PRE3699	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were tests for driver mutations performed?	Unknown	No Change	No Change	No Change	No
PRE3700	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2	Positive	No Change	No Change	No Change	No
PRE3701	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2	Negative	No Change	No Change	No Change	No
PRE3702	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2	Not done	No Change	No Change	No Change	No
PRE3703	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 V617F	Positive	No Change	No Change	No Change	No
PRE3704	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 V617F	Negative	No Change	No Change	No Change	No
PRE3705	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 V617F	Not done	No Change	No Change	No Change	No
PRE3706	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 Exon 12	Positive	No Change	No Change	No Change	No
PRE3707	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 Exon 12	Negative	No Change	No Change	No Change	No
PRE3708	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 Exon 12	Not done	No Change	No Change	No Change	No
PRE3709	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR	Positive	No Change	No Change	No Change	No
PRE3710	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR	Negative	No Change	No Change	No Change	No
PRE3711	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR	Not done	No Change	No Change	No Change	No
PRE3712	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 1	Positive	No Change	No Change	No Change	No
PRE3713	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 1	Negative	No Change	No Change	No Change	No
PRE3714	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 1	Not done	No Change	No Change	No Change	No
PRE3715	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 2	Positive	No Change	No Change	No Change	No
PRE3716	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 2	Negative	No Change	No Change	No Change	No
PRE3717	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 2	Not done	No Change	No Change	No Change	No
PRE3718	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Not defined	Positive	No Change	No Change	No Change	No
PRE3719	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Not defined	Negative	No Change	No Change	No Change	No
PRE3720	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Not defined	Not done	No Change	No Change	No Change	No
PRE3721	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	MPL	Positive	No Change	No Change	No Change	No
PRE3722	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	MPL	Negative	No Change	No Change	No Change	No
PRE3723	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	MPL	Not done	No Change	No Change	No Change	No
PRE3724	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CSF3R	Positive	No Change	No Change	No Change	No
PRE3725	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CSF3R	Negative	No Change	No Change	No Change	No
PRE3726	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CSF3R	Not done	No Change	No Change	No Change	No
PRE3727	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ASXL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3728	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	BCOR	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3729	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	BCORL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3730	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	CBL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3731	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	CUX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3732	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	DNMT3A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3733	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ETV6	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3734	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	EZH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3735	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	FLT3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3736	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	GATA2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3737	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3738	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3739	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	KRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3740	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	LNK	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3741	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3742	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NPM1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3743	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3744	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	P53 (TP53)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3745	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PHF6	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3746	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PPM1D	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3747	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PTPN11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3748	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3749	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SETBP1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3750	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SF3B1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3751	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SRSF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3752	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	STAG2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3753	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	TET2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3754	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	U2AF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3755	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	WT1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3756	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ZRSR2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3757	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	Other molecular marker	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3758	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3759	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify other positive molecular marker(s):	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3760	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Amino acid change	Known	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3761	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Amino acid change	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3762	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	p.:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3763	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Reduce burden
PRE3764	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Reduce burden
PRE3765	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient progress or transform to a different MPN subtype or AML between diagnosis and the start of the preparative regimen / infusion?	Yes	No Change	No Change	No Change	No
PRE3766	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient progress or transform to a different MPN subtype or AML between diagnosis and the start of the preparative regimen / infusion?	No	No Change	No Change	No Change	No
PRE3767	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the MPN subtype or AML after transformation	Post-essential thrombocythemic myelofibrosis	No Change	No Change	No Change	No
PRE3768	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the MPN subtype or AML after transformation	Post-polycythemic myelofibrosis	No Change	No Change	No Change	No
PRE3769	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the MPN subtype or AML after transformation	Transformed to AML	No Change	No Change	No Change	No
PRE3770	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the date of the most recent transformation:	Open text	No Change	No Change	No Change	No
PRE3771	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Date of MPN diagnosis:	Open text	No Change	No Change	No Change	No
PRE3772	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify transfusion dependence at last evaluation prior to the start of the preparative regimen / infusion	Non-transfused (NTD)	No Change	No Change	No Change	No
PRE3773	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify transfusion dependence at last evaluation prior to the start of the preparative regimen / infusion	Low-transfusion burden (LTB)	No Change	No Change	No Change	No
PRE3774	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify transfusion dependence at last evaluation prior to the start of the preparative regimen / infusion	High-transfusion burden (HTB)	No Change	No Change	No Change	No
PRE3775	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have constitutional symptoms in six months before last evaluation prior to the start of the preparative regimen / infusion?	Yes	No Change	No Change	No Change	No
PRE3776	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have constitutional symptoms in six months before last evaluation prior to the start of the preparative regimen / infusion?	No	No Change	No Change	No Change	No
PRE3777	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have constitutional symptoms in six months before last evaluation prior to the start of the preparative regimen / infusion?	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3778	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have splenomegaly at last evaluation prior to the start of the preparative regimen / infusion?	Yes	No Change	No Change	No Change	No
PRE3779	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have splenomegaly at last evaluation prior to the start of the preparative regimen / infusion?	No	No Change	No Change	No Change	No
PRE3780	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have splenomegaly at last evaluation prior to the start of the preparative regimen / infusion?	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3781	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have splenomegaly at last evaluation prior to the start of the preparative regimen / infusion?	Not applicable	No Change	No Change	No Change	No
PRE3782	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the method used to measure spleen size	Physical assessment	No Change	No Change	No Change	No
PRE3783	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the method used to measure spleen size	Ultrasound	No Change	No Change	No Change	No
PRE3784	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the method used to measure spleen size	CT/MRI	No Change	No Change	No Change	No
PRE3785	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the spleen size centimeters below left costal margin :	Open text	No Change	No Change	No Change	No
PRE3786	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the spleen size centimeters:	Open text	No Change	No Change	No Change	No
PRE3787	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have hepatomegaly at last evaluation prior to the start of the preparative regimen / infusion?	Yes	No Change	No Change	No Change	No
PRE3788	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have hepatomegaly at last evaluation prior to the start of the preparative regimen / infusion?	No	No Change	No Change	No Change	No
PRE3789	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Did the recipient have hepatomegaly at last evaluation prior to the start of the preparative regimen / infusion?	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3790	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the method used to measure liver size	Physical exam	No Change	No Change	No Change	No
PRE3791	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the method used to measure liver size	Ultrasound	No Change	No Change	No Change	No
PRE3792	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the method used to measure liver size	CT/MRI	No Change	No Change	No Change	No
PRE3793	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the liver size centimeters below left costal margin :	Open text	No Change	No Change	No Change	No
PRE3794	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the liver size centimeters:	Open text	No Change	No Change	No Change	No
PRE3795	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in bone marrow	Known	No Change	No Change	No Change	No
PRE3796	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in bone marrow	Unknown	No Change	No Change	No Change	No
PRE3797	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in bone marrow percentage	Open text	No Change	No Change	No Change	No
PRE3798	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	WBC	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3799	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	WBC	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3800	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Neutrophils	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3801	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Neutrophils	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3802	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in blood	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3803	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in blood	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3804	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Hemoglobin	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3805	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Hemoglobin	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE3806	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	WBC	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3807	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Neutrophils	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3808	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Blasts in blood	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3809	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	Hemoglobin	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3810	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No			Merged to Check all that Apply (Addition of information requested)	Complete blood count (CBC) results available	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3811	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Date CBC drawn:	Open text	Change/Clarification of Information Requested	Date complete blood count (CBC) drawn:	No Change	No	Capture data accurately
PRE3812	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	WBC value	Open text	No Change	No Change	No Change	No
PRE3813	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	x 109/L (x 103/mm3)	checked	No Change	No Change	No Change	No
PRE3814	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	x 106/L	checked	Change/Clarification of Information Requested	No Change	106/L (x1/mm3) (x1/µL) (cells µL)	No	Capture data accurately
PRE3815	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Neutrophils percentage	Open text	No Change	No Change	No Change	No
PRE3816	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Blasts in blood percentage	Open text	No Change	No Change	No Change	No
PRE3817	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Hemoglobin value	Open text	No Change	No Change	No Change	No
PRE3818	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	g/dL	checked	No Change	No Change	No Change	No
PRE3819	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	g/L	checked	No Change	No Change	No Change	No
PRE3820	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	mmol/L	checked	No Change	No Change	No Change	No
PRE3821	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were RBC transfused < 30 days before date of test?	Yes	No Change	No Change	No Change	No
PRE3822	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were RBC transfused < 30 days before date of test?	No	No Change	No Change	No Change	No
PRE3823	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Platelets	Known	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3824	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Platelets	Unknown	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3825	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Platelets value	Open text	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3826	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	x 109/L (x 103/mm3)	checked	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3827	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	x 106/L	checked	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3828	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were platelets transfused < 7 days before date of test?	Yes	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3829	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were platelets transfused < 7 days before date of test?	No	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE3830	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested (karyotyping or FISH)?	yes	No Change	No Change	No Change	No
PRE3831	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested (karyotyping or FISH)?	no	No Change	No Change	No Change	No
PRE3832	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested (karyotyping or FISH)?	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3833	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested via FISH?	Yes	No Change	No Change	No Change	No
PRE3834	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested via FISH?	No	No Change	No Change	No Change	No
PRE3835	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Sample source	Blood	No Change	No Change	No Change	No
PRE3836	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Sample source	Bone marrow	No Change	No Change	No Change	No
PRE3837	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE3838	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE3839	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE3840	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3841	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE3842	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE3843	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE3844	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE3845	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE3846	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE3847	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE3848	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	+9	No Change	No Change	No Change	No
PRE3849	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(1;any)	No Change	No Change	No Change	No
PRE3850	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(3q21;any)	Change/Clarification of Information Requested	No Change	t(3q21;any), MECOM, RPN1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3851	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(11q23;any)	Change/Clarification of Information Requested	No Change	t(11q23;any), KMT2A (MLL)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3852	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(12p11.2;any)	No Change	No Change	No Change	No
PRE3853	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(6;9)	Change/Clarification of Information Requested	No Change	t(6;9), DEK/NUP214	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3854	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE3855	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE3856	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE3857	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE3858	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(13q) / 13q-	No Change	No Change	No Change	No
PRE3859	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE3860	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	dup(1)	No Change	No Change	No Change	No
PRE3861	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	inv(3)	No Change	No Change	No Change	No
PRE3862	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	i17q	No Change	No Change	No Change	No
PRE3863	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE3864	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE3865	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE3866	Pre-Transplant Information Collection	Disease Classification	Myelodysplastic Syndrome (MDS)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE3867	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested via karyotyping?	Yes	No Change	No Change	No Change	No
PRE3868	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were cytogenetics tested via karyotyping?	No	No Change	No Change	No Change	No
PRE3869	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Sample source	Blood	No Change	No Change	No Change	No
PRE3870	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Sample source	Bone marrow	No Change	No Change	No Change	No
PRE3871	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE3872	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Results of tests	No evaluable metaphases	No Change	No Change	No Change	No
PRE3873	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE3874	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE3875	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	One (1)	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3876	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Two (2)	Change/Clarification of Information Requested	No Change	<3	No	Capture data accurately
PRE3877	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Three (3)	Change/Clarification of Information Requested	No Change	3-5	No	Capture data accurately
PRE3878	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify number of distinct cytogenetic abnormalities	Four or more (4 or more)	Change/Clarification of Information Requested	No Change	>5	No	Capture data accurately
PRE3879	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-5	No Change	No Change	No Change	No
PRE3880	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-7	No Change	No Change	No Change	No
PRE3881	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	-Y	No Change	No Change	No Change	No
PRE3882	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	+8	No Change	No Change	No Change	No
PRE3883	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	+9	No Change	No Change	No Change	No
PRE3884	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(1;any)	No Change	No Change	No Change	No
PRE3885	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(3q21;any)	No Change	No Change	No Change	No
PRE3886	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(11q23;any)	No Change	No Change	No Change	No
PRE3887	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(12p11.2;any)	No Change	No Change	No Change	No
PRE3888	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	t(6;9)	No Change	No Change	No Change	No
PRE3889	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(5q) / 5q-	No Change	No Change	No Change	No
PRE3890	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(7q) / 7q-	No Change	No Change	No Change	No
PRE3891	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(11q) / 11q-	No Change	No Change	No Change	No
PRE3892	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(12p) / 12p-	No Change	No Change	No Change	No
PRE3893	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(13q) / 13q-	No Change	No Change	No Change	No
PRE3894	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	del(20q) / 20q-	No Change	No Change	No Change	No
PRE3895	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	dup(1)	No Change	No Change	No Change	No
PRE3896	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	inv(3)	No Change	No Change	No Change	No
PRE3897	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	i17q	No Change	No Change	No Change	No
PRE3898	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE3899	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE3900	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE3901	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE3902	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were tests for driver mutations performed?	Yes	No Change	No Change	No Change	No
PRE3903	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were tests for driver mutations performed?	No	No Change	No Change	No Change	No
PRE3904	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Were tests for driver mutations performed?	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE3905	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2	Positive	No Change	No Change	No Change	No
PRE3906	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2	Negative	No Change	No Change	No Change	No
PRE3907	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2	Not done	No Change	No Change	No Change	No
PRE3908	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 V617F	Positive	No Change	No Change	No Change	No
PRE3909	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 V617F	Negative	No Change	No Change	No Change	No
PRE3910	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 V617F	Not done	No Change	No Change	No Change	No
PRE3911	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 Exon 12	Positive	No Change	No Change	No Change	No
PRE3912	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 Exon 12	Negative	No Change	No Change	No Change	No
PRE3913	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	JAK2 Exon 12	Not done	No Change	No Change	No Change	No
PRE3914	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR	Positive	No Change	No Change	No Change	No
PRE3915	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR	Negative	No Change	No Change	No Change	No
PRE3916	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR	Not done	No Change	No Change	No Change	No
PRE3917	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 1	Positive	No Change	No Change	No Change	No
PRE3918	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 1	Negative	No Change	No Change	No Change	No
PRE3919	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 1	Not done	No Change	No Change	No Change	No
PRE3920	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 2	Positive	No Change	No Change	No Change	No
PRE3921	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 2	Negative	No Change	No Change	No Change	No
PRE3922	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CALR type 2	Not done	No Change	No Change	No Change	No
PRE3923	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Not defined	Positive	No Change	No Change	No Change	No
PRE3924	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Not defined	Negative	No Change	No Change	No Change	No
PRE3925	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Not defined	Not done	No Change	No Change	No Change	No
PRE3926	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	MPL	Positive	No Change	No Change	No Change	No
PRE3927	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	MPL	Negative	No Change	No Change	No Change	No
PRE3928	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	MPL	Not done	No Change	No Change	No Change	No
PRE3929	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CSF3R	Positive	No Change	No Change	No Change	No
PRE3930	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CSF3R	Negative	No Change	No Change	No Change	No
PRE3931	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	CSF3R	Not done	No Change	No Change	No Change	No
PRE3932	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ASXL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3933	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	BCOR	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3934	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	BCORL1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3935	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	CBL	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3936	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	CUX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3937	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	DNMT3A	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3938	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ETV6	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3939	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	EZH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3940	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	FLT3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3941	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	GATA2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3942	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	IDH1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3943	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	IDH2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3944	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	KRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3945	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	LNK	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3946	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3947	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NPM1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3948	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	NRAS	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3949	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	P53 (TP53)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3950	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PHF6	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3951	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PPM1D	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3952	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	PTPN11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3953	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	RUNX1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3954	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SETBP1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3955	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SF3B1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3956	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	SRSF2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3957	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	STAG2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3958	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	TET2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3959	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	U2AF1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3960	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	WT1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3961	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	ZRSR2	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3962	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	Other molecular marker	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3963	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify any positive molecular marker(s) identified	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3964	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Specify other positive molecular marker(s):	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3965	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Amino acid change	Known	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3966	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	Amino acid change	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3967	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	Yes			Addition of Information Requested	p.:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3968	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Reduce burden
PRE3969	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the molecular marker report.	Reduce burden
PRE3970	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the disease status?	Complete clinical remission (CR)	No Change	No Change	No Change	No
PRE3971	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the disease status?	Partial clinical remission (PR)	No Change	No Change	No Change	No
PRE3972	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the disease status?	Clinical improvement (CI)	No Change	No Change	No Change	No
PRE3973	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the disease status?	Stable disease (SD)	No Change	No Change	No Change	No
PRE3974	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the disease status?	Progressive disease	No Change	No Change	No Change	No
PRE3975	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the disease status?	Relapse	No Change	No Change	No Change	No
PRE3976	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	What was the disease status?	Not assessed	Change/Clarification of Information Requested	No Change	No treatment	No	Capture data accurately
PRE3977	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was an anemia response achieved?	Yes	No Change	No Change	No Change	No
PRE3978	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was an anemia response achieved?	No	No Change	No Change	No Change	No
PRE3979	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was a spleen response achieved?	Yes	No Change	No Change	No Change	No
PRE3980	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was a spleen response achieved?	No	No Change	No Change	No Change	No
PRE3981	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was a symptom response achieved?	Yes	No Change	No Change	No Change	No
PRE3982	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Was a symptom response achieved?	No	No Change	No Change	No Change	No
PRE3983	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Date assessed:	Open Text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE3984	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the cytogenetic response	Complete response (CR)	No Change	No Change	No Change	No
PRE3985	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the cytogenetic response	Partial response (PR)	No Change	No Change	No Change	No
PRE3986	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the cytogenetic response		Addition of Information Requested	No Change	No response	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3987	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the cytogenetic response	Re-emergence of pre-existing cytogenetic abnormality	No Change	No Change	No Change	No
PRE3988	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the cytogenetic response	Not assessed	No Change	No Change	No Change	No
PRE3989	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the cytogenetic response	Not applicable	No Change	No Change	No Change	No
PRE3990	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the cytogenetic response	None of the above	No Change	No Change	No Change	No
PRE3991	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Date assessed:	Open Text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE3992	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the molecular response	Complete response (CR)	No Change	No Change	No Change	No
PRE3993	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the molecular response	Partial response (PR)	No Change	No Change	No Change	No
PRE3994	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the molecular response		Addition of Information Requested	No Change	No response	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE3995	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the molecular response	Re-emergence of a pre-existing molecular abnormality	No Change	No Change	No Change	No
PRE3996	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the molecular response	Not assessed	No Change	No Change	No Change	No
PRE3997	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the molecular response	Not applicable	No Change	No Change	No Change	No
PRE3998	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Specify the molecular response	None of the above	No Change	No Change	No Change	No
PRE3999	Pre-Transplant Information Collection	Disease Classification	Myeloproliferative Neoplasms (MPN)	No	Date assessed:	Open Text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE4000	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Specify the other leukemia classification	Chronic lymphocytic leukemia (CLL), NOS	Change/Clarification of Information Requested	Specify the other hematologic leukemia disease	No Change	No	Capture data accurately
PRE4001	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Specify the other leukemia classification	Chronic lymphocytic leukemia / small lymphocytic lymphoma	Change/Clarification of Information Requested	Specify the other hematologic leukemia disease	No Change	No	Capture data accurately
PRE4002	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Specify the other leukemia classification	Hairy cell leukemia	Change/Clarification of Information Requested	Specify the other hematologic leukemia disease	No Change	No	Capture data accurately
PRE4003	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Specify the other leukemia classification	Splenic B-cell lymphoma/leukemia with prominent nucleoli	Change/Clarification of Information Requested	Specify the other hematologic leukemia disease	No Change	No	Capture data accurately
PRE4004	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Specify the other leukemia classification	T-prolymphocytic leukemia	Change/Clarification of Information Requested	Specify the other hematologic leukemia disease	No Change	No	Capture data accurately
PRE4005	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Specify the other leukemia classification	Other leukemia, NOS	Change/Clarification of Information Requested	Specify the other hematologic leukemia disease	No Change	No	Capture data accurately
PRE4006	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Specify the other leukemia classification	Other leukemia	Change/Clarification of Information Requested	Specify the other hematologic leukemia disease	No Change	No	Capture data accurately
PRE4007	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Specify other leukemia:	Open text	No Change	No Change	No Change	No
PRE4008	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Was any 17p abnormality detected?	yes	No Change	No Change	No Change	No
PRE4009	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Was any 17p abnormality detected?	No	No Change	No Change	No Change	No
PRE4010	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Did a histologic transformation to diffuse large B-cell lymphoma (Richter syndrome) occur at any time after CLL diagnosis?	yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE4011	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Did a histologic transformation to diffuse large B-cell lymphoma (Richter syndrome) occur at any time after CLL diagnosis?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE4012	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [atypical CML]	Primary induction failure	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE4013	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [atypical CML]	1st complete remission (no previous bone marrow or extramedullary relapse)	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE4014	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [atypical CML]	2nd complete remission	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE4015	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [atypical CML]	> 3rd complete remission	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE4016	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [atypical CML]	1st relapse	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE4017	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [atypical CML]	2nd relapse	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE4018	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [atypical CML]	> 3rd relapse	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE4019	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [atypical CML]	No treatment	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
PRE4020	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [CLL, PLL, Hairy cell leukemia, Other leukemia]	Complete remission (CR)	No Change	No Change	No Change	No
PRE4021	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [CLL, PLL, Hairy cell leukemia, Other leukemia]	Partial remission (PR)	No Change	No Change	No Change	No
PRE4022	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [CLL, PLL, Hairy cell leukemia, Other leukemia]	Stable disease (SD)	No Change	No Change	No Change	No
PRE4023	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [CLL, PLL, Hairy cell leukemia, Other leukemia]	Progressive disease (Prog)	No Change	No Change	No Change	No
PRE4024	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [CLL, PLL, Hairy cell leukemia, Other leukemia]	Untreated	Change/Clarification of Information Requested	No Change	No treatment	No	Capture data accurately
PRE4025	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	What was the disease status? [CLL, PLL, Hairy cell leukemia, Other leukemia]	Not assessed	Deletion of Information Requested	No Change		No	Capture data accurately
PRE4026	Pre-Transplant Information Collection	Disease Classification	Other Leukemia (OL)	No	Date assessed:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE4027	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Classic Hodgkin lymphoma	No Change	No Change	No Change	No
PRE4028	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Lymphocyte depleted	No Change	No Change	No Change	No
PRE4029	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Lymphocyte-rich	No Change	No Change	No Change	No
PRE4030	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Mixed cellularity	No Change	No Change	No Change	No
PRE4031	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Nodular lymphocyte predominant Hodgkin lymphoma	No Change	No Change	No Change	No
PRE4032	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Nodular sclerosis	No Change	No Change	No Change	No
PRE4033	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Burkitt lymphoma	No Change	No Change	No Change	No
PRE4034	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	ALK-positive large B-cell lymphoma	No Change	No Change	No Change	No
PRE4035	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Diffuse large B-cell lymphoma - Activated B-cell type subtype	No Change	No Change	No Change	No
PRE4036	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Diffuse large B-cell lymphoma associated with chronic inflammation	No Change	No Change	No Change	No
PRE4037	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Diffuse large B-cell lymphoma - Germinal Center B-cell subtype	No Change	No Change	No Change	No
PRE4038	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Diffuse large B-cell lymphoma / high-grade B-cell lymphoma with MYC and BCL2 rearrangements	No Change	No Change	No Change	No
PRE4039	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Diffuse large B-cell lymphoma / high grade B-cell lymphoma with MYC and BCL6 rearrangements	No Change	No Change	No Change	No
PRE4040	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Diffuse large B-cell lymphoma / high grade B-cell lymphoma with MYC, BCL2, and BCL6 rearrangements	No Change	No Change	No Change	No
PRE4041	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Diffuse large B-cell lymphoma, NOS	No Change	No Change	No Change	No
PRE4042	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	EBV-positive diffuse large B-cell lymphoma	No Change	No Change	No Change	No
PRE4043	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Fibrin-associated large B-cell lymphoma	No Change	No Change	No Change	No
PRE4044	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Fluid overload-associated large B-cell lymphoma	No Change	No Change	No Change	No
PRE4045	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	High-grade B-cell lymphoma with 11q aberration	No Change	No Change	No Change	No
PRE4046	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Intravascular large B-cell lymphoma	No Change	No Change	No Change	No
PRE4047	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Large B-cell lymphoma with IRF4 rearrangement	No Change	No Change	No Change	No
PRE4048	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Lymphomatoid granulomatosis	No Change	No Change	No Change	No
PRE4049	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Mediastinal grey zone lymphoma	No Change	No Change	No Change	No
PRE4050	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Plasmablastic lymphoma	No Change	No Change	No Change	No
PRE4051	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary cutaneous diffuse large B-cell lymphoma, leg type	No Change	No Change	No Change	No
PRE4052	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary mediastinal large B-cell lymphoma	No Change	No Change	No Change	No
PRE4053	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	T-cell / histiocytic-rich large B-cell lymphoma	No Change	No Change	No Change	No
PRE4054	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	High-grade B-cell lymphoma, NOS	No Change	No Change	No Change	No
PRE4055	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary large B-cell lymphoma of the CNS	No Change	No Change	No Change	No
PRE4056	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary large B-cell lymphoma of the testis	No Change	No Change	No Change	No
PRE4057	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary large B-cell lymphoma of the vitreoretina	No Change	No Change	No Change	No
PRE4058	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	KSHV / HHV8-positive diffuse large B-cell lymphoma	No Change	No Change	No Change	No
PRE4059	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary effusion lymphoma	No Change	No Change	No Change	No
PRE4060	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Lymphoplasmacytic lymphoma	No Change	No Change	No Change	No
PRE4061	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	IgM-LPL / Waldenstrom macroglobulinemia	No Change	No Change	No Change	No
PRE4062	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Non-IgM-LPL / Waldenstrom macroglobulinemia	No Change	No Change	No Change	No
PRE4063	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue	No Change	No Change	No Change	No
PRE4064	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Nodal marginal zone lymphoma	No Change	No Change	No Change	No
PRE4065	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Pediatric marginal zone lymphoma	No Change	No Change	No Change	No
PRE4066	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary cutaneous marginal zone lymphoma	No Change	No Change	No Change	No
PRE4067	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Splenic, B-cell lymphoma / leukemia with prominent nucleoli	No Change	No Change	No Change	No
PRE4068	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Splenic diffuse red pulp small B-cell lymphoma	No Change	No Change	No Change	No
PRE4069	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Splenic marginal zone lymphoma	No Change	No Change	No Change	No
PRE4070	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Duodenal-type follicular lymphoma	No Change	No Change	No Change	No
PRE4071	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Follicular, mixed, small cleaved and large cell (Grade II follicle center lymphoma)	No Change	No Change	No Change	No
PRE4072	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Follicular, predominantly large cell (Grade IIIA follicle center lymphoma)	No Change	No Change	No Change	No
PRE4073	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Follicular, predominantly large cell (Grade IIIB follicle center lymphoma)	No Change	No Change	No Change	No
PRE4074	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Follicular, predominantly large cell (Grade IIIA vs IIIB not specified)	No Change	No Change	No Change	No
PRE4075	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Follicular, predominantly small cleaved cell (Grade I follicle center lymphoma)	No Change	No Change	No Change	No
PRE4076	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Pediatric-type follicular lymphoma	No Change	No Change	No Change	No
PRE4077	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Follicular (grade unknown)	No Change	No Change	No Change	No
PRE4078	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary cutaneous follicle center lymphoma	No Change	No Change	No Change	No
PRE4079	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Mantle cell lymphoma	No Change	No Change	No Change	No
PRE4080	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Leukemic non-nodal mantle cell lymphoma	No Change	No Change	No Change	No
PRE4081	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Transformations of indolent B-cell lymphomas	No Change	No Change	No Change	No
PRE4082	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Classical Hodgkin lymphoma PTLD	No Change	No Change	No Change	No
PRE4083	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	EBV-positive mucocutaneous ulcer	No Change	No Change	No Change	No
PRE4084	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Hyperplasia arising in immune deficiencies (e.g. PTLD)	No Change	No Change	No Change	No
PRE4085	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Infectious mononucleosis PTLD	No Change	No Change	No Change	No
PRE4086	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Monomorphic PTLD (B- and T-/NK-cell types)	No Change	No Change	No Change	No
PRE4087	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Polymorphic lymphoproliferative disorders arising in immune deficiency / dysregulation	No Change	No Change	No Change	No
PRE4088	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Adult T-cell lymphoma / leukemia	No Change	No Change	No Change	No
PRE4089	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Aggressive NK-cell leukemia	No Change	No Change	No Change	No
PRE4090	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	NK-large granular lymphocytic leukemia	No Change	No Change	No Change	No
PRE4091	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Sézary syndrome	No Change	No Change	No Change	No
PRE4092	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	T-large granular lymphocytic leukemia	No Change	No Change	No Change	No
PRE4093	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Mycosis fungoides	No Change	No Change	No Change	No
PRE4094	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary cutaneous acral CD8-positive lymphoproliferative disorder	No Change	No Change	No Change	No
PRE4095	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary cutaneous CD4-positive small or medium T-cell lymphoproliferative disorder	No Change	No Change	No Change	No
PRE4096	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary cutaneous CD8-positive aggressive epidermotropic cytotoxic T-cell lymphoma	No Change	No Change	No Change	No
PRE4097	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary cutaneous CD30-positive T-cell lymphoproliferative disorder: lymphomatoid papulosis	No Change	No Change	No Change	No
PRE4098	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary cutaneous CD30-positive T-cell lymphoproliferative disorder: primary cutaneous anaplastic large cell lymphoma	No Change	No Change	No Change	No
PRE4099	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary cutaneous gamma / delta T-cell lymphoma	No Change	No Change	No Change	No
PRE4100	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Subcutaneous panniculitis-like T-cell lymphoma	No Change	No Change	No Change	No
PRE4101	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Primary cutaneous peripheral T-cell lymphoma, NOS	No Change	No Change	No Change	No
PRE4102	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Enteropathy-associated T-cell lymphoma	No Change	No Change	No Change	No
PRE4103	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Indolent T-cell lymphoma of the gastrointestinal tract	No Change	No Change	No Change	No
PRE4104	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Indolent NK-cell lymphoproliferative disorder of the gastrointestinal tract	No Change	No Change	No Change	No
PRE4105	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Monomorphic epitheliotropic intestinal T-cell lymphoma	No Change	No Change	No Change	No
PRE4106	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Intestinal T-cell lymphoma, NOS	No Change	No Change	No Change	No
PRE4107	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Hepatosplenic T-cell lymphoma	No Change	No Change	No Change	No
PRE4108	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	ALK-positive anaplastic large cell lymphoma	No Change	No Change	No Change	No
PRE4109	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	ALK-negative anaplastic large-cell lymphoma	No Change	No Change	No Change	No
PRE4110	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Breast implant-associated anaplastic large cell lymphoma	No Change	No Change	No Change	No
PRE4111	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Nodal TFH cell lymphoma, angioimmunoblastic-type	No Change	No Change	No Change	No
PRE4112	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Nodal TFH cell lymphoma, follicular-type	No Change	No Change	No Change	No
PRE4113	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Nodal TFH cell lymphoma, NOS	No Change	No Change	No Change	No
PRE4114	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Peripheral T-cell lymphoma, NOS	No Change	No Change	No Change	No
PRE4115	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	EBV-positive nodal T- and NK-cell lymphoma	No Change	No Change	No Change	No
PRE4116	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Extranodal NK / T-cell lymphoma	No Change	No Change	No Change	No
PRE4117	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Systemic EBV+ T-cell lymphoma of childhood	No Change	No Change	No Change	No
PRE4118	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Other B-cell lymphoma	No Change	No Change	No Change	No
PRE4119	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the lymphoma histology	Other T-cell / NK-cell lymphoma	No Change	No Change	No Change	No
PRE4120	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify other lymphoma histology:	Open text	No Change	No Change	No Change	No
PRE4121	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Assignment of DLBCL (germinal center B-cell type vs. activated B-cell type) subtype was based on	Immunohistochemistry	No Change	No Change	No Change	No
PRE4122	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Assignment of DLBCL (germinal center B-cell type vs. activated B-cell type) subtype was based on	Gene expression profile	No Change	No Change	No Change	No
PRE4123	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Assignment of DLBCL (germinal center B-cell type vs. activated B-cell type) subtype was based on	Unknown	No Change	No Change	No Change	No
PRE4124	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Is the lymphoma histology reported at transplant a transformation from CLL?	yes	No Change	No Change	No Change	No
PRE4125	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Is the lymphoma histology reported at transplant a transformation from CLL?	no	No Change	No Change	No Change	No
PRE4126	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Was any 17p abnormality detected?	yes	No Change	No Change	No Change	No
PRE4127	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Was any 17p abnormality detected?	no	No Change	No Change	No Change	No
PRE4128	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Is the lymphoma histology reported at transplant a transformation from a different lymphoma histology?	Yes	No Change	No Change	No Change	No
PRE4129	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Is the lymphoma histology reported at transplant a transformation from a different lymphoma histology?	No	No Change	No Change	No Change	No
PRE4130	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Classic Hodgkin lymphoma	No Change	No Change	No Change	No
PRE4131	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Lymphocyte depleted	No Change	No Change	No Change	No
PRE4132	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Lymphocyte-rich	No Change	No Change	No Change	No
PRE4133	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Mixed cellularity	No Change	No Change	No Change	No
PRE4134	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Nodular lymphocyte predominant Hodgkin lymphoma	No Change	No Change	No Change	No
PRE4135	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Nodular sclerosis	No Change	No Change	No Change	No
PRE4136	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Burkitt lymphoma	No Change	No Change	No Change	No
PRE4137	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	ALK-positive large B-cell lymphoma	No Change	No Change	No Change	No
PRE4138	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Diffuse large B-cell lymphoma - Activated B-cell type subtype	No Change	No Change	No Change	No
PRE4139	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Diffuse large B-cell lymphoma associated with chronic inflammation	No Change	No Change	No Change	No
PRE4140	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Diffuse large B-cell lymphoma - Germinal Center B-cell subtype	No Change	No Change	No Change	No
PRE4141	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Diffuse large B-cell lymphoma / high-grade B-cell lymphoma with MYC and BCL2 rearrangements	No Change	No Change	No Change	No
PRE4142	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Diffuse large B-cell lymphoma / high grade B-cell lymphoma with MYC and BCL6 rearrangements	No Change	No Change	No Change	No
PRE4143	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Diffuse large B-cell lymphoma / high grade B-cell lymphoma with MYC, BCL2, and BCL6 rearrangements	No Change	No Change	No Change	No
PRE4144	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Diffuse large B-cell lymphoma, not otherwise specified	No Change	No Change	No Change	No
PRE4145	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	EBV-positive diffuse large B-cell lymphoma	No Change	No Change	No Change	No
PRE4146	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Fibrin-associated large B-cell lymphoma	No Change	No Change	No Change	No
PRE4147	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Fluid overload-associated large B-cell lymphoma	No Change	No Change	No Change	No
PRE4148	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	High-grade B-cell lymphoma with 11q aberration	No Change	No Change	No Change	No
PRE4149	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Intravascular large B-cell lymphoma	No Change	No Change	No Change	No
PRE4150	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Large B-cell lymphoma with IRF4 rearrangement	No Change	No Change	No Change	No
PRE4151	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Lymphomatoid granulomatosis	No Change	No Change	No Change	No
PRE4152	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Mediastinal grey zone lymphoma	No Change	No Change	No Change	No
PRE4153	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Plasmablastic lymphoma	No Change	No Change	No Change	No
PRE4154	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary cutaneous diffuse large B-cell lymphoma, leg type	No Change	No Change	No Change	No
PRE4155	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary mediastinal large B-cell lymphoma	No Change	No Change	No Change	No
PRE4156	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	T-cell / histiocytic-rich large B-cell lymphoma	No Change	No Change	No Change	No
PRE4157	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	High-grade B-cell lymphoma, NOS	No Change	No Change	No Change	No
PRE4158	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary large B-cell lymphoma of the CNS	No Change	No Change	No Change	No
PRE4159	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary large B-cell lymphoma of the testis	No Change	No Change	No Change	No
PRE4160	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary large B-cell lymphoma of the vitreoretina	No Change	No Change	No Change	No
PRE4161	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	KSHV / HHV8-positive diffuse large B-cell lymphoma	No Change	No Change	No Change	No
PRE4162	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary effusion lymphoma	No Change	No Change	No Change	No
PRE4163	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Lymphoplasmacytic lymphoma	No Change	No Change	No Change	No
PRE4164	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	IgM-LPL / Waldenstrom macroglobulinemia	No Change	No Change	No Change	No
PRE4165	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Non-IgM-LPL / Waldenstrom macroglobulinemia	No Change	No Change	No Change	No
PRE4166	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue	No Change	No Change	No Change	No
PRE4167	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Nodal marginal zone lymphoma	No Change	No Change	No Change	No
PRE4168	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Pediatric marginal zone lymphoma	No Change	No Change	No Change	No
PRE4169	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary cutaneous marginal zone lymphoma	No Change	No Change	No Change	No
PRE4170	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Splenic, B-cell lymphoma / leukemia with prominent nucleoli	No Change	No Change	No Change	No
PRE4171	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Splenic diffuse red pulp small B-cell lymphoma	No Change	No Change	No Change	No
PRE4172	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Splenic marginal zone lymphoma	No Change	No Change	No Change	No
PRE4173	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Duodenal-type follicular lymphoma	No Change	No Change	No Change	No
PRE4174	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Follicular, mixed, small cleaved and large cell (Grade II follicle center lymphoma)	No Change	No Change	No Change	No
PRE4175	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Follicular, predominantly large cell (Grade IIIA follicle center lymphoma)	No Change	No Change	No Change	No
PRE4176	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Follicular, predominantly large cell (Grade IIIB follicle center lymphoma)	No Change	No Change	No Change	No
PRE4177	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Follicular, predominantly large cell (Grade IIIA vs IIIB not specified)	No Change	No Change	No Change	No
PRE4178	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Follicular, predominantly small cleaved cell (Grade I follicle center lymphoma)	No Change	No Change	No Change	No
PRE4179	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Pediatric-type follicular lymphoma	No Change	No Change	No Change	No
PRE4180	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Follicular (grade unknown)	No Change	No Change	No Change	No
PRE4181	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary cutaneous follicle center lymphoma	No Change	No Change	No Change	No
PRE4182	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Mantle cell lymphoma	No Change	No Change	No Change	No
PRE4183	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Leukemic non-nodal mantle cell lymphoma	No Change	No Change	No Change	No
PRE4184	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Transformations of indolent B-cell lymphomas	No Change	No Change	No Change	No
PRE4185	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Classical Hodgkin lymphoma PTLD	No Change	No Change	No Change	No
PRE4186	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	EBV-positive mucocutaneous ulcer	No Change	No Change	No Change	No
PRE4187	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Hyperplasia arising in immune deficiencies (e.g. PTLD)	No Change	No Change	No Change	No
PRE4188	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Infectious mononucleosis PTLD	No Change	No Change	No Change	No
PRE4189	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Monomorphic PTLD (B- and T-/NK-cell types)	No Change	No Change	No Change	No
PRE4190	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Polymorphic lymphoproliferative disorders arising in immune deficiency / dysregulation	No Change	No Change	No Change	No
PRE4191	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Adult T-cell lymphoma / leukemia	No Change	No Change	No Change	No
PRE4192	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Aggressive NK-cell leukemia	No Change	No Change	No Change	No
PRE4193	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	NK-large granular lymphocytic leukemia	No Change	No Change	No Change	No
PRE4194	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Sézary syndrome	No Change	No Change	No Change	No
PRE4195	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	T-large granular lymphocytic leukemia	No Change	No Change	No Change	No
PRE4196	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Mycosis fungoides	No Change	No Change	No Change	No
PRE4197	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary cutaneous acral CD8-positive lymphoproliferative disorder	No Change	No Change	No Change	No
PRE4198	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary cutaneous CD4-positive small or medium T-cell lymphoproliferative disorder	No Change	No Change	No Change	No
PRE4199	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary cutaneous CD8-positive aggressive epidermotropic cytotoxic T-cell lymphoma	No Change	No Change	No Change	No
PRE4200	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary cutaneous CD30-positive T-cell lymphoproliferative disorder: Lymphomatoid papulosis	No Change	No Change	No Change	No
PRE4201	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary cutaneous CD30-positive T-cell lymphoproliferative disorder: Primary cutaneous anaplastic large cell lymphoma	No Change	No Change	No Change	No
PRE4202	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary cutaneous gamma / delta T-cell lymphoma	No Change	No Change	No Change	No
PRE4203	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Subcutaneous panniculitis-like T-cell lymphoma	No Change	No Change	No Change	No
PRE4204	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Primary cutaneous peripheral T-cell lymphoma, not otherwise specified	No Change	No Change	No Change	No
PRE4205	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Enteropathy-associated T-cell lymphoma	No Change	No Change	No Change	No
PRE4206	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Indolent T-cell lymphoma of the gastrointestinal tract	No Change	No Change	No Change	No
PRE4207	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Indolent NK-cell lymphoproliferative disorder of the gastrointestinal tract	No Change	No Change	No Change	No
PRE4208	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Monomorphic epitheliotropic intestinal T-cell lymphoma	No Change	No Change	No Change	No
PRE4209	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Intestinal T-cell lymphoma, not otherwise specified	No Change	No Change	No Change	No
PRE4210	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Hepatosplenic T-cell lymphoma	No Change	No Change	No Change	No
PRE4211	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	ALK-positive anaplastic large cell lymphoma	No Change	No Change	No Change	No
PRE4212	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	ALK-negative anaplastic large-cell lymphoma	No Change	No Change	No Change	No
PRE4213	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Breast implant-associated anaplastic large cell lymphoma	No Change	No Change	No Change	No
PRE4214	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Nodal TFH cell lymphoma, angioimmunoblastic-type	No Change	No Change	No Change	No
PRE4215	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Nodal TFH cell lymphoma, follicular-type	No Change	No Change	No Change	No
PRE4216	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Nodal TFH cell lymphoma, NOS	No Change	No Change	No Change	No
PRE4217	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Peripheral T-cell lymphoma, NOS	No Change	No Change	No Change	No
PRE4218	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	EBV-positive nodal T- and NK-cell lymphoma	No Change	No Change	No Change	No
PRE4219	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Extranodal NK / T-cell lymphoma	No Change	No Change	No Change	No
PRE4220	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Systemic EBV+ T-cell lymphoma of childhood	No Change	No Change	No Change	No
PRE4221	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Other B-cell lymphoma	No Change	No Change	No Change	No
PRE4222	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify the original lymphoma histology	Other T-cell / NK-cell lymphoma	No Change	No Change	No Change	No
PRE4223	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Specify other lymphoma histology:	Open text	No Change	No Change	No Change	No
PRE4224	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Date of original lymphoma diagnosis:	Open text	No Change	No Change	No Change	No
PRE4225	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Was a PET (or PET/CT) scan performed?	yes	No Change	No Change	No Change	No
PRE4226	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Was a PET (or PET/CT) scan performed?	no	No Change	No Change	No Change	No
PRE4227	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Was the PET (or PET/CT) scan positive for lymphoma involvement at any disease site?	yes	No Change	No Change	No Change	No
PRE4228	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Was the PET (or PET/CT) scan positive for lymphoma involvement at any disease site?	no	No Change	No Change	No Change	No
PRE4229	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Date of PET (or PET/CT) scan	Known	No Change	No Change	No Change	No
PRE4230	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Date of PET (or PET/CT) scan	Unknown	No Change	No Change	No Change	No
PRE4231	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Date of PET (or PET/CT) scan:	Open text	No Change	No Change	No Change	No
PRE4232	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Deauville (five-point) score of the PET (or PET/CT) scan	Known	No Change	No Change	No Change	No
PRE4233	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Deauville (five-point) score of the PET (or PET/CT) scan	Unknown	No Change	No Change	No Change	No
PRE4234	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Scale	1 - no uptake or no residual uptake	No Change	No Change	No Change	No
PRE4235	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Scale	2 - slight uptake, but below blood pool	No Change	No Change	No Change	No
PRE4236	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Scale	3 - uptake above mediastinal, but below or equal to uptake in the liver	No Change	No Change	No Change	No
PRE4237	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Scale	4 - uptake slightly to moderately higher than liver	No Change	No Change	No Change	No
PRE4238	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Scale	5 - markedly increased uptake or any new lesion	No Change	No Change	No Change	No
PRE4239	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	Disease untreated	No Change	No Change	No Change	No
PRE4240	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	PIF res - Primary induction failure – resistant: NEVER in COMPLETE remission but with stable or progressive disease on treatment.	No Change	No Change	No Change	No
PRE4241	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	PIF sen / PR1 - Primary induction failure – sensitive: NEVER in COMPLETE remission but with partial remission on treatment.	No Change	No Change	No Change	No
PRE4242	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	PIF unk - Primary induction failure – sensitivity unknown	No Change	No Change	No Change	No
PRE4243	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	CR1 - 1st complete remission: no bone marrow or extramedullary relapse prior to transplant	No Change	No Change	No Change	No
PRE4244	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	CR2 - 2nd complete remission	No Change	No Change	No Change	No
PRE4245	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	CR3+ - 3rd or subsequent complete remission	No Change	No Change	No Change	No
PRE4246	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL1 unt - 1st relapse – untreated; includes either bone marrow or extramedullary relapse	No Change	No Change	No Change	No
PRE4247	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL1 res - 1st relapse – resistant: stable or progressive disease with treatment	No Change	No Change	No Change	No
PRE4248	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL1 sen - 1st relapse – sensitive: partial remission (if complete remission was achieved, classify as CR2)	No Change	No Change	No Change	No
PRE4249	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL1 unk - 1st relapse – sensitivity unknown	No Change	No Change	No Change	No
PRE4250	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL2 unt - 2nd relapse – untreated: includes either bone marrow or extramedullary relapse	No Change	No Change	No Change	No
PRE4251	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL2 res - 2nd relapse – resistant: stable or progressive disease with treatment	No Change	No Change	No Change	No
PRE4252	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL2 sen - 2nd relapse – sensitive: partial remission (if complete remission achieved, classify as CR3+)	No Change	No Change	No Change	No
PRE4253	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL2 unk - 2nd relapse – sensitivity unknown	No Change	No Change	No Change	No
PRE4254	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL3+ unt - 3rd or subsequent relapse – untreated; includes either bone marrow or extramedullary relapse	No Change	No Change	No Change	No
PRE4255	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL3+ res - 3rd or subsequent relapse – resistant: stable or progressive disease with treatment	No Change	No Change	No Change	No
PRE4256	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL3+ sen - 3rd or subsequent relapse – sensitive: partial remission (if complete remission achieved, classify as CR3+)	No Change	No Change	No Change	No
PRE4257	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	What was the disease status?	REL3+ unk - 3rd relapse or greater – sensitivity unknown	No Change	No Change	No Change	No
PRE4258	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Total number of lines of therapy received	1 line	No Change	No Change	No Change	No
PRE4259	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Total number of lines of therapy received	2 lines	No Change	No Change	No Change	No
PRE4260	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Total number of lines of therapy received	3+ lines	No Change	No Change	No Change	No
PRE4261	Pre-Transplant Information Collection	Disease Classification	Hodgkin and Non-Hodgkin Lymphoma	No	Date assessed:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE4262	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify the multiple myeloma/plasma cell disorder (PCD) classification	Multiple myeloma	No Change	No Change	No Change	No
PRE4263	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify the multiple myeloma/plasma cell disorder (PCD) classification	Multiple myeloma-light chain only	Deletion of Information Requested	No Change		No	Reduce burden - prevent / reduce data redundancy
PRE4264	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify the multiple myeloma/plasma cell disorder (PCD) classification	Multiple myeloma-non-secretory	No Change	No Change	No Change	No
PRE4265	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify the multiple myeloma/plasma cell disorder (PCD) classification	Plasma cell leukemia	No Change	No Change	No Change	No
PRE4266	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify the multiple myeloma/plasma cell disorder (PCD) classification	Plasmacytoma	No Change	No Change	No Change	No
PRE4267	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify the multiple myeloma/plasma cell disorder (PCD) classification	Smoldering myeloma	Deletion of Information Requested	No Change		No	Capture data accurately
PRE4268	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify the multiple myeloma/plasma cell disorder (PCD) classification	Immuno-globulin-related (AL) amyloidosis	No Change	No Change	No Change	No
PRE4269	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify the multiple myeloma/plasma cell disorder (PCD) classification	POEMS syndrome	No Change	No Change	No Change	No
PRE4270	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify the multiple myeloma/plasma cell disorder (PCD) classification	Monoclonal gammopathy of renal significance (MGRS)	No Change	No Change	No Change	No
PRE4271	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify the multiple myeloma/plasma cell disorder (PCD) classification	Other plasma cell disorder	No Change	No Change	No Change	No
PRE4272	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify other plasma cell disorder:	Open text	No Change	No Change	No Change	No
PRE4273	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgG kappa	No Change	No Change	No Change	No
PRE4274	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgA kappa	No Change	No Change	No Change	No
PRE4275	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgM kappa	No Change	No Change	No Change	No
PRE4276	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgD kappa	No Change	No Change	No Change	No
PRE4277	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgE kappa	No Change	No Change	No Change	No
PRE4278	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgG lambda	No Change	No Change	No Change	No
PRE4279	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgA lambda	No Change	No Change	No Change	No
PRE4280	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgM lambda	No Change	No Change	No Change	No
PRE4281	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgD lambda	No Change	No Change	No Change	No
PRE4282	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgE lambda	No Change	No Change	No Change	No
PRE4283	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgG (heavy chain only)	No Change	No Change	No Change	No
PRE4284	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgA (heavy chain only)	No Change	No Change	No Change	No
PRE4285	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgM (heavy chain only)	No Change	No Change	No Change	No
PRE4286	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgD (heavy chain only)	No Change	No Change	No Change	No
PRE4287	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	IgE (heavy chain only)	No Change	No Change	No Change	No
PRE4288	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	Kappa (light chain only)	No Change	No Change	No Change	No
PRE4289	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify heavy and/or light chain type	Lambda (light chain only)	No Change	No Change	No Change	No
PRE4290	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify Amyloidosis classification	AL amyloidosis	No Change	No Change	No Change	No
PRE4291	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify Amyloidosis classification	AH amyloidosis	No Change	No Change	No Change	No
PRE4292	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify Amyloidosis classification	AHL amyloidosis	No Change	No Change	No Change	No
PRE4293	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal gammopathy of renal significance (MGRS) classification	Light chain fanconi syndrome	No Change	No Change	No Change	No
PRE4294	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal gammopathy of renal significance (MGRS) classification	Proximal tubulopathy without crystals	No Change	No Change	No Change	No
PRE4295	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal gammopathy of renal significance (MGRS) classification	Crystal-storing histiocytosis	No Change	No Change	No Change	No
PRE4296	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal gammopathy of renal significance (MGRS) classification	Non-amyloid fibrillary glomerulonephritis	No Change	No Change	No Change	No
PRE4297	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal gammopathy of renal significance (MGRS) classification	Immunotactoid glomerulopathy (ITGN)/ Glomerulonephritis with organized monoclonal microtubular immunoglobulin deposits (GOMMID)	No Change	No Change	No Change	No
PRE4298	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal gammopathy of renal significance (MGRS) classification	Type 1 cryoglobulinemic glomerulonephritis	No Change	No Change	No Change	No
PRE4299	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal gammopathy of renal significance (MGRS) classification	Monoclonal immunoglobulin deposition disease (MIDD)	No Change	No Change	No Change	No
PRE4300	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal gammopathy of renal significance (MGRS) classification	Proliferative glomerulonephritis with monoclonal immunoglobulin G deposits (PGNMID)	No Change	No Change	No Change	No
PRE4301	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal gammopathy of renal significance (MGRS) classification	C3 glomerulopathy with monoclonal gammopathy	No Change	No Change	No Change	No
PRE4302	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal gammopathy of renal significance (MGRS) classification	Unknown	No Change	No Change	No Change	No
PRE4303	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal immunoglobulin deposition disease (MIDD) subtype	Light chain deposition disease (LCDD)	No Change	No Change	No Change	No
PRE4304	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal immunoglobulin deposition disease (MIDD) subtype	Monoclonal immunoglobulin deposition disease	No Change	No Change	No Change	No
PRE4305	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Select monoclonal immunoglobulin deposition disease (MIDD) subtype	Heavy chain deposition disease (HCDD)	No Change	No Change	No Change	No
PRE4306	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the pathology report for MGRS diagnoses	Reduce burden
PRE4307	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the pathology report for MGRS diagnoses	Reduce burden
PRE4308	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Solitary plasmacytoma was	Extraosseous plasmacytoma	No Change	No Change	No Change	No
PRE4309	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Solitary plasmacytoma was	Solitary plasmacytoma of bone	No Change	No Change	No Change	No
PRE4310	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Did the recipient have a preceding or concurrent plasma cell disorder?	Yes	No Change	No Change	No Change	No
PRE4311	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Did the recipient have a preceding or concurrent plasma cell disorder?	No	No Change	No Change	No Change	No
PRE4312	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify preceding / concurrent disorder	Multiple myeloma	No Change	No Change	No Change	No
PRE4313	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify preceding / concurrent disorder	Multiple myeloma-light chain only	Deletion of Information Requested	No Change		No	Reduce burden - prevent / reduce data redundancy
PRE4314	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify preceding / concurrent disorder	Multiple myeloma-non-secretory	No Change	No Change	No Change	No
PRE4315	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify preceding / concurrent disorder	Plasma cell leukemia	No Change	No Change	No Change	No
PRE4316	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify preceding / concurrent disorder	Plasmacytoma	No Change	No Change	No Change	No
PRE4317	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify preceding / concurrent disorder	Smoldering myeloma	No Change	No Change	No Change	No
PRE4318	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify preceding / concurrent disorder	Immuno-globulin-related (AL) amyloidosis	No Change	No Change	No Change	No
PRE4319	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify preceding / concurrent disorder	POEMS syndrome	No Change	No Change	No Change	No
PRE4320	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify preceding / concurrent disorder	Monoclonal gammopathy of unknown significance (MGUS)	No Change	No Change	No Change	No
PRE4321	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify preceding / concurrent disorder	Monoclonal gammopathy of renal significance (MGRS)	No Change	No Change	No Change	No
PRE4322	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify preceding / concurrent disorder	Other plasma cell disorder (PCD)	No Change	No Change	No Change	No
PRE4323	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Specify other preceding/concurrent disorder	Open text	No Change	No Change	No Change	No
PRE4324	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	Yes	Date of diagnosis of preceding / concurrent disorder:	Open text	No Change	No Change	No Change	No
PRE4325	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Merged to Check all that Apply (Addition of Information Requested)	Laboratory studies at diagnosis for the disease for which the infusion is being done	Serum calcium	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4326	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Merged to Check all that Apply (Addition of Information Requested)	Laboratory studies at diagnosis for the disease for which the infusion is being done	Serum creatinine	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4327	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Merged to Check all that Apply (Addition of Information Requested)	Laboratory studies at diagnosis for the disease for which the infusion is being done	Hemoglobin	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4328	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Merged to Check all that Apply (Addition of information requested)	Laboratory studies at diagnosis for the disease for which the infusion is being done	LDH	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4329	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Merged to Check all that Apply (Addition of information requested)	Laboratory studies at diagnosis for the disease for which the infusion is being done	Serum albumin	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4330	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Merged to Check all that Apply (Addition of information requested)	Laboratory studies at diagnosis for the disease for which the infusion is being done	Serum B2 microglobulin	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4331	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Merged to Check all that Apply (Addition of information requested)	Laboratory studies at diagnosis for the disease for which the infusion is being done	Plasma cells in peripheral blood by morphologic assessment	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4332	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Merged to Check all that Apply (Addition of information requested)	Laboratory studies at diagnosis for the disease for which the infusion is being done	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4333	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Serum calcium:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4334	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	mg/dL	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4335	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	mmol/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4336	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	mEq/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4337	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Serum creatinine:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4338	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	mg/dL	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4339	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	mmol/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4340	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	µmol/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4341	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Hemoglobin:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4342	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	g/dL	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4343	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	g/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4344	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	mmol/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4345	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	LDH	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4346	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	LDH	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4347	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	LDH:	Open text	No Change	No Change	No Change	No
PRE4348	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	U/L	checked	No Change	No Change	No Change	No
PRE4349	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	µkat/L	checked	No Change	No Change	No Change	No
PRE4350	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Upper limit of normal for LDH:	Open text	No Change	No Change	No Change	No
PRE4351	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Serum albumin	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4352	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Serum albumin	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4353	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Serum albumin:	Open text	No Change	No Change	No Change	No
PRE4354	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	g/dL	checked	No Change	No Change	No Change	No
PRE4355	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	g/L	checked	No Change	No Change	No Change	No
PRE4356	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Serum β2 - microglobulin	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4357	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Serum β2 - microglobulin	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4358	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Serum β2 - microglobulin	Open text	No Change	No Change	No Change	No
PRE4359	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	µg/dL	checked	No Change	No Change	No Change	No
PRE4360	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	mg/L	checked	No Change	No Change	No Change	No
PRE4361	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	nmol/L	checked	No Change	No Change	No Change	No
PRE4362	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Plasma cells in peripheral blood by morphologic assessment	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4363	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Plasma cells in peripheral blood by morphologic assessment	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4364	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Plasma cells in peripheral blood by morphologic assessment [percentage]	Open text	No Change	No Change	No Change	No
PRE4365	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Plasma cells in peripheral blood by morphologic assessment [value]	Open text	No Change	No Change	No Change	No
PRE4366	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	x 109 Cells/L (x 103/mm3)	checked	No Change	No Change	No Change	No
PRE4367	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	x 106/L	checked	Change/Clarification of Information Requested	No Change	x 106/L (x1/mm3) (x1/µL) (cells µL)	No	Capture data accurately
PRE4368	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Plasma cells in peripheral blood by flow cytometry	Known	No Change	No Change	No Change	No
PRE4369	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Plasma cells in peripheral blood by flow cytometry	Unknown	No Change	No Change	No Change	No
PRE4370	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Plasma cells in peripheral blood by flow cytometry	Open text	No Change	No Change	No Change	No
PRE4371	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage [ISS]	Known	Deletion of Information Requested			No	Reduce burden
PRE4372	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage [ISS]	Unknown	Deletion of Information Requested			No	Reduce burden
PRE4373	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage	1	Change/Clarification of Information Requested	I.S.S. stage	No Change	No	Capture data accurately
PRE4374	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage	2	Change/Clarification of Information Requested	I.S.S. stage	No Change	No	Capture data accurately
PRE4375	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage	3	Change/Clarification of Information Requested	I.S.S. stage	No Change	No	Capture data accurately
PRE4376	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage		Change/Clarification of Information Requested and Addition of Response Option	I.S.S. stage	Unknown	No	Capture data accurately
PRE4377	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage [R-ISS]	Known	Deletion of Information Requested			No	Reduce burden
PRE4378	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage [R-ISS ]	Unknown	Deletion of Information Requested			No	Reduce burden
PRE4379	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage	1	Change/Clarification of Information Requested	R-I.S.S. stage	No Change	No	Capture data accurately
PRE4380	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage	2	Change/Clarification of Information Requested	R-I.S.S. stage	No Change	No	Capture data accurately
PRE4381	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage	3	Change/Clarification of Information Requested	R-I.S.S. stage	No Change	No	Capture data accurately
PRE4382	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Stage		Change/Clarification of Information Requested and Addition of Response Option	R-I.S.S. stage	Unknown	No	Capture data accurately
PRE4383	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What was the Durie-Salmon staging?	Stage I	Change/Clarification of Information Requested	Durie-Salmon stage	No Change	No	Capture data accurately
PRE4384	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What was the Durie-Salmon staging?	Stage II	Change/Clarification of Information Requested	Durie-Salmon stage	No Change	No	Capture data accurately
PRE4385	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What was the Durie-Salmon staging?	Stage III	Change/Clarification of Information Requested	Durie-Salmon stage	No Change	No	Capture data accurately
PRE4386	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What was the Durie-Salmon staging?	Unknown	Change/Clarification of Information Requested	Durie-Salmon stage	No Change	No	Capture data accurately
PRE4387	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What was the Durie-Salmon sub classification?	A - relatively normal renal function	Change/Clarification of Information Requested	Durie-Salmon sub classification	No Change	No	Capture data accurately
PRE4388	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What was the Durie-Salmon sub classification?	B - abnormal renal function	Change/Clarification of Information Requested	Durie-Salmon sub classification	No Change	No	Capture data accurately
PRE4389	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Were cytogenetics tested (karyotyping or FISH)?	yes	No Change	No Change	No Change	No
PRE4390	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Were cytogenetics tested (karyotyping or FISH)?	no	No Change	No Change	No Change	No
PRE4391	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Were cytogenetics tested (karyotyping or FISH)?	Unknown	No Change	No Change	No Change	No
PRE4392	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Were cytogenetics tested via FISH?	Yes	No Change	No Change	No Change	No
PRE4393	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Were cytogenetics tested via FISH?	No	No Change	No Change	No Change	No
PRE4394	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Were cytogenetics tested via FISH?		Addition of Information Requested	No Change	Unknown	No	Capture data accurately
PRE4395	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE4396	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE4397	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE4398	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+3	No Change	No Change	No Change	No
PRE4399	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+5	No Change	No Change	No Change	No
PRE4400	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+7	No Change	No Change	No Change	No
PRE4401	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+9	No Change	No Change	No Change	No
PRE4402	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+11	No Change	No Change	No Change	No
PRE4403	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+15	No Change	No Change	No Change	No
PRE4404	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+19	No Change	No Change	No Change	No
PRE4405	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	t(4;14)	Change/Clarification of Information Requested	No Change	t(4;14), IGH / FGFR3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4406	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	t(6;14)	Change/Clarification of Information Requested	No Change	t(6;14), IGH / CCND3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4407	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	t(11;14)	Change/Clarification of Information Requested	No Change	t(11;14), IGH / CCND1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4408	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	t(14;16)	Change/Clarification of Information Requested	No Change	t(14;16), IGH / MAF	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4409	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	t(14;20)	Change/Clarification of Information Requested	No Change	t(14;20), IGH / MAFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4410	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities		Addition of Information Requested	No Change	Other IGH rearrangement	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4411	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	del(13q) / 13q-	No Change	No Change	No Change	No
PRE4412	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	del(17p) / 17p-	Change/Clarification of Information Requested	del (17p) / 17p-, TP53	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4413	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	-13	No Change	No Change	No Change	No
PRE4414	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	-17	No Change	No Change	No Change	No
PRE4415	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	Hyperdiploid (> 50)	Deletion of Information Requested	No Change		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4416	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	Hypodiploid (< 46)	Deletion of Information Requested	No Change		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4417	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	MYC rearrangement	No Change	No Change	No Change	No
PRE4418	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	Any abnormality at 1q	Deletion of Information Requested	No Change		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4419	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities		Addition of Information Requested	No Change	Amplification of 1q, CKS1B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4420	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities		Addition of Information Requested	No Change	Duplication of 1q, CKS1B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4421	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	Any abnormality at 1p	Change/Clarification of Information Requested	No Change	Any abnormality at 1p, CDKN2C	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4422	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE4423	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE4424	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE4425	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Reduce burden
PRE4426	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Were cytogenetics tested via karyotyping?	Yes	No Change	No Change	No Change	No
PRE4427	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Were cytogenetics tested via karyotyping?	No	No Change	No Change	No Change	No
PRE4428	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Were cytogenetics tested via karyotyping?		Addition of Information Requested	No Change	Unknown	No	Capture data accurately
PRE4429	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Results of tests	Abnormalities identified	No Change	No Change	No Change	No
PRE4430	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Results of tests	No evaluable metaphases	No Change	No Change	No Change	No
PRE4431	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Results of tests	No abnormalities	No Change	No Change	No Change	No
PRE4432	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No Change	No Change	No Change	No
PRE4433	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+3	No Change	No Change	No Change	No
PRE4434	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+5	No Change	No Change	No Change	No
PRE4435	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+7	No Change	No Change	No Change	No
PRE4436	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+9	No Change	No Change	No Change	No
PRE4437	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+11	No Change	No Change	No Change	No
PRE4438	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+15	No Change	No Change	No Change	No
PRE4439	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	+19	No Change	No Change	No Change	No
PRE4440	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	t(4;14)	No Change	No Change	No Change	No
PRE4441	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	t(6;14)	No Change	No Change	No Change	No
PRE4442	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	t(11;14)	No Change	No Change	No Change	No
PRE4443	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	t(14;16)	No Change	No Change	No Change	No
PRE4444	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	t(14;20)	No Change	No Change	No Change	No
PRE4445	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	del(13q) / 13q-	No Change	No Change	No Change	No
PRE4446	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	del(17p) / 17p-	No Change	No Change	No Change	No
PRE4447	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	-13	No Change	No Change	No Change	No
PRE4448	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	-17	No Change	No Change	No Change	No
PRE4449	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	Hyperdiploid (> 50)	Deletion of Information Requested	No Change		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4450	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	Hypodiploid (< 46)	Deletion of Information Requested	No Change		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4451	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	MYC rearrangement	Deletion of Information Requested	No Change		No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4452	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities		Addition of Information Requested	No Change	Duplication of 1q	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4453	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	Any abnormality at 1q	Change/Clarification of Information Requested	No Change	Any other abnormality at 1q	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4454	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	Any abnormality at 1p	No Change	No Change	No Change	No
PRE4455	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify abnormalities	Other abnormality	No Change	No Change	No Change	No
PRE4456	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify other abnormality:	Open text	No Change	No Change	No Change	No
PRE4457	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE4458	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Reduce burden
PRE4459	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Laboratory studies at last evaluation prior to start of preparative regimen	Serum creatinine	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4460	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Laboratory studies at last evaluation prior to start of preparative regimen	Hemoglobin	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4461	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Laboratory studies at last evaluation prior to start of preparative regimen	Plasma cells in peripheral blood by morphologic assessment	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4462	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Laboratory studies at last evaluation prior to start of preparative regimen	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4463	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Serum creatinine:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4464	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	mg/dL	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4465	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	mmol/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4466	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	µmol/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4467	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Hemoglobin:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4468	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	g/dL	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4469	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	g/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4470	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	mmol/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4471	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Plasma cells in peripheral blood by morphologic assessment [percentage]	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4472	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Plasma cells in peripheral blood by morphologic assessment [value]	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4473	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	x 109 Cells/L (x 103/mm3)	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4474	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	x 106/L (x1/mm3) (x1/µL) (cells µL)	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4475	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Plasma cells in peripheral blood by flow cytometry	Known	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4476	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Plasma cells in peripheral blood by flow cytometry	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4477	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Plasma cells in peripheral blood by flow cytometry	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4478	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Were cytogenetics tested (karyotyping or FISH)?	yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4479	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Were cytogenetics tested (karyotyping or FISH)?	no	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4480	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Were cytogenetics tested via FISH?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4481	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Were cytogenetics tested via FISH?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4482	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Results of tests	Abnormalities identified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4483	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Results of tests	No abnormalities	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4484	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4485	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4486	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4487	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+7	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4488	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+9	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4489	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4490	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+15	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4491	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+19	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4492	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	t(4;14), IGH / FGFR3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4493	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	t(6;14), IGH / CCND3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4494	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	t(11;14), IGH / CCND1	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4495	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	t(14;16), IGH / MAF	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4496	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	t(14;20), IGH / MAFB	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4497	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	Other IGH rearrangement	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4498	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	del(13q) / 13q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4499	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	del(17p) / 17p-, TP53	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4500	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	-13	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4501	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	-17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4502	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	MYC rearrangement	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4503	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	Amplification of 1q, CKS1B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4504	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	Duplication of 1q, CKS1B	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4505	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	Any abnormality at 1p, CDKN2C	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4506	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	Other abnormality	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4507	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify other abnormality:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4508	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the FISH report when abnormalities were identified.	Be consistent with current clinical landscape, improve transplant outcome data
PRE4509	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Were cytogenetics tested via karyotyping?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4510	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Were cytogenetics tested via karyotyping?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4511	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Results of tests	Abnormalities identified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4512	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Results of tests	No evaluable metaphases	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4513	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Results of tests	No abnormalities	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4514	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	International System for Human Cytogenetic Nomenclature (ISCN) compatible string:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4515	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+3	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4516	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+5	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4517	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+7	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4518	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+9	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4519	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+11	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4520	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+15	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4521	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	+19	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4522	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	t(4;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4523	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	t(6;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4524	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	t(11;14)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4525	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	t(14;16)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4526	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	t(14;20)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4527	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	del(13q) / 13q-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4528	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	del(17p) / 17p-	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4529	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	-13	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4530	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	-17	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4531	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	Duplication of 1q	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4532	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	Any other abnormality at 1q	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4533	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	Any abnormality at 1p	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4534	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify abnormalities	Other abnormality	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4535	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Information Requested	Specify other abnormality:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4536	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No			Addition of Instructional text			Yes: CIBMTR strongly encourages attaching the karyotyping report when abnormalities were identified.	Be consistent with current clinical landscape, improve transplant outcome data
PRE4537	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What is the hematologic disease status?	Stringent complete response (sCR)	No Change	No Change	No Change	No
PRE4538	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What is the hematologic disease status?	Complete response (CR)	No Change	No Change	No Change	No
PRE4539	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What is the hematologic disease status?	Very good partial response (VGPR)	No Change	No Change	No Change	No
PRE4540	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What is the hematologic disease status?	Partial response (PR)	No Change	No Change	No Change	No
PRE4541	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What is the hematologic disease status?	No response (NR) / stable disease (SD	No Change	No Change	No Change	No
PRE4542	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What is the hematologic disease status?	Progressive disease (PD)	No Change	No Change	No Change	No
PRE4543	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What is the hematologic disease status?	Relapse from CR (Rel) (untreated)	No Change	No Change	No Change	No
PRE4544	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	What is the hematologic disease status?	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE4545	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Date assessed:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE4546	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify amyloidosis hematologic response	Complete response (CR)	No Change	No Change	No Change	No
PRE4547	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify amyloidosis hematologic response	Very good partial response (VGPR)	No Change	No Change	No Change	No
PRE4548	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify amyloidosis hematologic response	Partial response (PR)	No Change	No Change	No Change	No
PRE4549	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify amyloidosis hematologic response	No response (NR) / stable disease (SD)	No Change	No Change	No Change	No
PRE4550	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify amyloidosis hematologic response	Progressive disease (PD)	No Change	No Change	No Change	No
PRE4551	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify amyloidosis hematologic response	Relapse from CR (Rel) (untreated)	No Change	No Change	No Change	No
PRE4552	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Specify amyloidosis hematologic response	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE4553	Pre-Transplant Information Collection	Disease Classification	Multiple Myeloma / Plasma Cell Disorder (PCD)	No	Date assessed:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRE4554	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Breast cancer	No Change	No Change	No Change	No
PRE4555	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Tumors of the head / neck	No Change	No Change	No Change	No
PRE4556	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Colorectal	No Change	No Change	No Change	No
PRE4557	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Pancreatic	No Change	No Change	No Change	No
PRE4558	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Tumor of the esophagus and gastro-esophageal (GE) junction	No Change	No Change	No Change	No
PRE4559	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Tumors of the stomach	No Change	No Change	No Change	No
PRE4560	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Tumors of liver and intrahepatic bile ducts	No Change	No Change	No Change	No
PRE4561	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Atypical teratoid rhabdoid tumor (ATRT)	No Change	No Change	No Change	No
PRE4562	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Central nervous system tumor, including CNS PNET	No Change	No Change	No Change	No
PRE4563	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Diffuse intrinsic pontine glioma (DIPG)	No Change	No Change	No Change	No
PRE4564	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Ependymoma	No Change	No Change	No Change	No
PRE4565	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Glioblastoma multiforme (GBM)	No Change	No Change	No Change	No
PRE4566	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Medulloblastoma	No Change	No Change	No Change	No
PRE4567	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Bone sarcoma (excluding Ewing family tumors)	No Change	No Change	No Change	No
PRE4568	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Desmoplastic small round cell tumors	No Change	No Change	No Change	No
PRE4569	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Ewing family tumors of bone (including PNET)	No Change	No Change	No Change	No
PRE4570	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Ewing family tumors, extraosseous (including PNET)	No Change	No Change	No Change	No
PRE4571	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Malignant Peripheral Nerve Sheath Tumor	No Change	No Change	No Change	No
PRE4572	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Myxoid round cell sarcoma	No Change	No Change	No Change	No
PRE4573	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Rhabdomyosarcoma	No Change	No Change	No Change	No
PRE4574	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Synovial sarcoma	No Change	No Change	No Change	No
PRE4575	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Other soft tissue sarcoma (excluding Ewing family tumors)	No Change	No Change	No Change	No
PRE4576	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Germ cell tumors, gonadal	No Change	No Change	No Change	No
PRE4577	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Germ cell tumor, extragonadal	No Change	No Change	No Change	No
PRE4578	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Neuroblastoma	No Change	No Change	No Change	No
PRE4579	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Adenocarcinoma	No Change	No Change	No Change	No
PRE4580	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Lung, non-small cell	No Change	No Change	No Change	No
PRE4581	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Lung, small cell	No Change	No Change	No Change	No
PRE4582	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Lung, not otherwise specified	No Change	No Change	No Change	No
PRE4583	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Squamous carcinoma	No Change	No Change	No Change	No
PRE4584	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Tumor of the pleura (Mesothelioma)	No Change	No Change	No Change	No
PRE4585	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Melanoma	No Change	No Change	No Change	No
PRE4586	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Ovarian (epithelial)	No Change	No Change	No Change	No
PRE4587	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Prostate	No Change	No Change	No Change	No
PRE4588	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Renal cell	No Change	No Change	No Change	No
PRE4589	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Testicular	No Change	No Change	No Change	No
PRE4590	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Vaginal	No Change	No Change	No Change	No
PRE4591	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Malignant Rhabdoid Tumor of the Kidney	No Change	No Change	No Change	No
PRE4592	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Retinoblastoma	No Change	No Change	No Change	No
PRE4593	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Wilms tumor	No Change	No Change	No Change	No
PRE4594	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Solid tumor, not otherwise specified	No Change	No Change	No Change	No
PRE4595	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify the solid tumor classification	Other solid tumor	No Change	No Change	No Change	No
PRE4596	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No	Specify other solid tumor:	Open text	No Change	No Change	No Change	No
PRE4597	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No			Addition of Information Requested	What was the disease status?	Complete Response (CR)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4598	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No			Addition of Information Requested	What was the disease status?	Partial Response	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4599	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No			Addition of Information Requested	What was the disease status?	Stable disease	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4600	Pre-Transplant Information Collection	Disease Classification	Solid Tumors	No			Addition of Information Requested	What was the disease status?	Progressive disease	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4601	Pre-Transplant Information Collection	Disease Classification	Aplastic Anemia	No	Specify the aplastic anemia classification	Acquired AA, not otherwise specified	No Change	No Change	No Change	No
PRE4602	Pre-Transplant Information Collection	Disease Classification	Aplastic Anemia	No	Specify the aplastic anemia classification	Acquried AA secondary to chemotherapy	No Change	No Change	No Change	No
PRE4603	Pre-Transplant Information Collection	Disease Classification	Aplastic Anemia	No	Specify the aplastic anemia classification	Acquired AA, secondary to hepatitis	No Change	No Change	No Change	No
PRE4604	Pre-Transplant Information Collection	Disease Classification	Aplastic Anemia	No	Specify the aplastic anemia classification	Acquired AA secondary to immunotherapy or immune effector cell therapy	No Change	No Change	No Change	No
PRE4605	Pre-Transplant Information Collection	Disease Classification	Aplastic Anemia	No	Specify the aplastic anemia classification	Acquired AA, secondary to toxin / other drug	No Change	No Change	No Change	No
PRE4606	Pre-Transplant Information Collection	Disease Classification	Aplastic Anemia	No	Specify the aplastic anemia classification	Acquired amegakaryocytosis (not congenital)	No Change	No Change	No Change	No
PRE4607	Pre-Transplant Information Collection	Disease Classification	Aplastic Anemia	No	Specify the aplastic anemia classification	Acquired pure red cell aplasia (not congenital)	No Change	No Change	No Change	No
PRE4608	Pre-Transplant Information Collection	Disease Classification	Aplastic Anemia	No	Specify the aplastic anemia classification	Other acquired cytopenic syndrome	No Change	No Change	No Change	No
PRE4609	Pre-Transplant Information Collection	Disease Classification	Aplastic Anemia	No	Specify severity	Severe / very severe	No Change	No Change	No Change	No
PRE4610	Pre-Transplant Information Collection	Disease Classification	Aplastic Anemia	No	Specify severity	Not severe	No Change	No Change	No Change	No
PRE4611	Pre-Transplant Information Collection	Disease Classification	Aplastic Anemia	No	Specify other acquired cytopenic syndrome:	Open text	No Change	No Change	No Change	No
PRE4612	Pre-Transplant Information Collection	Disease Classification	Inherited Bone Marrow Failure Syndromes	No	Specify the inherited bone marrow failure syndrome classification	Diamond-Blackfan anemia (pure red cell aplasia)	No Change	No Change	No Change	No
PRE4613	Pre-Transplant Information Collection	Disease Classification	Inherited Bone Marrow Failure Syndromes	No	Specify the inherited bone marrow failure syndrome classification	Telomere Biology Disorders including Dyskeratosis congenita (DKC1, TERT, TERC, and other mutations)	No Change	No Change	No Change	No
PRE4614	Pre-Transplant Information Collection	Disease Classification	Inherited Bone Marrow Failure Syndromes	No	Specify the inherited bone marrow failure syndrome classification	Fanconi anemia	No Change	No Change	No Change	No
PRE4615	Pre-Transplant Information Collection	Disease Classification	Inherited Bone Marrow Failure Syndromes	No	Specify the inherited bone marrow failure syndrome classification	Severe congenital neutropenia (Elastase deficiency / ELANE or Kostmann disease / HAX1 mutations)	No Change	No Change	No Change	No
PRE4616	Pre-Transplant Information Collection	Disease Classification	Inherited Bone Marrow Failure Syndromes	No	Specify the inherited bone marrow failure syndrome classification	Shwachman-Diamond (DNAJC21, EFL1, or SBDS mutations)	No Change	No Change	No Change	No
PRE4617	Pre-Transplant Information Collection	Disease Classification	Inherited Bone Marrow Failure Syndromes	No	Specify the inherited bone marrow failure syndrome classification	Germline SAMD9 variant (MIRAGE Syndrome)	No Change	No Change	No Change	No
PRE4618	Pre-Transplant Information Collection	Disease Classification	Inherited Bone Marrow Failure Syndromes	No	Specify the inherited bone marrow failure syndrome classification	Germline SAMD9L variant (SAMD9L-related Ataxia Pancytopenia Syndrome)	No Change	No Change	No Change	No
PRE4619	Pre-Transplant Information Collection	Disease Classification	Inherited Bone Marrow Failure Syndromes	No	Specify the inherited bone marrow failure syndrome classification		Addition of Information Requested	No Change	Bone Marrow Failure due to Germline GATA2 variant (GATA2 deficiency )	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4620	Pre-Transplant Information Collection	Disease Classification	Inherited Bone Marrow Failure Syndromes	No	Specify the inherited bone marrow failure syndrome classification	Other inherited bone marrow failure syndrome	No Change	No Change	No Change	No
PRE4621	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Specify the hemoglobinopathy classification	Sickle cell disease	No Change	No Change	No Change	No
PRE4622	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Specify the hemoglobinopathy classification	Transfusion dependent thalassemia	No Change	No Change	No Change	No
PRE4623	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Specify the hemoglobinopathy classification	Other hemoglobinopathy	No Change	No Change	No Change	No
PRE4624	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Specify transfusion dependent thalassemia	Transfusion dependent beta thalassemia	No Change	No Change	No Change	No
PRE4625	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Specify transfusion dependent thalassemia	Other transfusion dependent thalassemia	No Change	No Change	No Change	No
PRE4626	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Specify other hemoglobinopathy:	Open text	No Change	No Change	No Change	No
PRE4627	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was tricuspid regurgitant jet velocity (TRJV) measured by echocardiography?	Yes	No Change	No Change	No Change	No
PRE4628	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was tricuspid regurgitant jet velocity (TRJV) measured by echocardiography?	No	No Change	No Change	No Change	No
PRE4629	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was tricuspid regurgitant jet velocity (TRJV) measured by echocardiography?	Unknown	No Change	No Change	No Change	No
PRE4630	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	TRJV measurement	Known	No Change	No Change	No Change	No
PRE4631	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	TRJV measurement	Unknown	No Change	No Change	No Change	No
PRE4632	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	TRJV m/sec:	Open text	No Change	No Change	No Change	No
PRE4633	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was liver iron content (LIC) tested within 6 months prior to infusion?	Yes	No Change	No Change	No Change	No
PRE4634	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was liver iron content (LIC) tested within 6 months prior to infusion?	No	No Change	No Change	No Change	No
PRE4635	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	LIC:	Open text	No Change	No Change	No Change	No
PRE4636	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	mg Fe/g liver dry weight	checked	No Change	No Change	No Change	No
PRE4637	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	g Fe/kg liver dry weight	checked	No Change	No Change	No Change	No
PRE4638	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	mmol Fe/g liver dry weight	checked	No Change	No Change	No Change	No
PRE4639	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Method used to estimate LIC?	T2*MRI	No Change	No Change	No Change	No
PRE4640	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Method used to estimate LIC?	SQUID MRI	No Change	No Change	No Change	No
PRE4641	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Method used to estimate LIC?	FerriScan	No Change	No Change	No Change	No
PRE4642	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Method used to estimate LIC?	Liver Biopsy	No Change	No Change	No Change	No
PRE4643	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Method used to estimate LIC?	Other	No Change	No Change	No Change	No
PRE4644	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Is the recipient red blood cell transfusion dependent?	Yes	No Change	No Change	No Change	No
PRE4645	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Is the recipient red blood cell transfusion dependent?	No	No Change	No Change	No Change	No
PRE4646	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Year of first transfusion:	Open text	No Change	No Change	No Change	No
PRE4647	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was iron chelation therapy given at any time since diagnosis?	Yes	No Change	No Change	No Change	No
PRE4648	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was iron chelation therapy given at any time since diagnosis?	No	No Change	No Change	No Change	No
PRE4649	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was iron chelation therapy given at any time since diagnosis?	Unknown	No Change	No Change	No Change	No
PRE4650	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Did iron chelation therapy meet the following criteria: initiated within 18 months of the first transfusion and administered for at least 5 days / week (either oral or parenteral iron chelation medication)?	Yes, iron chelation therapy given as specified	No Change	No Change	No Change	No
PRE4651	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Did iron chelation therapy meet the criteria: initiated within 18 months of the first transfusion and administered for at least 5 days / week (either oral or parenteral iron chelation medication)?	No, iron chelation therapy given, but not meeting criteria listed	No Change	No Change	No Change	No
PRE4652	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Did iron chelation therapy meet the criteria: initiated within 18 months of the first transfusion and administered for at least 5 days / week (either oral or parenteral iron chelation medication)?	Iron chelation therapy given, but details of administration unknown	No Change	No Change	No Change	No
PRE4653	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Specify reason criteria not met	Non-adherence	No Change	No Change	No Change	No
PRE4654	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Specify reason criteria not met	Toxicity due to iron chelation therapy	No Change	No Change	No Change	No
PRE4655	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Specify reason criteria not met		Addition of Information Requested	No Change	Treatment started more than 18 months from first transfusion	No	Capture data accurately
PRE4656	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Specify reason criteria not met	Other	No Change	No Change	No Change	No
PRE4657	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Specify other reason criteria not met:	Open text	No Change	No Change	No Change	No
PRE4658	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Year iron chelation therapy started	Known	No Change	No Change	No Change	No
PRE4659	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Year iron chelation therapy started	Unknown	No Change	No Change	No Change	No
PRE4660	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Year started:	Open text	No Change	No Change	No Change	No
PRE4661	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Did the recipient have hepatomegaly?	Yes	No Change	No Change	No Change	No
PRE4662	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Did the recipient have hepatomegaly?	No	No Change	No Change	No Change	No
PRE4663	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Did the recipient have hepatomegaly?	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRE4664	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Liver size as measured below the costal margin at most recent evaluation:	Open text	Change/Clarification of Information Requested	Liver size at most recent evaluation:	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4665	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was a liver biopsy performed at any time since diagnosis?	yes	No Change	No Change	No Change	No
PRE4666	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was a liver biopsy performed at any time since diagnosis?	no	No Change	No Change	No Change	No
PRE4667	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Date assessed	Known	Change/Clarification of Information Requested	Date liver biopsy performed	No Change	No	Capture data accurately
PRE4668	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Date assessed	Unknown	Change/Clarification of Information Requested	Date liver biopsy performed	No Change	No	Capture data accurately
PRE4669	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Date assessed	Open text	Change/Clarification of Information Requested	Date liver biopsy performed	No Change	No	Capture data accurately
PRE4670	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Date estimated	checked	No Change	No Change	No Change	No
PRE4671	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was there evidence of liver cirrhosis?	Yes	No Change	No Change	No Change	No
PRE4672	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was there evidence of liver cirrhosis?	No	No Change	No Change	No Change	No
PRE4673	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was there evidence of liver cirrhosis?	Unknown	No Change	No Change	No Change	No
PRE4674	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was there evidence of liver fibrosis?	Yes	No Change	No Change	No Change	No
PRE4675	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was there evidence of liver fibrosis?	No	No Change	No Change	No Change	No
PRE4676	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was there evidence of liver fibrosis?	Unknown	No Change	No Change	No Change	No
PRE4677	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Type of fibrosis	Bridging	No Change	No Change	No Change	No
PRE4678	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Type of fibrosis	Periportal	No Change	No Change	No Change	No
PRE4679	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Type of fibrosis	Other	No Change	No Change	No Change	No
PRE4680	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Type of fibrosis	Unknown	No Change	No Change	No Change	No
PRE4681	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was there evidence of chronic hepatitis?	Yes	No Change	No Change	No Change	No
PRE4682	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was there evidence of chronic hepatitis?	No	No Change	No Change	No Change	No
PRE4683	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was there evidence of chronic hepatitis?	Unknown	No Change	No Change	No Change	No
PRE4684	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the liver biopsy report.	Reduce burden
PRE4685	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the liver biopsy report.	Reduce burden
PRE4686	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Is there evidence of abnormal cardiac iron deposition based on MRI of the heart at time of infusion?	Yes	No Change	No Change	No Change	No
PRE4687	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Is there evidence of abnormal cardiac iron deposition based on MRI of the heart at time of infusion?	No	No Change	No Change	No Change	No
PRE4688	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Did the recipient have a splenectomy?	yes	No Change	No Change	No Change	No
PRE4689	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Did the recipient have a splenectomy?	no	No Change	No Change	No Change	No
PRE4690	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Did the recipient have a splenectomy?	Unknown	No Change	No Change	No Change	No
PRE4691	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No			Merged to Check all that Apply (Addition of information requested)	Laboratory studies at last evaluation prior to start of preparative regimen	Serum iron	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4692	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No			Merged to Check all that Apply (Addition of information requested)	Laboratory studies at last evaluation prior to start of preparative regimen	Total iron binding capacity (TIBC)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4693	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No			Merged to Check all that Apply (Addition of information requested)	Laboratory studies at last evaluation prior to start of preparative regimen	Direct bilirubin	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4694	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No			Merged to Check all that Apply (Addition of information requested)	Laboratory studies at last evaluation prior to start of preparative regimen	Total serum bilirubin	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4695	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No			Merged to Check all that Apply (Addition of information requested)	Laboratory studies at last evaluation prior to start of preparative regimen	None	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4696	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Serum iron	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4697	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Serum iron	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4698	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Serum iron:	Open text	No Change	No Change	No Change	No
PRE4699	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	µg/dL	checked	No Change	No Change	No Change	No
PRE4700	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	µmol/L	checked	No Change	No Change	No Change	No
PRE4701	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Total Iron binding capacity (TIBC)	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4702	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Total Iron binding capacity (TIBC)	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4703	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	TIBC:	Open text	No Change	No Change	No Change	No
PRE4704	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	µg/dL	checked	No Change	No Change	No Change	No
PRE4705	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	µmol/L	checked	No Change	No Change	No Change	No
PRE4706	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No			Addition of Information Requested	Direct bilirubin	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4707	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No			Addition of Information Requested	mg/dL	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4708	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No			Addition of Information Requested	µmol/L	checked	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4709	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Total serum bilirubin	Known	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4710	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Total serum bilirubin	Unknown	Merged to Check all that Apply (Deletion of Information Requested)			No	Reduce burden
PRE4711	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Total serum bilirubin	Open text	No Change	No Change	No Change	No
PRE4712	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	mg/dL	checked	No Change	No Change	No Change	No
PRE4713	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	µmol/L	checked	No Change	No Change	No Change	No
PRE4714	Pre-Transplant Information Collection	Disease Classification	Hemoglobinopathies	No	Upper limit of normal for total serum bilirubin:	Open text	No Change	No Change	No Change	No
PRE4715	Pre-Transplant Information Collection	Disease Classification	Paroxysmal nocturnal hemoglobinuria (PNH)	No			Addition of Information Requested	Did PNH co-occur with aplastic anemia?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4716	Pre-Transplant Information Collection	Disease Classification	Paroxysmal nocturnal hemoglobinuria (PNH)	No			Addition of Information Requested	Did PNH co-occur with aplastic anemia?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4717	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	SCID, T- B+ NK-, JAK3 mutation	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4718	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	SCID, T- B+ NK-, IL2RG mutations, X-linked SCID	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4719	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	SCID, T- B- NK-, Adenosine deaminase (ADA) deficiency	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4720	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	SCID, T- B- NK-, reticular dysgenesis	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4721	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	SCID, T- B- NK+, RAG 1/2 deficiency	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4722	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification		Change/Clarification of Information Requested and Addition of Response Option	Specify inborn error of immunity classification	SCID, T-B-NK+ (RAG mutation) with Omenn Syndrome	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4723	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification		Change/Clarification of Information Requested and Addition of Response Option	Specify inborn error of immunity classification	SCID, T-B-NK+ (RAG mutation) without Omenn Syndrome	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4724	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	SCID, T- B- NK+, DCLRE1C (Artemis) deficiency	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4725	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	SCID,T- B+ NK+, ILR alpha deficiency	Change/Clarification of Information Requested	Specify inborn error of immunity classification	SCID,T- B+ NK+, IL7R alpha deficiency	No	Capture data accurately
PRE4726	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	SCID, T- B- NK-, NOS	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4727	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	SCID, not otherwise specified	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4728	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Other SCID (with known genetic mutation)	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4729	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	CD40 ligand deficiency	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4730	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	DOCK8 Deficiency	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4731	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	MHC Class II Deficiency (Bare lymphocyte syndrome)	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4732	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Omenn syndrome	Change/Clarification of Information Requested	Specify inborn error of immunity classification	Omenn syndrome, NOS	No	Capture data accurately
PRE4733	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	ZAP-70 deficiency	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4734	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Ataxia telangiectasia	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4735	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Cartilage-hair hypoplasia	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4736	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	DiGeorge anomaly	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4737	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	NEMO Deficiency Syndrome	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4738	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Wiskott-Aldrich syndrome	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4739	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Common variable immunodeficiency	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4740	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Activated PI3 Kinase Delta Deficiency Syndrome (APDS1 or PIK3CD)	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4741	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Autoimmune Lymphoproliferative Syndrome (ALPS)	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4742	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	CTLA4 deficiency	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4743	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	IPEX, Immune Dysregulation Polyendocrinopathy, enteropathy X-linked (FOXP3 deficiency)	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4744	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	LRBA Deficiency	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4745	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	STAT3 Gain of Function	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4746	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification		Change/Clarification of Information Requested and Addition of Response Option	Specify inborn error of immunity classification	VEXAS Syndrome (associated with UBA1 mutations or other)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4747	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Chronic granulomatous disease	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4748	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	GATA2 deficiency	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4749	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Leukocyte adhesion deficiencies	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4750	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Neutropenia with combined immune deficiency (MKL1 deficiency, Actin deficiency)	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4751	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	HIV infection	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4752	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	STAT1 Gain of Function	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4753	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification		Change/Clarification of Information Requested and Addition of Response Option	Specify inborn error of immunity classification	Hyper IGE	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4754	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Other immunodeficiencies	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4755	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify disorder of immune system classification	Immune deficiency, not otherwise specified	Change/Clarification of Information Requested	Specify inborn error of immunity classification	No Change	No	Capture data accurately
PRE4756	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify other SCID:	Open text	No Change	No Change	No Change	No
PRE4757	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify other immunodeficiency:	Open text	No Change	No Change	No Change	No
PRE4758	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Did the recipient have an active or recent infection with a viral pathogen within 60 days of HCT?	Yes	Change/Clarification of Information Requested	Did the recipient have an active or recent infection with a viral pathogen within 60 days of infusion?	No Change	No	Capture data accurately
PRE4759	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Did the recipient have an active or recent infection with a viral pathogen within 60 days of HCT?	No	Change/Clarification of Information Requested	Did the recipient have an active or recent infection with a viral pathogen within 60 days of infusion?	No Change	No	Capture data accurately
PRE4760	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Adenovirus	No Change	No Change	No Change	No
PRE4761	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	BK Virus	No Change	No Change	No Change	No
PRE4762	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Coronavirus	No Change	No Change	No Change	No
PRE4763	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Cytomegalovirus (CMV)	No Change	No Change	No Change	No
PRE4764	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Chikungunya Virus	No Change	No Change	No Change	No
PRE4765	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Dengue Virus	No Change	No Change	No Change	No
PRE4766	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Enterovirus (ECHO, Coxsackie)	No Change	No Change	No Change	No
PRE4767	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Enterovirus D68 (EV-D68)	No Change	No Change	No Change	No
PRE4768	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Enterovirus (polio)	No Change	No Change	No Change	No
PRE4769	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Enterovirus, NOS	No Change	No Change	No Change	No
PRE4770	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Epstein-Barr Virus (EBV)	No Change	No Change	No Change	No
PRE4771	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Hepatitis A Virus	No Change	No Change	No Change	No
PRE4772	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Hepatitis B Virus	No Change	No Change	No Change	No
PRE4773	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Hepatitis C Virus	No Change	No Change	No Change	No
PRE4774	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Hepatitis E	No Change	No Change	No Change	No
PRE4775	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Herpes Simplex Virus (HSV)	No Change	No Change	No Change	No
PRE4776	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Human herpesvirus 6 (HHV-6)	No Change	No Change	No Change	No
PRE4777	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Human Immunodeficiency Virus 1 or 2	No Change	No Change	No Change	No
PRE4778	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Human metapneumovirus	No Change	No Change	No Change	No
PRE4779	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Human Papillomavirus (HPV)	No Change	No Change	No Change	No
PRE4780	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Human T-lymphotropic Virus 1 or 2	No Change	No Change	No Change	No
PRE4781	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Influenza, NOS	No Change	No Change	No Change	No
PRE4782	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Influenza A Virus	No Change	No Change	No Change	No
PRE4783	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Influenza B Virus	No Change	No Change	No Change	No
PRE4784	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	JC Virus (Progressive Multifocal Leukoencephalopathy (PML))	No Change	No Change	No Change	No
PRE4785	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Measles Virus (Rubeola)	No Change	No Change	No Change	No
PRE4786	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Mumps Virus	No Change	No Change	No Change	No
PRE4787	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Norovirus	No Change	No Change	No Change	No
PRE4788	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Human Parainfluenza Virus (all species)	No Change	No Change	No Change	No
PRE4789	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Respiratory Syncytial Virus (RSV)	No Change	No Change	No Change	No
PRE4790	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Rhinovirus (all species)	No Change	No Change	No Change	No
PRE4791	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Rotavirus (all species)	No Change	No Change	No Change	No
PRE4792	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Rubella Virus	No Change	No Change	No Change	No
PRE4793	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	Varicella Virus	No Change	No Change	No Change	No
PRE4794	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Specify viral pathogen	West Nile Virus (WNV)	No Change	No Change	No Change	No
PRE4795	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Has the recipient ever been infected with PCP / PJP?	Yes	No Change	No Change	No Change	No
PRE4796	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Has the recipient ever been infected with PCP / PJP?	No	No Change	No Change	No Change	No
PRE4797	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Does the recipient have GVHD due to maternal cell engraftment pre-HCT?	Yes	Change/Clarification of Information Requested	Does the recipient have GVHD due to maternal cell engraftment pre-infusion?	No Change	No	Capture data accurately
PRE4798	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No	Does the recipient have GVHD due to maternal cell engraftment pre-HCT?	No	Change/Clarification of Information Requested	Does the recipient have GVHD due to maternal cell engraftment pre-infusion?	No Change	No	Capture data accurately
PRE4799	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No			Addition of Information Requested	Was the recipient identified based on an abnormal newborn screen?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4800	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No			Addition of Information Requested	Was the recipient identified based on an abnormal newborn screen?	No	No	be consistent with current clinical landscape, improve transplant outcome data
PRE4801	Pre-Transplant Information Collection	Disease Classification	Inborn Errors of Immunity (IEI)	No			Addition of Information Requested	Was the recipient identified based on an abnormal newborn screen?	Unknown	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4802	Pre-Transplant Information Collection	Disease Classification	Inherited Abnormalities of Platelets	No	Specify inherited abnormalities of platelets classification	Congenital amegakaryocytosis / congenital thrombocytopenia	No Change	No Change	No Change	No
PRE4803	Pre-Transplant Information Collection	Disease Classification	Inherited Abnormalities of Platelets	No	Specify inherited abnormalities of platelets classification	Glanzmann thrombasthenia	No Change	No Change	No Change	No
PRE4804	Pre-Transplant Information Collection	Disease Classification	Inherited Abnormalities of Platelets	No	Specify inherited abnormalities of platelets classification	Other inherited platelet abnormality	No Change	No Change	No Change	No
PRE4805	Pre-Transplant Information Collection	Disease Classification	Inherited Abnormalities of Platelets	No	Specify other inherited platelet abnormality:	Open text	No Change	No Change	No Change	No
PRE4806	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Osteopetrosis (malignant infantile osteopetrosis)	No Change	No Change	No Change	No
PRE4807	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Metachromatic leukodystrophy (MLD)	No Change	No Change	No Change	No
PRE4808	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Adrenoleukodystrophy (ALD)	No Change	No Change	No Change	No
PRE4809	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification		Addition of Information Requested	No Change	Adrenomyeloneuropathy (AMN)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRE4810	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Krabbe disease (globoid leukodystrophy)	No Change	No Change	No Change	No
PRE4811	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Lesch-Nyhan (HGPRT deficiency)	No Change	No Change	No Change	No
PRE4812	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Neuronal ceroid lipofuscinosis (Batten disease)	No Change	No Change	No Change	No
PRE4813	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Hereditary diffuse leukoencephalopathy with spheroids (HDLS)	No Change	No Change	No Change	No
PRE4814	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Hurler syndrome (IH)	No Change	No Change	No Change	No
PRE4815	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Scheie syndrome (IS)	No Change	No Change	No Change	No
PRE4816	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Hunter syndrome (II)	No Change	No Change	No Change	No
PRE4817	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Sanfilippo (III)	No Change	No Change	No Change	No
PRE4818	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Morquio (IV)	No Change	No Change	No Change	No
PRE4819	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Maroteaux-Lamy (VI)	No Change	No Change	No Change	No
PRE4820	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Beta-glucuronidase deficiency (VII)	No Change	No Change	No Change	No
PRE4821	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Mucopolysaccharidosis (V)	No Change	No Change	No Change	No
PRE4822	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Mucopolysaccharidosis, not otherwise specified	No Change	No Change	No Change	No
PRE4823	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Gaucher disease	No Change	No Change	No Change	No
PRE4824	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Niemann-Pick disease	No Change	No Change	No Change	No
PRE4825	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	I-cell disease	No Change	No Change	No Change	No
PRE4826	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Wolman disease	No Change	No Change	No Change	No
PRE4827	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Glucose storage disease	No Change	No Change	No Change	No
PRE4828	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Mucolipidoses, not otherwise specified	No Change	No Change	No Change	No
PRE4829	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Aspartyl glucosaminidase	No Change	No Change	No Change	No
PRE4830	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Fucosidosis	No Change	No Change	No Change	No
PRE4831	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Mannosidosis	No Change	No Change	No Change	No
PRE4832	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Polysaccharide hydrolase abnormality, not otherwise specified	No Change	No Change	No Change	No
PRE4833	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Other inherited metabolic disorder	No Change	No Change	No Change	No
PRE4834	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify inherited disorders of metabolism classification	Inherited metabolic disorder, not otherwise specified	No Change	No Change	No Change	No
PRE4835	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Specify other inherited metabolic disorder:	Open text	No Change	No Change	No Change	No
PRE4836	Pre-Transplant Information Collection	Disease Classification	Inherited Disorders of Metabolism	No	Loes composite score	Open text	No Change	No Change	No Change	No
PRE4837	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Familial Hemophagocytic Lymphohistiocytosis, Perforin deficiency (FHL2)	No Change	No Change	No Change	No
PRE4838	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Familial Hemophagocytic Lymphohistiocytosis, UNC13D (FHL3)	No Change	No Change	No Change	No
PRE4839	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Familial Hemophagocytic Lymphohistiocytosis, STX11 (FHL4)	No Change	No Change	No Change	No
PRE4840	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Familial Hemophagocytic Lymphohistiocytosis, STXBP2 (FHL5)	No Change	No Change	No Change	No
PRE4841	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Familial Hemophagocytic Lymphohistiocytosis, no mutation identified	No Change	No Change	No Change	No
PRE4842	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Familial Hemophagocytic Lymphohistiocytosis, other mutations	No Change	No Change	No Change	No
PRE4843	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Langerhans cell histiocytosis (histiocytosis-X)	No Change	No Change	No Change	No
PRE4844	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Hemophagocytosis (reactive or viral associated)	No Change	No Change	No Change	No
PRE4845	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Malignant histiocytosis	No Change	No Change	No Change	No
PRE4846	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Other histiocytic disorder	No Change	No Change	No Change	No
PRE4847	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Histiocytic disorder, not otherwise specified	No Change	No Change	No Change	No
PRE4848	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Chediak-Higashi syndrome	No Change	No Change	No Change	No
PRE4849	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Griscelli syndrome type 2	No Change	No Change	No Change	No
PRE4850	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Hermansky-Pudlak syndrome type 2	No Change	No Change	No Change	No
PRE4851	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Other pigmentary dilution disorder	No Change	No Change	No Change	No
PRE4852	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	SAP deficiency (XIAP-1)	No Change	No Change	No Change	No
PRE4853	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	XIAP-2 deficiency	No Change	No Change	No Change	No
PRE4854	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	ITK deficiency	No Change	No Change	No Change	No
PRE4855	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Specify other histiocytic disorder	No Change	No Change	No Change	No
PRE4856	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify histiocytic disorder classification	Specify other pigmentary dilution disorder	No Change	No Change	No Change	No
PRE4857	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Did the recipient have an active or recent infection with a viral pathogen within 60 days of HCT?	Yes	Change/clarification of information requested	Did the recipient have an active or recent infection with a viral pathogen within 60 days of infusion?	No Change	No	Capture data accurately
PRE4858	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Did the recipient have an active or recent infection with a viral pathogen within 60 days of HCT?	No	Change/clarification of information requested	Did the recipient have an active or recent infection with a viral pathogenwithin 60 days of infusion?	No Change	No	Capture data accurately
PRE4859	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Adenovirus	No Change	No Change	No Change	No
PRE4860	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	BK Virus	No Change	No Change	No Change	No
PRE4861	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Coronavirus	No Change	No Change	No Change	No
PRE4862	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Cytomegalovirus (CMV)	No Change	No Change	No Change	No
PRE4863	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Chikungunya Virus	No Change	No Change	No Change	No
PRE4864	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Dengue Virus	No Change	No Change	No Change	No
PRE4865	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Enterovirus (ECHO, Coxsackie)	No Change	No Change	No Change	No
PRE4866	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Enterovirus D68 (EV-D68)	No Change	No Change	No Change	No
PRE4867	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Enterovirus (polio)	No Change	No Change	No Change	No
PRE4868	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Enterovirus, NOS	No Change	No Change	No Change	No
PRE4869	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Epstein-Barr Virus (EBV)	No Change	No Change	No Change	No
PRE4870	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Hepatitis A Virus	No Change	No Change	No Change	No
PRE4871	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Hepatitis B Virus	No Change	No Change	No Change	No
PRE4872	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Hepatitis C Virus	No Change	No Change	No Change	No
PRE4873	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Hepatitis E	No Change	No Change	No Change	No
PRE4874	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Herpes Simplex Virus (HSV)	No Change	No Change	No Change	No
PRE4875	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Human herpesvirus 6 (HHV-6)	No Change	No Change	No Change	No
PRE4876	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Human Immunodeficiency Virus 1 or 2	No Change	No Change	No Change	No
PRE4877	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Human metapneumovirus	No Change	No Change	No Change	No
PRE4878	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Human Papillomavirus (HPV)	No Change	No Change	No Change	No
PRE4879	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Human T-lymphotropic Virus 1 or 2	No Change	No Change	No Change	No
PRE4880	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Influenza, NOS	No Change	No Change	No Change	No
PRE4881	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Influenza A Virus	No Change	No Change	No Change	No
PRE4882	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Influenza B Virus	No Change	No Change	No Change	No
PRE4883	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	JC Virus (Progressive Multifocal Leukoencephalopathy (PML))	No Change	No Change	No Change	No
PRE4884	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Measles Virus (Rubeola)	No Change	No Change	No Change	No
PRE4885	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Mumps Virus	No Change	No Change	No Change	No
PRE4886	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Norovirus	No Change	No Change	No Change	No
PRE4887	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Human Parainfluenza Virus (all species)	No Change	No Change	No Change	No
PRE4888	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Respiratory Syncytial Virus (RSV)	No Change	No Change	No Change	No
PRE4889	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Rhinovirus (all species)	No Change	No Change	No Change	No
PRE4890	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Rotavirus (all species)	No Change	No Change	No Change	No
PRE4891	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Rubella Virus	No Change	No Change	No Change	No
PRE4892	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	Varicella Virus	No Change	No Change	No Change	No
PRE4893	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Specify viral pathogen	West Nile Virus (WNV)	No Change	No Change	No Change	No
PRE4894	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Has the recipient ever been infected with PCP / PJP?	Yes	No Change	No Change	No Change	No
PRE4895	Pre-Transplant Information Collection	Disease Classification	Histiocytic Disorders	No	Has the recipient ever been infected with PCP / PJP?	No	No Change	No Change	No Change	No
PRE4896	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Rheumatoid arthritis	No Change	No Change	No Change	No
PRE4897	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Psoriatic arthritis / psoriasis	No Change	No Change	No Change	No
PRE4898	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Juvenile idiopathic arthritis (JIA): systemic (Still's disease)	No Change	No Change	No Change	No
PRE4899	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Juvenile idiopathic arthritis (JIA): oligoarticular	No Change	No Change	No Change	No
PRE4900	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Juvenile idiopathic arthritis (JIA): polyarticular	No Change	No Change	No Change	No
PRE4901	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Juvenile idiopathic arthritis (JIA): other	No Change	No Change	No Change	No
PRE4902	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Other arthritis	No Change	No Change	No Change	No
PRE4903	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Multiple sclerosis	No Change	No Change	No Change	No
PRE4904	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Systemic sclerosis (scleroderma)	No Change	No Change	No Change	No
PRE4905	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Systemic lupus erythematosis (SLE)	No Change	No Change	No Change	No
PRE4906	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Sjögren syndrome	No Change	No Change	No Change	No
PRE4907	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Polymyositis / dermatomyositis	No Change	No Change	No Change	No
PRE4908	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Antiphospholipid syndrome	No Change	No Change	No Change	No
PRE4909	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Other connective tissue disease	No Change	No Change	No Change	No
PRE4910	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Wegener granulomatosis	No Change	No Change	No Change	No
PRE4911	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Classical polyarteritis nodosa	No Change	No Change	No Change	No
PRE4912	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Microscopic polyarteritis nodosa	No Change	No Change	No Change	No
PRE4913	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Churg-Strauss	No Change	No Change	No Change	No
PRE4914	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Giant cell arteritis	No Change	No Change	No Change	No
PRE4915	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Takayasu	No Change	No Change	No Change	No
PRE4916	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Behcet syndrome	No Change	No Change	No Change	No
PRE4917	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Overlap necrotizing arteritis	No Change	No Change	No Change	No
PRE4918	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Other vasculitis	No Change	No Change	No Change	No
PRE4919	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Myasthenia gravis	No Change	No Change	No Change	No
PRE4920	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Other autoimmune neurological disorder	No Change	No Change	No Change	No
PRE4921	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Idiopathic thrombocytopenic purpura (ITP)	No Change	No Change	No Change	No
PRE4922	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Hemolytic anemia	No Change	No Change	No Change	No
PRE4923	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Evans syndrome	No Change	No Change	No Change	No
PRE4924	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Other autoimmune cytopenia	No Change	No Change	No Change	No
PRE4925	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Crohn's disease	No Change	No Change	No Change	No
PRE4926	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Ulcerative colitis	No Change	No Change	No Change	No
PRE4927	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Other autoimmune bowel disorder	No Change	No Change	No Change	No
PRE4928	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Diabetes mellitus type 1	No Change	No Change	No Change	No
PRE4929	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify autoimmune disease classification	Other autoimmune disease	No Change	No Change	No Change	No
PRE4930	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify other autoimmune cytopenia:	Open text	No Change	No Change	No Change	No
PRE4931	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify other autoimmune bowel disorder:	Open text	No Change	No Change	No Change	No
PRE4932	Pre-Transplant Information Collection	Disease Classification	Autoimmune Diseases	No	Specify other autoimmune disease:	Open text	No Change	No Change	No Change	No
PRE4933	Pre-Transplant Information Collection	Disease Classification	Tolerance Induction Associated with Solid Organ Transplant	No	Specify solid organ transplanted	Kidney	No Change	No Change	No Change	No
PRE4934	Pre-Transplant Information Collection	Disease Classification	Tolerance Induction Associated with Solid Organ Transplant	No	Specify solid organ transplanted	Liver	No Change	No Change	No Change	No
PRE4935	Pre-Transplant Information Collection	Disease Classification	Tolerance Induction Associated with Solid Organ Transplant	No	Specify solid organ transplanted	Pancreas	No Change	No Change	No Change	No
PRE4936	Pre-Transplant Information Collection	Disease Classification	Tolerance Induction Associated with Solid Organ Transplant	No	Specify solid organ transplanted	Other organ	No Change	No Change	No Change	No
PRE4937	Pre-Transplant Information Collection	Disease Classification	Tolerance Induction Associated with Solid Organ Transplant	No	Specify other organ:	Open text	No Change	No Change	No Change	No
PRE4938	Pre-Transplant Information Collection	Disease Classification	Other Disease	No	Specify other disease:	Open text	No Change	No Change	No Change	No

---

Sheet 3: Transplant Procedure_Product

Item ID	Time Point	Information Collection Domain Sub-Type	Information Collection Domain Additional Sub Domain	Information Collection may be requested multiple times	Current Information Collection Data Element (if applicable)	Current Information Collection Data Element Response Option (if applicable)	Information Collection update	Proposed Information Collection Data Element Update (if applicable)	Proposed Information Collection Data Element Response Option Update (if applicable)	Instructional Text Indicating an Action	Rationale for Information Collection Update
PRO001	Transplant Procedure and Product	Infectious Disease Markers	Key Fields	No	HCT type	Auto-filled field	No Change	No Change	No Change	No
PRO002	Transplant Procedure and Product	Infectious Disease Markers	Key Fields	No	Product type	Auto-filled field	No Change	No Change	No Change	No
PRO003	Transplant Procedure and Product	Infectious Disease Markers	Key Fields	No	Specify:	Auto-filled field	No Change	No Change	No Change	No
PRO004	Transplant Procedure and Product	Infectious Disease Markers	Key Fields	No	Registry donor ID:	Auto-filled field	No Change	No Change	No Change	No
PRO005	Transplant Procedure and Product	Infectious Disease Markers	Key Fields	No	Non-NMDP cord blood unit ID:	Auto-filled field	No Change	No Change	No Change	No
PRO006	Transplant Procedure and Product	Infectious Disease Markers	Key Fields	No	Global Registration Identifier for Donors (GRID)	Auto-filled field	No Change	No Change	No Change	No
PRO007	Transplant Procedure and Product	Infectious Disease Markers	Key Fields	No	ISBT DIN:	Auto-filled field	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO008	Transplant Procedure and Product	Infectious Disease Markers	Key Fields	No	Registry or UCB Bank ID:	Auto-filled field	No Change	No Change	No Change	No
PRO009	Transplant Procedure and Product	Infectious Disease Markers	Key Fields	No	Donor DOB:	Auto-filled field	No Change	No Change	No Change	No
PRO010	Transplant Procedure and Product	Infectious Disease Markers	Key Fields	No	Donor age:	Auto-filled field	No Change	No Change	No Change	No
PRO011	Transplant Procedure and Product	Infectious Disease Markers	Key Fields	No	Donor sex:	Auto-filled field	No Change	No Change	No Change	No
PRO012	Transplant Procedure and Product	Infectious Disease Markers	Donor / Cord Blood Unit Information	No	Who is being tested for IDMs?	Donor IDM (marrow or PBSC)	No Change	No Change	No Change	No
PRO013	Transplant Procedure and Product	Infectious Disease Markers	Donor / Cord Blood Unit Information	No	Who is being tested for IDMs?	Maternal IDM (cord blood)	No Change	No Change	No Change	No
PRO014	Transplant Procedure and Product	Infectious Disease Markers	Donor / Cord Blood Unit Information	No	Who is being tested for IDMs?	Cord blood unit IDM	No Change	No Change	No Change	No
PRO015	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	HBsAg: (hepatitis B surface antigen)	Reactive	No Change	No Change	No Change	No
PRO016	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	HBsAg: (hepatitis B surface antigen)	Non-reactive	No Change	No Change	No Change	No
PRO017	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	HBsAg: (hepatitis B surface antigen)		Addition of Information Requested	No Change	Inconclusive	No	Capture data accurately
PRO018	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	HBsAg: (hepatitis B surface antigen)	Not done	No Change	No Change	No Change	No
PRO019	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for HBsAg collected:	No Change	No	Capture data accurately
PRO020	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti HBc: (hepatitis B core antibody)	Reactive	No Change	No Change	No Change	No
PRO021	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti HBc: (hepatitis B core antibody)	Non-reactive	No Change	No Change	No Change	No
PRO022	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti HBc: (hepatitis B core antibody)		Addition of Information Requested	No Change	Inconclusive	No	Capture data accurately
PRO023	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti HBc: (hepatitis B core antibody)	Not done	No Change	No Change	No Change	No
PRO024	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for Anti HBc collected:	No Change	No	Capture data accurately
PRO025	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HBV	Positive	No Change	No Change	No Change	No
PRO026	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HBV	Negative	No Change	No Change	No Change	No
PRO027	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HBV		Addition of Information Requested	No Change	Inconclusive	No	Capture data accurately
PRO028	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HBV	Not done	No Change	No Change	No Change	No
PRO029	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for NAAT testing for HBV collected:	No Change	No	Capture data accurately
PRO030	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HCV: (hepatitis C antibody)	Reactive	No Change	No Change	No Change	No
PRO031	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HCV: (hepatitis C antibody)	Non-reactive	No Change	No Change	No Change	No
PRO032	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HCV: (hepatitis C antibody)		Addition of Information Requested	No Change	Inconclusive	No	Capture data accurately
PRO033	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HCV: (hepatitis C antibody)	Not done	No Change	No Change	No Change	No
PRO034	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for Anti-HCV collected:	No Change	No	Capture data accurately
PRO035	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HCV	Positive	No Change	No Change	No Change	No
PRO036	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HCV	Negative	No Change	No Change	No Change	No
PRO037	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HCV		Addition of Information Requested	No Change	Inconclusive	No	Capture data accurately
PRO038	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HCV	Not done	No Change	No Change	No Change	No
PRO039	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample NAAT testing for HCV collected:	No Change	No	Capture data accurately
PRO040	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	HIV-1 p24 antigen	Reactive	No Change	No Change	No Change	No
PRO041	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	HIV-1 p24 antigen	Non-reactive	No Change	No Change	No Change	No
PRO042	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	HIV-1 p24 antigen		Addition of Information Requested	No Change	Inconclusive	No	Capture data accurately
PRO043	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	HIV-1 p24 antigen	Not done	No Change	No Change	No Change	No
PRO044	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	HIV-1 p24 antigen	Not reported	No Change	No Change	No Change	No
PRO045	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for HIV-1 p24 antigen collected:	No Change	No	Capture data accurately
PRO046	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HIV-1	Positive	No Change	No Change	No Change	No
PRO047	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HIV-1	Negative	No Change	No Change	No Change	No
PRO048	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HIV-1		Addition of Information Requested	No Change	Inconclusive	No	Capture data accurately
PRO049	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HIV-1	Not done	No Change	No Change	No Change	No
PRO050	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	FDA licensed NAAT testing for HIV-1		Addition of Information Requested	No Change	Not reported	No	Capture data accurately
PRO051	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for NAAT testing for HIV-1 collected:	No Change	No	Capture data accurately
PRO052	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HIV 1 and anti-HIV 2*: (antibodies to Human Immunodeficiency Viruses)	Reactive	No Change	No Change	No Change	No
PRO053	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HIV 1 and anti-HIV 2*: (antibodies to Human Immunodeficiency Viruses)	Non-reactive	No Change	No Change	No Change	No
PRO054	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HIV 1 and anti-HIV 2*: (antibodies to Human Immunodeficiency Viruses)		Addition of Information Requested	No Change	Inconclusive	No	Capture data accurately
PRO055	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HIV 1 and anti-HIV 2*: (antibodies to Human Immunodeficiency Viruses)	Not done	No Change	No Change	No Change	No
PRO056	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HIV 1 and anti-HIV 2*: (antibodies to Human Immunodeficiency Viruses)	Not reported	No Change	No Change	No Change	No
PRO057	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for Anti-HIV 1 and anti-HIV 2 collected:	No Change	No	Capture data accurately
PRO058	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Chagas testing	Positive	No Change	No Change	No Change	No
PRO059	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Chagas testing	Negative	No Change	No Change	No Change	No
PRO060	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Chagas testing		Addition of Information Requested	No Change	Inconclusive	No	Capture data accurately
PRO061	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Chagas testing	Not Done	No Change	No Change	No Change	No
PRO062	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for Chagas collected:	No Change	No	Capture data accurately
PRO063	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HSV (Herpes simplex virus antibody)	Positive	No Change	No Change	No Change	No
PRO064	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HSV (Herpes simplex virus antibody)	Negative	No Change	No Change	No Change	No
PRO065	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HSV (Herpes simplex virus antibody)		Addition of Information Requested	No Change	Inconclusive	No	Capture data accurately
PRO066	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-HSV (Herpes simplex virus antibody)	Not Done	No Change	No Change	No Change	No
PRO067	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for Anti-HSV collected:	No Change	No	Capture data accurately
PRO068	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-EBV (Epstein-Barr virus antibody)	Positive	No Change	No Change	No Change	No
PRO069	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-EBV (Epstein-Barr virus antibody)	Negative	No Change	No Change	No Change	No
PRO070	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-EBV (Epstein-Barr virus antibody)	Inconclusive	No Change	No Change	No Change	No
PRO071	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-EBV (Epstein-Barr virus antibody)	Not done	No Change	No Change	No Change	No
PRO072	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for Anti-EBV collected:	No Change	No	Capture data accurately
PRO073	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-VZV (Varicella zoster virus antibody)	Positive	No Change	No Change	No Change	No
PRO074	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-VZV (Varicella zoster virus antibody)	Negative	No Change	No Change	No Change	No
PRO075	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-VZV (Varicella zoster virus antibody)		Addition of Information Requested	No Change	Inconclusive	No	Capture data accurately
PRO076	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Anti-VZV (Varicella zoster virus antibody)	Not Done	No Change	No Change	No Change	No
PRO077	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for Anti-VZV collected:	No Change	No	Capture data accurately
PRO078	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Other infectious disease marker, specify	yes	Change/Clarification of Information Requested	Other positive infectious disease marker, specify	No Change	No	Reduce burden - information no longer needed
PRO079	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Other infectious disease marker, specify	no	Change/Clarification of Information Requested	Other positive infectious disease marker, specify	No Change	No	Reduce burden - information no longer needed
PRO080	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	Yes	Date sample collected:	Open text	Change/Clarification of Information Requested	Date sample for other infectious disease marker collected:	No Change	No	Capture data accurately
PRO081	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	Yes	Specify test and method:	Open text	No Change	No Change	No Change	No
PRO082	Transplant Procedure and Product	Infectious Disease Markers	Infectious Disease Marker	No	Specify test results:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO083	Transplant Procedure and Product	Confirmation of HLA Typing	Key Fields	No	Registry donor ID:	Auto-filled field	No Change	No Change	No Change	No
PRO084	Transplant Procedure and Product	Confirmation of HLA Typing	Key Fields	No	Non-NMDP cord blood unit ID:	Auto-filled field	No Change	No Change	No Change	No
PRO085	Transplant Procedure and Product	Confirmation of HLA Typing	Key Fields	No	Global Registration Identifier for Donors (GRID)	Auto-filled field	No Change	No Change	No Change	No
PRO086	Transplant Procedure and Product	Confirmation of HLA Typing	Key Fields	No	ISBT DIN:	Auto-filled field	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO087	Transplant Procedure and Product	Confirmation of HLA Typing	Key Fields	No	Registry or UCB Bank ID:	Auto-filled field	No Change	No Change	No Change	No
PRO088	Transplant Procedure and Product	Confirmation of HLA Typing	Key Fields	No	Donor DOB:	Auto-filled field	No Change	No Change	No Change	No
PRO089	Transplant Procedure and Product	Confirmation of HLA Typing	Key Fields	No	Donor age:	Auto-filled field	No Change	No Change	No Change	No
PRO090	Transplant Procedure and Product	Confirmation of HLA Typing	Key Fields	No	Donor sex:	Auto-filled field	No Change	No Change	No Change	No
PRO091	Transplant Procedure and Product	Confirmation of HLA Typing	Donor / Cord Blood Unit Identification	No	Specify the person for whom this typing is being done	Recipient-final typing	No Change	No Change	No Change	No
PRO092	Transplant Procedure and Product	Confirmation of HLA Typing	Donor / Cord Blood Unit Identification	No	Specify the person for whom this typing is being done	Donor	No Change	No Change	No Change	No
PRO093	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the HLA laboratory report.	Reduce burden
PRO094	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the HLA laboratory report.	Reduce burden
PRO095	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus A	Known	No Change	No Change	No Change	No
PRO096	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus A	Unknown	No Change	No Change	No Change	No
PRO097	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	First A* allele designations:	Open text	No Change	No Change	No Change	No
PRO098	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Second A* allele designations:	Open text	No Change	No Change	No Change	No
PRO099	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus B	Known	No Change	No Change	No Change	No
PRO100	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus B	Unknown	No Change	No Change	No Change	No
PRO101	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	First B* allele designations:	Open text	No Change	No Change	No Change	No
PRO102	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Second B* allele designations:	Open text	No Change	No Change	No Change	No
PRO103	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus C	Known	No Change	No Change	No Change	No
PRO104	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus C	Unknown	No Change	No Change	No Change	No
PRO105	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	First C* allele designations:	Open text	No Change	No Change	No Change	No
PRO106	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Second C* allele designations:	Open text	No Change	No Change	No Change	No
PRO107	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DRB1	Known	No Change	No Change	No Change	No
PRO108	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DRB1	Unknown	No Change	No Change	No Change	No
PRO109	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	First DRB1* allele designations:	Open text	No Change	No Change	No Change	No
PRO110	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Second DRB1* allele designations:	Open text	No Change	No Change	No Change	No
PRO111	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DRB3	Known	No Change	No Change	No Change	No
PRO112	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DRB3	Unknown	No Change	No Change	No Change	No
PRO113	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	First DRB3* allele designations:	Open text	No Change	No Change	No Change	No
PRO114	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Second DRB3* allele designations:	Open text	No Change	No Change	No Change	No
PRO115	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DRB4	Known	No Change	No Change	No Change	No
PRO116	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DRB4	Unknown	No Change	No Change	No Change	No
PRO117	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	First DRB4* allele designations:	Open text	No Change	No Change	No Change	No
PRO118	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Second DRB4* allele designations:	Open text	No Change	No Change	No Change	No
PRO119	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DRB5	Known	No Change	No Change	No Change	No
PRO120	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DRB5	Unknown	No Change	No Change	No Change	No
PRO121	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	First DRB5* allele designations:	Open text	No Change	No Change	No Change	No
PRO122	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Second DRB5* allele designations:	Open text	No Change	No Change	No Change	No
PRO123	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DQB1	Known	No Change	No Change	No Change	No
PRO124	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DQB1	Unknown	No Change	No Change	No Change	No
PRO125	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	First DQB1* allele designations:	Open text	No Change	No Change	No Change	No
PRO126	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Second DQB1* allele designations:	Open text	No Change	No Change	No Change	No
PRO127	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DPB1	Known	No Change	No Change	No Change	No
PRO128	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DPB1	Unknown	No Change	No Change	No Change	No
PRO129	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	First DPB1* allele designations:	Open text	No Change	No Change	No Change	No
PRO130	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Second DPB1* allele designations:	Open text	No Change	No Change	No Change	No
PRO131	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DQA1	Known	No Change	No Change	No Change	No
PRO132	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DQA1	Unknown	No Change	No Change	No Change	No
PRO133	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	First DQA1* allele designations:	Open text	No Change	No Change	No Change	No
PRO134	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Second DQA1* allele designations:	Open text	No Change	No Change	No Change	No
PRO135	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DPA1	Known	No Change	No Change	No Change	No
PRO136	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Locus DPA1	Unknown	No Change	No Change	No Change	No
PRO137	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	First DPA1* allele designations:	Open text	No Change	No Change	No Change	No
PRO138	Transplant Procedure and Product	Confirmation of HLA Typing	HLA Typing by DNA Technology	No	Second DPA1* allele designations:	Open text	No Change	No Change	No Change	No
PRO139	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Number of antigens provided	one	No Change	No Change	No Change	No
PRO140	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Number of antigens provided	two	No Change	No Change	No Change	No
PRO141	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A1	No Change	No Change	No Change	No
PRO142	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A2	No Change	No Change	No Change	No
PRO143	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A203	No Change	No Change	No Change	No
PRO144	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A210	No Change	No Change	No Change	No
PRO145	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A3	No Change	No Change	No Change	No
PRO146	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A9	No Change	No Change	No Change	No
PRO147	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A10	No Change	No Change	No Change	No
PRO148	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A11	No Change	No Change	No Change	No
PRO149	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A19	No Change	No Change	No Change	No
PRO150	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A23(9)	No Change	No Change	No Change	No
PRO151	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A24(9)	No Change	No Change	No Change	No
PRO152	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A2403	No Change	No Change	No Change	No
PRO153	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A25(10)	No Change	No Change	No Change	No
PRO154	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A26(10)	No Change	No Change	No Change	No
PRO155	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A28	No Change	No Change	No Change	No
PRO156	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A29(19)	No Change	No Change	No Change	No
PRO157	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A30(19)	No Change	No Change	No Change	No
PRO158	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A31(19)	No Change	No Change	No Change	No
PRO159	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A32(19)	No Change	No Change	No Change	No
PRO160	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A33(19)	No Change	No Change	No Change	No
PRO161	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A34(10)	No Change	No Change	No Change	No
PRO162	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A36	No Change	No Change	No Change	No
PRO163	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A43	No Change	No Change	No Change	No
PRO164	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A66(10)	No Change	No Change	No Change	No
PRO165	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A68(28)	No Change	No Change	No Change	No
PRO166	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A69(28)	No Change	No Change	No Change	No
PRO167	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A74(19)	No Change	No Change	No Change	No
PRO168	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	A80	No Change	No Change	No Change	No
PRO169	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	AX	No Change	No Change	No Change	No
PRO170	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A1	No Change	No Change	No Change	No
PRO171	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A2	No Change	No Change	No Change	No
PRO172	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A203	No Change	No Change	No Change	No
PRO173	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A210	No Change	No Change	No Change	No
PRO174	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A3	No Change	No Change	No Change	No
PRO175	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A9	No Change	No Change	No Change	No
PRO176	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A10	No Change	No Change	No Change	No
PRO177	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A11	No Change	No Change	No Change	No
PRO178	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A19	No Change	No Change	No Change	No
PRO179	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A23(9)	No Change	No Change	No Change	No
PRO180	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A24(9)	No Change	No Change	No Change	No
PRO181	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A2403	No Change	No Change	No Change	No
PRO182	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A25(10)	No Change	No Change	No Change	No
PRO183	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A26(10)	No Change	No Change	No Change	No
PRO184	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A28	No Change	No Change	No Change	No
PRO185	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A29(19)	No Change	No Change	No Change	No
PRO186	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A30(19)	No Change	No Change	No Change	No
PRO187	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A31(19)	No Change	No Change	No Change	No
PRO188	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A32(19)	No Change	No Change	No Change	No
PRO189	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A33(19)	No Change	No Change	No Change	No
PRO190	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A34(10)	No Change	No Change	No Change	No
PRO191	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A36	No Change	No Change	No Change	No
PRO192	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A43	No Change	No Change	No Change	No
PRO193	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A66(10)	No Change	No Change	No Change	No
PRO194	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A68(28)	No Change	No Change	No Change	No
PRO195	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A69(28)	No Change	No Change	No Change	No
PRO196	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A74(19)	No Change	No Change	No Change	No
PRO197	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	A80	No Change	No Change	No Change	No
PRO198	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	AX	No Change	No Change	No Change	No
PRO199	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Number of antigens provided	one	No Change	No Change	No Change	No
PRO200	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Number of antigens provided	two	No Change	No Change	No Change	No
PRO201	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B5	No Change	No Change	No Change	No
PRO202	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B7	No Change	No Change	No Change	No
PRO203	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B703	No Change	No Change	No Change	No
PRO204	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B8	No Change	No Change	No Change	No
PRO205	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B12	No Change	No Change	No Change	No
PRO206	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B13	No Change	No Change	No Change	No
PRO207	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B14	No Change	No Change	No Change	No
PRO208	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B15	No Change	No Change	No Change	No
PRO209	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B16	No Change	No Change	No Change	No
PRO210	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B17	No Change	No Change	No Change	No
PRO211	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B18	No Change	No Change	No Change	No
PRO212	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B21	No Change	No Change	No Change	No
PRO213	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B22	No Change	No Change	No Change	No
PRO214	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B27	No Change	No Change	No Change	No
PRO215	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B2708	No Change	No Change	No Change	No
PRO216	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B35	No Change	No Change	No Change	No
PRO217	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B37	No Change	No Change	No Change	No
PRO218	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B38(16)	No Change	No Change	No Change	No
PRO219	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B39(16)	No Change	No Change	No Change	No
PRO220	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B3901	No Change	No Change	No Change	No
PRO221	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B3902	No Change	No Change	No Change	No
PRO222	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B40	No Change	No Change	No Change	No
PRO223	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B4005	No Change	No Change	No Change	No
PRO224	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B41	No Change	No Change	No Change	No
PRO225	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B42	No Change	No Change	No Change	No
PRO226	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B44(12)	No Change	No Change	No Change	No
PRO227	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B45(12)	No Change	No Change	No Change	No
PRO228	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B46	No Change	No Change	No Change	No
PRO229	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B47	No Change	No Change	No Change	No
PRO230	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B48	No Change	No Change	No Change	No
PRO231	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B49(21)	No Change	No Change	No Change	No
PRO232	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B50(21)	No Change	No Change	No Change	No
PRO233	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B51(5)	No Change	No Change	No Change	No
PRO234	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B5102	No Change	No Change	No Change	No
PRO235	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B5103	No Change	No Change	No Change	No
PRO236	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B52(5)	No Change	No Change	No Change	No
PRO237	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B53	No Change	No Change	No Change	No
PRO238	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B54(22)	No Change	No Change	No Change	No
PRO239	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B55(22)	No Change	No Change	No Change	No
PRO240	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B56(22)	No Change	No Change	No Change	No
PRO241	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B57(17)	No Change	No Change	No Change	No
PRO242	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B58(17)	No Change	No Change	No Change	No
PRO243	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B59	No Change	No Change	No Change	No
PRO244	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B60(40)	No Change	No Change	No Change	No
PRO245	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B61(40)	No Change	No Change	No Change	No
PRO246	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B62(15)	No Change	No Change	No Change	No
PRO247	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B63(15)	No Change	No Change	No Change	No
PRO248	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B64(14)	No Change	No Change	No Change	No
PRO249	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B65(14)	No Change	No Change	No Change	No
PRO250	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B67	No Change	No Change	No Change	No
PRO251	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B70	No Change	No Change	No Change	No
PRO252	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B71(70)	No Change	No Change	No Change	No
PRO253	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B72(70)	No Change	No Change	No Change	No
PRO254	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B73	No Change	No Change	No Change	No
PRO255	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B75(15)	No Change	No Change	No Change	No
PRO256	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B76(15)	No Change	No Change	No Change	No
PRO257	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B77(15)	No Change	No Change	No Change	No
PRO258	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B78	No Change	No Change	No Change	No
PRO259	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B81	No Change	No Change	No Change	No
PRO260	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	B82	No Change	No Change	No Change	No
PRO261	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 1st antigen	BX	No Change	No Change	No Change	No
PRO262	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B5	No Change	No Change	No Change	No
PRO263	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B7	No Change	No Change	No Change	No
PRO264	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B703	No Change	No Change	No Change	No
PRO265	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B8	No Change	No Change	No Change	No
PRO266	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B12	No Change	No Change	No Change	No
PRO267	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B13	No Change	No Change	No Change	No
PRO268	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B14	No Change	No Change	No Change	No
PRO269	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B15	No Change	No Change	No Change	No
PRO270	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B16	No Change	No Change	No Change	No
PRO271	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B17	No Change	No Change	No Change	No
PRO272	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B18	No Change	No Change	No Change	No
PRO273	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B21	No Change	No Change	No Change	No
PRO274	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B22	No Change	No Change	No Change	No
PRO275	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B27	No Change	No Change	No Change	No
PRO276	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B2708	No Change	No Change	No Change	No
PRO277	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B35	No Change	No Change	No Change	No
PRO278	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B37	No Change	No Change	No Change	No
PRO279	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B38(16)	No Change	No Change	No Change	No
PRO280	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B39(16)	No Change	No Change	No Change	No
PRO281	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B3901	No Change	No Change	No Change	No
PRO282	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B3902	No Change	No Change	No Change	No
PRO283	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B40	No Change	No Change	No Change	No
PRO284	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B4005	No Change	No Change	No Change	No
PRO285	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B41	No Change	No Change	No Change	No
PRO286	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B42	No Change	No Change	No Change	No
PRO287	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B44(12)	No Change	No Change	No Change	No
PRO288	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B45(12)	No Change	No Change	No Change	No
PRO289	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B46	No Change	No Change	No Change	No
PRO290	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B47	No Change	No Change	No Change	No
PRO291	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B48	No Change	No Change	No Change	No
PRO292	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B49(21)	No Change	No Change	No Change	No
PRO293	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B50(21)	No Change	No Change	No Change	No
PRO294	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B51(5)	No Change	No Change	No Change	No
PRO295	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B5102	No Change	No Change	No Change	No
PRO296	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B5103	No Change	No Change	No Change	No
PRO297	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B52(5)	No Change	No Change	No Change	No
PRO298	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B53	No Change	No Change	No Change	No
PRO299	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B54(22)	No Change	No Change	No Change	No
PRO300	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B55(22)	No Change	No Change	No Change	No
PRO301	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B56(22)	No Change	No Change	No Change	No
PRO302	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B57(17)	No Change	No Change	No Change	No
PRO303	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B58(17)	No Change	No Change	No Change	No
PRO304	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B59	No Change	No Change	No Change	No
PRO305	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B60(40)	No Change	No Change	No Change	No
PRO306	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B61(40)	No Change	No Change	No Change	No
PRO307	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B62(15)	No Change	No Change	No Change	No
PRO308	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B63(15)	No Change	No Change	No Change	No
PRO309	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B64(14)	No Change	No Change	No Change	No
PRO310	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B65(14)	No Change	No Change	No Change	No
PRO311	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B67	No Change	No Change	No Change	No
PRO312	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B70	No Change	No Change	No Change	No
PRO313	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B71(70)	No Change	No Change	No Change	No
PRO314	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B72(70)	No Change	No Change	No Change	No
PRO315	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B73	No Change	No Change	No Change	No
PRO316	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B75(15)	No Change	No Change	No Change	No
PRO317	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B76(15)	No Change	No Change	No Change	No
PRO318	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B77(15)	No Change	No Change	No Change	No
PRO319	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B78	No Change	No Change	No Change	No
PRO320	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B81	No Change	No Change	No Change	No
PRO321	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	B82	No Change	No Change	No Change	No
PRO322	Transplant Procedure and Product	Confirmation of HLA Typing	Antigens Defined by Serologic Testing	No	Specificity – 2nd antigen	BX	No Change	No Change	No Change	No
PRO323	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Number of antigens provided	one	No Change	No Change	No Change	No
PRO324	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Number of antigens provided	two	No Change	No Change	No Change	No
PRO325	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	Cw1	No Change	No Change	No Change	No
PRO326	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	Cw2	No Change	No Change	No Change	No
PRO327	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	Cw3	No Change	No Change	No Change	No
PRO328	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	Cw4	No Change	No Change	No Change	No
PRO329	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	Cw5	No Change	No Change	No Change	No
PRO330	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	Cw6	No Change	No Change	No Change	No
PRO331	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	Cw7	No Change	No Change	No Change	No
PRO332	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	Cw8	No Change	No Change	No Change	No
PRO333	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	Cw9(w3)	No Change	No Change	No Change	No
PRO334	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	Cw10(w3)	No Change	No Change	No Change	No
PRO335	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	CX	No Change	No Change	No Change	No
PRO336	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	Cw1	No Change	No Change	No Change	No
PRO337	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	Cw2	No Change	No Change	No Change	No
PRO338	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	Cw3	No Change	No Change	No Change	No
PRO339	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	Cw4	No Change	No Change	No Change	No
PRO340	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	Cw5	No Change	No Change	No Change	No
PRO341	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	Cw6	No Change	No Change	No Change	No
PRO342	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	Cw7	No Change	No Change	No Change	No
PRO343	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	Cw8	No Change	No Change	No Change	No
PRO344	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	Cw9(w3)	No Change	No Change	No Change	No
PRO345	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	Cw10(w3)	No Change	No Change	No Change	No
PRO346	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	CX	No Change	No Change	No Change	No
PRO347	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity Bw4 present?	yes	No Change	No Change	No Change	No
PRO348	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity Bw4 present?	no	No Change	No Change	No Change	No
PRO349	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity Bw6 present?	yes	No Change	No Change	No Change	No
PRO350	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity Bw6 present?	no	No Change	No Change	No Change	No
PRO351	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Number of antigens provided	one	No Change	No Change	No Change	No
PRO352	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Number of antigens provided	two	No Change	No Change	No Change	No
PRO353	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR1	No Change	No Change	No Change	No
PRO354	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR103	No Change	No Change	No Change	No
PRO355	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR2	No Change	No Change	No Change	No
PRO356	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR3	No Change	No Change	No Change	No
PRO357	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR4	No Change	No Change	No Change	No
PRO358	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR5	No Change	No Change	No Change	No
PRO359	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR6	No Change	No Change	No Change	No
PRO360	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR7	No Change	No Change	No Change	No
PRO361	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR8	No Change	No Change	No Change	No
PRO362	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR9	No Change	No Change	No Change	No
PRO363	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR10	No Change	No Change	No Change	No
PRO364	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR11(5)	No Change	No Change	No Change	No
PRO365	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR12(5)	No Change	No Change	No Change	No
PRO366	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR13(6)	No Change	No Change	No Change	No
PRO367	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR14(6)	No Change	No Change	No Change	No
PRO368	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR1403	No Change	No Change	No Change	No
PRO369	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR1404	No Change	No Change	No Change	No
PRO370	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR15(2)	No Change	No Change	No Change	No
PRO371	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR16(2)	No Change	No Change	No Change	No
PRO372	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR17(3)	No Change	No Change	No Change	No
PRO373	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DR18(3)	No Change	No Change	No Change	No
PRO374	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DRX	No Change	No Change	No Change	No
PRO375	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR1	No Change	No Change	No Change	No
PRO376	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR103	No Change	No Change	No Change	No
PRO377	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR2	No Change	No Change	No Change	No
PRO378	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR3	No Change	No Change	No Change	No
PRO379	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR4	No Change	No Change	No Change	No
PRO380	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR5	No Change	No Change	No Change	No
PRO381	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR6	No Change	No Change	No Change	No
PRO382	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR7	No Change	No Change	No Change	No
PRO383	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR8	No Change	No Change	No Change	No
PRO384	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR9	No Change	No Change	No Change	No
PRO385	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR10	No Change	No Change	No Change	No
PRO386	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR11(5)	No Change	No Change	No Change	No
PRO387	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR12(5)	No Change	No Change	No Change	No
PRO388	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR13(6)	No Change	No Change	No Change	No
PRO389	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR14(6)	No Change	No Change	No Change	No
PRO390	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR1403	No Change	No Change	No Change	No
PRO391	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR1404	No Change	No Change	No Change	No
PRO392	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR15(2)	No Change	No Change	No Change	No
PRO393	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR16(2)	No Change	No Change	No Change	No
PRO394	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR17(3)	No Change	No Change	No Change	No
PRO395	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DR18(3)	No Change	No Change	No Change	No
PRO396	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DRX	No Change	No Change	No Change	No
PRO397	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity DR51 present?	yes	No Change	No Change	No Change	No
PRO398	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity DR51 present?	no	No Change	No Change	No Change	No
PRO399	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity DR52 present?	yes	No Change	No Change	No Change	No
PRO400	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity DR52 present?	no	No Change	No Change	No Change	No
PRO401	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity DR53 present?	yes	No Change	No Change	No Change	No
PRO402	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity DR53 present?	no	No Change	No Change	No Change	No
PRO403	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Number of antigens provided	one	No Change	No Change	No Change	No
PRO404	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Number of antigens provided	two	No Change	No Change	No Change	No
PRO405	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DQ1	No Change	No Change	No Change	No
PRO406	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DQ2	No Change	No Change	No Change	No
PRO407	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DQ3	No Change	No Change	No Change	No
PRO408	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DQ4	No Change	No Change	No Change	No
PRO409	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DQ5(1)	No Change	No Change	No Change	No
PRO410	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DQ6(1)	No Change	No Change	No Change	No
PRO411	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DQ7(3)	No Change	No Change	No Change	No
PRO412	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DQ8(3)	No Change	No Change	No Change	No
PRO413	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DQ9(3)	No Change	No Change	No Change	No
PRO414	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DQX	No Change	No Change	No Change	No
PRO415	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DQ1	No Change	No Change	No Change	No
PRO416	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DQ2	No Change	No Change	No Change	No
PRO417	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DQ3	No Change	No Change	No Change	No
PRO418	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DQ4	No Change	No Change	No Change	No
PRO419	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DQ5(1)	No Change	No Change	No Change	No
PRO420	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DQ6(1)	No Change	No Change	No Change	No
PRO421	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DQ7(3)	No Change	No Change	No Change	No
PRO422	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DQ8(3)	No Change	No Change	No Change	No
PRO423	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DQ9(3)	No Change	No Change	No Change	No
PRO424	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DQX	No Change	No Change	No Change	No
PRO425	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Number of antigens provided	one	No Change	No Change	No Change	No
PRO426	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Number of antigens provided	two	No Change	No Change	No Change	No
PRO427	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DPw1	No Change	No Change	No Change	No
PRO428	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DPw2	No Change	No Change	No Change	No
PRO429	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DPw3	No Change	No Change	No Change	No
PRO430	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DPw4	No Change	No Change	No Change	No
PRO431	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DPw5	No Change	No Change	No Change	No
PRO432	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DPw6	No Change	No Change	No Change	No
PRO433	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 1st antigen	DPX	No Change	No Change	No Change	No
PRO434	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DPw1	No Change	No Change	No Change	No
PRO435	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DPw2	No Change	No Change	No Change	No
PRO436	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DPw3	No Change	No Change	No Change	No
PRO437	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DPw4	No Change	No Change	No Change	No
PRO438	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DPw5	No Change	No Change	No Change	No
PRO439	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DPw6	No Change	No Change	No Change	No
PRO440	Transplant Procedure and Product	Confirmation of HLA Typing	Optional Antigen Reporting	No	Specificity – 2nd antigen	DPX	No Change	No Change	No Change	No
PRO441	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	HCT type	Auto-filled field	No Change	No Change	No Change	No
PRO442	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	Product type	Auto-filled field	No Change	No Change	No Change	No
PRO443	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	Specify:	Auto-filled field	No Change	No Change	No Change	No
PRO444	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	NMDP Product	Auto-filled field	No Change	No Change	No Change	No
PRO445	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	NMDP cord blood unit ID:	Auto-filled field	No Change	No Change	No Change	No
PRO446	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	NMDP donor ID:	Auto-filled field	No Change	No Change	No Change	No
PRO447	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	Registry donor ID:	Auto-filled field	No Change	No Change	No Change	No
PRO448	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	Non-NMDP cord blood unit ID:	Auto-filled field	No Change	No Change	No Change	No
PRO449	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	Global Registration Identifier for Donors (GRID)	Auto-filled field	No Change	No Change	No Change	No
PRO450	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	ISBT DIN:	Auto-filled field	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO451	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	Registry or UCB Bank ID	Auto-filled field	No Change	No Change	No Change	No
PRO452	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	Donor DOB:	Auto-filled field	No Change	No Change	No Change	No
PRO453	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	Donor age:	Auto-filled field	No Change	No Change	No Change	No
PRO454	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Key Fields	No	Donor sex:	Auto-filled field	No Change	No Change	No Change	No
PRO455	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Pre-Collection Therapy	No	Did the donor receive growth and mobilizing factors, prior to any stem cell harvest, to enhance the product collection?	Yes	No Change	No Change	No Change	No
PRO456	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Pre-Collection Therapy	No	Did the donor receive growth and mobilizing factors, prior to any stem cell harvest, to enhance the product collection?	No	No Change	No Change	No Change	No
PRO457	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Pre-Collection Therapy	No	Specify growth and mobilizing factors	G-CSF (filgrastim, Neupogen)	Change/Clarification of Information Requested	No Change	G-CSF (TBO-filgrastim, filgrastim, Granix, Neupogen and biosimilars)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO458	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Pre-Collection Therapy	No	Specify growth and mobilizing factors	Pegylated G-CSF (pegfilgrastim, Neulasta)	No Change	No Change	No Change	No
PRO459	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Pre-Collection Therapy	No	Specify growth and mobilizing factors	Motixafortide (Aphexda)	No Change	No Change	No Change	No
PRO460	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Pre-Collection Therapy	No	Specify growth and mobilizing factors	Plerixafor (Mozobil)	Change/Clarification of Information Requested	No Change	Plerixafor (Mozobil, and biosimilars)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO461	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Pre-Collection Therapy	No	Specify growth and mobilizing factors	Other growth or mobilization factor	No Change	No Change	No Change	No
PRO462	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Pre-Collection Therapy	No	Specify other growth or mobilizing factor:	Open text	No Change	No Change	No Change	No
PRO463	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Collection	No	Date of first collection for this mobilization:	Open text	No Change	No Change	No Change	No
PRO464	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Collection	No	Were anticoagulants or other agents added to the product between collection and infusion?	Yes	No Change	No Change	No Change	No
PRO465	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Collection	No	Were anticoagulants or other agents added to the product between collection and infusion?	No	No Change	No Change	No Change	No
PRO466	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Collection	No	Specify anticoagulant(s) or other agents	Acid citrate dextrose (ACD, ACD-A)	No Change	No Change	No Change	No
PRO467	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Collection	No	Specify anticoagulant(s) or other agents	Citrate phosphate dextrose (CPD, CDPD-A)	No Change	No Change	No Change	No
PRO468	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Collection	No	Specify anticoagulant(s) or other agents		Addition of Information Requested	No Change	Dimethylsulfoxide (DMSO)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO469	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Collection	No	Specify anticoagulant(s) or other agents	Ethylenediaminetetraacetic acid (EDTA)	No Change	No Change	No Change	No
PRO470	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Collection	No	Specify anticoagulant(s) or other agents	Heparin	No Change	No Change	No Change	No
PRO471	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Collection	No	Specify anticoagulant(s) or other agents		Addition of Information Requested	No Change	Plasmalyte	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO472	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Collection	No	Specify anticoagulant(s) or other agents	Other agent	No Change	No Change	No Change	No
PRO473	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Collection	No	Specify other agent:	Open text	No Change	No Change	No Change	No
PRO474	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Was this product collected off-site and shipped to your facility?	yes	No Change	No Change	No Change	No
PRO475	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Was this product collected off-site and shipped to your facility?	no	No Change	No Change	No Change	No
PRO476	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Date of receipt of product at your facility:	Open text	No Change	No Change	No Change	No
PRO477	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Time of receipt of product (24-hour clock):	Open text	No Change	No Change	No Change	No
PRO478	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	standard time	checked	New Functionality	No Change	Auto-filled field (standard time)	No	Reduce burden
PRO479	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	daylight savings time	checked	New Functionality	No Change	Auto-filled field (daylight savings time)	No	Reduce burden
PRO480	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Specify the shipping environment of the product(s)	Room temperature	No Change	No Change	No Change	No
PRO481	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Specify the shipping environment of the product(s)	Cooled	No Change	No Change	No Change	No
PRO482	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Specify the shipping environment of the product(s)	Frozen	No Change	No Change	No Change	No
PRO483	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Specify the shipping environment of the product(s)	Other shipping environment	No Change	No Change	No Change	No
PRO484	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Specify other shipping environment:	Open text	No Change	No Change	No Change	No
PRO485	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Was there any indication that the environment within the shipper was outside the expected temperature range for this product at any time during shipment?	yes	No Change	No Change	No Change	No
PRO486	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Was there any indication that the environment within the shipper was outside the expected temperature range for this product at any time during shipment?	no	No Change	No Change	No Change	No
PRO487	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Were the secondary containers (e.g., insulated shipping containers and unit cassette) intact when they arrived at your center?	yes	No Change	No Change	No Change	No
PRO488	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Were the secondary containers (e.g., insulated shipping containers and unit cassette) intact when they arrived at your center?	no	No Change	No Change	No Change	No
PRO489	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Was the cord blood unit stored at your center prior to thawing?	yes	No Change	No Change	No Change	No
PRO490	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Was the cord blood unit stored at your center prior to thawing?	no	No Change	No Change	No Change	No
PRO491	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Specify the storage method used for the cord blood unit	Electric freezer	No Change	No Change	No Change	No
PRO492	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Specify the storage method used for the cord blood unit	Liquid nitrogen	No Change	No Change	No Change	No
PRO493	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Specify the storage method used for the cord blood unit	Vapor phase	No Change	No Change	No Change	No
PRO494	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Temperature during storage	< -150° C	Change/Clarification of Information Requested	No Change	≤ 150° C	No	Capture data accurately
PRO495	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Temperature during storage	≥-150°C to < -135°C	Change/Clarification of Information Requested	No Change	-149°C to ≥-80° C	No	Reduce burden - information no longer needed
PRO496	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Temperature during storage	≥ -135° C to < -80°C	Deletion of Information Requested	No Change		No	Reduce burden - information no longer needed
PRO497	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Temperature during storage	≥-80°C	Deletion of Information Requested	No Change		No	Reduce burden - information no longer needed
PRO498	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Date storage started:	Open text	No Change	No Change	No Change	No
PRO499	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Total nucleated cells:	Open text	No Change	No Change	No Change	No
PRO500	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Total nucleated cells exponent:	Open text	No Change	No Change	No Change	No
PRO501	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	CD34+ cells	Done	No Change	No Change	No Change	No
PRO502	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	CD34+ cells	Not done	No Change	No Change	No Change	No
PRO503	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Total number of CD34+ cells:	Open text	No Change	No Change	No Change	No
PRO504	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Transport and Receipt	No	Total number of CD34+ cells exponent:	Open text	No Change	No Change	No Change	No
PRO505	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Was the product thawed from a cryopreserved state prior to infusion?	yes	No Change	No Change	No Change	No
PRO506	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Was the product thawed from a cryopreserved state prior to infusion?	no	No Change	No Change	No Change	No
PRO507	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Was the entire product thawed?	yes	Change/Clarification of Information Requested	Was the entire product received by the center thawed?	No Change	No	Capture data accurately
PRO508	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Was the entire product thawed?	no	Change/Clarification of Information Requested	Was the entire product received by the center thawed?	No Change	No	Capture data accurately
PRO509	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify the percent of the product that was thawed?	80%	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO510	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify the percent of the product that was thawed?	20%	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO511	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify the percent of the product that was thawed?	Other percent	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO512	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify other percent:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO513	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Date thawing process initiated:	Open text	No Change	No Change	No Change	No
PRO514	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Time at initiation of thaw (24-hour clock):	Open text	No Change	No Change	No Change	No
PRO515	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	standard time	checked	New Functionality	No Change	Auto-filled field (standard time)	No	Reduce burden
PRO516	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	daylight savings time	checked	New Functionality	No Change	Auto-filled field (daylight savings time)	No	Reduce burden
PRO517	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Time of thaw completion (24-hour clock):	Open text	No Change	No Change	No Change	No
PRO518	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	standard time	checked	New Functionality	No Change	Auto-filled field (standard time)	No	Reduce burden
PRO519	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	daylight savings time	checked	New Functionality	No Change	Auto-filled field (daylight savings time)	No	Reduce burden
PRO520	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	What method was used to thaw the product?	Waterbath	No Change	No Change	No Change	No
PRO521	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	What method was used to thaw the product?	Electric warmer	No Change	No Change	No Change	No
PRO522	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	What method was used to thaw the product?	Other method	No Change	No Change	No Change	No
PRO523	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify other method:	Open text	Change/Clarification of Information Requested	Specify other method used to thaw the product:	No Change	No	Capture data accurately
PRO524	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Did any incidents or product complaints occur while preparing or thawing the product?	Yes	No Change	No Change	No Change	No
PRO525	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Did any incidents or product complaints occur while preparing or thawing the product?	No	No Change	No Change	No Change	No
PRO526	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Was the product processed prior to infusion?	Yes	No Change	No Change	No Change	No
PRO527	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Was the product processed prior to infusion?	No	No Change	No Change	No Change	No
PRO528	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify processing	Buffy coat enriched	No Change	No Change	No Change	No
PRO529	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify processing	Diluted	No Change	No Change	No Change	No
PRO530	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify processing	Plasma reduced	No Change	No Change	No Change	No
PRO531	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify processing	RBC reduced	No Change	No Change	No Change	No
PRO532	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify processing	Washed	No Change	No Change	No Change	No
PRO533	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Was the product manipulated prior to infusion?	yes	No Change	No Change	No Change	No
PRO534	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Was the product manipulated prior to infusion?	no	No Change	No Change	No Change	No
PRO535	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify manipulations performed	Ex-vivo expansion	No Change	No change	No change	No
PRO536	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify manipulations performed	Genetic manipulation (gene transfer / transduction)	No Change	No Change	No Change	No
PRO537	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify manipulations performed	CD34 enriched (CD34+ selection)	No Change	No Change	No Change	No
PRO538	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify manipulations performed	Ex-vivo T-cell depetion	No Change	No Change	No Change	No
PRO539	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify manipulations performed		Addition of Information Requested	No Change	Negative fraction	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO540	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify manipulations performed	Other cell manipulation	No Change	No Change	No Change	No
PRO541	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No			Addition of Information Requested	Specify ex-vivo expansion	Omidubicel (OMISIRGE)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO542	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No			Addition of Information Requested	Specify ex-vivo expansion	Other method	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO543	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No			Addition of Information Requested	Specify other ex-vivo expansion:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO544	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No			Addition of Information Requested	Specify genetic manipulation (gene transfer / gene transduction):	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO545	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify antibodies used	Anti CD3	No Change	No Change	No Change	No
PRO546	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify antibodies used	Anti CD4	No Change	No Change	No Change	No
PRO547	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify antibodies used	Anti CD8	No Change	No Change	No Change	No
PRO548	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify antibodies used	Anti CD19	No Change	No Change	No Change	No
PRO549	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Processing / Manipulation	No	Specify antibodies used	Anti CD45RA	No Change	No Change	No Change	No
PRO550	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis	No	Specify antibodies used	Alpha/beta antibody	No Change	No Change	No Change	No
PRO551	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis	No	Specify antibodies used	Anti CD52	No Change	No Change	No Change	No
PRO552	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis	No	Specify antibodies used	Other antibody	No Change	No Change	No Change	No
PRO553	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis	No	Specify other antibody:	Open text	Change/Clarification of Information Requested	Specify other antibody used:	No Change	No	Capture data accurately
PRO554	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis	No	Specify T-cell depletion method	Antibody affinity column	No Change	No Change	No Change	No
PRO555	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis	No	Specify T-cell depletion method	Immunomagnetic beads	No Change	No Change	No Change	No
PRO556	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis	No	Specify T-cell depletion method	Other Method	No Change	No Change	No Change	No
PRO557	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis	No	Specify other method:	Open text	Change/Clarification of Information Requested	Specify other T-cell depletion method:	No Change	No	Capture data accurately
PRO558	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis	No	Specify other cell manipulation:	Open text	No Change	No Change	No Change	No
PRO559	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Specify the timepoint in the product preparation phase that the product was analyzed	Product arrival	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO560	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Specify the timepoint in the product preparation phase that the product was analyzed	At infusion	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO561	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Date of product analysis:	Open text	No Change	No Change	No Change	No
PRO562	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total volume of product plus additives:	Open text	Change/Clarification of Information Requested	Total volume of product received by center plus additives:	No Change	No	Capture data accurately
PRO563	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total nucleated cells (TNC)	Done	No Change	No Change	No Change	No
PRO564	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total nucleated cells (TNC)	Not done	No Change	No Change	No Change	No
PRO565	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total nucleated cells:	Open text	No Change	No Change	No Change	No
PRO566	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total nucleated cells exponent:	Open text	No Change	No Change	No Change	No
PRO567	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of TNC	Done	No Change	No Change	No Change	No
PRO568	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of TNC	Not done	No Change	No Change	No Change	No
PRO569	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of TNC:	Open text	No Change	No Change	No Change	No
PRO570	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing TNC viability	Flow cytometry based	No Change	No Change	No Change	No
PRO571	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing TNC viability	Trypan blue	No Change	No Change	No Change	No
PRO572	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing TNC viability	Other method	No Change	No Change	No Change	No
PRO573	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Specify other method:	Open text	Change/Clarification of Information Requested	Specify other of testing TNC viability:	No Change	No	Capture data accurately
PRO574	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Nucleated white blood cells	Done	No Change	No Change	No Change	No
PRO575	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Nucleated white blood cells	Not done	No Change	No Change	No Change	No
PRO576	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of nucleated white blood cells:	Open text	No Change	No Change	No Change	No
PRO577	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of nucleated white blood cells exponent:	Open text	No Change	No Change	No Change	No
PRO578	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Mononuclear cells	Done	No Change	No Change	No Change	No
PRO579	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Mononuclear cells	Not done	No Change	No Change	No Change	No
PRO580	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of mononuclear cells:	Open text	No Change	No Change	No Change	No
PRO581	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of mononuclear cells exponent:	Open text	No Change	No Change	No Change	No
PRO582	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Nucleated red blood cells	Done	No Change	No Change	No Change	No
PRO583	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Nucleated red blood cells	Not done	No Change	No Change	No Change	No
PRO584	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of nucleated red blood cells:	Open text	No Change	No Change	No Change	No
PRO585	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of nucleated red blood cells exponent:	Open text	No Change	No Change	No Change	No
PRO586	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	CD34+ cells	Done	No Change	No Change	No Change	No
PRO587	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	CD34+ cells	Not done	No Change	No Change	No Change	No
PRO588	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of CD34+ cells:	Open text	No Change	No Change	No Change	No
PRO589	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of CD34+ cells exponent:	Open text	No Change	No Change	No Change	No
PRO590	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD34+ cells	Done	No Change	No Change	No Change	No
PRO591	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD34+ cells	Not done	No Change	No Change	No Change	No
PRO592	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD34+ cells	Unknown	Deletion of Information Requested	No Change		No	Reduce burden - information no longer needed
PRO593	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD34+ cells percentage	Open text	No Change	No Change	No Change	No
PRO594	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD34+ cell viability	Flow cytometry based	No Change	No Change	No Change	No
PRO595	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD34+ cell viability	Trypan blue	No Change	No Change	No Change	No
PRO596	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD34+ cell viability	Other method	No Change	No Change	No Change	No
PRO597	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Specify other method:	Open text	Change/Clarification of Information Requested	Specify other method of testing CD34+ cell viability:	No Change	No	Capture data accurately
PRO598	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	CD3+ cells	Done	No Change	No Change	No Change	No
PRO599	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	CD3+ cells	Not done	No Change	No Change	No Change	No
PRO600	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of CD3+ cells:	Open text	No Change	No Change	No Change	No
PRO601	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of CD3+ cells exponent:	Open text	No Change	No Change	No Change	No
PRO602	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD3+ cells	Done	No Change	No Change	No Change	No
PRO603	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD3+ cells	Not done	No Change	No Change	No Change	No
PRO604	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD3+ cells	Unknown	Deletion of Information Requested	No Change		No	Capture data accurately
PRO605	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD3+ cells percentage	Open text	No Change	No Change	No Change	No
PRO606	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD3+ cell viability	Flow cytometry based	No Change	No Change	No Change	No
PRO607	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD3+ cell viability	Trypan blue	No Change	No Change	No Change	No
PRO608	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD3+ cell viability	Other method	No Change	No Change	No Change	No
PRO609	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Specify other method:	Open text	Change/Clarification of Information Requested	Specify other method of testing CD3+ cell viability:	No Change	No	Capture data accurately
PRO610	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	CD3+CD4+ cells	Done	No Change	No Change	No Change	No
PRO611	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	CD3+CD4+ cells	Not done	No Change	No Change	No Change	No
PRO612	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of CD3+CD4+ cells:	Open text	No Change	No Change	No Change	No
PRO613	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of CD3+CD4+ cells exponent:	Open text	No Change	No Change	No Change	No
PRO614	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD3+CD4+ cells	Done	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO615	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD3+CD4+ cells	Not done	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO616	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD3+CD4+ cells	Unknown	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO617	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD3+CD4+ cells percentage	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO618	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD3+CD4+ cell viability	Flow cytometry based	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO619	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD3+CD4+ cell viability	Trypan blue	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO620	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD3+CD4+ cell viability	Other method	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO621	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Specify other method:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO622	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	CD3+CD8+ cells	Done	No Change	No Change	No Change	No
PRO623	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	CD3+CD8+ cells	Not done	No Change	No Change	No Change	No
PRO624	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of CD3+CD8+ cells:	Open text	No Change	No Change	No Change	No
PRO625	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total number of CD3+CD8+ cells exponent:	Open text	No Change	No Change	No Change	No
PRO626	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD3+CD8+ cells	Done	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO627	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD3+CD8+ cells	Not done	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO628	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Viability of CD3+CD8+ cells	Unknown	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO629	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	No	Viability of CD3+CD8+ cells percentage	Open Text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO630	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD3+CD8+ cell viability	Flow cytometry based	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO631	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD3+CD8+ cell viability	Trypan blue	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO632	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Method of testing CD3+CD8+ cell viability	Other method	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO633	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Specify other method:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
PRO634	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Were the colony-forming units (CFU) assessed after thawing?	yes	No Change	No Change	No Change	No
PRO635	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Were the colony-forming units (CFU) assessed after thawing?	no	No Change	No Change	No Change	No
PRO636	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Was there growth?	yes	No Change	No Change	No Change	No
PRO637	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Was there growth?	no	No Change	No Change	No Change	No
PRO638	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Indicate which assessments were carried out	Total CFU-GM	No Change	No Change	No Change	No
PRO639	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Indicate which assessments were carried out	Total CFU-GEMM	No Change	No Change	No Change	No
PRO640	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Indicate which assessments were carried out	Total BFU-E	No Change	No Change	No Change	No
PRO641	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total CFU-GM:	Open text	No Change	No Change	No Change	No
PRO642	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total CFU-GM exponent:	Open text	No Change	No Change	No Change	No
PRO643	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total CFU-GEMM:	Open text	No Change	No Change	No Change	No
PRO644	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total CFU-GEMM exponent:	Open text	No Change	No Change	No Change	No
PRO645	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total BFU-E:	Open text	No Change	No Change	No Change	No
PRO646	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Total BFU-E exponent:	Open text	No Change	No Change	No Change	No
PRO647	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Were any positive cultures (for bacterial or fungal infections) obtained from the product at the transplant center?	Yes	No Change	No Change	No Change	No
PRO648	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Were any positive cultures (for bacterial or fungal infections) obtained from the product at the transplant center?	No	No Change	No Change	No Change	No
PRO649	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Were any positive cultures (for bacterial or fungal infections) obtained from the product at the transplant center?	Pending	No Change	No Change	No Change	No
PRO650	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Were any positive cultures (for bacterial or fungal infections) obtained from the product at the transplant center?	Unknown	No Change	No Change	No Change	No
PRO651	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Acinetobacter (all species)	No Change	No Change	No Change	No
PRO652	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Bordetella pertussis (whooping cough)	No Change	No Change	No Change	No
PRO653	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Campylobacter (all species)	No Change	No Change	No Change	No
PRO654	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Capnocytophaga (all species)	No Change	No Change	No Change	No
PRO655	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Chlamydia (pneumoniae)	No Change	No Change	No Change	No
PRO656	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Citrobacter (freundii, other species)	No Change	No Change	No Change	No
PRO657	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Clostridium (all species except difficile)	No Change	No Change	No Change	No
PRO658	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Clostridium difficile	No Change	No Change	No Change	No
PRO659	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Corynebacterium jeikeium	No Change	No Change	No Change	No
PRO660	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]		Addition of Information Requested	No Change	Cutibacterium acnes (Propionibacterium)	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO661	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Enterobacter (all species)	No Change	No Change	No Change	No
PRO662	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Enterococcus (all species)	No Change	No Change	No Change	No
PRO663	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Enterococcus, vancomycin resistant (VRE)	No Change	No Change	No Change	No
PRO664	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Escherichia (also E. coli)	No Change	No Change	No Change	No
PRO665	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Fusobacterium (all species)	No Change	No Change	No Change	No
PRO666	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Haemophilus influenzae	No Change	No Change	No Change	No
PRO667	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Haemophilus non-influenzae	No Change	No Change	No Change	No
PRO668	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Klebsiella (all species)	No Change	No Change	No Change	No
PRO669	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Lactobacillus (bulgaricus, acidophilus, other species)	No Change	No Change	No Change	No
PRO670	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Legionella pneumophila	No Change	No Change	No Change	No
PRO671	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Legionella non-pneumophila	No Change	No Change	No Change	No
PRO672	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Leptospira (all species)	No Change	No Change	No Change	No
PRO673	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Leptotrichia buccalis	No Change	No Change	No Change	No
PRO674	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Leuconostoc (all species)	No Change	No Change	No Change	No
PRO675	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Listeria monocytogenes	No Change	No Change	No Change	No
PRO676	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Micrococcus, NOS	No Change	No Change	No Change	No
PRO677	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Mycobacterium abscessus	No Change	No Change	No Change	No
PRO678	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Mycobacterium avium - intracellulare (MAC, MAI)	No Change	No Change	No Change	No
PRO679	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Mycobacterium cheloneae	No Change	No Change	No Change	No
PRO680	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Mycobacterium fortuitum	No Change	No Change	No Change	No
PRO681	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Mycobacterium haemophilum	No Change	No Change	No Change	No
PRO682	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Mycobacterium kansasii	No Change	No Change	No Change	No
PRO683	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Mycobacterium marinum	No Change	No Change	No Change	No
PRO684	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Mycobacterium mucogenicum	No Change	No Change	No Change	No
PRO685	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Mycobacterium tuberculosis (tuberculosis, Koch bacillus)	No Change	No Change	No Change	No
PRO686	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Mycoplasma (all species)	No Change	No Change	No Change	No
PRO687	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Neisseria gonorrhoeae	No Change	No Change	No Change	No
PRO688	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Neisseria meningitidis	No Change	No Change	No Change	No
PRO689	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Nocardia (all species)	No Change	No Change	No Change	No
PRO690	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Pasteurella multocida	No Change	No Change	No Change	No
PRO691	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Proteus (all species)	No Change	No Change	No Change	No
PRO692	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Pseudomonas or Burkholderia cepacia	No Change	No Change	No Change	No
PRO693	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Pseudomonas aeruginosa	No Change	No Change	No Change	No
PRO694	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Pseudomonas non-aeruginosa	No Change	No Change	No Change	No
PRO695	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Rhodococcus (all species)	No Change	No Change	No Change	No
PRO696	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Rickettsia (all species)	No Change	No Change	No Change	No
PRO697	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Salmonella (all species)	No Change	No Change	No Change	No
PRO698	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Serratia marcescens	No Change	No Change	No Change	No
PRO699	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Shigella (all species)	No Change	No Change	No Change	No
PRO700	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Staphylococcus aureus (Methicillin Resistant)	No Change	No Change	No Change	No
PRO701	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Staphylococcus aureus (Methicillin Sensitive)	No Change	No Change	No Change	No
PRO702	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Stenotrophomonas maltophilia	No Change	No Change	No Change	No
PRO703	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Stomatococcus mucilaginosis	No Change	No Change	No Change	No
PRO704	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Streptococcus, alpha-hemolytic	No Change	No Change	No Change	No
PRO705	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Streptococcus, Group B	No Change	No Change	No Change	No
PRO706	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Streptococcus pneumoniae	No Change	No Change	No Change	No
PRO707	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Treponema (syphilis)	No Change	No Change	No Change	No
PRO708	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Vibrio (all species)	No Change	No Change	No Change	No
PRO709	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Aspergillus, NOS	No Change	No Change	No Change	No
PRO710	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Aspergillus flavus	No Change	No Change	No Change	No
PRO711	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Aspergillus fumigatus	No Change	No Change	No Change	No
PRO712	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Aspergillus niger	No Change	No Change	No Change	No
PRO713	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Aspergillus terreus	No Change	No Change	No Change	No
PRO714	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Aspergillus ustus	No Change	No Change	No Change	No
PRO715	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Blastomyces (dermatitidis)	No Change	No Change	No Change	No
PRO716	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Candida albicans	No Change	No Change	No Change	No
PRO717	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Candida non-albicans	No Change	No Change	No Change	No
PRO718	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Coccidioides (all species)	No Change	No Change	No Change	No
PRO719	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Cryptococcus gattii	No Change	No Change	No Change	No
PRO720	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Cryptococcus neoformans	No Change	No Change	No Change	No
PRO721	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Fusarium (all species)	No Change	No Change	No Change	No
PRO722	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Histoplasma (capsulatum)	No Change	No Change	No Change	No
PRO723	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Mucorales (all species)	No Change	No Change	No Change	No
PRO724	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Pneumocystis (PCP / PJP)	No Change	No Change	No Change	No
PRO725	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Rhizopus (all species)	No Change	No Change	No Change	No
PRO726	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Scedosporium (all species)	No Change	No Change	No Change	No
PRO727	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Zygomycetes, NOS	No Change	No Change	No Change	No
PRO728	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Suspected fungal infection	No Change	No Change	No Change	No
PRO729	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	Other organism	No Change	No Change	No Change	No
PRO730	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	2nd optional response for additional organisms - see organism list above	No Change	No Change	No Change	No
PRO731	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	3rd optional response for additional organisms - see organism list above	No Change	No Change	No Change	No
PRO732	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	[Specify organism]	4th optional response for additional organisms - see organism list above	No Change	No Change	No Change	No
PRO733	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Analysis at Infusion	Yes	Specify other organism:	Open text	No Change	No Change	No Change	No
PRO734	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Date of this product infusion:	Open text	No Change	No Change	No Change	No
PRO735	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Was the entire volume of received product infused?	yes	Change/Clarification of Information Requested	Was the entire volume of the product received by the center infused?	Yes	No	Capture data accurately
PRO736	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Was the entire volume of received product infused?	no	Change/Clarification of Information Requested	Was the entire volume of the product received by the center infused?	No	No	Capture data accurately
PRO737	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify what happened to the reserved portion	discarded	No Change	No Change	No Change	No
PRO738	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify what happened to the reserved portion	cryopreserved for future use	No Change	No Change	No Change	No
PRO739	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify what happened to the reserved portion		Addition of Information Requested	No Change	Research	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO740	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify what happened to the reserved portion		Addition of Information Requested	No Change	Training or Quality Control	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO741	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify what happened to the reserved portion	other fate	No Change	No Change	No Change	No
PRO742	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify other fate:	Open text	No Change	No Change	No Change	No
PRO743	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Time product infusion initiated (24-hour clock):	Open text	No Change	No Change	No Change	No
PRO744	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	standard time	checked	New Functionality	No Change	Auto-filled field (standard time)	No	Reduce burden
PRO745	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	daylight savings time	checked	New Functionality	No Change	Auto-filled field (daylight savings time)	No	Reduce burden
PRO746	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Date infusion stopped:	Open text	No Change	No Change	No Change	No
PRO747	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Time product infusion completed (24-hour clock):	Open text	No Change	No Change	No Change	No
PRO748	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	standard time	checked	New Functionality	No Change	Auto-filled field (standard time)	No	Reduce burden
PRO749	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	daylight savings time	checked	New Functionality	No Change	Auto-filled field (daylight savings time)	No	Reduce burden
PRO750	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify the route of product infusion	Intravenous	No Change	No Change	No Change	No
PRO751	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify the route of product infusion	Intramedullary	No Change	No Change	No Change	No
PRO752	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify the route of product infusion	Other route of infusion	No Change	No Change	No Change	No
PRO753	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify other route of infusion:	Open text	No Change	No Change	No Change	No
PRO754	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Were there any adverse events or incidents associated with the stem cell infusion?	yes	No Change	No Change	No Change	No
PRO755	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Were there any adverse events or incidents associated with the stem cell infusion?	no	No Change	No Change	No Change	No
PRO756	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Brachycardia	yes	No Change	No Change	No Change	No
PRO757	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Brachycardia	no	No Change	No Change	No Change	No
PRO758	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO759	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO760	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Chest tightness / pain	yes	No Change	No Change	No Change	No
PRO761	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Chest tightness / pain	no	No Change	No Change	No Change	No
PRO762	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO763	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO764	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Chills at time of infusion	yes	No Change	No Change	No Change	No
PRO765	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Chills at time of infusion	no	No Change	No Change	No Change	No
PRO766	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO767	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO768	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Fever ≤ 103° F within 24 hours of infusion	yes	No Change	No Change	No Change	No
PRO769	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Fever ≤ 103° F within 24 hours of infusion	no	No Change	No Change	No Change	No
PRO770	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO771	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO772	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Fever > 103° F within 24 hours of infusion	yes	No Change	No Change	No Change	No
PRO773	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Fever > 103° F within 24 hours of infusion	no	No Change	No Change	No Change	No
PRO774	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO775	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO776	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Gross hemoglobinuria	yes	No Change	No Change	No Change	No
PRO777	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Gross hemoglobinuria	no	No Change	No Change	No Change	No
PRO778	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO779	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO780	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Headache	yes	No Change	No Change	No Change	No
PRO781	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Headache	no	No Change	No Change	No Change	No
PRO782	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO783	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO784	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Hives	yes	No Change	No Change	No Change	No
PRO785	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Hives	no	No Change	No Change	No Change	No
PRO786	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO787	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO788	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Hypertension	yes	No Change	No Change	No Change	No
PRO789	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Hypertension	no	No Change	No Change	No Change	No
PRO790	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO791	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO792	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Hypotension	yes	No Change	No Change	No Change	No
PRO793	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Hypotension	no	No Change	No Change	No Change	No
PRO794	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO795	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO796	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Hypoxia requiring oxygen (O2) support	yes	No Change	No Change	No Change	No
PRO797	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Hypoxia requiring oxygen (O2) support	no	No Change	No Change	No Change	No
PRO798	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO799	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO800	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Nausea	yes	No Change	No Change	No Change	No
PRO801	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Nausea	no	No Change	No Change	No Change	No
PRO802	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO803	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO804	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Rigors, mild	yes	No Change	No Change	No Change	No
PRO805	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Rigors, mild	no	No Change	No Change	No Change	No
PRO806	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO807	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO808	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Rigors, severe	yes	No Change	No Change	No Change	No
PRO809	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Rigors, severe	no	No Change	No Change	No Change	No
PRO810	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO811	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO812	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Shortness of breath (SOB)	yes	No Change	No Change	No Change	No
PRO813	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Shortness of breath (SOB)	no	No Change	No Change	No Change	No
PRO814	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO815	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO816	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Tachycardia	yes	No Change	No Change	No Change	No
PRO817	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Tachycardia	no	No Change	No Change	No Change	No
PRO818	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO819	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO820	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Vomiting	yes	No Change	No Change	No Change	No
PRO821	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Vomiting	no	No Change	No Change	No Change	No
PRO822	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO823	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO824	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Other expected AE	yes	No Change	No Change	No Change	No
PRO825	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Other expected AE	no	No Change	No Change	No Change	No
PRO826	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify other expected AE:	Open text	No Change	No Change	No Change	No
PRO827	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO828	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO829	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Other unexpected AE	yes	No Change	No Change	No Change	No
PRO830	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Other unexpected AE	no	No Change	No Change	No Change	No
PRO831	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	Specify other unexpected AE:	Open text	No Change	No Change	No Change	No
PRO832	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	yes	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	Yes	No	Capture data accurately
PRO833	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Product Infusion	No	In the Medical Director's judgment, was the adverse event a direct result of the infusion?	no	Change/Clarification of Information Requested	In the clinician's judgment, was the adverse event a direct result of the infusion?	No	No	Capture data accurately
PRO834	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Was the donor ever pregnant?	Yes	No Change	No Change	No Change	No
PRO835	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Was the donor ever pregnant?	No	No Change	No Change	No Change	No
PRO836	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Was the donor ever pregnant?	Unknown	No Change	No Change	No Change	No
PRO837	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Was the donor ever pregnant?	Not Applicable	Deletion of Information Requested	No Change		No	Reduce burden - information no longer needed
PRO838	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Number of pregnancies	Known	No Change	No Change	No Change	No
PRO839	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Number of pregnancies	Unknown	No Change	No Change	No Change	No
PRO840	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Specify number of pregnancies:	Open text	No Change	No Change	No Change	No
PRO841	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Ethnicity	Hispanic or Latino	Change/Clarification of Information Requested	Geographic ancestry	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO842	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Ethnicity	Not Hispanic or Latino	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry		No	Be consistent with current clinical landscape, improve transplant outcome data
PRO843	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Ethnicity	Not applicable (not a resident of the USA)	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry		No	Be consistent with current clinical landscape, improve transplant outcome data
PRO844	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Ethnicity	Unknown	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry		No	Be consistent with current clinical landscape, improve transplant outcome data
PRO845	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race	White	Change/Clarification of Information Requested	Geographic ancestry	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO846	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race	Black or African American	Change/Clarification of Information Requested	Geographic ancestry	Black or African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO847	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race	Asian	Change/Clarification of Information Requested	Geographic ancestry	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO848	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race	American Indian or Alaska Native	Change/Clarification of Information Requested	Geographic ancestry	Indigenous American	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO849	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race	Native Hawaiian or Other Pacific Islander	Change/Clarification of Information Requested	Geographic ancestry	Pacific Islander	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO850	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race	Not reported	Change/Clarification of Information Requested	Geographic ancestry	Prefer not to answer	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO851	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race	Unknown	Change/Clarification of Information Requested	Geographic ancestry	Not otherwise specified	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO852	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry	Jewish	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO853	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry	Middle Eastern or North African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO854	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Eastern European	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO855	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Mediterranean	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRO856	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Middle Eastern	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRO857	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	North Coast of Africa	Change/Clarification of Information Requested	Geographic ancestry detail	North African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO858	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	North American	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRO859	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Northern European	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO860	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Western European	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO861	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	White Caribbean	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO862	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	White South or Central American	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO863	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Other White	Change/Clarification of Information Requested	Geographic ancestry detail	Not otherwise specified White	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO864	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	African	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRO865	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	African American	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO866	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Black Caribbean	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO867	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Black South or Central American	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO868	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Other Black	Change/Clarification of Information Requested	Geographic ancestry detail	Not otherwise specified Black/African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO869	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Alaskan Native or Aleut	Change/Clarification of Information Requested	Geographic ancestry detail	Alaska Native	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO870	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	North American Indian	Change/Clarification of Information Requested	Geographic ancestry detail	Indigenous North American	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO871	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	American Indian, South or Central America	Change/Clarification of Information Requested	Geographic ancestry detail	Indigenous South/Central American	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO872	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Caribbean Indian	Change/Clarification of Information Requested	Geographic ancestry detail	Indigenous Caribbean	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO873	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	South Asian	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRO874	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Filipino (Pilipino)	Change/Clarification of Information Requested	Geographic ancestry detail	Filipino	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO875	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Japanese	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO876	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Korean	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO877	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Chinese	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO878	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Vietnamese	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO879	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Other Southeast Asian	Change/Clarification of Information Requested	Geographic ancestry detail	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO880	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Guamanian	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRO881	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Hawaiian	Change/Clarification of Information Requested	Geographic ancestry detail	Native Hawaiian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO882	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Samoan	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRO883	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Other Pacific Islander	Change/Clarification of Information Requested	Geographic ancestry detail	Not otherwise specified Pacific Islander	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO884	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail	Unknown	Change/Clarification of Information Requested and Deletion of Response Option	Geographic ancestry detail		No	Be consistent with current clinical landscape, improve transplant outcome data
PRO885	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Caribbean Indian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO886	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Indian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO887	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Malaysian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO888	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Mongolian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO889	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Pakistani	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO890	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Taiwanese	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO891	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Thai	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO892	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Other Indian Subcontinent	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO893	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Not otherwise specified Asian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO894	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	East African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO895	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	South African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO896	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	West African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO897	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Brazilian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO898	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Caribbean Hispanic	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO899	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Cuban	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO900	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Mexican	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO901	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Puerto Rican	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO902	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	South / Central American Hispanic	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO903	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Not otherwise specified Hispanic / Latino	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO904	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Indigenous Caribbean	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO905	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Not otherwise specified Indigenous American	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO906	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Ashkenazi	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO907	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Mizrahi	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO908	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Sephardi	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO909	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Not otherwise specified Jewish	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO910	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Arab Peninsula	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO911	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Central Asian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO912	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	East Mediterranean	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO913	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Not otherwise specified Middle Eastern / North African	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO914	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Melanesian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO915	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Micronesian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO916	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Polynesian	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO917	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Russian or Former Soviet Union	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO918	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Race detail		Change/Clarification of Information Requested and Addition of Response Option	Geographic ancestry detail	Southern European	No	Be consistent with current clinical landscape, improve transplant outcome data
PRO919	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Was the donor a carrier for potentially transferable genetic diseases?	Yes	No Change	No Change	No Change	No
PRO920	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Was the donor a carrier for potentially transferable genetic diseases?	No	No Change	No Change	No Change	No
PRO921	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Specify potentially transferable genetic disease	Sickle cell anemia	No Change	No Change	No Change	No
PRO922	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Specify potentially transferable genetic disease	Thalassemia	No Change	No Change	No Change	No
PRO923	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Specify potentially transferable genetic disease	Other hemoglobinopathy	No Change	No Change	No Change	No
PRO924	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Specify potentially transferable genetic disease	Other disease	No Change	No Change	No Change	No
PRO925	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Specify other disease:	Open text	Change/Clarification of Information Requested	Specify other transferable genetic disease:	No Change	No	Capture data accurately
PRO926	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Was the donor / product tested for other transferable genetic or clonal abnormalities?	Yes	No Change	No Change	No Change	No
PRO927	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Was the donor / product tested for other transferable genetic or clonal abnormalities?	No	No Change	No Change	No Change	No
PRO928	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Was the donor / product tested for other transferable genetic or clonal abnormalities?	Unknown	No Change	No Change	No Change	No
PRO929	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Clonal hematopoiesis of indeterminate potential (CHIP)	Yes	No Change	No Change	No Change	No
PRO930	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Clonal hematopoiesis of indeterminate potential (CHIP)	No	No Change	No Change	No Change	No
PRO931	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	What was the method of testing used:	Open text	No Change	No Change	No Change	No
PRO932	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Monoclonal B-cell lymphocytosis	Yes	No Change	No Change	No Change	No
PRO933	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Monoclonal B-cell lymphocytosis	No	No Change	No Change	No Change	No
PRO934	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Other transferable genetic or clonal abnormality	Yes	No Change	No Change	No Change	No
PRO935	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Other transferable genetic or clonal abnormality	No	No Change	No Change	No Change	No
PRO936	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Specify other transferable genetic or clonal abnormality:	Open text	No Change	No Change	No Change	No
PRO937	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Did the donor have a central line placed?	yes	No Change	No Change	No Change	No
PRO938	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Did the donor have a central line placed?	no	No Change	No Change	No Change	No
PRO939	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Was the donor hospitalized (inpatient) during or after the collection?	yes	No Change	No Change	No Change	No
PRO940	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Was the donor hospitalized (inpatient) during or after the collection?	no	No Change	No Change	No Change	No
PRO941	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Did the donor experience any life-threatening complications during or after the collection?	yes	No Change	No Change	No Change	No
PRO942	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Did the donor experience any life-threatening complications during or after the collection?	no	No Change	No Change	No Change	No
PRO943	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Specify:	Open text	Change/Clarification of Information Requested	Specify the life-threatening complication experienced:	No Change	No	Capture data accurately
PRO944	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Did the allogeneic donor give one or more autologous transfusion units?	Yes	No Change	No Change	No Change	No
PRO945	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Did the allogeneic donor give one or more autologous transfusion units?	No	No Change	No Change	No Change	No
PRO946	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Date of collection:	Open text	No Change	No Change	No Change	No
PRO947	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Number of units:	Open text	No Change	No Change	No Change	No
PRO948	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Did the donor receive blood transfusions as a result of the collection?	Autologous transfusions	No Change	No Change	No Change	No
PRO949	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Did the donor receive blood transfusions as a result of the collection?	Allogeneic transfusions	No Change	No Change	No Change	No
PRO950	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Did the donor receive blood transfusions as a result of the collection?	No	No Change	No Change	No Change	No
PRO951	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Specify number of autologous units:	Open text	No Change	No Change	No Change	No
PRO952	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Specify number of allogeneic units:	Open text	No Change	No Change	No Change	No
PRO953	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Did the donor die as a result of the collection?	yes	No Change	No Change	No Change	No
PRO954	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Did the donor die as a result of the collection?	no	No Change	No Change	No Change	No
PRO955	Transplant Procedure and Product	Hematopoietic Cellular Transplant (HCT) Infusion	Donor / Infant Demographic Information	No	Specify cause of death:	Open text	No Change	No Change	No Change	No

---

Sheet 4: Post-Transplant Periodic Inform

Item ID	Time Point	Information Collection Domain Sub-Type	Information Collection Domain Additional Sub Domain	Information Collection may be requested multiple times	Current Information Collection Data Element (if applicable)	Current Information Collection Data Element Response Option (if applicable)	Information Collection update	Proposed Information Collection Data Element Update (if applicable)	Proposed Information Collection Data Element Response Option Update (if applicable)	Instructional Text Indicating an Action	Rationale for Information Collection Update
POST001	Post-Transplant Periodic Information	Post-Transplant Essential Data	Key Fields	No	Visit	Auto-filled field	No Change	No Change	No Change	No
POST002	Post-Transplant Periodic Information	Post-Transplant Essential Data	Key Fields	No	Specify:	Auto-filled field	No Change	No Change	No Change	No
POST003	Post-Transplant Periodic Information	Post-Transplant Essential Data	Survival	No	Date of actual contact with the recipient to determine medical status for this follow-up report:	Open text	No Change	No Change	No Change	No
POST004	Post-Transplant Periodic Information	Post-Transplant Essential Data	Survival	No	Specify the patient's survival status at the date of last contact	Alive	No Change	No Change	No Change	No
POST005	Post-Transplant Periodic Information	Post-Transplant Essential Data	Survival	No	Specify the patient's survival status at the date of last contact	Dead	No Change	No Change	No Change	No
POST006	Post-Transplant Periodic Information	Post-Transplant Essential Data	Subsequent Infusion	No	Did the recipient receive a subsequent infusion?	Yes	No Change	No Change	No Change	No
POST007	Post-Transplant Periodic Information	Post-Transplant Essential Data	Subsequent Infusion	No	Did the recipient receive a subsequent infusion?	No	No Change	No Change	No Change	No
POST008	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial ANC Recovery	No	Was there evidence of initial hematopoietic recovery?	Yes	No Change	No Change	No Change	No
POST009	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial ANC Recovery	No	Was there evidence of initial hematopoietic recovery?	No	No Change	No Change	No Change	No
POST010	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial ANC Recovery	No	Was there evidence of initial hematopoietic recovery?	Not applicable	No Change	No Change	No Change	No
POST011	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial ANC Recovery	No	Was there evidence of initial hematopoietic recovery?	Previously reported	No Change	No Change	No Change	No
POST012	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial ANC Recovery	No	Date ANC ≥ 500/mm3	Open text	No Change	No Change	No Change	No
POST013	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial ANC Recovery	No	Did late graft failure occur?	Yes	Change/Clarification of Information Requested	Did secondary graft failure occur?	No Change	No	Capture data accurately
POST014	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial ANC Recovery	No	Did late graft failure occur?	No	Change/Clarification of Information Requested	Did secondary graft failure occur?	No Change	No	Capture data accurately
POST015	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial Platelet Recovery	No	Was an initial platelet count > 20 x 109L achieved?	Yes	No Change	No Change	No Change	No
POST016	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial Platelet Recovery	No	Was an initial platelet count > 20 x 109L achieved?	No	No Change	No Change	No Change	No
POST017	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial Platelet Recovery	No	Was an initial platelet count > 20 x 109L achieved?	Not applicable	No Change	No Change	No Change	No
POST018	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial Platelet Recovery	No	Was an initial platelet count > 20 x 109L achieved?	Previously reported	No Change	No Change	No Change	No
POST019	Post-Transplant Periodic Information	Post-Transplant Essential Data	Initial Platelet Recovery	No	Date platelets > 20 x 109/L:	Open text	No Change	No Change	No Change	No
POST020	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did acute GVHD develop?	Yes	No Change	No Change	No Change	No
POST021	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did acute GVHD develop?	No	No Change	No Change	No Change	No
POST022	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did acute GVHD develop?	Unknown	No Change	No Change	No Change	No
POST023	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Date of acute GVHD diagnosis:	Open text	No Change	No Change	No Change	No
POST024	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did acute GHVD persist?	Yes	No Change	No Change	No Change	No
POST025	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did acute GHVD persist?	No	No Change	No Change	No Change	No
POST026	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did acute GHVD persist?	Unknown	No Change	No Change	No Change	No
POST027	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Overall grade of acute GVHD at diagnosis	I	No Change	No Change	No Change	No
POST028	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Overall grade of acute GVHD at diagnosis	II	No Change	No Change	No Change	No
POST029	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Overall grade of acute GVHD at diagnosis	III	No Change	No Change	No Change	No
POST030	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Overall grade of acute GVHD at diagnosis	IV	No Change	No Change	No Change	No
POST031	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Overall grade of acute GVHD at diagnosis	Not applicable	No Change	No Change	No Change	No
POST032	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Skin	Stage 0	No Change	No Change	No Change	No
POST033	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Skin	Stage 1	No Change	No Change	No Change	No
POST034	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Skin	Stage 2	No Change	No Change	No Change	No
POST035	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Skin	Stage 3	No Change	No Change	No Change	No
POST036	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Skin	Stage 4	No Change	No Change	No Change	No
POST037	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Lower intestinal tract	Stage 0	No Change	No Change	No Change	No
POST038	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Lower intestinal tract	Stage 1	No Change	No Change	No Change	No
POST039	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Lower intestinal tract	Stage 2	No Change	No Change	No Change	No
POST040	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Lower intestinal tract	Stage 3	No Change	No Change	No Change	No
POST041	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Lower intestinal tract	Stage 4	No Change	No Change	No Change	No
POST042	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Upper intestinal tract	Stage 0	No Change	No Change	No Change	No
POST043	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Upper intestinal tract	Stage 1	No Change	No Change	No Change	No
POST044	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Liver	Stage 0	No Change	No Change	No Change	No
POST045	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Liver	Stage 1	No Change	No Change	No Change	No
POST046	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Liver	Stage 2	No Change	No Change	No Change	No
POST047	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Liver	Stage 3	No Change	No Change	No Change	No
POST048	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Liver	Stage 4	No Change	No Change	No Change	No
POST049	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Other site(s) involved with acute GVHD	Yes	No Change	No Change	No Change	No
POST050	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Other site(s) involved with acute GVHD	No	No Change	No Change	No Change	No
POST051	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Specify other site(s):	Open text	No Change	No Change	No Change	No
POST052	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Maximum overall grade of acute GVHD	I	No Change	No Change	No Change	No
POST053	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Maximum overall grade of acute GVHD	II	No Change	No Change	No Change	No
POST054	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Maximum overall grade of acute GVHD	III	No Change	No Change	No Change	No
POST055	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Maximum overall grade of acute GVHD	IV	No Change	No Change	No Change	No
POST056	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Maximum overall grade of acute GVHD	Not applicable	No Change	No Change	No Change	No
POST057	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	First date of maximum overall grade of acute GVHD:	Open text	No Change	No Change	No Change	No
POST058	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Skin	Stage 0	No Change	No Change	No Change	No
POST059	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Skin	Stage 1	No Change	No Change	No Change	No
POST060	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Skin	Stage 2	No Change	No Change	No Change	No
POST061	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Skin	Stage 3	No Change	No Change	No Change	No
POST062	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Skin	Stage 4	No Change	No Change	No Change	No
POST063	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Lower intestinal tract	Stage 0	No Change	No Change	No Change	No
POST064	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Lower intestinal tract	Stage 1	No Change	No Change	No Change	No
POST065	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Lower intestinal tract	Stage 2	No Change	No Change	No Change	No
POST066	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Lower intestinal tract	Stage 3	No Change	No Change	No Change	No
POST067	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Lower intestinal tract	Stage 4	No Change	No Change	No Change	No
POST068	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Upper intestinal tract	Stage 0	No Change	No Change	No Change	No
POST069	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Upper intestinal tract	Stage 1	No Change	No Change	No Change	No
POST070	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Liver	Stage 0	No Change	No Change	No Change	No
POST071	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Liver	Stage 1	No Change	No Change	No Change	No
POST072	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Liver	Stage 2	No Change	No Change	No Change	No
POST073	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Liver	Stage 3	No Change	No Change	No Change	No
POST074	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Liver	Stage 4	No Change	No Change	No Change	No
POST075	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Other site(s) involved with acute GVHD	Yes	No Change	No Change	No Change	No
POST076	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Other site(s) involved with acute GVHD	No	No Change	No Change	No Change	No
POST077	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Specify other site(s):	Open text	No Change	No Change	No Change	No
POST078	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did chronic GVHD develop?	Yes	No Change	No Change	No Change	No
POST079	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did chronic GVHD develop?	No	No Change	No Change	No Change	No
POST080	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did chronic GVHD develop?	Unknown	No Change	No Change	No Change	No
POST081	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Date of chronic GVHD diagnosis:	Open text	No Change	No Change	No Change	No
POST082	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did chronic GVHD persist?	Yes	No Change	No Change	No Change	No
POST083	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did chronic GVHD persist?	No	No Change	No Change	No Change	No
POST084	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Did chronic GVHD persist?	Unknown	No Change	No Change	No Change	No
POST085	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Maximum grade of chronic GVHD	Mild	Change/Clarification of Information Requested	Maximum overall grade of chronic GVHD	No Change	No	Capture data accurately
POST086	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Maximum grade of chronic GVHD	Moderate	Change/Clarification of Information Requested	Maximum overall grade of chronic GVHD	No Change	No	Capture data accurately
POST087	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Maximum grade of chronic GVHD	Severe	Change/Clarification of Information Requested	Maximum overall grade of chronic GVHD	No Change	No	Capture data accurately
POST088	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Maximum grade of chronic GVHD	Unknown	Change/Clarification of Information Requested and Deletion of Response Option	Maximum overall grade of chronic GVHD		No	Capture data accurately
POST089	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Date of maximum grade of chronic GVHD:	Open text	No Change	No Change	No Change	No
POST090	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Specify if chronic GVHD was limited or extensive	Limited	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST091	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Specify if chronic GVHD was limited or extensive	Extensive	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST092	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Is the recipient still taking systemic steroids?	Yes	No Change	No Change	No Change	No
POST093	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Is the recipient still taking systemic steroids?	No	No Change	No Change	No Change	No
POST094	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Is the recipient still taking systemic steroids?	Not Applicable	No Change	No Change	No Change	No
POST095	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Is the recipient still taking systemic steroids?	Unknown	No Change	No Change	No Change	No
POST096	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Is the recipient still taking (non-steroid) immunosuppressive agents (including PUVA) for GVHD?	Yes	No Change	No Change	No Change	No
POST097	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Is the recipient still taking (non-steroid) immunosuppressive agents (including PUVA) for GVHD?	No	No Change	No Change	No Change	No
POST098	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Is the recipient still taking (non-steroid) immunosuppressive agents (including PUVA) for GVHD?	Not Applicable	No Change	No Change	No Change	No
POST099	Post-Transplant Periodic Information	Post-Transplant Essential Data	Graft vs. Host Disease	No	Is the recipient still taking (non-steroid) immunosuppressive agents (including PUVA) for GVHD?	Unknown	No Change	No Change	No Change	No
POST100	Post-Transplant Periodic Information	Post-Transplant Essential Data	Liver Toxicity Prophylaxis	No	Was specific therapy used to prevent liver toxicity?	Yes	No Change	No Change	No Change	No
POST101	Post-Transplant Periodic Information	Post-Transplant Essential Data	Liver Toxicity Prophylaxis	No	Was specific therapy used to prevent liver toxicity?	No	No Change	No Change	No Change	No
POST102	Post-Transplant Periodic Information	Post-Transplant Essential Data	Liver Toxicity Prophylaxis	No	Specify therapy	Defibrotide	No Change	No Change	No Change	No
POST103	Post-Transplant Periodic Information	Post-Transplant Essential Data	Liver Toxicity Prophylaxis	No	Specify therapy	Enoxaparin	Change/Clarification of Information Requested	No Change	Low molecular weight heparin (Clexane, Enoxaparin, Lovenox)	No	Capture data accurately
POST104	Post-Transplant Periodic Information	Post-Transplant Essential Data	Liver Toxicity Prophylaxis	No	Specify therapy	Heparin	No Change	No Change	No Change	No
POST105	Post-Transplant Periodic Information	Post-Transplant Essential Data	Liver Toxicity Prophylaxis	No	Specify therapy	N-acetylcysteine	No Change	No Change	No Change	No
POST106	Post-Transplant Periodic Information	Post-Transplant Essential Data	Liver Toxicity Prophylaxis	No	Specify therapy	Tissue plasminogen activator (TPA)	No Change	No Change	No Change	No
POST107	Post-Transplant Periodic Information	Post-Transplant Essential Data	Liver Toxicity Prophylaxis	No	Specify therapy	Ursodiol	No Change	No Change	No Change	No
POST108	Post-Transplant Periodic Information	Post-Transplant Essential Data	Liver Toxicity Prophylaxis	No	Specify therapy		Addition of Information Requested	No Change	Vitamin E	No	Capture data accurately
POST109	Post-Transplant Periodic Information	Post-Transplant Essential Data	Liver Toxicity Prophylaxis	No	Specify therapy	Other	No Change	No Change	No Change	No
POST110	Post-Transplant Periodic Information	Post-Transplant Essential Data	Liver Toxicity Prophylaxis	No	Specify other therapy:	Open text	No Change	No Change	No Change	No
POST111	Post-Transplant Periodic Information	Post-Transplant Essential Data	Veno-Occlusive Disease (VOD) / Sinusoidal Obstruction Syndrome (SOS)	No	Did veno-occlusive disease (VOD) / sinusoidal obstruction syndrome (SOS) develop?	Yes	No Change	No Change	No Change	No
POST112	Post-Transplant Periodic Information	Post-Transplant Essential Data	Veno-Occlusive Disease (VOD) / Sinusoidal Obstruction Syndrome (SOS)	No	Did veno-occlusive disease (VOD) / sinusoidal obstruction syndrome (SOS) develop?	No	No Change	No Change	No Change	No
POST113	Post-Transplant Periodic Information	Post-Transplant Essential Data	Veno-Occlusive Disease (VOD) / Sinusoidal Obstruction Syndrome (SOS)	No	Date of diagnosis:	Open text	No Change	No Change	No Change	No
POST114	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Did the recipient develop COVID-19 (SARS-CoV-2)?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST115	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Did the recipient develop COVID-19 (SARS-CoV-2)?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST116	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Date of diagnosis:		Deletion of Information Requested			No	Reduce burden - information no longer needed
POST117	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Was a vaccine for COVID-19 (SARS-CoV-2) received?	Yes	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST118	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Was a vaccine for COVID-19 (SARS-CoV-2) received?	No	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST119	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Was a vaccine for COVID-19 (SARS-CoV-2) received?	Unknown	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST120	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Specify vaccine brand	AstraZeneca	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST121	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Specify vaccine brand	Johnson & Johnson	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST122	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Specify vaccine brand	Moderna	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST123	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Specify vaccine brand	Novavax	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST124	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Specify vaccine brand	Pfizer-BioNTECH	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST125	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Specify vaccine brand	Other type	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST126	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Specify other type:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST127	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Select dose(s) received	One dose	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST128	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Select dose(s) received	First dose	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST129	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Select dose(s) received	Second dose	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST130	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Select dose(s) received	Third dose	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST131	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Select dose(s) received	Booster dose	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST132	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Date received:	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST133	Post-Transplant Periodic Information	Post-Transplant Essential Data	Infection	Yes	Date estimated	checked	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST134	Post-Transplant Periodic Information	Post-Transplant Essential Data	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Did a new malignancy, myelodysplastic, myeloproliferative, or lymphoproliferative disease / disorder occur that is different from the disease / disorder for which the infusion was performed?	Yes	No Change	No Change	No Change	No
POST135	Post-Transplant Periodic Information	Post-Transplant Essential Data	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Did a new malignancy, myelodysplastic, myeloproliferative, or lymphoproliferative disease / disorder occur that is different from the disease / disorder for which the infusion was performed?	No	No Change	No Change	No Change	No
POST136	Post-Transplant Periodic Information	Post-Transplant Essential Data	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Did a new malignancy, myelodysplastic, myeloproliferative, or lymphoproliferative disease / disorder occur that is different from the disease / disorder for which the infusion was performed?	Previously reported	No Change	No Change	No Change	No
POST137	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	No	Were chimerism studies performed?	yes	No Change	No Change	No Change	No
POST138	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	No	Were chimerism studies performed?	no	No Change	No Change	No Change	No
POST139	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the chimerism laboratory report.	Reduce burden
POST140	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the chimerism laboratory report.	Reduce burden
POST141	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	No	Were chimerism studies assessed for more than one donor / multiple donors?	Yes	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST142	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	No	Were chimerism studies assessed for more than one donor / multiple donors?	No	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST143	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Global Registration Identifier for Donors (GRID)	Open text	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST144	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	NMDP cord blood unit ID:	Open text	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST145	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Registry donor ID:	Open text	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST146	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Non-NMDP cord blood unit ID:	Open text	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST147	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Donor date of birth:	Open text	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST148	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Donor age:	Open text	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST149	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Months	checked	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST150	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	years	checked	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST151	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Donor sex	male	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST152	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Donor sex	female	Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)			No	Reduce burden - prevent / reduce data redundancy
POST153	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Date sample collected:	Open text	No Change	No Change	No Change	No
POST154	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Method	Karyotyping for XX/XY	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST155	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Method	Fluorescent in situ hybridization (FISH) for XX/XY	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST156	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Method	Restriction fragment-length polymorphisms (RFLP)	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST157	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Method	VNTR or STR, micro or mini satellite	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST158	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Method	Single nucleotide polymorphisms (SNPs)	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST159	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Method	Other	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST160	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Specify:		Deletion of Information Requested			No	Reduce burden - information no longer needed
POST161	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell source	Bone marrow	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST162	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell source	Peripheral blood	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST163	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell type	Unsorted / whole	Change/Clarification of Information Requested and Deletion of Response Option	Cells tested		No	Be consistent with current clinical landscape, improve transplant outcome data
POST164	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell type	Red blood cells	Change/Clarification of Information Requested	Cells tested	Red cells	No	Be consistent with current clinical landscape, improve transplant outcome data
POST165	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell type	Hematopoietic progenitor cells	Change/Clarification of Information Requested and Deletion of Response Option	Cells tested		No	Be consistent with current clinical landscape, improve transplant outcome data
POST166	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell type	Total mononuclear cells	Change/Clarification of Information Requested and Deletion of Response Option	Cells tested		No	Be consistent with current clinical landscape, improve transplant outcome data
POST167	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell type	T-cells	Change/Clarification of Information Requested	Cells tested	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
POST168	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell type	B-cells	Change/Clarification of Information Requested and Deletion of Response Option	Cells tested		No	Be consistent with current clinical landscape, improve transplant outcome data
POST169	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell type	Granulocytes	Change/Clarification of Information Requested and Deletion of Response Option	Cells tested		No	Be consistent with current clinical landscape, improve transplant outcome data
POST170	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell type	NK cells	Change/Clarification of Information Requested	Cells tested	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
POST171	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell type		Addition of Information Requested	Cells tested	Unsorted bone marrow	No	Be consistent with current clinical landscape, improve transplant outcome data
POST172	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell type		Addition of Information Requested	Cells tested	Unsorted peripheral blood	No	Be consistent with current clinical landscape, improve transplant outcome data
POST173	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Cell type	Other	Change/Clarification of Information Requested	Cells tested	No Change	No	Be consistent with current clinical landscape, improve transplant outcome data
POST174	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Specify:	Open text	No Change	No Change	No Change	No
POST175	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Total cells examined	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST176	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Number of donor cells	Open text	Deletion of Information Requested			No	Reduce burden - information no longer needed
POST177	Post-Transplant Periodic Information	Post-Transplant Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes	Percent donor cells	Open text	Merged from Multiple to Grid (Deletion of Information Requested)			No	Reduce burden - prevent / reduce data redundancy
POST178	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes			Merged from Multiple to Grid (Addition of Information Requested)	Donor Identifier	Auto-filled field	No	Capture data accurately
POST179	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes			Merged from Multiple to Grid (Addition of Information Requested)	Unsorted bone marrow percent donor cells	Open text	No	Capture data accurately
POST180	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes			Merged from Multiple to Grid (Addition of Information Requested)	Unsorted peripheral blood percent donor cells	Open text	No	Capture data accurately
POST181	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes			Merged from Multiple to Grid (Addition of Information Requested)	T-cells percent donor cells	Open text	No	Capture data accurately
POST182	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes			Merged from Multiple to Grid (Addition of Information Requested)	NK cells percent donor cells	Open text	No	Capture data accurately
POST183	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes			Merged from Multiple to Grid (Addition of Information Requested)	Red cells percent donor cells	Open text	No	Capture data accurately
POST184	Post-Transplant Periodic Information	Chimerism Essential Data	Chimerism Studies (Cord Blood Units and Non-Malignant Diseases)	Yes			Merged from Multiple to Grid (Addition of Information Requested)	Other cells percent donor cells	Open text	No	Capture data accurately
POST185	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Compared to the disease status prior to the preparative regimen, what was the best response to infusion?	Continued complete remission (CCR)	No Change	No Change	No Change	No
POST186	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Compared to the disease status prior to the preparative regimen, what was the best response to infusion?	Complete remission (CR)	No Change	No Change	No Change	No
POST187	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Compared to the disease status prior to the preparative regimen, what was the best response to infusion?	Not in complete remission	No Change	No Change	No Change	No
POST188	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Compared to the disease status prior to the preparative regimen, what was the best response to infusion?	Not evaluated	No Change	No Change	No Change	No
POST189	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Specify disease status if not in complete remission	Disease detected	No Change	No Change	No Change	No
POST190	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Specify disease status if not in complete remission	No disease detected but incomplete evaluation to establish CR	No Change	No Change	No Change	No
POST191	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the date of best response previously reported?	yes	No Change	No Change	No Change	No
POST192	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the date of best response previously reported?	no	No Change	No Change	No Change	No
POST193	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Date assessed:	Open text	Change/Clarification of Information Requested	Date of best response:	No Change	No	Capture data accurately
POST194	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed by molecular testing?	Yes	Change/Clarification of Information Requested	Was the disease status assessed via molecular markers?	No Change	No	Capture data accurately
POST195	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed by molecular testing?	No	Change/Clarification of Information Requested	Was the disease status assessed via molecular markers?	No Change	No	Capture data accurately
POST196	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed by molecular testing?	Not Applicable	Change/Clarification of Information Requested and Deletion of Response Option	Was the disease status assessed via molecular markers?		No	Capture data accurately
POST197	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Date assessed:	Open text	No Change	No Change	No Change	No
POST198	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	yes	No Change	No Change	No Change	No
POST199	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	no	No Change	No Change	No Change	No
POST200	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No			Addition of Information Requested	Was the disease status assessed via ClonoSEQ?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
POST201	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No			Addition of Information Requested	Was the disease status assessed via ClonoSEQ?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
POST202	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No			Addition of Information Requested	Date assessed:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
POST203	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No			Addition of Information Requested	Was disease detected?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
POST204	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No			Addition of Information Requested	Was disease detected?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
POST205	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed via flow cytometry?	Yes	No Change	No Change	No Change	No
POST206	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed via flow cytometry?	No	No Change	No Change	No Change	No
POST207	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed via flow cytometry?	Not Applicable	Deletion of Information Requested	No Change		No	Capture data accurately
POST208	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Date assessed:	Open text	No Change	No Change	No Change	No
POST209	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	yes	No Change	No Change	No Change	No
POST210	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	no	No Change	No Change	No Change	No
POST211	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed by cytogenetic testing?	Yes	Change/Clarification of Information Requested	Was the disease status assessed via cytogenetic testing?	No Change	No	Capture data accurately
POST212	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed by cytogenetic testing?	No	Change/Clarification of Information Requested	Was the disease status assessed via cytogenetic testing?	No Change	No	Capture data accurately
POST213	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed by cytogenetic testing?	Not Applicable	Change/Clarification of Information Requested and Deletion of Response Option	Was the disease status assessed via cytogenetic testing?		No	Capture data accurately
POST214	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed via FISH?	Yes	No Change	No Change	No Change	No
POST215	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed via FISH?	No	No Change	No Change	No Change	No
POST216	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed via FISH?	Not Applicable	Deletion of Information Requested	No Change		No	Capture data accurately
POST217	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Date assessed:	Open text	No Change	No Change	No Change	No
POST218	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	yes	No Change	No Change	No Change	No
POST219	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	no	No Change	No Change	No Change	No
POST220	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed via karyotyping?	Yes	No Change	No Change	No Change	No
POST221	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed via karyotyping?	No	No Change	No Change	No Change	No
POST222	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed via karyotyping?	Not Applicable	Deletion of Information Requested	No Change		No	Capture data accurately
POST223	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Date assessed:	Open text	No Change	No Change	No Change	No
POST224	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	yes	No Change	No Change	No Change	No
POST225	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	no	No Change	No Change	No Change	No
POST226	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed by radiological assessment?	Yes	Change/Clarification of Information Requested	Was the disease status assessed via radiological assessment?	No Change	No	Capture data accurately
POST227	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed by radiological assessment?	No	Change/Clarification of Information Requested	Was the disease status assessed via radiological assessment?	No Change	No	Capture data accurately
POST228	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed by radiological assessment?	Not Applicable	Change/Clarification of Information Requested and Deletion of Response Option	Was the disease status assessed via radiological assessment?		No	Capture data accurately
POST229	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Date assessed:	Open text	No Change	No Change	No Change	No
POST230	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	yes	No Change	No Change	No Change	No
POST231	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	no	No Change	No Change	No Change	No
POST232	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed by clinical / hematologic assessment?	yes	Change/Clarification of Information Requested	Was the disease status assessed via clinical / hematologic assessment?	No Change	No	Capture data accurately
POST233	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was the disease status assessed by clinical / hematologic assessment?	no	Change/Clarification of Information Requested	Was the disease status assessed via clinical / hematologic assessment?	No Change	No	Capture data accurately
POST234	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Date assessed:	Open text	No Change	No Change	No Change	No
POST235	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	yes	No Change	No Change	No Change	No
POST236	Post-Transplant Periodic Information	Post-Transplant Essential Data	Disease Assessment at the Time of Best Response to Infusion	No	Was disease detected?	no	No Change	No Change	No Change	No
POST237	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No	Did the recipient experience a clinical / hematologic relapse or progression post-HCT?	Yes	Change/Clarification of Information Requested	Did the recipient experience a relapse or progression by any method(s) of assessment post-infusion?	No Change	No	Capture data accurately
POST238	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No	Did the recipient experience a clinical / hematologic relapse or progression post-HCT?	No	Change/Clarification of Information Requested	Did the recipient experience a relapse or progression by any method(s) of assessment post-infusion?	No Change	No	Capture data accurately
POST239	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No	Did the recipient experience a clinical / hematologic relapse or progression post-HCT?		Change/Clarification of Information Requested and Addition of Response Option	No Change	Previously reported	No	Capture data accurately
POST240	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No	Was the date of the first clinical / hematologic relapse or progression previously reported?	Yes	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
POST241	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No	Was the date of the first clinical / hematologic relapse or progression previously reported?	No	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
POST242	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No	Date first seen:	Open text	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
POST243	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No			Addition of Information Requested	Specify the method(s) used to detect relapse or progression	Molecular	No	Be consistent with current clinical landscape, improve transplant outcome data
POST244	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No			Addition of Information Requested	Specify the method(s) used to detect relapse or progression	Flow cytometry	No	Be consistent with current clinical landscape, improve transplant outcome data
POST245	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No			Addition of Information Requested	Specify the method(s) used to detect relapse or progression	Cytogenetic	No	Be consistent with current clinical landscape, improve transplant outcome data
POST246	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No			Addition of Information Requested	Specify the method(s) used to detect relapse or progression	Radiological	No	Be consistent with current clinical landscape, improve transplant outcome data
POST247	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No			Addition of Information Requested	Specify the method(s) used to detect relapse or progression	Clinical / hematologic	No	Be consistent with current clinical landscape, improve transplant outcome data
POST248	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No			Addition of Information Requested	First date relapse or progression detected by molecular methods:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
POST249	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No			Addition of Information Requested	First date relapse or progression detected by cytogenetic methods:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
POST250	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No			Addition of Information Requested	First date relapse or progression detected by flow cytometry:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
POST251	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No			Addition of Information Requested	First date relapse or progression detected by radiological methods:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
POST252	Post-Transplant Periodic Information	Post-Transplant Essential Data	First Relapse or Progression Post-Infusion	No			Addition of Information Requested	First date relapse or progression detected by clinical / hematological methods:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
POST253	Post-Transplant Periodic Information	Post-Transplant Essential Data	Recurrence of Non- Malignant Disease	No			Addition of Information Requested	Was there recurrence of the primary non-malignant disease post-infusion?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
POST254	Post-Transplant Periodic Information	Post-Transplant Essential Data	Recurrence of Non- Malignant Disease	No			Addition of Information Requested	Was there recurrence of the primary non-malignant disease post-infusion?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
POST255	Post-Transplant Periodic Information	Post-Transplant Essential Data	Recurrence of Non- Malignant Disease	No			Addition of Information Requested	Was the date of recurrence previously reported?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
POST256	Post-Transplant Periodic Information	Post-Transplant Essential Data	Recurrence of Non- Malignant Disease	No			Addition of Information Requested	Was the date of recurrence previously reported?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
POST257	Post-Transplant Periodic Information	Post-Transplant Essential Data	Recurrence of Non- Malignant Disease	No			Addition of Information Requested	Date of first recurrence:	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
POST258	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Was intervention given for relapsed, persistent or progressive disease?	Yes	Change/Clarification of Information Requested	Was intervention given for decreased / loss of chimerism, measurable residual disease, persistent disease, or progressive / relapsed disease?	No Change	No	Capture data accurately
POST259	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Was intervention given for relapsed, persistent or progressive disease?	No	Change/Clarification of Information Requested	Was intervention given for decreased / loss of chimerism, measurable residual disease, persistent disease, or progressive / relapsed disease?	No Change	No	Capture data accurately
POST260	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify reason for which intervention was given		Addition of Information Requested	No Change	Decreased / loss of chimerism	No	Be consistent with current clinical landscape, improve transplant outcome data
POST261	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify reason for which intervention was given		Addition of Information Requested	No Change	Measurable residual disease	No	Be consistent with current clinical landscape, improve transplant outcome data
POST262	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify reason for which intervention was given	Persistent disease	No Change	No Change	No Change	No
POST263	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify reason for which intervention was given	Relapsed / progressive disease	Change/Clarification of Information Requested	No Change	Progressive disease	No	Be consistent with current clinical landscape, improve transplant outcome data
POST264	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify reason for which intervention was given		Addition of Information Requested	No Change	Relapsed disease	No	Be consistent with current clinical landscape, improve transplant outcome data
POST265	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify the method(s) of detection for which intervention was given	Disease specific molecular marker	Change/Clarification of Information Requested	No Change	Molecular	No	Capture data accurately
POST266	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify the method(s) of detection for which intervention was given	Flow Cytometry	No Change	No Change	No Change	No
POST267	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify the method(s) of detection for which intervention was given	Cytogenetic	No Change	No Change	No Change	No
POST268	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify the method(s) of detection for which intervention was given	Radiological	No Change	No Change	No Change	No
POST269	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify the method(s) of detection for which intervention was given	Clinical / hematologic	No Change	No Change	No Change	No
POST270	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Date intervention started:	Open text	No Change	No Change	No Change	No
POST271	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify therapy		Change/Clarification of Information Requested and Addition of Response Option	Specify intervention	Accelerated withdrawal of immunosuppression in response to disease assessment	No	Be consistent with current clinical landscape, improve transplant outcome data
POST272	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify therapy	Blinded randomized trial	Change/Clarification of Information Requested	Specify intervention	No Change	No	Capture data accurately
POST273	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify therapy	Cellular therapy	Change/Clarification of Information Requested and Deletion of Response Option	Specify intervention		No	Be consistent with current clinical landscape, improve transplant outcome data
POST274	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify therapy		Change/Clarification of Information Requested and Addition of Response Option	Specify intervention	Intrathecal therapy	No	Be consistent with current clinical landscape, improve transplant outcome data
POST275	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify therapy	Radiation	Change/Clarification of Information Requested	Specify intervention	No Change	No	Capture data accurately
POST276	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify therapy	Systemic therapy	Change/Clarification of Information Requested	Specify intervention	No Change	No	Capture data accurately
POST277	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify therapy	Other therapy	Change/Clarification of Information Requested	Specify intervention	Other intervention	No	Be consistent with current clinical landscape, improve transplant outcome data
POST278	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Alemtuzumab (Campath)	No Change	No Change	No Change	No
POST279	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Azacytidine (Vidaza)	No Change	No Change	No Change	No
POST280	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Blinatumomab (Blincyto)	No Change	No Change	No Change	No
POST281	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Bortezomib (Velcade)	No Change	No Change	No Change	No
POST282	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Bosutinib (Bosulif)	No Change	No Change	No Change	No
POST283	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Carfilzomib (Kyprolis)	No Change	No Change	No Change	No
POST284	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Chemotherapy	No Change	No Change	No Change	No
POST285	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Daratumumab (Darzalex)	No Change	No Change	No Change	No
POST286	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Dasatinib (Sprycel)	No Change	No Change	No Change	No
POST287	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Decitabine (Dacogen)	No Change	No Change	No Change	No
POST288	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Gemtuzumab (Mylotarg, anti-CD33)	No Change	No Change	No Change	No
POST289	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Gilteritinib (Xospata)	No Change	No Change	No Change	No
POST290	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Ibrutinib (Imbruvica)	No Change	No Change	No Change	No
POST291	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Imatinib mesylate (Gleevec)	No Change	No Change	No Change	No
POST292	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Ixazomib (Ninlaro)	No Change	No Change	No Change	No
POST293	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Lenalidomide (Revlimid)	No Change	No Change	No Change	No
POST294	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Lestaurtinib	No Change	No Change	No Change	No
POST295	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Midostaurin (Rydapt)	No Change	No Change	No Change	No
POST296	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Nilotinib (AMN107, Tasigna)	No Change	No Change	No Change	No
POST297	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Nivolumab (Opdivo)	No Change	No Change	No Change	No
POST298	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Pembrolizumab (Keytruda)	No Change	No Change	No Change	No
POST299	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Pomalidomide (Pomalyst)	No Change	No Change	No Change	No
POST300	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Quizartinib (Vanflyta)	No Change	No Change	No Change	No
POST301	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Rituximab (Rituxan, MabThera)	No Change	No Change	No Change	No
POST302	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Sorafenib (Nexavar)	No Change	No Change	No Change	No
POST303	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Sunitinib (Sutent)	No Change	No Change	No Change	No
POST304	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Thalidomide (Thalomid)	Deletion of Information Requested	No Change		No	Be consistent with current clinical landscape, improve transplant outcome data
POST305	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Venetoclax (Venclexta, Venclyxto)	No Change	No Change	No Change	No
POST306	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify systemic therapy	Other systemic therapy	No Change	No Change	No Change	No
POST307	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify other systemic therapy:	Open text	No Change	No Change	No Change	No
POST308	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Intervention for Disease	No	Specify other intervention:	Open text	No Change	No Change	No Change	No
POST309	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Was therapy given for reasons other than relapsed, persistent, or progressive disease ?	yes	Change/Clarification of Information Requested	Was therapy given to prevent relapse or progressive disease?	No Change	No	Capture data accurately
POST310	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Was therapy given for reasons other than relapsed, persistent, or progressive disease ?	no	Change/Clarification of Information Requested	Was therapy given to prevent relapse or progressive disease?	No Change	No	Capture data accurately
POST311	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify therapy	Blinded randomized trial	No Change	No Change	No Change	No
POST312	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify therapy	Cellular therapy	Deletion of Information Requested	No Change		No	Reduce burden - prevent / reduce data redundancy
POST313	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify therapy		Addition of Information Requested	No Change	Intrathecal therapy	No	Be consistent with current clinical landscape, improve transplant outcome data
POST314	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify therapy	Radiation	No Change	No Change	No Change	No
POST315	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify therapy	Systemic therapy	No Change	No Change	No Change	No
POST316	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify therapy	Other therapy	No Change	No Change	No Change	No
POST317	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Alemtuzumab (Campath)	No Change	No Change	No Change	No
POST318	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Azacytidine (Vidaza)	No Change	No Change	No Change	No
POST319	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Blinatumomab (Blincyto)	No Change	No Change	No Change	No
POST320	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Bortezomib (Velcade)	No Change	No Change	No Change	No
POST321	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Bosutinib (Bosulif)	No Change	No Change	No Change	No
POST322	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Brentuximab vedotin (Adcetris)	No Change	No Change	No Change	No
POST323	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Carfilzomib (Kyprolis)	No Change	No Change	No Change	No
POST324	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Daratumumab (Darzalex)	No Change	No Change	No Change	No
POST325	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Dasatinib (Sprycel)	No Change	No Change	No Change	No
POST326	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Decitabine (Dacogen)	No Change	No Change	No Change	No
POST327	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given		Addition of Information Requested	No Change	Dinutuximab	No	Be consistent with current clinical landscape, improve transplant outcome data
POST328	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Gemtuzumab (Mylotarg, anti-CD33)	No Change	No Change	No Change	No
POST329	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Gilteritinib (Xospata)	No Change	No Change	No Change	No
POST330	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Ibrutinib (Imbruvica)	No Change	No Change	No Change	No
POST331	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Imatinib mesylate (Gleevec)	No Change	No Change	No Change	No
POST332	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given		Addition of Information Requested	No Change	Isotretinoin	No	Be consistent with current clinical landscape, improve transplant outcome data
POST333	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Ixazomib (Ninlaro)	No Change	No Change	No Change	No
POST334	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Lenalidomide (Revlimid)	No Change	No Change	No Change	No
POST335	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Lestaurtinib	No Change	No Change	No Change	No
POST336	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Midostaurin (Rydapt)	No Change	No Change	No Change	No
POST337	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Nilotinib (AMN107, Tasigna)	No Change	No Change	No Change	No
POST338	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Nivolumab (Opdivo)	No Change	No Change	No Change	No
POST339	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Pembrolizumab (Keytruda)	No Change	No Change	No Change	No
POST340	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Pomalidomide (Pomalyst)	No Change	No Change	No Change	No
POST341	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Quizartinib (Vanflyta)	No Change	No Change	No Change	No
POST342	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Rituximab (Rituxan, MabThera)	No Change	No Change	No Change	No
POST343	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Sorafenib (Nexavar)	No Change	No Change	No Change	No
POST344	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Sunitinib (Sutent)	No Change	No Change	No Change	No
POST345	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Thalidomide (Thalomid)	Deletion of Information Requested	No Change		No	Be consistent with current clinical landscape, improve transplant outcome data
POST346	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify systemic therapy given	Other systemic therapy	No Change	No Change	No Change	No
POST347	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify other systemic therapy:	Open text	No Change	No Change	No Change	No
POST348	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No	Specify other therapy:	Open text	No Change	No Change	No Change	No
POST349	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No			Addition of Information Requested	Was the initial therapy date previously reported?	Yes	No	Be consistent with current clinical landscape, improve transplant outcome data
POST350	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No			Addition of Information Requested	Was the initial therapy date previously reported?	No	No	Be consistent with current clinical landscape, improve transplant outcome data
POST351	Post-Transplant Periodic Information	Post-Transplant Essential Data	Post-Infusion Treatment Given to Prevent Relapse or Progression	No			Addition of Information Requested	Start date of therapy	Open text	No	Be consistent with current clinical landscape, improve transplant outcome data
POST352	Post-Transplant Periodic Information	Post-Transplant Essential Data	Fecal microbiota transplant (FMT)	No	Did a fecal microbiota transplant (FMT) occur?	Yes	No Change	No Change	No Change	No
POST353	Post-Transplant Periodic Information	Post-Transplant Essential Data	Fecal microbiota transplant (FMT)	No	Did a fecal microbiota transplant (FMT) occur?	No	No Change	No Change	No Change	No
POST354	Post-Transplant Periodic Information	Post-Transplant Essential Data	Fecal microbiota transplant (FMT)	No	Date of FMT:	Open text	No Change	No Change	No Change	No
POST355	Post-Transplant Periodic Information	Post-Transplant Essential Data	Fecal microbiota transplant (FMT)	No	Specify the indication for the FMT	Graft versus host disease (GVHD)	No Change	No Change	No Change	No
POST356	Post-Transplant Periodic Information	Post-Transplant Essential Data	Fecal microbiota transplant (FMT)	No	Specify the indication for the FMT	Clostridium difficile	No Change	No Change	No Change	No
POST357	Post-Transplant Periodic Information	Post-Transplant Essential Data	Fecal microbiota transplant (FMT)	No	Specify the indication for the FMT	Other	No Change	No Change	No Change	No
POST358	Post-Transplant Periodic Information	Post-Transplant Essential Data	Fecal microbiota transplant (FMT)	No	Specify other indication:	Open text	No Change	No Change	No Change	No
POST359	Post-Transplant Periodic Information	Post-Transplant Essential Data	Current Disease Status	No	What is the current disease status?	Complete remission (CR)	No Change	No Change	No Change	No
POST360	Post-Transplant Periodic Information	Post-Transplant Essential Data	Current Disease Status	No	What is the current disease status?	Not in complete remission	No Change	No Change	No Change	No
POST361	Post-Transplant Periodic Information	Post-Transplant Essential Data	Current Disease Status	No	What is the current disease status?	Not evaluated	No Change	No Change	No Change	No
POST362	Post-Transplant Periodic Information	Post-Transplant Essential Data	Current Disease Status	No	Specify disease status if not in complete remission	Disease detected	No Change	No Change	No Change	No
POST363	Post-Transplant Periodic Information	Post-Transplant Essential Data	Current Disease Status	No	Specify disease status if not in complete remission	No disease detected but incomplete evaluation to establish CR	No Change	No Change	No Change	No
POST364	Post-Transplant Periodic Information	Post-Transplant Essential Data	Current Disease Status	No	Date of assessment of current disease status:	Open text	No Change	No Change	No Change	No
POST365	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Date of death:	Open text	No Change	No Change	No Change	No
POST366	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Date estimated	checked	No Change	No Change	No Change	No
POST367	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Was cause of death confirmed by autopsy?	Yes	No Change	No Change	No Change	No
POST368	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Was cause of death confirmed by autopsy?	Autopsy pending	No Change	No Change	No Change	No
POST369	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Was cause of death confirmed by autopsy?	No	No Change	No Change	No Change	No
POST370	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Was cause of death confirmed by autopsy?	Unknown	No Change	No Change	No Change	No
POST371	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the autopsy report.	Reduce burden
POST372	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching the autopsy report.	Reduce burden
POST373	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Recurrence / persistence / progression of disease for which the infusion was performed	No Change	No Change	No Change	No
POST374	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Acute GVHD	No Change	No Change	No Change	No
POST375	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Chronic GVHD	No Change	No Change	No Change	No
POST376	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Graft rejection or failure	Change/Clarification of Information Requested	No Change	Graft failure or poor graft function	No	Be consistent with current clinical landscape, improve transplant outcome data
POST377	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Cytokine release syndrome	No Change	No Change	No Change	No
POST378	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Diffuse alveolar hemorrhage (DAH)	No Change	No Change	No Change	No
POST379	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Gastrointestinal hemorrhage	No Change	No Change	No Change	No
POST380	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Hemorrhagic cystitis	No Change	No Change	No Change	No
POST381	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Intracranial hemorrhage	No Change	No Change	No Change	No
POST382	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Pulmonary hemorrhage	No Change	No Change	No Change	No
POST383	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Other hemorrhage	No Change	No Change	No Change	No
POST384	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Bacterial infection	No Change	No Change	No Change	No
POST385	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	COVID-19 (SARS-CoV-2)	Deletion of Information Requested	No Change		No	Reduce burden - information no longer needed
POST386	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Fungal infection	No Change	No Change	No Change	No
POST387	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Infection, organism not identified	No Change	No Change	No Change	No
POST388	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Protozoal infection	No Change	No Change	No Change	No
POST389	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Viral infection	No Change	No Change	No Change	No
POST390	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Other infection	No Change	No Change	No Change	No
POST391	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	New malignancy (post-infusion)	No Change	No Change	No Change	No
POST392	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Prior malignancy (malignancy initially diagnosed prior to infusion, other than the malignancy for which the infusion was performed	No Change	No Change	No Change	No
POST393	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Cardiac failure	No Change	No Change	No Change	No
POST394	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Central nervous system (CNS) failure	No Change	No Change	No Change	No
POST395	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Gastrointestinal (GI) failure (not liver)	No Change	No Change	No Change	No
POST396	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Liver failure (not VOD)	No Change	No Change	No Change	No
POST397	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Multiple organ failure	No Change	No Change	No Change	No
POST398	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Pulmonary failure	No Change	No Change	No Change	No
POST399	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Renal failure	No Change	No Change	No Change	No
POST400	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Veno-occlusive disease (VOD) / sinusoidal obstruction syndrome (SOS)	No Change	No Change	No Change	No
POST401	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Other organ failure	No Change	No Change	No Change	No
POST402	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Adult respiratory distress syndrome (ARDS) (other than IPS)	No Change	No Change	No Change	No
POST403	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Diffuse alveolar damage (without hemorrhage)	No Change	No Change	No Change	No
POST404	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Idiopathic pneumonia syndrome (IPS)	No Change	No Change	No Change	No
POST405	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Pneumonitis due to Cytomegalovirus (CMV)	No Change	No Change	No Change	No
POST406	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Pneumonitis due to other virus	No Change	No Change	No Change	No
POST407	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Other pulmonary syndrome	No Change	No Change	No Change	No
POST408	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death		Addition of Information Requested	No Change	Macrophage activation syndrome (MAS) / hemophagocytic lymphohistiocytosis-like toxicities (HLH)	No	Be consistent with current clinical landscape, improve transplant outcome data
POST409	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Neurotoxicity (ICANS)	No Change	No Change	No Change	No
POST410	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Tumor lysis syndrome	No Change	No Change	No Change	No
POST411	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Disseminated intravascular coagulation (DIC)	No Change	No Change	No Change	No
POST412	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death		Addition of Information Requested	No Change	Ischemic stroke	No	Be consistent with current clinical landscape, improve transplant outcome data
POST413	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Thromboembolism	No Change	No Change	No Change	No
POST414	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Thrombotic microangiopathy (TMA) (Thrombotic thrombocytopenic purpura (TTP) / Hemolytic Uremic Syndrome (HUS))	No Change	No Change	No Change	No
POST415	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Other vascular	No Change	No Change	No Change	No
POST416	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Accidental death	No Change	No Change	No Change	No
POST417	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Suicide	No Change	No Change	No Change	No
POST418	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death		Addition of Information Requested	No Change	Stroke, unspecified	No	Be consistent with current clinical landscape, improve transplant outcome data
POST419	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Primary cause of death	Other cause	No Change	No Change	No Change	No
POST420	Post-Transplant Periodic Information	Recipient Death Data	Recipient Death	No	Specify:	Open text	No Change	No Change	No Change	No
POST421	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Recurrence / persistence / progression of disease for which the infusion was performed	No Change	No Change	No Change	No
POST422	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Acute GVHD	No Change	No Change	No Change	No
POST423	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Chronic GVHD	No Change	No Change	No Change	No
POST424	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Graft rejection or failure	Change/Clarification of Information Requested	No Change	Graft failure or poor graft function	No	Be consistent with current clinical landscape, improve transplant outcome data
POST425	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Cytokine release syndrome	No Change	No Change	No Change	No
POST426	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death		Addition of Information Requested	No Change	Failure to thrive	No	Be consistent with current clinical landscape, improve transplant outcome data
POST427	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Diffuse alveolar hemorrhage (DAH)	No Change	No Change	No Change	No
POST428	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Gastrointestinal hemorrhage	No Change	No Change	No Change	No
POST429	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Hemorrhagic cystitis	No Change	No Change	No Change	No
POST430	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Intracranial hemorrhage	No Change	No Change	No Change	No
POST431	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Pulmonary hemorrhage	No Change	No Change	No Change	No
POST432	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Other hemorrhage	No Change	No Change	No Change	No
POST433	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Bacterial infection	No Change	No Change	No Change	No
POST434	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	COVID-19 (SARS-CoV-2)	Deletion of Information Requested	No Change		No	Reduce burden - information no longer needed
POST435	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Fungal infection	No Change	No Change	No Change	No
POST436	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Infection, organism not identified	No Change	No Change	No Change	No
POST437	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Protozoal infection	No Change	No Change	No Change	No
POST438	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Viral infection	No Change	No Change	No Change	No
POST439	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Other infection	No Change	No Change	No Change	No
POST440	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	New malignancy (post-infusion)	No Change	No Change	No Change	No
POST441	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Prior malignancy (malignancy initially diagnosed prior to infusion, other than the malignancy for which the infusion was performed	No Change	No Change	No Change	No
POST442	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Cardiac failure	No Change	No Change	No Change	No
POST443	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Central nervous system (CNS) failure	No Change	No Change	No Change	No
POST444	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Gastrointestinal (GI) failure (not liver)	No Change	No Change	No Change	No
POST445	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Liver failure (not VOD)	No Change	No Change	No Change	No
POST446	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Multiple organ failure	No Change	No Change	No Change	No
POST447	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Pulmonary failure	No Change	No Change	No Change	No
POST448	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Renal failure	No Change	No Change	No Change	No
POST449	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Veno-occlusive disease (VOD) / sinusoidal obstruction syndrome (SOS)	No Change	No Change	No Change	No
POST450	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Other organ failure	No Change	No Change	No Change	No
POST451	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Acute respiratory distress syndrome (ARDS) (other than IPS)	No Change	No Change	No Change	No
POST452	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Diffuse alveolar damage (without hemorrhage)	No Change	No Change	No Change	No
POST453	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Idiopathic pneumonia syndrome (IPS)	No Change	No Change	No Change	No
POST454	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Pneumonitis due to Cytomegalovirus (CMV)	No Change	No Change	No Change	No
POST455	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Pneumonitis due to other virus	No Change	No Change	No Change	No
POST456	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Other pulmonary syndrome (excluding pulmonary hemorrhage)	No Change	No Change	No Change	No
POST457	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death		Addition of Information Requested	No Change	Macrophage activation syndrome (MAS) / hemophagocytic lymphohistiocytosis-like toxicities (HLH)	No	Be consistent with current clinical landscape, improve transplant outcome data
POST458	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Neurotoxicity (ICANS)	No Change	No Change	No Change	No
POST459	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Tumor lysis syndrome	No Change	No Change	No Change	No
POST460	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Disseminated intravascular coagulation (DIC)	No Change	No Change	No Change	No
POST461	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death		Addition of Information Requested	No Change	Ischemic stroke	No	Be consistent with current clinical landscape, improve transplant outcome data
POST462	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Thromboembolism	No Change	No Change	No Change	No
POST463	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Thrombotic microangiopathy (TMA) (Thrombotic thrombocytopenic purpura (TTP) / Hemolytic Uremic Syndrome (HUS))	No Change	No Change	No Change	No
POST464	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Other vascular	No Change	No Change	No Change	No
POST465	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Accidental death	No Change	No Change	No Change	No
POST466	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Suicide	No Change	No Change	No Change	No
POST467	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death		Addition of Information Requested	No Change	Stroke, unspecified	No	Be consistent with current clinical landscape, improve transplant outcome data
POST468	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Contributing cause of death	Other cause	No Change	No Change	No Change	No
POST469	Post-Transplant Periodic Information	Recipient Death Data	Contributing Cause of Death	No	Specify:	Open text	No Change	No Change	No Change	No
POST470	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Acute myeloid leukemia (AML / ANLL)	Change/Clarification of Information Requested	No Change	Acute myelogenous leukemia (AML)	No	Be consistent with current clinical landscape, improve transplant outcome data
POST471	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Acute lymphoblastic leukemia (ALL)	No Change	No Change	No Change	No
POST472	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Other leukemia	No Change	No Change	No Change	No
POST473	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Myelodysplastic syndrome (MDS)	No Change	No Change	No Change	No
POST474	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Myeloproliferative neoplasm (MPN)	No Change	No Change	No Change	No
POST475	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Overlapping myelodysplasia / myeloproliferative neoplasm (MDS / MPN)	No Change	No Change	No Change	No
POST476	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Hodgkin lymphoma	No Change	No Change	No Change	No
POST477	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Non-Hodgkin lymphoma	No Change	No Change	No Change	No
POST478	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Multiple myeloma / plasma cell neoplasms	No Change	No Change	No Change	No
POST479	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Clonal cytogenetic abnormality without leukemia or MDS	No Change	No Change	No Change	No
POST480	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Uncontrolled proliferation of donor cells without malignant transformation	No Change	No Change	No Change	No
POST481	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Bone sarcoma	No Change	No Change	No Change	No
POST482	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Soft tissue sarcoma	No Change	No Change	No Change	No
POST483	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Oropharyngeal cancer	No Change	No Change	No Change	No
POST484	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Gastrointestinal malignancy	No Change	No Change	No Change	No
POST485	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Lung cancer	No Change	No Change	No Change	No
POST486	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Melanoma	No Change	No Change	No Change	No
POST487	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Squamous cell skin malignancy	No Change	No Change	No Change	No
POST488	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Basal cell skin malignancy	No Change	No Change	No Change	No
POST489	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Breast cancer	No Change	No Change	No Change	No
POST490	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Genitourinary malignancy	No Change	No Change	No Change	No
POST491	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Central nervous system (CNS) malignancy	No Change	No Change	No Change	No
POST492	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Thyroid cancer	No Change	No Change	No Change	No
POST493	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy		Addition of Information Requested	No Change	Post-transplant lymphoproliferative disorder (PTLD)	No	Capture data accurately
POST494	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify the new malignancy	Other new malignancy	No Change	No Change	No Change	No
POST495	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Was post-transplant lymphoproliferative disorder (PTLD) diagnosed?	Yes	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
POST496	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Was post-transplant lymphoproliferative disorder (PTLD) diagnosed?	No	Deletion of Information Requested			No	Reduce burden - prevent / reduce data redundancy
POST497	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify type of PTLD	Monomorphic	No Change	No Change	No Change	No
POST498	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify type of PTLD	Polymorphic	No Change	No Change	No Change	No
POST499	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify type of PTLD	Unknown	No Change	No Change	No Change	No
POST500	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No			Addition of Information Requested	Specify type of leukemia / lymphoma	B-cell	No	Be consistent with current clinical landscape, improve transplant outcome data
POST501	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No			Addition of Information Requested	Specify type of leukemia / lymphoma	T-cell	No	Be consistent with current clinical landscape, improve transplant outcome data
POST502	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify oropharyngeal cancer	Tongue	No Change	No Change	No Change	No
POST503	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify oropharyngeal cancer	Mouth	No Change	No Change	No Change	No
POST504	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify oropharyngeal cancer	Throat	No Change	No Change	No Change	No
POST505	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify oropharyngeal cancer	Other	No Change	No Change	No Change	No
POST506	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify gastrointestinal malignancy	Esophagus	No Change	No Change	No Change	No
POST507	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify gastrointestinal malignancy	Stomach	No Change	No Change	No Change	No
POST508	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify gastrointestinal malignancy	Small intestine	No Change	No Change	No Change	No
POST509	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify gastrointestinal malignancy	Colon	No Change	No Change	No Change	No
POST510	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify gastrointestinal malignancy	Rectum	No Change	No Change	No Change	No
POST511	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify gastrointestinal malignancy	Anus	No Change	No Change	No Change	No
POST512	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify gastrointestinal malignancy	Liver	No Change	No Change	No Change	No
POST513	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify gastrointestinal malignancy	Pancreas	No Change	No Change	No Change	No
POST514	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify gastrointestinal malignancy	Other gastrointestinal malignancy	No Change	No Change	No Change	No
POST515	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No			Addition of Information Requested	Number of non-melanoma skin cancer lesions	Open text	No	Reduce burden - reduce requirement for multiple sets of data
POST516	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify genitourinary malignancy	Kidney	No Change	No Change	No Change	No
POST517	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify genitourinary malignancy	Bladder	No Change	No Change	No Change	No
POST518	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify genitourinary malignancy	Cervix	No Change	No Change	No Change	No
POST519	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify genitourinary malignancy	Uterus	No Change	No Change	No Change	No
POST520	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify genitourinary malignancy	Ovary	No Change	No Change	No Change	No
POST521	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify genitourinary malignancy	Prostate	No Change	No Change	No Change	No
POST522	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify genitourinary malignancy	Testis	No Change	No Change	No Change	No
POST523	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify genitourinary malignancy	Other genitourinary malignancy	No Change	No Change	No Change	No
POST524	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify CNS malignancy	Meningioma	No Change	No Change	No Change	No
POST525	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify CNS malignancy	Glioma	No Change	No Change	No Change	No
POST526	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify CNS malignancy	Other CNS malignancy	No Change	No Change	No Change	No
POST527	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Specify other new malignancy:	Open text	No Change	No Change	No Change	No
POST528	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Date of diagnosis:	Open text	No Change	No Change	No Change	No
POST529	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching documentation (e.g. pathology report, autopsy report)	Reduce burden
POST530	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching documentation (e.g. pathology report, autopsy report)	Reduce burden
POST531	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Was the new malignancy donor / cell product derived?	Yes	No Change	No Change	No Change	No
POST532	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Was the new malignancy donor / cell product derived?	No	No Change	No Change	No Change	No
POST533	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Was the new malignancy donor / cell product derived?	Not Done	No Change	No Change	No Change	No
POST534	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching documentation (e.g. cell origin evaluation (VNTR, cytogenetics, FISH)	Reduce burden
POST535	Post-Transplant Periodic Information	Subsequent Neoplasms	New Malignancy, Lymphoproliferative or Myeloproliferative Disease / Disorder	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching documentation (e.g. cell origin evaluation (VNTR, cytogenetics, FISH)	Reduce burden
POST536	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was PTLD confirmed by biopsy?	Yes	No Change	No Change	No Change	No
POST537	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was PTLD confirmed by biopsy?	No	No Change	No Change	No Change	No
POST538	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was the pathology of the tumor EBV positive?	yes	No Change	No Change	No Change	No
POST539	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was the pathology of the tumor EBV positive?	no	No Change	No Change	No Change	No
POST540	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was documentation submitted to the CIBMTR?	Yes	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching documentation (e.g. pathology report, autopsy report)	Reduce burden
POST541	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was documentation submitted to the CIBMTR?	No	Deletion of Information Requested			Yes: CIBMTR strongly encourages attaching documentation (e.g. pathology report, autopsy report)	Reduce burden
POST542	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was there EBV reactivation in the blood?	Yes	No Change	No Change	No Change	No
POST543	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was there EBV reactivation in the blood?	No	No Change	No Change	No Change	No
POST544	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was there EBV reactivation in the blood?	Not Done	No Change	No Change	No Change	No
POST545	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	How was EBV reactivation diagnosed?	Qualitative PCR of blood	No Change	No Change	No Change	No
POST546	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	How was EBV reactivation diagnosed?	Quantitative PCR of blood	No Change	No Change	No Change	No
POST547	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	How was EBV reactivation diagnosed?	Other method	No Change	No Change	No Change	No
POST548	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Specify other method:	Open text	No Change	No Change	No Change	No
POST549	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Quantitative EBV viral load of blood:	Open text	No Change	No Change	No Change	No
POST550	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was a quantitative PCR of blood performed again after diagnosis?	Yes	No Change	No Change	No Change	No
POST551	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was a quantitative PCR of blood performed again after diagnosis?	No	No Change	No Change	No Change	No
POST552	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Highest EBV viral load of blood:	Open text	No Change	No Change	No Change	No
POST553	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was there lymphomatous involvement?	Yes	No Change	No Change	No Change	No
POST554	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Was there lymphomatous involvement?	No	No Change	No Change	No Change	No
POST555	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Specify sites of PTLD involvement	Bone marrow	No Change	No Change	No Change	No
POST556	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Specify sites of PTLD involvement	Central nervous system	No Change	No Change	No Change	No
POST557	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Specify sites of PTLD involvement	Liver	No Change	No Change	No Change	No
POST558	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Specify sites of PTLD involvement	Lung	No Change	No Change	No Change	No
POST559	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Specify sites of PTLD involvement	Lymph nodes	No Change	No Change	No Change	No
POST560	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Specify sites of PTLD involvement	Spleen	No Change	No Change	No Change	No
POST561	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Specify sites of PTLD involvement	Other site	No Change	No Change	No Change	No
POST562	Post-Transplant Periodic Information	Subsequent Neoplasms	Post-Transplant Lymphoproliferative Disorder	No	Specify other site:	Open text	No Change	No Change	No Change	No
POST563	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Information	No			New Structure for Allogeneic Boost Data Capture	Donor ID:	Drop down list of individual donors for the recipient	No	Reduce burden - allogeneic boost data capture
POST564	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Information	No			New Structure for Allogeneic Boost Data Capture	Donor date of birth:	Open text	No	Reduce burden - allogeneic boost data capture
POST565	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Information	No			New Structure for Allogeneic Boost Data Capture	Donor age:	Open text	No	Reduce burden - allogeneic boost data capture
POST566	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Information	No			New Structure for Allogeneic Boost Data Capture	Months (use if less than 1 year old)	checked	No	Reduce burden - allogeneic boost data capture
POST567	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Information	No			New Structure for Allogeneic Boost Data Capture	Years	checked	No	Reduce burden - allogeneic boost data capture
POST568	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Information	No			New Structure for Allogeneic Boost Data Capture	Donor sex	Male	No	Reduce burden - allogeneic boost data capture
POST569	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Information	No			New Structure for Allogeneic Boost Data Capture	Donor sex	Female	No	Reduce burden - allogeneic boost data capture
POST570	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Date of this DCI:	Open text	No	Reduce burden - allogeneic boost data capture
POST571	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the primary indication?	GVHD prophylaxis	No	Reduce burden - allogeneic boost data capture
POST572	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the primary indication?	GVHD treatment	No	Reduce burden - allogeneic boost data capture
POST573	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the primary indication?	Immune reconstitution	No	Reduce burden - allogeneic boost data capture
POST574	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the primary indication?	Infection treatment	No	Reduce burden - allogeneic boost data capture
POST575	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the primary indication?	Insufficient hematopoietic recovery / Graft failure	No	Reduce burden - allogeneic boost data capture
POST576	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the primary indication?	Prevent disease relapse	No	Reduce burden - allogeneic boost data capture
POST577	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the primary indication?	Suboptimal donor chimerism	No	Reduce burden - allogeneic boost data capture
POST578	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the primary indication?	Treatment of disease relapse/progression	No	Reduce burden - allogeneic boost data capture
POST579	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the primary indication?	Treatment of MRD	No	Reduce burden - allogeneic boost data capture
POST580	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the primary indication?	Other indication	No	Reduce burden - allogeneic boost data capture
POST581	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Specify other indication:	Open text	No	Reduce burden - allogeneic boost data capture
POST582	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Was therapy to treat disease given prior to the DCI?	Yes	No	Reduce burden - allogeneic boost data capture
POST583	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Was therapy to treat disease given prior to the DCI?	No	No	Reduce burden - allogeneic boost data capture
POST584	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Date complete blood count sample drawn:	Open text	No	Reduce burden - allogeneic boost data capture
POST585	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Complete blood count (CBC) results available	White blood cell (WBC)	No	Reduce burden - allogeneic boost data capture
POST586	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Complete blood count (CBC) results available	Neutrophils	No	Reduce burden - allogeneic boost data capture
POST587	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Complete blood count (CBC) results available	Lymphocytes	No	Reduce burden - allogeneic boost data capture
POST588	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Complete blood count (CBC) results available	Hemoglobin (Hb)	No	Reduce burden - allogeneic boost data capture
POST589	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Complete blood count (CBC) results available	Hematocrit	No	Reduce burden - allogeneic boost data capture
POST590	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Complete blood count (CBC) results available	Platelets	No	Reduce burden - allogeneic boost data capture
POST591	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	WBC:	Open text	No	Reduce burden - allogeneic boost data capture
POST592	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	x 109/L (x 103/mm3)	checked	No	Reduce burden - allogeneic boost data capture
POST593	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	x 106/L (x 1/mm3) (x 1/µL) (cells/µL)	checked	No	Reduce burden - allogeneic boost data capture
POST594	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Neutrophils:	Open text	No	Reduce burden - allogeneic boost data capture
POST595	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Lymphocytes:	Open text	No	Reduce burden - allogeneic boost data capture
POST596	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Hemoglobin:	Open text	No	Reduce burden - allogeneic boost data capture
POST597	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	g/dL	checked	No	Reduce burden - allogeneic boost data capture
POST598	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	g/L	checked	No	Reduce burden - allogeneic boost data capture
POST599	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	mmol/L	checked	No	Reduce burden - allogeneic boost data capture
POST600	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Hematocrit:	Open text	No	Reduce burden - allogeneic boost data capture
POST601	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Was RBC transfused < 30 days before the CBC was drawn?	Yes	No	Reduce burden - allogeneic boost data capture
POST602	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Was RBC transfused < 30 days before the CBC was drawn?	No	No	Reduce burden - allogeneic boost data capture
POST603	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Platelets:	Open text	No	Reduce burden - allogeneic boost data capture
POST604	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	x 109/L (x 103/mm3)	checked	No	Reduce burden - allogeneic boost data capture
POST605	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	x 106/L (x 1/mm3) (x 1/µL) (cells/µL)	checked	No	Reduce burden - allogeneic boost data capture
POST606	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Were platelets transfused < 7 days before the date the sample was drawn?	Yes	No	Reduce burden - allogeneic boost data capture
POST607	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Were platelets transfused < 7 days before the date the sample was drawn?	No	No	Reduce burden - allogeneic boost data capture
POST608	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What scale was used to determine the recipient’s functional status prior to the donor cellular infusion?	Karnofsky	No	Reduce burden - allogeneic boost data capture
POST609	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What scale was used to determine the recipient’s functional status prior to the donor cellular infusion?	Lansky	No	Reduce burden - allogeneic boost data capture
POST610	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Karnofsky Scale	100 Normal; no complaints; no evidence of disease	No	Reduce burden - allogeneic boost data capture
POST611	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Karnofsky Scale	90 Able to carry on normal activity	No	Reduce burden - allogeneic boost data capture
POST612	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Karnofsky Scale	80 Normal activity with effort	No	Reduce burden - allogeneic boost data capture
POST613	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Karnofsky Scale	70 Cares for self; unable to carry on normal activity or to do active work	No	Reduce burden - allogeneic boost data capture
POST614	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Karnofsky Scale	60 Requires occasional assistance but is able to care for most needs	No	Reduce burden - allogeneic boost data capture
POST615	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Karnofsky Scale	50 Requires considerable assistance and frequent medical care	No	Reduce burden - allogeneic boost data capture
POST616	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Karnofsky Scale	40 Disabled; requires special care and assistance	No	Reduce burden - allogeneic boost data capture
POST617	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Karnofsky Scale	30 Severely disabled; hospitalization indicated, although death not imminent	No	Reduce burden - allogeneic boost data capture
POST618	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Karnofsky Scale	20 Very sick; hospitalization necessary	No	Reduce burden - allogeneic boost data capture
POST619	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Karnofsky Scale	10 Moribund; fatal process progressing rapidly	No	Reduce burden - allogeneic boost data capture
POST620	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Lansky Scale	100 Fully active	No	Reduce burden - allogeneic boost data capture
POST621	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Lansky Scale	90 Minor restriction in physically strenuous play	No	Reduce burden - allogeneic boost data capture
POST622	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Lansky Scale	80 Restricted in strenuous play, tires more easily, otherwise active	No	Reduce burden - allogeneic boost data capture
POST623	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Lansky Scale	70 Both greater restrictions of, and less time spent in, active play	No	Reduce burden - allogeneic boost data capture
POST624	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Lansky Scale	60 Ambulatory up to 50% of time, limited active play with assistance / supervision	No	Reduce burden - allogeneic boost data capture
POST625	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Lansky Scale	50 Considerable assistance required for any active play; fully able to engage in quiet play	No	Reduce burden - allogeneic boost data capture
POST626	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Lansky Scale	40 Able to initiate quiet activities	No	Reduce burden - allogeneic boost data capture
POST627	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Lansky Scale	30 Needs considerable assistance for quiet activity	No	Reduce burden - allogeneic boost data capture
POST628	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Lansky Scale	20 Limited to very passive activity initiated by others (e.g., TV)	No	Reduce burden - allogeneic boost data capture
POST629	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Lansky Scale	10 Completely disabled, not even passive play	No	Reduce burden - allogeneic boost data capture
POST630	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Date of cell product collection	Known	No	Reduce burden - allogeneic boost data capture
POST631	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Date of cell product collection	Unknown	No	Reduce burden - allogeneic boost data capture
POST632	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Date of cell product collection:	Open text	No	Reduce burden - allogeneic boost data capture
POST633	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Was the product previously cryopreserved?	Yes	No	Reduce burden - allogeneic boost data capture
POST634	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Was the product previously cryopreserved?	No	No	Reduce burden - allogeneic boost data capture
POST635	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Tissue source	Bone marrow	No	Reduce burden - allogeneic boost data capture
POST636	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Tissue source	Peripheral blood	No	Reduce burden - allogeneic boost data capture
POST637	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Tissue source	Other	No	Reduce burden - allogeneic boost data capture
POST638	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Specify other tissue source:	Open text	No	Reduce burden - allogeneic boost data capture
POST639	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Were the cells in the infused product selected / modified / engineered / manipulated prior to infusion?	Yes	No	Reduce burden - allogeneic boost data capture
POST640	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Were the cells in the infused product selected / modified / engineered / manipulated prior to infusion?	No	No	Reduce burden - allogeneic boost data capture
POST641	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Specify the method(s) used to manipulate the product	Cultured	No	Reduce burden - allogeneic boost data capture
POST642	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Specify the method(s) used to manipulate the product	Induced cell differentiation	No	Reduce burden - allogeneic boost data capture
POST643	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Specify the method(s) used to manipulate the product	Cell selection - positive	No	Reduce burden - allogeneic boost data capture
POST644	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Specify the method(s) used to manipulate the product	Cell selection - negative	No	Reduce burden - allogeneic boost data capture
POST645	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Specify the method(s) used to manipulate the product	Cell selection based on affinity to a specific antigen	No	Reduce burden - allogeneic boost data capture
POST646	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Specify the method(s) used to manipulate the product	Other cell manipulation	No	Reduce burden - allogeneic boost data capture
POST647	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Specify other cell manipulation:	Open text	No	Reduce burden - allogeneic boost data capture
POST648	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Specify the cell type(s) administered	CD34+ cells	No	Reduce burden - allogeneic boost data capture
POST649	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Specify the cell type(s) administered	Lymphocytes (unselected)	No	Reduce burden - allogeneic boost data capture
POST650	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Specify the cell type(s) administered	CD4+ lymphocytes	No	Reduce burden - allogeneic boost data capture
POST651	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Specify the cell type(s) administered	CD8+ lymphocytes	No	Reduce burden - allogeneic boost data capture
POST652	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Specify the cell type(s) administered	Regulatory T-cells (TREG)	No	Reduce burden - allogeneic boost data capture
POST653	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Specify the cell type(s) administered	Other cell type	No	Reduce burden - allogeneic boost data capture
POST654	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Total number of CD34+ cells:	Open text	No	Reduce burden - allogeneic boost data capture
POST655	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	Total number of CD34+ cells exponent	Open text	No	Reduce burden - allogeneic boost data capture
POST656	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Total number of lymphocytes (unselected):	Open text	No	Reduce burden - allogeneic boost data capture
POST657	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Total number of lymphocytes (unselected) exponent	Open text	No	Reduce burden - allogeneic boost data capture
POST658	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Total number of CD4+ lymphocytes:	Open text	No	Reduce burden - allogeneic boost data capture
POST659	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Total number of CD4+ lymphocytes exponent	Open text	No	Reduce burden - allogeneic boost data capture
POST660	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Total number of CD8+ lymphocytes:	Open text	No	Reduce burden - allogeneic boost data capture
POST661	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Total number of CD8+ lymphocytes exponent	Open text	No	Reduce burden - allogeneic boost data capture
POST662	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Total number of TREG cells:	Open text	No	Reduce burden - allogeneic boost data capture
POST663	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Total number of TREG cells exponent	Open text	No	Reduce burden - allogeneic boost data capture
POST664	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Specify other cell type:	Open text	No	Reduce burden - allogeneic boost data capture
POST665	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Total number of other cells:	Open text	No	Reduce burden - allogeneic boost data capture
POST666	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Total number of other cells exponent	Open text	No	Reduce burden - allogeneic boost data capture
POST667	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the best response to the DCI?	Complete response	No	Reduce burden - allogeneic boost data capture
POST668	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the best response to the DCI?	Partial response	No	Reduce burden - allogeneic boost data capture
POST669	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the best response to the DCI?	No response	No	Reduce burden - allogeneic boost data capture
POST670	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the best response to the DCI?	Disease progression	No	Reduce burden - allogeneic boost data capture
POST671	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the best response to the DCI?	Normalization of blood count	No	Reduce burden - allogeneic boost data capture
POST672	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture	What was the best response to the DCI?	Partial normalization of blood count	No	Reduce burden - allogeneic boost data capture
POST673	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	What was the best response to the DCI?	Not assessed	No	Reduce burden - allogeneic boost data capture
POST674	Post-Transplant Periodic Information	Donor Cellular Infusion	Donor Cellular Infusion (DCI)	No			New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)	Date response established:	Open text	No	Reduce burden - allogeneic boost data capture

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Sheet 5: pull down menus

Below are pull down options for Column H: Do not delete		Below are pull down options for Column L: Do not delete
No Change		Capture data accurately
Deletion of Information Requested		Be consistent with current clinical landscape, improve transplant outcome data
Addition of Information Requested		Typographical/grammatical errors corrected for clarification
Change/Clarification of Information Requested		Reduce burden
Change/Clarification of Information Requested and Deletion of Response Option		Reduce burden - information no longer needed
Change/Clarification of Information Requested and Addition of Response Option		Reduce burden - prevent / reduce data redundancy
Merged to Check all that Apply (Deletion of Information Requested)		Reduce burden - allogeneic boost data capture
Merged to Check all that Apply (Addition of Information Requested)		Reduce burden - reduce data entry
Merged from Multiple to Grid (Deletion of Information Requested)		Reduce burden - reduce requirement for multiple sets of data
Merged from Multiple to Grid (Deletion of Information Requested and Auto-filled, when applicable)
Merged from Multiple to Grid (Addition of Information Requested)
New Structure and Addition of Information Requested
New Structure and Change/Clarification of Information Requested
New Structure for Allogeneic Boost Data Capture
New Structure for Allogeneic Boost Data Capture (Addition of Information Requested)
New Functionality
Addition of Instructional text