Centers must complete the Form 2006 for each product when the recipient is assigned to the Comprehensive Report Form track. Centers must also complete the Form 2006 for the following product types when the recipient is assigned to the Transplant Essential Data track:
- NMDP donor products
- NMDP and non-NMDP cord blood units
- Any product co-infused with a cord blood unit
Additionally, all transplant centers (TED-only and Comprehensive Report Form) participating in the Related Sample Repository must complete the Form 2006 for all non-NMDP donor products when a research sample is collected.
For more information see General Instructions, Center Type and Data Collection Forms.
The Form 2006 is designed to capture product- and infusion-specific information for all pTroducts given to a recipient as part of a Hematopoietic Stem Cell Transplant (HCT). This includes cells given prior to the HCT for reasons other than engraftment. In addition to use in research, this information is used for quality assurance measures, both by the NMDP and the Cord Blood Banks.
If more than one type of HCT product is infused, each product type must be analyzed and reported on a separate form. For example, the scenarios below require two 2006 forms, one for each product:
- Two different products from the same donor (i.e., PBSC and bone marrow)
- A co-infusion of two products (i.e., haplo donor PBSC and CBU)
However, a series of collections from the same donor that uses the same collection method and mobilization cycle, even if the collections are performed on different days, should be considered a single product.
Q1-3: Pre-Collection Therapy
Q4-7: Product Collection
Q8-21: Product Transport and Receipt
Q22-40: Product Processing/Manipulation
Q41-91: Product Analysis
Q92-141: Product Infusion
Q142-168: Donor/Infant Demographic Information
Sections of the Forms Instruction Manual are frequently updated. The most recent updates to the manual can be found below. For additional information, select the manual section and review the updated text.
|9/23/2022||2006: Hematopoietic Stem Cell Transplant (HCT) Infusion||Modify||Version 5 of the 2006: Hematopoietic Stem Cell Transplant (HCT) Infusion section of the Forms Instruction Manual released. Version 5 corresponds to revision 6 of the Form 2006.|
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