The Plasma Cell Disorder Post-HCT Data Form is one of the Comprehensive Report Forms. This form captures plasma cell disorder (PCD) post-HCT data such as: disease assessment at the time of best response, hematologic and organ parameters at the time of best response, post-HCT therapy, disease status at the time of evaluation for this reporting period, and current status of amyloidosis for this reporting period.
This form must be completed for all recipients whose primary disease reported on the Pre-TED Disease Classification Form (Form 2402) is “Multiple myeloma/plasma cell disorder (PCD).” The Post-HCT Plasma Cell Disorder form must be completed in conjunction with each Post-HCT follow-up form (Form 2100). This form is designed to capture specific data occurring within the timeframe of each reporting period (i.e., between day 0 and day 100; between day 100 and the six-month date of contact for six-month follow-up; and between the date of contact for the six-month follow-up and the date of contact for the one-year follow-up, etc.).
Q1 – 2: Disease Specificity
Q3 – 53: Disease Assessment at the Time of Best Response to HCT or Cellular Therapy
Q54 – 109: Organ Parameters of Amyloidosis at the Time of Best Response
Q110 – 141: POEMS Syndrome Assessment at the Time of Best Response
Q142 – 210: Post-Infusion Therapy
Q211 – 252: Disease Status at the Time of Evaluation for this Reporting Period
Q253 – 311: Current Status of Amyloidosis for this Reporting Period
Q312 – 343: Current Status of POEMS Syndrome for this Reporting Period
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.
|4/30/2021||2116: PCD Post-Infusion||Modify||Version 4 of the 2116: Plasma Cell Disorders (PCD) Post-Infusion Data section of the Forms Instruction Manual released. Version 4 corresponds to revision 5 of the Form 2116.|
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