Questions 26-35: Provide the most recent laboratory values recorded

These questions are intended to determine the hematological status of the recipient after the infusion. Testing may be performed multiple times within the reporting period; however, report only the most recent (closest to the contact date) laboratory values.

Report the date of the most recent complete blood count and select all hematologic results available. Report the associated laboratory value and unit (if applicable).

For hematocrit, check the box if red blood cells were transfused within 30 days prior to the testing.

For platelets, check the box if platelets were transfused within seven days prior to the testing.

Section Updates:

Question Number Date of Change Add/Remove/Modify Description Reasoning (If applicable)
Q26 – 35 5/18/2022 Add Combined Follow-Up blue box added: In scenarios where both HCT and cellular therapy forms are being completed, duplicate questions will exist between the Cellular Therapy Essential Data Follow-Up (4100) form and the Post-HCT Data (2100) or Post-Transplant Essential Data (2450) form. To reduce the reporting burden, duplicate questions, including current hematologic findings, on the Post-HCT Data (2100) form are disabled when there is a cellular therapy and an HCT. Added for clarification
Last modified: May 18, 2022

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