SCD Pre-Infusion Data
The Sickle Cell Disease (SCD) Pre-Infusion Data Form (Form 2030) is one of the Comprehensive Report Forms. This form captures SCD-specific pre-infusion data such as: disease classification at diagnosis, transfusion status prior to the start of the preparative regimen, organ assessments prior to the start of the preparative regimen, and the indication for transplant.
This form must be completed for all recipients randomized to the Comprehensive Report Form (CRF) track whose primary disease is reported on the Pre-TED Disease Classification Form (Form 2402) as Sickle Cell Disease (SCD).
Links to Sections of the Form
Q1: Subsequent Infusion
Q2 – 5: Sickle Cell Diagnosis
Q6 – 16: Transfusion Therapy
Q17 – 19: Therapy for Iron Overload
Q20 – 24: Pulmonary Assessments
Q25 – 34: Cardiovascular Assessments
Q35 – 40: Renal Assessments
Q41 – 45: Splenic Assessments
Q46 – 50: Acute Chest Syndrome
Q51 – 53: Pain
Q54 – 56: Avascular Necrosis
Q57 – 65: Central Nervous System
Q66 – 76: Other Symptoms
Q77 – 87: Existing Organ Impairments
Q88 – 94: Disease Modifying Therapies
Q95 – 118: Other Laboratory Studies
Q119 – 120: Reason for Infusion
Q121: Marrow Evaluation at Last Evaluation
Manual Updates:
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.
If you need to reference the historical Manual Change History for this form, please click here or reference the retired manual section on the Retired Forms Manuals webpage.
| Date | Manual Section | Add/Remove/Modify | Description |
|---|---|---|---|
| 10/25/2024 | 2030 SCD Pre-Infusion | Add | Version 2 of the 2030: Sickle Cell Disease (SCD) Pre-Infusion section of the Forms Instructions Manual released. Version 2 corresponds to revision 4 of the Form 2030. |
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