Key Fields & Signature Lines

Key Fields

Accuracy of the Key Fields is essential for ensuring that:

• Data are being reported for the correct recipient and infusion.
• Outcomes data accurately reflects appropriate transplant type and product for each transplant center.
• Data about donors are correctly linked across from for that donor
• Data are being shared with the correct donor center, cord blood bank, cooperative registry, or other agency.
  

The Key Fields precede the form body on each form. The key fields are automatically populated when a form (i.e., the “target form”) is opened in edit mode in the FormsNet3 application. The auto-population uses information provided on the CRID Assignment and other forms previously completed (i.e., the “source form”). Centers should review all auto-populated data for accuracy and completeness. If errors are noted in the key fields, the source will need to be updated first. Once the source is accurate, the center will need to reprocess any completed target forms to correct the key field data.

Auto-population Sources:

Source Form	Data	Target Forms
CRID Assignment	Recipient Demographics: Date of birth Sex NMDP Recipient ID (RID) Race / ethnicity	Pre-TED (2400) Cellular Therapy Essential Data Pre-Infusion (4000)
Indication for CRID Assignment (2814)	For first infusions only: Infusion type (CT or HCT) Infusion date	All forms completed for this infusion
Pre-TED (2400)	Donor details: Donor / CBU date of birth or age Donor / CBU sex Donor / CBU ID or GRID Donor relationship to recipient Product type	Infectious Disease Markers (2004) Confirmation of HLA Typing (2005) Hematopoietic Stem Cell Transplantation (HCT) Infusion (2006)
Disease Classification (2402)	Broad disease Disease subtype	Pre-infusion disease specific forms Post-infusion disease specific forms

!When the same donor, donates more than one product type, the product type cannot be automatically populated on Hematopoietic Stem Cell Transplantation (HCT) Infusion (2006) Form and will need to be manually reported.

Signature Lines

The FormsNet3 application will automatically populate the signature data fields, including name and email address of person completing the form and date upon submission of the form.

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
5/3/2023	Key Fields & Signature Lines	Modify	Instructions updated: Accuracy of the Key Fields is essential for ensuring that: Data are being reported for the correct recipient and infusion. Outcomes data accurately reflects appropriate transplant type and product for each transplant center. Data about donors are correctly linked across from for that donor Data are being shared with the correct donor center, cord blood bank, cooperative registry, or other agency. The Key Fields precede the form body and are automatically populated in the FormsNet3 application based on information provided on the CRID Assignment Form 2804. If errors are noted in the key fields, correct Form 2804 and then review it for accuracy. After Form 2804 has been corrected, verify data has been updated on all completed forms. If the data has not been updated automatically, centers will need to reprocess the completed forms to correct the key field data. If errors are noted in key fields for second or subsequent transplants, contact your CRC to make any necessary corrections to the transplant or product type. Transplant and product type will not be automatically populated on product or donor specific forms (Forms 2004, 2005, and 2006) and will need to be manually reported. The Key Fields precede the form body on each form. The key fields are automatically populated when a form (i.e., the “target form”) is opened in edit mode in the FormsNet3 application. The auto-population uses information provided on the CRID Assignment and other forms previously completed (i.e., the “source form”). Centers should review all auto-populated data for accuracy and completeness. If errors are noted in the key fields, the source will need to be updated first. Once the source is accurate, the center will need to reprocess any completed target forms to correct the key field data.
5/3/2023	Key Fields & Signature Lines	Add	Auto-population table and red warning box below table added

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CIBMTR® (Center for International Blood and Marrow Transplant Research) is a research collaboration between the Medical College of Wisconsin and NMDP.