Q3-35: Hematologic Findings

Questions 3-35: Hematologic Findings

!Questions 3-35 can only be completed on the 100 day follow-up form. These questions will be skipped for all subsequent reporting periods.

These questions are intended to determine the hematological status of the recipient after the HCT. There are three sections to collect hematologic results at day +7, +14, and +21 post-HCT. Testing may be performed multiple times within the reporting period; however, report the laboratory values within +/-3 days of day +7, +14 and +21 post-HCT.

Report the laboratory value and unit (if applicable) for each hematologic finding. If a value is not known, select “unknown” and continue with the next laboratory value.

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)
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