Form 2004 Form 2005 Form 2006
For each instance where:
Donor type = Syngeneic (monozygotic twin)
or HLA-identical sibling
CRF track
Q61 = No
X (donor) X (recipient) X (for each product)
For each instance where:
Donor type = Syngeneic (monozygotic twin)
or HLA-identical sibling
Q68 = Yes
(yes to consent for Research Sample Repository)
TED track
Q61 = No
X (donor) X (recipient) X (for each product)
For each instance where:
Donor type = Syngeneic (monozygotic twin)
or HLA-identical sibling
Q68= No, Not approached, or Not applicable
(consent for Research Sample Repository)
TED track
Q61 = No
Last modified: 2017/06/26

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