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IDM Testing at donor workup (please fill in Yes, On Request, No, Test method) | YES | On request | NO | Test method | Timeframe before stem cell donation date (for donors) or Timeframe when the materials sample is taken for testing (for cords) |
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ALT/AST: | |||||
Chagas: | |||||
CMV IgG: | |||||
CMV IgM: | |||||
CMV Total: | |||||
EBV IgG: | |||||
EBV IgM: | |||||
HAV (NAT): | |||||
HBV (NAT): | |||||
HBc Ab: | |||||
HBs Ag: | |||||
HCV (NAT): | |||||
HCV Ab: | |||||
HEV (NAT): | |||||
HIV (NAT): | |||||
HIV-1 Ab: | |||||
HIV-2 Ab: | |||||
HIV p24: | |||||
HTLV-I: | |||||
HTLV-II: | |||||
Malaria: | |||||
HSV: | |||||
STS: | |||||
STS FTA-ABS: | |||||
Toxoplasmosis: | |||||
VZV: | |||||
WNV-NAT: | |||||
Other tests performed: |
Testing | |
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The physical and medical exam at donor work up is performed by a medical doctor: | YES / NO |
All donor testing (at work up) for infectious disease is performed in a laboratory certified/licensed by a Competent Authority: | YES / NO |
HLA typing for patient specific request is performed in an appropriately accredited laboratory: | YES / NO |
Sterility testing is performed on the adult donor product: | YES / NO |
Sterility testing is performed on the cord blood product: | YES / NO |
Reporting of Serious Adverse Events Please indicate which of the following schemes for reporting Serious Adverse Events relating to either the Donor or the product the Registry participates in: | Additional comments | |
Mandatory National Reporting Scheme | YES / NO | |
Voluntary National Reporting Scheme | YES / NO | |
WMDA SEAR/SPEAR Reporting Scheme: | YES / NO | |
The Registry will notify the receiving Registry within 24 hours of receiving information relating to any serious adverse event that could be considered to affect the patient receiving the product? | YES / NO |
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