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Operations User Guide page number
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Form number
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Form name
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Form description
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Page 4 section 2.7
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SDAP002
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Search request form
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If HLA typing of patient is carried out at a laboratory other than the AN laboratory the TC must complete a search request form.
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Page 6 section 3.6
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SDAP004
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Search cancellation
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The TC or IR must complete to cancel a search request.
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Page 7 section 4.2
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SDAP001
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Confirmatory typing sample request form
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The TC or IR must complete to request a sample to be tested in the TC’s designated laboratory.
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Page 8 section 4.3
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SDAP007
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Extended typing request form
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The TC or IR complete if they require AN to perform extended typing.
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Page 11 section 6.1
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HWAP028
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Formal request for blood stem cell collection (product request)
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Part of work up request that TC must send AN.
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Page 11 section 6.1
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HWAP029A
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Prescription for peripheral stem cell collection
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Part of work up request that TC must send AN.
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Page 11 section 6.1
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HWAP029B
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Prescription for bone marrow harvest
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Part of work up request that TC must send AN.
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Page 11 section 6.1
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HWAP032
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Confirmatory HLA typing result sheet (or legible laboratory HLA typing reports for both patient and donor)
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Part of work up request that TC must send AN.
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Page 14 section 7.1
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F00475
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Fillable donor work up request
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If the Donor is an NMDP Donor (not including Caitlin Raymond or Gift of Life Donors) the TC will send AN the form together with high resolution HLA typing for both patient and Donor.
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Page 16 section 8.1
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HWAP031
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Formal request for subsequent HPC and T-CT donation
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The TC will send to AN when requesting a subsequent donation.
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Page 16 section 8.1
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HWAP030
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Prescription for T-CT collection
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The TC will send to AN when requesting a subsequent donation.
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Page 18 section 9.3
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HWAP037
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Formal request for cord blood unit(s)
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To be completed by TC and send to AN when requesting cord blood units.
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download |
Patient Histocompatibility testing request |
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download |
Related Donor Histocompatibility testing request |
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F00235 |
NMDP Prescription for Therapeutic Cells, T – Cells |
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AN SAE Form |
Anthony Nolan Serious Adverse Event Form |
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AN SAR Form |
Anthony Nolan Serious Adverse Reaction Form |
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