Crf Header
Protocol ID Coordinating Group
text
Coordinating Group Code
Protocol Title
Patient Study ID
Institution Name
Trial subject ID Participating Group
ParticipatingGroupIdentifierCode
PatientName
Lung Pathology: Form Administration
Person Completing Form
Data amended
boolean
Pathology: Bronchoscopy Tissues Samples
SpecimenCollectedDate
date
BronchoscopyProcedureReason
SpecimenIdentifierNumber
LungSpecimenCellSourceType
SpecimenCellSourceSpecify
BronchoscopyProcedureType
BronchoscopyTherapyPerformedSpecify
BronchoscopyFindingProcedure
BronchoscopyOtherFindingProcedure
BronchoscopyAbnormalityType
BronchoscopyAbnormalityOtherSpecify
BronchialSpecimenSamplingSite
BronchialSpecimenSamplingOtherSite
Histologic Type
TumorHistologicSubcategorySpecify
Histologic Type, other
AssociatedSpecimenPremalignantHistologicChangeName
AssociatedSpecimenPremalignantHistologicChangeSpecify
LabConditionSpecimenType
SpecimenInflammationChangeType
PathologyAdditionalDiagnosisText
ReviewingPathologistName