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ID
10412
Description
SPECIAL NUMERIC LABS Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A5EB1250-FB6E-2E58-E034-0003BA0B1A09
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- 9/19/12 9/19/12 -
- 6/1/15 6/1/15 -
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June 1, 2015
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Creative Commons BY-NC 3.0 Legacy
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SPECIAL NUMERIC LABS
NCI/DCTD/CTMS CASE REPORT FORM
- StudyEvent: SPECIAL NUMERIC LABS
Similar models
NCI/DCTD/CTMS CASE REPORT FORM
- StudyEvent: SPECIAL NUMERIC LABS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
DateCompleted
Item
Date Completed
text
Protocol#
Item
Protocol #
text
Institution
Item
Institution
text
Sheet#
Item
Sheet #
text
PatientID
Item
Patient ID
text
PANEL#
Item
PANEL #
text
DATE
Item
DATE
text
ASSIGNEDTEST
Item
ASSIGNED TEST
text
TIME
Item
TIME
text