ID
1884
Descrizione
CALGB: LEUKEMIA TISSUE BANK SPECIMEN ROUTING FORM Daunorubicin and Cytarabine With or Without Oblimersen in Treating Older Patients With Previously Untreated Acute Myeloid Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B229F365-AE89-5149-E034-0003BA12F5E7
collegamento
Keywords
versioni (2)
- 19/09/12 19/09/12 -
- 25/07/17 25/07/17 - Martin Dugas
Caricato su
19 settembre 2012
DOI
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Licenza
Creative Commons BY-NC 3.0
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Leukemia NCT00085124 Pathology - CALGB: LEUKEMIA TISSUE BANK SPECIMEN ROUTING FORM - 2076722v3.0
Instructions: This form is to be completed and submitted with each bone marrow or blood sample drawn for evaluation. Unless otherwise indicated use ?-1? to indicate that and answer is ?unknown,? ?unobtainable,? ?not applicable? or ?not done.? Make 2 copies, send original to reference laboratory with sample; send one copy to CALGB Statistical Center, Data Operations and keep a copy for your records.
- StudyEvent: CALGB: LEUKEMIA TISSUE BANK SPECIMEN ROUTING FORM
Descrizione
Lab Use Only
Descrizione
SpecimenID
Tipo di dati
double
Descrizione
SpecimenVialTissueCollectionSubmissionCount
Tipo di dati
double
Alias
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
- NCI Thesaurus Property
- C25695
- UMLS 2011AA Property
- C1515023
- NCI Thesaurus Property
- C41275
- UMLS 2011AA Property
- C0184301
- NCI Thesaurus Property
- C15339
- UMLS 2011AA Property
- C0040278
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Descrizione
SpecimenVialTissueCollectionSubmissionAverageVolumeMeasurement
Tipo di dati
double
Unità di misura
- ml
Alias
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
- NCI Thesaurus Property
- C25695
- UMLS 2011AA Property
- C1515023
- NCI Thesaurus Property
- C41275
- UMLS 2011AA Property
- C0184301
- NCI Thesaurus Property
- C15339
- UMLS 2011AA Property
- C0040278
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain
- C25335
- UMLS 2011AA ValueDomain
- C0449468
- NCI Thesaurus ValueDomain
- C37917
- UMLS 2011AA ValueDomain
- C1510992
Descrizione
SampleStorage
Tipo di dati
text
Descrizione
SpecimenCondition
Tipo di dati
text
Descrizione
CompletedBy
Tipo di dati
text
Descrizione
FormOriginalCompleteDate
Tipo di dati
date
Alias
- NCI Thesaurus ObjectClass
- C19464
- UMLS 2011AA ObjectClass
- C0376315
- NCI Thesaurus Property
- C25250
- UMLS 2011AA Property
- C0205197
- NCI Thesaurus Property
- C25604
- UMLS 2011AA Property
- C0205313
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain
- C25367
Descrizione
Ccrr Module For Calgb: Leukemia Tissue Bank Specimen Routing Form
Descrizione
CALGBForm
Tipo di dati
text
Descrizione
CALGBProtocolNumber
Tipo di dati
text
Descrizione
CALGBPatientID
Tipo di dati
text
Descrizione
AmendedDataInd
Tipo di dati
text
Alias
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
Descrizione
Patient'sName
Tipo di dati
text
Descrizione
PatientHospitalNumber
Tipo di dati
text
Descrizione
MainMemberInstitution/Affiliate
Tipo di dati
text
Descrizione
ParticipatingGroupName
Tipo di dati
text
Descrizione
ParticipatingGroupProtocolNo.
Tipo di dati
text
Descrizione
ParticipatingGroupPatientID
Tipo di dati
text
Similar models
Instructions: This form is to be completed and submitted with each bone marrow or blood sample drawn for evaluation. Unless otherwise indicated use ?-1? to indicate that and answer is ?unknown,? ?unobtainable,? ?not applicable? or ?not done.? Make 2 copies, send original to reference laboratory with sample; send one copy to CALGB Statistical Center, Data Operations and keep a copy for your records.
- StudyEvent: CALGB: LEUKEMIA TISSUE BANK SPECIMEN ROUTING FORM
C0237753 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C41277 (NCI Thesaurus ObjectClass)
C1561954 (UMLS 2011AA ObjectClass)
C25695 (NCI Thesaurus Property)
C1515023 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0376315 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25604 (NCI Thesaurus Property)
C0205313 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C0370003 (UMLS 2011AA ObjectClass)
C25695 (NCI Thesaurus Property)
C1515023 (UMLS 2011AA Property)
C41275 (NCI Thesaurus Property)
C0184301 (UMLS 2011AA Property)
C15339 (NCI Thesaurus Property)
C0040278 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C0370003 (UMLS 2011AA ObjectClass)
C25695 (NCI Thesaurus Property)
C1515023 (UMLS 2011AA Property)
C41275 (NCI Thesaurus Property)
C0184301 (UMLS 2011AA Property)
C15339 (NCI Thesaurus Property)
C0040278 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25335 (NCI Thesaurus ValueDomain)
C0449468 (UMLS 2011AA ValueDomain)
C37917 (NCI Thesaurus ValueDomain)
C1510992 (UMLS 2011AA ValueDomain)
C0376315 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25604 (NCI Thesaurus Property)
C0205313 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)