ID
2187
Beschreibung
CALGB: 30610 Sample Submission Form Three Different Radiation Therapy Regimens in Treating Patients With Limited-Stage Small Cell Lung Cancer Receiving Cisplatin and Etoposide Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3C4C999B-DE4C-38A5-E044-0003BA3F9857
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Versionen (2)
- 19.09.12 19.09.12 -
- 09.01.15 09.01.15 - Martin Dugas
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19. September 2012
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Lung Cancer NCT00632853 Lab - CALGB: 30610 Sample Submission Form - 2689059v1.0
Instructions: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice....
- StudyEvent: CALGB: 30610 Sample Submission Form
Beschreibung
Unnamed3
Beschreibung
ReportingEvaluationPeriodType
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text
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- NCI Thesaurus ValueDomain
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- UMLS 2011AA ValueDomain
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- C25616
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- NCI Thesaurus ObjectClass
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Beschreibung
SpecimenFormSubmittedInd-2
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text
Alias
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Beschreibung
SpecimenNotSubmittedReason
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text
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- C19157
- UMLS 2011AA ObjectClass
- C0370003
- NCI Thesaurus Property
- C25695
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Beschreibung
SpecimenCollectedDate
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
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Beschreibung
SpecimenLabSubmittedDate
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Beschreibung
LabSpecimenIdentifierNumber
Datentyp
text
Alias
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Beschreibung
Shipping Information
Beschreibung
LabTransportIdentifierNumber
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text
Alias
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Beschreibung
LaboratoryTransportName
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text
Alias
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Beschreibung
CentralLaboratoryContactTelephoneNumber
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text
Alias
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Beschreibung
CentralLaboratoryContactPersonEmailAddressText
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text
Alias
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Beschreibung
Footer Module
Beschreibung
ResponsiblePersonName
Datentyp
text
Alias
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Beschreibung
FormOriginalCompleteDate
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date
Alias
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- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain
- C25367
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Instructions: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice....
- StudyEvent: CALGB: 30610 Sample Submission Form
C0237753 (UMLS 2011AA ValueDomain)
C19464 (NCI Thesaurus ObjectClass)
C0376315 (UMLS 2011AA ObjectClass)
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C25442 (NCI Thesaurus Property)
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C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
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C1705108 (UMLS 2011AA)
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C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
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C25198 (NCI Thesaurus Property)
C0034869 (UMLS 2011AA Property)
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C0018704 (UMLS 2011AA ObjectClass)
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C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ValueDomain)
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C25608 (NCI Thesaurus ObjectClass)
C0679823 (UMLS 2011AA ObjectClass)
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C0600091 (UMLS 2011AA Property)
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C1507394 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
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C1515023 (UMLS 2011AA Property)
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C0370003 (UMLS 2011AA ObjectClass)
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C0011008 (UMLS 2011AA ValueDomain)
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C37984 (NCI Thesaurus ObjectClass)
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C0039457 (UMLS 2011AA Property)
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C0022877 (UMLS 2011AA ObjectClass)
C0205099 (NCI Metathesaurus ObjectClass)
C25461 (NCI Thesaurus ObjectClass)
C0337611 (UMLS 2011AA ObjectClass)
C42775 (NCI Thesaurus Property)
C1705961 (UMLS 2011AA Property)
C25170 (NCI Thesaurus ValueDomain)
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