ID
24085
Beschrijving
CALGB: LEUKEMIA TISSUE BANK SPECIMEN ROUTING FORM Leukemia NCT00085124 Pathology - CALGB: LEUKEMIA TISSUE BANK SPECIMEN ROUTING FORM - 2076722v3.0 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
Link
Trefwoorden
Versies (2)
- 19-09-12 19-09-12 -
- 25-07-17 25-07-17 - Martin Dugas
Geüploaded op
25 juli 2017
DOI
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Licentie
Creative Commons BY-NC 3.0
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Leukemia Daunorubicin and Cytarabine NCT00085124 CALGB
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
Beschrijving
Lab Use Only
Alias
- UMLS CUI-1
- C3846506
Beschrijving
Specimen ID
Datatype
text
Alias
- UMLS CUI [1]
- C1299222
Beschrijving
Tubes banked
Datatype
integer
Alias
- NCI Thesaurus ObjectClass
- C19157
- NCI Thesaurus Property
- C25695
- NCI Thesaurus Property-2
- C41275
- NCI Thesaurus Property-3
- C15339
- NCI Thesaurus ValueDomain
- C25463
- UMLS CUI [1,1]
- C1561954
- UMLS CUI [1,2]
- C0750480
Beschrijving
SpecimenVialTissueCollectionSubmissionAverageVolumeMeasurement
Datatype
float
Maateenheden
- ml
Alias
- NCI Thesaurus ObjectClass
- C19157
- NCI Thesaurus Property
- C25695
- NCI Thesaurus Property-2
- C41275
- NCI Thesaurus Property-3
- C15339
- NCI Thesaurus ValueDomain
- C25209
- NCI Thesaurus ValueDomain-2
- C25335
- NCI Thesaurus ValueDomain-3
- C37917
- UMLS CUI [1,1]
- C1561954
- UMLS CUI [1,2]
- C0449468
- UMLS CUI [1,3]
- C1510992
Beschrijving
Sample Storage
Datatype
text
Alias
- UMLS CUI [1,1]
- C0370003
- UMLS CUI [1,2]
- C1698986
Beschrijving
Specimen Condition
Datatype
text
Alias
- UMLS CUI [1]
- C1547869
Beschrijving
Completed By
Datatype
text
Alias
- UMLS CUI [1]
- C1550483
Beschrijving
Form Original Complete Date
Datatype
date
Alias
- NCI Thesaurus ObjectClass
- C19464
- NCI Thesaurus Property
- C25250
- NCI Thesaurus Property-2
- C25604
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25367
- UMLS CUI [1]
- C1549507
Beschrijving
Administrative Data
Alias
- UMLS CUI-1
- C1320722
Beschrijving
CALGBForm
Datatype
text
Beschrijving
CALGBProtocolNumber
Datatype
text
Beschrijving
CALGBPatientID
Datatype
text
Beschrijving
AmendedDataInd
Datatype
boolean
Alias
- NCI Thesaurus ObjectClass
- C25474
- NCI Thesaurus Property
- C25416
- UMLS CUI [1,1]
- C1511726
- UMLS CUI [1,2]
- C1691222
Beschrijving
Patient'sName
Datatype
text
Beschrijving
PatientHospitalNumber
Datatype
text
Beschrijving
MainMemberInstitution/Affiliate
Datatype
text
Beschrijving
ParticipatingGroupName
Datatype
text
Beschrijving
ParticipatingGroupProtocolNo.
Datatype
text
Beschrijving
ParticipatingGroupPatientID
Datatype
text
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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
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C1518544 (UMLS CUI-2)
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C0205265 (UMLS CUI-2)
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C1879673 (UMLS CUI-2)
(Comment:en)
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(Comment:en)
C19157 (NCI Thesaurus ObjectClass)
C41277 (NCI Thesaurus ObjectClass-2)
C25695 (NCI Thesaurus Property)
C1561954 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
C1708632 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,2])
C25250 (NCI Thesaurus Property)
C25604 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C1549507 (UMLS CUI [1])
C1515258 (UMLS CUI [1])
C25695 (NCI Thesaurus Property)
C41275 (NCI Thesaurus Property-2)
C15339 (NCI Thesaurus Property-3)
C25463 (NCI Thesaurus ValueDomain)
C1561954 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
C25695 (NCI Thesaurus Property)
C41275 (NCI Thesaurus Property-2)
C15339 (NCI Thesaurus Property-3)
C25209 (NCI Thesaurus ValueDomain)
C25335 (NCI Thesaurus ValueDomain-2)
C37917 (NCI Thesaurus ValueDomain-3)
C1561954 (UMLS CUI [1,1])
C0449468 (UMLS CUI [1,2])
C1510992 (UMLS CUI [1,3])
(Comment:en)
(Comment:en)
(Comment:en)
C25250 (NCI Thesaurus Property)
C25604 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C1549507 (UMLS CUI [1])
C25416 (NCI Thesaurus Property)
C1511726 (UMLS CUI [1,1])
C1691222 (UMLS CUI [1,2])