ID

42720

Descripción

Specimen Form, GOG-0212, Form SP Paclitaxel or Polyglutamate Paclitaxel or Observation in Treating Patients With Stage III or Stage IV Ovarian Epithelial or Peritoneal Cancer or Fallopian Tube Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E79A185F-51CE-71A1-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E79A185F-51CE-71A1-E034-0003BA3F9857

Palabras clave

Versiones (3)
  1. 19/9/12 19/9/12 -
  2. 9/1/15 9/1/15 - Martin Dugas
  3. 17/9/21 17/9/21 -
Subido en

17 de septiembre de 2021

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0 Legacy
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    Fallopian Tube Cancer NCT00108745 Lab - Specimen Form, GOG-0212, Form SP - 2297741v3.0

    Inglés

    No Instruction available.

    1 formularios  
    1. StudyEvent: Specimen Form, GOG-0212, Form SP
      1. No Instruction available.
    Header Module
    Descripción

    Header Module

    Date form originally completed (m d y)
    Descripción

    Form Completion Date

    Tipo de datos

    date

    Alias
    NCI Thesaurus ObjectClass
    C19464
    UMLS CUI-1
    C1549507
    NCI Thesaurus Property
    C25250
    NCI Thesaurus Property-2
    C25604
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25367
    Date form amended (m d y)
    Descripción

    Amendment date

    Tipo de datos

    date

    Alias
    NCI Thesaurus ObjectClass
    C19464
    UMLS CUI-1
    C0680532
    NCI Thesaurus Property
    C25250
    UMLS CUI-2
    C0011008
    NCI Thesaurus Property-2
    C25416
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25367
    Person amending form, last name
    Descripción

    Person Amending Form

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25190
    UMLS CUI-2
    C1547383
    NCI Thesaurus Property
    C25364
    Patient Study ID
    Descripción

    Patient Study ID

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25462
    NCI Thesaurus Property-2
    C25364
    GOG Bank ID#
    Descripción

    GOGSpecimenBankIdentifierNumber

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ObjectClass
    C25521
    UMLS 2011AA ObjectClass
    C1512288
    NCI Thesaurus ObjectClass-2
    C19157
    UMLS 2011AA ObjectClass-2
    C0370003
    Person Completing Form, Last Name
    Descripción

    Person Completing Form Last Name

    Tipo de datos

    text

    Alias
    NCI Thesaurus ObjectClass
    C25190
    UMLS CUI-1
    C1550483
    NCI Thesaurus ObjectClass-2
    C25657
    UMLS CUI-2
    C1301584
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25551
    NCI Thesaurus ValueDomain
    C25191
    Site Contact Information
    Descripción

    Site Contact Information

    Phone or email
    Descripción

    OrganizationPhoneNumber

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C25395
    UMLS 2011AA Property
    C0039457
    NCI Thesaurus ObjectClass
    C19711
    UMLS 2011AA ObjectClass
    C1522486
    Phone or email
    Descripción

    ResponsiblePersonE-mailAddressText

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C25657
    UMLS 2011AA ObjectClass
    C1273518
    NCI Thesaurus Property
    C42775
    UMLS 2011AA Property
    C1705961
    General Specimen Information
    Descripción

    General Specimen Information

    Specimen Code
    Descripción

    GOGSpecimenIdentifierCode

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS 2011AA ValueDomain
    C0805701
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ObjectClass
    C25521
    UMLS 2011AA ObjectClass
    C1512288
    NCI Thesaurus ObjectClass-2
    C19157
    UMLS 2011AA ObjectClass-2
    C0370003
    Time point
    Descripción

    GOGSpecimenCollectionText

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C25521
    UMLS 2011AA ObjectClass
    C1512288
    NCI Thesaurus Property
    C25453
    UMLS 2011AA Property
    C1516698
    NCI Thesaurus ObjectClass-2
    C19157
    UMLS 2011AA ObjectClass-2
    C0370003
    Other specify
    Descripción

    TissueType,Other

    Tipo de datos

    text

    Submission Status
    Descripción

    SpecimenSubmissionStatus

    Tipo de datos

    text

    Alias
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C25694
    UMLS 2011AA Property
    C1515022
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    Not submitted, specify
    Descripción

    SpecimenNotSubmittedSpecify

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25594
    UMLS 2011AA Property
    C1518422
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property-2
    C25695
    UMLS 2011AA Property-2
    C1515023
    Date collected (m d y)
    Descripción

    SpecimenCollectedDate

    Tipo de datos

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C25452
    NCI Thesaurus Property-2
    C25275
    UMLS 2011AA Property
    C2745955
    Time collected (when required by the protocol)
    Descripción

    SpecimenCollectedTime

    Tipo de datos

    time

    Alias
    NCI Thesaurus ValueDomain
    C25207
    UMLS 2011AA ValueDomain
    C0040223
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C25452
    NCI Thesaurus Property-2
    C25275
    UMLS 2011AA Property
    C2745955
    Specimen type
    Descripción

    SpecimenSubmittedType

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C25695
    UMLS 2011AA Property
    C1515023
    Items shipped
    Descripción

    SpecimenShippingType

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C40353
    UMLS 2011AA Property
    C1524049
    Other specify
    Descripción

    SpecimenShippingSpecify

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C40353
    UMLS 2011AA Property
    C1524049
    Quantity of items shipped
    Descripción

    SpecimenShippingNumber

    Tipo de datos

    float

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C40353
    UMLS 2011AA Property
    C1524049
    Processing time
    Descripción

    SpecimenProcessingDuration

    Tipo de datos

    text

    Alias
    NCI Thesaurus Property
    C25275
    UMLS 2011AA Property
    C2745955
    NCI Thesaurus ObjectClass
    C41604
    UMLS 2011AA ObjectClass
    C0037793
    NCI Thesaurus ValueDomain
    C25330
    UMLS 2011AA ValueDomain
    C0449238
    Storage type
    Descripción

    SpecimenBiologicalStorageType

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Metathesaurus Property
    C0678719
    Other specify
    Descripción

    SpecimentBiologicalStorageSpecify

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Metathesaurus Property
    C0678719
    Date shipped (m d y)
    Descripción

    SpecimenLabSubmittedDate

    Tipo de datos

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C25294
    UMLS 2011AA Property
    C0022885
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property-2
    C25695
    UMLS 2011AA Property-2
    C1515023
    Federal Express tracking number
    Descripción

    SpecimenShippingCompanyIdentifierNumber

    Tipo de datos

    text

    Alias
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus Property-2
    C54131
    UMLS 2011AA Property-2
    C0683757
    NCI Thesaurus Property-3
    C40353
    UMLS 2011AA Property-3
    C1524049
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    Additional information required by protocol
    Descripción

    Research Comments

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    Blood/fluid Products
    Descripción

    Blood/fluid Products

    Type of blood collection tube
    Descripción

    BloodCollectionTubeType

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C12434
    UMLS 2011AA ObjectClass
    C0229664
    NCI Thesaurus ObjectClass-2
    C25453
    UMLS 2011AA ObjectClass-2
    C1516698
    NCI Metathesaurus Property
    C0175730
    Other specify
    Descripción

    BloodCollectionTubeSpecify

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C12434
    UMLS 2011AA ObjectClass
    C0229664
    NCI Thesaurus ObjectClass-2
    C25453
    UMLS 2011AA ObjectClass-2
    C1516698
    NCI Metathesaurus Property
    C0175730
    Platelet count required?
    Descripción

    PlateletCountRequiredInd-2

    Tipo de datos

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25652
    UMLS 2011AA Property
    C1514873
    NCI Metathesaurus ObjectClass
    C0032181
    Platelet count (/mcL)
    Descripción

    Platelets

    Tipo de datos

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0005821
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C12520
    NCI Thesaurus ValueDomain
    C38046
    NCI Thesaurus ValueDomain-2
    C25712
    Date of platelet count (m d y)
    Descripción

    Platelets date

    Tipo de datos

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C0005821
    NCI Thesaurus Property
    C20200
    UMLS CUI-2
    C0011008
    NCI Thesaurus Property-2
    C12520
    NCI Thesaurus ObjectClass
    C25294
    Preservative?
    Descripción

    BloodPreservationAgentUseInd-2

    Tipo de datos

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12434
    UMLS 2011AA ObjectClass
    C0229664
    NCI Thesaurus ObjectClass-2
    C1708
    UMLS 2011AA ObjectClass-2
    C0450442
    NCI Thesaurus ObjectClass-3
    C52243
    UMLS 2011AA ObjectClass-3
    C0033085
    NCI Thesaurus Property
    C25340
    UMLS 2011AA Property
    C0457083
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Yes specify below (preservative)
    Descripción

    BloodPreservationAgentUseSpecify

    Tipo de datos

    text

    Alias
    NCI Thesaurus ObjectClass
    C12434
    UMLS 2011AA ObjectClass
    C0229664
    NCI Thesaurus ObjectClass-2
    C1708
    UMLS 2011AA ObjectClass-2
    C0450442
    NCI Thesaurus ObjectClass-3
    C52243
    UMLS 2011AA ObjectClass-3
    C0033085
    NCI Thesaurus Property
    C25340
    UMLS 2011AA Property
    C0457083
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    Urine collection method
    Descripción

    UrineCollectionMethodType

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C16847
    UMLS 2011AA Property
    C0449851
    NCI Thesaurus ObjectClass
    C13283
    UMLS 2011AA ObjectClass
    C0042036
    NCI Thesaurus Property-2
    C25453
    UMLS 2011AA Property-2
    C1516698
    Other specify
    Descripción

    UrineCollectionMethodSpecify

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C16847
    UMLS 2011AA Property
    C0449851
    NCI Thesaurus ObjectClass
    C13283
    UMLS 2011AA ObjectClass
    C0042036
    NCI Thesaurus Property-2
    C25453
    UMLS 2011AA Property-2
    C1516698
    Tissue/cells
    Descripción

    Tissue/cells

    Tissue type
    Descripción

    GOGTissueCollectedType

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C25521
    UMLS 2011AA ObjectClass
    C1512288
    NCI Thesaurus ObjectClass-2
    C12801
    UMLS 2011AA ObjectClass-2
    C0040300
    NCI Thesaurus Property
    C25452
    Other specify
    Descripción

    TissueType,Other

    Tipo de datos

    text

    Processing method
    Descripción

    SpecimenProcessingMethodType

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C16847
    UMLS 2011AA Property
    C0449851
    NCI Thesaurus ObjectClass
    C41604
    UMLS 2011AA ObjectClass
    C0037793
    Other specify
    Descripción

    SpecimenProcessingMethodSpecify

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C16847
    UMLS 2011AA Property
    C0449851
    NCI Thesaurus ObjectClass
    C41604
    UMLS 2011AA ObjectClass
    C0037793
    Cell type
    Descripción

    CellSpecimenCollectionType

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C12508
    UMLS 2011AA ObjectClass
    C0007634
    NCI Thesaurus Property
    C25453
    UMLS 2011AA Property
    C1516698
    NCI Thesaurus ObjectClass-2
    C19157
    UMLS 2011AA ObjectClass-2
    C0370003
    Other specify
    Descripción

    CellSpecimenCollectionSpecify

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C12508
    UMLS 2011AA ObjectClass
    C0007634
    NCI Thesaurus Property
    C25453
    UMLS 2011AA Property
    C1516698
    NCI Thesaurus ObjectClass-2
    C19157
    UMLS 2011AA ObjectClass-2
    C0370003
    Gog Tissue Bank/laboratory Information
    Descripción

    Gog Tissue Bank/laboratory Information

    Receiving institution
    Descripción

    InstitutionReceivedSpecimenType

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C21541
    UMLS 2011AA ObjectClass
    C0018704
    NCI Thesaurus Property
    C25639
    UMLS 2011AA Property
    C1514756
    NCI Thesaurus Property-2
    C19157
    UMLS 2011AA Property-2
    C0370003
    Name (Staff at GOG Tissue Bank/Lab receiving specimens)
    Descripción

    PersonName

    Tipo de datos

    text

    Alias
    NCI Thesaurus ObjectClass
    C25190
    UMLS 2011AA ObjectClass
    C0027361
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Metathesaurus ValueDomain
    C0027365
    Phone or email
    Descripción

    OrganizationPhoneNumber

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C25395
    UMLS 2011AA Property
    C0039457
    NCI Thesaurus ObjectClass
    C19711
    UMLS 2011AA ObjectClass
    C1522486
    Phone or email
    Descripción

    ResponsiblePersonE-mailAddressText

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C25657
    UMLS 2011AA ObjectClass
    C1273518
    NCI Thesaurus Property
    C42775
    UMLS 2011AA Property
    C1705961
    Lab name
    Descripción

    SpecimenLabIdentifierName

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ObjectClass
    C37984
    UMLS 2011AA ObjectClass
    C0022877
    NCI Thesaurus ObjectClass-2
    C19157
    UMLS 2011AA ObjectClass-2
    C0370003
    Date received (m d y)
    Descripción

    SpecimenLaboratoryReceivedDate

    Tipo de datos

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C25639
    UMLS 2011AA Property
    C1514756
    NCI Thesaurus Property-2
    C37984
    UMLS 2011AA Property-2
    C0022877
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    Total volume/weight
    Descripción

    SpecimenReceivedTotalMeasurement

    Tipo de datos

    float

    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    NCI Thesaurus ValueDomain-2
    C25304
    UMLS 2011AA ValueDomain-2
    C0439810
    NCI Thesaurus Property
    C25639
    UMLS 2011AA Property
    C1514756
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    Units
    Descripción

    Units

    Tipo de datos

    text

    Alias
    NCI Thesaurus ObjectClass
    C1708
    UMLS CUI-1
    C1519795
    NCI Thesaurus Property
    C25256
    NCI Thesaurus ValueDomain
    C25709
    Additional processing required
    Descripción

    AdditionalSpecimenProcessingRequiredInd-2

    Tipo de datos

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25652
    UMLS 2011AA Property
    C1514873
    NCI Thesaurus ObjectClass
    C25406
    UMLS 2011AA ObjectClass
    C1524062
    NCI Thesaurus ObjectClass-2
    C41604
    UMLS 2011AA ObjectClass-2
    C0037793
    Yes specify below (processing)
    Descripción

    AdditionalSpecimenProcessingRequiredSpecify

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25652
    UMLS 2011AA Property
    C1514873
    NCI Thesaurus ObjectClass
    C25406
    UMLS 2011AA ObjectClass
    C1524062
    NCI Thesaurus ObjectClass-2
    C41604
    UMLS 2011AA ObjectClass-2
    C0037793
    Condition of received specimens
    Descripción

    LabConditionSpecimenStatus

    Tipo de datos

    text

    Alias
    NCI Thesaurus ObjectClass
    C37984
    UMLS 2011AA ObjectClass
    C0022877
    NCI Thesaurus Property
    C19157
    UMLS 2011AA Property
    C0370003
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus Property-2
    C25457
    UMLS 2011AA Property-2
    C0348080
    Unsatisfactory specify
    Descripción

    SpecimenConditionReceivedSpecify

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25639
    UMLS 2011AA Property
    C1514756
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property-2
    C25457
    UMLS 2011AA Property-2
    C0348080
    Footer Module
    Descripción

    Footer Module

    Participating Group Code
    Descripción

    ParticipatingGroupIdentifierCode

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS 2011AA ValueDomain
    C0805701
    NCI Thesaurus ObjectClass
    C25608
    UMLS 2011AA ObjectClass
    C0679823
    NCI Thesaurus ObjectClass-2
    C17005
    UMLS 2011AA ObjectClass-2
    C1257890
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Participating Group Protocol Number
    Descripción

    Study Number Participating Group

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Participating Group Patient ID
    Descripción

    Trial subject ID Participating Group

    Tipo de datos

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
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    1 formularios
    1. StudyEvent: Specimen Form, GOG-0212, Form SP
      1. No Instruction available.
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de datos
    Alias
    Item Group
    Header Module
    Form Completion Date
    Item
    Date form originally completed (m d y)
    date
    C19464 (NCI Thesaurus ObjectClass)
    C1549507 (UMLS CUI-1)
    C25250 (NCI Thesaurus Property)
    C25604 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    Amendment date
    Item
    Date form amended (m d y)
    date
    C19464 (NCI Thesaurus ObjectClass)
    C0680532 (UMLS CUI-1)
    C25250 (NCI Thesaurus Property)
    C0011008 (UMLS CUI-2)
    C25416 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    Person Amending Form
    Item
    Person amending form, last name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25190 (NCI Thesaurus ObjectClass)
    C1547383 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    Patient Study ID
    Item
    Patient Study ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    GOGSpecimenBankIdentifierNumber
    Item
    GOG Bank ID#
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25521 (NCI Thesaurus ObjectClass)
    C1512288 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    Person Completing Form Last Name
    Item
    Person Completing Form, Last Name
    text
    C25190 (NCI Thesaurus ObjectClass)
    C1550483 (UMLS CUI-1)
    C25657 (NCI Thesaurus ObjectClass-2)
    C1301584 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25551 (NCI Thesaurus Property-2)
    C25191 (NCI Thesaurus ValueDomain)
    Item Group
    Site Contact Information
    OrganizationPhoneNumber
    Item
    Phone or email
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25395 (NCI Thesaurus Property)
    C0039457 (UMLS 2011AA Property)
    C19711 (NCI Thesaurus ObjectClass)
    C1522486 (UMLS 2011AA ObjectClass)
    ResponsiblePersonE-mailAddressText
    Item
    Phone or email
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C25657 (NCI Thesaurus ObjectClass)
    C1273518 (UMLS 2011AA ObjectClass)
    C42775 (NCI Thesaurus Property)
    C1705961 (UMLS 2011AA Property)
    Item Group
    General Specimen Information
    GOGSpecimenIdentifierCode
    Item
    Specimen Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25521 (NCI Thesaurus ObjectClass)
    C1512288 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    GOGSpecimenCollectionText
    Item
    Time point
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C25521 (NCI Thesaurus ObjectClass)
    C1512288 (UMLS 2011AA ObjectClass)
    C25453 (NCI Thesaurus Property)
    C1516698 (UMLS 2011AA Property)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    TissueType,Other
    Item
    Other specify
    text
    Item
    Submission Status
    text
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25694 (NCI Thesaurus Property)
    C1515022 (UMLS 2011AA Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.1
    Code List
    Submission Status
    CL Item
    Submitted (Submitted)
    CL Item
    Not Submitted (Not submitted)
    SpecimenNotSubmittedSpecify
    Item
    Not submitted, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25594 (NCI Thesaurus Property)
    C1518422 (UMLS 2011AA Property)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25695 (NCI Thesaurus Property-2)
    C1515023 (UMLS 2011AA Property-2)
    SpecimenCollectedDate
    Item
    Date collected (m d y)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25452 (NCI Thesaurus Property)
    C25275 (NCI Thesaurus Property-2)
    C2745955 (UMLS 2011AA Property)
    SpecimenCollectedTime
    Item
    Time collected (when required by the protocol)
    time
    C25207 (NCI Thesaurus ValueDomain)
    C0040223 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25452 (NCI Thesaurus Property)
    C25275 (NCI Thesaurus Property-2)
    C2745955 (UMLS 2011AA Property)
    Item
    Specimen type
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25695 (NCI Thesaurus Property)
    C1515023 (UMLS 2011AA Property)
    CL.2
    Code List
    Specimen type
    CL Item
    Buffy Coat (Buffy coat)
    C0444260 (NCI Metathesaurus)
    CL Item
    Cells (Cells)
    CL Item
    Fixed Tissue (Fixed tissue)
    CL Item
    Frozen Tissue (Frozen tissue)
    CL Item
    Plasma (Plasma)
    C13356 (NCI Thesaurus)
    C0032105 (UMLS 2011AA)
    C13356 (NCI Thesaurus-3)
    C0032105 (UMLS 2011AA-4)
    CL Item
    Serum (Serum)
    C13325 (NCI Thesaurus)
    C0229671 (UMLS 2011AA)
    C13325 (NCI Thesaurus-3)
    C0229671 (UMLS 2011AA-4)
    CL Item
    Urine (Urine)
    C13283 (NCI Thesaurus)
    C0042036 (UMLS 2011AA)
    CL Item
    Whole Blood (Whole blood)
    C0370231 (NCI Metathesaurus)
    CL Item
    Other (Other specify)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    Item
    Items shipped
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C40353 (NCI Thesaurus Property)
    C1524049 (UMLS 2011AA Property)
    CL.3
    Code List
    Items shipped
    CL Item
    Block (Block)
    C48949 (NCI Thesaurus)
    C1706084 (UMLS 2011AA)
    CL Item
    Oct-mold (OCT-mold)
    CL Item
    Piece (Piece)
    CL Item
    Slide (Slide)
    C25325 (NCI Thesaurus)
    C1705201 (UMLS 2011AA)
    CL Item
    Tube/vial (Tube/Vial)
    CL Item
    Other (Other specify)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    SpecimenShippingSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C40353 (NCI Thesaurus Property)
    C1524049 (UMLS 2011AA Property)
    SpecimenShippingNumber
    Item
    Quantity of items shipped
    float
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C40353 (NCI Thesaurus Property)
    C1524049 (UMLS 2011AA Property)
    Item
    Processing time
    text
    C25275 (NCI Thesaurus Property)
    C2745955 (UMLS 2011AA Property)
    C41604 (NCI Thesaurus ObjectClass)
    C0037793 (UMLS 2011AA ObjectClass)
    C25330 (NCI Thesaurus ValueDomain)
    C0449238 (UMLS 2011AA ValueDomain)
    CL.4
    Code List
    Processing time
    CL Item
    <1 Hour (<1 hour)
    CL Item
    1-2 Hours (1-2 hours)
    CL Item
    2-4 Hours (2-4 hours)
    CL Item
    >4 Hours (>4 hours)
    CL Item
    N/a (NA)
    Item
    Storage type
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C0678719 (NCI Metathesaurus Property)
    CL.5
    Code List
    Storage type
    CL Item
    Room Temperature (Room temperature)
    CL Item
    Refrigerator (Refrigerator)
    CL Item
    Standard Non-cycling Freezer (Standard non-cycling freezer)
    CL Item
    Ultracold Freezer/liquid N2/dry Ice (Ultracold freezer/liquid N2/dry ice)
    CL Item
    Other (Other specify)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    SpecimentBiologicalStorageSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C0678719 (NCI Metathesaurus Property)
    SpecimenLabSubmittedDate
    Item
    Date shipped (m d y)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25294 (NCI Thesaurus Property)
    C0022885 (UMLS 2011AA Property)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25695 (NCI Thesaurus Property-2)
    C1515023 (UMLS 2011AA Property-2)
    SpecimenShippingCompanyIdentifierNumber
    Item
    Federal Express tracking number
    text
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C54131 (NCI Thesaurus Property-2)
    C0683757 (UMLS 2011AA Property-2)
    C40353 (NCI Thesaurus Property-3)
    C1524049 (UMLS 2011AA Property-3)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    Research Comments
    Item
    Additional information required by protocol
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    Item Group
    Blood/fluid Products
    Item
    Type of blood collection tube
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C12434 (NCI Thesaurus ObjectClass)
    C0229664 (UMLS 2011AA ObjectClass)
    C25453 (NCI Thesaurus ObjectClass-2)
    C1516698 (UMLS 2011AA ObjectClass-2)
    C0175730 (NCI Metathesaurus Property)
    CL.6
    Code List
    Type of blood collection tube
    CL Item
    Acid Citrate Dextrose (acd) (ACD)
    CL Item
    Edta (EDTA)
    CL Item
    Red Top (Red top)
    CL Item
    Serum Separator (Serum separator)
    CL Item
    Citrate (Citrate)
    C0376259 (NCI Metathesaurus)
    CL Item
    Heparin (Heparin)
    C539 (NCI Thesaurus)
    C0019134 (UMLS 2011AA)
    CL Item
    Other (Other specify)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    BloodCollectionTubeSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C12434 (NCI Thesaurus ObjectClass)
    C0229664 (UMLS 2011AA ObjectClass)
    C25453 (NCI Thesaurus ObjectClass-2)
    C1516698 (UMLS 2011AA ObjectClass-2)
    C0175730 (NCI Metathesaurus Property)
    PlateletCountRequiredInd-2
    Item
    Platelet count required?
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25652 (NCI Thesaurus Property)
    C1514873 (UMLS 2011AA Property)
    C0032181 (NCI Metathesaurus ObjectClass)
    Platelets
    Item
    Platelet count (/mcL)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0005821 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property)
    C12520 (NCI Thesaurus Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    Platelets date
    Item
    Date of platelet count (m d y)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0005821 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property)
    C0011008 (UMLS CUI-2)
    C12520 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    BloodPreservationAgentUseInd-2
    Item
    Preservative?
    boolean
    C12434 (NCI Thesaurus ObjectClass)
    C0229664 (UMLS 2011AA ObjectClass)
    C1708 (NCI Thesaurus ObjectClass-2)
    C0450442 (UMLS 2011AA ObjectClass-2)
    C52243 (NCI Thesaurus ObjectClass-3)
    C0033085 (UMLS 2011AA ObjectClass-3)
    C25340 (NCI Thesaurus Property)
    C0457083 (UMLS 2011AA Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    BloodPreservationAgentUseSpecify
    Item
    Yes specify below (preservative)
    text
    C12434 (NCI Thesaurus ObjectClass)
    C0229664 (UMLS 2011AA ObjectClass)
    C1708 (NCI Thesaurus ObjectClass-2)
    C0450442 (UMLS 2011AA ObjectClass-2)
    C52243 (NCI Thesaurus ObjectClass-3)
    C0033085 (UMLS 2011AA ObjectClass-3)
    C25340 (NCI Thesaurus Property)
    C0457083 (UMLS 2011AA Property)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    Item
    Urine collection method
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16847 (NCI Thesaurus Property)
    C0449851 (UMLS 2011AA Property)
    C13283 (NCI Thesaurus ObjectClass)
    C0042036 (UMLS 2011AA ObjectClass)
    C25453 (NCI Thesaurus Property-2)
    C1516698 (UMLS 2011AA Property-2)
    CL.9
    Code List
    Urine collection method
    CL Item
    Clean Catch (Clean catch)
    CL Item
    24-hour (24-hour)
    CL Item
    Other (Other specify)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    UrineCollectionMethodSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C16847 (NCI Thesaurus Property)
    C0449851 (UMLS 2011AA Property)
    C13283 (NCI Thesaurus ObjectClass)
    C0042036 (UMLS 2011AA ObjectClass)
    C25453 (NCI Thesaurus Property-2)
    C1516698 (UMLS 2011AA Property-2)
    Item Group
    Tissue/cells
    Item
    Tissue type
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25521 (NCI Thesaurus ObjectClass)
    C1512288 (UMLS 2011AA ObjectClass)
    C12801 (NCI Thesaurus ObjectClass-2)
    C0040300 (UMLS 2011AA ObjectClass-2)
    C25452 (NCI Thesaurus Property)
    CL.10
    Code List
    Tissue type
    CL Item
    Normal (Normal)
    C14165 (NCI Thesaurus)
    C0205307 (UMLS 2011AA)
    CL Item
    Pre-malignant (Pre-malignant)
    CL Item
    Primary Tumor (Primary tumor)
    CL Item
    Metastatic Tumor (Metastatic tumor)
    CL Item
    Recurrent/persistent Tumor (Recurrent/persistent tumor)
    CL Item
    Other (Other specify)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    TissueType,Other
    Item
    Other specify
    text
    Item
    Processing method
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16847 (NCI Thesaurus Property)
    C0449851 (UMLS 2011AA Property)
    C41604 (NCI Thesaurus ObjectClass)
    C0037793 (UMLS 2011AA ObjectClass)
    CL.11
    Code List
    Processing method
    CL Item
    Ethanol-fixed (Ethanol-fixed)
    CL Item
    Fixed & Paraffin-embedded (Fixed & paraffin-embedded)
    CL Item
    Formalin-fixed (Formalin-fixed)
    CL Item
    Oct-frozen (OCT-frozen)
    CL Item
    Snap-frozen (Snap-frozen)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    SpecimenProcessingMethodSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C16847 (NCI Thesaurus Property)
    C0449851 (UMLS 2011AA Property)
    C41604 (NCI Thesaurus ObjectClass)
    C0037793 (UMLS 2011AA ObjectClass)
    Item
    Cell type
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C12508 (NCI Thesaurus ObjectClass)
    C0007634 (UMLS 2011AA ObjectClass)
    C25453 (NCI Thesaurus Property)
    C1516698 (UMLS 2011AA Property)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    CL.12
    Code List
    Cell type
    CL Item
    Buccal (Buccal)
    CL Item
    Cervical (Cervical)
    C12844 (NCI Thesaurus)
    C0205064 (UMLS 2011AA)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    CellSpecimenCollectionSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C12508 (NCI Thesaurus ObjectClass)
    C0007634 (UMLS 2011AA ObjectClass)
    C25453 (NCI Thesaurus Property)
    C1516698 (UMLS 2011AA Property)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    Item Group
    Gog Tissue Bank/laboratory Information
    Item
    Receiving institution
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C21541 (NCI Thesaurus ObjectClass)
    C0018704 (UMLS 2011AA ObjectClass)
    C25639 (NCI Thesaurus Property)
    C1514756 (UMLS 2011AA Property)
    C19157 (NCI Thesaurus Property-2)
    C0370003 (UMLS 2011AA Property-2)
    CL.13
    Code List
    Receiving institution
    CL Item
    Gog Tissue Bank (GOG Tissue Bank)
    CL Item
    Laboratory (Laboratory)
    C37984 (NCI Thesaurus)
    C0022877 (UMLS 2011AA)
    PersonName
    Item
    Name (Staff at GOG Tissue Bank/Lab receiving specimens)
    text
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C0027365 (NCI Metathesaurus ValueDomain)
    OrganizationPhoneNumber
    Item
    Phone or email
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25395 (NCI Thesaurus Property)
    C0039457 (UMLS 2011AA Property)
    C19711 (NCI Thesaurus ObjectClass)
    C1522486 (UMLS 2011AA ObjectClass)
    ResponsiblePersonE-mailAddressText
    Item
    Phone or email
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C25657 (NCI Thesaurus ObjectClass)
    C1273518 (UMLS 2011AA ObjectClass)
    C42775 (NCI Thesaurus Property)
    C1705961 (UMLS 2011AA Property)
    SpecimenLabIdentifierName
    Item
    Lab name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1547383 (UMLS 2011AA ValueDomain)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C37984 (NCI Thesaurus ObjectClass)
    C0022877 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    SpecimenLaboratoryReceivedDate
    Item
    Date received (m d y)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25639 (NCI Thesaurus Property)
    C1514756 (UMLS 2011AA Property)
    C37984 (NCI Thesaurus Property-2)
    C0022877 (UMLS 2011AA Property-2)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    SpecimenReceivedTotalMeasurement
    Item
    Total volume/weight
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    C25304 (NCI Thesaurus ValueDomain-2)
    C0439810 (UMLS 2011AA ValueDomain-2)
    C25639 (NCI Thesaurus Property)
    C1514756 (UMLS 2011AA Property)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    Units
    Item
    Units
    text
    C1708 (NCI Thesaurus ObjectClass)
    C1519795 (UMLS CUI-1)
    C25256 (NCI Thesaurus Property)
    C25709 (NCI Thesaurus ValueDomain)
    AdditionalSpecimenProcessingRequiredInd-2
    Item
    Additional processing required
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25652 (NCI Thesaurus Property)
    C1514873 (UMLS 2011AA Property)
    C25406 (NCI Thesaurus ObjectClass)
    C1524062 (UMLS 2011AA ObjectClass)
    C41604 (NCI Thesaurus ObjectClass-2)
    C0037793 (UMLS 2011AA ObjectClass-2)
    AdditionalSpecimenProcessingRequiredSpecify
    Item
    Yes specify below (processing)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25652 (NCI Thesaurus Property)
    C1514873 (UMLS 2011AA Property)
    C25406 (NCI Thesaurus ObjectClass)
    C1524062 (UMLS 2011AA ObjectClass)
    C41604 (NCI Thesaurus ObjectClass-2)
    C0037793 (UMLS 2011AA ObjectClass-2)
    Item
    Condition of received specimens
    text
    C37984 (NCI Thesaurus ObjectClass)
    C0022877 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus Property)
    C0370003 (UMLS 2011AA Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C25457 (NCI Thesaurus Property-2)
    C0348080 (UMLS 2011AA Property-2)
    CL.15
    Code List
    Condition of received specimens
    CL Item
    Satisfactory (Satisfactory)
    CL Item
    Unsatisfactory (Unsatisfactory)
    SpecimenConditionReceivedSpecify
    Item
    Unsatisfactory specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25639 (NCI Thesaurus Property)
    C1514756 (UMLS 2011AA Property)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25457 (NCI Thesaurus Property-2)
    C0348080 (UMLS 2011AA Property-2)
    Item Group
    Footer Module
    ParticipatingGroupIdentifierCode
    Item
    Participating Group Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C25608 (NCI Thesaurus ObjectClass)
    C0679823 (UMLS 2011AA ObjectClass)
    C17005 (NCI Thesaurus ObjectClass-2)
    C1257890 (UMLS 2011AA ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    Study Number Participating Group
    Item
    Participating Group Protocol Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Trial subject ID Participating Group
    Item
    Participating Group Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
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