ID
42743
Beskrivning
S0100 SPECIMEN SUBMISSION FORM Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AEB420C1-7F40-419F-E034-0003BA12F5E7
Länk
Nyckelord
Versioner (3)
- 2012-09-19 2012-09-19 -
- 2017-08-21 2017-08-21 -
- 2021-09-17 2021-09-17 -
Uppladdad den
17 september 2021
DOI
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Licens
Creative Commons BY-NC 3.0 Legacy
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Leukemia null Pathology - S0100 SPECIMEN SUBMISSION FORM - 2070809v3.0
No Instruction available.
- StudyEvent: S0100 SPECIMEN SUBMISSION FORM
Beskrivning
Reasons For Specimen Submission
Alias
- UMLS CUI-1
- C0370003
- UMLS CUI-2
- C0392360
- UMLS CUI-3
- C1515023
Beskrivning
Clinical Status Specimen
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0456204
- UMLS CUI [1,2]
- C0449438
Beskrivning
Other specimen,specify
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0456204
- UMLS CUI [1,2]
- C0205394
Beskrivning
Completed By
Datatyp
text
Alias
- UMLS CUI [1]
- C1550483
Beskrivning
Date Form Completed
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C40988
- NCI Thesaurus Property
- C25250
- NCI Thesaurus ValueDomain-2
- C25367
- UMLS CUI [1]
- C1115437
Beskrivning
Comments
Datatyp
text
Alias
- UMLS CUI [1]
- C0947611
Beskrivning
Central Laboratory
Alias
- UMLS CUI-1
- C1880016
Beskrivning
Central laboratory identification number
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1880016
- UMLS CUI [1,2]
- C0600091
Beskrivning
Date specimen received
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C2585542
Beskrivning
Completed By
Datatyp
text
Alias
- UMLS CUI [1]
- C1550483
Beskrivning
Time specimen received
Datatyp
time
Alias
- UMLS CUI [1,1]
- C1514756
- UMLS CUI [1,2]
- C0040223
- UMLS CUI [1,3]
- C0370003
Beskrivning
Date Form Completed
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C40988
- NCI Thesaurus Property
- C25250
- NCI Thesaurus ValueDomain-2
- C25367
- UMLS CUI [1]
- C1115437
Beskrivning
Specimen Condition
Datatyp
integer
Alias
- UMLS CUI [1]
- C1547869
Beskrivning
Comment
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0947611
- UMLS CUI [1,2]
- C1880016
Beskrivning
Ccrr Module For S0100 Specimen Submission Form
Alias
- UMLS CUI-1
- C0370003
- UMLS CUI-2
- C1515023
Beskrivning
Patient ID
Datatyp
text
Alias
- UMLS CUI [1]
- C2348585
Beskrivning
Study Number
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0008976
- UMLS CUI [1,2]
- C0600091
Beskrivning
Registration Step
Datatyp
text
Alias
- UMLS CUI [1]
- C1514821
Beskrivning
Patient Initials
Datatyp
text
Alias
- UMLS CUI [1]
- C2986440
Beskrivning
Leukemia/MDSClassification
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
- NCI Thesaurus ObjectClass
- C3161
- UMLS 2011AA ObjectClass
- C0023418
- NCI Thesaurus Property
- C25161
- UMLS 2011AA Property
- C0008902
Beskrivning
Institution
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1301943
- UMLS CUI [1,2]
- C0600091
Beskrivning
Treating Physician
Datatyp
text
Alias
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C25741
- NCI Thesaurus ObjectClass-2
- C25705
- UMLS CUI [1]
- C1710470
Beskrivning
ContactPersonatInstitution
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C21541
- UMLS 2011AA ObjectClass
- C0018704
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ObjectClass-2
- C25461
- UMLS 2011AA ObjectClass-2
- C0337611
Beskrivning
Phone Number
Datatyp
float
Alias
- UMLS CUI [1]
- C1515258
Beskrivning
GroupName
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS 2011AA ValueDomain
- C1547383
- NCI Thesaurus ObjectClass
- C17005
- UMLS 2011AA ObjectClass
- C1257890
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Beskrivning
Study No.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0008976
- UMLS CUI [1,2]
- C0600091
Beskrivning
Pt. ID
Datatyp
text
Alias
- UMLS CUI [1]
- C2348585
Similar models
No Instruction available.
- StudyEvent: S0100 SPECIMEN SUBMISSION FORM
C1515974 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,2])
C1705201 (UMLS CUI [2,1])
C0332307 (UMLS CUI [2,2])
C0237753 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C0392360 (UMLS CUI-2)
C1515023 (UMLS CUI-3)
C0205394 (UMLS CUI [1,2])
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C1115437 (UMLS CUI [1])
C0600091 (UMLS CUI [1,2])
C2585542 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,2])
C0370003 (UMLS CUI [1,3])
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C1115437 (UMLS CUI [1])
C1880016 (UMLS CUI [1,2])
C1515023 (UMLS CUI-2)
C0600091 (UMLS CUI [1,2])
C0683312 (UMLS 2011AA ValueDomain)
C3161 (NCI Thesaurus ObjectClass)
C0023418 (UMLS 2011AA ObjectClass)
C25161 (NCI Thesaurus Property)
C0008902 (UMLS 2011AA Property)
C0600091 (UMLS CUI [1,2])
C25741 (NCI Thesaurus ObjectClass)
C25705 (NCI Thesaurus ObjectClass-2)
C1710470 (UMLS CUI [1])
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25461 (NCI Thesaurus ObjectClass-2)
C0337611 (UMLS 2011AA ObjectClass-2)
C1547383 (UMLS 2011AA ValueDomain)
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0600091 (UMLS CUI [1,2])