ID

43609

Description

Lab - Gynecologic Oncology Group Specimen Form (Form SP) - 2759412v1.0 Radiation Therapy With or Without Chemotherapy in Patients With Stage I or Stage II Cervical Cancer Who Previously Underwent Surgery https://clinicaltrials.gov/ct2/show/NCT01101451

Link

https://clinicaltrials.gov/ct2/show/NCT01101451

Keywords

Versions (3)
  1. 8/27/12 8/27/12 -
  2. 7/12/17 7/12/17 - Martin Dugas
  3. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY 4.0
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Cervical Cancer Radiation with or without Chemotherapy NCT01101451 GOG-0263

English

No Instruction available.

1 forms  
  1. StudyEvent: Gynecologic Oncology Group Specimen Form (Form SP)
    1. No Instruction available.
Header Module
Description

Header Module

Alias
UMLS CUI-1
C1320722
Date form originally completed
Description

Form Completion Date

Data type

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
Date form amended
Description

Form amendment date

Data type

date

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

Person Reporting Change

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus Property
C25364
UMLS CUI [1,1]
C0680532
UMLS CUI [1,2]
C1547383
Patient Study ID
Description

Patient Gynecologic Oncology Group Identifier

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25521
UMLS CUI [1,1]
C2348585
UMLS CUI [1,2]
C1512288
GOG Bank ID #
Description

Specimen ID

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus Property
C25364
NCI Thesaurus ObjectClass
C25521
NCI Thesaurus ObjectClass-2
C19157
UMLS CUI [1]
C1299222
Person Completing Form, Last Name
Description

Responsible Person

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus ObjectClass-2
C25657
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25551
NCI Thesaurus ValueDomain
C25191
UMLS CUI [1]
C0680379
Phone number
Description

Organization Phone Number

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus Property
C25395
NCI Thesaurus ObjectClass
C19711
UMLS CUI [1]
C0039457
E-mail
Description

Responsible Person E-mail

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C25657
NCI Thesaurus Property
C42775
UMLS CUI [1,1]
C0680379
UMLS CUI [1,2]
C1705961
General Specimen Information
Description

General Specimen Information

Alias
UMLS CUI-1
C0370003
Time point
Description

Time point

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C25521
NCI Thesaurus Property
C25453
NCI Thesaurus ObjectClass-2
C19157
UMLS CUI [1]
C1442880
Collected
Description

Specimen collected

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C19157
NCI Thesaurus Property
C25694
NCI Thesaurus ValueDomain
C25688
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1516698
Specify
Description

Specimen Not Submitted, Specify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus Property
C25594
NCI Thesaurus ObjectClass
C19157
NCI Thesaurus Property-2
C25695
UMLS CUI [1,1]
C3839126
UMLS CUI [1,2]
C1518422
Collection date
Description

Specimen Collection Date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C19157
NCI Thesaurus Property
C25452
NCI Thesaurus Property-2
C25275
UMLS CUI [1]
C1302413
Collection time (when required by the protocol)
Description

Specimen Collection Time

Data type

time

Alias
NCI Thesaurus ValueDomain
C25207
NCI Thesaurus ObjectClass
C19157
NCI Thesaurus Property
C25452
NCI Thesaurus Property-2
C25275
UMLS CUI [1]
C4064021
Specimen type
Description

Specimen Type

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C19157
NCI Thesaurus Property
C25695
UMLS CUI [1]
C0456204
Items shipped
Description

SpecimenShippingType

Data type

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
Description

SpecimenShippingSpecify

Data type

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
Description

SpecimenShippingNumber

Data type

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
Description

SpecimenProcessingDuration

Data type

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
Description

SpecimenBiologicalStorageType

Data type

text

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

SpecimentBiologicalStorageSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
NCI Metathesaurus Property
C0678719
Date shipped
Description

SpecimenLabSubmittedDate

Data type

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
Courier tracking number
Description

SpecimenShippingCompanyIdentifierNumber

Data type

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
Comments
Description

ResearchCommentsText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
Blood/fluid Products
Description

Blood/fluid Products

Type of blood collection tube
Description

BloodCollectionTubeType

Data type

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
Description

BloodCollectionTubeSpecify

Data type

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?
Description

LaboratoryProcedurePlateletResultInd-3

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C12520
UMLS 2011AA Property-2
C0005821
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
Platelet count
Description

LaboratoryProcedurePlateletResultUnspecifiedValue

Data type

float

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C12520
UMLS 2011AA Property-2
C0005821
NCI Thesaurus ValueDomain
C38046
UMLS 2011AA ValueDomain
C0205370
NCI Thesaurus ValueDomain-2
C25712
UMLS 2011AA ValueDomain-2
C1522609
Platelet Date
Description

LaboratoryProcedurePlateletResultDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus Property-2
C12520
UMLS 2011AA Property-2
C0005821
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
Preservative
Description

BloodPreservationAgentUseInd-2

Data type

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
Description

BloodPreservationAgentUseSpecify

Data type

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
Description

UrineCollectionMethodType

Data type

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
Description

UrineCollectionMethodSpecify

Data type

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
Description

Tissue/cells

Tissue type
Description

GOGTissueCollectedType

Data type

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
Description

PathologyTissueSpecimenSourceSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C12801
UMLS 2011AA ObjectClass
C0040300
NCI Thesaurus ObjectClass-2
C19157
UMLS 2011AA ObjectClass-2
C0370003
NCI Thesaurus ObjectClass-3
C18189
UMLS 2011AA ObjectClass-3
C0030664
NCI Thesaurus Property
C25365
UMLS 2011AA Property
C0678257
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Processing method
Description

SpecimenProcessingMethodType

Data type

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
Description

SpecimenProcessingMethodSpecify

Data type

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
Description

CellSpecimenCollectionType

Data type

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
Description

CellSpecimenCollectionSpecify

Data type

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
Description

Gog Tissue Bank/laboratory Information

Receiving institution
Description

InstitutionReceivedSpecimenType

Data type

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
Specimen received date (m d y)
Description

SpecimenLaboratoryReceivedDate

Data type

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
Description

SpecimenReceivedTotalMeasurement

Data type

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
Description

AssessmentLabUOM

Data type

text

Alias
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C37984
UMLS 2011AA Property
C0022877
NCI Thesaurus ValueDomain
C25709
UMLS 2011AA ValueDomain
C1519795
Additional processing required
Description

AdditionalSpecimenProcessingRequiredInd-2

Data type

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
Specify
Description

AdditionalSpecimenProcessingRequiredSpecify

Data type

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
Description

LabConditionSpecimenStatus

Data type

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
Description

SpecimenConditionReceivedSpecify

Data type

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
Staff name
Description

PersonSpecimenReceivedName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25639
UMLS 2011AA Property
C1514756
NCI Thesaurus Property-2
C19157
UMLS 2011AA Property-2
C0370003
Phone number
Description

Organization Phone Number

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus Property
C25395
NCI Thesaurus ObjectClass
C19711
UMLS CUI [1]
C0039457
E-mail
Description

Responsible Person E-mail

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C25657
NCI Thesaurus Property
C42775
UMLS CUI [1,1]
C0680379
UMLS CUI [1,2]
C1705961
Lab name
Description

SpecimenLabIdentifierName

Data type

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
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1 forms
  1. StudyEvent: Gynecologic Oncology Group Specimen Form (Form SP)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header Module
C1320722 (UMLS CUI-1)
Form Completion Date
Item
Date form originally completed
date
C19464 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C25604 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C1549507 (UMLS CUI [1])
Form amendment date
Item
Date form amended
date
C19464 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property)
C25416 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C0680532 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Person Reporting Change
Item
Person amending form, last name
text
C25191 (NCI Thesaurus ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C0680532 (UMLS CUI [1,1])
C1547383 (UMLS CUI [1,2])
Patient Gynecologic Oncology Group Identifier
Item
Patient Study ID
text
C25337 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C25521 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI [1,1])
C1512288 (UMLS CUI [1,2])
Specimen ID
Item
GOG Bank ID #
text
C25337 (NCI Thesaurus ValueDomain)
C25364 (NCI Thesaurus Property)
C25521 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C1299222 (UMLS CUI [1])
Responsible Person
Item
Person Completing Form, Last Name
text
C25190 (NCI Thesaurus ObjectClass)
C25657 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25551 (NCI Thesaurus Property-2)
C25191 (NCI Thesaurus ValueDomain)
C0680379 (UMLS CUI [1])
Organization Phone Number
Item
Phone number
text
C25337 (NCI Thesaurus ValueDomain)
C25395 (NCI Thesaurus Property)
C19711 (NCI Thesaurus ObjectClass)
C0039457 (UMLS CUI [1])
Responsible Person E-mail
Item
E-mail
text
C25704 (NCI Thesaurus ValueDomain)
C25657 (NCI Thesaurus ObjectClass)
C42775 (NCI Thesaurus Property)
C0680379 (UMLS CUI [1,1])
C1705961 (UMLS CUI [1,2])
Item Group
General Specimen Information
C0370003 (UMLS CUI-1)
Time point
Item
Time point
text
C25704 (NCI Thesaurus ValueDomain)
C25521 (NCI Thesaurus ObjectClass)
C25453 (NCI Thesaurus Property)
C19157 (NCI Thesaurus ObjectClass-2)
C1442880 (UMLS CUI [1])
Specimen collected
Item
Collected
boolean
C19157 (NCI Thesaurus ObjectClass)
C25694 (NCI Thesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
C0370003 (UMLS CUI [1,1])
C1516698 (UMLS CUI [1,2])
Specimen Not Submitted, Specify
Item
Specify
text
C25685 (NCI Thesaurus ValueDomain)
C25594 (NCI Thesaurus Property)
C19157 (NCI Thesaurus ObjectClass)
C25695 (NCI Thesaurus Property-2)
C3839126 (UMLS CUI [1,1])
C1518422 (UMLS CUI [1,2])
Specimen Collection Date
Item
Collection date
date
C25164 (NCI Thesaurus ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C1302413 (UMLS CUI [1])
Specimen Collection Time
Item
Collection time (when required by the protocol)
time
C25207 (NCI Thesaurus ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C4064021 (UMLS CUI [1])
Item
Specimen type
integer
C25284 (NCI Thesaurus ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C25695 (NCI Thesaurus Property)
C0456204 (UMLS CUI [1])
CL.2
Code List
Specimen type
CL Item
Buffy Coat (1)
C2936475 (UMLS CUI-1)
CL Item
Cells (2)
C0007634 (UMLS CUI-1)
CL Item
Fixed Tissue (3)
C1952642 (UMLS CUI-1)
CL Item
Frozen Tissue (4)
C4039816 (UMLS CUI-1)
CL Item
Plasma (5)
C0032105 (UMLS CUI-1)
CL Item
Serum (6)
C0229671 (UMLS CUI-1)
CL Item
Urine (7)
C0042036 (UMLS CUI-1)
CL Item
Whole Blood (8)
C0370231 (UMLS CUI-1)
CL Item
Other (9)
C0205394 (UMLS CUI-1)
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)
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)
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
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
Courier 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)
ResearchCommentsText
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA 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)
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)
LaboratoryProcedurePlateletResultInd-3
Item
Platelet count required?
boolean
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C12520 (NCI Thesaurus Property-2)
C0005821 (UMLS 2011AA Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
LaboratoryProcedurePlateletResultUnspecifiedValue
Item
Platelet count
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C12520 (NCI Thesaurus Property-2)
C0005821 (UMLS 2011AA Property-2)
C38046 (NCI Thesaurus ValueDomain)
C0205370 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1522609 (UMLS 2011AA ValueDomain-2)
LaboratoryProcedurePlateletResultDate
Item
Platelet Date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C12520 (NCI Thesaurus Property-2)
C0005821 (UMLS 2011AA Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA 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
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)
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)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
PathologyTissueSpecimenSourceSpecify
Item
Other specify
text
C12801 (NCI Thesaurus ObjectClass)
C0040300 (UMLS 2011AA ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C0370003 (UMLS 2011AA ObjectClass-2)
C18189 (NCI Thesaurus ObjectClass-3)
C0030664 (UMLS 2011AA ObjectClass-3)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
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)
SpecimenLaboratoryReceivedDate
Item
Specimen received date (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)
AssessmentLabUOM
Item
Units
text
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C37984 (NCI Thesaurus Property)
C0022877 (UMLS 2011AA Property)
C25709 (NCI Thesaurus ValueDomain)
C1519795 (UMLS 2011AA 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
Specify
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)
PersonSpecimenReceivedName
Item
Staff name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25639 (NCI Thesaurus Property)
C1514756 (UMLS 2011AA Property)
C19157 (NCI Thesaurus Property-2)
C0370003 (UMLS 2011AA Property-2)
Organization Phone Number
Item
Phone number
text
C25337 (NCI Thesaurus ValueDomain)
C25395 (NCI Thesaurus Property)
C19711 (NCI Thesaurus ObjectClass)
C0039457 (UMLS CUI [1])
Responsible Person E-mail
Item
E-mail
text
C25704 (NCI Thesaurus ValueDomain)
C25657 (NCI Thesaurus ObjectClass)
C42775 (NCI Thesaurus Property)
C0680379 (UMLS CUI [1,1])
C1705961 (UMLS CUI [1,2])
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)
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