ID
6178
Beschrijving
ECOG MATERIAL SUBMISSION FORM (E2100) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AC221735-7106-1535-E034-0003BA12F5E7
Link
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Versies (1)
- 15-12-14 15-12-14 - Martin Dugas
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15 december 2014
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Creative Commons BY-NC 3.0 Legacy
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Breast Cancer Pathology - ECOG MATERIAL SUBMISSION FORM (E2100) - 2068992v3.0
Form No. 1479, ECOG MATERIAL SUBMISSION FORM
- StudyEvent: ECOG MATERIAL SUBMISSION FORM (E2100)
Beschrijving
Part A
Beschrijving
DateMaterial(s)collected
Datatype
date
Beschrijving
DateMaterial(s)senttolab
Datatype
date
Beschrijving
Sample type
Datatype
integer
Beschrijving
Tissue/materialtype
Datatype
text
Beschrijving
other,specifyinComments(tissue/materialtype)
Datatype
text
Beschrijving
Typeofcollection/stain/process
Datatype
text
Beschrijving
slides/fixed,specifyinComments(typeofcollection/stain/process)
Datatype
text
Beschrijving
other,specifyinComments(typeofcollection/stain/process)
Datatype
text
Beschrijving
Timingofmaterialcollection
Datatype
text
Alias
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus Property
- C25453
- UMLS 2011AA Property
- C1516698
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
Beschrijving
other,specifyinComments(timingofmaterialcollection)
Datatype
text
Beschrijving
Numberofspecimens(tubes,slides,etc.)submitted
Datatype
double
Beschrijving
Diagnosis
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C15220
- UMLS 2011AA ObjectClass
- C0011900
Beschrijving
other,specifyinComments(diagnosis)
Datatype
text
Beschrijving
AbsoluteBlastcount
Datatype
double
Beschrijving
Insititutioncontactname
Datatype
text
Beschrijving
CentralLaboratoryContactTelephoneNumber
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25461
- UMLS 2011AA ObjectClass
- C0337611
- NCI Thesaurus ObjectClass
- C64207
- UMLS 2011AA ObjectClass
- C1880016
- NCI Thesaurus Property
- C25395
- UMLS 2011AA Property
- C0039457
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ValueDomain
- C25395
- UMLS 2011AA ValueDomain
- C0039457
Beschrijving
CentralLaboratoryContactFaxNumber
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C25461
- UMLS 2011AA ObjectClass
- C0337611
- NCI Thesaurus ObjectClass
- C64207
- UMLS 2011AA ObjectClass
- C1880016
- NCI Thesaurus Property
- C25210
- UMLS 2011AA Property
- C0085205
Beschrijving
Part B
Beschrijving
PathologyCoreFacilityLaboratoryIdentifierName
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C37984
- UMLS 2011AA ObjectClass
- C0022877
- NCI Thesaurus ObjectClass
- C18189
- UMLS 2011AA ObjectClass
- C0030664
- NCI Thesaurus ObjectClass
- C15896
- UMLS 2011AA ObjectClass
- C1511521
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ValueDomain
- C42614
- UMLS 2011AA ValueDomain
- C0027365
Beschrijving
CentralLaboratoryContactPersonName
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus ObjectClass
- C37984
- UMLS 2011AA ObjectClass
- C0022877
- NCI Metathesaurus ObjectClass
- C0205099
- NCI Thesaurus ObjectClass
- C25461
- UMLS 2011AA ObjectClass
- C0337611
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ValueDomain
- C25191
- UMLS 2011AA ValueDomain
- C1547383
Beschrijving
Sample type
Datatype
integer
Beschrijving
DateMaterial(s)receivedatcentrallab
Datatype
date
Beschrijving
ConditionofMaterial(s)
Datatype
text
Beschrijving
LabSpecimenIDNumbers
Datatype
text
Beschrijving
Aliquots of sample made
Datatype
boolean
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS CUI-1
- C1522602
Beschrijving
CentralLaboratoryContactTelephoneNumber
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C25461
- UMLS 2011AA ObjectClass
- C0337611
- NCI Thesaurus ObjectClass
- C64207
- UMLS 2011AA ObjectClass
- C1880016
- NCI Thesaurus Property
- C25395
- UMLS 2011AA Property
- C0039457
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ValueDomain
- C25395
- UMLS 2011AA ValueDomain
- C0039457
Beschrijving
CentralLaboratoryContactFaxNumber
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C25461
- UMLS 2011AA ObjectClass
- C0337611
- NCI Thesaurus ObjectClass
- C64207
- UMLS 2011AA ObjectClass
- C1880016
- NCI Thesaurus Property
- C25210
- UMLS 2011AA Property
- C0085205
Beschrijving
Comments
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C18189 (NCI Thesaurus ObjectClass)
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C1511521 (UMLS 2011AA ObjectClass)
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C1880016 (UMLS 2011AA ObjectClass)
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C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
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