ID
6178
Description
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
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- 15/12/2014 15/12/2014 - Martin Dugas
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15 décembre 2014
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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)
Description
Part A
Description
DateMaterial(s)collected
Type de données
date
Description
DateMaterial(s)senttolab
Type de données
date
Description
Sample type
Type de données
integer
Description
Tissue/materialtype
Type de données
text
Description
other,specifyinComments(tissue/materialtype)
Type de données
text
Description
Typeofcollection/stain/process
Type de données
text
Description
slides/fixed,specifyinComments(typeofcollection/stain/process)
Type de données
text
Description
other,specifyinComments(typeofcollection/stain/process)
Type de données
text
Description
Timingofmaterialcollection
Type de données
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
Description
other,specifyinComments(timingofmaterialcollection)
Type de données
text
Description
Numberofspecimens(tubes,slides,etc.)submitted
Type de données
double
Description
Diagnosis
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C15220
- UMLS 2011AA ObjectClass
- C0011900
Description
other,specifyinComments(diagnosis)
Type de données
text
Description
AbsoluteBlastcount
Type de données
double
Description
Insititutioncontactname
Type de données
text
Description
CentralLaboratoryContactTelephoneNumber
Type de données
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
Description
CentralLaboratoryContactFaxNumber
Type de données
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
Description
Part B
Description
PathologyCoreFacilityLaboratoryIdentifierName
Type de données
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
Description
CentralLaboratoryContactPersonName
Type de données
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
Description
Sample type
Type de données
integer
Description
DateMaterial(s)receivedatcentrallab
Type de données
date
Description
ConditionofMaterial(s)
Type de données
text
Description
LabSpecimenIDNumbers
Type de données
text
Description
Aliquots of sample made
Type de données
boolean
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS CUI-1
- C1522602
Description
CentralLaboratoryContactTelephoneNumber
Type de données
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
Description
CentralLaboratoryContactFaxNumber
Type de données
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
Description
Comments
Similar models
Form No. 1479, ECOG MATERIAL SUBMISSION FORM
- StudyEvent: ECOG MATERIAL SUBMISSION FORM (E2100)
C0237753 (UMLS 2011AA ValueDomain)
C16154 (NCI Thesaurus ValueDomain)
C1704379 (UMLS 2011AA ValueDomain)
C0005954 (UMLS 2011AA)
C0032105 (UMLS 2011AA)
C0229671 (UMLS 2011AA)
C0042036 (UMLS 2011AA)
C0038056 (UMLS 2011AA)
C1948053 (UMLS 2011AA Property)
C25453 (NCI Thesaurus Property)
C1516698 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C0337611 (UMLS 2011AA ObjectClass)
C64207 (NCI Thesaurus ObjectClass)
C1880016 (UMLS 2011AA ObjectClass)
C25395 (NCI Thesaurus Property)
C0039457 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25395 (NCI Thesaurus ValueDomain)
C0039457 (UMLS 2011AA ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25461 (NCI Thesaurus ObjectClass)
C0337611 (UMLS 2011AA ObjectClass)
C64207 (NCI Thesaurus ObjectClass)
C1880016 (UMLS 2011AA ObjectClass)
C25210 (NCI Thesaurus Property)
C0085205 (UMLS 2011AA Property)
C0022877 (UMLS 2011AA ObjectClass)
C18189 (NCI Thesaurus ObjectClass)
C0030664 (UMLS 2011AA ObjectClass)
C15896 (NCI Thesaurus ObjectClass)
C1511521 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
C0027361 (UMLS 2011AA ObjectClass)
C37984 (NCI Thesaurus ObjectClass)
C0022877 (UMLS 2011AA ObjectClass)
C0205099 (NCI Metathesaurus ObjectClass)
C25461 (NCI Thesaurus ObjectClass)
C0337611 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C1522602 (UMLS CUI-1)
C0337611 (UMLS 2011AA ObjectClass)
C64207 (NCI Thesaurus ObjectClass)
C1880016 (UMLS 2011AA ObjectClass)
C25395 (NCI Thesaurus Property)
C0039457 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25395 (NCI Thesaurus ValueDomain)
C0039457 (UMLS 2011AA ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25461 (NCI Thesaurus ObjectClass)
C0337611 (UMLS 2011AA ObjectClass)
C64207 (NCI Thesaurus ObjectClass)
C1880016 (UMLS 2011AA ObjectClass)
C25210 (NCI Thesaurus Property)
C0085205 (UMLS 2011AA Property)