ID

7343

Descrizione

GOG Specimen Form- Form SP Carboplatin and Paclitaxel With or Without Bevacizumab After Surgery in Treating Patients With Recurrent Ovarian Epithelial Cancer, Primary Peritoneal Cavity Cancer, or Fallopian Tube Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D149D7A6-B552-0F76-E034-0003BA12F5E7

collegamento

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D149D7A6-B552-0F76-E034-0003BA12F5E7

Keywords

versioni (2)
  1. 19/09/12 19/09/12 -
  2. 09/01/15 09/01/15 - Martin Dugas
Caricato su

9 gennaio 2015

DOI

Per favore, per richiedere un accesso.

Licenza

Creative Commons BY-NC 3.0 Legacy
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Fallopian Tube Cancer NCT00565851 Lab - GOG Specimen Form- Form SP - 2267504v3.0

Inglese

No Instruction available.

1 moduli  
  1. StudyEvent: GOG Specimen Form- Form SP
    1. No Instruction available.
Ccrr Module For Gog Specimen Form- Form Sp
Descrizione

Ccrr Module For Gog Specimen Form- Form Sp

Date form originally completed
Descrizione

Form Completion Date

Tipo di dati

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
Descrizione

FormAmendedCompleteDate

Tipo di dati

date

Alias
NCI Thesaurus ObjectClass
C19464
UMLS 2011AA ObjectClass
C0376315
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property-2
C25416
UMLS 2011AA Property-2
C1691222
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain-2
C25367
Person amending form, last name
Descrizione

ResponsiblePersonReportingChangeLastName

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Patient Study ID
Descrizione

Patient Study ID

Tipo di dati

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#
Descrizione

SpecimenIdentifierNumber

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
Person completing form, last name
Descrizione

Person Completing Form

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C1550483
NCI Thesaurus ObjectClass
C25657
NCI Thesaurus Property
C25364
email address
Descrizione

ResponsiblePersonE-mailAddressText

Tipo di dati

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
Time point
Descrizione

TIMEPOINT

Tipo di dati

text

Submission status
Descrizione

Specimenw/FormInd

Tipo di dati

text

Date collected
Descrizione

SpecimenCollectedDate

Tipo di dati

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
Descrizione

SpecimenCollectedTime

Tipo di dati

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
Descrizione

SpecimenSubmittedType

Tipo di dati

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
Date shipped
Descrizione

SpecimenLabSubmittedDate

Tipo di dati

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
Additional information required by protocol
Descrizione

Research Comments

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS CUI-1
C0947611
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
Platelet count
Descrizione

Platelets

Tipo di dati

float

Unità di misura
  • 1000/uL
Alias
NCI Thesaurus Property
C20200
UMLS CUI-1
C0005821
NCI Thesaurus Property-2
C12520
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
1000/uL
Date of platelet count
Descrizione

HematologyLabCollectedDate

Tipo di dati

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C20200
UMLS 2011AA Property
C1274040
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus ValueDomain-2
C25452
yes, specify
Descrizione

SpecimenFixativeType

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
NCI Thesaurus Property
C498
UMLS 2011AA Property
C0016184
yes, specify
Descrizione

SpecimenFixativeType

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
NCI Thesaurus Property
C498
UMLS 2011AA Property
C0016184
Tissue type
Descrizione

TissueType

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C12801
UMLS 2011AA ObjectClass
C0040300
NCI Thesaurus Property
C25365
UMLS 2011AA Property
C0678257
Other, specify (tissue type)
Descrizione

TissueType,Other

Tipo di dati

text

Receiving Institution
Descrizione

SpecimenLaboratoryReceivedName

Tipo di dati

text

Alias
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
Date received
Descrizione

SpecimenLaboratoryReceivedDate

Tipo di dati

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
Units
Descrizione

AssessmentLabUOM

Tipo di dati

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
Condition of received specimens
Descrizione

SpecimenCondition

Tipo di dati

text

Name
Descrizione

Name

Tipo di dati

text

phone or email
Descrizione

OrganizationPhoneNumber

Tipo di dati

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
Descrizione

OrganizationPhoneNumber

Tipo di dati

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
lab name
Descrizione

SpecimenLabIdentifierName

Tipo di dati

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
Participating Group Code
Descrizione

ParticipatingGroupIdentifierCode

Tipo di dati

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
Descrizione

Study Number Participating Group

Tipo di dati

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 Patient Study ID
Descrizione

Trial subject ID Participating Group

Tipo di dati

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
Specimen code
Descrizione

Specimencode

Tipo di dati

text

Not submitted, specify
Descrizione

Notsubmitted,specify

Tipo di dati

text

Other, specify (specimen type)
Descrizione

Other,specify(specimentype)

Tipo di dati

text

Items shipped
Descrizione

Itemsshipped

Tipo di dati

text

Other, specify (items shipped)
Descrizione

Other,specify(itemsshipped)

Tipo di dati

text

Quantity of items shipped
Descrizione

Quantityofitemsshipped

Tipo di dati

text

Processing time
Descrizione

Processingtime

Tipo di dati

text

Storage type
Descrizione

Storagetype

Tipo di dati

text

Room temperature
Descrizione

Roomtemperature

Tipo di dati

text

Other, specify (storage type)
Descrizione

Other,specify(storagetype)

Tipo di dati

text

Federal Express tracking number
Descrizione

FederalExpresstrackingnumber

Tipo di dati

text

Type of blood collection tubes
Descrizione

Typeofbloodcollectiontubes

Tipo di dati

text

Other, specify (type of blood collection tubes)
Descrizione

Other,specify(typeofbloodcollectiontubes)

Tipo di dati

text

Platelet count required?
Descrizione

Plateletcountrequired?

Tipo di dati

boolean

Urine collection method
Descrizione

Urinecollectionmethod

Tipo di dati

text

Other, specify (urine collection method)
Descrizione

Other,specify(urinecollectionmethod)

Tipo di dati

text

Processing method
Descrizione

Processingmethod

Tipo di dati

text

Other, specify (processing method)
Descrizione

Other,specify(processingmethod)

Tipo di dati

text

Cell type
Descrizione

Celltype

Tipo di dati

text

Other, specify (cell type)
Descrizione

Other,specify(celltype)

Tipo di dati

text

Total volume/weight
Descrizione

Totalvolume/weight

Tipo di dati

text

Unsatisfactory, specify (condition of specimen)
Descrizione

Unsatisfactory,specify(conditionofspecimen)

Tipo di dati

text

Additional processing required
Descrizione

Additionalprocessingrequired

Tipo di dati

boolean

yes, specify (additional processing)
Descrizione

yes,specify(additionalprocessing)

Tipo di dati

text

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Similar models

No Instruction available.

1 moduli
  1. StudyEvent: GOG Specimen Form- Form SP
    1. No Instruction available.
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Ccrr Module For Gog Specimen Form- Form Sp
Form Completion Date
Item
Date form originally completed
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)
FormAmendedCompleteDate
Item
Date form amended
date
C19464 (NCI Thesaurus ObjectClass)
C0376315 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25416 (NCI Thesaurus Property-2)
C1691222 (UMLS 2011AA Property-2)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
ResponsiblePersonReportingChangeLastName
Item
Person amending form, last name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA 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)
SpecimenIdentifierNumber
Item
GOG Bank ID#
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
Person Completing Form
Item
Person completing form, last name
text
C25191 (NCI Thesaurus ValueDomain)
C1550483 (UMLS CUI-1)
C25657 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
ResponsiblePersonE-mailAddressText
Item
email address
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)
TIMEPOINT
Item
Time point
text
Item
Submission status
text
CL.1
Code List
Submission status
CL Item
submitted (submitted)
CL Item
not submitted (not submitted)
SpecimenCollectedDate
Item
Date collected
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
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)
CL Item
urine (urine)
CL Item
cells (cells)
CL Item
Peripheral Blood (whole blood)
C0229664 (NCI Metathesaurus)
C0229664 (NCI Metathesaurus-2)
CL Item
Tissue Fixed With Formalin (fixed tissue)
CL Item
Frozen Tissue, Not Fixed, Without The Use Of Oct (frozen tissue)
CL Item
plasma (plasma)
CL Item
Serum (serum)
C13325 (NCI Thesaurus)
C0229671 (UMLS 2011AA)
CL Item
other (other)
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)
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)
Platelets
Item
Platelet count
float
C20200 (NCI Thesaurus Property)
C0005821 (UMLS CUI-1)
C12520 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
HematologyLabCollectedDate
Item
Date of platelet count
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25452 (NCI Thesaurus ValueDomain-2)
SpecimenFixativeType
Item
yes, specify
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C498 (NCI Thesaurus Property)
C0016184 (UMLS 2011AA Property)
SpecimenFixativeType
Item
yes, specify
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C498 (NCI Thesaurus Property)
C0016184 (UMLS 2011AA Property)
Item
Tissue type
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C12801 (NCI Thesaurus ObjectClass)
C0040300 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
CL.10
Code List
Tissue type
CL Item
normal (normal)
CL Item
pre-malignant (pre-malignant)
CL Item
Primary (primary tumr)
C25251 (NCI Thesaurus)
C0205225 (UMLS 2011AA)
CL Item
Distant Metastases (metastatic tumor)
CL Item
Recurrent Tumor (recurrent/persistent tumor)
CL Item
Other, Specify (Other)
TissueType,Other
Item
Other, specify (tissue type)
text
Item
Receiving Institution
text
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)
CL.13
Code List
Receiving Institution
CL Item
GOG tissue bank (GOG tissue bank)
CL Item
laboratory (laboratory)
SpecimenLaboratoryReceivedDate
Item
Date received
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)
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)
Item
Condition of received specimens
text
CL.14
Code List
Condition of received specimens
CL Item
Useable (satisfactory)
CL Item
Damaged Or Unusable (unsatisfactory)
Name
Item
Name
text
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)
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)
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)
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 Patient Study 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)
Specimencode
Item
Specimen code
text
Notsubmitted,specify
Item
Not submitted, specify
text
Other,specify(specimentype)
Item
Other, specify (specimen type)
text
Item
Items shipped
text
CL.3
Code List
Items shipped
CL Item
block (block)
CL Item
OCT-mold (OCT-mold)
CL Item
piece (piece)
CL Item
slide (slide)
CL Item
tube/vial (tube/vial)
CL Item
other (other)
Other,specify(itemsshipped)
Item
Other, specify (items shipped)
text
Quantityofitemsshipped
Item
Quantity of items shipped
text
Item
Processing time
text
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
NA (NA)
Storagetype
Item
Storage type
text
Item
Room temperature
text
CL.5
Code List
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)
Other,specify(storagetype)
Item
Other, specify (storage type)
text
FederalExpresstrackingnumber
Item
Federal Express tracking number
text
Item
Type of blood collection tubes
text
CL.6
Code List
Type of blood collection tubes
CL Item
ACD (ACD)
CL Item
EDTA (EDTA)
CL Item
Red top (Red top)
CL Item
Serum separator (Serum separator)
CL Item
Citrate (Citrate)
CL Item
Heparin (Heparin)
CL Item
other (other)
Other,specify(typeofbloodcollectiontubes)
Item
Other, specify (type of blood collection tubes)
text
Plateletcountrequired?
Item
Platelet count required?
boolean
Item
Urine collection method
text
CL.9
Code List
Urine collection method
CL Item
clean catch (clean catch)
CL Item
24-hour (24-hour)
CL Item
other (other)
Other,specify(urinecollectionmethod)
Item
Other, specify (urine collection method)
text
Item
Processing method
text
CL.11
Code List
Processing method
CL Item
ethanol-fixed (ethanol-fixed)
CL Item
fixed & parraffin-embedded (fixed & parraffin-embedded)
CL Item
formalin-fixed (formalin-fixed)
CL Item
OCT-frozen (OCT-frozen)
CL Item
snap-frozen (snap-frozen)
CL Item
other (other)
Other,specify(processingmethod)
Item
Other, specify (processing method)
text
Item
Cell type
text
CL.12
Code List
Cell type
CL Item
buccal (buccal)
CL Item
cervical (cervical)
CL Item
other (other)
Other,specify(celltype)
Item
Other, specify (cell type)
text
Totalvolume/weight
Item
Total volume/weight
text
Unsatisfactory,specify(conditionofspecimen)
Item
Unsatisfactory, specify (condition of specimen)
text
Additionalprocessingrequired
Item
Additional processing required
boolean
yes,specify(additionalprocessing)
Item
yes, specify (additional processing)
text
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