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Long NameDiagnosis Administrative NCI Standard Template
DefinitionThe collection of CDEs used in the Diagnosis - Administrative module.
ContextcaBIG
Protocol Long NameNCI Standard Template Forms
WorkflowDRAFT NEW
TypeCRF
Public ID3475705
Version1.0
Module Long NameModule InstructionsQuestionCDECDE Public IDCDE VersionQuestion InstructionsValue Domain Data TypeValue Domain Unit of MeasureDisplay FormatValid ValueForm Value Meaning TextForm Value Meaning Desc.
Optional Diagnosis - Administrative QuestionsThere is no requirement for inclusion of these elements on the case report form. If the design and scientific questions posed in the study dictate the need to collect this type of data, these elements should be included.
Source of the Lab DataLaboratory Data Source Name21815961.0CHARACTER
CDWCDW (Clinical Data Warehouse)Clinical Data Warehouse, NCI Clinical Center CRIS system
GUGeorgetown UniversityNo Value Exists
Northwest Med CenterNorthwest Medical CenterNorthwest Medical Center
OTHOther - Non CDW (Clinical Data Warehouse)Other - Non CDW (Clinical Data Warehouse) NCI Clinical Center CRIS system
Outside LabOutside LabOutside Lab
UMC/UPHUniversity Medical Center/University Physicians Health CareUniversity Medical Center/University Physicians Health Care
UnknownUnknownNot known, not observed, not recorded, or refused.
Block #Specimen Block Identifier26240221.0CHARACTER
Source of SpecimenPathology Specimen Source Text Type22007911.0CHARACTER
From PatientFrom PatientFrom Patient
From SpecimenFrom SpecimenFrom Specimen
Report DateLaboratory Finding Report Date20022364.0DATEMM/DD/YYYY
Reviewing PathologistReviewing Pathologist Name643203.0CHARACTER
Path Report ID#Pathology Report Identifier20084281.0CHARACTER
Number of specimens submittedSlide Submitted Count20069994.0NUMBER