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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
WorkflowRELEASED
TypeCRF
Public ID3475705
Version1.0
Module Long NameModule InstructionsQuestionCDECDE Public IDCDE VersionValue 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.
Laboratory Data SourceLaboratory Data Source Type38091521.0CHARACTER
Central LabCentral LaboratoryA laboratory delivering the data for a particular study.
Referral LabReferral LaboratorySending a patient from one practitioner to another for health care services.: A facility equipped and competent to conduct scientific experiments, observations, tests, investigations, and/or to manufacture chemicals or medical products.
Sponsor LabSponsor LaboratoryAn entity such as an individual, company, institution, group, or organization which takes responsibility for the initiation, management, and/or financing of a clinical study. The sponsor does not actually conduct the investigation unless the sponsor is a sponsor-investigator. A person other than an individual (e.g., corporation or agency) that uses one or more of its own employees to conduct research it has initiated is considered to be a sponsor, and the employees are considered to be investigators. [21 CFR P.50.3(k)] [21 CFR P.50.102(j)] [21 CFR P.312.3]: A facility equipped and competent to conduct scientific experiments, observations, tests, investigations, and/or to manufacture chemicals or medical products.
OtherOtherDifferent than the one(s) previously specified or mentioned.
Performing Laboratory NamePerforming Laboratory Name Text28412821.0CHARACTER
Block #Pathology Specimen Block Identifier38091481.0CHARACTER
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 Specimen Report Identifier Number643213.0NUMBER
Number of specimens submittedSpecimen Submitted Count20039544.0NUMBER