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Long NameEquipment NCI Standard Template
DefinitionThe collection of CDEs used in the image equipment modules.
ContextcaBIG
Protocol Long NameNCI Standard Template Forms
WorkflowRELEASED
TypeCRF
Public ID3476000
Version1.0
Module Long NameModule InstructionsQuestionCDECDE Public IDCDE VersionValue Domain Data TypeValue Domain Unit of MeasureDisplay FormatValid ValueForm Value Meaning TextForm Value Meaning Desc.
Mandatory Image Equipment Questions These items must be included when this data is collected for reporting.
Manufacturer's Model NameEquipment Manufacturer Model Name Text24132742.1CHARACTER
Manufacturer NameEquipment Manufacturer Name Text28661411.0CHARACTER
Optional Image Eqiupment 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.
Device Serial NumberEquipment Serial Number Text26819801.2CHARACTER
Software Version(s)Equipment Software Version Text24132781.2CHARACTER
Station NameEquipment Station Name Text21824811.2CHARACTER
Equipment IDEquipment Property Identifier39020741.0ALPHANUMERIC
Reason a non-qualified scanner was used for this studyEquipment Protocol Requirement Not Qualified Reason39149961.0CHARACTER
Scanner Qualification DateEquipment Qualification Event Date39151551.0DATEMM/DD/YYYY
Daily scanner QC run on date of study?Equipment Completed Daily Quality Control Yes No Indicator39149921.0CHARACTER
YesYesThe affirmative response to a question or activity.
NoNoThe non-affirmative response to a question.
Has the scanner used for this study been qualified by sponsor?Equipment Protocol Requirement Yes No Not Applicable Indicator39149951.0CHARACTER
YesYesThe affirmative response to a question or activity.
NoNoThe non-affirmative response to a question.
Not ApplicableNot ApplicableDetermination that a value is not relevant in the current context.