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Long NamePET Equipment QC Assessment NCI Standard Template
DefinitionThe collection of CDEs used in the PET equipment QC assessment modules.
ContextcaBIG
Protocol Long NameNCI Standard Template Forms
WorkflowDRAFT NEW
TypeCRF
Public ID3476190
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.
Mandatory PET Equipment QC Assessment Questions These items must be included when this data is collected for reporting.
Date of last PET Scanner SUV validation:PET Scanner Last Calibration Date27177171.0DATEMM/DD/YYYY
Daily scanner QC run on date of study?PET Scanner Completed Daily Quality Control Indicator27177192.0CHARACTER
NoNoThe non-affirmative response to a question.
YesYesThe affirmative response to a question or activity.
Optional PET Equipment QC Assessment 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.
Has the scanner used for this study been qualified by sponsor?PET Scanner Device Qualifying Type27177093.0CHARACTER
YesYesThe affirmative response to a question or activity.
NoNoThe non-affirmative response to a question.
Not applicable, Baseline PETNot applicable, Baseline PETNot applicable, Baseline PET
Reason a non-qualified scanner was used for this studyPET Scanner Not Qualified Reason31633401.0CHARACTER
Scanner IDScanner Device Identifier29707252.0ALPHANUMERIC
Scanner Qualification DateScanner Qualification Event Date27177111.0DATEMM/DD/YYYY