Form:Lung Reference Specimen Storage Set C v1.1


CDE IDCDE Description
* 2871NCI Frederick current label: (Go To: 1063)
* 1063Site Participant ID (Go To: 2733)
   2733Proposed study group (Go To: 422)
 
Permissible Values (value):Set C Cases: Lung cancer (prospective) (21)
 
 Set C Controls: High Risk (prospective) (23)
 
 Set C Controls: Other cancers (prospective) (25)
* 422EDRN Site ID (Go To: 423)
* 423EDRN Protocol ID (Go To: 1064)
* 1064Site Specimen ID (Go To: 1270)
* 1270Specimen stored (type) (Go To: 1064)
 
Permissible Values (value):Serum (2)
 
 Plasma (3)
* 2753NCI Frederick Subject ID: (Go To: 2751)
* 2751NCI Frederick BSI ID: (Go To: 2755)
* 2755NCI Frederick Parent ID: (Go To: 533)
   533Final storage (Go To: 530)
 
Permissible Values (value):Liquid nitrogen (1)
 
 -70°/-80° (3)
 
 -20° (4)
 
 4° (5)
 
 Room temperature (6)
 
 Other, specify: (7)
 
 -80° or colder (8)
 
 Unknown/refused (9)
 
 Other, specify: (97)
   530Approximate total amount stored (Go To: 746)
   746Approximate total amount stored (Unit) (Go To: 2754)
 
Permissible Values (value):Microliters (uL or mcl) (1)
 
 Milliliters (mL or ml) (2)
 
 Micrograms (mcg) (3)
 
 Milligrams (mg) (4)
 
 Grams (g) (5)
 
 Liters (l) (6)
 
 Preparations (7)
 
 Slides (8)
 
 Cells (14)
 
 Unknown/refused (99)
   2754Specimen use: (Go To: 2840)
   2840ID of site receiving specimen(s): (Go To: 2876)
   2876Specimen ID assigned by analysis lab: (Go To: 578)
   2756Included in full validation set? (Go To: 2757)
 
Permissible Values (value):No (0)
 
 Yes (1)
   2757Included in biomarker panel development set? (Go To: 2758)
 
Permissible Values (value):No (0)
 
 Yes (1)
   2758Included in a rapid pre-validation set? (Go To: 2754)
 
Permissible Values (value):No (0)
 
 Yes (1)
   578Age at specimen collection (Go To: 747)
   747Additive used in blood collection? (Go To: 751)
 
Permissible Values (value):EDTA (1)
 
 Heparin (2)
 
 Citrate (3)
 
 None (4)
 
 Unknown/refused (99)
   751Original blood sample was collected as: (Go To: 1247)
 
Permissible Values (value):Fasting (1)
 
 Random (2)
 
 Unknown/refused (9)
   1247Time from blood draw to first freeze: (value) (Go To: 1248)
   1248Was sample collected and processed according to Standard Operating Procedures (SOPs)? (Go To: 945)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown/refused (9)
   945Number of freeze-thaws: (Go To: 1054)
   1054Specimen collection date (MM/DD/YYYY): (Go To: 1097)
   2856Date of specimen collection (Year) (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)