Form:Liver Reference Set Specimen Use v1.0


CDE IDCDE Description
* 2871NCI Frederick current label: (Go To: 421)
* 421EDRN Participant ID (Go To: 423)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 2603)
* 2603Study group: (Go To: 1270)
 
Permissible Values (value):Cases group 1 (1)
 
 Control Group 2 (2)
 
 Ineligible (90)
* 1270Specimen stored (type) (Go To: 2755)
 
Permissible Values (value):Serum (2)
 
 Plasma (3)
   2755NCI Frederick Parent ID: (Go To: 2752)
* 2752NCI Frederick original label (Go To: 530)
   2751NCI Frederick BSI ID: (Go To: 530)
* 530Approximate total amount stored (Go To: 746)
* 746Approximate total amount stored (Unit) (Go To: 533)
 
Permissible Values (value):Microliters (uL or mcl) (1)
 
 Milliliters (mL or ml) (2)
   533Final storage (Go To: 945)
 
Permissible Values (value):-70°/-80° (3)
 
 Unknown/refused (9)
   945Number of freeze-thaws: (Go To: 1054)
   1054Specimen collection date (MM/DD/YYYY): (Go To: 2756)
   2756Included in full validation set? (Go To: 2758)
 
Permissible Values (value):No (0)
 
 Yes (1)
   2758Included in a rapid pre-validation set? (Go To: 747)
 
Permissible Values (value):No (0)
 
 Yes (1)
   747Additive used in blood collection? (Go To: 751)
 
Permissible Values (value):EDTA (1)
 
 None (4)
   751Original blood sample was collected as: (Go To: 1248)
 
Permissible Values (value):Fasting (1)
 
 Random (2)
 
 Unknown/refused (9)
   1248Was sample collected and processed according to Standard Operating Procedures (SOPs)? (Go To: 2754)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown/refused (9)
   2754Specimen use: (Go To: 2840)
   2840ID of site receiving specimen(s): (Go To: 2876)
   2876Specimen ID assigned by analysis lab: (Go To: 2728)
   2728Blinded participant ID: (Go To: 578)
   578Age at specimen collection (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: 2749)
   2749Coordinating center data comments: (Go To: End of Form)