Form:Pancreatic 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):Healthy Control (20)
 
 Chronic Pancreatitis (21)
 
 Acute Benign Biliary Obstruction (22)
 
 Pancreatic Cancer (23)
* 1270Specimen stored (type) (Go To: 2752)
 
Permissible Values (value):Serum (2)
 
 EDTA plasma (31)
   2752NCI Frederick original label (Go To: 2755)
   2755NCI Frederick Parent ID: (Go To: 2752)
   2751NCI Frederick BSI ID: (Go To: 2871)
   3331NCI Frederick vial status: (Go To: 3327)
* 3327Hemolyzed/lipenic/icteric status: (Go To: 530)
 
Permissible Values (value):None (1)
 
 Hemolyzed (2)
 
 N/A (98)
 
 Unknown (99)
* 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: 1248)
   1248Was sample collected and processed according to Standard Operating Procedures (SOPs)? (Go To: 3326)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown/refused (9)
   3326Was the participant fasting when the original blood was collected? (Go To: 2754)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
   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: 1978)
   1978Bilirubin concentration (mg/dL) (Go To: 2841)
   2841Matched pair ID: (Go To: 3454)
   3454Specimen sequence or randomization identifier: (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: 2749)
   2749Coordinating center data comments: (Go To: End of Form)