ID

6930

Beschreibung

Prostate Cancer - Pathology Form - Transurethral Resection Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=198056F5-3A1B-10BC-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=198056F5-3A1B-10BC-E044-0003BA3F9857

Stichworte

Versionen (2)
  1. 20.09.12 20.09.12 -
  2. 08.01.15 08.01.15 - Martin Dugas
Hochgeladen am

8. Januar 2015

DOI

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Lizenz

Creative Commons BY-NC 3.0 Legacy
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Pathology - Prostate Cancer - Pathology Form - Transurethral Resection - 2020192v3.0

Englisch

No Instruction available.

1 Formulare  
  1. StudyEvent: Prostate Cancer - Pathology Form - Transurethral Resection
    1. No Instruction available.
Crf Header
Beschreibung

Crf Header

Coordinating Group Protocol Number
Beschreibung

CoordinatingGroupProtocolNumber

Datentyp

text

Coordinating Group Code
Beschreibung

CoordinatingGroupCode

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Protocol Title
Beschreibung

Protocol Title

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C25320
UMLS CUI-1
C2986303
NCI Thesaurus Property
C42774
Patient Study ID, Coordinating Group
Beschreibung

PatientStudyID,CoordinatingGroup

Datentyp

text

Patient Study ID, Participating Group
Beschreibung

PatientStudyID,ParticipatingGroup

Datentyp

text

Participating Group Code
Beschreibung

ParticipatingGroupCode

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Institution Name
Beschreibung

InstitutionName

Datentyp

text

Affiliate Name
Beschreibung

AffiliateName

Datentyp

text

Patient Name, Last
Beschreibung

PatientName,Last

Datentyp

text

Patient Name, First
Beschreibung

PatientName,First

Datentyp

text

Patient Name, Middle
Beschreibung

PatientName,Middle

Datentyp

text

Prostate Pathology: Form Administration
Beschreibung

Prostate Pathology: Form Administration

Person Completing Form, Last Name
Beschreibung

PersonCompletingForm,LastName

Datentyp

text

Person Completing Form, First Name
Beschreibung

PersonCompletingForm,FirstName

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Amended Data Ind
Beschreibung

AmendedDataInd

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Pathology: Transurethral Resection (tur)
Beschreibung

Pathology: Transurethral Resection (tur)

Data Source
Beschreibung

DataSource

Datentyp

text

Therapeutic Effect Ind
Beschreibung

TherapeuticEffectInd

Datentyp

text

Therapy Name
Beschreibung

TherapyName

Datentyp

text

Other Therapy Name
Beschreibung

OtherTherapyName

Datentyp

text

Surgical Procedure Type
Beschreibung

SurgicalProcedureType

Datentyp

text

Surgical Procedure Other Type
Beschreibung

SurgicalProcedureOtherType

Datentyp

text

Surgery Date
Beschreibung

SurgeryDate

Datentyp

date

Specimen, Resection Weight
Beschreibung

Specimen,ResectionWeight

Datentyp

float

Specimen, Examined Tumor Percentage
Beschreibung

Specimen,ExaminedTumorPercentage

Datentyp

float

Alias
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus ObjectClass
C12801
UMLS 2011AA ObjectClass
C0040300
Specimen, Cancer Chips Count
Beschreibung

Specimen,CancerChipsCount

Datentyp

float

Specimen, Cancer Present Percentage
Beschreibung

Specimen,CancerPresentPercentage

Datentyp

float

PIN Ind, High Grade
Beschreibung

PINInd,HighGrade

Datentyp

text

Extraprostatic Extension Ind
Beschreibung

ExtraprostaticExtensionInd

Datentyp

text

Extraprostatic Extension Type
Beschreibung

ExtraprostaticExtensionType

Datentyp

text

Extraprostatic Extension Laterality
Beschreibung

ExtraprostaticExtensionLaterality

Datentyp

text

Extraprostatic Extension Extent, Vertical
Beschreibung

ExtraprostaticExtensionExtent,Vertical

Datentyp

float

Extraprostatic Extension Extent, Horizontal
Beschreibung

ExtraprostaticExtensionExtent,Horizontal

Datentyp

float

Lymphovascular Invasion Ind
Beschreibung

LymphovascularInvasionInd

Datentyp

text

Lymphovascular Invasion Description
Beschreibung

LymphovascularInvasionDescription

Datentyp

text

Perineural Involvement Ind
Beschreibung

PerineuralInvolvementInd

Datentyp

text

Perineural Invasion Description
Beschreibung

PerineuralInvasionDescription

Datentyp

text

Gleason Score, Primary Pattern
Beschreibung

GleasonScore,PrimaryPattern

Datentyp

float

Gleason Score, Secondary Pattern
Beschreibung

GleasonScore,SecondaryPattern

Datentyp

float

Gleason Score, Combined
Beschreibung

GleasonScore,Combined

Datentyp

float

Gleason Score, Worst Pattern
Beschreibung

GleasonScore,WorstPattern

Datentyp

float

Pathology: Disease Assessment
Beschreibung

Pathology: Disease Assessment

Histologic Type
Beschreibung

HistologicType

Datentyp

text

Histologic Type, Other Name
Beschreibung

HistologicType,OtherName

Datentyp

text

Histologic Type, Variant
Beschreibung

HistologicType,Variant

Datentyp

text

Histologic Type, Other Variant
Beschreibung

HistologicType,OtherVariant

Datentyp

text

Histologic Type, Variant Percent
Beschreibung

HistologicType,VariantPercent

Datentyp

float

Histologic Type, Variant Percent
Beschreibung

HistologicType,VariantPercent

Datentyp

float

T Stage, Pathologic
Beschreibung

TStage,Pathologic

Datentyp

text

N Stage, Pathologic
Beschreibung

NStage,Pathologic

Datentyp

text

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Ähnliche Modelle

No Instruction available.

1 Formulare
  1. StudyEvent: Prostate Cancer - Pathology Form - Transurethral Resection
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Crf Header
CoordinatingGroupProtocolNumber
Item
Coordinating Group Protocol Number
text
CoordinatingGroupCode
Item
Coordinating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
Protocol Title
Item
Protocol Title
text
C25320 (NCI Thesaurus ObjectClass)
C2986303 (UMLS CUI-1)
C42774 (NCI Thesaurus Property)
PatientStudyID,CoordinatingGroup
Item
Patient Study ID, Coordinating Group
text
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
ParticipatingGroupCode
Item
Participating Group Code
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate Name
text
PatientName,Last
Item
Patient Name, Last
text
PatientName,First
Item
Patient Name, First
text
PatientName,Middle
Item
Patient Name, Middle
text
Item Group
Prostate Pathology: Form Administration
PersonCompletingForm,LastName
Item
Person Completing Form, Last Name
text
PersonCompletingForm,FirstName
Item
Person Completing Form, First Name
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
CL.1
Code List
Amended Data Ind
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (UNKNOWN)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item Group
Pathology: Transurethral Resection (tur)
Item
Data Source
text
CL.2
Code List
Data Source
CL Item
Outside Source (Outside source)
CL Item
Performed Outside, But With Internal Review (Performed outside, but with internal review)
CL Item
Performed Internally And Internally Reviewed (Performed internally and internally reviewed)
Item
Therapeutic Effect Ind
text
CL.3
Code List
Therapeutic Effect Ind
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Therapy Name
text
CL.4
Code List
Therapy Name
CL Item
Hormonal Therapy (Hormonal therapy)
CL025695 (NCI Metathesaurus)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Radiation Therapy (Radiation therapy)
C15313 (NCI Thesaurus)
C1522449 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
OtherTherapyName
Item
Other Therapy Name
text
Item
Surgical Procedure Type
text
CL.5
Code List
Surgical Procedure Type
CL Item
Fine Needle Aspiration (Fine needle aspiration)
CL Item
Needle Biopsy (Needle biopsy)
C15190 (NCI Thesaurus)
C0936232 (UMLS 2011AA)
CL Item
Open Biopsy (Open biopsy)
CL Item
Other, Specify (Other)
CL Item
Transurethral Resection (Transurethral resection)
C15705 (NCI Thesaurus)
C1519630 (UMLS 2011AA)
CL Item
Radical Prostatectomy, Laparoscopic (Radical prostatectomy, laparoscopic)
CL Item
Radical Prostatectomy, Perineal (Radical prostatectomy, perineal)
CL Item
Radical Prostatectomy, Retropubic (Radical prostatectomy, retropubic)
CL Item
Suprapubic Prostatectomy (Suprapubic prostatectomy)
C0194828 (NCI Metathesaurus)
CL Item
Radical Prostatectomy, Nos (Radical prostatectomy, NOS)
SurgicalProcedureOtherType
Item
Surgical Procedure Other Type
text
SurgeryDate
Item
Surgery Date
date
Specimen,ResectionWeight
Item
Specimen, Resection Weight
float
Specimen,ExaminedTumorPercentage
Item
Specimen, Examined Tumor Percentage
float
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12801 (NCI Thesaurus ObjectClass)
C0040300 (UMLS 2011AA ObjectClass)
Specimen,CancerChipsCount
Item
Specimen, Cancer Chips Count
float
Specimen,CancerPresentPercentage
Item
Specimen, Cancer Present Percentage
float
Item
PIN Ind, High Grade
text
CL.6
Code List
PIN Ind, High Grade
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Extraprostatic Extension Ind
text
CL.7
Code List
Extraprostatic Extension Ind
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Item
Extraprostatic Extension Type
text
CL.8
Code List
Extraprostatic Extension Type
CL Item
Established (Established)
C0443211 (NCI Metathesaurus)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Focal </= 2 Hpf (Focal </= 2 hpf)
Item
Extraprostatic Extension Laterality
text
CL.9
Code List
Extraprostatic Extension Laterality
CL Item
Bilateral (Bilateral)
C13332 (NCI Thesaurus)
C0238767 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Unilateral (Unilateral)
C28012 (NCI Thesaurus)
C0205092 (UMLS 2011AA)
ExtraprostaticExtensionExtent,Vertical
Item
Extraprostatic Extension Extent, Vertical
float
ExtraprostaticExtensionExtent,Horizontal
Item
Extraprostatic Extension Extent, Horizontal
float
Item
Lymphovascular Invasion Ind
text
CL.10
Code List
Lymphovascular Invasion Ind
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
LymphovascularInvasionDescription
Item
Lymphovascular Invasion Description
text
Item
Perineural Involvement Ind
text
CL.11
Code List
Perineural Involvement Ind
CL Item
Indeterminate (Indeterminate)
C48658 (NCI Thesaurus)
C0205258 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
PerineuralInvasionDescription
Item
Perineural Invasion Description
text
GleasonScore,PrimaryPattern
Item
Gleason Score, Primary Pattern
float
GleasonScore,SecondaryPattern
Item
Gleason Score, Secondary Pattern
float
GleasonScore,Combined
Item
Gleason Score, Combined
float
GleasonScore,WorstPattern
Item
Gleason Score, Worst Pattern
float
Item Group
Pathology: Disease Assessment
Item
Histologic Type
text
CL.16
Code List
Histologic Type
CL Item
Adenocarcinoma, Conventional, Not Otherwise Specified (Adenocarcinoma, conventional, NOS)
CL Item
Urothelial Primary In Prostate (Urothelial primary in prostate)
CL Item
Adenosquamous Carcinoma (Adenosquamous carcinoma)
C3727 (NCI Thesaurus)
C0206623 (UMLS 2011AA)
CL Item
Basaloid And Adenoid Cystic Carcinoma (Basaloid and adenoid cystic carcinoma)
CL Item
Lymphoepithelioma-like Carcinoma (Lymphoepithelioma-like carcinoma)
C27387 (NCI Thesaurus)
CL Item
Mucinous (colloid) Adenocarcinoma (Mucinous (colloid) adenocarcinoma)
CL Item
Other (Other, specify)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Prostatic Duct Adenocarcinoma (Prostatic duct adenocarcinoma)
CL Item
Sarcomatoid Carcinoma (Sarcomatoid carcinoma)
C27004 (NCI Thesaurus)
C0205697 (UMLS 2011AA)
CL Item
Signet Ring Cell Carcinoma (Signet ring cell carcinoma)
C3774 (NCI Thesaurus)
C0206696 (UMLS 2011AA)
CL Item
Small Cell Carcinoma (Small cell carcinoma)
C3915 (NCI Thesaurus)
C0262584 (UMLS 2011AA)
CL Item
Squamous Cell Carcinoma (Squamous cell carcinoma)
C2929 (NCI Thesaurus)
C0007137 (UMLS 2011AA)
CL Item
Transitional Cell Carcinoma (Transitional cell carcinoma)
C2930 (NCI Thesaurus)
C0007138 (UMLS 2011AA)
CL Item
Undifferentiated Carcinoma, Not Otherwise Specified (Undifferentiated carcinoma, NOS)
CL Item
Adenocarcinoma/acinar (Adenocarcinoma/Acinar)
HistologicType,OtherName
Item
Histologic Type, Other Name
text
Item
Histologic Type, Variant
text
CL.17
Code List
Histologic Type, Variant
CL Item
Adenosquamous Carcinoma (Adenosquamous carcinoma)
C3727 (NCI Thesaurus)
C0206623 (UMLS 2011AA)
CL Item
Prostatic Duct Adenocarcinoma (Ductal carcinoma)
CL Item
Mucinous (colloid) Adenocarcinoma (Mucinous adenocarcinoma)
CL Item
Squamous Cell Carcinoma (Squamous cell carcinoma)
C2929 (NCI Thesaurus)
C0007137 (UMLS 2011AA)
CL Item
Sarcomatoid Carcinoma (Sarcomatoid carcinoma)
C27004 (NCI Thesaurus)
C0205697 (UMLS 2011AA)
CL Item
Signet Ring Cell Carcinoma (Signet ring cell carcinoma)
C3774 (NCI Thesaurus)
C0206696 (UMLS 2011AA)
CL Item
Small Cell Carcinoma (Small cell carcinoma)
C3915 (NCI Thesaurus)
C0262584 (UMLS 2011AA)
CL Item
Other, Specify (Other, specify)
HistologicType,OtherVariant
Item
Histologic Type, Other Variant
text
HistologicType,VariantPercent
Item
Histologic Type, Variant Percent
float
HistologicType,VariantPercent
Item
Histologic Type, Variant Percent
float
Item
T Stage, Pathologic
text
CL.18
Code List
T Stage, Pathologic
CL Item
No Evidence Of Primary Tumor (T0)
CL Item
Invasion Of Bladder, Restum (pT4)
CL Item
T1a, Clinically Inapparent Tumor Not Palpable Or Visible By Imaging (see Ajcc Definition) (T1a)
CL Item
T1b, Clinically Inapparent Tumor Not Palpable Or Visible By Imaging (see Ajcc Definition) (T1b)
CL Item
T1c, Clinically Inapparent Tumor Not Palpable Or Visible By Imaging (see Ajcc Definition) (T1c)
CL Item
T2, Tumor Confined Within The Prostate (see Ajcc Definition) (T2, NOS)
CL Item
T2a, Tumor Confined Within The Prostate (see Ajcc Definition) (T2a)
CL Item
T2b, Tumor Confined Within The Prostate (see Ajcc Definition) (T2b)
CL Item
T3, Tumor Extends Through The Prostatic Capsule (see Ajcc Definition) (T3, NOS)
CL Item
T3a, Tumor Extends Through The Prostatic Capsule (see Ajcc Definition) (T3a)
CL Item
T3b, Tumor Extends Through The Prostatic Capsule (see Ajcc Definition) (T3b)
CL Item
T4, Tumor Is Fixed Or Invades Adjacent Structures (see Ajcc Definition) (T4, NOS)
CL Item
Primary Tumor Cannot Be Assessed (TX)
CL Item
Use The Ajcc Staging System Specified In The Protocol (Use the AJCC staging system specified in the protocol)
CL Item
Organ Confined (pT2)
CL Item
Unilateral (pT2a)
C28012 (NCI Thesaurus)
C0205092 (UMLS 2011AA)
CL Item
Bilateral (pT2b)
C13332 (NCI Thesaurus)
C0238767 (UMLS 2011AA)
CL Item
Extraprostatic Extension (pT3)
CL Item
Extraprostatic Extension (pT3a)
CL Item
Seminal Vesicle Invasion (pT3b)
CL Item
T1, Clinically Inapparent Tumor Not Palpable Or Visible By Imaging (see Ajcc Definition) (T1, NOS)
Item
N Stage, Pathologic
text
CL.19
Code List
N Stage, Pathologic
CL Item
No Regional Lymph Node Metastasis (N0)
CL Item
Use The Ajcc Staging System Specified In The Protocol (Use the AJCC staging system specified in the protocol)
CL Item
Regional Lymph Nodes Cannot Be Assessed (NX)
CL Item
Metastatis In Regional Lymph Node Or Nodes (see Ajcc Definition) (N1)
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