ID

2355

Descripción

Southwest Oncology Group S0201 Pathology Submission Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A8BA7D80-B069-121E-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A8BA7D80-B069-121E-E034-0003BA12F5E7

Palabras clave

Versiones (3)
  1. 19/9/12 19/9/12 -
  2. 9/1/15 9/1/15 - Martin Dugas
  3. 3/7/15 3/7/15 -
Subido en

19 de septiembre de 2012

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0 Legacy
Comentarios del modelo :

Puede comentar sobre el modelo de datos aquí. A través de las burbujas de diálogo en los grupos de elementos y elementos, puede agregar comentarios específicos.

Volver a los comentarios del modelo
Comentarios de grupo de elementos para :

Comentarios del elemento para :

Para descargar modelos de datos, debe haber iniciado sesión. Por favor iniciar sesión o Registrate gratis.

Melanoma (Skin) null Pathology - Southwest Oncology Group S0201 Pathology Submission Form - 2055787v3.0

Inglés

No Instruction available.

1 formularios  
  1. StudyEvent: Southwest Oncology Group S0201 Pathology Submission Form
    1. No Instruction available.
Unnamed 1
Descripción

Unnamed 1

SWOG Patient ID
Descripción

SWOGPatientID

Tipo de datos

text

Patient Initials (L, F M)
Descripción

PatientInitialsName

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25536
UMLS 2011AA Property
C1555582
Disease
Descripción

Disease

Tipo de datos

text

Institution/Member
Descripción

MainMemberInstitution/Affiliate

Tipo de datos

text

Physician (Groups other than SWOG)
Descripción

TreatingPhysician

Tipo de datos

text

Alias
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass
C25741
UMLS 2011AA ObjectClass
C0031831
NCI Thesaurus ObjectClass
C25705
UMLS 2011AA ObjectClass
C1522326
Group Name
Descripción

GroupName

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C17005
UMLS 2011AA ObjectClass
C1257890
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Study No.
Descripción

StudyNo.

Tipo de datos

text

Pt. No
Descripción

Pt.ID

Tipo de datos

text

Unnamed1
Descripción

Unnamed1

No. of slides
Descripción

SpecimenSlideCount

Tipo de datos

text

No. of blocks
Descripción

SpecimenBlockSubmissionCount

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus Property
C25436
UMLS 2011AA Property
C1533157
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
NCI Thesaurus Property
C25694
UMLS 2011AA Property
C1515022
Date sample obtained
Descripción

SpecimenCollectionDate

Tipo de datos

date

One representative H&E stained section from each block of the primary tumor
Descripción

OnerepresentativeH&Estainedsectionfromeachblockoftheprimarytumor

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Section of sentinel regional lymph node(s) (ind)
Descripción

Sectionofsentinelregionallymphnode(s)(ind)

Tipo de datos

text

Sections of non-sentinel lymph node(s) (Ind)
Descripción

Sectionsofnon-sentinellymphnode(s)(Ind)

Tipo de datos

text

Operative reports (ind)
Descripción

Operativereports(ind)

Tipo de datos

text

Pathology reports (ind)
Descripción

Pathologyreports(ind)

Tipo de datos

text

Specimen Number
Descripción

SpecimenID

Tipo de datos

double

Comments
Descripción

Comments

Tipo de datos

text

Ccrr Module For Southwest Oncology Group S0201 Pathology Submission Form
Descripción

Ccrr Module For Southwest Oncology Group S0201 Pathology Submission Form

Volver a la parte superior de la página

Similar models

No Instruction available.

1 formularios
  1. StudyEvent: Southwest Oncology Group S0201 Pathology Submission Form
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Unnamed 1
SWOGPatientID
Item
SWOG Patient ID
text
PatientInitialsName
Item
Patient Initials (L, F M)
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
Disease
Item
Disease
text
MainMemberInstitution/Affiliate
Item
Institution/Member
text
TreatingPhysician
Item
Physician (Groups other than SWOG)
text
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25741 (NCI Thesaurus ObjectClass)
C0031831 (UMLS 2011AA ObjectClass)
C25705 (NCI Thesaurus ObjectClass)
C1522326 (UMLS 2011AA ObjectClass)
GroupName
Item
Group Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
StudyNo.
Item
Study No.
text
Pt.ID
Item
Pt. No
text
Item Group
Unnamed1
SpecimenSlideCount
Item
No. of slides
text
SpecimenBlockSubmissionCount
Item
No. of blocks
text
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C25436 (NCI Thesaurus Property)
C1533157 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C25694 (NCI Thesaurus Property)
C1515022 (UMLS 2011AA Property)
SpecimenCollectionDate
Item
Date sample obtained
date
Item
One representative H&E stained section from each block of the primary tumor
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
CL.1
Code List
One representative H&E stained section from each block of the primary tumor
CL Item
Yes (yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (no)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Section of sentinel regional lymph node(s) (ind)
text
CL.2
Code List
Section of sentinel regional lymph node(s) (ind)
CL Item
Yes (yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (no)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Sections of non-sentinel lymph node(s) (Ind)
text
CL.3
Code List
Sections of non-sentinel lymph node(s) (Ind)
CL Item
Yes (yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (no)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Operative reports (ind)
text
CL.4
Code List
Operative reports (ind)
CL Item
Yes (yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (no)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Pathology reports (ind)
text
CL.5
Code List
Pathology reports (ind)
CL Item
Yes (yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (no)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
SpecimenID
Item
Specimen Number
double
Comments
Item
Comments
text
Item Group
Ccrr Module For Southwest Oncology Group S0201 Pathology Submission Form
Volver a la parte superior de la página 

Contacto

Utilice este formulario para comentarios, preguntas y sugerencias.

Los campos marcados con * son obligatorios.

Ayuda

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial