0 Évaluations

ID

3318

Description

Colorectal Cancer - Surgery Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A9B6-3FA4-E034-080020C9C0E0

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A9B6-3FA4-E034-080020C9C0E0

Mots-clés

  1. 19/09/2012 19/09/2012 -
Téléchargé le

19 septembre 2012

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0 Legacy

Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Groupe Item commentaires pour :

Item commentaires pour :


    Aucun commentaire

    Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

    Treatment - Colorectal Cancer - Surgery Form - 2020211v2.31

    No Instruction available.

    1. StudyEvent: Colorectal Cancer - Surgery Form
      1. No Instruction available.
    Colorectal: Surgical Procedure
    Description

    Colorectal: Surgical Procedure

    Prior RT Ind
    Description

    PriorRTInd

    Type de données

    text

    Prior Chemotherapy Ind
    Description

    PriorChemotherapyInd

    Type de données

    text

    Prior Immunotherapy Ind
    Description

    PriorImmunotherapyInd

    Type de données

    text

    Tumor Location
    Description

    TumorLocation

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C3262 (undefined)
    UMLS 2011AA ObjectClass
    C0027651 (Neoplasms)
    SNOMED
    108369006
    NCI Thesaurus Property
    C25341 (undefined)
    UMLS 2011AA Property
    C0450429 (Location)
    SNOMED
    246267002
    LOINC
    LP149876-7
    Tumor Location, Other
    Description

    TumorLocation,Other

    Type de données

    text

    Surgical Approach
    Description

    SurgicalApproach

    Type de données

    text

    Obstruction Ind
    Description

    ObstructionInd

    Type de données

    text

    Tumor Spillage Ind
    Description

    TumorSpillageInd

    Type de données

    text

    Lymph Nodes Removed Ind
    Description

    LymphNodesRemovedInd

    Type de données

    text

    En Bloc Resection Ind
    Description

    EnBlocResectionInd

    Type de données

    text

    Alias
    NCI Thesaurus Property
    C38000 (undefined)
    UMLS 2011AA Property
    C0884358 (Performed)
    SNOMED
    398166005
    LOINC
    LA19974-7
    NCI Thesaurus ObjectClass
    C15232 (undefined)
    UMLS 2011AA ObjectClass
    C0728940 (Excision)
    SNOMED
    65801008
    LOINC
    LA17736-2
    NCI Thesaurus ObjectClass
    C25733 (undefined)
    UMLS 2011AA ObjectClass
    C1516835 (En Bloc)
    Tumor Adherence Ind
    Description

    TumorAdherenceInd

    Type de données

    text

    Tumor Adherence, Specify Organ
    Description

    TumorAdherence,SpecifyOrgan

    Type de données

    text

    Distance to Distal Bowel
    Description

    DistancetoDistalBowel

    Type de données

    double

    Alias
    NCI Thesaurus ValueDomain
    C25209 (undefined)
    UMLS 2011AA ValueDomain
    C0242485 (Measurement)
    SNOMED
    272391002
    LOINC
    LP7412-2
    Distance to Proximal Bowel
    Description

    DistancetoProximalBowel

    Type de données

    double

    Alias
    NCI Thesaurus ValueDomain
    C25209 (undefined)
    UMLS 2011AA ValueDomain
    C0242485 (Measurement)
    SNOMED
    272391002
    LOINC
    LP7412-2
    Distance to Distal Mesorectal
    Description

    DistancetoDistalMesorectal

    Type de données

    double

    Alias
    NCI Thesaurus ValueDomain
    C25209 (undefined)
    UMLS 2011AA ValueDomain
    C0242485 (Measurement)
    SNOMED
    272391002
    LOINC
    LP7412-2
    Radial Margins Disease Free Gross Ind
    Description

    RadialMarginsDiseaseFreeGrossInd

    Type de données

    text

    Radial Margins Disease Free Micro Ind
    Description

    RadialMarginsDiseaseFreeMicroInd

    Type de données

    text

    Assessment Site
    Description

    AssessmentSite

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C20989 (undefined)
    UMLS 2011AA ObjectClass
    C0031809 (Physical Examination)
    SNOMED
    5880005
    LOINC
    MTHU028014
    NCI Thesaurus Property
    C25341 (undefined)
    UMLS 2011AA Property
    C0450429 (Location)
    SNOMED
    246267002
    LOINC
    LP149876-7
    Evaluation Ind
    Description

    EvaluationInd

    Type de données

    text

    Metastasis Confirmed
    Description

    MetastasisConfirmed

    Type de données

    text

    Metastasis Completely Resected
    Description

    MetastasisCompletelyResected

    Type de données

    text

    Surgeon Name
    Description

    SurgeonName

    Type de données

    text

    Allows Documentation Of Any Additional Cooments
    Description

    Allows Documentation Of Any Additional Cooments

    Comments
    Description

    Comments

    Type de données

    text

    Similar models

    No Instruction available.

    1. StudyEvent: Colorectal Cancer - Surgery Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Colorectal: Surgical Procedure
    Item
    Prior RT Ind
    text
    Code List
    Prior RT 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
    Prior Chemotherapy Ind
    text
    Code List
    Prior Chemotherapy 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
    Prior Immunotherapy Ind
    text
    Code List
    Prior Immunotherapy 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
    Tumor Location
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    Code List
    Tumor Location
    CL Item
    Appendix (Appendix)
    C12380 (NCI Thesaurus)
    C0003617 (UMLS 2011AA)
    CL Item
    Ascending Colon (Ascending colon)
    C12265 (NCI Thesaurus)
    C0227375 (UMLS 2011AA)
    CL Item
    Cecum (Cecum)
    C12381 (NCI Thesaurus)
    C0007531 (UMLS 2011AA)
    CL Item
    Descending Colon (Descending colon)
    C12268 (NCI Thesaurus)
    C0227389 (UMLS 2011AA)
    CL Item
    Transverse Colon (Transverse colon)
    C12385 (NCI Thesaurus)
    C0227386 (UMLS 2011AA)
    CL Item
    Other, Specify (Other, specify)
    CL Item
    Rectum (Rectum)
    C12390 (NCI Thesaurus)
    C0034896 (UMLS 2011AA)
    CL Item
    Sigmoid (Sigmoid)
    CL Item
    Splenic Flexure (Splenic flexure)
    C12267 (NCI Thesaurus)
    C0227387 (UMLS 2011AA)
    CL Item
    Hepatic Flexure (Hepatic flexure)
    C12266 (NCI Thesaurus)
    C0227385 (UMLS 2011AA)
    TumorLocation,Other
    Item
    Tumor Location, Other
    text
    Item
    Surgical Approach
    text
    Code List
    Surgical Approach
    CL Item
    Abdominal Perineal Resection (Abdominal perineal resection)
    CL Item
    Left Colectomy (Left colectomy)
    C51624 (NCI Thesaurus)
    C0192865 (UMLS 2011AA)
    CL Item
    Low Anterior Resection (Low anterior resection)
    CL Item
    Transverse Colectomy (Transverse colectomy)
    CL Item
    Sigmoidectomy (Sigmoidectomy)
    C0192866 (NCI Metathesaurus)
    CL Item
    Sphincter-preserving Rectal Resection (Sphincter-preserving rectal resection)
    CL Item
    Total Colectomy (Total colectomy)
    CL Item
    Right Colectomy (Right colectomy)
    Item
    Obstruction Ind
    text
    Code List
    Obstruction Ind
    CL Item
    Yes (YES)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    No (NO)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Unknown (UNKNOWN)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    Item
    Tumor Spillage Ind
    text
    Code List
    Tumor Spillage 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
    Lymph Nodes Removed Ind
    text
    Code List
    Lymph Nodes Removed 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
    En Bloc Resection Ind
    text
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C15232 (NCI Thesaurus ObjectClass)
    C0728940 (UMLS 2011AA ObjectClass)
    C25733 (NCI Thesaurus ObjectClass)
    C1516835 (UMLS 2011AA ObjectClass)
    Code List
    En Bloc Resection 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
    Tumor Adherence Ind
    text
    Code List
    Tumor Adherence Ind
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Unknown (unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    TumorAdherence,SpecifyOrgan
    Item
    Tumor Adherence, Specify Organ
    text
    DistancetoDistalBowel
    Item
    Distance to Distal Bowel
    double
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    DistancetoProximalBowel
    Item
    Distance to Proximal Bowel
    double
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    DistancetoDistalMesorectal
    Item
    Distance to Distal Mesorectal
    double
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    Item
    Radial Margins Disease Free Gross Ind
    text
    Code List
    Radial Margins Disease Free Gross 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
    Radial Margins Disease Free Micro Ind
    text
    Code List
    Radial Margins Disease Free Micro 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
    Assessment Site
    text
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    Code List
    Assessment Site
    CL Item
    Celiac (Celiac)
    CL Item
    Liver (Liver)
    C12392 (NCI Thesaurus)
    C0023884 (UMLS 2011AA)
    CL Item
    Omentum (Omentum)
    C33209 (NCI Thesaurus)
    C0028977 (UMLS 2011AA)
    CL Item
    Portohepatic (Portohepatic)
    CL Item
    Periaortic (Periaortic)
    CL Item
    Peritoneal Surface (Peritoneal surface)
    CL Item
    Ovaries (Ovaries)
    Item
    Evaluation Ind
    text
    Code List
    Evaluation 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
    Metastasis Confirmed
    text
    Code List
    Metastasis Confirmed
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Na (Not applicable)
    Item
    Metastasis Completely Resected
    text
    Code List
    Metastasis Completely Resected
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Na (Not applicable)
    SurgeonName
    Item
    Surgeon Name
    text
    Item Group
    Allows Documentation Of Any Additional Cooments
    Comments
    Item
    Comments
    text

    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