ID
6359
Description
NCCTG Pre-Registration Eligibility Checklist - Central Pathology Review Form ALTTO (Adjuvant Lapatinib And/Or Trastuzumab Treatment Optimisation) Study; BIG 2-06/N063D Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=36179FE2-B4A6-4988-E044-0003BA3F9857
Link
Keywords
Versions (3)
- 12/18/14 12/18/14 - Martin Dugas
- 12/18/14 12/18/14 - Martin Dugas
- 1/9/15 1/9/15 - Martin Dugas
Uploaded on
December 18, 2014
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Central Pathology Review Form (NCCTG Pre-Registration Eligibility Checklist)
No Instruction available.
- StudyEvent: NCCTG Pre-Registration Eligibility Checklist - Central Pathology Review Form
Description
I. Snap Frozen Tissue
Description
TreatmentArmNumber
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus Property
- C32141
- UMLS 2011AA Property
- C1140618
- NCI Thesaurus ObjectClass
- C15368
Description
NCCTGPatientN063DInclusionClinicalTrialEligibilityCriteriaCentralPathologyReviewType
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ObjectClass
- C25581
- NCI Thesaurus Property
- C16112
- NCI Thesaurus Property
- C25532
- NCI Thesaurus ValueDomain
- C25284
- UMLS CUI-1
- C1512693
Description
PatientAgeYearCount
Data type
integer
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ValueDomain
- C29848
- NCI Thesaurus ValueDomain
- C25463
- NCI Thesaurus Property
- C25150
- UMLS CUI-1
- C0001779
Description
PerformanceStatusAssessmentEasternCooperativeOncologyGroupScale
Data type
integer
Alias
- NCI Thesaurus ValueDomain
- C25664
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ValueDomain
- C25491
- NCI Thesaurus ObjectClass
- C20641
- UMLS CUI-1
- C1520224
Description
PatientHealthRecordIndicator
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C25180
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25178
- UMLS CUI-1
- C1522602
- UMLS CUI-2
- C0030705
- UMLS CUI-3
- C0018684
Description
PatientSignedDischargeMedicalRecordDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25679
- NCI Metathesaurus Property
- C0012621
- NCI Thesaurus Property
- C45258
- UMLS 2011AA Property
- C0025102
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Description
PatientQualityofLifeConsentInd-2
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- NCI Thesaurus Property
- C17047
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25460
- UMLS CUI-1
- C1512698
- UMLS CUI-2
- C0518214
- UMLS CUI-3
- C0030705
- UMLS CUI-4
- C1511481
Description
PatientBloodSpecimenConsentInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C12434
- NCI Thesaurus Property
- C19157
- NCI Thesaurus Property
- C25460
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI-1
- C0030705
- UMLS CUI-2
- C0229664
- UMLS CUI-3
- C0370003
- UMLS CUI-4
- C1511481
- UMLS CUI-5
- C1512698
Description
PatientTissueBankingConsentInd-2
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25460
- NCI Metathesaurus Property
- C0087095
- UMLS CUI-1
- C1512698
- UMLS CUI-2
- C0030705
- UMLS CUI-3
- C1511481
Description
BloodSpecimenRecurrentDiseaseorDisorderConsentInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C12434
- NCI Thesaurus ObjectClass
- C19157
- NCI Thesaurus Property
- C14173
- NCI Thesaurus Property
- C2991
- NCI Thesaurus Property
- C25460
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI-1
- C0229664
- UMLS CUI-2
- C0370003
- UMLS CUI-3
- C2945760
- UMLS CUI-4
- C0012634
- UMLS CUI-5
- C1511481
- UMLS CUI-6
- C1512698
Description
TissueSpecimenRecurrentDiseaseorDisorderConsentInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C12801
- NCI Thesaurus ObjectClass
- C19157
- NCI Thesaurus Property
- C14173
- NCI Thesaurus Property
- C2991
- NCI Thesaurus Property
- C25460
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI-1
- C0040300
- UMLS CUI-2
- C0370003
- UMLS CUI-3
- C2945760
- UMLS CUI-4
- C0012634
- UMLS CUI-5
- C1511481
- UMLS CUI-6
- C1512698
Description
BloodTissueSpecimenOtherDiseasesandDisordersResearchConsentInd-3
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C12801
- NCI Thesaurus ObjectClass
- C12434
- NCI Thesaurus ObjectClass
- C19157
- NCI Thesaurus Property
- C17649
- NCI Thesaurus Property
- C15319
- NCI Thesaurus Property
- C2991
- NCI Thesaurus Property
- C25460
- NCI Thesaurus ValueDomain
- C38148
Description
SpecimenResearchConsentSharedInd-3
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C15319
- NCI Thesaurus ObjectClass
- C19157
- NCI Thesaurus Property
- C25460
- UMLS CUI-1
- C1512699
- UMLS CUI-2
- C0370003
- UMLS CUI-3
- C1511481
Similar models
No Instruction available.
- StudyEvent: NCCTG Pre-Registration Eligibility Checklist - Central Pathology Review Form
C25320 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C25581 (NCI Thesaurus Property)
C1549740 (UMLS CUI-1)
C1518419 (UMLS CUI-2)
C0022877 (UMLS 2011AA ObjectClass)
C18189 (NCI Thesaurus ObjectClass)
C0030664 (UMLS 2011AA ObjectClass)
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C1511521 (UMLS 2011AA ObjectClass)
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C0600091 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C0237753 (UMLS 2011AA ValueDomain)
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C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
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C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C1512699 (UMLS CUI-1)
C1511726 (UMLS CUI-2)
C1691222 (UMLS CUI-3)
C0027361 (UMLS 2011AA ObjectClass)
C25645 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25678 (NCI Thesaurus ValueDomain)
C1519316 (UMLS 2011AA ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25196 (NCI Thesaurus Property)
C0034656 (UMLS 2011AA Property)
C20090 (NCI Thesaurus Property)
C1516236 (UMLS 2011AA Property)
C1527021 (UMLS 2011AA ValueDomain)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
C0011008 (UMLS 2011AA ValueDomain)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C25367 (NCI Thesaurus ValueDomain)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
C0237753 (UMLS 2011AA ValueDomain)
C32141 (NCI Thesaurus Property)
C1140618 (UMLS 2011AA Property)
C15368 (NCI Thesaurus ObjectClass)
C25581 (NCI Thesaurus ObjectClass)
C16112 (NCI Thesaurus Property)
C25532 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C1512693 (UMLS CUI-1)
C29848 (NCI Thesaurus ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C25150 (NCI Thesaurus Property)
C0001779 (UMLS CUI-1)
C25367 (NCI Thesaurus Property)
C25491 (NCI Thesaurus ValueDomain)
C20641 (NCI Thesaurus ObjectClass)
C1520224 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25178 (NCI Thesaurus Property)
C1522602 (UMLS CUI-1)
C0030705 (UMLS CUI-2)
C0018684 (UMLS CUI-3)
C0030705 (UMLS 2011AA ObjectClass)
C25679 (NCI Thesaurus Property)
C0012621 (NCI Metathesaurus Property)
C45258 (NCI Thesaurus Property)
C0025102 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus Property)
C16960 (NCI Thesaurus ObjectClass)
C25460 (NCI Thesaurus Property)
C1512698 (UMLS CUI-1)
C0518214 (UMLS CUI-2)
C0030705 (UMLS CUI-3)
C1511481 (UMLS CUI-4)
C12434 (NCI Thesaurus Property)
C19157 (NCI Thesaurus Property)
C25460 (NCI Thesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C0030705 (UMLS CUI-1)
C0229664 (UMLS CUI-2)
C0370003 (UMLS CUI-3)
C1511481 (UMLS CUI-4)
C1512698 (UMLS CUI-5)
C16960 (NCI Thesaurus ObjectClass)
C25460 (NCI Thesaurus Property)
C0087095 (NCI Metathesaurus Property)
C1512698 (UMLS CUI-1)
C0030705 (UMLS CUI-2)
C1511481 (UMLS CUI-3)
C19157 (NCI Thesaurus ObjectClass)
C14173 (NCI Thesaurus Property)
C2991 (NCI Thesaurus Property)
C25460 (NCI Thesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C0229664 (UMLS CUI-1)
C0370003 (UMLS CUI-2)
C2945760 (UMLS CUI-3)
C0012634 (UMLS CUI-4)
C1511481 (UMLS CUI-5)
C1512698 (UMLS CUI-6)
C19157 (NCI Thesaurus ObjectClass)
C14173 (NCI Thesaurus Property)
C2991 (NCI Thesaurus Property)
C25460 (NCI Thesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C0040300 (UMLS CUI-1)
C0370003 (UMLS CUI-2)
C2945760 (UMLS CUI-3)
C0012634 (UMLS CUI-4)
C1511481 (UMLS CUI-5)
C1512698 (UMLS CUI-6)
C12434 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass)
C17649 (NCI Thesaurus Property)
C15319 (NCI Thesaurus Property)
C2991 (NCI Thesaurus Property)
C25460 (NCI Thesaurus Property)
C38148 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus Property)
C19157 (NCI Thesaurus ObjectClass)
C25460 (NCI Thesaurus Property)
C1512699 (UMLS CUI-1)
C0370003 (UMLS CUI-2)
C1511481 (UMLS CUI-3)