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6989

Beschreibung

North Central Cancer Treatment Group - Central Her2 Testing Form - FISH 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=30AFEA0B-FEAD-5E3F-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=30AFEA0B-FEAD-5E3F-E044-0003BA3F9857

Stichworte

  1. 19.09.12 19.09.12 -
  2. 08.01.15 08.01.15 - Martin Dugas
Hochgeladen am

8. Januar 2015

DOI

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    Neoplasms, Breast NCT00490139 Pathology - North Central Cancer Treatment Group - Central Her2 Testing Form - FISH - 2639126v1.0

    For Dr. Jenkins' Laboratory Use Only:

    1. StudyEvent: North Central Cancer Treatment Group - Central Her2 Testing Form - FISH
      1. For Dr. Jenkins' Laboratory Use Only:
    Header Module
    Beschreibung

    Header Module

    NCCTG Protocol Number
    Beschreibung

    Protocol ID NCCTG

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1518419
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25581
    Central Pathology ID
    Beschreibung

    PathologyCoreFacilityLaboratoryIdentifierNumber

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C37984
    UMLS 2011AA ObjectClass
    C0022877
    NCI Thesaurus ObjectClass-2
    C18189
    UMLS 2011AA ObjectClass-2
    C0030664
    NCI Thesaurus ObjectClass-3
    C15896
    UMLS 2011AA ObjectClass-3
    C1511521
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    Patient Initials
    Beschreibung

    Patient Initials

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    Institution Number
    Beschreibung

    Institution Number

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass
    C21541
    UMLS CUI-2
    C0805701
    NCI Thesaurus Property
    C25364
    Institution
    Beschreibung

    Institution Name

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass
    C21541
    NCI Thesaurus ValueDomain-2
    C21541
    NCI Thesaurus Property
    C25364
    Are data amended
    Beschreibung

    Data amended

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus Property
    C25416
    Header
    Beschreibung

    Header

    FISH HER2/neu chromosome 17 Ratio
    Beschreibung

    FISHAssessmentChromosome17ResultHER2NeuNumber

    Datentyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus ObjectClass-2
    C17563
    UMLS 2011AA ObjectClass-2
    C0162789
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C13212
    UMLS 2011AA Property-2
    C0008659
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ValueDomain-2
    C17756
    UMLS 2011AA ValueDomain-2
    C0242957
    Percentage greater than or equal to 3 Chromosome 17 signals
    Beschreibung

    FluorescenceinsituHybridizationDiagnosticProcedureChromosome17SignalPolysomyResultPercentageValue

    Datentyp

    float

    Alias
    NCI Thesaurus ObjectClass
    C17563
    UMLS 2011AA ObjectClass
    C0162789
    NCI Thesaurus ObjectClass-2
    C18020
    UMLS 2011AA ObjectClass-2
    C0430022
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C36331
    UMLS 2011AA Property-2
    C1514212
    NCI Thesaurus Property-3
    C13212
    UMLS 2011AA Property-3
    C0008659
    NCI Thesaurus Property-4
    C43382
    UMLS 2011AA Property-4
    C1710082
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS 2011AA ValueDomain-2
    C1522609
    NACA (No apparent Chromosome 17 anomaly)
    Beschreibung

    FluorescenceinsituHybridizationDiagnosticProcedureChromosome17MolecularGeneticAbnormalityResultInd-2

    Datentyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C17563
    UMLS 2011AA ObjectClass
    C0162789
    NCI Thesaurus ObjectClass-2
    C18020
    UMLS 2011AA ObjectClass-2
    C0430022
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C13212
    UMLS 2011AA Property-2
    C0008659
    NCI Thesaurus Property-3
    C36391
    UMLS 2011AA Property-3
    C1704257
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Her2 status / FISH via Vysis Probe
    Beschreibung

    FluorescenceinsituHybridizationDiagnosticProcedureResultType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C17563
    UMLS 2011AA ObjectClass
    C0162789
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass-2
    C18020
    UMLS 2011AA ObjectClass-2
    C0430022
    Why no result
    Beschreibung

    FluorescenceinsituHybridizationDiagnosticProcedureAbsentResultReason

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C17563
    UMLS 2011AA ObjectClass
    C0162789
    NCI Thesaurus ObjectClass-2
    C18020
    UMLS 2011AA ObjectClass-2
    C0430022
    NCI Thesaurus Property
    C48190
    UMLS 2011AA Property
    C0332197
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus ValueDomain
    C25638
    UMLS 2011AA ValueDomain
    C0392360
    Specify
    Beschreibung

    FluorescenceinsituHybridizationDiagnosticProcedureAbsentResultSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C17563
    UMLS 2011AA ObjectClass
    C0162789
    NCI Thesaurus ObjectClass-2
    C18020
    UMLS 2011AA ObjectClass-2
    C0430022
    NCI Thesaurus Property
    C48190
    UMLS 2011AA Property
    C0332197
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    Chromosome 17 copy number
    Beschreibung

    FluorescenceinsituHybridizationDiagnosticProcedureChromosome17SignalResultCount

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C17563
    UMLS 2011AA ObjectClass
    C0162789
    NCI Thesaurus ObjectClass-2
    C18020
    UMLS 2011AA ObjectClass-2
    C0430022
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C13212
    UMLS 2011AA Property-2
    C0008659
    NCI Thesaurus Property-3
    C43382
    UMLS 2011AA Property-3
    C1710082
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    Other features
    Beschreibung

    FluorescenceinsituHybridizationDiagnosticProcedureOtherResultType

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C17563
    UMLS 2011AA ObjectClass
    C0162789
    NCI Thesaurus ObjectClass-2
    C18020
    UMLS 2011AA ObjectClass-2
    C0430022
    NCI Thesaurus Property
    C17649
    UMLS 2011AA Property
    C0205394
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Specify
    Beschreibung

    FluorescenceinsituHybridizationDiagnosticProcedureOtherResultSpecify

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C17563
    UMLS 2011AA ObjectClass
    C0162789
    NCI Thesaurus ObjectClass-2
    C18020
    UMLS 2011AA ObjectClass-2
    C0430022
    NCI Thesaurus Property
    C17649
    UMLS 2011AA Property
    C0205394
    NCI Thesaurus Property-2
    C20200
    UMLS 2011AA Property-2
    C1274040
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    Footer Module
    Beschreibung

    Footer Module

    Pathologist CTEP ID
    Beschreibung

    CancerTherapyEvaluationProgramPathologistIdentifierNumber

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ObjectClass
    C17723
    UMLS 2011AA ObjectClass
    C0334866
    NCI Thesaurus ObjectClass-2
    C15794
    UMLS 2011AA ObjectClass-2
    C1516234
    Date
    Beschreibung

    Assessment Date

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C2985720
    NCI Thesaurus ObjectClass
    C25367
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus Property
    C38000

    Ähnliche Modelle

    For Dr. Jenkins' Laboratory Use Only:

    1. StudyEvent: North Central Cancer Treatment Group - Central Her2 Testing Form - FISH
      1. For Dr. Jenkins' Laboratory Use Only:
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    Header Module
    Protocol ID NCCTG
    Item
    NCCTG Protocol Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1518419 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25581 (NCI Thesaurus Property-2)
    PathologyCoreFacilityLaboratoryIdentifierNumber
    Item
    Central Pathology ID
    text
    C37984 (NCI Thesaurus ObjectClass)
    C0022877 (UMLS 2011AA ObjectClass)
    C18189 (NCI Thesaurus ObjectClass-2)
    C0030664 (UMLS 2011AA ObjectClass-2)
    C15896 (NCI Thesaurus ObjectClass-3)
    C1511521 (UMLS 2011AA ObjectClass-3)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    Patient Initials
    Item
    Patient Initials
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Institution Number
    Item
    Institution Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    Institution Name
    Item
    Institution
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C21541 (NCI Thesaurus ValueDomain-2)
    C25364 (NCI Thesaurus Property)
    Data amended
    Item
    Are data amended
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25474 (NCI Thesaurus ObjectClass)
    C25416 (NCI Thesaurus Property)
    Item Group
    Header
    FISHAssessmentChromosome17ResultHER2NeuNumber
    Item
    FISH HER2/neu chromosome 17 Ratio
    float
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C17563 (NCI Thesaurus ObjectClass-2)
    C0162789 (UMLS 2011AA ObjectClass-2)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C13212 (NCI Thesaurus Property-2)
    C0008659 (UMLS 2011AA Property-2)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C17756 (NCI Thesaurus ValueDomain-2)
    C0242957 (UMLS 2011AA ValueDomain-2)
    FluorescenceinsituHybridizationDiagnosticProcedureChromosome17SignalPolysomyResultPercentageValue
    Item
    Percentage greater than or equal to 3 Chromosome 17 signals
    float
    C17563 (NCI Thesaurus ObjectClass)
    C0162789 (UMLS 2011AA ObjectClass)
    C18020 (NCI Thesaurus ObjectClass-2)
    C0430022 (UMLS 2011AA ObjectClass-2)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C36331 (NCI Thesaurus Property-2)
    C1514212 (UMLS 2011AA Property-2)
    C13212 (NCI Thesaurus Property-3)
    C0008659 (UMLS 2011AA Property-3)
    C43382 (NCI Thesaurus Property-4)
    C1710082 (UMLS 2011AA Property-4)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1522609 (UMLS 2011AA ValueDomain-2)
    FluorescenceinsituHybridizationDiagnosticProcedureChromosome17MolecularGeneticAbnormalityResultInd-2
    Item
    NACA (No apparent Chromosome 17 anomaly)
    boolean
    C17563 (NCI Thesaurus ObjectClass)
    C0162789 (UMLS 2011AA ObjectClass)
    C18020 (NCI Thesaurus ObjectClass-2)
    C0430022 (UMLS 2011AA ObjectClass-2)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C13212 (NCI Thesaurus Property-2)
    C0008659 (UMLS 2011AA Property-2)
    C36391 (NCI Thesaurus Property-3)
    C1704257 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Item
    Her2 status / FISH via Vysis Probe
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C17563 (NCI Thesaurus ObjectClass)
    C0162789 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C18020 (NCI Thesaurus ObjectClass-2)
    C0430022 (UMLS 2011AA ObjectClass-2)
    Code List
    Her2 status / FISH via Vysis Probe
    CL Item
    Amplified (Amplified)
    CL Item
    Equivocal (Equivocal)
    C86071 (NCI Thesaurus)
    C0332241 (UMLS 2011AA)
    CL Item
    Not Amplified (Not amplified)
    CL Item
    No Her2 Result / Not Done (No HER2 result / Not done)
    Item
    Why no result
    text
    C17563 (NCI Thesaurus ObjectClass)
    C0162789 (UMLS 2011AA ObjectClass)
    C18020 (NCI Thesaurus ObjectClass-2)
    C0430022 (UMLS 2011AA ObjectClass-2)
    C48190 (NCI Thesaurus Property)
    C0332197 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C25638 (NCI Thesaurus ValueDomain)
    C0392360 (UMLS 2011AA ValueDomain)
    Code List
    Why no result
    CL Item
    Interductal Only (Interductal only)
    CL Item
    Hybridization Failure (hybridization failure)
    CL Item
    Insufficient Tissue (Insufficient tissue)
    CL Item
    No Cancer Tissue (No cancer tissue)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    FluorescenceinsituHybridizationDiagnosticProcedureAbsentResultSpecify
    Item
    Specify
    text
    C17563 (NCI Thesaurus ObjectClass)
    C0162789 (UMLS 2011AA ObjectClass)
    C18020 (NCI Thesaurus ObjectClass-2)
    C0430022 (UMLS 2011AA ObjectClass-2)
    C48190 (NCI Thesaurus Property)
    C0332197 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    Item
    Chromosome 17 copy number
    text
    C17563 (NCI Thesaurus ObjectClass)
    C0162789 (UMLS 2011AA ObjectClass)
    C18020 (NCI Thesaurus ObjectClass-2)
    C0430022 (UMLS 2011AA ObjectClass-2)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C13212 (NCI Thesaurus Property-2)
    C0008659 (UMLS 2011AA Property-2)
    C43382 (NCI Thesaurus Property-3)
    C1710082 (UMLS 2011AA Property-3)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    Code List
    Chromosome 17 copy number
    CL Item
    Polysomy (Polysomy)
    C36331 (NCI Thesaurus)
    C1514212 (UMLS 2011AA)
    CL Item
    Normal (Normal)
    C14165 (NCI Thesaurus)
    C0205307 (UMLS 2011AA)
    CL Item
    Monosomy (Monosomy)
    C3239 (NCI Thesaurus)
    C0026499 (UMLS 2011AA)
    Item
    Other features
    text
    C17563 (NCI Thesaurus ObjectClass)
    C0162789 (UMLS 2011AA ObjectClass)
    C18020 (NCI Thesaurus ObjectClass-2)
    C0430022 (UMLS 2011AA ObjectClass-2)
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    Code List
    Other features
    CL Item
    Duplication Of Her2 (Duplication of HER2)
    CL Item
    Most Cells With No Centromere 17 (Most cells with no centromere 17)
    CL Item
    Negative Her2 (Negative HER2)
    CL Item
    Normal Her2 (Normal HER2)
    CL Item
    Not A Small Clone (Not a small clone)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    CL Item
    Small Clone Of Amplification (Small clone of amplification)
    FluorescenceinsituHybridizationDiagnosticProcedureOtherResultSpecify
    Item
    Specify
    text
    C17563 (NCI Thesaurus ObjectClass)
    C0162789 (UMLS 2011AA ObjectClass)
    C18020 (NCI Thesaurus ObjectClass-2)
    C0430022 (UMLS 2011AA ObjectClass-2)
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property-2)
    C1274040 (UMLS 2011AA Property-2)
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    Item Group
    Footer Module
    CancerTherapyEvaluationProgramPathologistIdentifierNumber
    Item
    Pathologist CTEP ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C17723 (NCI Thesaurus ObjectClass)
    C0334866 (UMLS 2011AA ObjectClass)
    C15794 (NCI Thesaurus ObjectClass-2)
    C1516234 (UMLS 2011AA ObjectClass-2)
    Assessment Date
    Item
    Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C2985720 (UMLS CUI-1)
    C25367 (NCI Thesaurus ObjectClass)
    C25367 (NCI Thesaurus ValueDomain-2)
    C38000 (NCI Thesaurus Property)

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