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8438

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Pathology Form, GOG-0209, Form F Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B2400A33-1109-0EE9-E034-0003BA12F5E7

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B2400A33-1109-0EE9-E034-0003BA12F5E7

Nyckelord

Versioner (2)
  1. 2012-08-27 2012-08-27 -
  2. 2015-01-09 2015-01-09 - Martin Dugas
Uppladdad den

9 januari 2015

DOI

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Creative Commons BY-NC 3.0 Legacy
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    Endometrial Cancer NCT00063999 Pathology - Pathology Form, GOG-0209, Form F - 2077159v3.0

    Engelsk

    No Instruction available.

    1 Formulär  
    1. StudyEvent: Pathology Form, GOG-0209, Form F
      1. No Instruction available.
    Header Module
    Beskrivning

    Header Module

    Date form originally completed (m d y)
    Beskrivning

    Form Completion Date

    Datatyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C19464
    UMLS CUI-1
    C1549507
    NCI Thesaurus Property
    C25250
    NCI Thesaurus Property-2
    C25604
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25367
    Date form amended (m d y)
    Beskrivning

    Amendment date

    Datatyp

    date

    Alias
    NCI Thesaurus ObjectClass
    C19464
    UMLS CUI-1
    C0680532
    NCI Thesaurus Property
    C25250
    UMLS CUI-2
    C0011008
    NCI Thesaurus Property-2
    C25416
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25367
    Person amending form, last name
    Beskrivning

    Person Amending Form

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25190
    UMLS CUI-2
    C1547383
    NCI Thesaurus Property
    C25364
    Patient Name, Last
    Beskrivning

    Last Name

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1301584
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25551
    Patient Name, First
    Beskrivning

    First Name

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1443235
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25509
    Patient Study ID
    Beskrivning

    Patient Study ID

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25462
    NCI Thesaurus Property-2
    C25364
    Person Completing Form, Last Name
    Beskrivning

    Person Completing Form Last Name

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C25190
    UMLS CUI-1
    C1550483
    NCI Thesaurus ObjectClass-2
    C25657
    UMLS CUI-2
    C1301584
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25551
    NCI Thesaurus ValueDomain
    C25191
    Primary Disease Assessment
    Beskrivning

    Primary Disease Assessment

    Primary site
    Beskrivning

    PrimarySite

    Datatyp

    text

    Other, specify (Primary Site)
    Beskrivning

    PrimarySite,Other

    Datatyp

    text

    Histologic type (check one)
    Beskrivning

    HistologicType

    Datatyp

    text

    Other, specify (Histologic Type)
    Beskrivning

    TumorHistologicCategorySpecify

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus Property
    C25161
    UMLS 2011AA Property
    C0008902
    Histologic grade (Differentiation)
    Beskrivning

    GynecologicTumorHistologicGrade

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C28016
    UMLS 2011AA ObjectClass-2
    C0205480
    NCI Thesaurus Property
    C25526
    UMLS 2011AA Property
    C0205462
    NCI Thesaurus Property-2
    C25365
    UMLS 2011AA Property-2
    C0678257
    NCI Thesaurus ValueDomain
    C25526
    UMLS 2011AA ValueDomain
    C0205462
    NCI Thesaurus ValueDomain-2
    C18000
    UMLS 2011AA ValueDomain-2
    C0919553
    Method of evaluation
    Beskrivning

    Evaluation method

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    NCI Thesaurus Property
    C16847
    Date of evaluation (m d y)
    Beskrivning

    LesionAssessmentDate

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    ID # of the blocks/slides
    Beskrivning

    SpecimenIdentifierNumber

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    Specimen site
    Beskrivning

    SpecimenSite

    Datatyp

    text

    Lymph nodes, specify (Specimen Site)
    Beskrivning

    SpecimenSite,LymphNode

    Datatyp

    text

    Metastatic site, specify (Specimen Site)
    Beskrivning

    SpecimenSite,Metastatic

    Datatyp

    text

    Other, specify (Specimen Site)
    Beskrivning

    SpecimenSite,Other

    Datatyp

    text

    Secondary Disease Assessment
    Beskrivning

    Secondary Disease Assessment

    Method of evaluation
    Beskrivning

    Evaluation method

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    NCI Thesaurus Property
    C16847
    Date of evaluation (m d y)
    Beskrivning

    LesionAssessmentDate

    Datatyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    ID # of the blocks/slides
    Beskrivning

    SpecimenIdentifierNumber

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    Specimen site
    Beskrivning

    SpecimenSite

    Datatyp

    text

    Lymph nodes, specify (Specimen Site)
    Beskrivning

    SpecimenSite,LymphNode

    Datatyp

    text

    Metastatic site, specify (Specimen Site)
    Beskrivning

    SpecimenSite,Metastatic

    Datatyp

    text

    Other, specify (Specimen Site)
    Beskrivning

    SpecimenSite,Other

    Datatyp

    text

    Footer Module
    Beskrivning

    Footer Module

    Participating Group Code
    Beskrivning

    ParticipatingGroupIdentifierCode

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS 2011AA ValueDomain
    C0805701
    NCI Thesaurus ObjectClass
    C25608
    UMLS 2011AA ObjectClass
    C0679823
    NCI Thesaurus ObjectClass-2
    C17005
    UMLS 2011AA ObjectClass-2
    C1257890
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    Participating Group Protocol Number
    Beskrivning

    Study Number Participating Group

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Patient Study ID, Participating Group
    Beskrivning

    Trial subject ID Participating Group

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Ccrr Module For Pathology Form, Gog-0209, Form F
    Beskrivning

    Ccrr Module For Pathology Form, Gog-0209, Form F

    Other, Specify
    Beskrivning

    Evaluation method, specify

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    UMLS CUI-2
    C1521902
    NCI Thesaurus Property
    C16847
    Disease Status
    Beskrivning

    GynecologicDiseaseStatusType

    Datatyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus Property
    C25365
    UMLS 2011AA Property
    C0678257
    Other, Specify
    Beskrivning

    Evaluation method, specify

    Datatyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C2911685
    NCI Thesaurus ObjectClass
    C20989
    UMLS CUI-2
    C1521902
    NCI Thesaurus Property
    C16847
    Tillbaka till toppen

    Similar models

    No Instruction available.

    1 Formulär
    1. StudyEvent: Pathology Form, GOG-0209, Form F
      1. No Instruction available.
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    Alias
    Item Group
    Header Module
    Form Completion Date
    Item
    Date form originally completed (m d y)
    date
    C19464 (NCI Thesaurus ObjectClass)
    C1549507 (UMLS CUI-1)
    C25250 (NCI Thesaurus Property)
    C25604 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    Amendment date
    Item
    Date form amended (m d y)
    date
    C19464 (NCI Thesaurus ObjectClass)
    C0680532 (UMLS CUI-1)
    C25250 (NCI Thesaurus Property)
    C0011008 (UMLS CUI-2)
    C25416 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    Person Amending Form
    Item
    Person amending form, last name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25190 (NCI Thesaurus ObjectClass)
    C1547383 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    Last Name
    Item
    Patient Name, Last
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1301584 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25364 (NCI Thesaurus Property)
    C25551 (NCI Thesaurus Property-2)
    First Name
    Item
    Patient Name, First
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1443235 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25364 (NCI Thesaurus Property)
    C25509 (NCI Thesaurus Property-2)
    Patient Study ID
    Item
    Patient Study ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Person Completing Form Last Name
    Item
    Person Completing Form, Last Name
    text
    C25190 (NCI Thesaurus ObjectClass)
    C1550483 (UMLS CUI-1)
    C25657 (NCI Thesaurus ObjectClass-2)
    C1301584 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25551 (NCI Thesaurus Property-2)
    C25191 (NCI Thesaurus ValueDomain)
    Item Group
    Primary Disease Assessment
    Item
    Primary site
    text
    CL.1
    Code List
    Primary site
    CL Item
    Cervix (Cervix)
    C12311 (NCI Thesaurus)
    C0007874 (UMLS 2011AA)
    CL Item
    Endometrium (Endometrium)
    C12313 (NCI Thesaurus)
    C0014180 (UMLS 2011AA)
    CL Item
    Fallopian Tube (Fallopian tube)
    C12403 (NCI Thesaurus)
    C0015560 (UMLS 2011AA)
    CL Item
    Gestational Trophoblastic Disease (GTD)
    CL Item
    Ovary (Ovary)
    C12404 (NCI Thesaurus)
    C0029939 (UMLS 2011AA)
    CL Item
    Peritoneum (Peritoneum)
    C12770 (NCI Thesaurus)
    C0031153 (UMLS 2011AA)
    CL Item
    Uterine Sarcoma (Uterine sarcoma)
    CL Item
    Vagina (Vagina)
    C12407 (NCI Thesaurus)
    C0042232 (UMLS 2011AA)
    CL Item
    Vulva (Vulva)
    C12408 (NCI Thesaurus)
    C0042993 (UMLS 2011AA)
    CL Item
    Other, Specify (Other, specify)
    PrimarySite,Other
    Item
    Other, specify (Primary Site)
    text
    Item
    Histologic type (check one)
    text
    CL.2
    Code List
    Histologic type (check one)
    CL Item
    Adenocarcinoma, Unspecified (Adenocarcinoma, unspecified)
    CL Item
    Adenocarcinoma With Squamous Differentiation (Adenocarcinoma with squamous differentiation)
    CL Item
    Adenosquamous (Adenosquamous carcinoma)
    CL Item
    Clear Cell Carcinoma (Clear cell carcinoma)
    CL Item
    Endometrioid Adenocarcinoma (Endometrioid adenocarcinoma)
    C3769 (NCI Thesaurus)
    C0206687 (UMLS 2011AA)
    CL Item
    Mixed Epithelial Carcinoma, Specify Components (Mixed epithelial carcinoma)
    CL Item
    Mucinous Adenocarcinoma (Mucinous adenocarcinoma)
    C26712 (NCI Thesaurus)
    C0007130 (UMLS 2011AA)
    CL Item
    Serous Adenocarcinoma (Serous adenocarcinoma)
    C40101 (NCI Thesaurus)
    C0206701 (UMLS 2011AA)
    CL Item
    Small Cell Carcinoma (Small cell carcinoma)
    C3915 (NCI Thesaurus)
    C0262584 (UMLS 2011AA)
    CL Item
    Squamous Cell Carcinoma (Squamous cell carcinoma, invasive)
    C2929 (NCI Thesaurus)
    C0007137 (UMLS 2011AA)
    CL Item
    Transitional Cell Carcinoma, Including Brenner Tumor (Transitional cell carcinoma (including Brenner))
    CL Item
    Undifferentiated Carcinoma (Undifferentiated carcinoma)
    C3692 (NCI Thesaurus)
    C0205698 (UMLS 2011AA)
    CL Item
    Villoglandular Carcinoma (Villoglandular carcinoma)
    CL Item
    Carcinosarcoma/mesodermal (mullerian) Mixed Tumor (Carcinosarcoma, homologous)
    CL Item
    Carcinosarcoma/mesodermal (mullerian) Mixed Tumor (Carcinosarcoma, heterologous)
    CL Item
    Endometrial Stromal Sarcoma (Endometrial stromal sarcoma, high grade)
    C8973 (NCI Thesaurus)
    C0206630 (UMLS 2011AA)
    CL Item
    Leiomyosarcoma (Leiomyosarcoma)
    C3158 (NCI Thesaurus)
    C0023269 (UMLS 2011AA)
    CL Item
    Mucinous Tumor Of Low Malignant Potential (Mucinous tumor of LMP)
    CL Item
    Serous Tumor Of Low Malignant Potential (Serous tumor of LMP)
    CL Item
    Mixed serous/mucinous LMP (Mixed serous/mucinous LMP)
    CL Item
    Granulosa Cell Tumor (Granulosa cell tumor)
    C3070 (NCI Thesaurus)
    C0018206 (UMLS 2011AA)
    CL Item
    Sex-cord/stromal, Unclassified (Sex cord/stromal, unclassified)
    CL Item
    Dysgerminoma (Dysgerminoma)
    C2996 (NCI Thesaurus)
    C0013377 (UMLS 2011AA)
    CL Item
    Endodermal Sinus Tumor (yolk Sac Tumor) (Endodermal sinus tumor)
    CL Item
    Germ Cell Tumor, Mixed (Germ cell tumor, mixed)
    CL Item
    Teratoma, Immature, Specify Components (Teratoma, immature)
    CL Item
    Teratoma, Mature (Teratoma, mature cystic)
    CL Item
    Normal Tissue (Normal tissue)
    C33177 (NCI Thesaurus)
    CL Item
    Benign (Benign NOS)
    C14172 (NCI Thesaurus)
    C0205183 (UMLS 2011AA)
    CL Item
    Fibroma (Fibroma)
    C3041 (NCI Thesaurus)
    C0016045 (UMLS 2011AA)
    CL Item
    Serous Cystadenoma (benign) (Serous cystadenoma (benign))
    CL Item
    Mucinous Cystadenoma (benign) (Mucinous cystadenoma (benign))
    CL Item
    Other, Specify (Other, specify)
    TumorHistologicCategorySpecify
    Item
    Other, specify (Histologic Type)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25161 (NCI Thesaurus Property)
    C0008902 (UMLS 2011AA Property)
    Item
    Histologic grade (Differentiation)
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C28016 (NCI Thesaurus ObjectClass-2)
    C0205480 (UMLS 2011AA ObjectClass-2)
    C25526 (NCI Thesaurus Property)
    C0205462 (UMLS 2011AA Property)
    C25365 (NCI Thesaurus Property-2)
    C0678257 (UMLS 2011AA Property-2)
    C25526 (NCI Thesaurus ValueDomain)
    C0205462 (UMLS 2011AA ValueDomain)
    C18000 (NCI Thesaurus ValueDomain-2)
    C0919553 (UMLS 2011AA ValueDomain-2)
    CL.3
    Code List
    Histologic grade (Differentiation)
    CL Item
    Grade 1-well Differentiated (1)
    CL Item
    Grade 2-moderately Differentiated (2)
    CL Item
    Grade 3-poorly Differentiated (3)
    CL Item
    Indeterminate (Indeterminate)
    C48658 (NCI Thesaurus)
    C0205258 (UMLS 2011AA)
    CL Item
    Grade Unknown (Unknown)
    CL Item
    Not Applicable (Not applicable)
    C48660 (NCI Thesaurus)
    C1272460 (UMLS 2011AA)
    Item
    Method of evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C16847 (NCI Thesaurus Property)
    CL.6
    Code List
    Method of evaluation
    CL Item
    Surgery (Surgery)
    C17173 (NCI Thesaurus)
    C0038894 (UMLS 2011AA)
    CL Item
    Biopsy (Biopsy)
    C15189 (NCI Thesaurus)
    C0005558 (UMLS 2011AA)
    C15189 (NCI Thesaurus-3)
    C0005558 (UMLS 2011AA-4)
    CL Item
    Other, Specify (Other, specify)
    CL Item
    Cytology (Cytology)
    C16491 (NCI Thesaurus)
    C0010819 (UMLS 2011AA)
    CL Item
    Second look (Second look)
    CL Item
    Persistent (Persistent)
    CL Item
    Recurrence (Recurrence)
    LesionAssessmentDate
    Item
    Date of evaluation (m d y)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    SpecimenIdentifierNumber
    Item
    ID # of the blocks/slides
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    Item
    Specimen site
    text
    CL.7
    Code List
    Specimen site
    CL Item
    Bladder Peritoneum (Bladder peritoneum)
    CL Item
    Bowel Peritoneum/serosa (Bowel peritoneum/serosa)
    CL Item
    Cervix (Cervix)
    C12311 (NCI Thesaurus)
    C0007874 (UMLS 2011AA)
    CL Item
    Corpus (Corpus)
    CL Item
    Cul-de-sac (Cul-de-sac)
    CL Item
    Diaphragm (Diaphragm)
    C12702 (NCI Thesaurus)
    C0011980 (UMLS 2011AA)
    CL Item
    Endometrium (Endometrium)
    C12313 (NCI Thesaurus)
    C0014180 (UMLS 2011AA)
    CL Item
    Fallopian Tube (Fallopian tube)
    C12403 (NCI Thesaurus)
    C0015560 (UMLS 2011AA)
    CL Item
    Omentum (Omentum)
    C33209 (NCI Thesaurus)
    C0028977 (UMLS 2011AA)
    CL Item
    Ovary (Ovary)
    C12404 (NCI Thesaurus)
    C0029939 (UMLS 2011AA)
    CL Item
    Paracolic Gutter Left (Paracolic gutter left)
    CL Item
    Paracolic Gutter Right (Paracolic gutter right)
    CL Item
    Pelvic Wall Left (Pelvic wall left)
    CL Item
    Pelvic Wall Right (Pelvic wall right)
    CL Item
    Peritoneum/uterine Serosa (Peritoneum/uterine serosa)
    CL Item
    Lymph Node(s) (Lymph nodes, specify)
    CL Item
    Metastatic Site (Metastatic site, specify)
    CL Item
    Other (Other, specify)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    SpecimenSite,LymphNode
    Item
    Lymph nodes, specify (Specimen Site)
    text
    SpecimenSite,Metastatic
    Item
    Metastatic site, specify (Specimen Site)
    text
    SpecimenSite,Other
    Item
    Other, specify (Specimen Site)
    text
    Item Group
    Secondary Disease Assessment
    Item
    Method of evaluation
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C16847 (NCI Thesaurus Property)
    CL.6
    Code List
    Method of evaluation
    CL Item
    Surgery (Surgery)
    C17173 (NCI Thesaurus)
    C0038894 (UMLS 2011AA)
    CL Item
    Biopsy (Biopsy)
    C15189 (NCI Thesaurus)
    C0005558 (UMLS 2011AA)
    C15189 (NCI Thesaurus-3)
    C0005558 (UMLS 2011AA-4)
    CL Item
    Other, Specify (Other, specify)
    CL Item
    Cytology (Cytology)
    C16491 (NCI Thesaurus)
    C0010819 (UMLS 2011AA)
    CL Item
    Second look (Second look)
    CL Item
    Persistent (Persistent)
    CL Item
    Recurrence (Recurrence)
    LesionAssessmentDate
    Item
    Date of evaluation (m d y)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    SpecimenIdentifierNumber
    Item
    ID # of the blocks/slides
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    Item
    Specimen site
    text
    CL.7
    Code List
    Specimen site
    CL Item
    Bladder Peritoneum (Bladder peritoneum)
    CL Item
    Bowel Peritoneum/serosa (Bowel peritoneum/serosa)
    CL Item
    Cervix (Cervix)
    C12311 (NCI Thesaurus)
    C0007874 (UMLS 2011AA)
    CL Item
    Corpus (Corpus)
    CL Item
    Cul-de-sac (Cul-de-sac)
    CL Item
    Diaphragm (Diaphragm)
    C12702 (NCI Thesaurus)
    C0011980 (UMLS 2011AA)
    CL Item
    Endometrium (Endometrium)
    C12313 (NCI Thesaurus)
    C0014180 (UMLS 2011AA)
    CL Item
    Fallopian Tube (Fallopian tube)
    C12403 (NCI Thesaurus)
    C0015560 (UMLS 2011AA)
    CL Item
    Omentum (Omentum)
    C33209 (NCI Thesaurus)
    C0028977 (UMLS 2011AA)
    CL Item
    Ovary (Ovary)
    C12404 (NCI Thesaurus)
    C0029939 (UMLS 2011AA)
    CL Item
    Paracolic Gutter Left (Paracolic gutter left)
    CL Item
    Paracolic Gutter Right (Paracolic gutter right)
    CL Item
    Pelvic Wall Left (Pelvic wall left)
    CL Item
    Pelvic Wall Right (Pelvic wall right)
    CL Item
    Peritoneum/uterine Serosa (Peritoneum/uterine serosa)
    CL Item
    Lymph Node(s) (Lymph nodes, specify)
    CL Item
    Metastatic Site (Metastatic site, specify)
    CL Item
    Other (Other, specify)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    SpecimenSite,LymphNode
    Item
    Lymph nodes, specify (Specimen Site)
    text
    SpecimenSite,Metastatic
    Item
    Metastatic site, specify (Specimen Site)
    text
    SpecimenSite,Other
    Item
    Other, specify (Specimen Site)
    text
    Item Group
    Footer Module
    ParticipatingGroupIdentifierCode
    Item
    Participating Group Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C25608 (NCI Thesaurus ObjectClass)
    C0679823 (UMLS 2011AA ObjectClass)
    C17005 (NCI Thesaurus ObjectClass-2)
    C1257890 (UMLS 2011AA ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    Study Number Participating Group
    Item
    Participating Group Protocol Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Trial subject ID Participating Group
    Item
    Patient Study ID, Participating Group
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Item Group
    Ccrr Module For Pathology Form, Gog-0209, Form F
    Evaluation method, specify
    Item
    Other, Specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C1521902 (UMLS CUI-2)
    C16847 (NCI Thesaurus Property)
    Item
    Disease Status
    text
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C25365 (NCI Thesaurus Property)
    C0678257 (UMLS 2011AA Property)
    CL.8
    Code List
    Disease Status
    CL Item
    Primary Gyn Disease Continues To Be Present Following Initial Treatment (Persistent)
    CL Item
    Recurrence Of Same Gyn Disease Previously Treated Successfully (Recurrence)
    CL Item
    Progression Of Gyn Disease Per Recist Criteria (Progression)
    Evaluation method, specify
    Item
    Other, Specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C2911685 (UMLS CUI-1)
    C20989 (NCI Thesaurus ObjectClass)
    C1521902 (UMLS CUI-2)
    C16847 (NCI Thesaurus Property)
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