ID

9220

Descrição

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

Palavras-chave

  1. 19/09/2012 19/09/2012 -
  2. 09/01/2015 09/01/2015 - Martin Dugas
  3. 03/07/2015 03/07/2015 -
Transferido a

9 de janeiro de 2015

DOI

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Licença

Creative Commons BY-NC 3.0 Legacy

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

No Instruction available.

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

Unnamed 1

SWOG Patient ID
Descrição

SWOGPatientID

Tipo de dados

text

Patient Initials (L, F M)
Descrição

Patient Initials

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Disease
Descrição

Disease

Tipo de dados

text

Institution/Member
Descrição

MainMemberInstitution/Affiliate

Tipo de dados

text

Physician (Groups other than SWOG)
Descrição

TreatingPhysician

Tipo de dados

text

Alias
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass
C25741
UMLS 2011AA ObjectClass
C0031831
NCI Thesaurus ObjectClass-2
C25705
UMLS 2011AA ObjectClass-2
C1522326
Group Name
Descrição

GroupName

Tipo de dados

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.
Descrição

StudyNo.

Tipo de dados

text

Pt. No
Descrição

Pt.ID

Tipo de dados

text

Header
Descrição

Header

No. of slides
Descrição

SpecimenSlideCount

Tipo de dados

text

No. of blocks
Descrição

SpecimenBlockSubmissionCount

Tipo de dados

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-2
C25694
UMLS 2011AA Property-2
C1515022
Date sample obtained
Descrição

SpecimenCollectionDate

Tipo de dados

date

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

OnerepresentativeH&Estainedsectionfromeachblockoftheprimarytumor

Tipo de dados

boolean

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

Sectionofsentinelregionallymphnode(s)(ind)

Tipo de dados

boolean

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

Sectionsofnon-sentinellymphnode(s)(Ind)

Tipo de dados

boolean

Operative reports (ind)
Descrição

Operativereports(ind)

Tipo de dados

boolean

Pathology reports (ind)
Descrição

Pathologyreports(ind)

Tipo de dados

boolean

Specimen Number
Descrição

SpecimenID

Tipo de dados

float

Comments
Descrição

Comments

Tipo de dados

text

Ccrr Module For Southwest Oncology Group S0201 Pathology Submission Form
Descrição

Ccrr Module For Southwest Oncology Group S0201 Pathology Submission Form

Similar models

No Instruction available.

  1. StudyEvent: Southwest Oncology Group S0201 Pathology Submission Form
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Unnamed 1
SWOGPatientID
Item
SWOG Patient ID
text
Patient Initials
Item
Patient Initials (L, F M)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus 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-2)
C1522326 (UMLS 2011AA ObjectClass-2)
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
Header
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-2)
C1515022 (UMLS 2011AA Property-2)
SpecimenCollectionDate
Item
Date sample obtained
date
OnerepresentativeH&Estainedsectionfromeachblockoftheprimarytumor
Item
One representative H&E stained section from each block of the primary tumor
boolean
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
Sectionofsentinelregionallymphnode(s)(ind)
Item
Section of sentinel regional lymph node(s) (ind)
boolean
Sectionsofnon-sentinellymphnode(s)(Ind)
Item
Sections of non-sentinel lymph node(s) (Ind)
boolean
Operativereports(ind)
Item
Operative reports (ind)
boolean
Pathologyreports(ind)
Item
Pathology reports (ind)
boolean
SpecimenID
Item
Specimen Number
float
Comments
Item
Comments
text
Item Group
Ccrr Module For Southwest Oncology Group S0201 Pathology Submission Form

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