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Table of contents
  1. 1. Clinical Trial
  2. 2. Routine Documentation
  3. 3. Registry/Cohort Study
  4. 4. Quality Assurance
  5. 5. Data Standard
  6. 6. Patient-Reported Outcome
  7. 7. Medical Specialty
    1. 7.1. Anesthesiology
    1. 7.2. Dermatology
    1. 7.3. ENT
    1. 7.4. Geriatrics
    1. 7.5. Gynecology/Obstetrics
    1. 7.6. Internal Medicine
      1. Hematology
      1. Infectious Diseases
      1. Cardiology/Angiology
      1. Pneumology
      1. Gastroenterology
      1. Nephrology
      1. Endocrinology/Metabolic Diseases
      1. Rheumatology
    1. 7.7. Neurology
    1. 7.8. Ophthalmology
    1. 7.9. Palliative Care
    1. 7.10. Pathology/Forensics
    1. 7.11. Pediatrics
    1. 7.12. Psychiatry/Psychosomatics
    1. 7.13. Radiology
    1. 7.14. Surgery
      1. General/Visceral Surgery
      1. Neurosurgery
      1. Plastic Surgery
      1. Thoracic Surgery
      1. Trauma/Orthopedics
      1. Vascular Surgery
    1. 7.15. Urology
    1. 7.16. Dental Medicine/OMS
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HIS pathology documtation cancer conference breast cancer - HIS

- 8/7/13 - 1 form, 3 itemgroups, 35 items, 2 languages
Itemgroups: Admininstrative Daten, Pathologie-Dokumentation für FK Tumorboard, Pathologische TNM-Stadium
HIS form from Soarian. "Frauenklinik Erlangen" with friendly permission of the gynecology Erlangen (Prof. Beckmann) and the medical informatics department Erlangen (PD Dr. Bürkle)

Pathology Reporting Form - Brain Tumor N0577

- 9/20/21 - 1 form, 4 itemgroups, 34 items, 1 language
Itemgroups: Header, I. CRA/RN, II. Completed by the NCCTG Pathology reviewer, Comments and Pathology Reporting
North Central Cancer Treatment Group N0577 Pathology Reporting Form - Brain Tumor Radiation Therapy or Radiation Therapy and Temozolomide or Temozolomide Alone in Treating Patients With Newly Diagnosed Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4CA85A1E-6D87-49C3-E044-0003BA3F9857

Bladder Cancer NCT00014534 Pathology - CALGB: 90104 Tracking Form (Tissue Blocks) - 2169446v3.0 - CALGB: 90104 Tracking Form (Tissue Blocks)

- 1/9/15 - 1 form, 1 itemgroup, 19 items, 1 language
Itemgroup: CCRR MODULE
CALGB: 90104 Tracking Form (Tissue Blocks) Combination Chemotherapy in Treating Patients With Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BE1B5174-9296-70EF-E034-0003BA12F5E7

Melanoma (Skin) null Registration - Pathology Report Shuttle (PRS) - 2074572v3.0 - Pathology Report Shuttle (PRS)

- 1/9/15 - 1 form, 1 itemgroup, 4 items, 1 language
Itemgroup: CCRR MODULE
Pathology Report Shuttle (PRS) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B1233DE1-C318-4C8E-E034-0003BA12F5E7

Breast Cancer NCT00659373 Pathology - Pathology Form (Form 24-P) - 2074955v3.0 - Pathology Form (Form 24-P)

- 1/9/15 - 1 form, 8 itemgroups, 43 items, 1 language
Itemgroups: CCRR MODULE, Header, PRIMARY TUMOR, GRADE, EXCISION MARGINS, VESSEL INVASION, HER2/NEU, NODAL INVOLVEMENT
Pathology Form (Form 24-P) Brain Function in Premenopausal Women Receiving Tamoxifen With or Without Ovarian Function Suppression for Early-Stage Breast Cancer on Clinical Trial IBCSG-2402 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B126C787-1E49-54D3-E034-0003BA12F5E7

Breast Cancer NCT00659373 Pathology - Bilateral Pathology Form (Form 24-BP) - 2414361v1.0 - Bilateral Pathology Form (Form 24-BP)

- 1/9/15 - 1 form, 8 itemgroups, 43 items, 1 language
Itemgroups: CCRR MODULE, Header, PRIMARY TUMOR, GRADE, EXCISION MARGINS, VESSEL INVASION, HER2/NEU, NODAL INVOLVEMENT
Bilateral Pathology Form (Form 24-BP) Brain Function in Premenopausal Women Receiving Tamoxifen With or Without Ovarian Function Suppression for Early-Stage Breast Cancer on Clinical Trial IBCSG-2402 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=023F7058-16FD-152E-E044-0003BA3F9857

Breast Cancer NCT00659373 Pathology - Bilateral Surgery Form (Form 24-BC) - 2408466v1.0 - Bilateral Surgery Form (Form 24-BC)

- 1/9/15 - 1 form, 1 itemgroup, 17 items, 1 language
Itemgroup: CCRR MODULE
Bilateral Surgery Form (Form 24-BC) Brain Function in Premenopausal Women Receiving Tamoxifen With or Without Ovarian Function Suppression for Early-Stage Breast Cancer on Clinical Trial IBCSG-2402 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=01617880-D901-0B38-E044-0003BA3F9857

Breast Cancer NCT00659373 Pathology - Hormone Receptor Form (Form 24-F) - 2073222v3.0 - Hormone Receptor Form (Form 24-F)

- 1/9/15 - 1 form, 1 itemgroup, 14 items, 1 language
Itemgroup: CCRR MODULE
Hormone Receptor Form (Form 24-F) Brain Function in Premenopausal Women Receiving Tamoxifen With or Without Ovarian Function Suppression for Early-Stage Breast Cancer on Clinical Trial IBCSG-2402 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B0EA32D1-99C1-62FB-E034-0003BA12F5E7

Breast Cancer NCT00659373 Pathology - Bilateral Hormone Receptor Form (Form 24-BF) - 2409866v1.0 - Bilateral Hormone Receptor Form (Form 24-BF)

- 1/9/15 - 1 form, 1 itemgroup, 14 items, 1 language
Itemgroup: CCRR MODULE
Bilateral Hormone Receptor Form (Form 24-BF) Brain Function in Premenopausal Women Receiving Tamoxifen With or Without Ovarian Function Suppression for Early-Stage Breast Cancer on Clinical Trial IBCSG-2402 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=01609FC5-4143-11A6-E044-0003BA3F9857

Pathology - Breast Pathology Form - 2020193v3.0 - Breast Pathology Form

- 1/9/15 - 1 form, 11 itemgroups, 108 items, 1 language
Itemgroups: CRF Header, Pathology: Form Administration, Pathology: Estrogen and Progesterone Receptors, PATHOLOGY: BREAST DISEASE ASSESSMENT, PATHOLOGY: ASSESSMENT OF BENIGN BREAST TISSUE, PATHOLOGY: CYTOLOGY, PATHOLOGY: ASSESSMENT OF DUCTAL CARCINOMA IN SITU (DCIS), PATHOLOGY: ASSESSMENT OF LOBULAR CARCINOMA IN SITU (LCIS), PATHOLOGY: ASSESSMENT OF INVASIVE TUMOR, PATHOLOGY: ASSESSMENT OF LYMPH NODES, PATHOLOGY: DISEASE STAGING
Breast Pathology Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=146367B0-88EA-3172-E044-0003BA3F9857

ACNS0122 Institutional Neuropathology Worksheet NCT00047320

- 6/21/15 - 1 form, 4 itemgroups, 15 items, 1 language
Itemgroups: Header, Neuropathology, Comments, CCRR MODULE
ACNS0122 Institutional Neuropathology Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD40C955-FB29-0C2A-E034-0003BA12F5E7

Pathology - Breast Pathology - Tumor Marker Form - 2020194v3.0 - Breast Pathology - Tumor Marker Form

- 1/9/15 - 1 form, 5 itemgroups, 74 items, 1 language
Itemgroups: CRF Header, Pathology: Form Administration, Pathology: Estrogen and Progesterone Receptors, Pathology: Breast Tumor Markers, Pathology: Immunochemistry
Breast Pathology - Tumor Marker Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=13EAB392-277F-3887-E044-0003BA3F9857

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