Résultats de recherche - Portail des modèles médicaux de données (portail MDM)

Endometrial Cancer NCT00807768 Pathology - GOG-0249 Pathology Form - 2759208v1.0 - GOG-0249 Pathology Form

- 09/01/2015 - 1 Formulaire, 3 Groupes Item, 28 Eléments de données, 1 Langue

Groupes Item: HEADER MODULE, PRIMARY DISEASE ASSESSMENT, SECONDARY DISEASE ASSESSMENT

GOG-0249 Pathology Form Pelvic Radiation Therapy or Vaginal Implant Radiation Therapy, Paclitaxel, and Carboplatin in Treating Patients With High-Risk Stage I or Stage II Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4F8BA90A-2A00-2C01-E044-0003BA3F9857

Endometrial Cancer NCT00942357 Pathology - Pathology Form (F) - 2843620v1.0 - Pathology Form (F)

- 09/01/2015 - 1 Formulaire, 3 Groupes Item, 28 Eléments de données, 1 Langue

Groupes Item: HEADER MODULE, PRIMARY DISEASE ASSESSMENT, SECONDARY DISEASE ASSESSMENT

Pathology Form (F) Carboplatin and Paclitaxel With or Without Cisplatin and Radiation Therapy in Treating Patients With Stage I, Stage II, Stage III, or Stage IVA Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=644E86D7-D6E1-D7C8-E040-BB89AD4321CC

Endometrial Cancer NCT00063999 Pathology - Pathology Form, GOG-0209, Form F - 2077159v3.0 - Pathology Form, GOG-0209, Form F

- 09/01/2015 - 1 Formulaire, 5 Groupes Item, 32 Eléments de données, 1 Langue

Groupes Item: HEADER MODULE, PRIMARY DISEASE ASSESSMENT, SECONDARY DISEASE ASSESSMENT, FOOTER MODULE, CCRR MODULE

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

Endometrial Cancer NCT00265759 Pathology - Z1031 Central Pathology Review Form (CPR) - 2940201v1.0 - Z1031 Central Pathology Review Form (CPR)

- 09/01/2015 - 1 Formulaire, 3 Groupes Item, 15 Eléments de données, 1 Langue

Groupes Item: Header Module, Pathology/Treatment Information, Footer Module

Z1031 Central Pathology Review Form (CPR) Exemestane, Letrozole, or Anastrozole in Treating Postmenopausal Women Who Are Undergoing Surgery for Stage II or Stage III Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=739D9DB4-52E2-7818-E040-BB89AD4371E4

HIS pathology documtation cancer conference breast cancer - HIS

- 07/08/2013 - 1 Formulaire, 3 Groupes Item, 35 Eléments de données, 2 Langues

Groupes Item: 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)

HIS pathology report - organ prostate cancer - HIS

- 20/09/2021 - 1 Formulaire, 10 Groupes Item, 60 Eléments de données, 2 Langues

Groupes Item: Admininstrative Daten, Tumordiagnose, Tumorhistologie, Histologie, Gleason-Score, verschiedene Kriterien, Pathologischer TNM, Gewebeprobe Anzahl, Größe der Tumorprobe, Lokalisation von Fernmetastasen

HIS form from Soarian. Urologie Erlangen" with friendly permission of the urology Erlangen (Prof. Wullich) and the medical informatics department Erlangen (PD Dr. Bürkle)

Pathology - Lung Cancer - North Central Cancer Treatment Group N0723 Pathology Reporting Form - 2731651v1.0 - Lung Cancer - North Central Cancer Treatment Group N0723 Pathology Reporting Form

- 20/09/2021 - 1 Formulaire, 9 Groupes Item, 59 Eléments de données, 1 Langue

Groupes Item: Header Module, Pathology Reporting, Lung Surgery, Disease Characteristics, Disease Characteristics2, Comments and Pathology Reporting, EGFR FISH Status, EGFR IHC Status, Comments and Pathology Reporting2

North Central Cancer Treatment Group N0723 Pathology Reporting Form; ***This CRF DELETED FROM STUDY, so no response to initial CDE-compliance review.*** Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=46FF63E8-1059-1831-E044-0003BA3F9857

E2805 Central Pathology Review Form NCT00326898

- 16/06/2015 - 1 Formulaire, 8 Groupes Item, 35 Eléments de données, 1 Langue

Groupes Item: Header, Patient demographics, Data amendment, Primary Tumor, Pathologic Tumor Stage, Lymph Node Status and Metastases, Pathological Features, Comments

E2805 Central Pathology Review Form NCT00326898 Sunitinib or Sorafenib in Treating Patients With Kidney Cancer That Was Removed By Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=05892A45-3B6E-608C-E044-0003BA3F9857

UKHD - Universitäts-Frauenklinik, Sektion Senologie Verlaufsblatt - Mamma Carcinom - Verlaufsangaben

- 09/03/2022 - 10 Formulaires, 3 Groupes Item, 38 Eléments de données, 1 Langue

Groupes Item: Verlaufsangaben, Präoperative Vorbereitung - Checkliste, OP und Verlauf

Routinedokumentation der Universitäts-Frauenklinik, Sektion Senologie Verlaufsblatt - Mamma Carcinom - Multimodale Brustdiagnostik. Sektionsleiter Senologie: Prof. Dr. med. Jörg Heil, MHBA

Empfehlung des postoperativen Tumorboards

1 Groupe Item 26 Eléments de données

Poststationäre Ergänzungen

1 Groupe Item 2 Eléments de données

Pathologie

3 Groupes Item 121 Eléments de données

Procedere

1 Groupe Item 27 Eléments de données

Prätherapeutische und präoperative Konferenz(en)

5 Groupes Item 46 Eléments de données

Allgemeines: Personalien, Diagnose, Therapie und Anamnese

3 Groupes Item 43 Eléments de données

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Director's Challenge Lung Study Pathology Evaluation Form

- 30/07/2015 - 1 Formulaire, 6 Groupes Item, 20 Eléments de données, 1 Langue

Groupes Item: Enrollment Requirements, Histologic Type, Histologic Grade, Pathological Attributes, Surgical-Pathological Results, Tissue Evaluation

Pathology documentation Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E6E7E98D-6ED2-346C-E034-0003BA3F9857

Lung Cancer NCT00049543 Pathology - Pathology Submission Report - 2034358v3.0 - Pathology Submission Report

- 09/01/2015 - 1 Formulaire, 6 Groupes Item, 32 Eléments de données, 1 Langue

Groupes Item: 1. PATIENT INFORMATION, 2. PATHOLOGY SUBMISSION, 3. COMMENTS, 4. INVESTIGATOR SIGNATURE, NCIC CTG use only, CCRR MODULE

Pathology Submission Report Gefitinib in Treating Patients With Non-Small Cell Lung Cancer That Has Been Surgically Removed Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A069EFF3-E6C4-50D8-E034-080020C9C0E0

Pathology - Lung Cancer - Pathology Form - Bronchoscopy - 2019346v3.0 - Lung Cancer - Pathology Form - Bronchoscopy

- 09/01/2015 - 1 Formulaire, 3 Groupes Item, 32 Eléments de données, 1 Langue

Groupes Item: CRF Header, Lung Pathology: Form Administration, Pathology: Bronchoscopy Tissues Samples

Lung Cancer - Pathology Form - Bronchoscopy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=152C7A2C-614F-698F-E044-0003BA3F9857

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