ID
8239
Description
RTOG 1010 Surgery Form (S1) Radiation Therapy, Paclitaxel, and Carboplatin With or Without Trastuzumab in Treating Patients With Esophageal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=87FDA2A8-3F52-6C0D-E040-BB89AD433137
Link
Keywords
Versions (2)
- 8/26/12 8/26/12 -
- 1/9/15 1/9/15 - Martin Dugas
Uploaded on
January 9, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Adenocarcinoma of the Gastroesophageal Junction NCT01196390 Treatment - RTOG 1010 Surgery Form (S1) - 3104579v1.0
INSTRUCTIONS: Submit for all patients within 2 weeks of study entry. Submit with copies of the operative report (S2) and surgical pathology report (S5). Dates are mm-dd-yyyy unless otherwise specified
Description
Endoscopy/biopsy/surgery
Description
EndoscopicBiopsyDiagnosticProcedureEsophagealCarcinomaAssessmentInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C18020
- UMLS 2011AA ObjectClass
- C0430022
- NCI Thesaurus ObjectClass-2
- C15389
- UMLS 2011AA ObjectClass-2
- C0184980
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus Property-2
- C3513
- UMLS 2011AA Property-2
- C0152018
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
BiopsyNotDoneReasonType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C15189
- UMLS 2011AA ObjectClass
- C0005558
- NCI Thesaurus Property
- C49484
- UMLS 2011AA Property
- C1272696
- NCI Thesaurus Property-2
- C25365
- UMLS 2011AA Property-2
- C0678257
Description
NeoplasmSpecimenMetastaticAnatomicLocationSpecify
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus ObjectClass-2
- C19157
- UMLS 2011AA ObjectClass-2
- C0370003
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
- NCI Thesaurus Property-2
- C14174
- UMLS 2011AA Property-2
- C0036525
- NCI Thesaurus Property-3
- C25421
- UMLS 2011AA Property-3
- C0002808
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Description
BiopsyNotDoneReasonSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C15189
- UMLS 2011AA ObjectClass
- C0005558
- NCI Thesaurus Property
- C49484
- UMLS 2011AA Property
- C1272696
- NCI Thesaurus Property-2
- C25365
- UMLS 2011AA Property-2
- C0678257
Description
Biopsy Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C0005558
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus ObjectClass
- C15189
- UMLS CUI-2
- C0011008
- NCI Thesaurus Property
- C25275
Description
BiopsyResultType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C15189
- UMLS 2011AA ObjectClass
- C0005558
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
Description
BiopsyResultSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C15189
- UMLS 2011AA ObjectClass
- C0005558
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
Description
Surgical Resection
Description
Surgical resection attempted
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI-1
- C0015252
- NCI Thesaurus ObjectClass
- C25698
- NCI Thesaurus ObjectClass-2
- C15232
- UMLS CUI-2
- C1516084
- NCI Thesaurus Property
- C39769
Description
ProtocolSurgeryNotPerformedReason
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25320
- UMLS 2011AA ObjectClass
- C1507394
- NCI Thesaurus ObjectClass-2
- C15329
- UMLS 2011AA ObjectClass-2
- C0543467
- NCI Thesaurus Property
- C25594
- UMLS 2011AA Property
- C1518422
- NCI Thesaurus Property-2
- C38000
- UMLS 2011AA Property-2
- C0884358
- NCI Thesaurus ValueDomain
- C25638
- UMLS 2011AA ValueDomain
- C0392360
Description
SurgeryNotPerformedReason
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- UMLS 2011AA ValueDomain
- C0392360
- NCI Thesaurus Property
- C25594
- UMLS 2011AA Property
- C1518422
- NCI Thesaurus Property-2
- C38000
- UMLS 2011AA Property-2
- C0884358
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
Description
PatientSurgicalResectionDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25698
- NCI Thesaurus Property-2
- C15232
- UMLS 2011AA Property
- C0728940
Description
ProtocolSurgeryNeckProcedureType
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus ObjectClass-2
- C42651
- UMLS 2011AA ObjectClass-2
- C0442711
- NCI Thesaurus Property
- C13063
- UMLS 2011AA Property
- C0027530
- NCI Thesaurus Property-2
- C25218
- UMLS 2011AA Property-2
- C1948041
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Description
ProtocolSurgeryTypeSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus ObjectClass-2
- C42651
- UMLS 2011AA ObjectClass-2
- C0442711
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Description
LymphNodeAssessedInd-2
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus Property
- C25217
- UMLS 2011AA Property
- C1516048
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
Description
SurgicalMarginResectionStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25698
- NCI Thesaurus Property
- C15232
- UMLS 2011AA Property
- C0728940
- NCI Thesaurus ObjectClass-2
- C41227
- UMLS 2011AA ObjectClass
- C0229985
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
Footer Module
Description
Research Comments
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C0947611
- NCI Thesaurus ObjectClass
- C15319
- NCI Thesaurus Property
- C25393
Description
Person Completing Form
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C1550483
- NCI Thesaurus ObjectClass
- C25657
- NCI Thesaurus Property
- C25364
Description
Date Form Completed
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1115437
- NCI Thesaurus ObjectClass
- C40988
- NCI Thesaurus Property
- C25250
- NCI Thesaurus ValueDomain-2
- C25367
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INSTRUCTIONS: Submit for all patients within 2 weeks of study entry. Submit with copies of the operative report (S2) and surgical pathology report (S5). Dates are mm-dd-yyyy unless otherwise specified
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