ID
905
Description
CALGB: 40302 TISSUE TRACKING FORM Fulvestrant With or Without Lapatinib in Treating Postmenopausal Women With Stage III or Stage IV Breast Cancer That is Hormone Receptor-Positive Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F5AC8F60-F3F9-0DB4-E034-0003BA3F9857
Link
Keywords
Versions (4)
- 8/26/12 8/26/12 -
- 1/9/15 1/9/15 - Martin Dugas
- 6/21/15 6/21/15 -
- 9/20/21 9/20/21 -
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August 26, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00390455 Pathology - CALGB_40302_TISS_TRCK_FRM - 2222328v1.0
Mark an X in the appropriate box for fields with a choice. Print text in capital letters. Avoid contact with the edges of the boxes. If data are amended, circle amended items and check the "Yes" box.
Description
Unnamed2
Description
PatientInitialsName
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS 2011AA ValueDomain
- C1547383
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25536
- UMLS 2011AA Property
- C1555582
Description
HospitalPatientIdentifierNumber
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ObjectClass
- C16696
- UMLS 2011AA ObjectClass
- C0019994
Description
CombinedInstitutionName
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25454
- UMLS 2011AA ObjectClass
- C0205195
- NCI Thesaurus ObjectClass
- C21541
- UMLS 2011AA ObjectClass
- C0018704
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ValueDomain
- C25191
- UMLS 2011AA ValueDomain
- C1547383
- NCI Thesaurus ValueDomain
- C21541
- UMLS 2011AA ValueDomain
- C0018704
Description
ParticipatingGroupName
Data type
text
Alias
- NCI Thesaurus ValueDomain
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- UMLS 2011AA ValueDomain
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- NCI Thesaurus ObjectClass
- C25608
- UMLS 2011AA ObjectClass
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- NCI Thesaurus ObjectClass
- C17005
- UMLS 2011AA ObjectClass
- C1257890
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
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Description
ProtocolParticipatingIdentifierNumber
Data type
text
Alias
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- C25337
- UMLS 2011AA ValueDomain
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- NCI Thesaurus Property
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- UMLS 2011AA Property
- C0679823
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Description
PatientParticipatingIdentifierNumber
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25608
- UMLS 2011AA Property
- C0679823
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
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Description
Unnamed3
Description
PathologyReportSubmissionInd-3
Data type
text
Alias
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- UMLS 2011AA ObjectClass
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- UMLS 2011AA Property
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- UMLS 2011AA Property
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- NCI Thesaurus ValueDomain
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- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ValueDomain
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- UMLS 2011AA ValueDomain
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Description
SpecimenFormSubmittedInd-2
Data type
text
Alias
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- NCI Thesaurus ObjectClass
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- UMLS 2011AA ObjectClass
- C0370003
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- C25695
- UMLS 2011AA Property
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Description
FormWithoutLabSpecify
Data type
text
Alias
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- NCI Thesaurus Property
- C25718
- UMLS 2011AA Property
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- NCI Thesaurus Property
- C37984
- UMLS 2011AA Property
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Description
SpecimenCollectedDate
Data type
date
Alias
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- UMLS 2011AA ObjectClass
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- NCI Thesaurus Property
- C25452
- NCI Thesaurus Property
- C25275
- UMLS 2011AA Property
- C2745955
Description
TissuePathologySourceType
Data type
text
Alias
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- UMLS 2011AA ValueDomain
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- NCI Thesaurus ObjectClass
- C12801
- UMLS 2011AA ObjectClass
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- NCI Thesaurus Property
- C25683
- UMLS 2011AA Property
- C0449416
- NCI Thesaurus ObjectClass
- C18189
- UMLS 2011AA ObjectClass
- C0030664
Description
SpecimenSurgicalProcedureTechnique
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
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- NCI Thesaurus Property
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- NCI Thesaurus Property
- C15329
- UMLS 2011AA Property
- C0543467
- NCI Thesaurus ObjectClass
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- UMLS 2011AA ObjectClass
- C0370003
Description
SpecimenSubmittedType
Data type
text
Alias
- NCI Thesaurus ValueDomain
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- NCI Thesaurus ObjectClass
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- C0370003
- NCI Thesaurus Property
- C25695
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- C1515023
Description
TissueParaffinBlocksNumber
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
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- NCI Thesaurus Property
- C25436
- UMLS 2011AA Property
- C1533157
- NCI Thesaurus Property
- C727
- UMLS 2011AA Property
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Description
BiopsyParaffinBlocksCount
Data type
double
Alias
- NCI Thesaurus ObjectClass
- C15189
- UMLS 2011AA ObjectClass
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- NCI Thesaurus Property
- C25436
- UMLS 2011AA Property
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- NCI Thesaurus Property
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- UMLS 2011AA Property
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Description
UnstainedSpecimenFrozenSectionsSlideNumber
Data type
text
Alias
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- C25337
- UMLS 2011AA ValueDomain
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- C62755
- UMLS 2011AA ObjectClass
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- NCI Thesaurus ObjectClass
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Description
ProfessionalOrganizationSurgicalPathologyIdentifierNumber
Data type
text
Alias
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- UMLS 2011AA ObjectClass
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- C0600091
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- C25698
- NCI Thesaurus Property
- C18189
- UMLS 2011AA Property
- C0030664
- NCI Thesaurus ValueDomain
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- UMLS 2011AA ValueDomain
- C0237753
Description
PersonSpecimenSubmittedName
Data type
text
Alias
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- UMLS 2011AA ValueDomain
- C1547383
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- C0027361
- NCI Thesaurus Property
- C19157
- UMLS 2011AA Property
- C0370003
- NCI Thesaurus Property
- C25695
- UMLS 2011AA Property
- C1515023
Description
SpecimenLabSubmittedDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus Property
- C25294
- UMLS 2011AA Property
- C0022885
- NCI Thesaurus ObjectClass
- C19157
- UMLS 2011AA ObjectClass
- C0370003
- NCI Thesaurus Property
- C25695
- UMLS 2011AA Property
- C1515023
Description
OrganizationPhoneNumber
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus Property
- C25395
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- C0039457
- NCI Thesaurus ObjectClass
- C19711
- UMLS 2011AA ObjectClass
- C1522486
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Mark an X in the appropriate box for fields with a choice. Print text in capital letters. Avoid contact with the edges of the boxes. If data are amended, circle amended items and check the "Yes" box.
C0237753 (UMLS 2011AA ValueDomain)
C19464 (NCI Thesaurus ObjectClass)
C0376315 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
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C1547383 (UMLS 2011AA ValueDomain)
C25608 (NCI Thesaurus ObjectClass)
C0679823 (UMLS 2011AA ObjectClass)
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
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C25320 (NCI Thesaurus ObjectClass)
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C0237753 (UMLS 2011AA ValueDomain)
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C0030705 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0030664 (UMLS 2011AA ObjectClass)
C25375 (NCI Thesaurus Property)
C0684224 (UMLS 2011AA Property)
C25695 (NCI Thesaurus Property)
C1515023 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25695 (NCI Thesaurus ValueDomain)
C1515023 (UMLS 2011AA ValueDomain)
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C37984 (NCI Thesaurus Property)
C0022877 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C25452 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property)
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C0332307 (UMLS 2011AA ValueDomain)
C12801 (NCI Thesaurus ObjectClass)
C0040300 (UMLS 2011AA ObjectClass)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
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C0027627 (UMLS 2011AA)
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C67462 (NCI Thesaurus ObjectClass)
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