{"text_format":"1","workbook":"xlsx","n_sheets":10,"sheets":["基本情報","検体情報","レジメン情報","腫瘍情報（転移情報）","腫瘍情報（原発肺癌）","腫瘍情報（原発乳癌）","腫瘍情報（原発食道・胃・腸癌）","腫瘍情報（原発皮膚癌）","腫瘍情報（原発肝癌）","マスタ（さわらないでください）"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":1,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"基本情報","index":0,"n_rows":96,"n_cols":10,"rows_kept":96,"cut":false,"hidden":false,"merged":[[59,7,59,9],[92,2,92,5],[92,7,92,9],[73,6,73,8],[80,1,80,3],[84,2,84,5],[84,7,84,9],[66,7,66,9],[61,2,61,4],[66,2,66,5],[68,2,68,4],[73,1,73,3],[5,1,5,3],[29,1,29,3],[35,1,35,3],[8,1,8,3],[8,5,8,7],[14,1,14,3],[17,1,17,3],[20,1,20,3],[23,1,23,7],[26,1,26,7],[55,1,55,3],[59,2,59,5],[45,3,45,4],[38,1,38,3],[41,1,41,6]]}
["がん遺伝子パネル検査実施依頼用テンプレート＜基本情報＞"]
[]
["＜基本情報１＞"]
[]
["①これまでの登録の有無"]
[]
[]
["②がん種区分",null,null,null,null,"※その他を選択した場合は下記へ詳細を入力"]
[]
[]
["③臨床病期（ステージ）"]
[]
[]
["④検体採取年月日（西暦で入力）"]
[]
[]
["⑤検体番号（分からない場合は\"不明\"と入力）"]
[]
[]
["⑥検体採取部位"]
[]
[]
["⑦具体的な採取部位"]
[]
[]
["⑧病理診断名"]
[]
[]
["⑨診断年月日（西暦で入力）"]
[]
[]
["⑩ICD-10"]
[]
[]
["⑪喫煙歴",null,null,null,null,"喫煙年数",null,null,"1日の本数"]
[null,null,null,null,null,null,"年",null,null,"（本/日）"]
[]
["⑫アルコール多飲の有無"]
[]
[]
["⑬ECOG　PS"]
[]
[]
["⑭移植の有無"]
[]
[null,null,"移植部位"]
[]
[]
[]
["がん遺伝子パネル検査実施依頼用テンプレート＜基本情報＞"]
[]
["＜基本情報２＞"]
[]
[]
["　重複がんの有無（異なる臓器）"]
[]
[]
[null,"重複がん１"]
[null,"　重複がん部位",null,null,null,null,"　　　部位（その他を選択した場合、下記に詳細を記載）"]
[]
[null,"　重複がん活動性"]
[]
[]
[]
[null,"重複がん２"]
[null,"　重複がん部位",null,null,null,null,"　　　部位（その他を選択した場合、下記に詳細を記載）"]
[]
[null,"　重複がん活動性"]
[]
[]
[]
[]
["　　多発がん有無（同一臓器）"]
[]
["　　多発がん活動性"]
[]
[]
[]
[]
["　　家族歴の有無"]
[]
[]
[null,"家族歴１"]
["　","　がん種",null,null,null,null,"　　　部位（その他を選択した場合、下記に詳細を記載）"]
[]
[]
["　","　患者本人との続柄",null,null,"該当家族の罹患年齢"]
[null,null,null,null,null,"歳"]
[]
[]
[null,"家族歴２"]
[null,"　がん種",null,null,null,null,"　　　部位（その他を選択した場合、下記に詳細を記載）"]
[]
[]
[null,"　患者本人との続柄",null,null,"該当家族の罹患年齢"]
[null,null,null,null,null,"歳"]

{"sheet":"検体情報","index":1,"n_rows":23,"n_cols":1,"rows_kept":23,"cut":false,"hidden":false,"merged":[[20,1,20,10],[23,1,23,10],[5,1,5,7],[8,1,8,6],[11,1,11,2],[14,1,14,10],[17,1,17,10]]}
["がん遺伝子パネル検査実施依頼用テンプレート＜検体情報 ＞"]
[]
["＜レジメン情報1＞"]
[]
["①ホルマリン濃度"]
[]
[]
["②ホルマリン種類"]
[]
[]
["③ホルマリン固定時間"]
[]
[]
["④脱灰"]
[]
[]
["⑤切片表面面積（㎟）"]
[]
[]
["⑥標本作成年数（年）"]
[]
[]
["⑦有核腫瘍細胞割合（％）"]

{"sheet":"レジメン情報","index":2,"n_rows":106,"n_cols":7,"rows_kept":106,"cut":false,"hidden":false,"merged":[[103,3,103,10],[106,3,106,6],[86,1,86,9],[89,1,89,4],[89,7,89,10],[93,2,93,4],[97,3,97,10],[100,3,100,10],[35,1,35,4],[35,7,35,10],[39,2,39,4],[43,3,43,10],[80,1,83,10],[46,3,46,10],[49,3,49,10],[52,3,52,6],[59,1,59,7],[62,1,62,6],[65,1,65,2],[68,1,68,10],[71,1,71,10],[74,1,74,4],[77,1,77,3],[77,6,77,8],[20,1,20,4],[23,1,23,3],[23,6,23,8],[26,1,29,10],[32,1,32,9],[5,1,5,7],[8,1,8,6],[11,1,11,2],[14,1,14,10],[17,1,17,10]]}
["がん遺伝子パネル検査実施依頼用テンプレート＜レジメン情報 ＞"]
[]
["＜レジメン情報1＞"]
[]
["①治療ライン"]
[]
[]
["②実施目的"]
[]
[]
["③実施施設"]
[]
[]
["④レジメン名"]
[]
[]
["⑤薬剤名"]
[]
[]
["⑥投与時点の薬剤承認状況"]
[]
[]
["⑦投与開始日（西暦で入力）",null,null,null,null,"⑧投与終了日（西暦で入力）"]
[]
[]
["⑨レジメン内容変更情報"]
[]
[]
[]
[]
[]
["⑩レジメン終了理由"]
[]
[]
["⑪最良総合効果",null,null,null,null,null,"⑫Grade3以上有害事象の有無"]
[]
[]
["⑬有害事象"]
[null,"発現日（西暦で入力）"]
[]
[]
[null,"CTCAEv5.0"]
[null,null,"名称日本語"]
[]
[]
[null,null,"名称英語"]
[]
[]
[null,null,"コード"]
[]
[]
[null,null,"最悪Grade"]
[]
[]
["がん遺伝子パネル検査実施依頼用テンプレート＜レジメン情報 ＞"]
[]
["＜レジメン情報2＞"]
[]
["①治療ライン"]
[]
[]
["②実施目的"]
[]
[]
["③実施施設"]
[]
[]
["④レジメン名"]
[]
[]
["⑤薬剤名"]
[]
[]
["⑥投与時点の薬剤承認状況"]
[]
[]
["⑦投与開始日（西暦で入力）",null,null,null,null,"⑧投与終了日（西暦で入力）"]
[]
[]
["⑨レジメン内容変更情報"]
[]
[]
[]
[]
[]
["⑩レジメン終了理由"]
[]
[]
["⑪最良総合効果",null,null,null,null,null,"⑫Grade3以上有害事象の有無"]
[]
[]
["⑬有害事象"]
[null,"発現日（西暦で入力）"]
[]
[]
[null,"CTCAEv5.0"]
[null,null,"名称日本語"]
[]
[]
[null,null,"名称英語"]
[]
[]
[null,null,"コード"]
[]
[]
[null,null,"最悪Grade"]

{"sheet":"腫瘍情報（転移情報）","index":3,"n_rows":18,"n_cols":1,"rows_kept":18,"cut":false,"hidden":false,"merged":[[4,1,4,3],[17,0,18,11]]}
["がん遺伝子パネル検査実施依頼用テンプレート＜腫瘍情報 ＞"]
[]
["＜転移の有無＞"]
["①登録時の転移の有無"]
[]
[]
["②登録時の転移部位"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["※原発巣が「肺」、「乳」、「食道・胃・腸」、「皮膚」、「肝」に該当する場合は該当するシートの入力が必須です"]

{"sheet":"腫瘍情報（原発肺癌）","index":4,"n_rows":43,"n_cols":3,"rows_kept":43,"cut":false,"hidden":false,"merged":[[5,1,5,6],[8,1,8,10],[11,1,11,5],[14,1,14,6],[43,1,43,3],[33,1,33,6],[29,1,29,6],[25,1,25,6],[18,1,18,6],[21,1,21,9],[36,1,36,9]]}
["がん遺伝子パネル検査実施依頼用テンプレート＜腫瘍情報 ＞"]
[]
["＜原発肺癌＞"]
["①EGFR"]
[null,"EGFR"]
[]
[]
[null,"EGFR-type"]
[]
[]
[null,"EGFR-検査方法"]
[]
[]
[null,"EGFR-TK耐性後EGFR-T790M"]
[]
[]
["②ALK融合"]
[null,"ALK融合"]
[]
[]
[null,"ALK-検査方法"]
[]
[]
["③ROS1"]
[null,"ROS1"]
[]
[]
["④BRAF"]
[null,"BRAF"]
[]
[]
["⑤PD-L1"]
[null,"PD-L1（IHC)"]
[]
[]
[null,"PD-L1（IHC)-検査方法"]
[]
[]
[null,"PD-L1陽性率"]
[null,null,"％"]
[]
["⑥環境曝露因子"]
[null,"アスベスト曝露歴"]

{"sheet":"腫瘍情報（原発乳癌）","index":5,"n_rows":20,"n_cols":1,"rows_kept":20,"cut":false,"hidden":false,"merged":[]}
["がん遺伝子パネル検査実施依頼用テンプレート＜腫瘍情報 ＞"]
[]
["＜原発乳癌＞"]
[]
["①HER2（IHC)"]
[]
[]
["②HER2(FISH)"]
[]
[]
["③ER"]
[]
[]
["④PgR"]
[]
[]
["⑤ｇBRCA1"]
[]
[]
["⑥ｇBRCA2"]

{"sheet":"腫瘍情報（原発食道・胃・腸癌）","index":6,"n_rows":34,"n_cols":2,"rows_kept":34,"cut":false,"hidden":false,"merged":[[34,1,34,6],[30,1,30,6],[6,1,6,6],[19,1,19,6],[26,1,26,9],[9,1,9,8],[12,1,12,4],[22,1,22,4]]}
["がん遺伝子パネル検査実施依頼用テンプレート＜腫瘍情報 ＞"]
[]
["＜原発食道・胃・腸癌＞"]
[]
["①KRAS"]
[null,"KRAS"]
[]
[]
[null,"KRAS-type"]
[]
[]
[null,"KRAS-検査方法"]
[]
[]
["②NRAS"]
[null,"NRAS"]
[]
[]
[null,"NRAS-type"]
[]
[]
[null,"NRAS-検査方法"]
[]
[]
["③HER2"]
[null,"HER2"]
[]
[]
["④EGFR"]
[null,"EGFR(IHC)"]
[]
[]
["⑤BRAF"]
[null,"BRAF(V600)"]

{"sheet":"腫瘍情報（原発皮膚癌）","index":7,"n_rows":6,"n_cols":2,"rows_kept":6,"cut":false,"hidden":false,"merged":[[6,1,6,5]]}
["がん遺伝子パネル検査実施依頼用テンプレート＜腫瘍情報 ＞"]
[]
["＜原発皮膚癌＞"]
[]
["①BRAF"]
[null,"BRFA（V600）"]

{"sheet":"腫瘍情報（原発肝癌）","index":8,"n_rows":17,"n_cols":1,"rows_kept":17,"cut":false,"hidden":false,"merged":[[11,1,11,5],[17,1,17,5]]}
["がん遺伝子パネル検査実施依頼用テンプレート＜腫瘍情報 ＞"]
[]
["＜原発肝癌＞"]
[]
["①HBsAg"]
[]
[]
["②HBs抗体"]
[]
[]
["③HBV-DNA"]
[]
[]
["④HCV抗体"]
[]
[]
["⑤HCV-RNA"]

{"sheet":"マスタ（さわらないでください）","index":9,"n_rows":34,"n_cols":1,"rows_kept":34,"cut":false,"hidden":false,"merged":[]}
[]
["がん種別"]
["中枢神経系/脳（CNS/Brain)"]
["頭頸部（Head and Neck)"]
["眼(Eye)"]
["肺(Lung)"]
["胸膜(Pleura)"]
["胸腺(Thymus)"]
["甲状腺(Thyroid)"]
["乳(Breast)"]
["食道/胃(Esophagus/Stomach)"]
["十二指腸乳頭部(Ampulla of Vater)"]
["腸(Bowel)"]
["肝(Liver)"]
["胆道(Biliary Tract)"]
["膵(Pancreas)"]
["腎(Kidney)"]
["副腎(Adrenal Gland)"]
["膀胱/尿管(Bladder/Urinary Tract)"]
["前立腺(Prostate)"]
["精巣(Testis)"]
["陰茎(Penis)"]
["子宮(Uterus)"]
["子宮頚部(Cervix)"]
["卵巣/卵管(Ovary/Fallopian Tube)"]
["膣(Vulva/Vagina)"]
["皮膚(Skin)"]
["骨(Bone)"]
["軟部組織(Soft Tissue)"]
["腹膜(Peritoneum)"]
["骨髄系(Myeloid)"]
["リンパ系(Lymphoid)"]
["末梢神経系(Peripheral Nervous System)"]
["その他(Other)"]