Protocol Administration
ProtocolIRBApprovedDate
date
InformedConsentFormSignedDate
date
TreatmentProjectedBeginDate
date
PatientSignedDischargeMedicalRecordDate
date
InstitutionContactPersonName
text
ContactPersonTelephoneNumber
text
ContactPersonFaxNumber
text
Patient Demographics/pre-treatment Characteristics
PatientInitialsName
text
PatientBirthDate
date
PatientPersonSocialSecurityNumber
text
PatientMedicalRecordNumber
text
PatientGenderCategory
text
PatientRaceCategory
text
PatientEthnicGroupCategory
text
Patient Demographics/pre-treatment Characteristics2
PerformanceStatusAssessmentEasternCooperativeOncologyGroupScale
text
PatientHeightMeasurement
double
PatientWeightMeasurement
double
PatientBodySurfaceAreaMeasurement
double
PatientPaymentType
text
DiseaseDescriptionText
text
BreastTumorStageGroupingStage
text
DiseasesandDisordersPathologyDescriptionText
text
PatientAddressPostalCode
text
PatientAddressCountryName
text
Certification Of Eligibility And Protocol Design
PatientEligibilityIndicator
text
Protocol Design
ClinicalStudyProtocolStratificationFactorsType
text
ProtocolTreatmentArmAssignmentType
text
Initial Patient Consent For Specimen Use
SpecimenResearchConsentRelatedInd-3
text
SpecimenRelatedGeneticResearchConsentInd-2
text
PersonSpecimenMalignantNeoplasmResearchConsentInd-2
text
PatientOtherDiseaseorDisorderClinicalStudyConsentInd-2
text
PatientContactConsentInd-3
text
Tissue Procurement Kit
SpecimenSubmissionContactPersonIdentifierName
text
SpecimenSubmissionInstitutionName
text
SpecimenSubmissionInstitutionAddressText
text
SpecimenSubmissionContactPersonTelephoneNumber
text
SpecimenSubmissionContactPersonFaxNumber
text
SpecimenSubmissionContactPersonE-mailAddressText
text
Registration Information
PatientRegistrationDate
date
PatientCALGBIdentifierNumber
text
PatientParticipatingIdentifierNumber
text
RegisteringPersonIdentifierSignatureName
text