Race
PatientRaceCategory
text
Person Completing Form, Last Name
PatientPaymentType
text
PatientEthnicGroupCategory
text
PatientAddressCountryCode
text
PatientAddressCountryName
text
PatientAddressPostalCode
text
Receptor Status
ERLevelTumorStatus
text
PgRStatusType
text
Treatment
BreastNeoplasmNuclearGradeCategory
text
HormoneTherapyPlanAdministrationInd-2
text
Patient Characteristics
PatientHeightMeasurement
double
PatientWeightMeasurement
double
Unnamed4
InformedConsentFormSignedDate
date
PatientContactConsentInd-3
text
PatientPHIConsentIndicator
text
PatientEligibilityIndicator
text
SpecimenNationalSurgicalAdjuvantBreastandBowelProjectCentralLaboratoryIdentifierNumber
text
Determination Of Pre-entry Menopausal Status
BilateralOophorectomyPerformedInd-2
text
MensesEndOccurrenceInd-3
text
HysterectomyAdvancedReproductionAgePerformedInd-2
text
HysterectomyFluorescenceinsituHybridizationPerformedInd-2
text
PatientPostMenopauseIndicator
text
LastMenstrualCycleOnsetDate
date
Footer Module
ResponsiblePersonName
text
FormCompleteDate
date
PatientNationalSurgicalAdjuvantBreastProjectIdentifierNumber
text