Unnamed1
PatientNationalSurgicalAdjuvantBreastProjectIdentifierNumber
text
PatientInitialsName
Section A - Radiation Therapy (rt) -- All Patients
RadiationTherapyAdministeredInd-2
RTBeginDate
date
RTEndDate
RadiationTherapyIncreaseFractionationWholeBreastAdministeredInd-2
RadiationTherapyPriorBoostAdministeredTotalDose
double
RadiationTherapyPriorBoostFractionationAdministeredCount
RadiationTherapyBoostAdministeredind-2
BrachytherapyImplantInd-3
RadiationTherapyBoostAdministeredTotalDose
RTTotalFractionBoostCount
RTInterruptionInd
RTToxicityInterruptionInd-2
NationalSurgicalAdjuvantBreastandBowelProjectTreatmentNotAdministeredReason
Section B Trastuzumab Administration -- Group 2 Patients Only
TrastuzumabAgentFirstDoseAdministeredInd-2
TrastuzumabAgentFirstDoseAdministeredDate
TrastuzumabAgentFirstDoseAdministeredDose
TrastuzumabAgentSecondDoseAdministeredInd-2
TrastuzumabAgentSecondDoseAdministeredDate
TrastuzumabAgentSecondDoseAdministeredDose
TrastuzumabAgentDiscontinueAdministrationReason
TrastuzumabAgentDiscontinueAdministrationSpecify
Adverse Events/side Effects/complications
AdverseEventCommonTerminologyforAdverseEventsVersion4TermName
AdverseEventSeverityGrade
Footer
ResearchCommentsText
ResponsiblePersonName
FormCompleteDate