Instructions: All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section.

Disease Description
Description

Disease Description

Alias
UMLS CUI-1
C3259023
Date of Initial Diagnosis of Primary Tumor
Description

First Positive Biopsy Date

Data type

date

Alias
UMLS CUI [1]
C4296634
Stage
Description

Breast Tumor Stage

Data type

text

Alias
NCI Thesaurus ObjectClass
C3262
NCI Thesaurus ObjectClass-2
C12971
NCI Thesaurus ValueDomain
C16899
NCI Thesaurus Property
C38027
UMLS CUI [1,1]
C1300072
UMLS CUI [1,2]
C0678222
Date of last menses (Please fill in the following values if the Patient has not had regular menses within the past 6 weeks)
Description

last menstrual period

Data type

date

Alias
UMLS CUI [1]
C0425932
Laboratory Tests
Description

Laboratory Tests

Alias
UMLS CUI-1
C0022885
FSH level
Description

FSH value

Data type

float

Measurement units
  • IU/L
Alias
UMLS CUI [1]
C0202022
IU/L
Laboratory lower limit for post menopausal FSH
Description

FSH LLN

Data type

float

Measurement units
  • IU/L
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C2286
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain-2
C25555
UMLS CUI [1,1]
C0202022
UMLS CUI [1,2]
C1518030
IU/L
Estradiol level
Description

Estradiol

Data type

float

Measurement units
  • pg/mL
Alias
UMLS CUI [1]
C0014912
pg/mL
Laboratory upper limit for post menopausal estradiol
Description

Estradiol ULN

Data type

float

Measurement units
  • pg/mL
Alias
UMLS CUI [1,1]
C0014912
UMLS CUI [1,2]
C1519815
pg/mL
Planned Chemotherapy regimen (select one)
Description

Chemotherapy Type

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C25320
NCI Thesaurus ObjectClass-2
C15632
NCI Thesaurus Property
C25382
UMLS CUI [1,1]
C0392920
UMLS CUI [1,2]
C1301732
Other anthracycline-based regimen, specify chemotherapy agents and duration
Description

Other anthracycline-based regimen, specify

Data type

text

Alias
UMLS CUI [1,1]
C0282564
UMLS CUI [1,2]
C0205394
CCRR Module For Southwest Oncology Group Prestudy (s0230)
Description

CCRR Module For Southwest Oncology Group Prestudy (s0230)

Alias
UMLS CUI-1
C1320722
SWOG Patient ID
Description

SWOG Patient ID (L, F, M)

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25699
UMLS CUI [1,1]
C2348585
UMLS CUI [1,2]
C1519429
Insitution/Affiliate
Description

Institution Name

Data type

text

Alias
NCI Thesaurus ObjectClass
C25454
NCI Thesaurus ObjectClass-2
C21541
NCI Thesaurus Property
C25364
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ValueDomain-2
C21541
UMLS CUI [1]
C1301943
Physician
Description

Registered Investigator Name

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus Property
C25364
NCI Thesaurus ObjectClass
C17089
NCI Thesaurus ObjectClass-2
C25644
UMLS CUI [1]
C2826892
Group Name
Description

Participating Group Name

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ObjectClass
C25608
NCI Thesaurus ObjectClass-2
C17005
NCI Thesaurus Property
C25364
UMLS CUI [1]
C2347449
Study No.
Description

Protocol ID

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C25320
NCI Thesaurus Property
C25608
NCI Thesaurus Property-2
C25364
UMLS CUI [1]
C2826693
Patient ID
Description

Patient Identifier Number

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25608
NCI Thesaurus Property-2
C25364
UMLS CUI [1]
C2348585
Height
Description

Patient Height

Data type

float

Measurement units
  • cm
Alias
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25347
UMLS CUI [1]
C0489786
cm
Performance Status
Description

Performance Status

Data type

integer

Alias
UMLS CUI [1]
C1520224

Similar models

Instructions: All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section.

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Disease Description
C3259023 (UMLS CUI-1)
First Positive Biopsy Date
Item
Date of Initial Diagnosis of Primary Tumor
date
C4296634 (UMLS CUI [1])
Item
Stage
text
C3262 (NCI Thesaurus ObjectClass)
C12971 (NCI Thesaurus ObjectClass-2)
C16899 (NCI Thesaurus ValueDomain)
C38027 (NCI Thesaurus Property)
C1300072 (UMLS CUI [1,1])
C0678222 (UMLS CUI [1,2])
Code List
Stage
CL Item
T1*, N0, M0 (I)
CL Item
Ii, According To Current AJCC Guidelines (II)
CL Item
T0, N2, M0 Or T1*, N2, M0 Or T2, N2, M0 Or T3, N1, M0 Or T3, N2, M0 (IIIA)
last menstrual period
Item
Date of last menses (Please fill in the following values if the Patient has not had regular menses within the past 6 weeks)
date
C0425932 (UMLS CUI [1])
Item Group
Laboratory Tests
C0022885 (UMLS CUI-1)
FSH value
Item
FSH level
float
C0202022 (UMLS CUI [1])
FSH LLN
Item
Laboratory lower limit for post menopausal FSH
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C2286 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C0202022 (UMLS CUI [1,1])
C1518030 (UMLS CUI [1,2])
Estradiol
Item
Estradiol level
float
C0014912 (UMLS CUI [1])
Estradiol ULN
Item
Laboratory upper limit for post menopausal estradiol
float
C0014912 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
Item
Planned Chemotherapy regimen (select one)
integer
C25284 (NCI Thesaurus ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C15632 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C0392920 (UMLS CUI [1,1])
C1301732 (UMLS CUI [1,2])
Code List
Planned Chemotherapy regimen (select one)
CL Item
AC (1)
CL Item
CAF (2)
CL Item
TAC (3)
CL Item
CEF (4)
CL Item
AC followed by a Taxane (5)
Other anthracycline-based regimen, specify
Item
Other anthracycline-based regimen, specify chemotherapy agents and duration
text
C0282564 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
CCRR Module For Southwest Oncology Group Prestudy (s0230)
C1320722 (UMLS CUI-1)
Southwest Oncology Group Identifier Number
Item
SWOG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI [1,1])
C1519429 (UMLS CUI [1,2])
Institution Name
Item
Insitution/Affiliate
text
C25454 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
C1301943 (UMLS CUI [1])
Registered Investigator Name
Item
Physician
text
C25191 (NCI Thesaurus ValueDomain)
C25364 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C25644 (NCI Thesaurus ObjectClass-2)
C2826892 (UMLS CUI [1])
Participating Group Name
Item
Group Name
text
C25191 (NCI Thesaurus ValueDomain)
C25608 (NCI Thesaurus ObjectClass)
C17005 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C2347449 (UMLS CUI [1])
Protocol ID
Item
Study No.
text
C25337 (NCI Thesaurus ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C2826693 (UMLS CUI [1])
Patient Identifier Number
Item
Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI [1])
Patient Height
Item
Height
float
C25209 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS CUI [1])
Item
Performance Status
integer
C1520224 (UMLS CUI [1])
Code List
Performance Status
CL Item
0 (0)
C0919414 (NCI Metathesaurus)
CL Item
1 (1)
CL Item
2 (2)
C66833 (NCI Thesaurus)
C0205448 (UMLS 2011AA)
CL Item
3 (3)
CL Item
4 (4)