ID

25796

Description

Breast Cancer DataMart Common Data Elements Surgical Template Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=443F4BFB-7974-666C-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=443F4BFB-7974-666C-E044-0003BA3F9857

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 9/20/17 9/20/17 -
Uploaded on

September 20, 2017

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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Treatment - Breast Cancer DataMart Common Data Elements Surgical Template - 2723098v1.0

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1 forms  
  1. StudyEvent: Breast Cancer DataMart Common Data Elements Surgical Template
    1. No Instruction available.
Pathologic Disease Classification
Description

Pathologic Disease Classification

Alias
UMLS CUI-1
C0006142
UMLS CUI-2
C3889740
UMLS CUI-3
C0683326
Tumor Laterality
Description

PrimaryTumorLateralityType

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C3262
NCI Thesaurus ObjectClass-2
C25251
NCI Thesaurus Property
C25185
UMLS CUI [1,1]
C0925205
UMLS CUI [1,2]
C0006142
Is the tumor inoperable or unresectable
Description

InoperableMalignantNeoplasmPresentInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus Property
C25626
NCI Thesaurus ObjectClass
C9305
NCI Thesaurus ObjectClass-2
C64247
UMLS CUI [1,1]
C0205187
UMLS CUI [1,2]
C0006142
Longest Diameter of Lesion
Description

Longest Diameter of Lesion

Data type

float

Measurement units
  • cm
Alias
NCI Thesaurus ObjectClass
C3824
NCI Thesaurus Property
C25285
NCI Thesaurus Property-2
C25558
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ValueDomain-2
C25285
UMLS CUI [1,1]
C0221198
UMLS CUI [1,2]
C1301886
UMLS CUI [1,3]
C1522425
UMLS CUI [2]
C0006142
cm
Pathology: Assessment Of Lymph Nodes
Description

Pathology: Assessment Of Lymph Nodes

Alias
UMLS CUI-1
C0024204
UMLS CUI-2
C0220825
UMLS CUI-3
C0030664
UMLS CUI-4
C0006142
Did the patient undergo lymph node biopsy prior to preoperative systemic therapy
Description

LymphNodeBiopsyPriorSystemicNeoadjuvantTherapyPerformedInd-2

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C51900
NCI Thesaurus Property
C13310
NCI Thesaurus Property-2
C38000
NCI Thesaurus Property-3
C25629
NCI Thesaurus Property-4
C15665
NCI Thesaurus ValueDomain
C38147
UMLS CUI [1]
C0193842
Date of lymph node biopsy
Description

LymphNodeBiopsyPriorSystemicNeoadjuvantTherapyPerformedDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C51900
NCI Thesaurus Property
C13310
NCI Thesaurus Property-2
C38000
NCI Thesaurus Property-3
C25629
NCI Thesaurus Property-4
C15665
NCI Thesaurus ValueDomain
C25164
UMLS CUI [1,1]
C0193842
UMLS CUI [1,2]
C0011008
Method of Evaluation
Description

Evaluation method

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C16847
UMLS CUI [1,1]
C2911685
UMLS CUI [1,2]
C0193842
Was sentinel node sampling performed
Description

sentinel node sampling

Data type

integer

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus Property
C15189
NCI Thesaurus ObjectClass
C12947
UMLS CUI [1]
C0796693
Sentinel Node Site
Description

BreastMalignantNeoplasmAssociatedSentinelNodeSite (If yes,)

Data type

integer

Alias
NCI Thesaurus ObjectClass
C12971
NCI Thesaurus ObjectClass-2
C9305
NCI Thesaurus Property
C12947
NCI Thesaurus Property-2
C25281
NCI Thesaurus ValueDomain
C13717
UMLS CUI [1,1]
C0796693
UMLS CUI [1,2]
C1515974
Number of Sentinel Nodes Examined
Description

SentinelNodeExaminedCount

Data type

float

Alias
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C12947
UMLS 2011AA ObjectClass
C1522495
Sentinel Node Biopsy Date
Description

SentinelNodeBiopsyDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus Property
C15189
NCI Thesaurus ObjectClass
C12947
UMLS CUI [1,1]
C0796693
UMLS CUI [1,2]
C0011008
Fine Needle Aspiration or Biopsy performed for axillary lymph nodes
Description

AxillaryLymphNodeCoreBiopsyFine-NeedleAspirationEvaluationInd-2

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C12904
NCI Thesaurus Property
C25214
NCI Thesaurus Property-2
C15680
NCI Thesaurus Property-3
C15361
NCI Thesaurus ValueDomain
C38147
UMLS CUI [1]
C0398445
UMLS CUI [2]
C0398434
Number of Lymph Nodes Examined
Description

LymphNodeExaminedCount

Data type

float

Alias
NCI Thesaurus Property
C25500
UMLS 2011AA Property
C0332128
NCI Thesaurus ObjectClass
C12745
UMLS 2011AA ObjectClass
C0024204
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Date of Axillary Dissection
Description

AxillarySurgeryDissectionDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C13351
NCI Thesaurus ObjectClass-2
C15329
NCI Thesaurus Property
C15227
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25367
UMLS CUI [1,1]
C0193867
UMLS CUI [1,2]
C0011008
Is metastatic breast cancer present
Description

BreastCarcinomaMetastasisPresentInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus Property
C25626
NCI Thesaurus Property-2
C19151
NCI Thesaurus ObjectClass
C4872
UMLS CUI [1,1]
C0027627
UMLS CUI [1,2]
C0006142
Surgical Procedures
Description

Surgical Procedures

Alias
UMLS CUI-1
C0543467
UMLS CUI-2
C0006142
Surgery Site
Description

Surgical Procedure Performed Anatomic Site

Data type

integer

Alias
NCI Thesaurus ValueDomain
C13717
NCI Thesaurus Property
C38000
NCI Thesaurus ObjectClass
C15329
UMLS CUI [1,1]
C1515974
UMLS CUI [1,2]
C0543467
Most extensive definitive surgery
Description

BreastPrimarySurgicalProcedurePerformedType

Data type

integer

Alias
NCI Thesaurus ObjectClass
C25251
NCI Thesaurus ObjectClass-2
C12971
NCI Thesaurus ObjectClass-3
C15329
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25284
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0332307
UMLS CUI [2]
C0006142
Date of Most Extensive Primary Surgery
Description

PrimarySurgeryDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C25251
NCI Thesaurus ObjectClass-2
C15329
NCI Thesaurus Property
C25275
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C25367
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0011008
UMLS CUI [2]
C0006142
Did the patient undergo contralateral prophylactic mastectomy
Description

SurgicalProcedureBilateralProphylacticMastectomyPerformedInd-2 (bilateral mastectomy)

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus Property
C38000
NCI Thesaurus ObjectClass
C15329
NCI Thesaurus Property-2
C46072
UMLS CUI [1]
C1705768
Margins
Description

Margins

Alias
UMLS CUI-1
C0229985
UMLS CUI-2
C0006142
Does the tumor involve the surgical margin
Description

Surgical margin involved by tumor

Data type

integer

Alias
NCI Thesaurus ValueDomain
C38148
NCI Thesaurus ObjectClass
C25698
NCI Thesaurus Property
C25547
NCI Thesaurus ObjectClass-2
C41227
UMLS CUI [1]
C0332649
UMLS CUI [2]
C0006142
Margin status, on final definitive surgery
Description

BreastCancerSurgeryMarginStatus

Data type

integer

Alias
NCI Thesaurus ObjectClass
C15329
NCI Thesaurus ObjectClass-2
C4872
NCI Thesaurus Property
C25563
NCI Thesaurus ValueDomain
C25688
UMLS CUI [1,1]
C1269830
UMLS CUI [1,2]
C0543467
UMLS CUI [2]
C0006142
Margin information based on re-excision
Description

SurgicalMarginRe-excisionEvaluationInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus Property
C25214
NCI Thesaurus Property-2
C48600
NCI Thesaurus ObjectClass
C41227
UMLS CUI [1,1]
C1269830
UMLS CUI [1,2]
C0184913
UMLS CUI [2]
C0006142
Breast Reconstruction
Description

Breast Reconstruction

Alias
UMLS CUI-1
C0085076
UMLS CUI-2
C0006142
Did the patient receive breast reconstruction
Description

SurgicalProcedureBreastReconstructionPerformedInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus Property
C38000
NCI Thesaurus ObjectClass
C15329
NCI Thesaurus Property-2
C15354
UMLS CUI [1]
C0085076
Type of breast reconstruction
Description

SurgicalProcedureBreastReconstructionPerformedType

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus Property
C38000
NCI Thesaurus ObjectClass
C15329
NCI Thesaurus Property-2
C15354
UMLS CUI [1,1]
C0085076
UMLS CUI [1,2]
C0332307
Date of breast reconstruction
Description

SurgicalProcedureBreastReconstructionPerformedDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus Property
C38000
NCI Thesaurus ObjectClass
C15329
NCI Thesaurus Property-2
C15354
UMLS CUI [1,1]
C0085076
UMLS CUI [1,2]
C0011008
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1 forms
  1. StudyEvent: Breast Cancer DataMart Common Data Elements Surgical Template
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Pathologic Disease Classification
C0006142 (UMLS CUI-1)
C3889740 (UMLS CUI-2)
C0683326 (UMLS CUI-3)
Item
Tumor Laterality
integer
C25284 (NCI Thesaurus ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C25251 (NCI Thesaurus ObjectClass-2)
C25185 (NCI Thesaurus Property)
C0925205 (UMLS CUI [1,1])
C0006142 (UMLS CUI [1,2])
CL.1
Code List
Tumor Laterality
CL Item
Left (1)
CL Item
Right (2)
Is the tumor inoperable or unresectable
Item
Is the tumor inoperable or unresectable
boolean
C38147 (NCI Thesaurus ValueDomain)
C25626 (NCI Thesaurus Property)
C9305 (NCI Thesaurus ObjectClass)
C64247 (NCI Thesaurus ObjectClass-2)
C0205187 (UMLS CUI [1,1])
C0006142 (UMLS CUI [1,2])
Longest Diameter of Lesion
Item
Longest Diameter of Lesion
float
C3824 (NCI Thesaurus ObjectClass)
C25285 (NCI Thesaurus Property)
C25558 (NCI Thesaurus Property-2)
C25209 (NCI Thesaurus ValueDomain)
C25285 (NCI Thesaurus ValueDomain-2)
C0221198 (UMLS CUI [1,1])
C1301886 (UMLS CUI [1,2])
C1522425 (UMLS CUI [1,3])
C0006142 (UMLS CUI [2])
Item Group
Pathology: Assessment Of Lymph Nodes
C0024204 (UMLS CUI-1)
C0220825 (UMLS CUI-2)
C0030664 (UMLS CUI-3)
C0006142 (UMLS CUI-4)
patient undergo lymph node biopsy prior to preoperative systemic therapy
Item
Did the patient undergo lymph node biopsy prior to preoperative systemic therapy
boolean
C51900 (NCI Thesaurus ObjectClass)
C13310 (NCI Thesaurus Property)
C38000 (NCI Thesaurus Property-2)
C25629 (NCI Thesaurus Property-3)
C15665 (NCI Thesaurus Property-4)
C38147 (NCI Thesaurus ValueDomain)
C0193842 (UMLS CUI [1])
Date of lymph node biopsy
Item
Date of lymph node biopsy
date
C51900 (NCI Thesaurus ObjectClass)
C13310 (NCI Thesaurus Property)
C38000 (NCI Thesaurus Property-2)
C25629 (NCI Thesaurus Property-3)
C15665 (NCI Thesaurus Property-4)
C25164 (NCI Thesaurus ValueDomain)
C0193842 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Method of Evaluation
integer
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C16847 (NCI Thesaurus Property)
C2911685 (UMLS CUI [1,1])
C0193842 (UMLS CUI [1,2])
CL.4
Code List
Method of Evaluation
CL Item
Core Biopsy (1)
CL Item
Excisional Biopsy Or Lumpectomy (2)
CL Item
Excisional Biopsy With Frozen Section (3)
CL Item
Fine Needle Aspiration Biopsy (4)
CL Item
Incisional Biopsy (5)
CL Item
Skin Biopsy (6)
Item
Was sentinel node sampling performed
integer
C38148 (NCI Thesaurus ValueDomain)
C15189 (NCI Thesaurus Property)
C12947 (NCI Thesaurus ObjectClass)
C0796693 (UMLS CUI [1])
CL.5
Code List
Was sentinel node sampling performed
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Sentinel Node Site
integer
C12971 (NCI Thesaurus ObjectClass)
C9305 (NCI Thesaurus ObjectClass-2)
C12947 (NCI Thesaurus Property)
C25281 (NCI Thesaurus Property-2)
C13717 (NCI Thesaurus ValueDomain)
C0796693 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
CL.6
Code List
Sentinel Node Site
CL Item
Axillary (1)
CL Item
Supraclavicular (2)
CL Item
Internal Mammary (3)
CL Item
Unknown (4)
SentinelNodeExaminedCount
Item
Number of Sentinel Nodes Examined
float
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C12947 (NCI Thesaurus ObjectClass)
C1522495 (UMLS 2011AA ObjectClass)
SentinelNodeBiopsyDate
Item
Sentinel Node Biopsy Date
date
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C15189 (NCI Thesaurus Property)
C12947 (NCI Thesaurus ObjectClass)
C0796693 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Fine Needle Aspiration or Biopsy performed for axillary lymph nodes
Item
Fine Needle Aspiration or Biopsy performed for axillary lymph nodes
boolean
C12904 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C15680 (NCI Thesaurus Property-2)
C15361 (NCI Thesaurus Property-3)
C38147 (NCI Thesaurus ValueDomain)
C0398445 (UMLS CUI [1])
C0398434 (UMLS CUI [2])
LymphNodeExaminedCount
Item
Number of Lymph Nodes Examined
float
C25500 (NCI Thesaurus Property)
C0332128 (UMLS 2011AA Property)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
Date of Axillary Dissection
Item
Date of Axillary Dissection
date
C13351 (NCI Thesaurus ObjectClass)
C15329 (NCI Thesaurus ObjectClass-2)
C15227 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C0193867 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Is metastatic breast cancer present
Item
Is metastatic breast cancer present
boolean
C38147 (NCI Thesaurus ValueDomain)
C25626 (NCI Thesaurus Property)
C19151 (NCI Thesaurus Property-2)
C4872 (NCI Thesaurus ObjectClass)
C0027627 (UMLS CUI [1,1])
C0006142 (UMLS CUI [1,2])
Item Group
Surgical Procedures
C0543467 (UMLS CUI-1)
C0006142 (UMLS CUI-2)
Item
Surgery Site
integer
C13717 (NCI Thesaurus ValueDomain)
C38000 (NCI Thesaurus Property)
C15329 (NCI Thesaurus ObjectClass)
C1515974 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
CL.9
Code List
Surgery Site
CL Item
Axilla (1)
CL Item
Breast (2)
CL Item
Internal Mammary Lymph Node (3)
Item
Most extensive definitive surgery
integer
C25251 (NCI Thesaurus ObjectClass)
C12971 (NCI Thesaurus ObjectClass-2)
C15329 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C0543467 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C0006142 (UMLS CUI [2])
CL.10
Code List
Most extensive definitive surgery
CL Item
Mastectomy, Nos (1)
CL Item
Partial Mastectomy, Lumpectomy Or Excisional Biopsy (2)
CL Item
Radical Mastectomy (3)
CL Item
None (4)
Date of Most Extensive Primary Surgery
Item
Date of Most Extensive Primary Surgery
date
C25251 (NCI Thesaurus ObjectClass)
C15329 (NCI Thesaurus ObjectClass-2)
C25275 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C0543467 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0006142 (UMLS CUI [2])
patient undergo contralateral prophylactic mastectomy
Item
Did the patient undergo contralateral prophylactic mastectomy
boolean
C38147 (NCI Thesaurus ValueDomain)
C38000 (NCI Thesaurus Property)
C15329 (NCI Thesaurus ObjectClass)
C46072 (NCI Thesaurus Property-2)
C1705768 (UMLS CUI [1])
Item Group
Margins
C0229985 (UMLS CUI-1)
C0006142 (UMLS CUI-2)
Item
Does the tumor involve the surgical margin
integer
C38148 (NCI Thesaurus ValueDomain)
C25698 (NCI Thesaurus ObjectClass)
C25547 (NCI Thesaurus Property)
C41227 (NCI Thesaurus ObjectClass-2)
C0332649 (UMLS CUI [1])
C0006142 (UMLS CUI [2])
CL.5
Code List
Does the tumor involve the surgical margin
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (3)
Item
Margin status, on final definitive surgery
integer
C15329 (NCI Thesaurus ObjectClass)
C4872 (NCI Thesaurus ObjectClass-2)
C25563 (NCI Thesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
C1269830 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
C0006142 (UMLS CUI [2])
CL.13
Code List
Margin status, on final definitive surgery
CL Item
Close (1)
CL Item
Negative (2)
CL Item
Positive (3)
Margin information based on re-excision
Item
Margin information based on re-excision
boolean
C38147 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus Property)
C48600 (NCI Thesaurus Property-2)
C41227 (NCI Thesaurus ObjectClass)
C1269830 (UMLS CUI [1,1])
C0184913 (UMLS CUI [1,2])
C0006142 (UMLS CUI [2])
Item Group
Breast Reconstruction
C0085076 (UMLS CUI-1)
C0006142 (UMLS CUI-2)
patient receive breast reconstruction
Item
Did the patient receive breast reconstruction
boolean
C38147 (NCI Thesaurus ValueDomain)
C38000 (NCI Thesaurus Property)
C15329 (NCI Thesaurus ObjectClass)
C15354 (NCI Thesaurus Property-2)
C0085076 (UMLS CUI [1])
Item
Type of breast reconstruction
integer
C25284 (NCI Thesaurus ValueDomain)
C38000 (NCI Thesaurus Property)
C15329 (NCI Thesaurus ObjectClass)
C15354 (NCI Thesaurus Property-2)
C0085076 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
CL.16
Code List
Type of breast reconstruction
CL Item
Breast Implant (1)
CL Item
Free Flap (2)
CL Item
Tissue Flap (3)
Date of breast reconstruction
Item
Date of breast reconstruction
date
C25164 (NCI Thesaurus ValueDomain)
C38000 (NCI Thesaurus Property)
C15329 (NCI Thesaurus ObjectClass)
C15354 (NCI Thesaurus Property-2)
C0085076 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
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