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43509

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RTOG-1005 I1: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer - Initial Evaluation Form NCT01349322 Higher-Dose Radiation Therapy or Standard Radiation Therapy in Treating Patients With Early-Stage Breast Cancer That Was Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9C06B696-F1B0-F7B4-E040-BB89AD434CCB

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9C06B696-F1B0-F7B4-E040-BB89AD434CCB

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Versions (4)
  1. 12/18/14 12/18/14 - Martin Dugas
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/21/15 6/21/15 -
  4. 9/20/21 9/20/21 -
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September 20, 2021

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Creative Commons BY-NC 3.0 Legacy
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    RTOG-1005 I1: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer - Initial Evaluation Form NCT01349322

    English

    INSTRUCTIONS: All questions must be answered per code table and/or instructions. Record dates as mm-dd-yyyy unless otherwise specified

    1 forms  
    1. StudyEvent: RTOG-1005 I1: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer - Initial Evaluation Form
      1. INSTRUCTIONS: All questions must be answered per code table and/or instructions. Record dates as mm-dd-yyyy unless otherwise specified
    RTOG clinical trial administrative data
    Description

    RTOG clinical trial administrative data

    RTOG Study No.
    Description

    Protocol ID RTOG

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1514695
    NCI Thesaurus Property
    C19778
    NCI Thesaurus Property-2
    C25364
    Case #
    Description

    RadiationTherapyOncologyGroupPatientCaseIdentifierNumber

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ObjectClass-2
    C19778
    UMLS 2011AA ObjectClass-2
    C1514695
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus Property-2
    C49152
    UMLS 2011AA Property-2
    C1706256
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    Institution Name
    Description

    Institution Name

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass
    C21541
    NCI Thesaurus ValueDomain-2
    C21541
    NCI Thesaurus Property
    C25364
    Institution No.
    Description

    Institution Number

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass
    C21541
    UMLS CUI-2
    C0805701
    NCI Thesaurus Property
    C25364
    Patient Initials
    Description

    Patient Initials

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    RTOG Patient ID
    Description

    Trial subject ID RTOG

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C1514695
    NCI Thesaurus Property
    C19778
    NCI Thesaurus Property-2
    C25364
    Amended Data
    Description

    Data amended

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus Property
    C25416
    Patient status
    Description

    Patient status

    Patient Age
    Description

    PatientAgeValue

    Data type

    float

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25150
    UMLS 2011AA Property
    C0001779
    Performance Status (Zubrod)
    Description

    ZubrodPerformanceStatusScore

    Data type

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C20641
    UMLS 2011AA ObjectClass
    C1518965
    NCI Thesaurus ValueDomain
    C25338
    UMLS 2011AA ValueDomain
    C0449820
    Date
    Description

    Assessment Date

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C2985720
    NCI Thesaurus ObjectClass
    C25367
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus Property
    C38000
    Tumor Involvement
    Description

    Tumor Involvement

    pStage 0 breast cancer with nuclear grade 3 DCIS and patient age < 50 years
    Description

    Stage0BreastCancerAssessmentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C3641
    UMLS 2011AA ObjectClass
    C0154084
    ypStage 0, I, II breast cancer resected by lumpectomy after neoadjuvant systemic therapy
    Description

    Stage0StageIStageIIBreastNeoplasmAssessmentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C27966
    UMLS 2011AA ObjectClass
    C0441766
    NCI Thesaurus ObjectClass-2
    C28054
    UMLS 2011AA ObjectClass-2
    C0441767
    NCI Thesaurus ObjectClass-3
    C28051
    UMLS 2011AA ObjectClass-3
    C0441763
    NCI Thesaurus ObjectClass-4
    C2910
    UMLS 2011AA ObjectClass-4
    C0042875
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    pStage I, II breast cancer AND at leat one of the following
    Description

    StageIStageIIBreastNeoplasmAssessmentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C27966
    UMLS 2011AA ObjectClass
    C0441766
    NCI Thesaurus ObjectClass-2
    C28054
    UMLS 2011AA ObjectClass-2
    C0441767
    NCI Thesaurus ObjectClass-3
    C2910
    UMLS 2011AA ObjectClass-3
    C0042875
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Pstage I, Ii Breast Cancer And At Leaet One Of The Following (see Below And Code All)
    Description

    Pstage I, Ii Breast Cancer And At Leaet One Of The Following (see Below And Code All)

    Age < 50 years
    Description

    PatientEligibilityDeterminationAgeInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25150
    UMLS 2011AA Property
    C0001779
    NCI Thesaurus Property-2
    C25171
    UMLS 2011AA Property-2
    C0013893
    Positive axillary nodes
    Description

    AxillaryLymphNodeInvolvedInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus Property
    C25547
    NCI Thesaurus ObjectClass-2
    C13351
    UMLS 2011AA ObjectClass-2
    C0004454
    Lymphovascular space invasion
    Description

    TumorLymphovascularInvasionInd

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus Property
    C20625
    UMLS 2011AA Property
    C1269955
    NCI Thesaurus Property-2
    C25561
    UMLS 2011AA Property-2
    C1518090
    More than 2 close resection margins (> 0 mm to <= 2 mm)
    Description

    NearBreastSurgicalMarginPresentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12971
    UMLS 2011AA ObjectClass
    C0006141
    NCI Thesaurus ObjectClass-2
    C41227
    UMLS 2011AA ObjectClass-2
    C0229985
    NCI Thesaurus ObjectClass-3
    C48927
    UMLS 2011AA ObjectClass-3
    C1706276
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    1 Close resection margin and extensive in-situ component (EIC)
    Description

    NearBreastSurgicalMarginExtensiveInSituPresentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12971
    UMLS 2011AA ObjectClass
    C0006141
    NCI Thesaurus ObjectClass-2
    C41227
    UMLS 2011AA ObjectClass-2
    C0229985
    NCI Thesaurus ObjectClass-3
    C48927
    UMLS 2011AA ObjectClass-3
    C1706276
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus Property-2
    C47863
    UMLS 2011AA Property-2
    C0205231
    NCI Thesaurus Property-3
    C14160
    UMLS 2011AA Property-3
    C0444498
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Focally positive resection margins
    Description

    BreastFocalPositiveSurgicalMarginPresentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12971
    UMLS 2011AA ObjectClass
    C0006141
    NCI Thesaurus ObjectClass-2
    C28224
    UMLS 2011AA ObjectClass-2
    C0205234
    NCI Thesaurus ObjectClass-3
    C48620
    UMLS 2011AA ObjectClass-3
    C1709603
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Non-hormone sensitive breast cancer (ER and PR-NEGATIVE)
    Description

    BreastMalignantNeoplasmNoHormoneSensitivityInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12971
    UMLS 2011AA ObjectClass
    C0006141
    NCI Thesaurus ObjectClass-2
    C9305
    UMLS 2011AA ObjectClass-2
    C0006826
    NCI Thesaurus Property
    C49487
    UMLS 2011AA Property
    C1298908
    NCI Thesaurus Property-2
    C25201
    UMLS 2011AA Property-2
    C1522640
    NCI Thesaurus Property-3
    C2315
    UMLS 2011AA Property-3
    C0019932
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Grade III histology
    Description

    BreastMalignantNeoplasmGrade3HistologyInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12971
    UMLS 2011AA ObjectClass
    C0006141
    NCI Thesaurus ObjectClass-2
    C9305
    UMLS 2011AA ObjectClass-2
    C0006826
    NCI Thesaurus Property
    C16681
    UMLS 2011AA Property
    C0019638
    NCI Thesaurus Property-2
    C28079
    UMLS 2011AA Property-2
    C0450094
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Oncotype recurrence score > 25
    Description

    BreastMalignantNeoplasmOncotypeDXBreastCancerAssayScoreInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12971
    UMLS 2011AA ObjectClass
    C0006141
    NCI Thesaurus ObjectClass-2
    C9305
    UMLS 2011AA ObjectClass-2
    C0006826
    NCI Thesaurus Property
    C52159
    UMLS 2011AA Property
    C1709318
    NCI Thesaurus Property-2
    C25338
    UMLS 2011AA Property-2
    C0449820
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Tumor Information
    Description

    Tumor Information

    Date lumpectomy performed
    Description

    LumpectomyPerformedDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C15755
    UMLS 2011AA ObjectClass
    C0024885
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    Date of Most Recent Surgery (excluding diagnostic lumpectomy reported above)
    Description

    RecentSurgeryDate

    Data type

    date

    Alias
    NCI Thesaurus ObjectClass
    C15329
    UMLS 2011AA ObjectClass
    C0543467
    NCI Thesaurus ObjectClass-2
    C25280
    UMLS 2011AA ObjectClass-2
    C0332185
    NCI Thesaurus Property
    C25275
    UMLS 2011AA Property
    C2745955
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    Date of last dose of chemotherapy
    Description

    ChemotherapyLastAdministeredDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus Property
    C25551
    UMLS 2011AA Property
    C1517741
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    Histologic Grade
    Description

    BreastTumorHistologicGrade

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C12971
    UMLS 2011AA ObjectClass-2
    C0006141
    NCI Thesaurus Property
    C25526
    UMLS 2011AA Property
    C0205462
    NCI Thesaurus Property-2
    C25365
    UMLS 2011AA Property-2
    C0678257
    NCI Thesaurus ValueDomain
    C25526
    UMLS 2011AA ValueDomain
    C0205462
    NCI Thesaurus ValueDomain-2
    C18000
    UMLS 2011AA ValueDomain-2
    C0919553
    Is gross disease unifocal or multifocal?
    Description

    GrossDiseaseFociStatus

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass-2
    C43566
    UMLS 2011AA ObjectClass-2
    C0439806
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus Property
    C25511
    UMLS 2011AA Property
    C0205234
    If multifocal, is the cancer resectable through a single lumpectomy incision with negative margins
    Description

    LumpectomySurgicalMarginNoMicroscopicInvolvementInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C15755
    UMLS 2011AA ObjectClass
    C0024885
    NCI Thesaurus ObjectClass-2
    C41227
    UMLS 2011AA ObjectClass-2
    C0229985
    NCI Thesaurus Property
    C25252
    UMLS 2011AA Property
    C0205288
    NCI Thesaurus Property-2
    C25548
    UMLS 2011AA Property-2
    C1314939
    NCI Metathesaurus Property
    C0028423
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Which breast was diagnosed with breast cancer
    Description

    BreastSurgicalPathologySpecimenLateralityNCIConceptCode

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C12971
    UMLS 2011AA ObjectClass
    C0006141
    NCI Thesaurus ObjectClass-2
    C19157
    UMLS 2011AA ObjectClass-2
    C0370003
    NCI Thesaurus ObjectClass-3
    C16958
    UMLS 2011AA ObjectClass-3
    C0030669
    NCI Thesaurus Property
    C25185
    UMLS 2011AA Property
    C0332304
    NCI Thesaurus ValueDomain
    C43516
    UMLS 2011AA ValueDomain
    C1705251
    Receptor Status, ER
    Description

    ERLevelTumorStatus

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C3262
    UMLS 2011AA ValueDomain
    C0027651
    NCI Thesaurus ObjectClass
    C17069
    UMLS 2011AA ObjectClass
    C0034804
    NCI Thesaurus ValueDomain-2
    C25688
    UMLS 2011AA ValueDomain-2
    C0449438
    NCI Thesaurus Property
    C25554
    UMLS 2011AA Property
    C0441889
    Receptor Status, PgR
    Description

    PgRStatusType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C17075
    UMLS 2011AA ObjectClass
    C0034833
    NCI Metathesaurus Property
    C0678257
    Pathologic Primary Tumor Size (cm)
    Description

    PathologicTumorPrimarySizeMeasurement

    Data type

    float

    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C25610
    UMLS 2011AA ObjectClass-2
    C1521733
    NCI Thesaurus Property
    C25251
    UMLS 2011AA Property
    C0205225
    NCI Thesaurus Property-2
    C25681
    UMLS 2011AA Property-2
    C0456389
    NCI Thesaurus ValueDomain
    C25209
    UMLS 2011AA ValueDomain
    C0242485
    Margin Status
    Description

    BreastCancerSurgeryMarginStatus

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C15329
    UMLS 2011AA ObjectClass
    C0543467
    NCI Thesaurus ObjectClass-2
    C4872
    UMLS 2011AA ObjectClass-2
    C0678222
    NCI Thesaurus Property
    C25563
    UMLS 2011AA Property
    C0205284
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    Is there clear delineation on CT scan of the extent of the target lumpectomy cavity for boost
    Description

    BoostRadiationTherapyLumpectomyExtentTargetInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C15313
    UMLS 2011AA ObjectClass
    C1522449
    NCI Thesaurus ObjectClass-2
    C25438
    UMLS 2011AA ObjectClass-2
    C1511253
    NCI Thesaurus Property
    C15755
    UMLS 2011AA Property
    C0024885
    NCI Thesaurus Property-2
    C25702
    UMLS 2011AA Property-2
    C1521840
    NCI Thesaurus Property-3
    C25332
    UMLS 2011AA Property-3
    C0439792
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Is the patient receiving anti endocrine therapy at the time of the study entry
    Description

    AdjuvantHormonalTherapyAdministeredInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C15445
    UMLS 2011AA ObjectClass
    C0279025
    NCI Thesaurus ObjectClass-2
    C2140
    UMLS 2011AA ObjectClass-2
    C0001552
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Type of anti endocrine therapy (If yes,)
    Description

    HormoneTherapyAdministeredType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C15445
    UMLS 2011AA ObjectClass
    C0279025
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Other, specify
    Description

    HormoneTherapyAdministeredSpecify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C15445
    UMLS 2011AA ObjectClass
    C0279025
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Start date
    Description

    AntiestrogenTherapyAdministeredDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    NCI Thesaurus ObjectClass
    C15757
    UMLS 2011AA ObjectClass
    C0854638
    Study Cancer
    Description

    Study Cancer

    Axillary Staging Method
    Description

    AxillaryLymphNodeStageMethodType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C16847
    UMLS 2011AA Property
    C0449851
    NCI Thesaurus ObjectClass
    C12904
    UMLS 2011AA ObjectClass
    C0729594
    NCI Thesaurus ObjectClass-2
    C16899
    UMLS 2011AA ObjectClass-2
    C1300072
    Microscopic sentinel node positive (pN1mic)
    Description

    LymphNodeMicroscopicInvolvedInd-3

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C25252
    UMLS 2011AA Property
    C0205288
    NCI Thesaurus ObjectClass
    C12745
    UMLS 2011AA ObjectClass
    C0024204
    NCI Thesaurus Property-2
    C25547
    One or two sentinel nodes positive (pN1) without extracapsular extension AND pT1 or pT2 AND no lymphovascular invasion AND at least one additional negative SNP
    Description

    SentinelLymphNodeOneInvolvedInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25547
    NCI Thesaurus ObjectClass
    C12947
    UMLS 2011AA ObjectClass
    C1522495
    NCI Thesaurus Property-2
    C66832
    UMLS 2011AA Property
    C0205447
    > 2 positive SN
    Description

    SentinelLymphNodeTwoGreaterInvolvedInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12947
    UMLS 2011AA ObjectClass
    C1522495
    NCI Thesaurus Property
    C66833
    UMLS 2011AA Property
    C0205448
    NCI Thesaurus Property-2
    C25547
    NCI Thesaurus Property-3
    C61421
    UMLS 2011AA Property-2
    C1704243
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Solitary SN that is positive without other sentinel nodes dissected
    Description

    SentinelLymphNodeOneNoOtherBiopsyInvolvedInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12947
    UMLS 2011AA ObjectClass
    C1522495
    NCI Thesaurus Property
    C17649
    UMLS 2011AA Property
    C0205394
    NCI Thesaurus Property-2
    C49487
    UMLS 2011AA Property-2
    C1298908
    NCI Thesaurus Property-3
    C15189
    UMLS 2011AA Property-3
    C0005558
    NCI Thesaurus Property-4
    C25547
    NCI Thesaurus Property-5
    C66832
    UMLS 2011AA Property-4
    C0205447
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Clinically (by either imaging or examination) T3 disease
    Description

    SentinelLymphNodeT3StageFindingInvolvedInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25547
    NCI Thesaurus ObjectClass
    C12947
    UMLS 2011AA ObjectClass
    C1522495
    NCI Thesaurus Property-2
    C48728
    UMLS 2011AA Property
    C0475374
    The presence of one or more positive SNs with extracapsular extension, clinically node positive disease, or LVI in the primary tumor
    Description

    SentinelLymphNodeExtracapsularInvolvedInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25547
    NCI Thesaurus ObjectClass
    C12947
    UMLS 2011AA ObjectClass
    C1522495
    NCI Thesaurus Property-2
    C25502
    UMLS 2011AA Property
    C1517049
    Baseline Lab Values (hematologic)
    Description

    Baseline Lab Values (hematologic)

    ANC (mm^3)
    Description

    Neutrophil count

    Data type

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0200633
    NCI Thesaurus Property
    C12533
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ValueDomain
    C25304
    NCI Thesaurus ValueDomain-2
    C25712
    Date (MM DD YYYY)
    Description

    Neutrophils date

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C0200633
    NCI Thesaurus Property
    C12533
    UMLS CUI-2
    C0011008
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ObjectClass
    C25294
    Platelet count (mm^3)
    Description

    Platelets

    Data type

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0005821
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C12520
    NCI Thesaurus ValueDomain
    C38046
    NCI Thesaurus ValueDomain-2
    C25712
    Date (MM DD YYYY)
    Description

    Platelets date

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C0005821
    NCI Thesaurus Property
    C20200
    UMLS CUI-2
    C0011008
    NCI Thesaurus Property-2
    C12520
    NCI Thesaurus ObjectClass
    C25294
    Hemoglobin (g/dL)
    Description

    Hemoglobin

    Data type

    float

    Measurement units
    • g/dL
    Alias
    NCI Thesaurus Property
    C16676
    UMLS CUI-1
    C0019046
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus ValueDomain
    C25712
    g/dL
    Date (MM DD YYYY)
    Description

    Hemoglobin Date

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C0019046
    NCI Thesaurus Property
    C16676
    UMLS CUI-2
    C0011008
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ObjectClass
    C25294
    Diagnosis Work-up
    Description

    Diagnosis Work-up

    History and Physical
    Description

    PersonalMedicalHistoryPhysicalExaminationPerformedInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus ObjectClass-2
    C18772
    UMLS 2011AA ObjectClass-2
    C0262926
    Bilateral mammogram
    Description

    BilateralMammogramPerformedInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C20178
    UMLS 2011AA ObjectClass
    C0024671
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    CT scan
    Description

    ComputedTomographyIpsilateralBreastEvaluationInd-3

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C17204
    UMLS 2011AA ObjectClass
    C0040405
    NCI Thesaurus Property
    C25214
    UMLS 2011AA Property
    C0220825
    NCI Thesaurus Property-2
    C12971
    UMLS 2011AA Property-2
    C0006141
    NCI Thesaurus Property-3
    C25308
    UMLS 2011AA Property-3
    C0441989
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Chest X-Ray
    Description

    ChestX-rayAssessmentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ObjectClass
    C25389
    UMLS 2011AA ObjectClass
    C0817096
    NCI Thesaurus ObjectClass-2
    C17261
    Chest CT scan
    Description

    ChestComputedTomographyPerformedInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C17204
    UMLS 2011AA ObjectClass
    C0040405
    NCI Thesaurus ObjectClass-2
    C25389
    UMLS 2011AA ObjectClass-2
    C0817096
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    Bone scan
    Description

    BoneScanMedicalImagingAssessmentInd-3

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C17646
    UMLS 2011AA ObjectClass
    C0203668
    NCI Thesaurus ObjectClass-2
    C16831
    Abdomen/Pelvis CT Scan
    Description

    PelvisAbdominalComputedTomographyEvaluationInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C17204
    UMLS 2011AA ObjectClass
    C0040405
    NCI Thesaurus ObjectClass-2
    C12767
    UMLS 2011AA ObjectClass-2
    C0030797
    NCI Thesaurus ObjectClass-3
    C25342
    UMLS 2011AA ObjectClass-3
    C0000726
    NCI Thesaurus Property
    C25214
    UMLS 2011AA Property
    C0220825
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Chest/Abdomen/Pelvis CT Scan or PET/CT
    Description

    ChestPelvisAbdominalComputedTomographyEvaluationInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C17204
    UMLS 2011AA ObjectClass
    C0040405
    NCI Thesaurus ObjectClass-2
    C25389
    UMLS 2011AA ObjectClass-2
    C0817096
    NCI Thesaurus ObjectClass-3
    C12767
    UMLS 2011AA ObjectClass-3
    C0030797
    NCI Thesaurus ObjectClass-4
    C25342
    UMLS 2011AA ObjectClass-4
    C0000726
    NCI Thesaurus Property
    C25214
    UMLS 2011AA Property
    C0220825
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Patient Weight (kg)
    Description

    Patient Weight

    Data type

    float

    Measurement units
    • Kg
    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS CUI-1
    C0005910
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25208
    Kg
    Patient Height (cm)
    Description

    Patient Height

    Data type

    float

    Measurement units
    • cm
    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS CUI-1
    C0489786
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25347
    cm
    Examination Date (MM DD YYYY)
    Description

    ExaminationDate

    Data type

    date

    Alias
    NCI Thesaurus Property
    C25164
    UMLS 2011AA Property
    C0011008
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Metathesaurus ObjectClass
    C0031809
    Severe Active Comorbidity
    Description

    Severe Active Comorbidity

    AJCC pathologic T4, N2 or N3, or M1 breast cancer
    Description

    PatientTNMStagingSystemEligibilityDeterminationInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25171
    UMLS 2011AA Property
    C0013893
    NCI Thesaurus Property-2
    C25384
    UMLS 2011AA Property-2
    C1515169
    Does treatment plan include regional node irradiation
    Description

    RegionalLymphNodeRadiationTherapyAdministeredInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C15313
    UMLS 2011AA ObjectClass
    C1522449
    NCI Thesaurus ObjectClass-2
    C12745
    UMLS 2011AA ObjectClass-2
    C0024204
    NCI Thesaurus ObjectClass-3
    C25643
    UMLS 2011AA ObjectClass-3
    C0205147
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Invasive breast cancer and low risk for 5-year in breast recurrence after lumpectomy with negative margins
    Description

    InvasiveBreastMalignantNeoplasmLowRiskRecurrentDiseaseInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12971
    UMLS 2011AA ObjectClass
    C0006141
    NCI Thesaurus ObjectClass-2
    C9305
    UMLS 2011AA ObjectClass-2
    C0006826
    NCI Thesaurus ObjectClass-3
    C14159
    UMLS 2011AA ObjectClass-3
    C0205281
    NCI Thesaurus Property
    C38155
    UMLS 2011AA Property
    C0277556
    NCI Thesaurus Property-2
    C54722
    UMLS 2011AA Property-2
    C0205251
    NCI Thesaurus Property-3
    C17102
    UMLS 2011AA Property-3
    C0035647
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Is there a plan to administer concurrent chemotherapy for the current breast cancer
    Description

    CancerTreatmentConcurrentAdministeredInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25456
    UMLS 2011AA Property
    C0205420
    NCI Thesaurus ObjectClass
    C16212
    UMLS 2011AA ObjectClass
    C0920425
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    History of Prior Malignancy (invasive)
    Description

    PriorCancerDiagnosisInd-3

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    Date eradicated (If yes MM DD YYYY)
    Description

    CancerAblationDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C9305
    UMLS 2011AA ObjectClass
    C0006826
    NCI Thesaurus Property
    C20985
    UMLS 2011AA Property
    C0547070
    Prior radiotherapy to the breast or prior radiation to the region of the ipsilateral breast that would result in overlap of radiation therapy fields
    Description

    RadiationTherapyPriorMalignantNeoplasmAdministeredInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C15313
    UMLS 2011AA ObjectClass
    C1522449
    NCI Thesaurus Property
    C9305
    UMLS 2011AA Property
    C0006826
    NCI Thesaurus Property-2
    C25629
    UMLS 2011AA Property-2
    C0332152
    NCI Thesaurus Property-3
    C25382
    UMLS 2011AA Property-3
    C1521801
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Prior invasive or in-situ carcinoma of the breast
    Description

    PatientInvasiveBreastCarcinomaPersonalMedicalHistoryInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C9245
    UMLS 2011AA Property
    C0853879
    NCI Thesaurus Property-2
    C18772
    UMLS 2011AA Property-2
    C0262926
    Are there two or more breast cancers not resectable through a single lumpectomy incision
    Description

    BreastMalignantNeoplasmGreaterThanOneLumpectomyInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12971
    UMLS 2011AA ObjectClass
    C0006141
    NCI Thesaurus ObjectClass-2
    C9305
    UMLS 2011AA ObjectClass-2
    C0006826
    NCI Thesaurus Property
    C15755
    UMLS 2011AA Property
    C0024885
    NCI Thesaurus Property-2
    C61584
    UMLS 2011AA Property-2
    C0439093
    NCI Thesaurus Property-3
    C66832
    UMLS 2011AA Property-3
    C0205447
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    DCIS and age >= 50 years
    Description

    DuctalBreastCarcinomaInSituGreaterThanInteger::50YearAgePresentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C2924
    UMLS 2011AA ObjectClass
    C0007124
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus Property-2
    C45255
    UMLS 2011AA Property-2
    C1708523
    NCI Thesaurus Property-3
    C61584
    UMLS 2011AA Property-3
    C0439093
    NCI Thesaurus Property-4
    C29848
    UMLS 2011AA Property-4
    C0439234
    NCI Thesaurus Property-5
    C25150
    UMLS 2011AA Property-5
    C0001779
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    DCIS and age < 50 years and grade 1 or 2
    Description

    DuctalBreastCarcinomaInSituPresentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ObjectClass
    C2924
    UMLS 2011AA ObjectClass
    C0007124
    Suspicious unresected microcalcifications, densities, or palpable abnormalities (in the ipsilateral or contralateral breast)
    Description

    AbnormalBreastPresentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ObjectClass
    C25401
    UMLS 2011AA ObjectClass
    C0205161
    NCI Thesaurus ObjectClass-2
    C12971
    UMLS 2011AA ObjectClass-2
    C0006141
    Were they biopsied and found to be benign (If yes, )
    Description

    AbnormalBreastBenignFindingInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25401
    UMLS 2011AA ObjectClass
    C0205161
    NCI Thesaurus ObjectClass-2
    C12971
    UMLS 2011AA ObjectClass-2
    C0006141
    NCI Thesaurus Property
    C14172
    UMLS 2011AA Property
    C0205183
    NCI Thesaurus Property-2
    C3367
    UMLS 2011AA Property-2
    C0037088
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Non-epithelial breast malignancies
    Description

    BreastMalignantNeoplasmSarcomaLymphomaPresentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C12971
    UMLS 2011AA ObjectClass
    C0006141
    NCI Thesaurus ObjectClass-2
    C9305
    UMLS 2011AA ObjectClass-2
    C0006826
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus Property-2
    C9118
    UMLS 2011AA Property-2
    C1261473
    NCI Thesaurus Property-3
    C3208
    UMLS 2011AA Property-3
    C0024299
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Does the patient have paget's disease of the nipple
    Description

    Paget'sDiseasePresentInd-3

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ObjectClass
    C3292
    UMLS 2011AA ObjectClass
    C0029401
    Hospitalized for unstable angina and/or CHF in last 6 months
    Description

    UnstableAnginaHospitalizationInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25179
    UMLS 2011AA Property
    C0019993
    NCI Metathesaurus ObjectClass
    C0002965
    Transmural MI in last 6 months (myocardial infarction)
    Description

    TransmuralMyocardialInfarctionConfirmedInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25458
    UMLS 2011AA Property
    C0750484
    NCI Thesaurus ObjectClass
    C27996
    UMLS 2011AA ObjectClass
    C0027051
    NCI Metathesaurus ObjectClass
    CL233186
    Acute bacterial or fungal infection requiring intravenous antibiotics at the time of registration
    Description

    Pre-existingConditionAcuteBacterialInfectionFungalInfectionRegistrationIntravenousRouteofAdministrationAntibioticPresentInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C54056
    UMLS 2011AA ObjectClass
    C0521987
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus Property-2
    C25646
    UMLS 2011AA Property-2
    C1514821
    NCI Thesaurus Property-3
    C3245
    UMLS 2011AA Property-3
    C0026946
    NCI Thesaurus Property-4
    C258
    UMLS 2011AA Property-4
    C0003232
    NCI Thesaurus Property-5
    C38276
    UMLS 2011AA Property-5
    C1522726
    NCI Thesaurus Property-6
    C2890
    UMLS 2011AA Property-6
    C0004623
    NCI Thesaurus Property-7
    C14140
    UMLS 2011AA Property-7
    C0205178
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization or precluding study therapy within 30 days before registration
    Description

    ChronicObstructiveAirwaysDiseaseRespiratoryEventHospitalizationInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25179
    UMLS 2011AA Property
    C0019993
    NCI Thesaurus ObjectClass
    C3199
    UMLS 2011AA ObjectClass
    C0024117
    NCI Metathesaurus ObjectClass
    CL316903
    Hepatic insufficiency resulting in clinical jaundice and/or coagulation defects
    Description

    ChronicDiseaseHepaticInsufficiencyInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ObjectClass-2
    C14141
    UMLS 2011AA ObjectClass-2
    C0205191
    NCI Metathesaurus Property
    C1306571
    Acquired Immune Deficiency Syndrome based upon current CDC definition (AIDS)
    Description

    PatientAcquiredImmunodeficiencySyndromeAssessmentInd-3

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C2851
    UMLS 2011AA Property-2
    C0001175
    Active systemic lupus erythematosus, or any history of scleroderma, dermatomyositis with active rash
    Description

    DiseasesandDisordersPatientSelf-ReportAutoimmuneDiseaseDiagnosisInd-3

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    NCI Thesaurus Property-2
    C2889
    UMLS 2011AA Property-2
    C0004364
    NCI Thesaurus Property-3
    C21089
    UMLS 2011AA Property-3
    C0681906
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Medical or psychiatric condition that would prevent the patient from receiving the protocol therapy or providing informed consent
    Description

    OtherPatientMedicalContraindicatedInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C37933
    UMLS 2011AA Property
    C1444657
    Is patient a woman of childbearing potential
    Description

    FemalePatientPotentialPregnancyInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ObjectClass-2
    C16576
    UMLS 2011AA ObjectClass-2
    C0086287
    NCI Thesaurus Property
    C25742
    UMLS 2011AA Property
    C0032961
    NCI Metathesaurus Property
    C0237399
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Is she willing to exercise an effective form of birth control during radiation therapy (If yes,)
    Description

    ContraceptionAgreementInd

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C37932
    UMLS 2011AA ObjectClass
    C0700589
    NCI Thesaurus Property
    C25369
    UMLS 2011AA Property
    C0680240
    Negative serum pregnancy test
    Description

    PatientNegativePregnancyTestInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25247
    UMLS 2011AA Property
    C0205160
    NCI Metathesaurus Property
    C0032976
    Negative serum pregnancy test date (MM DD YYYY)
    Description

    PatientNegativePregnancyTestDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25247
    UMLS 2011AA Property
    C0205160
    NCI Metathesaurus Property
    C0032976
    Is the patient pregnant or lactating at time of study entry?
    Description

    PatientPregnancyInd-2

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25742
    UMLS 2011AA Property
    C0032961
    Footer Module
    Description

    Footer Module

    Comments
    Description

    Research Comments

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    Investigator Signature
    Description

    Investigator Signature

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C2346576
    NCI Thesaurus Property
    C25678
    NCI Thesaurus ObjectClass
    C17089
    Date
    Description

    Investigator Signature Date

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C2346576
    NCI Thesaurus Property
    C25678
    UMLS CUI-2
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus ObjectClass
    C17089
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    Similar models

    INSTRUCTIONS: All questions must be answered per code table and/or instructions. Record dates as mm-dd-yyyy unless otherwise specified

    1 forms
    1. StudyEvent: RTOG-1005 I1: Radiation Therapy Oncology Group Phase III Whole Breast Irradiation for Early Stage Breast Cancer - Initial Evaluation Form
      1. INSTRUCTIONS: All questions must be answered per code table and/or instructions. Record dates as mm-dd-yyyy unless otherwise specified
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    RTOG clinical trial administrative data
    Protocol ID RTOG
    Item
    RTOG Study No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1514695 (UMLS CUI-2)
    C19778 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    RadiationTherapyOncologyGroupPatientCaseIdentifierNumber
    Item
    Case #
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C19778 (NCI Thesaurus ObjectClass-2)
    C1514695 (UMLS 2011AA ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C49152 (NCI Thesaurus Property-2)
    C1706256 (UMLS 2011AA Property-2)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    Institution Name
    Item
    Institution Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C21541 (NCI Thesaurus ValueDomain-2)
    C25364 (NCI Thesaurus Property)
    Institution Number
    Item
    Institution No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    Patient Initials
    Item
    Patient Initials
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Trial subject ID RTOG
    Item
    RTOG Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C1514695 (UMLS CUI-2)
    C19778 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Data amended
    Item
    Amended Data
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25474 (NCI Thesaurus ObjectClass)
    C25416 (NCI Thesaurus Property)
    Item Group
    Patient status
    PatientAgeValue
    Item
    Patient Age
    float
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25150 (NCI Thesaurus Property)
    C0001779 (UMLS 2011AA Property)
    Item
    Performance Status (Zubrod)
    text
    C25367 (NCI Thesaurus Property)
    C20641 (NCI Thesaurus ObjectClass)
    C1518965 (UMLS 2011AA ObjectClass)
    C25338 (NCI Thesaurus ValueDomain)
    C0449820 (UMLS 2011AA ValueDomain)
    CL.2
    Code List
    Performance Status (Zubrod)
    CL Item
    Normal Activity (0)
    CL Item
    Symptoms, But Nearly Fully Ambulatory (1)
    CL Item
    Some Bed Time, But Needs To Be In Bed <50% Of Normal Daytime (2)
    CL Item
    Needs To Be In Bed > 50% Of Normal Daytime (3)
    CL Item
    Unable To Get Out Of Bed (4)
    Assessment Date
    Item
    Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C2985720 (UMLS CUI-1)
    C25367 (NCI Thesaurus ObjectClass)
    C25367 (NCI Thesaurus ValueDomain-2)
    C38000 (NCI Thesaurus Property)
    Item Group
    Tumor Involvement
    Stage0BreastCancerAssessmentInd-2
    Item
    pStage 0 breast cancer with nuclear grade 3 DCIS and patient age < 50 years
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C3641 (NCI Thesaurus ObjectClass)
    C0154084 (UMLS 2011AA ObjectClass)
    Stage0StageIStageIIBreastNeoplasmAssessmentInd-2
    Item
    ypStage 0, I, II breast cancer resected by lumpectomy after neoadjuvant systemic therapy
    boolean
    C27966 (NCI Thesaurus ObjectClass)
    C0441766 (UMLS 2011AA ObjectClass)
    C28054 (NCI Thesaurus ObjectClass-2)
    C0441767 (UMLS 2011AA ObjectClass-2)
    C28051 (NCI Thesaurus ObjectClass-3)
    C0441763 (UMLS 2011AA ObjectClass-3)
    C2910 (NCI Thesaurus ObjectClass-4)
    C0042875 (UMLS 2011AA ObjectClass-4)
    C25367 (NCI Thesaurus Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    StageIStageIIBreastNeoplasmAssessmentInd-2
    Item
    pStage I, II breast cancer AND at leat one of the following
    boolean
    C27966 (NCI Thesaurus ObjectClass)
    C0441766 (UMLS 2011AA ObjectClass)
    C28054 (NCI Thesaurus ObjectClass-2)
    C0441767 (UMLS 2011AA ObjectClass-2)
    C2910 (NCI Thesaurus ObjectClass-3)
    C0042875 (UMLS 2011AA ObjectClass-3)
    C25367 (NCI Thesaurus Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Item Group
    Pstage I, Ii Breast Cancer And At Leaet One Of The Following (see Below And Code All)
    PatientEligibilityDeterminationAgeInd-2
    Item
    Age < 50 years
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25150 (NCI Thesaurus Property)
    C0001779 (UMLS 2011AA Property)
    C25171 (NCI Thesaurus Property-2)
    C0013893 (UMLS 2011AA Property-2)
    AxillaryLymphNodeInvolvedInd-2
    Item
    Positive axillary nodes
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25547 (NCI Thesaurus Property)
    C13351 (NCI Thesaurus ObjectClass-2)
    C0004454 (UMLS 2011AA ObjectClass-2)
    TumorLymphovascularInvasionInd
    Item
    Lymphovascular space invasion
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C20625 (NCI Thesaurus Property)
    C1269955 (UMLS 2011AA Property)
    C25561 (NCI Thesaurus Property-2)
    C1518090 (UMLS 2011AA Property-2)
    NearBreastSurgicalMarginPresentInd-2
    Item
    More than 2 close resection margins (> 0 mm to <= 2 mm)
    boolean
    C12971 (NCI Thesaurus ObjectClass)
    C0006141 (UMLS 2011AA ObjectClass)
    C41227 (NCI Thesaurus ObjectClass-2)
    C0229985 (UMLS 2011AA ObjectClass-2)
    C48927 (NCI Thesaurus ObjectClass-3)
    C1706276 (UMLS 2011AA ObjectClass-3)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    NearBreastSurgicalMarginExtensiveInSituPresentInd-2
    Item
    1 Close resection margin and extensive in-situ component (EIC)
    boolean
    C12971 (NCI Thesaurus ObjectClass)
    C0006141 (UMLS 2011AA ObjectClass)
    C41227 (NCI Thesaurus ObjectClass-2)
    C0229985 (UMLS 2011AA ObjectClass-2)
    C48927 (NCI Thesaurus ObjectClass-3)
    C1706276 (UMLS 2011AA ObjectClass-3)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C47863 (NCI Thesaurus Property-2)
    C0205231 (UMLS 2011AA Property-2)
    C14160 (NCI Thesaurus Property-3)
    C0444498 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    BreastFocalPositiveSurgicalMarginPresentInd-2
    Item
    Focally positive resection margins
    boolean
    C12971 (NCI Thesaurus ObjectClass)
    C0006141 (UMLS 2011AA ObjectClass)
    C28224 (NCI Thesaurus ObjectClass-2)
    C0205234 (UMLS 2011AA ObjectClass-2)
    C48620 (NCI Thesaurus ObjectClass-3)
    C1709603 (UMLS 2011AA ObjectClass-3)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    BreastMalignantNeoplasmNoHormoneSensitivityInd-2
    Item
    Non-hormone sensitive breast cancer (ER and PR-NEGATIVE)
    boolean
    C12971 (NCI Thesaurus ObjectClass)
    C0006141 (UMLS 2011AA ObjectClass)
    C9305 (NCI Thesaurus ObjectClass-2)
    C0006826 (UMLS 2011AA ObjectClass-2)
    C49487 (NCI Thesaurus Property)
    C1298908 (UMLS 2011AA Property)
    C25201 (NCI Thesaurus Property-2)
    C1522640 (UMLS 2011AA Property-2)
    C2315 (NCI Thesaurus Property-3)
    C0019932 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    BreastMalignantNeoplasmGrade3HistologyInd-2
    Item
    Grade III histology
    boolean
    C12971 (NCI Thesaurus ObjectClass)
    C0006141 (UMLS 2011AA ObjectClass)
    C9305 (NCI Thesaurus ObjectClass-2)
    C0006826 (UMLS 2011AA ObjectClass-2)
    C16681 (NCI Thesaurus Property)
    C0019638 (UMLS 2011AA Property)
    C28079 (NCI Thesaurus Property-2)
    C0450094 (UMLS 2011AA Property-2)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    BreastMalignantNeoplasmOncotypeDXBreastCancerAssayScoreInd-2
    Item
    Oncotype recurrence score > 25
    boolean
    C12971 (NCI Thesaurus ObjectClass)
    C0006141 (UMLS 2011AA ObjectClass)
    C9305 (NCI Thesaurus ObjectClass-2)
    C0006826 (UMLS 2011AA ObjectClass-2)
    C52159 (NCI Thesaurus Property)
    C1709318 (UMLS 2011AA Property)
    C25338 (NCI Thesaurus Property-2)
    C0449820 (UMLS 2011AA Property-2)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Item Group
    Tumor Information
    LumpectomyPerformedDate
    Item
    Date lumpectomy performed
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C15755 (NCI Thesaurus ObjectClass)
    C0024885 (UMLS 2011AA ObjectClass)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    RecentSurgeryDate
    Item
    Date of Most Recent Surgery (excluding diagnostic lumpectomy reported above)
    date
    C15329 (NCI Thesaurus ObjectClass)
    C0543467 (UMLS 2011AA ObjectClass)
    C25280 (NCI Thesaurus ObjectClass-2)
    C0332185 (UMLS 2011AA ObjectClass-2)
    C25275 (NCI Thesaurus Property)
    C2745955 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    ChemotherapyLastAdministeredDate
    Item
    Date of last dose of chemotherapy
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25551 (NCI Thesaurus Property)
    C1517741 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    Item
    Histologic Grade
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C12971 (NCI Thesaurus ObjectClass-2)
    C0006141 (UMLS 2011AA ObjectClass-2)
    C25526 (NCI Thesaurus Property)
    C0205462 (UMLS 2011AA Property)
    C25365 (NCI Thesaurus Property-2)
    C0678257 (UMLS 2011AA Property-2)
    C25526 (NCI Thesaurus ValueDomain)
    C0205462 (UMLS 2011AA ValueDomain)
    C18000 (NCI Thesaurus ValueDomain-2)
    C0919553 (UMLS 2011AA ValueDomain-2)
    CL.3
    Code List
    Histologic Grade
    CL Item
    G1 Low Combined Histologic Grade (favorable) (G1)
    CL Item
    G2 Intermediate Combined Histologic Grade (moderately Favorable) (G2)
    CL Item
    G3 High Combined Histologic Grade (unfavorable) (G3)
    Item
    Is gross disease unifocal or multifocal?
    text
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C43566 (NCI Thesaurus ObjectClass-2)
    C0439806 (UMLS 2011AA ObjectClass-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C25511 (NCI Thesaurus Property)
    C0205234 (UMLS 2011AA Property)
    CL.16
    Code List
    Is gross disease unifocal or multifocal?
    CL Item
    Unifocal (Unifocal)
    C47862 (NCI Thesaurus)
    C0443337 (UMLS 2011AA)
    CL Item
    Multifocal (Multifocal)
    C25253 (NCI Thesaurus)
    C0205292 (UMLS 2011AA)
    LumpectomySurgicalMarginNoMicroscopicInvolvementInd-2
    Item
    If multifocal, is the cancer resectable through a single lumpectomy incision with negative margins
    boolean
    C15755 (NCI Thesaurus ObjectClass)
    C0024885 (UMLS 2011AA ObjectClass)
    C41227 (NCI Thesaurus ObjectClass-2)
    C0229985 (UMLS 2011AA ObjectClass-2)
    C25252 (NCI Thesaurus Property)
    C0205288 (UMLS 2011AA Property)
    C25548 (NCI Thesaurus Property-2)
    C1314939 (UMLS 2011AA Property-2)
    C0028423 (NCI Metathesaurus Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Item
    Which breast was diagnosed with breast cancer
    text
    C12971 (NCI Thesaurus ObjectClass)
    C0006141 (UMLS 2011AA ObjectClass)
    C19157 (NCI Thesaurus ObjectClass-2)
    C0370003 (UMLS 2011AA ObjectClass-2)
    C16958 (NCI Thesaurus ObjectClass-3)
    C0030669 (UMLS 2011AA ObjectClass-3)
    C25185 (NCI Thesaurus Property)
    C0332304 (UMLS 2011AA Property)
    C43516 (NCI Thesaurus ValueDomain)
    C1705251 (UMLS 2011AA ValueDomain)
    CL.18
    Code List
    Which breast was diagnosed with breast cancer
    CL Item
    Left Breast (Left breast)
    CL Item
    Right Breast (Right breast)
    Item
    Receptor Status, ER
    text
    C3262 (NCI Thesaurus ValueDomain)
    C0027651 (UMLS 2011AA ValueDomain)
    C17069 (NCI Thesaurus ObjectClass)
    C0034804 (UMLS 2011AA ObjectClass)
    C25688 (NCI Thesaurus ValueDomain-2)
    C0449438 (UMLS 2011AA ValueDomain-2)
    C25554 (NCI Thesaurus Property)
    C0441889 (UMLS 2011AA Property)
    CL.19
    Code List
    Receptor Status, ER
    CL Item
    Positive (Positive)
    C25246 (NCI Thesaurus)
    C1446409 (UMLS 2011AA)
    CL Item
    Negative (Negative)
    C25247 (NCI Thesaurus)
    C0205160 (UMLS 2011AA)
    Item
    Receptor Status, PgR
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C17075 (NCI Thesaurus ObjectClass)
    C0034833 (UMLS 2011AA ObjectClass)
    C0678257 (NCI Metathesaurus Property)
    CL.20
    Code List
    Receptor Status, PgR
    CL Item
    Positive (Positive)
    C25246 (NCI Thesaurus)
    C1446409 (UMLS 2011AA)
    CL Item
    Negative (Negative)
    C25247 (NCI Thesaurus)
    C0205160 (UMLS 2011AA)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    PathologicTumorPrimarySizeMeasurement
    Item
    Pathologic Primary Tumor Size (cm)
    float
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25610 (NCI Thesaurus ObjectClass-2)
    C1521733 (UMLS 2011AA ObjectClass-2)
    C25251 (NCI Thesaurus Property)
    C0205225 (UMLS 2011AA Property)
    C25681 (NCI Thesaurus Property-2)
    C0456389 (UMLS 2011AA Property-2)
    C25209 (NCI Thesaurus ValueDomain)
    C0242485 (UMLS 2011AA ValueDomain)
    Item
    Margin Status
    text
    C15329 (NCI Thesaurus ObjectClass)
    C0543467 (UMLS 2011AA ObjectClass)
    C4872 (NCI Thesaurus ObjectClass-2)
    C0678222 (UMLS 2011AA ObjectClass-2)
    C25563 (NCI Thesaurus Property)
    C0205284 (UMLS 2011AA Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.21
    Code List
    Margin Status
    CL Item
    Negative Margins Defined As No Tumor At The Resected Specimen Edge (Negative margins defined as no tumor at the resected specimen edge)
    CL Item
    Close Resection Margins; > 0 Mm To <= 2 Mm (Close resection margins; > 0 mm to <= 2 mm)
    CL Item
    Focally Positive Resection Margin (Focally positive resection margin)
    BoostRadiationTherapyLumpectomyExtentTargetInd-2
    Item
    Is there clear delineation on CT scan of the extent of the target lumpectomy cavity for boost
    boolean
    C15313 (NCI Thesaurus ObjectClass)
    C1522449 (UMLS 2011AA ObjectClass)
    C25438 (NCI Thesaurus ObjectClass-2)
    C1511253 (UMLS 2011AA ObjectClass-2)
    C15755 (NCI Thesaurus Property)
    C0024885 (UMLS 2011AA Property)
    C25702 (NCI Thesaurus Property-2)
    C1521840 (UMLS 2011AA Property-2)
    C25332 (NCI Thesaurus Property-3)
    C0439792 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    AdjuvantHormonalTherapyAdministeredInd-2
    Item
    Is the patient receiving anti endocrine therapy at the time of the study entry
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C15445 (NCI Thesaurus ObjectClass)
    C0279025 (UMLS 2011AA ObjectClass)
    C2140 (NCI Thesaurus ObjectClass-2)
    C0001552 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Item
    Type of anti endocrine therapy (If yes,)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C15445 (NCI Thesaurus ObjectClass)
    C0279025 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    CL.24
    Code List
    Type of anti endocrine therapy (If yes,)
    CL Item
    Tamoxifen (Tamoxifen)
    C855 (NCI Thesaurus)
    C0039286 (UMLS 2011AA)
    CL Item
    Aromatase Inhibitor (Aromatase inhibitor)
    C1740 (NCI Thesaurus)
    C0593802 (UMLS 2011AA)
    CL Item
    Other (Other)
    HormoneTherapyAdministeredSpecify
    Item
    Other, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C15445 (NCI Thesaurus ObjectClass)
    C0279025 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    AntiestrogenTherapyAdministeredDate
    Item
    Start date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    C15757 (NCI Thesaurus ObjectClass)
    C0854638 (UMLS 2011AA ObjectClass)
    Item Group
    Study Cancer
    Item
    Axillary Staging Method
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16847 (NCI Thesaurus Property)
    C0449851 (UMLS 2011AA Property)
    C12904 (NCI Thesaurus ObjectClass)
    C0729594 (UMLS 2011AA ObjectClass)
    C16899 (NCI Thesaurus ObjectClass-2)
    C1300072 (UMLS 2011AA ObjectClass-2)
    CL.25
    Code List
    Axillary Staging Method
    CL Item
    Sentinel Node Biopsy Alone (Sentinel node biopsy alone)
    CL Item
    Sentinel Node Biopsy Alone Or Followed By Axillary Node Dissection, For Clinically Negative Node Patients As Described Below (Sentinel node biopsy alone or followed by axillary node dissection, for clinically negative node patients as described below)
    CL Item
    Sentinel Node Biopsy Followed By Axillary Dissection Or Sampling With A Minimum Total Of 6 Axillary Nodes If Any Of The Following Are Present (Sentinel node biopsy followed by axillary dissection or sampling with a minimum total of 6 axillary nodes if any of the following are present)
    CL Item
    Axillary Lymph Node Dissection Alone (Axillary lymph node dissection alone)
    LymphNodeMicroscopicInvolvedInd-3
    Item
    Microscopic sentinel node positive (pN1mic)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25252 (NCI Thesaurus Property)
    C0205288 (UMLS 2011AA Property)
    C12745 (NCI Thesaurus ObjectClass)
    C0024204 (UMLS 2011AA ObjectClass)
    C25547 (NCI Thesaurus Property-2)
    SentinelLymphNodeOneInvolvedInd-2
    Item
    One or two sentinel nodes positive (pN1) without extracapsular extension AND pT1 or pT2 AND no lymphovascular invasion AND at least one additional negative SNP
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25547 (NCI Thesaurus Property)
    C12947 (NCI Thesaurus ObjectClass)
    C1522495 (UMLS 2011AA ObjectClass)
    C66832 (NCI Thesaurus Property-2)
    C0205447 (UMLS 2011AA Property)
    SentinelLymphNodeTwoGreaterInvolvedInd-2
    Item
    > 2 positive SN
    boolean
    C12947 (NCI Thesaurus ObjectClass)
    C1522495 (UMLS 2011AA ObjectClass)
    C66833 (NCI Thesaurus Property)
    C0205448 (UMLS 2011AA Property)
    C25547 (NCI Thesaurus Property-2)
    C61421 (NCI Thesaurus Property-3)
    C1704243 (UMLS 2011AA Property-2)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    SentinelLymphNodeOneNoOtherBiopsyInvolvedInd-2
    Item
    Solitary SN that is positive without other sentinel nodes dissected
    boolean
    C12947 (NCI Thesaurus ObjectClass)
    C1522495 (UMLS 2011AA ObjectClass)
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C49487 (NCI Thesaurus Property-2)
    C1298908 (UMLS 2011AA Property-2)
    C15189 (NCI Thesaurus Property-3)
    C0005558 (UMLS 2011AA Property-3)
    C25547 (NCI Thesaurus Property-4)
    C66832 (NCI Thesaurus Property-5)
    C0205447 (UMLS 2011AA Property-4)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    SentinelLymphNodeT3StageFindingInvolvedInd-2
    Item
    Clinically (by either imaging or examination) T3 disease
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25547 (NCI Thesaurus Property)
    C12947 (NCI Thesaurus ObjectClass)
    C1522495 (UMLS 2011AA ObjectClass)
    C48728 (NCI Thesaurus Property-2)
    C0475374 (UMLS 2011AA Property)
    SentinelLymphNodeExtracapsularInvolvedInd-2
    Item
    The presence of one or more positive SNs with extracapsular extension, clinically node positive disease, or LVI in the primary tumor
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25547 (NCI Thesaurus Property)
    C12947 (NCI Thesaurus ObjectClass)
    C1522495 (UMLS 2011AA ObjectClass)
    C25502 (NCI Thesaurus Property-2)
    C1517049 (UMLS 2011AA Property)
    Item Group
    Baseline Lab Values (hematologic)
    Neutrophil count
    Item
    ANC (mm^3)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0200633 (UMLS CUI-1)
    C12533 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25304 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    Neutrophils date
    Item
    Date (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0200633 (UMLS CUI-1)
    C12533 (NCI Thesaurus Property)
    C0011008 (UMLS CUI-2)
    C20200 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    Platelets
    Item
    Platelet count (mm^3)
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0005821 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property)
    C12520 (NCI Thesaurus Property-2)
    C38046 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    Platelets date
    Item
    Date (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0005821 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property)
    C0011008 (UMLS CUI-2)
    C12520 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    Hemoglobin
    Item
    Hemoglobin (g/dL)
    float
    C16676 (NCI Thesaurus Property)
    C0019046 (UMLS CUI-1)
    C20200 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C25712 (NCI Thesaurus ValueDomain)
    Hemoglobin Date
    Item
    Date (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0019046 (UMLS CUI-1)
    C16676 (NCI Thesaurus Property)
    C0011008 (UMLS CUI-2)
    C20200 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    Item Group
    Diagnosis Work-up
    PersonalMedicalHistoryPhysicalExaminationPerformedInd-2
    Item
    History and Physical
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C18772 (NCI Thesaurus ObjectClass-2)
    C0262926 (UMLS 2011AA ObjectClass-2)
    BilateralMammogramPerformedInd-2
    Item
    Bilateral mammogram
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C20178 (NCI Thesaurus ObjectClass)
    C0024671 (UMLS 2011AA ObjectClass)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    ComputedTomographyIpsilateralBreastEvaluationInd-3
    Item
    CT scan
    boolean
    C17204 (NCI Thesaurus ObjectClass)
    C0040405 (UMLS 2011AA ObjectClass)
    C25214 (NCI Thesaurus Property)
    C0220825 (UMLS 2011AA Property)
    C12971 (NCI Thesaurus Property-2)
    C0006141 (UMLS 2011AA Property-2)
    C25308 (NCI Thesaurus Property-3)
    C0441989 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    ChestX-rayAssessmentInd-2
    Item
    Chest X-Ray
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25389 (NCI Thesaurus ObjectClass)
    C0817096 (UMLS 2011AA ObjectClass)
    C17261 (NCI Thesaurus ObjectClass-2)
    ChestComputedTomographyPerformedInd-2
    Item
    Chest CT scan
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C17204 (NCI Thesaurus ObjectClass)
    C0040405 (UMLS 2011AA ObjectClass)
    C25389 (NCI Thesaurus ObjectClass-2)
    C0817096 (UMLS 2011AA ObjectClass-2)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    BoneScanMedicalImagingAssessmentInd-3
    Item
    Bone scan
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C17646 (NCI Thesaurus ObjectClass)
    C0203668 (UMLS 2011AA ObjectClass)
    C16831 (NCI Thesaurus ObjectClass-2)
    PelvisAbdominalComputedTomographyEvaluationInd-2
    Item
    Abdomen/Pelvis CT Scan
    boolean
    C17204 (NCI Thesaurus ObjectClass)
    C0040405 (UMLS 2011AA ObjectClass)
    C12767 (NCI Thesaurus ObjectClass-2)
    C0030797 (UMLS 2011AA ObjectClass-2)
    C25342 (NCI Thesaurus ObjectClass-3)
    C0000726 (UMLS 2011AA ObjectClass-3)
    C25214 (NCI Thesaurus Property)
    C0220825 (UMLS 2011AA Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    ChestPelvisAbdominalComputedTomographyEvaluationInd-2
    Item
    Chest/Abdomen/Pelvis CT Scan or PET/CT
    boolean
    C17204 (NCI Thesaurus ObjectClass)
    C0040405 (UMLS 2011AA ObjectClass)
    C25389 (NCI Thesaurus ObjectClass-2)
    C0817096 (UMLS 2011AA ObjectClass-2)
    C12767 (NCI Thesaurus ObjectClass-3)
    C0030797 (UMLS 2011AA ObjectClass-3)
    C25342 (NCI Thesaurus ObjectClass-4)
    C0000726 (UMLS 2011AA ObjectClass-4)
    C25214 (NCI Thesaurus Property)
    C0220825 (UMLS 2011AA Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Patient Weight
    Item
    Patient Weight (kg)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0005910 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25208 (NCI Thesaurus Property)
    Patient Height
    Item
    Patient Height (cm)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0489786 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25347 (NCI Thesaurus Property)
    ExaminationDate
    Item
    Examination Date (MM DD YYYY)
    date
    C25164 (NCI Thesaurus Property)
    C0011008 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C0031809 (NCI Metathesaurus ObjectClass)
    Item Group
    Severe Active Comorbidity
    PatientTNMStagingSystemEligibilityDeterminationInd-2
    Item
    AJCC pathologic T4, N2 or N3, or M1 breast cancer
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25171 (NCI Thesaurus Property)
    C0013893 (UMLS 2011AA Property)
    C25384 (NCI Thesaurus Property-2)
    C1515169 (UMLS 2011AA Property-2)
    RegionalLymphNodeRadiationTherapyAdministeredInd-2
    Item
    Does treatment plan include regional node irradiation
    boolean
    C15313 (NCI Thesaurus ObjectClass)
    C1522449 (UMLS 2011AA ObjectClass)
    C12745 (NCI Thesaurus ObjectClass-2)
    C0024204 (UMLS 2011AA ObjectClass-2)
    C25643 (NCI Thesaurus ObjectClass-3)
    C0205147 (UMLS 2011AA ObjectClass-3)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    InvasiveBreastMalignantNeoplasmLowRiskRecurrentDiseaseInd-2
    Item
    Invasive breast cancer and low risk for 5-year in breast recurrence after lumpectomy with negative margins
    boolean
    C12971 (NCI Thesaurus ObjectClass)
    C0006141 (UMLS 2011AA ObjectClass)
    C9305 (NCI Thesaurus ObjectClass-2)
    C0006826 (UMLS 2011AA ObjectClass-2)
    C14159 (NCI Thesaurus ObjectClass-3)
    C0205281 (UMLS 2011AA ObjectClass-3)
    C38155 (NCI Thesaurus Property)
    C0277556 (UMLS 2011AA Property)
    C54722 (NCI Thesaurus Property-2)
    C0205251 (UMLS 2011AA Property-2)
    C17102 (NCI Thesaurus Property-3)
    C0035647 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    CancerTreatmentConcurrentAdministeredInd-2
    Item
    Is there a plan to administer concurrent chemotherapy for the current breast cancer
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25456 (NCI Thesaurus Property)
    C0205420 (UMLS 2011AA Property)
    C16212 (NCI Thesaurus ObjectClass)
    C0920425 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    PriorCancerDiagnosisInd-3
    Item
    History of Prior Malignancy (invasive)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    CancerAblationDate
    Item
    Date eradicated (If yes MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C9305 (NCI Thesaurus ObjectClass)
    C0006826 (UMLS 2011AA ObjectClass)
    C20985 (NCI Thesaurus Property)
    C0547070 (UMLS 2011AA Property)
    RadiationTherapyPriorMalignantNeoplasmAdministeredInd-2
    Item
    Prior radiotherapy to the breast or prior radiation to the region of the ipsilateral breast that would result in overlap of radiation therapy fields
    boolean
    C15313 (NCI Thesaurus ObjectClass)
    C1522449 (UMLS 2011AA ObjectClass)
    C9305 (NCI Thesaurus Property)
    C0006826 (UMLS 2011AA Property)
    C25629 (NCI Thesaurus Property-2)
    C0332152 (UMLS 2011AA Property-2)
    C25382 (NCI Thesaurus Property-3)
    C1521801 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    PatientInvasiveBreastCarcinomaPersonalMedicalHistoryInd-2
    Item
    Prior invasive or in-situ carcinoma of the breast
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C9245 (NCI Thesaurus Property)
    C0853879 (UMLS 2011AA Property)
    C18772 (NCI Thesaurus Property-2)
    C0262926 (UMLS 2011AA Property-2)
    BreastMalignantNeoplasmGreaterThanOneLumpectomyInd-2
    Item
    Are there two or more breast cancers not resectable through a single lumpectomy incision
    boolean
    C12971 (NCI Thesaurus ObjectClass)
    C0006141 (UMLS 2011AA ObjectClass)
    C9305 (NCI Thesaurus ObjectClass-2)
    C0006826 (UMLS 2011AA ObjectClass-2)
    C15755 (NCI Thesaurus Property)
    C0024885 (UMLS 2011AA Property)
    C61584 (NCI Thesaurus Property-2)
    C0439093 (UMLS 2011AA Property-2)
    C66832 (NCI Thesaurus Property-3)
    C0205447 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    DuctalBreastCarcinomaInSituGreaterThanInteger::50YearAgePresentInd-2
    Item
    DCIS and age >= 50 years
    boolean
    C2924 (NCI Thesaurus ObjectClass)
    C0007124 (UMLS 2011AA ObjectClass)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C45255 (NCI Thesaurus Property-2)
    C1708523 (UMLS 2011AA Property-2)
    C61584 (NCI Thesaurus Property-3)
    C0439093 (UMLS 2011AA Property-3)
    C29848 (NCI Thesaurus Property-4)
    C0439234 (UMLS 2011AA Property-4)
    C25150 (NCI Thesaurus Property-5)
    C0001779 (UMLS 2011AA Property-5)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    DuctalBreastCarcinomaInSituPresentInd-2
    Item
    DCIS and age < 50 years and grade 1 or 2
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C2924 (NCI Thesaurus ObjectClass)
    C0007124 (UMLS 2011AA ObjectClass)
    AbnormalBreastPresentInd-2
    Item
    Suspicious unresected microcalcifications, densities, or palpable abnormalities (in the ipsilateral or contralateral breast)
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C25401 (NCI Thesaurus ObjectClass)
    C0205161 (UMLS 2011AA ObjectClass)
    C12971 (NCI Thesaurus ObjectClass-2)
    C0006141 (UMLS 2011AA ObjectClass-2)
    AbnormalBreastBenignFindingInd-2
    Item
    Were they biopsied and found to be benign (If yes, )
    boolean
    C25401 (NCI Thesaurus ObjectClass)
    C0205161 (UMLS 2011AA ObjectClass)
    C12971 (NCI Thesaurus ObjectClass-2)
    C0006141 (UMLS 2011AA ObjectClass-2)
    C14172 (NCI Thesaurus Property)
    C0205183 (UMLS 2011AA Property)
    C3367 (NCI Thesaurus Property-2)
    C0037088 (UMLS 2011AA Property-2)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    BreastMalignantNeoplasmSarcomaLymphomaPresentInd-2
    Item
    Non-epithelial breast malignancies
    boolean
    C12971 (NCI Thesaurus ObjectClass)
    C0006141 (UMLS 2011AA ObjectClass)
    C9305 (NCI Thesaurus ObjectClass-2)
    C0006826 (UMLS 2011AA ObjectClass-2)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C9118 (NCI Thesaurus Property-2)
    C1261473 (UMLS 2011AA Property-2)
    C3208 (NCI Thesaurus Property-3)
    C0024299 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    Paget'sDiseasePresentInd-3
    Item
    Does the patient have paget's disease of the nipple
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C3292 (NCI Thesaurus ObjectClass)
    C0029401 (UMLS 2011AA ObjectClass)
    UnstableAnginaHospitalizationInd-2
    Item
    Hospitalized for unstable angina and/or CHF in last 6 months
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25179 (NCI Thesaurus Property)
    C0019993 (UMLS 2011AA Property)
    C0002965 (NCI Metathesaurus ObjectClass)
    TransmuralMyocardialInfarctionConfirmedInd-2
    Item
    Transmural MI in last 6 months (myocardial infarction)
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25458 (NCI Thesaurus Property)
    C0750484 (UMLS 2011AA Property)
    C27996 (NCI Thesaurus ObjectClass)
    C0027051 (UMLS 2011AA ObjectClass)
    CL233186 (NCI Metathesaurus ObjectClass)
    Pre-existingConditionAcuteBacterialInfectionFungalInfectionRegistrationIntravenousRouteofAdministrationAntibioticPresentInd-2
    Item
    Acute bacterial or fungal infection requiring intravenous antibiotics at the time of registration
    boolean
    C54056 (NCI Thesaurus ObjectClass)
    C0521987 (UMLS 2011AA ObjectClass)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C25646 (NCI Thesaurus Property-2)
    C1514821 (UMLS 2011AA Property-2)
    C3245 (NCI Thesaurus Property-3)
    C0026946 (UMLS 2011AA Property-3)
    C258 (NCI Thesaurus Property-4)
    C0003232 (UMLS 2011AA Property-4)
    C38276 (NCI Thesaurus Property-5)
    C1522726 (UMLS 2011AA Property-5)
    C2890 (NCI Thesaurus Property-6)
    C0004623 (UMLS 2011AA Property-6)
    C14140 (NCI Thesaurus Property-7)
    C0205178 (UMLS 2011AA Property-7)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    ChronicObstructiveAirwaysDiseaseRespiratoryEventHospitalizationInd-2
    Item
    Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization or precluding study therapy within 30 days before registration
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25179 (NCI Thesaurus Property)
    C0019993 (UMLS 2011AA Property)
    C3199 (NCI Thesaurus ObjectClass)
    C0024117 (UMLS 2011AA ObjectClass)
    CL316903 (NCI Metathesaurus ObjectClass)
    ChronicDiseaseHepaticInsufficiencyInd-2
    Item
    Hepatic insufficiency resulting in clinical jaundice and/or coagulation defects
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C14141 (NCI Thesaurus ObjectClass-2)
    C0205191 (UMLS 2011AA ObjectClass-2)
    C1306571 (NCI Metathesaurus Property)
    PatientAcquiredImmunodeficiencySyndromeAssessmentInd-3
    Item
    Acquired Immune Deficiency Syndrome based upon current CDC definition (AIDS)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C2851 (NCI Thesaurus Property-2)
    C0001175 (UMLS 2011AA Property-2)
    DiseasesandDisordersPatientSelf-ReportAutoimmuneDiseaseDiagnosisInd-3
    Item
    Active systemic lupus erythematosus, or any history of scleroderma, dermatomyositis with active rash
    boolean
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    C2889 (NCI Thesaurus Property-2)
    C0004364 (UMLS 2011AA Property-2)
    C21089 (NCI Thesaurus Property-3)
    C0681906 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    OtherPatientMedicalContraindicatedInd-2
    Item
    Medical or psychiatric condition that would prevent the patient from receiving the protocol therapy or providing informed consent
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C37933 (NCI Thesaurus Property)
    C1444657 (UMLS 2011AA Property)
    FemalePatientPotentialPregnancyInd-2
    Item
    Is patient a woman of childbearing potential
    boolean
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C16576 (NCI Thesaurus ObjectClass-2)
    C0086287 (UMLS 2011AA ObjectClass-2)
    C25742 (NCI Thesaurus Property)
    C0032961 (UMLS 2011AA Property)
    C0237399 (NCI Metathesaurus Property)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    ContraceptionAgreementInd
    Item
    Is she willing to exercise an effective form of birth control during radiation therapy (If yes,)
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C37932 (NCI Thesaurus ObjectClass)
    C0700589 (UMLS 2011AA ObjectClass)
    C25369 (NCI Thesaurus Property)
    C0680240 (UMLS 2011AA Property)
    PatientNegativePregnancyTestInd-2
    Item
    Negative serum pregnancy test
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25247 (NCI Thesaurus Property)
    C0205160 (UMLS 2011AA Property)
    C0032976 (NCI Metathesaurus Property)
    PatientNegativePregnancyTestDate
    Item
    Negative serum pregnancy test date (MM DD YYYY)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25247 (NCI Thesaurus Property)
    C0205160 (UMLS 2011AA Property)
    C0032976 (NCI Metathesaurus Property)
    PatientPregnancyInd-2
    Item
    Is the patient pregnant or lactating at time of study entry?
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25742 (NCI Thesaurus Property)
    C0032961 (UMLS 2011AA Property)
    Item Group
    Footer Module
    Research Comments
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    Investigator Signature
    Item
    Investigator Signature
    text
    C25704 (NCI Thesaurus ValueDomain)
    C2346576 (UMLS CUI-1)
    C25678 (NCI Thesaurus Property)
    C17089 (NCI Thesaurus ObjectClass)
    Investigator Signature Date
    Item
    Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C2346576 (UMLS CUI-1)
    C25678 (NCI Thesaurus Property)
    C0011008 (UMLS CUI-2)
    C25367 (NCI Thesaurus ValueDomain-2)
    C17089 (NCI Thesaurus ObjectClass)
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