ID

43509

Beschreibung

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

Stichworte

Versionen (4)
  1. 18.12.14 18.12.14 - Martin Dugas
  2. 09.01.15 09.01.15 - Martin Dugas
  3. 21.06.15 21.06.15 -
  4. 20.09.21 20.09.21 -
Hochgeladen am

20. September 2021

DOI

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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

Englisch

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

1 Formulare  
  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
Beschreibung

RTOG clinical trial administrative data

RTOG Study No.
Beschreibung

Protocol ID RTOG

Datentyp

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 #
Beschreibung

RadiationTherapyOncologyGroupPatientCaseIdentifierNumber

Datentyp

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
Beschreibung

Institution Name

Datentyp

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.
Beschreibung

Institution Number

Datentyp

text

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

Patient Initials

Datentyp

text

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

Trial subject ID RTOG

Datentyp

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
Beschreibung

Data amended

Datentyp

boolean

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

Patient status

Patient Age
Beschreibung

PatientAgeValue

Datentyp

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)
Beschreibung

ZubrodPerformanceStatusScore

Datentyp

text

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

Assessment Date

Datentyp

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
Beschreibung

Tumor Involvement

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

Stage0BreastCancerAssessmentInd-2

Datentyp

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
Beschreibung

Stage0StageIStageIIBreastNeoplasmAssessmentInd-2

Datentyp

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
Beschreibung

StageIStageIIBreastNeoplasmAssessmentInd-2

Datentyp

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)
Beschreibung

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

Age < 50 years
Beschreibung

PatientEligibilityDeterminationAgeInd-2

Datentyp

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
Beschreibung

AxillaryLymphNodeInvolvedInd-2

Datentyp

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
Beschreibung

TumorLymphovascularInvasionInd

Datentyp

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)
Beschreibung

NearBreastSurgicalMarginPresentInd-2

Datentyp

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)
Beschreibung

NearBreastSurgicalMarginExtensiveInSituPresentInd-2

Datentyp

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
Beschreibung

BreastFocalPositiveSurgicalMarginPresentInd-2

Datentyp

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)
Beschreibung

BreastMalignantNeoplasmNoHormoneSensitivityInd-2

Datentyp

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
Beschreibung

BreastMalignantNeoplasmGrade3HistologyInd-2

Datentyp

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
Beschreibung

BreastMalignantNeoplasmOncotypeDXBreastCancerAssayScoreInd-2

Datentyp

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
Beschreibung

Tumor Information

Date lumpectomy performed
Beschreibung

LumpectomyPerformedDate

Datentyp

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)
Beschreibung

RecentSurgeryDate

Datentyp

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
Beschreibung

ChemotherapyLastAdministeredDate

Datentyp

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
Beschreibung

BreastTumorHistologicGrade

Datentyp

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?
Beschreibung

GrossDiseaseFociStatus

Datentyp

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
Beschreibung

LumpectomySurgicalMarginNoMicroscopicInvolvementInd-2

Datentyp

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
Beschreibung

BreastSurgicalPathologySpecimenLateralityNCIConceptCode

Datentyp

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
Beschreibung

ERLevelTumorStatus

Datentyp

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
Beschreibung

PgRStatusType

Datentyp

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)
Beschreibung

PathologicTumorPrimarySizeMeasurement

Datentyp

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
Beschreibung

BreastCancerSurgeryMarginStatus

Datentyp

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
Beschreibung

BoostRadiationTherapyLumpectomyExtentTargetInd-2

Datentyp

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
Beschreibung

AdjuvantHormonalTherapyAdministeredInd-2

Datentyp

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,)
Beschreibung

HormoneTherapyAdministeredType

Datentyp

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
Beschreibung

HormoneTherapyAdministeredSpecify

Datentyp

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
Beschreibung

AntiestrogenTherapyAdministeredDate

Datentyp

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
Beschreibung

Study Cancer

Axillary Staging Method
Beschreibung

AxillaryLymphNodeStageMethodType

Datentyp

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)
Beschreibung

LymphNodeMicroscopicInvolvedInd-3

Datentyp

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
Beschreibung

SentinelLymphNodeOneInvolvedInd-2

Datentyp

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
Beschreibung

SentinelLymphNodeTwoGreaterInvolvedInd-2

Datentyp

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
Beschreibung

SentinelLymphNodeOneNoOtherBiopsyInvolvedInd-2

Datentyp

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
Beschreibung

SentinelLymphNodeT3StageFindingInvolvedInd-2

Datentyp

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
Beschreibung

SentinelLymphNodeExtracapsularInvolvedInd-2

Datentyp

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)
Beschreibung

Baseline Lab Values (hematologic)

ANC (mm^3)
Beschreibung

Neutrophil count

Datentyp

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)
Beschreibung

Neutrophils date

Datentyp

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)
Beschreibung

Platelets

Datentyp

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)
Beschreibung

Platelets date

Datentyp

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)
Beschreibung

Hemoglobin

Datentyp

float

Maßeinheiten
  • 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)
Beschreibung

Hemoglobin Date

Datentyp

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
Beschreibung

Diagnosis Work-up

History and Physical
Beschreibung

PersonalMedicalHistoryPhysicalExaminationPerformedInd-2

Datentyp

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
Beschreibung

BilateralMammogramPerformedInd-2

Datentyp

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
Beschreibung

ComputedTomographyIpsilateralBreastEvaluationInd-3

Datentyp

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
Beschreibung

ChestX-rayAssessmentInd-2

Datentyp

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
Beschreibung

ChestComputedTomographyPerformedInd-2

Datentyp

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
Beschreibung

BoneScanMedicalImagingAssessmentInd-3

Datentyp

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
Beschreibung

PelvisAbdominalComputedTomographyEvaluationInd-2

Datentyp

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
Beschreibung

ChestPelvisAbdominalComputedTomographyEvaluationInd-2

Datentyp

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)
Beschreibung

Patient Weight

Datentyp

float

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

Patient Height

Datentyp

float

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

ExaminationDate

Datentyp

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
Beschreibung

Severe Active Comorbidity

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

PatientTNMStagingSystemEligibilityDeterminationInd-2

Datentyp

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
Beschreibung

RegionalLymphNodeRadiationTherapyAdministeredInd-2

Datentyp

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
Beschreibung

InvasiveBreastMalignantNeoplasmLowRiskRecurrentDiseaseInd-2

Datentyp

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
Beschreibung

CancerTreatmentConcurrentAdministeredInd-2

Datentyp

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)
Beschreibung

PriorCancerDiagnosisInd-3

Datentyp

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)
Beschreibung

CancerAblationDate

Datentyp

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
Beschreibung

RadiationTherapyPriorMalignantNeoplasmAdministeredInd-2

Datentyp

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
Beschreibung

PatientInvasiveBreastCarcinomaPersonalMedicalHistoryInd-2

Datentyp

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
Beschreibung

BreastMalignantNeoplasmGreaterThanOneLumpectomyInd-2

Datentyp

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
Beschreibung

DuctalBreastCarcinomaInSituGreaterThanInteger::50YearAgePresentInd-2

Datentyp

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
Beschreibung

DuctalBreastCarcinomaInSituPresentInd-2

Datentyp

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)
Beschreibung

AbnormalBreastPresentInd-2

Datentyp

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, )
Beschreibung

AbnormalBreastBenignFindingInd-2

Datentyp

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
Beschreibung

BreastMalignantNeoplasmSarcomaLymphomaPresentInd-2

Datentyp

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
Beschreibung

Paget'sDiseasePresentInd-3

Datentyp

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
Beschreibung

UnstableAnginaHospitalizationInd-2

Datentyp

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)
Beschreibung

TransmuralMyocardialInfarctionConfirmedInd-2

Datentyp

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
Beschreibung

Pre-existingConditionAcuteBacterialInfectionFungalInfectionRegistrationIntravenousRouteofAdministrationAntibioticPresentInd-2

Datentyp

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
Beschreibung

ChronicObstructiveAirwaysDiseaseRespiratoryEventHospitalizationInd-2

Datentyp

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
Beschreibung

ChronicDiseaseHepaticInsufficiencyInd-2

Datentyp

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)
Beschreibung

PatientAcquiredImmunodeficiencySyndromeAssessmentInd-3

Datentyp

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
Beschreibung

DiseasesandDisordersPatientSelf-ReportAutoimmuneDiseaseDiagnosisInd-3

Datentyp

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
Beschreibung

OtherPatientMedicalContraindicatedInd-2

Datentyp

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
Beschreibung

FemalePatientPotentialPregnancyInd-2

Datentyp

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,)
Beschreibung

ContraceptionAgreementInd

Datentyp

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
Beschreibung

PatientNegativePregnancyTestInd-2

Datentyp

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)
Beschreibung

PatientNegativePregnancyTestDate

Datentyp

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?
Beschreibung

PatientPregnancyInd-2

Datentyp

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
Beschreibung

Footer Module

Comments
Beschreibung

Research Comments

Datentyp

text

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

Investigator Signature

Datentyp

text

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

Investigator Signature Date

Datentyp

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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Ähnliche Modelle

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

1 Formulare
  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
Typ
Description | Question | Decode (Coded Value)
Datentyp
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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