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ID

7212

Description

Phase II Breast Cancer - Advanced Disease On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=258957C7-A3E4-6659-E044-0003BA3F9857

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=258957C7-A3E4-6659-E044-0003BA3F9857

Mots-clés

  1. 19/09/2012 19/09/2012 -
  2. 09/01/2015 09/01/2015 - Martin Dugas
Téléchargé le

9 janvier 2015

DOI

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Licence

Creative Commons BY-NC 3.0 Legacy

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    On-Study - Phase II Breast Cancer - Advanced Disease On-Study Form - 2583382v1.0

    No Instruction available.

    1. StudyEvent: Phase II Breast Cancer - Advanced Disease On-Study Form
      1. No Instruction available.
    Crf Header
    Description

    Crf Header

    Coordinating Group Protocol No.
    Description

    Protocol ID Coordinating Group

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1711341
    NCI Thesaurus Property
    C25462
    NCI Thesaurus Property-2
    C25364
    Coordinating Group Code
    Description

    Coordinating Group Code

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS CUI-1
    C1711341
    NCI Thesaurus ObjectClass
    C17005
    UMLS CUI-2
    C0805701
    NCI Thesaurus ObjectClass-2
    C25462
    NCI Thesaurus Property
    C25364
    Protocol Title
    Description

    Protocol Title

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986303
    NCI Thesaurus ObjectClass
    C25320
    NCI Thesaurus Property
    C42774
    Patient Study ID
    Description

    Patient Study ID

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25462
    NCI Thesaurus Property-2
    C25364
    Institution/Affiliate
    Description

    Institution Name

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25454
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass-2
    C21541
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ValueDomain
    C25191
    NCI Thesaurus ValueDomain-2
    C21541
    Registering Group Code
    Description

    Registering Group Code

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS CUI-1
    C2347449
    NCI Thesaurus ObjectClass
    C17005
    UMLS CUI-2
    C0805701
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ObjectClass-2
    C25645
    Registering Institution Code
    Description

    Registering Institution Code

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25162
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass
    C21541
    UMLS CUI-2
    C0805701
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ObjectClass-2
    C25645
    Patient Initials
    Description

    Patient Initials

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    Breast: Form Administration
    Description

    Breast: Form Administration

    Person Completing Form
    Description

    Person Completing Form

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1550483
    NCI Thesaurus ObjectClass
    C25657
    NCI Thesaurus Property
    C25364
    Are data amended? (If data are amended, please circle in red when using paper form)
    Description

    Data amended

    Type de données

    boolean

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

    Breast: Patient Characteristics

    Patient Age
    Description

    PatientAgeValue

    Type de données

    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
    Menopausal Status
    Description

    PatientMenopauseCategory

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25372
    UMLS 2011AA ValueDomain
    C0683312
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C3231
    UMLS 2011AA Property
    C0025320
    NCI Thesaurus ValueDomain-2
    C3231
    UMLS 2011AA ValueDomain-2
    C0025320
    Hormone therapy
    Description

    HormoneTherapyAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C15445
    UMLS 2011AA ObjectClass
    C0279025
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Breast: Advanced Disease Description
    Description

    Breast: Advanced Disease Description

    Tumor Laterality (check one)
    Description

    PrimaryTumorLateralityType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C25251
    UMLS 2011AA ObjectClass-2
    C0205225
    NCI Thesaurus Property
    C25185
    UMLS 2011AA Property
    C0332304
    HER2/neu Final Diagnosis (Primary Tumor)
    Description

    DiseaseFinalDiagnosisHER2/neuType

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus Property
    C15220
    UMLS 2011AA Property
    C0011900
    NCI Thesaurus Property-2
    C25508
    UMLS 2011AA Property-2
    C0205088
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ValueDomain-2
    C17756
    UMLS 2011AA ValueDomain-2
    C0242957
    Receptor Status, ER (Metastatic Tumor)
    Description

    ERLevelTumorStatus

    Type de données

    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, ER (Metastatic Tumor)
    Description

    ERLevelTumorStatus

    Type de données

    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 (Metastatic Tumor)
    Description

    PgRStatusType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C17075
    UMLS 2011AA ObjectClass
    C0034833
    NCI Metathesaurus Property
    C0678257
    Receptor Status, PgR (Metastatic Tumor)
    Description

    PgRStatusType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C17075
    UMLS 2011AA ObjectClass
    C0034833
    NCI Metathesaurus Property
    C0678257
    Tumor Marker Test Method (Metastatic Tumor)
    Description

    TumorMarkerTestType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C25294
    UMLS 2011AA Property
    C0022885
    NCI Thesaurus ObjectClass
    C17220
    UMLS 2011AA ObjectClass
    C0041365
    Tumor Marker Test Method (Metastatic Tumor)
    Description

    TumorMarkerTestType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C25294
    UMLS 2011AA Property
    C0022885
    NCI Thesaurus ObjectClass
    C17220
    UMLS 2011AA ObjectClass
    C0041365
    Other specify
    Description

    TumorMarkerTestSpecify

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25294
    UMLS 2011AA Property
    C0022885
    NCI Thesaurus ObjectClass
    C17220
    UMLS 2011AA ObjectClass
    C0041365
    Other specify
    Description

    TumorMarkerTestSpecify

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus Property
    C25294
    UMLS 2011AA Property
    C0022885
    NCI Thesaurus ObjectClass
    C17220
    UMLS 2011AA ObjectClass
    C0041365
    Date of Initial Diagnosis of Primary Tumor
    Description

    FirstBiopsyPositiveDate

    Type de données

    date

    Alias
    NCI Thesaurus ObjectClass
    C15189
    UMLS 2011AA ObjectClass
    C0005558
    NCI Thesaurus ObjectClass-2
    C25509
    UMLS 2011AA ObjectClass-2
    C1279901
    NCI Thesaurus Property
    C25246
    UMLS 2011AA Property
    C1446409
    NCI Thesaurus Property-2
    C25275
    UMLS 2011AA Property-2
    C2745955
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    Date Progressive or Metastatic Disease First Diagnosed (Unless otherwise specified per protocol, the diagnosis can be radiologically or pathologically measured.)
    Description

    DiseaseRecurrenceDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus Property
    C3352
    UMLS 2011AA Property
    C0034897
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    Date of Most Recent Progression
    Description

    DiseaseProgressionMostRecentDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C25331
    NCI Thesaurus ObjectClass
    C2991
    UMLS 2011AA ObjectClass
    C0012634
    NCI Thesaurus ValueDomain-2
    C25577
    UMLS 2011AA ValueDomain-2
    C1513491
    Stage Grouping Assessment Method (Disease Stage Classification at diagnosis - Indicate highest stage)
    Description

    BreastTumorStageGroupingAssessmentType

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C12971
    UMLS 2011AA ObjectClass-2
    C0006141
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C38027
    UMLS 2011AA Property-2
    C1519504
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Stage Grouping
    Description

    BreastTumorStageGroupingStage

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C3262
    UMLS 2011AA ObjectClass
    C0027651
    NCI Thesaurus ObjectClass-2
    C12971
    UMLS 2011AA ObjectClass-2
    C0006141
    NCI Thesaurus ValueDomain
    C16899
    UMLS 2011AA ValueDomain
    C1300072
    NCI Thesaurus Property
    C38027
    UMLS 2011AA Property
    C1519504
    Histologic Grade (For breast cancer, the Nottingham combined histologic grade is recommended)
    Description

    BreastTumorHistologicGrade

    Type de données

    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
    Breast: Site(s) Of Progression
    Description

    Breast: Site(s) Of Progression

    Sites of Progression (check all that apply)
    Description

    Progression Site

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C13717
    UMLS CUI-1
    C0242656
    NCI Thesaurus Property
    C25341
    UMLS CUI-2
    C1515974
    NCI Thesaurus ObjectClass
    C25331
    If sites other than specified, Indicate Name
    Description

    OtherDiseaseSiteName

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus ObjectClass
    C17649
    UMLS 2011AA ObjectClass
    C0205394
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus ObjectClass-2
    C2991
    UMLS 2011AA ObjectClass-2
    C0012634
    If sites other than specified, Indicate Name
    Description

    OtherDiseaseSiteName

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus ObjectClass
    C17649
    UMLS 2011AA ObjectClass
    C0205394
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus ObjectClass-2
    C2991
    UMLS 2011AA ObjectClass-2
    C0012634
    Total Number of Sites Involved
    Description

    OrganInvolvedSiteNumber

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C25341
    UMLS 2011AA Property
    C0450429
    NCI Thesaurus Property-2
    C25547
    NCI Thesaurus ObjectClass
    C13018
    UMLS 2011AA ObjectClass
    C0178784
    Breast: Advanced Treatment - Prior Systemic Therapy
    Description

    Breast: Advanced Treatment - Prior Systemic Therapy

    Prior Adjuvant Hormonal Therapy? (do not include steroids given with chemotherapy)
    Description

    AdjuvantHormonalTherapyPriorAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C15445
    UMLS 2011AA ObjectClass
    C0279025
    NCI Thesaurus ObjectClass-2
    C2140
    UMLS 2011AA ObjectClass-2
    C0001552
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Prior Hormonal Therapy for Metastasis or Recurrence? (do not include steroids given with chemotherapy)
    Description

    PriorHormonalTherapyMetastatic/RecurrentAdministreredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C15445
    UMLS 2011AA ObjectClass-2
    C0279025
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    NCI Thesaurus Property-2
    C25567
    UMLS 2011AA Property-2
    C1513186
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Prior Adjuvant Chemotherapy? (include pre-op chemotherapy at diagnosis)
    Description

    AdjuvantChemotherapyPriorAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Prior Chemotherapy for Metastasis or Recurrence?
    Description

    PriorChemotherapyMetastatic/RecurrentDiseaseAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C15632
    UMLS 2011AA ObjectClass
    C0392920
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C14174
    UMLS 2011AA Property
    C0036525
    NCI Thesaurus Property-2
    C38155
    UMLS 2011AA Property-2
    C0277556
    NCI Thesaurus Property-3
    C25382
    UMLS 2011AA Property-3
    C1521801
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Prior Adjuvant High Dose Chemotherapy/Autologous Stem Cell Transplant (HDC/ASCT)
    Description

    PriorHDC/ASCTAdjuvantAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C38722
    UMLS 2011AA ObjectClass-2
    C1512429
    NCI Thesaurus Property
    C2140
    UMLS 2011AA Property
    C0001552
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Prior HDC/ASCT for Metastasis or Recurrence?
    Description

    PriorHigh-DoseChemotherapywithStemCellSupportMetastaticRecurrentDiseaseAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C38722
    UMLS 2011AA ObjectClass-2
    C1512429
    NCI Thesaurus Property
    C14174
    UMLS 2011AA Property
    C0036525
    NCI Thesaurus Property-2
    C38155
    UMLS 2011AA Property-2
    C0277556
    NCI Thesaurus Property-3
    C25382
    UMLS 2011AA Property-3
    C1521801
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Prior Adjuvant Immunotherapy?
    Description

    AdjuvantImmunotherapyPriorAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C15262
    UMLS 2011AA ObjectClass
    C0021083
    NCI Thesaurus ObjectClass-2
    C2140
    UMLS 2011AA ObjectClass-2
    C0001552
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Prior Immunotherapy for Metastasis or Recurrence?
    Description

    PriorImmunotherapyMetastaticRecurrentDiseaseAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C15262
    UMLS 2011AA ObjectClass
    C0021083
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C14174
    UMLS 2011AA Property
    C0036525
    NCI Thesaurus Property-2
    C38155
    UMLS 2011AA Property-2
    C0277556
    NCI Thesaurus Property-3
    C25382
    UMLS 2011AA Property-3
    C1521801
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Prior Adjuvant Biologic Therapy
    Description

    AdjuvantBiologicalTherapyPriorAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus Property
    C25629
    UMLS 2011AA Property
    C0332152
    NCI Thesaurus ObjectClass
    C15187
    UMLS 2011AA ObjectClass
    C0005527
    NCI Thesaurus ObjectClass-2
    C2140
    UMLS 2011AA ObjectClass-2
    C0001552
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    Prior Biologic Thearpy for Metastatic or Recurrence
    Description

    PriorBiologicalTherapyMetastaticAdministeredInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C15187
    UMLS 2011AA ObjectClass-2
    C0005527
    NCI Thesaurus Property
    C14174
    UMLS 2011AA Property
    C0036525
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Prior Adjuvant Other Therapy?
    Description

    AdjuvantTherapyOtherAdministeredPriorInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus ObjectClass-2
    C2140
    UMLS 2011AA ObjectClass
    C0001552
    NCI Thesaurus Property
    C17649
    UMLS 2011AA Property
    C0205394
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ValueDomain-2
    C25629
    UMLS 2011AA ValueDomain-2
    C0332152
    Prior Other Therapy for Metastasis or Recurrence?
    Description

    PriorTherapyMetastaticRecurrentDiseaseAdministeredOtherInd-3

    Type de données

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS 2011AA ObjectClass
    C0332152
    NCI Thesaurus ObjectClass-2
    C15368
    NCI Thesaurus Property
    C14174
    UMLS 2011AA Property
    C0036525
    NCI Thesaurus Property-2
    C38155
    UMLS 2011AA Property-2
    C0277556
    NCI Thesaurus Property-3
    C25382
    UMLS 2011AA Property-3
    C1521801
    NCI Thesaurus ValueDomain
    C17649
    UMLS 2011AA ValueDomain
    C0205394
    NCI Thesaurus ValueDomain-2
    C38148
    UMLS 2011AA ValueDomain-2
    C1512699
    Breast: Advanced Prior Treatment - Systemic Regimens
    Description

    Breast: Advanced Prior Treatment - Systemic Regimens

    Number of prior therapy regimens
    Description

    Number of prior therapy regimens

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C25629
    UMLS CUI-1
    C0750480
    NCI Thesaurus ObjectClass-2
    C15368
    NCI Thesaurus ValueDomain
    C25463
    UMLS CUI-2
    C0040808
    NCI Thesaurus Property
    C15697
    UMLS CUI-3
    C0332152
    Agent Name
    Description

    Agent

    Type de données

    text

    Alias
    NCI Thesaurus Property
    C25364
    UMLS CUI-1
    C1521826
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus ValueDomain
    C1708
    NCI Thesaurus ValueDomain-2
    C42614
    Agent Start Date
    Description

    Medication Start Date

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C1521826
    NCI Thesaurus ValueDomain-2
    C25431
    UMLS CUI-2
    C0808070
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus Property
    C25275
    Agent End Date
    Description

    Medication End Date

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C1521826
    NCI Thesaurus ObjectClass
    C1708
    UMLS CUI-2
    C0806020
    NCI Thesaurus Property
    C25275
    Agent Total Cumulative Dose
    Description

    Cumulative Dose Agent

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C1708
    UMLS CUI-1
    C2986497
    NCI Thesaurus ObjectClass-2
    C25470
    UMLS CUI-2
    C1521826
    NCI Thesaurus Property
    C25304
    NCI Thesaurus Property-2
    C25256
    NCI Thesaurus ValueDomain
    C25304
    NCI Thesaurus ValueDomain-2
    C25488
    No. of Cycles
    Description

    TreatmentCycleCount

    Type de données

    float

    Alias
    NCI Thesaurus Property
    C25472
    UMLS 2011AA Property
    C1511572
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    Overall Response Duration
    Description

    Overall Response Duration

    Type de données

    integer

    Alias
    NCI Thesaurus ObjectClass
    C25755
    UMLS CUI-1
    C0237585
    NCI Thesaurus Property
    C25605
    NCI Thesaurus Property-2
    C25275
    NCI Thesaurus ValueDomain
    C25605
    NCI Thesaurus ValueDomain-2
    C25330
    Lung: Prior Radiation Therapy ¿ Nsclc Advanced
    Description

    Lung: Prior Radiation Therapy ¿ Nsclc Advanced

    Prior Radiation Therapy
    Description

    Prior Radiation Therapy

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C1522449
    NCI Thesaurus ObjectClass
    C15313
    UMLS CUI-2
    C0332152
    NCI Thesaurus ObjectClass-2
    C25629
    NCI Thesaurus Property
    C25382
    Prior Radiation Therapy Type
    Description

    PriorRTAdministeredType

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C15313
    UMLS 2011AA ObjectClass
    C1522449
    NCI Thesaurus ObjectClass-2
    C25629
    UMLS 2011AA ObjectClass-2
    C0332152
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Total Dose to Breast (cGy)
    Description

    RTBreastAdministeredTotalDose

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C15313
    UMLS 2011AA ObjectClass
    C1522449
    NCI Thesaurus Property
    C12971
    UMLS 2011AA Property
    C0006141
    NCI Thesaurus Property-2
    C25382
    UMLS 2011AA Property-2
    C1521801
    NCI Thesaurus ValueDomain
    C25304
    UMLS 2011AA ValueDomain
    C0439810
    NCI Thesaurus ValueDomain-2
    C25488
    UMLS 2011AA ValueDomain-2
    C0178602
    Radiation Therapy End Date
    Description

    Radiation Therapy End Date

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C1522449
    NCI Thesaurus ObjectClass
    C15313
    UMLS CUI-2
    C0806020
    NCI Thesaurus Property
    C25275
    NCI Thesaurus Property-2
    C25496
    Type of Radiation Therapy Administered
    Description

    Radiation Therapy Type

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C1522449
    NCI Thesaurus ObjectClass
    C15313
    UMLS CUI-2
    C0683312
    NCI Thesaurus Property
    C25382
    Other specify
    Description

    Radiotherapy type

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C1522449
    NCI Thesaurus ObjectClass
    C15313
    UMLS CUI-2
    C1521902
    NCI Thesaurus Property
    C25365
    Radiation Therapy Site
    Description

    Radiation Therapy Body Site

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C1997599
    NCI Thesaurus Property
    C25341
    NCI Thesaurus ObjectClass
    C15313
    RT Dose per Fraction (units)
    Description

    Radiation Therapy Dose per Fraction

    Type de données

    float

    Alias
    NCI Thesaurus ObjectClass
    C15313
    UMLS CUI-1
    C1522449
    NCI Thesaurus ValueDomain
    C25488
    UMLS CUI-2
    C0178602
    NCI Thesaurus Property
    C25514
    UMLS CUI-3
    C1264633
    Units
    Description

    Units

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C1708
    UMLS CUI-1
    C1519795
    NCI Thesaurus Property
    C25256
    NCI Thesaurus ValueDomain
    C25709
    Units
    Description

    Units

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C1708
    UMLS CUI-1
    C1519795
    NCI Thesaurus Property
    C25256
    NCI Thesaurus ValueDomain
    C25709
    Total Number of Fractions
    Description

    Total Number of Fractions

    Type de données

    float

    Alias
    NCI Thesaurus Property
    C25304
    UMLS CUI-1
    C1522449
    NCI Thesaurus ObjectClass
    C15313
    UMLS CUI-2
    C1264633
    NCI Thesaurus ValueDomain
    C25463
    UMLS CUI-3
    C0750480
    NCI Thesaurus Property-2
    C25514
    RT Total Dose (units)
    Description

    Radiation Therapy Total Dose

    Type de données

    float

    Alias
    NCI Thesaurus ValueDomain
    C25304
    UMLS CUI-1
    C2169193
    NCI Thesaurus ObjectClass
    C15313
    NCI Thesaurus ValueDomain-2
    C25488
    NCI Thesaurus Property
    C25382
    Were there any unscheduled interruptions in radiation therapy?
    Description

    Unscheduled Interruptions in Radiation Therapy

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS CUI-1
    C1522449
    NCI Thesaurus ObjectClass
    C15313
    UMLS CUI-2
    C1512900
    NCI Thesaurus Property
    C25542
    RT Interruption Reason (Specify)
    Description

    RadiationTherapyInterruptionReason

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25638
    UMLS 2011AA ValueDomain
    C0392360
    NCI Thesaurus ObjectClass
    C15313
    UMLS 2011AA ObjectClass
    C1522449
    NCI Thesaurus Property
    C25542
    UMLS 2011AA Property
    C1512900
    Breast: Prior Surgery
    Description

    Breast: Prior Surgery

    Prior Surgery
    Description

    Prior Surgery

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0744961
    NCI Thesaurus Property
    C38000
    NCI Thesaurus ObjectClass
    C15329
    NCI Thesaurus ObjectClass-2
    C25629
    Most Extensive Primary Surgery (check one)
    Description

    BreastPrimarySurgicalProcedurePerformedType

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25251
    UMLS 2011AA ObjectClass
    C0205225
    NCI Thesaurus ObjectClass-2
    C12971
    UMLS 2011AA ObjectClass-2
    C0006141
    NCI Thesaurus ObjectClass-3
    C15329
    UMLS 2011AA ObjectClass-3
    C0543467
    NCI Thesaurus Property
    C38000
    UMLS 2011AA Property
    C0884358
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Date of Most Extensive Primary Surgery (if required, use last re-excision date)
    Description

    PrimarySurgeryDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus ObjectClass
    C25251
    UMLS 2011AA ObjectClass
    C0205225
    NCI Thesaurus ObjectClass-2
    C15329
    UMLS 2011AA ObjectClass-2
    C0543467
    NCI Thesaurus Property
    C25275
    UMLS 2011AA Property
    C2745955
    Other tumor excision
    Description

    OtherNeoplasmExcisionInd-2

    Type de données

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus ObjectClass
    C17649
    UMLS 2011AA ObjectClass
    C0205394
    NCI Thesaurus ObjectClass-2
    C3262
    UMLS 2011AA ObjectClass-2
    C0027651
    NCI Thesaurus Property
    C15232
    UMLS 2011AA Property
    C0728940
    Specify
    Description

    OtherNeoplasmExcisionSpecify

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    NCI Thesaurus ObjectClass
    C17649
    UMLS 2011AA ObjectClass
    C0205394
    NCI Thesaurus ObjectClass-2
    C3262
    UMLS 2011AA ObjectClass-2
    C0027651
    NCI Thesaurus Property
    C15232
    UMLS 2011AA Property
    C0728940
    Breast: Prior Surgery
    Description

    Breast: Prior Surgery

    Similar models

    No Instruction available.

    1. StudyEvent: Phase II Breast Cancer - Advanced Disease On-Study Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Crf Header
    Protocol ID Coordinating Group
    Item
    Coordinating Group Protocol No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1711341 (UMLS CUI-2)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Coordinating Group Code
    Item
    Coordinating Group Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C1711341 (UMLS CUI-1)
    C17005 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25462 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    Protocol Title
    Item
    Protocol Title
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986303 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C42774 (NCI Thesaurus Property)
    Patient Study ID
    Item
    Patient Study ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25462 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Institution Name
    Item
    Institution/Affiliate
    text
    C25454 (NCI Thesaurus ObjectClass)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C25191 (NCI Thesaurus ValueDomain)
    C21541 (NCI Thesaurus ValueDomain-2)
    Registering Group Code
    Item
    Registering Group Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C2347449 (UMLS CUI-1)
    C17005 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25645 (NCI Thesaurus ObjectClass-2)
    Registering Institution Code
    Item
    Registering Institution Code
    text
    C25162 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25645 (NCI Thesaurus ObjectClass-2)
    Patient Initials
    Item
    Patient Initials
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Item Group
    Breast: Form Administration
    Person Completing Form
    Item
    Person Completing Form
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1550483 (UMLS CUI-1)
    C25657 (NCI Thesaurus ObjectClass)
    C25364 (NCI Thesaurus Property)
    Data amended
    Item
    Are data amended? (If data are amended, please circle in red when using paper form)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25474 (NCI Thesaurus ObjectClass)
    C25416 (NCI Thesaurus Property)
    Item Group
    Breast: Patient Characteristics
    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
    Menopausal Status
    text
    C25372 (NCI Thesaurus ValueDomain)
    C0683312 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C3231 (NCI Thesaurus Property)
    C0025320 (UMLS 2011AA Property)
    C3231 (NCI Thesaurus ValueDomain-2)
    C0025320 (UMLS 2011AA ValueDomain-2)
    Code List
    Menopausal Status
    CL Item
    Pre (<6 Mo Since Lmp And No Prior Bilateral Ovariectomy And Not On Estrogen Replacement) (Pre (<6 mo since LMP AND no prior bilateral ovariectomy AND not on estrogen replacement))
    CL Item
    Post (prior Bilateral Ovariectomy Or >12 Mo Since Lmp With No Prior Hysterectomy) (Post (prior bilateral ovariectomy OR >12 mo since LMP with no prior hysterectomy))
    CL Item
    Post (prior Bilateral Ovariectomy Or >12 Mo Since Lmp With No Prior Hysterectomy And Not Currently Receiving Therapy With Lh-rh Analogs [e.g., Zoladex]) (Post (prior bilateral ovariectomy OR >12 mo since LMP with no prior hysterectomy AND not currently receiving therapy with LH-RH analogs (e.g., Zoladex)))
    HormoneTherapyAdministeredInd-3
    Item
    Hormone therapy
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C15445 (NCI Thesaurus ObjectClass)
    C0279025 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Item Group
    Breast: Advanced Disease Description
    Item
    Tumor Laterality (check one)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C25251 (NCI Thesaurus ObjectClass-2)
    C0205225 (UMLS 2011AA ObjectClass-2)
    C25185 (NCI Thesaurus Property)
    C0332304 (UMLS 2011AA Property)
    Code List
    Tumor Laterality (check one)
    CL Item
    Left (Left)
    C25229 (NCI Thesaurus)
    C0205091 (UMLS 2011AA)
    CL Item
    Right (Right)
    C25228 (NCI Thesaurus)
    C0205090 (UMLS 2011AA)
    CL Item
    Bilateral (Bilateral)
    C13332 (NCI Thesaurus)
    C0238767 (UMLS 2011AA)
    Item
    HER2/neu Final Diagnosis (Primary Tumor)
    text
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C15220 (NCI Thesaurus Property)
    C0011900 (UMLS 2011AA Property)
    C25508 (NCI Thesaurus Property-2)
    C0205088 (UMLS 2011AA Property-2)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C17756 (NCI Thesaurus ValueDomain-2)
    C0242957 (UMLS 2011AA ValueDomain-2)
    Code List
    HER2/neu Final Diagnosis (Primary Tumor)
    CL Item
    Positive (Positive)
    C25246 (NCI Thesaurus)
    C1446409 (UMLS 2011AA)
    CL Item
    Negative (Negative)
    C25247 (NCI Thesaurus)
    C0205160 (UMLS 2011AA)
    Item
    Receptor Status, ER (Metastatic Tumor)
    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)
    Code List
    Receptor Status, ER (Metastatic Tumor)
    CL Item
    Positive (Positive)
    C25246 (NCI Thesaurus)
    C1446409 (UMLS 2011AA)
    CL Item
    Negative (Negative)
    C25247 (NCI Thesaurus)
    C0205160 (UMLS 2011AA)
    Item
    Receptor Status, ER (Metastatic Tumor)
    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)
    Code List
    Receptor Status, ER (Metastatic Tumor)
    CL Item
    Positive (Positive)
    C25246 (NCI Thesaurus)
    C1446409 (UMLS 2011AA)
    CL Item
    Negative (Negative)
    C25247 (NCI Thesaurus)
    C0205160 (UMLS 2011AA)
    Item
    Receptor Status, PgR (Metastatic Tumor)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C17075 (NCI Thesaurus ObjectClass)
    C0034833 (UMLS 2011AA ObjectClass)
    C0678257 (NCI Metathesaurus Property)
    Code List
    Receptor Status, PgR (Metastatic Tumor)
    CL Item
    Positive (Positive)
    C25246 (NCI Thesaurus)
    C1446409 (UMLS 2011AA)
    CL Item
    Negative (Negative)
    C25247 (NCI Thesaurus)
    C0205160 (UMLS 2011AA)
    Item
    Receptor Status, PgR (Metastatic Tumor)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C17075 (NCI Thesaurus ObjectClass)
    C0034833 (UMLS 2011AA ObjectClass)
    C0678257 (NCI Metathesaurus Property)
    Code List
    Receptor Status, PgR (Metastatic Tumor)
    CL Item
    Positive (Positive)
    C25246 (NCI Thesaurus)
    C1446409 (UMLS 2011AA)
    CL Item
    Negative (Negative)
    C25247 (NCI Thesaurus)
    C0205160 (UMLS 2011AA)
    Item
    Tumor Marker Test Method (Metastatic Tumor)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25294 (NCI Thesaurus Property)
    C0022885 (UMLS 2011AA Property)
    C17220 (NCI Thesaurus ObjectClass)
    C0041365 (UMLS 2011AA ObjectClass)
    Code List
    Tumor Marker Test Method (Metastatic Tumor)
    CL Item
    Immunohistochemistry (ihc) (Immunohistochemistry (IHC))
    CL Item
    Fluorescence In Situ Hybridization (fish) (Fluorescence in situ hybridization (FISH))
    CL Item
    Elisa (ELISA)
    C16553 (NCI Thesaurus)
    C0014441 (UMLS 2011AA)
    CL Item
    Other, Specify (Other)
    Item
    Tumor Marker Test Method (Metastatic Tumor)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25294 (NCI Thesaurus Property)
    C0022885 (UMLS 2011AA Property)
    C17220 (NCI Thesaurus ObjectClass)
    C0041365 (UMLS 2011AA ObjectClass)
    Code List
    Tumor Marker Test Method (Metastatic Tumor)
    CL Item
    Immunohistochemistry (ihc) (Immunohistochemistry (IHC))
    CL Item
    Fluorescence In Situ Hybridization (fish) (Fluorescence in situ hybridization (FISH))
    CL Item
    Elisa (ELISA)
    C16553 (NCI Thesaurus)
    C0014441 (UMLS 2011AA)
    CL Item
    Other, Specify (Other)
    TumorMarkerTestSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25294 (NCI Thesaurus Property)
    C0022885 (UMLS 2011AA Property)
    C17220 (NCI Thesaurus ObjectClass)
    C0041365 (UMLS 2011AA ObjectClass)
    TumorMarkerTestSpecify
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C25294 (NCI Thesaurus Property)
    C0022885 (UMLS 2011AA Property)
    C17220 (NCI Thesaurus ObjectClass)
    C0041365 (UMLS 2011AA ObjectClass)
    FirstBiopsyPositiveDate
    Item
    Date of Initial Diagnosis of Primary Tumor
    date
    C15189 (NCI Thesaurus ObjectClass)
    C0005558 (UMLS 2011AA ObjectClass)
    C25509 (NCI Thesaurus ObjectClass-2)
    C1279901 (UMLS 2011AA ObjectClass-2)
    C25246 (NCI Thesaurus Property)
    C1446409 (UMLS 2011AA Property)
    C25275 (NCI Thesaurus Property-2)
    C2745955 (UMLS 2011AA Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    DiseaseRecurrenceDate
    Item
    Date Progressive or Metastatic Disease First Diagnosed (Unless otherwise specified per protocol, the diagnosis can be radiologically or pathologically measured.)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    C3352 (NCI Thesaurus Property)
    C0034897 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    DiseaseProgressionMostRecentDate
    Item
    Date of Most Recent Progression
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25331 (NCI Thesaurus Property)
    C2991 (NCI Thesaurus ObjectClass)
    C0012634 (UMLS 2011AA ObjectClass)
    C25577 (NCI Thesaurus ValueDomain-2)
    C1513491 (UMLS 2011AA ValueDomain-2)
    Item
    Stage Grouping Assessment Method (Disease Stage Classification at diagnosis - Indicate highest stage)
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C12971 (NCI Thesaurus ObjectClass-2)
    C0006141 (UMLS 2011AA ObjectClass-2)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C38027 (NCI Thesaurus Property-2)
    C1519504 (UMLS 2011AA Property-2)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    Code List
    Stage Grouping Assessment Method (Disease Stage Classification at diagnosis - Indicate highest stage)
    CL Item
    Clinical (Clinical)
    C25398 (NCI Thesaurus)
    C0205210 (UMLS 2011AA)
    CL Item
    Pathologic (Pathologic)
    C25610 (NCI Thesaurus)
    C1521733 (UMLS 2011AA)
    Item
    Stage Grouping
    text
    C3262 (NCI Thesaurus ObjectClass)
    C0027651 (UMLS 2011AA ObjectClass)
    C12971 (NCI Thesaurus ObjectClass-2)
    C0006141 (UMLS 2011AA ObjectClass-2)
    C16899 (NCI Thesaurus ValueDomain)
    C1300072 (UMLS 2011AA ValueDomain)
    C38027 (NCI Thesaurus Property)
    C1519504 (UMLS 2011AA Property)
    Code List
    Stage Grouping
    CL Item
    Tis, N0, M0 (0)
    CL Item
    T1*, N0, M0 (I)
    CL Item
    T0, N1, M0 Or T1*, N1, M0 Or T2, N0, M0 (IIA)
    CL Item
    T2, N1, M0 Or T3, N0, M0 (IIB)
    CL Item
    T0, N2, M0 Or T1*, N2, M0 Or T2, N2, M0 Or T3, N1, M0 Or T3, N2, M0 (IIIA)
    CL Item
    T4, N0, M0 Or T4, N1, M0 Or T4, N2, M0 (IIIB)
    CL Item
    Any T, N3, M0 (IIIC)
    CL Item
    Any T, Any N, M1 (IV)
    Item
    Histologic Grade (For breast cancer, the Nottingham combined histologic grade is recommended)
    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)
    Code List
    Histologic Grade (For breast cancer, the Nottingham combined histologic grade is recommended)
    CL Item
    Gx Grade Cannot Be Assessed (GX)
    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 Group
    Breast: Site(s) Of Progression
    Item
    Sites of Progression (check all that apply)
    text
    C13717 (NCI Thesaurus ValueDomain)
    C0242656 (UMLS CUI-1)
    C25341 (NCI Thesaurus Property)
    C1515974 (UMLS CUI-2)
    C25331 (NCI Thesaurus ObjectClass)
    Code List
    Sites of Progression (check all that apply)
    CL Item
    Local-regional (including Ipsilateral Breast; Chest Wall; Axillary, Internal Mammary, And Infraclavicular Nodes; Local-regional Skin And Subcutaneous Tissue) (Local-regional)
    CL Item
    Ipsilateral Supraclavicular Nodes (Ipsilateral supraclavicular nodes)
    CL Item
    Contralateral Breast (Opposite breast)
    CL Item
    Distant Lymph Nodes (Distant nodes)
    CL Item
    Distant Skin/subcutaneous Tissue (Distant skin/subcutaneous tissue)
    CL Item
    Bone (Bone)
    C12366 (NCI Thesaurus)
    C0262950 (UMLS 2011AA)
    CL Item
    Bone Marrow (Bone marrow)
    C12431 (NCI Thesaurus)
    C0005953 (UMLS 2011AA)
    CL Item
    Liver (Liver)
    C12392 (NCI Thesaurus)
    C0023884 (UMLS 2011AA)
    CL Item
    Lung, Nos (Lung)
    C12468 (NCI Thesaurus)
    C0024109 (UMLS 2011AA)
    CL Item
    Pleura (Pleura)
    C12469 (NCI Thesaurus)
    C0032225 (UMLS 2011AA)
    CL Item
    Brain (Brain)
    C12439 (NCI Thesaurus)
    C0006104 (UMLS 2011AA)
    CL Item
    Other Cns (Other CNS)
    CL Item
    Other Site(s) (First Other, specify)
    CL Item
    Other Site(s) (Second Other, specify)
    OtherDiseaseSiteName
    Item
    If sites other than specified, Indicate Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1547383 (UMLS 2011AA ValueDomain)
    C17649 (NCI Thesaurus ObjectClass)
    C0205394 (UMLS 2011AA ObjectClass)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass-2)
    C0012634 (UMLS 2011AA ObjectClass-2)
    OtherDiseaseSiteName
    Item
    If sites other than specified, Indicate Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1547383 (UMLS 2011AA ValueDomain)
    C17649 (NCI Thesaurus ObjectClass)
    C0205394 (UMLS 2011AA ObjectClass)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C2991 (NCI Thesaurus ObjectClass-2)
    C0012634 (UMLS 2011AA ObjectClass-2)
    OrganInvolvedSiteNumber
    Item
    Total Number of Sites Involved
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25341 (NCI Thesaurus Property)
    C0450429 (UMLS 2011AA Property)
    C25547 (NCI Thesaurus Property-2)
    C13018 (NCI Thesaurus ObjectClass)
    C0178784 (UMLS 2011AA ObjectClass)
    Item Group
    Breast: Advanced Treatment - Prior Systemic Therapy
    AdjuvantHormonalTherapyPriorAdministeredInd-3
    Item
    Prior Adjuvant Hormonal Therapy? (do not include steroids given with chemotherapy)
    boolean
    C15445 (NCI Thesaurus ObjectClass)
    C0279025 (UMLS 2011AA ObjectClass)
    C2140 (NCI Thesaurus ObjectClass-2)
    C0001552 (UMLS 2011AA ObjectClass-2)
    C25629 (NCI Thesaurus Property)
    C0332152 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    PriorHormonalTherapyMetastatic/RecurrentAdministreredInd-3
    Item
    Prior Hormonal Therapy for Metastasis or Recurrence? (do not include steroids given with chemotherapy)
    boolean
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15445 (NCI Thesaurus ObjectClass-2)
    C0279025 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    C25567 (NCI Thesaurus Property-2)
    C1513186 (UMLS 2011AA Property-2)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    AdjuvantChemotherapyPriorAdministeredInd-3
    Item
    Prior Adjuvant Chemotherapy? (include pre-op chemotherapy at diagnosis)
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    PriorChemotherapyMetastatic/RecurrentDiseaseAdministeredInd-3
    Item
    Prior Chemotherapy for Metastasis or Recurrence?
    boolean
    C15632 (NCI Thesaurus ObjectClass)
    C0392920 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C14174 (NCI Thesaurus Property)
    C0036525 (UMLS 2011AA Property)
    C38155 (NCI Thesaurus Property-2)
    C0277556 (UMLS 2011AA Property-2)
    C25382 (NCI Thesaurus Property-3)
    C1521801 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    PriorHDC/ASCTAdjuvantAdministeredInd-3
    Item
    Prior Adjuvant High Dose Chemotherapy/Autologous Stem Cell Transplant (HDC/ASCT)
    boolean
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C38722 (NCI Thesaurus ObjectClass-2)
    C1512429 (UMLS 2011AA ObjectClass-2)
    C2140 (NCI Thesaurus Property)
    C0001552 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    PriorHigh-DoseChemotherapywithStemCellSupportMetastaticRecurrentDiseaseAdministeredInd-3
    Item
    Prior HDC/ASCT for Metastasis or Recurrence?
    boolean
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C38722 (NCI Thesaurus ObjectClass-2)
    C1512429 (UMLS 2011AA ObjectClass-2)
    C14174 (NCI Thesaurus Property)
    C0036525 (UMLS 2011AA Property)
    C38155 (NCI Thesaurus Property-2)
    C0277556 (UMLS 2011AA Property-2)
    C25382 (NCI Thesaurus Property-3)
    C1521801 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    AdjuvantImmunotherapyPriorAdministeredInd-3
    Item
    Prior Adjuvant Immunotherapy?
    boolean
    C15262 (NCI Thesaurus ObjectClass)
    C0021083 (UMLS 2011AA ObjectClass)
    C2140 (NCI Thesaurus ObjectClass-2)
    C0001552 (UMLS 2011AA ObjectClass-2)
    C25629 (NCI Thesaurus Property)
    C0332152 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    PriorImmunotherapyMetastaticRecurrentDiseaseAdministeredInd-3
    Item
    Prior Immunotherapy for Metastasis or Recurrence?
    boolean
    C15262 (NCI Thesaurus ObjectClass)
    C0021083 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C14174 (NCI Thesaurus Property)
    C0036525 (UMLS 2011AA Property)
    C38155 (NCI Thesaurus Property-2)
    C0277556 (UMLS 2011AA Property-2)
    C25382 (NCI Thesaurus Property-3)
    C1521801 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    AdjuvantBiologicalTherapyPriorAdministeredInd-3
    Item
    Prior Adjuvant Biologic Therapy
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25629 (NCI Thesaurus Property)
    C0332152 (UMLS 2011AA Property)
    C15187 (NCI Thesaurus ObjectClass)
    C0005527 (UMLS 2011AA ObjectClass)
    C2140 (NCI Thesaurus ObjectClass-2)
    C0001552 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    PriorBiologicalTherapyMetastaticAdministeredInd-3
    Item
    Prior Biologic Thearpy for Metastatic or Recurrence
    boolean
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15187 (NCI Thesaurus ObjectClass-2)
    C0005527 (UMLS 2011AA ObjectClass-2)
    C14174 (NCI Thesaurus Property)
    C0036525 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    AdjuvantTherapyOtherAdministeredPriorInd-3
    Item
    Prior Adjuvant Other Therapy?
    boolean
    C15368 (NCI Thesaurus ObjectClass)
    C2140 (NCI Thesaurus ObjectClass-2)
    C0001552 (UMLS 2011AA ObjectClass)
    C17649 (NCI Thesaurus Property)
    C0205394 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C25629 (NCI Thesaurus ValueDomain-2)
    C0332152 (UMLS 2011AA ValueDomain-2)
    PriorTherapyMetastaticRecurrentDiseaseAdministeredOtherInd-3
    Item
    Prior Other Therapy for Metastasis or Recurrence?
    boolean
    C25629 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS 2011AA ObjectClass)
    C15368 (NCI Thesaurus ObjectClass-2)
    C14174 (NCI Thesaurus Property)
    C0036525 (UMLS 2011AA Property)
    C38155 (NCI Thesaurus Property-2)
    C0277556 (UMLS 2011AA Property-2)
    C25382 (NCI Thesaurus Property-3)
    C1521801 (UMLS 2011AA Property-3)
    C17649 (NCI Thesaurus ValueDomain)
    C0205394 (UMLS 2011AA ValueDomain)
    C38148 (NCI Thesaurus ValueDomain-2)
    C1512699 (UMLS 2011AA ValueDomain-2)
    Item Group
    Breast: Advanced Prior Treatment - Systemic Regimens
    Number of prior therapy regimens
    Item
    Number of prior therapy regimens
    float
    C25629 (NCI Thesaurus ObjectClass)
    C0750480 (UMLS CUI-1)
    C15368 (NCI Thesaurus ObjectClass-2)
    C25463 (NCI Thesaurus ValueDomain)
    C0040808 (UMLS CUI-2)
    C15697 (NCI Thesaurus Property)
    C0332152 (UMLS CUI-3)
    Agent
    Item
    Agent Name
    text
    C25364 (NCI Thesaurus Property)
    C1521826 (UMLS CUI-1)
    C1708 (NCI Thesaurus ObjectClass)
    C1708 (NCI Thesaurus ValueDomain)
    C42614 (NCI Thesaurus ValueDomain-2)
    Medication Start Date
    Item
    Agent Start Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C1521826 (UMLS CUI-1)
    C25431 (NCI Thesaurus ValueDomain-2)
    C0808070 (UMLS CUI-2)
    C1708 (NCI Thesaurus ObjectClass)
    C25275 (NCI Thesaurus Property)
    Medication End Date
    Item
    Agent End Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C1521826 (UMLS CUI-1)
    C1708 (NCI Thesaurus ObjectClass)
    C0806020 (UMLS CUI-2)
    C25275 (NCI Thesaurus Property)
    Cumulative Dose Agent
    Item
    Agent Total Cumulative Dose
    float
    C1708 (NCI Thesaurus ObjectClass)
    C2986497 (UMLS CUI-1)
    C25470 (NCI Thesaurus ObjectClass-2)
    C1521826 (UMLS CUI-2)
    C25304 (NCI Thesaurus Property)
    C25256 (NCI Thesaurus Property-2)
    C25304 (NCI Thesaurus ValueDomain)
    C25488 (NCI Thesaurus ValueDomain-2)
    TreatmentCycleCount
    Item
    No. of Cycles
    float
    C25472 (NCI Thesaurus Property)
    C1511572 (UMLS 2011AA Property)
    C15368 (NCI Thesaurus ObjectClass)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    Overall Response Duration
    Item
    Overall Response Duration
    integer
    C25755 (NCI Thesaurus ObjectClass)
    C0237585 (UMLS CUI-1)
    C25605 (NCI Thesaurus Property)
    C25275 (NCI Thesaurus Property-2)
    C25605 (NCI Thesaurus ValueDomain)
    C25330 (NCI Thesaurus ValueDomain-2)
    Item Group
    Lung: Prior Radiation Therapy ¿ Nsclc Advanced
    Prior Radiation Therapy
    Item
    Prior Radiation Therapy
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1522449 (UMLS CUI-1)
    C15313 (NCI Thesaurus ObjectClass)
    C0332152 (UMLS CUI-2)
    C25629 (NCI Thesaurus ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    Item
    Prior Radiation Therapy Type
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C15313 (NCI Thesaurus ObjectClass)
    C1522449 (UMLS 2011AA ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    C0332152 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    Code List
    Prior Radiation Therapy Type
    CL Item
    Local-regional (Local-Regional)
    C25388 (NCI Thesaurus)
    C1947913 (UMLS 2011AA)
    CL Item
    Metastatic (Metastatic)
    C14174 (NCI Thesaurus)
    C0036525 (UMLS 2011AA)
    RTBreastAdministeredTotalDose
    Item
    Total Dose to Breast (cGy)
    float
    C15313 (NCI Thesaurus ObjectClass)
    C1522449 (UMLS 2011AA ObjectClass)
    C12971 (NCI Thesaurus Property)
    C0006141 (UMLS 2011AA Property)
    C25382 (NCI Thesaurus Property-2)
    C1521801 (UMLS 2011AA Property-2)
    C25304 (NCI Thesaurus ValueDomain)
    C0439810 (UMLS 2011AA ValueDomain)
    C25488 (NCI Thesaurus ValueDomain-2)
    C0178602 (UMLS 2011AA ValueDomain-2)
    Radiation Therapy End Date
    Item
    Radiation Therapy End Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C1522449 (UMLS CUI-1)
    C15313 (NCI Thesaurus ObjectClass)
    C0806020 (UMLS CUI-2)
    C25275 (NCI Thesaurus Property)
    C25496 (NCI Thesaurus Property-2)
    Item
    Type of Radiation Therapy Administered
    text
    C25284 (NCI Thesaurus ValueDomain)
    C1522449 (UMLS CUI-1)
    C15313 (NCI Thesaurus ObjectClass)
    C0683312 (UMLS CUI-2)
    C25382 (NCI Thesaurus Property)
    Code List
    Type of Radiation Therapy Administered
    CL Item
    External Beam Radiation (External beam radiation)
    CL Item
    Other (Other specify)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    C17649 (NCI Thesaurus-3)
    C0205394 (UMLS 2011AA-4)
    Radiotherapy type
    Item
    Other specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1522449 (UMLS CUI-1)
    C15313 (NCI Thesaurus ObjectClass)
    C1521902 (UMLS CUI-2)
    C25365 (NCI Thesaurus Property)
    Radiation Therapy Body Site
    Item
    Radiation Therapy Site
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1997599 (UMLS CUI-1)
    C25341 (NCI Thesaurus Property)
    C15313 (NCI Thesaurus ObjectClass)
    Radiation Therapy Dose per Fraction
    Item
    RT Dose per Fraction (units)
    float
    C15313 (NCI Thesaurus ObjectClass)
    C1522449 (UMLS CUI-1)
    C25488 (NCI Thesaurus ValueDomain)
    C0178602 (UMLS CUI-2)
    C25514 (NCI Thesaurus Property)
    C1264633 (UMLS CUI-3)
    Item
    Units
    text
    C1708 (NCI Thesaurus ObjectClass)
    C1519795 (UMLS CUI-1)
    C25256 (NCI Thesaurus Property)
    C25709 (NCI Thesaurus ValueDomain)
    Code List
    Units
    CL Item
    Centigrays (cGy)
    CL Item
    Millicurie (mCi)
    Item
    Units
    text
    C1708 (NCI Thesaurus ObjectClass)
    C1519795 (UMLS CUI-1)
    C25256 (NCI Thesaurus Property)
    C25709 (NCI Thesaurus ValueDomain)
    Code List
    Units
    CL Item
    Centigrays (cGy)
    CL Item
    Millicurie (mCi)
    Total Number of Fractions
    Item
    Total Number of Fractions
    float
    C25304 (NCI Thesaurus Property)
    C1522449 (UMLS CUI-1)
    C15313 (NCI Thesaurus ObjectClass)
    C1264633 (UMLS CUI-2)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS CUI-3)
    C25514 (NCI Thesaurus Property-2)
    Radiation Therapy Total Dose
    Item
    RT Total Dose (units)
    float
    C25304 (NCI Thesaurus ValueDomain)
    C2169193 (UMLS CUI-1)
    C15313 (NCI Thesaurus ObjectClass)
    C25488 (NCI Thesaurus ValueDomain-2)
    C25382 (NCI Thesaurus Property)
    Item
    Were there any unscheduled interruptions in radiation therapy?
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1522449 (UMLS CUI-1)
    C15313 (NCI Thesaurus ObjectClass)
    C1512900 (UMLS CUI-2)
    C25542 (NCI Thesaurus Property)
    Code List
    Were there any unscheduled interruptions in radiation therapy?
    CL Item
    Yes, Due To Toxicity (Yes, due to toxicity)
    CL Item
    Yes, For Other Reasons, Specify (Yes, for other reasons)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    RadiationTherapyInterruptionReason
    Item
    RT Interruption Reason (Specify)
    text
    C25638 (NCI Thesaurus ValueDomain)
    C0392360 (UMLS 2011AA ValueDomain)
    C15313 (NCI Thesaurus ObjectClass)
    C1522449 (UMLS 2011AA ObjectClass)
    C25542 (NCI Thesaurus Property)
    C1512900 (UMLS 2011AA Property)
    Item Group
    Breast: Prior Surgery
    Item
    Prior Surgery
    text
    C38148 (NCI Thesaurus ValueDomain)
    C0744961 (UMLS CUI-1)
    C38000 (NCI Thesaurus Property)
    C15329 (NCI Thesaurus ObjectClass)
    C25629 (NCI Thesaurus ObjectClass-2)
    Code List
    Prior Surgery
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    Item
    Most Extensive Primary Surgery (check one)
    text
    C25251 (NCI Thesaurus ObjectClass)
    C0205225 (UMLS 2011AA ObjectClass)
    C12971 (NCI Thesaurus ObjectClass-2)
    C0006141 (UMLS 2011AA ObjectClass-2)
    C15329 (NCI Thesaurus ObjectClass-3)
    C0543467 (UMLS 2011AA ObjectClass-3)
    C38000 (NCI Thesaurus Property)
    C0884358 (UMLS 2011AA Property)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    Code List
    Most Extensive Primary Surgery (check one)
    CL Item
    Partial Mastectomy, Lumpectomy Or Excisional Biopsy (Partial mastectomy/lumpectomy/excisional biopsy)
    CL Item
    Mastectomy, Nos (Mastectomy NOS)
    PrimarySurgeryDate
    Item
    Date of Most Extensive Primary Surgery (if required, use last re-excision date)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus ValueDomain-2)
    C25251 (NCI Thesaurus ObjectClass)
    C0205225 (UMLS 2011AA ObjectClass)
    C15329 (NCI Thesaurus ObjectClass-2)
    C0543467 (UMLS 2011AA ObjectClass-2)
    C25275 (NCI Thesaurus Property)
    C2745955 (UMLS 2011AA Property)
    OtherNeoplasmExcisionInd-2
    Item
    Other tumor excision
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C17649 (NCI Thesaurus ObjectClass)
    C0205394 (UMLS 2011AA ObjectClass)
    C3262 (NCI Thesaurus ObjectClass-2)
    C0027651 (UMLS 2011AA ObjectClass-2)
    C15232 (NCI Thesaurus Property)
    C0728940 (UMLS 2011AA Property)
    OtherNeoplasmExcisionSpecify
    Item
    Specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    C17649 (NCI Thesaurus ObjectClass)
    C0205394 (UMLS 2011AA ObjectClass)
    C3262 (NCI Thesaurus ObjectClass-2)
    C0027651 (UMLS 2011AA ObjectClass-2)
    C15232 (NCI Thesaurus Property)
    C0728940 (UMLS 2011AA Property)
    Item Group
    Breast: Prior Surgery

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