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

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

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