Patient'sName
Item
Patient's Name
text
ParticipatingGroup
Item
Participating Group
text
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
PatientHospitalNumber
Item
Patient Hospital Number
text
ParticipatingGroupProtocolNo.
Item
Participating Group Protocol No.
text
MainMemberInstitution/Adjunct
Item
Main Member Institution/Adjunct
text
ParticipatingGroupPatientNo.
Item
Participating Group Patient No.
text
Item
Has the patient received adjuvant therapy? (prior to diagnosis of recurrence or second primary cancer)
text
Code List
Has the patient received adjuvant therapy? (prior to diagnosis of recurrence or second primary cancer)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
AdjuvantRTBeginDate
Item
Date adjuvant radiation therapy started (M)
date
AdjuvantRTEndDate
Item
Date adjuvant radiation therapy ended (M)
date
Item
Nature of radiotherapy (mark one box with an X)
text
Code List
Nature of radiotherapy (mark one box with an X)
CL Item
In-breast Radiotherapy Following Breast-conserving Surgery (In-breast radiotherapy following breast-conserving surgery)
CL Item
In-breast And Regional Radiotherapy Following Breast-conserving Surgery (In-breast and regional radiotherapy following breast-conserving surgery)
CL Item
Any Post-mastectomy Radiotherapy (Any post-mastectomy radiotherapy)
CompletedBy
Item
Completed By (Print or Type Name)
text
DateCompleted
Item
Date Completed
date