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  1. StudyEvent: CALGB: 49808 RADIOTHERAPY REPORT FORM
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Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
CALGB clinical trial administrative data
CALGBForm
Item
CALGB Form
text
CALGBProtocolNumber
Item
CALGB Study No
text
CALGBPatientID
Item
CALGB Patient ID
text
From
Item
From
text
To
Item
To (Date of last contact or death)
text
Item
Amended data?
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
CL.1
Code List
Amended data?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item Group
Patient clinical trial data
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 Group
Radiation Treatment
Item
Has the patient received radiation therapy?
text
CL.2
Code List
Has the patient received radiation therapy?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
IfNo,reason
Item
If No, reason
text
Dateradiationtherapyended
Item
Date radiation therapy ended
text
Whatwasthetotalnumberofdaysthepatientwastreatedwithradiation?
Item
What was the total number of days the patient was treated with radiation?
text
Item
Was there a break in radiation treatment due to toxicity?
text
CL.3
Code List
Was there a break in radiation treatment due to toxicity?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
IfYes,reason
Item
If Yes, reason
text
Dateoflastradiationtherapypriortobreak
Item
Date of last radiation therapy prior to break
text
Dateoffirstradiationtherapyafterbreak
Item
Date of first radiation therapy after break
text
Item
Fields of radiation therapy (mark all that apply with an X)
text
CL.4
Code List
Fields of radiation therapy (mark all that apply with an X)
CL Item
Ipsilateral Breast (Ipsilateral breast)
CL Item
Supraclavicular Field (Supraclavicular field)
CL Item
Axillary Fields (Axillary fields)
CL Item
Internal Mammary Fields (Internal mammary fields)
CL Item
Ipsilateral Chest Wall (Ipsilateral chest wall)
CL Item
Other, Specify: (Other, specify)
FieldsofradiationtherapyOther,specify
Item
Fields of radiation therapy Other, specify
text
Item
Did patient begin taking tamoxifen during this reporting period?
text
CL.5
Code List
Did patient begin taking tamoxifen during this reporting period?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
IfYes,datetamoxifenstarted
Item
If Yes, date tamoxifen started
text
Item Group
Comments
Comments
Item
Comments
text
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