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

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Menstrual Cycle
Firstdayoflastmenstrualperiod
Item
First day of the most current or most recent menstrual cycle
text
Havethepatient'smenstrualperiodsbeenabsentfortheentirepreceding6months?
Item
Have the patient's menstrual periods been absent for the entire preceding 6 months?
boolean
Ifno,havethepatient'smenstrualperiodsbeenabsentfortheentirepreceding3months?
Item
If no, have the patient's menstrual periods been absent for the entire preceding 3 months?
boolean
Item Group
Laboratory Test
LaboratoryProcedureFollicleStimulatingHormoneResultLowerLimitofNormalValue
Item
Laboratory lower limit for postmenopausal FSH
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C2286 (NCI Thesaurus Property-2)
C0733758 (UMLS 2011AA Property-2)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C1518030 (UMLS 2011AA ValueDomain-2)
Laboratoryupperlimitforpostmenopausalestradiol
Item
Laboratory upper limit for postmenopausal estradiol
text
LaboratoryupperlimitforpostmenopausalinhibinB
Item
Laboratory upper limit for postmenopausal inhibin B
text
FSHvalue
Item
FSH level
text
LaboratoryProcedureFollicleStimulatingHormoneResultDate
Item
FSH date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C2286 (NCI Thesaurus Property-2)
C0733758 (UMLS 2011AA Property-2)
Estradiolpmol/L
Item
Estradiol level
text
Dateblooddrawnforthisestradiollevel
Item
Estradiol date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C0521425 (NCI Metathesaurus ObjectClass)
C2295 (NCI Thesaurus Property)
C0014912 (UMLS 2011AA Property)
C37984 (NCI Thesaurus Property-2)
C0022877 (UMLS 2011AA Property-2)
InhibinBlevel
Item
Inhibin B level
text
InhibinBdate
Item
Inhibin B date (For women with Regular Menses)
text
Werethesehormonelevelsmeasuredondays2,3,or4ofthemenstrualcycle?
Item
Were these hormone levels measured on days 2, 3, or 4 of the menstrual cycle?
boolean
Specifyreason
Item
Specify reason
text
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
Item Group
Ccrr Module For Southwest Oncology Group Ovarian Function Assessment (s0230)
Trial subject ID SWOG
Item
SWOG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1519429 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus Property-2)
Patient Initials
Item
Patient Initials (L, F, M)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Institution Name
Item
Insitution/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)
Investigator Name
Item
Physician
text
C25191 (NCI Thesaurus ValueDomain)
C2826892 (UMLS CUI-1)
C25364 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C25644 (NCI Thesaurus ObjectClass-2)
Participating Group
Item
Group Name
text
C25191 (NCI Thesaurus ValueDomain)
C2347449 (UMLS CUI-1)
C25608 (NCI Thesaurus ObjectClass)
C17005 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
Participating Group
Item
Group Name
text
C25191 (NCI Thesaurus ValueDomain)
C2347449 (UMLS CUI-1)
C25608 (NCI Thesaurus ObjectClass)
C17005 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
Study Number Participating Group
Item
Study NO.
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Trial subject ID Participating Group
Item
Pt. ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C2347449 (UMLS CUI-2)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
LesionAssessmentDate
Item
Date of Assessment
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
Item
Assessment Time
text
CL.4
Code List
Assessment Time
CL Item
1 Year (1 Year)
CL Item
2 Year (2 Year)
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