ID
10365
Description
T1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Radiotherapy Form Interstitial Brachytherapy With or Without External-Beam Radiation Therapy in Treating Patients With Prostate Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AA89543F-5C0D-58C5-E034-0003BA12F5E7
Lien
Mots-clés
Versions (3)
- 19/09/2012 19/09/2012 -
- 28/05/2015 28/05/2015 -
- 03/06/2015 03/06/2015 -
Téléchargé le
28 mai 2015
DOI
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Licence
Creative Commons BY-NC 3.0 Legacy
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T1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Radiotherapy Form
INSTRUCTIONS: Submit this form at the completion of protocol therapy. Use -1 for unknown or not applicable unless otherwise specified in the codetable. All dates to be reported mm-dd-yyyy unless otherwise indicated. A copy must be submitted to the RTOG
- StudyEvent: T1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Radiotherapy Form
Description
RTOG clinical trial administrative data
Description
RTOGStudy
Type de données
text
Description
Case#
Type de données
text
Description
InstitutionName
Type de données
text
Description
NCIInstitutionNumber
Type de données
text
Description
PatientName,First
Type de données
text
Description
PatientStudyID,RegisteringGroup
Type de données
text
Description
RADIOTHERAPY documentation
Description
RTBeginDate
Type de données
date
Description
RTEndDate
Type de données
date
Description
RTTotalDose
Type de données
float
Description
RTInterruptionsInd
Type de données
text
Description
RadiationTherapyUnscheduledInterruptionSpecify
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C25594
- UMLS 2011AA Property
- C1518422
- NCI Thesaurus Property-2
- C25211
- UMLS 2011AA Property-2
- C0086960
- NCI Thesaurus Property-3
- C25542
- UMLS 2011AA Property-3
- C1512900
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Description
OffTreatmentReason
Type de données
text
Description
Alternativetherapy,specify(reasonradiationtherapyended)
Type de données
text
Description
OffTreatmentReason,ComplicatingDisease
Type de données
text
Description
Other,specify
Type de données
text
Description
Intensity-ModulatedRadiationTherapyAdministrationInd-3
Type de données
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C16135
- UMLS 2011AA ObjectClass
- C1512814
- NCI Thesaurus Property
- C25409
- UMLS 2011AA Property
- C1533734
Description
BrachytherapyOff-TreatmentReason
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- UMLS 2011AA ValueDomain
- C0392360
- NCI Thesaurus Property
- C25601
- UMLS 2011AA Property
- C1518544
- NCI Thesaurus ObjectClass
- C15195
- UMLS 2011AA ObjectClass
- C0006098
Description
specifyRx(alternativeRxgiven)
Type de données
text
Description
Other,specify(reasontreatmentended)
Type de données
text
Description
ISOTOPETYPE
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Description
DATEOFPRE-IMPLANTTRUSSTUDY
Type de données
text
Description
DATEOFIMPLANT
Type de données
text
Description
CTPostBrachytherapyDate
Type de données
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C17204
- UMLS 2011AA ObjectClass
- C0040405
- NCI Thesaurus Property
- C38008
- UMLS 2011AA Property
- C0687676
- NCI Metathesaurus Property
- CL054378
Description
AVERAGEACTIVITYPERSEEDASMEASUREDBYINSTITUTION
Type de données
text
Description
AssessmentDate
Type de données
date
Description
MIDPOINTAPPARENTACTIVITYSTATEDBYTHEVENDOR
Type de données
text
Description
NUMBEROFSEEDSUSED
Type de données
text
Description
NUMBEROFNEEDLESUSED
Type de données
text
Description
BrachytherapyRadioactiveSeedImplantDosingUnitLostInd-3
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus Property
- C25560
- UMLS 2011AA Property
- C0745777
- NCI Thesaurus Property-2
- C67446
- UMLS 2011AA Property-2
- C1882540
- NCI Thesaurus ObjectClass
- C15195
- UMLS 2011AA ObjectClass
- C0006098
Description
WEREDOSEVOLUMEHISTOGRAMSDONE
Type de données
text
Description
SurgicalProcedureCatheterUrethraPostBrachytherapyPerformedTherapyInd-3
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property-2
- C38008
- UMLS 2011AA Property-2
- C0687676
- NCI Thesaurus Property-3
- C15195
- UMLS 2011AA Property-3
- C0006098
- NCI Thesaurus Property-4
- C17446
- UMLS 2011AA Property-4
- C0085590
- NCI Thesaurus Property-5
- C12417
- UMLS 2011AA Property-5
- C0041967
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Description
DATEINSERTED
Type de données
text
Description
DATEREMOVED
Type de données
text
Description
Footer module
Description
Ccrr Module For T1 Radiation Therapy Oncology Group Phase Iii Randomized Study Of Intermediate Risk Prostate Cancer Radiotherapy Form
Similar models
INSTRUCTIONS: Submit this form at the completion of protocol therapy. Use -1 for unknown or not applicable unless otherwise specified in the codetable. All dates to be reported mm-dd-yyyy unless otherwise indicated. A copy must be submitted to the RTOG
- StudyEvent: T1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Radiotherapy Form
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C1522449 (UMLS 2011AA ObjectClass)
C25594 (NCI Thesaurus Property)
C1518422 (UMLS 2011AA Property)
C25211 (NCI Thesaurus Property-2)
C0086960 (UMLS 2011AA Property-2)
C25542 (NCI Thesaurus Property-3)
C1512900 (UMLS 2011AA Property-3)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C0205394 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C16135 (NCI Thesaurus ObjectClass)
C1512814 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus Property)
C1533734 (UMLS 2011AA Property)
C0392360 (UMLS 2011AA ValueDomain)
C25601 (NCI Thesaurus Property)
C1518544 (UMLS 2011AA Property)
C15195 (NCI Thesaurus ObjectClass)
C0006098 (UMLS 2011AA ObjectClass)
C0011065 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C17204 (NCI Thesaurus ObjectClass)
C0040405 (UMLS 2011AA ObjectClass)
C38008 (NCI Thesaurus Property)
C0687676 (UMLS 2011AA Property)
CL054378 (NCI Metathesaurus Property)
C1512699 (UMLS 2011AA ValueDomain)
C25560 (NCI Thesaurus Property)
C0745777 (UMLS 2011AA Property)
C67446 (NCI Thesaurus Property-2)
C1882540 (UMLS 2011AA Property-2)
C15195 (NCI Thesaurus ObjectClass)
C0006098 (UMLS 2011AA ObjectClass)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0543467 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C38008 (NCI Thesaurus Property-2)
C0687676 (UMLS 2011AA Property-2)
C15195 (NCI Thesaurus Property-3)
C0006098 (UMLS 2011AA Property-3)
C17446 (NCI Thesaurus Property-4)
C0085590 (UMLS 2011AA Property-4)
C12417 (NCI Thesaurus Property-5)
C0041967 (UMLS 2011AA Property-5)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)