ID
10365
Beskrivning
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
Länk
Nyckelord
Versioner (3)
- 2012-09-19 2012-09-19 -
- 2015-05-28 2015-05-28 -
- 2015-06-03 2015-06-03 -
Uppladdad den
28 maj 2015
DOI
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Licens
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
Beskrivning
RTOG clinical trial administrative data
Beskrivning
RTOGStudy
Datatyp
text
Beskrivning
Case#
Datatyp
text
Beskrivning
InstitutionName
Datatyp
text
Beskrivning
NCIInstitutionNumber
Datatyp
text
Beskrivning
PatientName,First
Datatyp
text
Beskrivning
PatientStudyID,RegisteringGroup
Datatyp
text
Beskrivning
RADIOTHERAPY documentation
Beskrivning
RTBeginDate
Datatyp
date
Beskrivning
RTEndDate
Datatyp
date
Beskrivning
RTTotalDose
Datatyp
float
Beskrivning
RTInterruptionsInd
Datatyp
text
Beskrivning
RadiationTherapyUnscheduledInterruptionSpecify
Datatyp
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
Beskrivning
OffTreatmentReason
Datatyp
text
Beskrivning
Alternativetherapy,specify(reasonradiationtherapyended)
Datatyp
text
Beskrivning
OffTreatmentReason,ComplicatingDisease
Datatyp
text
Beskrivning
Other,specify
Datatyp
text
Beskrivning
Intensity-ModulatedRadiationTherapyAdministrationInd-3
Datatyp
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
Beskrivning
BrachytherapyOff-TreatmentReason
Datatyp
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
Beskrivning
specifyRx(alternativeRxgiven)
Datatyp
text
Beskrivning
Other,specify(reasontreatmentended)
Datatyp
text
Beskrivning
ISOTOPETYPE
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Beskrivning
DATEOFPRE-IMPLANTTRUSSTUDY
Datatyp
text
Beskrivning
DATEOFIMPLANT
Datatyp
text
Beskrivning
CTPostBrachytherapyDate
Datatyp
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
Beskrivning
AVERAGEACTIVITYPERSEEDASMEASUREDBYINSTITUTION
Datatyp
text
Beskrivning
AssessmentDate
Datatyp
date
Beskrivning
MIDPOINTAPPARENTACTIVITYSTATEDBYTHEVENDOR
Datatyp
text
Beskrivning
NUMBEROFSEEDSUSED
Datatyp
text
Beskrivning
NUMBEROFNEEDLESUSED
Datatyp
text
Beskrivning
BrachytherapyRadioactiveSeedImplantDosingUnitLostInd-3
Datatyp
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
Beskrivning
WEREDOSEVOLUMEHISTOGRAMSDONE
Datatyp
text
Beskrivning
SurgicalProcedureCatheterUrethraPostBrachytherapyPerformedTherapyInd-3
Datatyp
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
Beskrivning
DATEINSERTED
Datatyp
text
Beskrivning
DATEREMOVED
Datatyp
text
Beskrivning
Footer module
Beskrivning
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)