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1 forms  
  1. StudyEvent: RADIOTHERAPY SUBMISSION FORM - LUNG
    1. No Instruction available.
SWOG clinical trial administrative data
Description

SWOG clinical trial administrative data

SWOG Study No.
Description

SWOGStudyNo.

Data type

text

Registration Step
Description

RegistrationStep

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain-2
C16154
UMLS 2011AA ValueDomain-2
C1704379
SWOG Patient ID
Description

SWOGPatientID

Data type

text

Patient Initials (L, F M)
Description

PatientInitials

Data type

text

Institution / Affiliate
Description

Institution/Affiliate

Data type

text

Investigator
Description

Investigator

Data type

text

RADIOTHERAPY documentation
Description

RADIOTHERAPY documentation

RT Facility
Description

RTFacility

Data type

text

RT Physician
Description

RTPhysician

Data type

text

Radiation Therapy End Date (month, day, year )
Description

RTEndDate

Data type

date

Required Materials (if not enclosed, explain in Notes)
Description

RequiredMaterials

Data type

text

Dose Volume Histogram
Description

DoseVolumeHistogram

Data type

text

Enclosed
Description

Enclosed

Data type

boolean

Notes
Description

Notes

Data type

text

Notes
Description

Notes

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Similar models

No Instruction available.

1 forms
  1. StudyEvent: RADIOTHERAPY SUBMISSION FORM - LUNG
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
SWOG clinical trial administrative data
SWOGStudyNo.
Item
SWOG Study No.
text
RegistrationStep
Item
Registration Step
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16154 (NCI Thesaurus ValueDomain-2)
C1704379 (UMLS 2011AA ValueDomain-2)
SWOGPatientID
Item
SWOG Patient ID
text
PatientInitials
Item
Patient Initials (L, F M)
text
Institution/Affiliate
Item
Institution / Affiliate
text
Investigator
Item
Investigator
text
Item Group
RADIOTHERAPY documentation
RTFacility
Item
RT Facility
text
RTPhysician
Item
RT Physician
text
RTEndDate
Item
Radiation Therapy End Date (month, day, year )
date
Item
Required Materials (if not enclosed, explain in Notes)
text
CL.1
Code List
Required Materials (if not enclosed, explain in Notes)
CL Item
Treatment Prescription Sheet (Treatment Prescription Sheet)
CL Item
Simulator Films or digital reconstruction rendering (Simulator Films or digital reconstruction rendering)
CL Item
CT Scan (CT Scan)
CL Item
Polaroid of Treatment Set-Up (Polaroid of Treatment Set-Up)
CL Item
Lung Carcinoma Radiation Therapy Form (Lung Carcinoma Radiation Therapy Form)
Item
Dose Volume Histogram
text
CL.2
Code List
Dose Volume Histogram
CL Item
Tumor (Tumor)
CL Item
Left Lung (Left Lung)
CL Item
Right Lung (Right Lung)
CL Item
Right + Left Lung (Right + Left Lung)
Enclosed
Item
Enclosed
boolean
Notes
Item
Notes
text
Item Group
Notes
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