Inglés

No Instruction available.

1 formularios  
  1. StudyEvent: RADIOTHERAPY SUBMISSION FORM - LUNG
    1. No Instruction available.
Unnamed1
Descripción

Unnamed1

SWOG Study No.
Descripción

SWOGStudyNo.

Tipo de datos

text

Registration Step
Descripción

RegistrationStep

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain
C16154
UMLS 2011AA ValueDomain
C1704379
Unnamed2
Descripción

Unnamed2

SWOG Patient ID
Descripción

SWOGPatientID

Tipo de datos

text

Patient Initials (L, F M)
Descripción

PatientInitials

Tipo de datos

text

Institution / Affiliate
Descripción

Institution/Affiliate

Tipo de datos

text

Investigator
Descripción

Investigator

Tipo de datos

text

RT Facility
Descripción

RTFacility

Tipo de datos

text

RT Physician
Descripción

RTPhysician

Tipo de datos

text

Unnamed3
Descripción

Unnamed3

No. of Films
Descripción

No.ofFilms

Tipo de datos

text

Notes
Descripción

Notes

Tipo de datos

text

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

RTEndDate

Tipo de datos

date

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

RequiredMaterials

Tipo de datos

text

Dose Volume Histogram
Descripción

DoseVolumeHistogram

Tipo de datos

text

Enclosed
Descripción

Enclosed

Tipo de datos

text

Notes
Descripción

Notes

Notes
Descripción

Notes

Tipo de datos

text

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Similar models

No Instruction available.

1 formularios
  1. StudyEvent: RADIOTHERAPY SUBMISSION FORM - LUNG
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Unnamed1
SWOGStudyNo.
Item
SWOG Study No.
text
RegistrationStep
Item
Registration Step
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16154 (NCI Thesaurus ValueDomain)
C1704379 (UMLS 2011AA ValueDomain)
Item Group
Unnamed2
SWOGPatientID
Item
SWOG Patient ID
text
PatientInitials
Item
Patient Initials (L, F M)
text
Institution/Affiliate
Item
Institution / Affiliate
text
Investigator
Item
Investigator
text
RTFacility
Item
RT Facility
text
RTPhysician
Item
RT Physician
text
Item Group
Unnamed3
No.ofFilms
Item
No. of Films
text
Notes
Item
Notes
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)
Item
Enclosed
text
CL.3
Code List
Enclosed
CL Item
Yes (Yes)
CL Item
No (No)
Item Group
Notes
Notes
Item
Notes
text
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