ID
2287
Beschreibung
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
Link
Stichworte
Versionen (3)
- 19.09.12 19.09.12 -
- 28.05.15 28.05.15 -
- 03.06.15 03.06.15 -
Hochgeladen am
19. September 2012
DOI
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Lizenz
Creative Commons BY-NC 3.0 Legacy
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NCT00063882 Treatment - T1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Radiotherapy Form - 2058472v3.0
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
Beschreibung
Unnamed2
Beschreibung
RTOGStudy
Datentyp
text
Beschreibung
Case#
Datentyp
text
Beschreibung
InstitutionName
Datentyp
text
Beschreibung
NCIInstitutionNumber
Datentyp
text
Beschreibung
PatientName,First
Datentyp
text
Beschreibung
PatientStudyID,RegisteringGroup
Datentyp
text
Beschreibung
Unnamed3
Beschreibung
Unnamed4
Beschreibung
RTBeginDate
Datentyp
date
Beschreibung
RTEndDate
Datentyp
date
Beschreibung
RTTotalDose
Datentyp
double
Beschreibung
RTInterruptionsInd
Datentyp
text
Beschreibung
RadiationTherapyUnscheduledInterruptionSpecify
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C25594
- UMLS 2011AA Property
- C1518422
- NCI Thesaurus Property
- C25211
- UMLS 2011AA Property
- C0086960
- NCI Thesaurus Property
- C25542
- UMLS 2011AA Property
- C1512900
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Beschreibung
OffTreatmentReason
Datentyp
text
Beschreibung
Alternativetherapy,specify(reasonradiationtherapyended)
Datentyp
text
Beschreibung
OffTreatmentReason,ComplicatingDisease
Datentyp
text
Beschreibung
Intensity-ModulatedRadiationTherapyAdministrationInd-3
Datentyp
text
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
Beschreibung
BrachytherapyOff-TreatmentReason
Datentyp
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
Beschreibung
specifyRx(alternativeRxgiven)
Datentyp
text
Beschreibung
Other,specify(reasontreatmentended)
Datentyp
text
Beschreibung
ISOTOPETYPE
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Beschreibung
Other,specify
Datentyp
text
Beschreibung
Other,specify
Datentyp
text
Beschreibung
DATEOFPRE-IMPLANTTRUSSTUDY
Datentyp
text
Beschreibung
DATEOFIMPLANT
Datentyp
text
Beschreibung
CTPostBrachytherapyDate
Datentyp
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
Beschreibung
AVERAGEACTIVITYPERSEEDASMEASUREDBYINSTITUTION
Datentyp
text
Beschreibung
MIDPOINTAPPARENTACTIVITYSTATEDBYTHEVENDOR
Datentyp
text
Beschreibung
AssessmentDate
Datentyp
date
Beschreibung
AssessmentDate
Datentyp
date
Beschreibung
NUMBEROFSEEDSUSED
Datentyp
text
Beschreibung
NUMBEROFNEEDLESUSED
Datentyp
text
Beschreibung
BrachytherapyRadioactiveSeedImplantDosingUnitLostInd-3
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus Property
- C25560
- UMLS 2011AA Property
- C0745777
- NCI Thesaurus Property
- C67446
- UMLS 2011AA Property
- C1882540
- NCI Thesaurus ObjectClass
- C15195
- UMLS 2011AA ObjectClass
- C0006098
Beschreibung
WEREDOSEVOLUMEHISTOGRAMSDONE
Datentyp
text
Beschreibung
SurgicalProcedureCatheterUrethraPostBrachytherapyPerformedTherapyInd-3
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property
- C38008
- UMLS 2011AA Property
- C0687676
- NCI Thesaurus Property
- C15195
- UMLS 2011AA Property
- C0006098
- NCI Thesaurus Property
- C17446
- UMLS 2011AA Property
- C0085590
- NCI Thesaurus Property
- C12417
- UMLS 2011AA Property
- C0041967
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Beschreibung
DATEINSERTED
Datentyp
text
Beschreibung
DATEREMOVED
Datentyp
text
Beschreibung
Comments
Datentyp
text
Beschreibung
Signature
Datentyp
text
Beschreibung
FormCompletionDate,Original
Datentyp
date
Beschreibung
Ccrr Module For T1 Radiation Therapy Oncology Group Phase Iii Randomized Study Of Intermediate Risk Prostate Cancer Radiotherapy Form
Ähnliche Modelle
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)
C0086960 (UMLS 2011AA Property)
C25542 (NCI Thesaurus Property)
C1512900 (UMLS 2011AA Property)
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)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
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)
C1882540 (UMLS 2011AA Property)
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)
C0687676 (UMLS 2011AA Property)
C15195 (NCI Thesaurus Property)
C0006098 (UMLS 2011AA Property)
C17446 (NCI Thesaurus Property)
C0085590 (UMLS 2011AA Property)
C12417 (NCI Thesaurus Property)
C0041967 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)