ID
3165
Description
Upper Gastrointestinal Cancers - Treatment Summary Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A9B4-3FA4-E034-080020C9C0E0
Link
Keywords
Versions (2)
- 9/19/12 9/19/12 -
- 1/8/15 1/8/15 - Martin Dugas
Uploaded on
September 19, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Treatment - Upper Gastrointestinal Cancers - Treatment Summary Form - 2020210v2.31
No Instruction available.
- StudyEvent: Upper Gastrointestinal Cancers - Treatment Summary Form
Description
Gi: Treatment Plan
Description
TreatmentBeginDate
Data type
date
Description
TreatmentEndDate
Data type
date
Description
OffTreatmentReason
Data type
text
Description
OffTreatmentReason,Other
Data type
text
Description
Gi: Treatment Summary - Surgery
Description
ProtocolTreatment,SurgeryInd
Data type
text
Description
ProtocolSurgeryDate
Data type
date
Description
ProtocolSurgeryType
Data type
text
Description
SurgicalTreatmentCompleted
Data type
text
Description
SurgicalTreatmentModificationReason
Data type
text
Description
Gi: Treatment Summary - Radiation Therapy
Description
ProtocolTreatment,RTInd
Data type
text
Description
RTBeginDate
Data type
date
Description
RTEndDate
Data type
date
Description
RTType
Data type
text
Description
RTType,Other
Data type
text
Description
RTSite
Data type
text
Description
RTInterruptionsInd
Data type
text
Description
RTInterruptionsReason
Data type
text
Description
Gi: Treatment Summary - Systemic Therapy
Description
ProtocolTreatment,SystemicTherapyInd
Data type
text
Description
FirstTreatmentStartDate
Data type
date
Description
LastTreatmentDate
Data type
date
Description
SystemicTherapyType
Data type
text
Description
SystemicTherapyType,Other
Data type
text
Description
AgentName
Data type
text
Description
DoseModification(Change)
Data type
text
Description
TherapyModificationName
Data type
text
Description
TherapyModificationReason
Data type
text
Similar models
No Instruction available.
- StudyEvent: Upper Gastrointestinal Cancers - Treatment Summary Form
C0805701 (UMLS 2011AA ValueDomain)
C1507394 (UMLS 2011AA ObjectClass)
C42774 (NCI Thesaurus Property)
C1705823 (UMLS 2011AA Property)
C0205394 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0392920 (UMLS 2011AA)
C0021083 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C0439673 (UMLS 2011AA)