ID

6405

Description

North Central Cancer Treatment Group Radiosurgery (SRS) Reporting Form Stereotactic Radiation Therapy With or Without Whole-Brain Radiation Therapy in Treating Patients With Brain Metastases Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=10DCBEEF-8D3C-3745-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=10DCBEEF-8D3C-3745-E044-0003BA3F9857

Keywords

Versions (4)
  1. 12/18/14 12/18/14 - Martin Dugas
  2. 1/8/15 1/8/15 - Martin Dugas
  3. 1/9/15 1/9/15 - Martin Dugas
  4. 9/17/21 9/17/21 -
Uploaded on

December 18, 2014

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00377156 Treatment - North Central Cancer Treatment Group Radiosurgery (SRS) Reporting Form - 2470949v1.0

English

No Instruction available.

1 forms  
  1. StudyEvent: North Central Cancer Treatment Group Radiosurgery (SRS) Reporting Form
    1. No Instruction available.
Header
Description

Header

NCCTG Protocol Number
Description

ProtocolNorthCentralCancerTreatmentGroupIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C25320
UMLS 2011AA ObjectClass
C1507394
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property
C25581
UMLS 2011AA Property
C1518419
NCCTG Patient ID
Description

PatientNorthCentralCancerTreatmentGroupIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property
C25581
UMLS 2011AA Property
C1518419
Patient Initials (L F M)
Description

PatientInitialsName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25536
UMLS 2011AA Property
C1555582
Institution
Description

InstitutionName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C21541
UMLS 2011AA ObjectClass
C0018704
NCI Thesaurus ValueDomain
C21541
UMLS 2011AA ValueDomain
C0018704
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Institution Number
Description

InstitutionIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C21541
UMLS 2011AA ObjectClass
C0018704
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Are data amended (If yes, highlight amended areas)
Description

DataAmendedInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Unnamed1
Description

Unnamed1

Radiosurgery Treating Institution
Description

TreatingInstitutionStereotacticRadiosurgeryAdministeredName

Data type

text

Alias
NCI Thesaurus ObjectClass
C21541
UMLS 2011AA ObjectClass
C0018704
NCI Thesaurus ObjectClass
C25705
UMLS 2011AA ObjectClass
C1522326
NCI Thesaurus Property
C15358
UMLS 2011AA Property
C0085203
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ValueDomain
C21541
UMLS 2011AA ValueDomain
C0018704
Target Lesion Site (as entered on the Pretreatment Measurement Form: check one)
Description

LesionTargetLocationType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C3824
UMLS 2011AA ObjectClass
C0221198
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus Property
C25702
UMLS 2011AA Property
C1521840
Date of Radiosurgery Procedure (mm/dd/yyyy)
Description

RadiationSurgeryAdministeredBeginDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25431
UMLS 2011AA ValueDomain
C0439659
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
Treatment Unit
Description

Treatment Unit

Treatment Unit (check one)
Description

RadiationSurgeryDeviceUnitType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C50329
UMLS 2011AA Property
C1704434
Manufacturer Name
Description

MedicalDeviceManufacturerName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C16830
UMLS 2011AA ObjectClass
C0025080
NCI Thesaurus Property
C25392
UMLS 2011AA Property
C0947322
Model Number
Description

MedicalDeviceManufacturerNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C16830
UMLS 2011AA ObjectClass
C0025080
NCI Thesaurus Property
C25392
UMLS 2011AA Property
C0947322
Energy (Linear Accelerator - MV)
Description

RadiationSurgeryLinearAcceleratorEnergyDeviceUnitValue

Data type

double

Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C28169
UMLS 2011AA Property
C0023730
NCI Thesaurus Property
C48058
UMLS 2011AA Property
C0542479
NCI Thesaurus Property
C50329
UMLS 2011AA Property
C1704434
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Technique
Description

Technique

Technique (check one)
Description

RadiationSurgeryMethodType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C16847
UMLS 2011AA Property
C0449851
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
Number of isocenters or beam-center positions
Description

RadiationSurgeryIsocenterMethodCount

Data type

double

Alias
NCI Thesaurus Property
C16847
UMLS 2011AA Property
C0449851
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C54651
UMLS 2011AA Property
C1881275
Number of stationary beams
Description

RadiationSurgeryStationaryBeamRadiationTherapyMethodCount

Data type

double

Alias
NCI Thesaurus Property
C16847
UMLS 2011AA Property
C0449851
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C60646
UMLS 2011AA Property
C1883168
Number of arcs
Description

RadiationSurgeryRadiationArcMethodCount

Data type

double

Alias
NCI Thesaurus Property
C16847
UMLS 2011AA Property
C0449851
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C54652
UMLS 2011AA Property
C1882534
Sum of degrees per arc for all arcs (If applicable,)
Description

RadiationSurgerySumRadiationArcMethodCount

Data type

double

Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25697
UMLS 2011AA Property
C1515051
NCI Thesaurus Property
C16847
UMLS 2011AA Property
C0449851
NCI Thesaurus Property
C54652
UMLS 2011AA Property
C1882534
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Collimator diameter(s): isocenter (#2)
Description

CollimatorRadiationTherapyIsocenterLengthDiameterMeasurement

Data type

text

Alias
NCI Thesaurus ObjectClass
C15313
UMLS 2011AA ObjectClass
C1522449
NCI Thesaurus ObjectClass
C25216
UMLS 2011AA ObjectClass
C0454169
NCI Thesaurus Property
C25334
UMLS 2011AA Property
C1444754
NCI Thesaurus Property
C54651
UMLS 2011AA Property
C1881275
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
NCI Thesaurus ValueDomain
C25285
UMLS 2011AA ValueDomain
C1301886
Collimator diameter(s): isocenter (#2)
Description

CollimatorRadiationTherapyIsocenterLengthDiameterMeasurement

Data type

text

Alias
NCI Thesaurus ObjectClass
C15313
UMLS 2011AA ObjectClass
C1522449
NCI Thesaurus ObjectClass
C25216
UMLS 2011AA ObjectClass
C0454169
NCI Thesaurus Property
C25334
UMLS 2011AA Property
C1444754
NCI Thesaurus Property
C54651
UMLS 2011AA Property
C1881275
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
NCI Thesaurus ValueDomain
C25285
UMLS 2011AA ValueDomain
C1301886
Target Volume
Description

Target Volume

Largest measure in any direction (mm)
Description

RadiationSurgeryTargetLengthLargestMeasurement

Data type

text

Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25702
UMLS 2011AA Property
C1521840
NCI Thesaurus Property
C25334
UMLS 2011AA Property
C1444754
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
NCI Thesaurus ValueDomain
C25550
UMLS 2011AA ValueDomain
C0443228
Left-right measure (mm)
Description

RadiationSurgeryLeftRightTargetLengthValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25229
UMLS 2011AA Property
C0205091
NCI Thesaurus Property
C25228
UMLS 2011AA Property
C0205090
NCI Thesaurus Property
C25702
UMLS 2011AA Property
C1521840
NCI Thesaurus Property
C25334
UMLS 2011AA Property
C1444754
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Anterior-posterior measure (mm)
Description

RadiationSurgeryAnteriorPosteriorTargetLengthValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25231
UMLS 2011AA Property
C0205094
NCI Thesaurus Property
C25622
UMLS 2011AA Property
C0205095
NCI Thesaurus Property
C25702
UMLS 2011AA Property
C1521840
NCI Thesaurus Property
C25334
UMLS 2011AA Property
C1444754
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Cephalad-caudad measure (mm)
Description

RadiationSurgeryCephaladCaudalTargetLengthValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25334
UMLS 2011AA Property
C1444754
NCI Thesaurus Property
C60642
UMLS 2011AA Property
C0205097
NCI Thesaurus Property
C60645
UMLS 2011AA Property
C0205096
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Target volume (cm^3)
Description

RadiationSurgeryTargetVolumeMeasurement

Data type

text

Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25702
UMLS 2011AA Property
C1521840
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus Property
C25335
UMLS 2011AA Property
C0449468
Prescription Dose
Description

Prescription Dose

Prescription Dose (Gy)
Description

RadiationSurgeryQuantityAdministeredDose

Data type

text

Alias
NCI Thesaurus ValueDomain
C25488
UMLS 2011AA ValueDomain
C0178602
NCI Thesaurus Property
C25256
UMLS 2011AA Property
C1265611
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
% isodose contour
Description

RadiationSurgeryIsodoseAdministeredPercentageDose

Data type

text

Measurement units
  • %
Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus Property
C54654
UMLS 2011AA Property
C1881277
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25488
UMLS 2011AA ValueDomain
C0178602
%
Minimum within target volume (Gy)
Description

RadiationSurgeryTargetMinimumAdministeredDose

Data type

text

Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25570
UMLS 2011AA Property
C1524031
NCI Thesaurus Property
C25702
UMLS 2011AA Property
C1521840
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus ValueDomain
C25488
UMLS 2011AA ValueDomain
C0178602
Maximum within target volume (Gy)
Description

RadiationSurgeryTargetMaximumAdministeredDose

Data type

text

Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25564
UMLS 2011AA Property
C0806909
NCI Thesaurus Property
C25702
UMLS 2011AA Property
C1521840
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus ValueDomain
C25488
UMLS 2011AA ValueDomain
C0178602
Volume inside prescription isodose surface (cm^3)
Description

RadiationSurgeryIsodoseVolumeAdministeredValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus Property
C54654
UMLS 2011AA Property
C1881277
NCI Thesaurus Property
C43320
UMLS 2011AA Property
C1705102
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Ratio of Prescription Isodose Volume/Target Volume
Description

RadiationSurgeryIsodoseTargetAdministeredVolumeRatioValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C15696
UMLS 2011AA ObjectClass
C0085203
NCI Thesaurus Property
C25702
UMLS 2011AA Property
C1521840
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
NCI Thesaurus Property
C54654
UMLS 2011AA Property
C1881277
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus ValueDomain
C44256
UMLS 2011AA ValueDomain
C0456603
NCI Thesaurus ValueDomain
C43320
UMLS 2011AA ValueDomain
C1705102
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1 forms
  1. StudyEvent: North Central Cancer Treatment Group Radiosurgery (SRS) Reporting Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header
ProtocolNorthCentralCancerTreatmentGroupIdentifierNumber
Item
NCCTG Protocol Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25581 (NCI Thesaurus Property)
C1518419 (UMLS 2011AA Property)
PatientNorthCentralCancerTreatmentGroupIdentifierNumber
Item
NCCTG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25581 (NCI Thesaurus Property)
C1518419 (UMLS 2011AA Property)
PatientInitialsName
Item
Patient Initials (L F M)
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
InstitutionName
Item
Institution
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
InstitutionIdentifierNumber
Item
Institution Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
Item
Are data amended (If yes, highlight amended areas)
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
CL.1
Code List
Are data amended (If yes, highlight amended areas)
CL Item
No (no)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item Group
Unnamed1
TreatingInstitutionStereotacticRadiosurgeryAdministeredName
Item
Radiosurgery Treating Institution
text
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25705 (NCI Thesaurus ObjectClass)
C1522326 (UMLS 2011AA ObjectClass)
C15358 (NCI Thesaurus Property)
C0085203 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)
Item
Target Lesion Site (as entered on the Pretreatment Measurement Form: check one)
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C3824 (NCI Thesaurus ObjectClass)
C0221198 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25702 (NCI Thesaurus Property)
C1521840 (UMLS 2011AA Property)
CL.2
Code List
Target Lesion Site (as entered on the Pretreatment Measurement Form: check one)
CL Item
Site 1 (Site 1)
CL Item
Site 2 (Site 2)
CL Item
Site 3 (Site 3)
RadiationSurgeryAdministeredBeginDate
Item
Date of Radiosurgery Procedure (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25431 (NCI Thesaurus ValueDomain)
C0439659 (UMLS 2011AA ValueDomain)
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Item Group
Treatment Unit
Item
Treatment Unit (check one)
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C50329 (NCI Thesaurus Property)
C1704434 (UMLS 2011AA Property)
CL.3
Code List
Treatment Unit (check one)
CL Item
Linear Accelerator (Linear Accelerator)
C28169 (NCI Thesaurus)
C0023730 (UMLS 2011AA)
CL Item
Gamma Knife (Gamma Knife)
C15382 (NCI Thesaurus)
C0086330 (UMLS 2011AA)
MedicalDeviceManufacturerName
Item
Manufacturer Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16830 (NCI Thesaurus ObjectClass)
C0025080 (UMLS 2011AA ObjectClass)
C25392 (NCI Thesaurus Property)
C0947322 (UMLS 2011AA Property)
MedicalDeviceManufacturerNumber
Item
Model Number
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16830 (NCI Thesaurus ObjectClass)
C0025080 (UMLS 2011AA ObjectClass)
C25392 (NCI Thesaurus Property)
C0947322 (UMLS 2011AA Property)
RadiationSurgeryLinearAcceleratorEnergyDeviceUnitValue
Item
Energy (Linear Accelerator - MV)
double
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C28169 (NCI Thesaurus Property)
C0023730 (UMLS 2011AA Property)
C48058 (NCI Thesaurus Property)
C0542479 (UMLS 2011AA Property)
C50329 (NCI Thesaurus Property)
C1704434 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
Item Group
Technique
Item
Technique (check one)
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
CL.4
Code List
Technique (check one)
CL Item
Isocenters Or Beam-center Positions (Isocenters or beam-center positions)
CL Item
Stationary Beams (Stationary beams)
RadiationSurgeryIsocenterMethodCount
Item
Number of isocenters or beam-center positions
double
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C54651 (NCI Thesaurus Property)
C1881275 (UMLS 2011AA Property)
RadiationSurgeryStationaryBeamRadiationTherapyMethodCount
Item
Number of stationary beams
double
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C60646 (NCI Thesaurus Property)
C1883168 (UMLS 2011AA Property)
RadiationSurgeryRadiationArcMethodCount
Item
Number of arcs
double
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C54652 (NCI Thesaurus Property)
C1882534 (UMLS 2011AA Property)
RadiationSurgerySumRadiationArcMethodCount
Item
Sum of degrees per arc for all arcs (If applicable,)
double
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25697 (NCI Thesaurus Property)
C1515051 (UMLS 2011AA Property)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C54652 (NCI Thesaurus Property)
C1882534 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
CollimatorRadiationTherapyIsocenterLengthDiameterMeasurement
Item
Collimator diameter(s): isocenter (#2)
text
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25216 (NCI Thesaurus ObjectClass)
C0454169 (UMLS 2011AA ObjectClass)
C25334 (NCI Thesaurus Property)
C1444754 (UMLS 2011AA Property)
C54651 (NCI Thesaurus Property)
C1881275 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25285 (NCI Thesaurus ValueDomain)
C1301886 (UMLS 2011AA ValueDomain)
CollimatorRadiationTherapyIsocenterLengthDiameterMeasurement
Item
Collimator diameter(s): isocenter (#2)
text
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25216 (NCI Thesaurus ObjectClass)
C0454169 (UMLS 2011AA ObjectClass)
C25334 (NCI Thesaurus Property)
C1444754 (UMLS 2011AA Property)
C54651 (NCI Thesaurus Property)
C1881275 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25285 (NCI Thesaurus ValueDomain)
C1301886 (UMLS 2011AA ValueDomain)
Item Group
Target Volume
RadiationSurgeryTargetLengthLargestMeasurement
Item
Largest measure in any direction (mm)
text
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25702 (NCI Thesaurus Property)
C1521840 (UMLS 2011AA Property)
C25334 (NCI Thesaurus Property)
C1444754 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25550 (NCI Thesaurus ValueDomain)
C0443228 (UMLS 2011AA ValueDomain)
RadiationSurgeryLeftRightTargetLengthValue
Item
Left-right measure (mm)
text
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25229 (NCI Thesaurus Property)
C0205091 (UMLS 2011AA Property)
C25228 (NCI Thesaurus Property)
C0205090 (UMLS 2011AA Property)
C25702 (NCI Thesaurus Property)
C1521840 (UMLS 2011AA Property)
C25334 (NCI Thesaurus Property)
C1444754 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
RadiationSurgeryAnteriorPosteriorTargetLengthValue
Item
Anterior-posterior measure (mm)
text
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25231 (NCI Thesaurus Property)
C0205094 (UMLS 2011AA Property)
C25622 (NCI Thesaurus Property)
C0205095 (UMLS 2011AA Property)
C25702 (NCI Thesaurus Property)
C1521840 (UMLS 2011AA Property)
C25334 (NCI Thesaurus Property)
C1444754 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
RadiationSurgeryCephaladCaudalTargetLengthValue
Item
Cephalad-caudad measure (mm)
text
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25334 (NCI Thesaurus Property)
C1444754 (UMLS 2011AA Property)
C60642 (NCI Thesaurus Property)
C0205097 (UMLS 2011AA Property)
C60645 (NCI Thesaurus Property)
C0205096 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
RadiationSurgeryTargetVolumeMeasurement
Item
Target volume (cm^3)
text
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25702 (NCI Thesaurus Property)
C1521840 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25335 (NCI Thesaurus Property)
C0449468 (UMLS 2011AA Property)
Item Group
Prescription Dose
RadiationSurgeryQuantityAdministeredDose
Item
Prescription Dose (Gy)
text
C25488 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ValueDomain)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
RadiationSurgeryIsodoseAdministeredPercentageDose
Item
% isodose contour
text
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C54654 (NCI Thesaurus Property)
C1881277 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25488 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ValueDomain)
RadiationSurgeryTargetMinimumAdministeredDose
Item
Minimum within target volume (Gy)
text
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25570 (NCI Thesaurus Property)
C1524031 (UMLS 2011AA Property)
C25702 (NCI Thesaurus Property)
C1521840 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C25488 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ValueDomain)
RadiationSurgeryTargetMaximumAdministeredDose
Item
Maximum within target volume (Gy)
text
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25564 (NCI Thesaurus Property)
C0806909 (UMLS 2011AA Property)
C25702 (NCI Thesaurus Property)
C1521840 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C25488 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ValueDomain)
RadiationSurgeryIsodoseVolumeAdministeredValue
Item
Volume inside prescription isodose surface (cm^3)
text
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C54654 (NCI Thesaurus Property)
C1881277 (UMLS 2011AA Property)
C43320 (NCI Thesaurus Property)
C1705102 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
RadiationSurgeryIsodoseTargetAdministeredVolumeRatioValue
Item
Ratio of Prescription Isodose Volume/Target Volume
text
C15696 (NCI Thesaurus ObjectClass)
C0085203 (UMLS 2011AA ObjectClass)
C25702 (NCI Thesaurus Property)
C1521840 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C54654 (NCI Thesaurus Property)
C1881277 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C44256 (NCI Thesaurus ValueDomain)
C0456603 (UMLS 2011AA ValueDomain)
C43320 (NCI Thesaurus ValueDomain)
C1705102 (UMLS 2011AA ValueDomain)
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