ID
7017
Description
North Central Cancer Treatment Group ARM B Radiation Therapy 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=10D87E75-C2B0-0CB3-E044-0003BA3F9857
Link
Keywords
Versions (2)
- 12/18/14 12/18/14 - Martin Dugas
- 1/8/15 1/8/15 - Martin Dugas
Uploaded on
January 8, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00377156 RT Submission - North Central Cancer Treatment Group ARM B Radiation Therapy Reporting Form - 2470699v1.0
No Instruction available.
- StudyEvent: North Central Cancer Treatment Group ARM B Radiation Therapy Reporting Form
Description
Unnamed 1
Description
Whole-BrainRadiotherapyAdministrationBeginDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain-2
- C25431
- UMLS 2011AA ValueDomain-2
- C0439659
- NCI Thesaurus ObjectClass
- C16187
- UMLS 2011AA ObjectClass
- C1520143
- NCI Thesaurus Property
- C25409
- UMLS 2011AA Property
- C1533734
Description
Whole-BrainRadiotherapyAdministrationEndDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C16187
- UMLS 2011AA ObjectClass
- C1520143
- NCI Thesaurus Property
- C25409
- UMLS 2011AA Property
- C1533734
Description
Technique
Description
Whole-BrainRadiotherapyModalityAdministrationType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C16187
- UMLS 2011AA ObjectClass
- C1520143
- NCI Thesaurus Property
- C25409
- UMLS 2011AA Property
- C1533734
- NCI Thesaurus Property-2
- C41147
- UMLS 2011AA Property-2
- C0695347
Description
Whole-BrainRadiotherapyAdministrationMegaVoltDose
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C16187
- UMLS 2011AA ObjectClass
- C1520143
- NCI Thesaurus Property
- C25409
- UMLS 2011AA Property
- C1533734
- NCI Thesaurus ValueDomain
- C25488
- UMLS 2011AA ValueDomain
- C0178602
- NCI Thesaurus ValueDomain-2
- C54653
- UMLS 2011AA ValueDomain-2
- C1553028
- NCI Thesaurus ValueDomain-3
- C42551
- UMLS 2011AA ValueDomain-3
- C0439502
Description
Whole-BrainRadiotherapyRadiationFieldAdministrationSite
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus Property
- C54648
- UMLS 2011AA Property
- C1882536
- NCI Thesaurus ObjectClass
- C16187
- UMLS 2011AA ObjectClass
- C1520143
- NCI Thesaurus Property-2
- C25409
- UMLS 2011AA Property-2
- C1533734
Description
Whole-BrainRadiotherapyRadiationFieldAdministrationAxisMeasurement
Data type
float
Measurement units
- cm
Alias
- NCI Thesaurus ObjectClass
- C16187
- UMLS 2011AA ObjectClass
- C1520143
- NCI Thesaurus Property
- C54648
- UMLS 2011AA Property
- C1882536
- NCI Thesaurus Property-2
- C25409
- UMLS 2011AA Property-2
- C1533734
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C25154
- UMLS 2011AA ValueDomain-2
- C1522496
Description
Whole-BrainRadiotherapyRadiationFieldAdministrationPerpendicularAxisMeasurement
Data type
float
Measurement units
- cm
Alias
- NCI Thesaurus ObjectClass
- C16187
- UMLS 2011AA ObjectClass
- C1520143
- NCI Thesaurus Property
- C54648
- UMLS 2011AA Property
- C1882536
- NCI Thesaurus Property-2
- C25409
- UMLS 2011AA Property-2
- C1533734
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C54649
- UMLS 2011AA ValueDomain-2
- C1295725
Description
Whole-BrainRadiotherapyRadiationFieldAdministrationSourceDistanceMeasure
Data type
float
Measurement units
- cm
Alias
- NCI Thesaurus ObjectClass
- C16187
- UMLS 2011AA ObjectClass
- C1520143
- NCI Thesaurus Property
- C54648
- UMLS 2011AA Property
- C1882536
- NCI Thesaurus Property-2
- C25409
- UMLS 2011AA Property-2
- C1533734
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C25683
- UMLS 2011AA ValueDomain-2
- C0449416
- NCI Thesaurus ValueDomain-3
- C25167
- UMLS 2011AA ValueDomain-3
- C0012751
Description
Whole-BrainRadiotherapyRadiationFieldAdministrationTargetType
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16187
- UMLS 2011AA ObjectClass
- C1520143
- NCI Thesaurus Property
- C54648
- UMLS 2011AA Property
- C1882536
- NCI Thesaurus Property-2
- C25409
- UMLS 2011AA Property-2
- C1533734
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ValueDomain-2
- C25702
- UMLS 2011AA ValueDomain-2
- C1521840
Description
Unnamed
Description
Radiation Therapy Body Site
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C1997599
- NCI Thesaurus Property
- C25341
- NCI Thesaurus ObjectClass
- C15313
Description
Radiation Therapy Total Dose
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25304
- UMLS CUI-1
- C2169193
- NCI Thesaurus ObjectClass
- C15313
- NCI Thesaurus ValueDomain-2
- C25488
- NCI Thesaurus Property
- C25382
Description
Total Number of Fractions
Data type
integer
Alias
- NCI Thesaurus Property
- C25304
- UMLS CUI-1
- C1522449
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-2
- C1264633
- NCI Thesaurus ValueDomain
- C25463
- UMLS CUI-3
- C0750480
- NCI Thesaurus Property-2
- C25514
Description
RadiationTherapyTotalDayCount
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C25304
- UMLS 2011AA Property
- C0439810
- NCI Thesaurus Property-2
- C25301
- UMLS 2011AA Property-2
- C0439228
- NCI Thesaurus ValueDomain
- C25301
- UMLS 2011AA ValueDomain
- C0439228
- NCI Thesaurus ValueDomain-2
- C25463
- UMLS 2011AA ValueDomain-2
- C0750480
Description
Unnamed3
Description
Unscheduled Interruptions in Radiation Therapy
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS CUI-1
- C1522449
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-2
- C1512900
- NCI Thesaurus Property
- C25542
Description
TreatmentInterruptionDayDuration
Data type
float
Alias
- NCI Thesaurus ValueDomain
- C25301
- UMLS 2011AA ValueDomain
- C0439228
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus ValueDomain-2
- C25330
- UMLS 2011AA ValueDomain-2
- C0449238
- NCI Thesaurus Property
- C25542
- UMLS 2011AA Property
- C1512900
Description
RTUnscheduledInterruptionReason
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- UMLS 2011AA ValueDomain
- C0392360
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C25542
- UMLS 2011AA Property
- C1512900
Description
RadiationTherapyInterruptionSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C25542
- UMLS 2011AA Property
- C1512900
Description
Unnamed2
Description
Research Comments
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C0947611
- NCI Thesaurus ObjectClass
- C15319
- NCI Thesaurus Property
- C25393
Description
RadiationOncologyPhysicianSignatureText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus Property
- C25678
- UMLS 2011AA Property
- C1519316
- NCI Thesaurus ObjectClass
- C25741
- UMLS 2011AA ObjectClass
- C0031831
- NCI Thesaurus ObjectClass-2
- C17833
- UMLS 2011AA ObjectClass-2
- C1514693
Description
Investigator Signature Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2346576
- NCI Thesaurus Property
- C25678
- UMLS CUI-2
- C0011008
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus ObjectClass
- C17089
Similar models
No Instruction available.
- StudyEvent: North Central Cancer Treatment Group ARM B Radiation Therapy Reporting Form
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1518419 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25581 (NCI Thesaurus Property-2)
C0237753 (UMLS 2011AA ValueDomain)
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C1520143 (UMLS 2011AA ObjectClass)
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C0332307 (UMLS 2011AA ValueDomain)
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C0178602 (UMLS 2011AA ValueDomain)
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C0439502 (UMLS 2011AA ValueDomain-3)
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C1882536 (UMLS 2011AA Property)
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C1520143 (UMLS 2011AA ObjectClass)
C54648 (NCI Thesaurus Property)
C1882536 (UMLS 2011AA Property)
C25409 (NCI Thesaurus Property-2)
C1533734 (UMLS 2011AA Property-2)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25154 (NCI Thesaurus ValueDomain-2)
C1522496 (UMLS 2011AA ValueDomain-2)
C1520143 (UMLS 2011AA ObjectClass)
C54648 (NCI Thesaurus Property)
C1882536 (UMLS 2011AA Property)
C25409 (NCI Thesaurus Property-2)
C1533734 (UMLS 2011AA Property-2)
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C1882536 (UMLS 2011AA Property)
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C25702 (NCI Thesaurus ValueDomain-2)
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C25488 (NCI Thesaurus ValueDomain-2)
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C1264633 (UMLS CUI-2)
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C1522449 (UMLS 2011AA ObjectClass)
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