ID
7017
Beschrijving
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
Trefwoorden
Versies (2)
- 18-12-14 18-12-14 - Martin Dugas
- 08-01-15 08-01-15 - Martin Dugas
Geüploaded op
8 januari 2015
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0 Legacy
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
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
Beschrijving
Unnamed 1
Beschrijving
Whole-BrainRadiotherapyAdministrationBeginDate
Datatype
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
Beschrijving
Whole-BrainRadiotherapyAdministrationEndDate
Datatype
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
Beschrijving
Technique
Beschrijving
Whole-BrainRadiotherapyModalityAdministrationType
Datatype
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
Beschrijving
Whole-BrainRadiotherapyAdministrationMegaVoltDose
Datatype
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
Beschrijving
Whole-BrainRadiotherapyRadiationFieldAdministrationSite
Datatype
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
Beschrijving
Whole-BrainRadiotherapyRadiationFieldAdministrationAxisMeasurement
Datatype
float
Maateenheden
- 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
Beschrijving
Whole-BrainRadiotherapyRadiationFieldAdministrationPerpendicularAxisMeasurement
Datatype
float
Maateenheden
- 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
Beschrijving
Whole-BrainRadiotherapyRadiationFieldAdministrationSourceDistanceMeasure
Datatype
float
Maateenheden
- 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
Beschrijving
Whole-BrainRadiotherapyRadiationFieldAdministrationTargetType
Datatype
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
Beschrijving
Unnamed
Beschrijving
Radiation Therapy Body Site
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C1997599
- NCI Thesaurus Property
- C25341
- NCI Thesaurus ObjectClass
- C15313
Beschrijving
Radiation Therapy Total Dose
Datatype
float
Alias
- NCI Thesaurus ValueDomain
- C25304
- UMLS CUI-1
- C2169193
- NCI Thesaurus ObjectClass
- C15313
- NCI Thesaurus ValueDomain-2
- C25488
- NCI Thesaurus Property
- C25382
Beschrijving
Total Number of Fractions
Datatype
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
Beschrijving
RadiationTherapyTotalDayCount
Datatype
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
Beschrijving
Unnamed3
Beschrijving
Unscheduled Interruptions in Radiation Therapy
Datatype
boolean
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS CUI-1
- C1522449
- NCI Thesaurus ObjectClass
- C15313
- UMLS CUI-2
- C1512900
- NCI Thesaurus Property
- C25542
Beschrijving
TreatmentInterruptionDayDuration
Datatype
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
Beschrijving
RTUnscheduledInterruptionReason
Datatype
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
Beschrijving
RadiationTherapyInterruptionSpecify
Datatype
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
Beschrijving
Unnamed2
Beschrijving
Research Comments
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C0947611
- NCI Thesaurus ObjectClass
- C15319
- NCI Thesaurus Property
- C25393
Beschrijving
RadiationOncologyPhysicianSignatureText
Datatype
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
Beschrijving
Investigator Signature Date
Datatype
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)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25581 (NCI Thesaurus Property-2)
C1518419 (UMLS 2011AA Property-2)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C0805701 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
C0439659 (UMLS 2011AA ValueDomain-2)
C16187 (NCI Thesaurus ObjectClass)
C1520143 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus Property)
C1533734 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C16187 (NCI Thesaurus ObjectClass)
C1520143 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus Property)
C1533734 (UMLS 2011AA Property)
C0332307 (UMLS 2011AA ValueDomain)
C16187 (NCI Thesaurus ObjectClass)
C1520143 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus Property)
C1533734 (UMLS 2011AA Property)
C41147 (NCI Thesaurus Property-2)
C0695347 (UMLS 2011AA Property-2)
C0023730 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C1520143 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus Property)
C1533734 (UMLS 2011AA Property)
C25488 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ValueDomain)
C54653 (NCI Thesaurus ValueDomain-2)
C1553028 (UMLS 2011AA ValueDomain-2)
C42551 (NCI Thesaurus ValueDomain-3)
C0439502 (UMLS 2011AA ValueDomain-3)
C1515974 (UMLS 2011AA ValueDomain)
C54648 (NCI Thesaurus Property)
C1882536 (UMLS 2011AA Property)
C16187 (NCI Thesaurus ObjectClass)
C1520143 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus Property-2)
C1533734 (UMLS 2011AA Property-2)
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)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C54649 (NCI Thesaurus ValueDomain-2)
C1295725 (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)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25683 (NCI Thesaurus ValueDomain-2)
C0449416 (UMLS 2011AA ValueDomain-2)
C25167 (NCI Thesaurus ValueDomain-3)
C0012751 (UMLS 2011AA ValueDomain-3)
C1520143 (UMLS 2011AA ObjectClass)
C54648 (NCI Thesaurus Property)
C1882536 (UMLS 2011AA Property)
C25409 (NCI Thesaurus Property-2)
C1533734 (UMLS 2011AA Property-2)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25702 (NCI Thesaurus ValueDomain-2)
C1521840 (UMLS 2011AA ValueDomain-2)
C1997599 (UMLS CUI-1)
C25341 (NCI Thesaurus Property)
C15313 (NCI Thesaurus ObjectClass)
C2169193 (UMLS CUI-1)
C15313 (NCI Thesaurus ObjectClass)
C25488 (NCI Thesaurus ValueDomain-2)
C25382 (NCI Thesaurus Property)
C1522449 (UMLS CUI-1)
C15313 (NCI Thesaurus ObjectClass)
C1264633 (UMLS CUI-2)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS CUI-3)
C25514 (NCI Thesaurus Property-2)
C1522449 (UMLS 2011AA ObjectClass)
C25304 (NCI Thesaurus Property)
C0439810 (UMLS 2011AA Property)
C25301 (NCI Thesaurus Property-2)
C0439228 (UMLS 2011AA Property-2)
C25301 (NCI Thesaurus ValueDomain)
C0439228 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
C1522449 (UMLS CUI-1)
C15313 (NCI Thesaurus ObjectClass)
C1512900 (UMLS CUI-2)
C25542 (NCI Thesaurus Property)
C0439228 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25330 (NCI Thesaurus ValueDomain-2)
C0449238 (UMLS 2011AA ValueDomain-2)
C25542 (NCI Thesaurus Property)
C1512900 (UMLS 2011AA Property)
C0392360 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25542 (NCI Thesaurus Property)
C1512900 (UMLS 2011AA Property)
C0439673 (UMLS 2011AA)
C1521902 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25542 (NCI Thesaurus Property)
C1512900 (UMLS 2011AA Property)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C1527021 (UMLS 2011AA ValueDomain)
C25678 (NCI Thesaurus Property)
C1519316 (UMLS 2011AA Property)
C25741 (NCI Thesaurus ObjectClass)
C0031831 (UMLS 2011AA ObjectClass)
C17833 (NCI Thesaurus ObjectClass-2)
C1514693 (UMLS 2011AA ObjectClass-2)
C2346576 (UMLS CUI-1)
C25678 (NCI Thesaurus Property)
C0011008 (UMLS CUI-2)
C25367 (NCI Thesaurus ValueDomain-2)
C17089 (NCI Thesaurus ObjectClass)