ID

2891

Description

Details of prior radiation therapy related to the disease being studies by the protocol or when the details would be clinically significant for the evaluation of this study. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AD011733-7341-F6FC-E040-BB89AD436515

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AD011733-7341-F6FC-E040-BB89AD436515

Keywords

  1. 9/19/12 9/19/12 -
  2. 9/20/17 9/20/17 -
  3. 9/20/21 9/20/21 -
Uploaded on

September 19, 2012

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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Treatment - Prior Radiation Supplement - 3278747v1.0

No Instruction available.

  1. StudyEvent: Prior Radiation Supplement
    1. No Instruction available.
Prior Radiation Supplement
Description

Prior Radiation Supplement

Visit Date (Enter the date the form was completed. - Note: If the information was obtained at multiple visits, please enter the date the form was completed.)
Description

FormCompletionDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C40988
UMLS 2011AA ObjectClass
C1516308
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
Date of First Dose (Enter the date of the first dose of the radiation therapy. Partial dates are acceptable when the day is not known.)
Description

TreatmentStartDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C25431
UMLS 2011AA Property
C0439659
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
Date of Last Dose (Enter the date of the last dose of the radiation therapy. Partial dates are acceptable when the day is not known. Leave it blank if the therapy is currently being received.)
Description

StopDate

Data type

date

Alias
NCI Thesaurus Property
C25164
UMLS 2011AA Property
C0011008
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property
C65125
UMLS 2011AA Property
C1947925
Radiation Type (Select the type of radiation therapy, e.g.: "proton beam", "external beam" or "implant".)
Description

RTAdministeredType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C15313
UMLS 2011AA ObjectClass
C1522449
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
Other, Specify (Enter an explanation when Other, Specify is selected as a Radiation Type.)
Description

PriorRTHistorySpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C15313
UMLS 2011AA ObjectClass
C1522449
NCI Thesaurus ObjectClass
C25629
UMLS 2011AA ObjectClass
C0332152
NCI Thesaurus Property
C18772
UMLS 2011AA Property
C0262926
Radiation Extent (Select the extent of the radiation therapy as follows:)
Description

CDUSTherapyNumberCode

Data type

text

Alias
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass
C19992
UMLS 2011AA ObjectClass
C1516607
NCI Thesaurus Property
C25162
UMLS 2011AA Property
C0805701
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
Site (Select the site of the radiation therapy.)
Description

RadiationTherapyFieldAnatomicSiteName

Data type

text

Alias
NCI Thesaurus ObjectClass
C15313
UMLS 2011AA ObjectClass
C1522449
NCI Thesaurus Property
C25507
UMLS 2011AA Property
C1521738
NCI Thesaurus ValueDomain
C13717
UMLS 2011AA ValueDomain
C1515974
NCI Thesaurus ValueDomain
C15313
UMLS 2011AA ValueDomain
C1522449
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Schedule (Select the radiation therapy schedule on which it was given.)
Description

RadiationTherapySchedule

Data type

text

Alias
NCI Thesaurus ObjectClass
C15313
UMLS 2011AA ObjectClass
C1522449
NCI Thesaurus Property
C25211
UMLS 2011AA Property
C0086960
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Total Dose (State the total radiation dose the patient received during the treatment period. Leave this field as well as the Total Dose UOM blank if the radiation therapy is ongoing.)
Description

RTAdministeredTotalDose

Data type

double

Alias
NCI Thesaurus ValueDomain
C25304
UMLS 2011AA ValueDomain
C0439810
NCI Thesaurus ObjectClass
C15313
UMLS 2011AA ObjectClass
C1522449
NCI Thesaurus ValueDomain
C25488
UMLS 2011AA ValueDomain
C0178602
NCI Thesaurus Property
C25382
UMLS 2011AA Property
C1521801
Total Dose UOM (Select the radiation dose units of measurement e.g. cGy or rad, or cSv or rem.)
Description

AgentAdministrationDoseUnitofMeasureName

Data type

text

Alias
NCI Metathesaurus ObjectClass
CL111054
NCI Thesaurus Property
C25409
UMLS 2011AA Property
C1533734
NCI Thesaurus ValueDomain
C25488
UMLS 2011AA ValueDomain
C0178602
NCI Thesaurus ValueDomain
C25709
UMLS 2011AA ValueDomain
C1519795
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Best Response
Description

BestResponseAssessmentType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass
C25432
UMLS 2011AA ObjectClass
C1522427
NonResponse Therapy Type
Description

NonResponseTreatmentCode

Data type

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701

Similar models

No Instruction available.

  1. StudyEvent: Prior Radiation Supplement
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Prior Radiation Supplement
FormCompletionDate
Item
Visit Date (Enter the date the form was completed. - Note: If the information was obtained at multiple visits, please enter the date the form was completed.)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
TreatmentStartDate
Item
Date of First Dose (Enter the date of the first dose of the radiation therapy. Partial dates are acceptable when the day is not known.)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25431 (NCI Thesaurus Property)
C0439659 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
StopDate
Item
Date of Last Dose (Enter the date of the last dose of the radiation therapy. Partial dates are acceptable when the day is not known. Leave it blank if the therapy is currently being received.)
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C65125 (NCI Thesaurus Property)
C1947925 (UMLS 2011AA Property)
Item
Radiation Type (Select the type of radiation therapy, e.g.: "proton beam", "external beam" or "implant".)
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Code List
Radiation Type (Select the type of radiation therapy, e.g.: "proton beam", "external beam" or "implant".)
CL Item
3d Conformal (3D conformal)
CL Item
3d Conformal + Imrt Boost (3D Conformal + IMRT Boost)
CL Item
High-dose Rate Brachytherapy 3-dimensional Conformal Radiation Therapy (3DCRT + Brachytherapy HDR)
C16035 (NCI Thesaurus)
C0600521 (UMLS 2011AA)
C15651 (NCI Thesaurus)
C0454270 (UMLS 2011AA)
CL Item
Low-dose Treatment Brachytherapy 3-dimensional Conformal Radiation Therapy (3DCRT + Brachytherapy LDR)
C16035 (NCI Thesaurus)
C0600521 (UMLS 2011AA)
C15195 (NCI Thesaurus)
C0006098 (UMLS 2011AA)
C49341 (NCI Thesaurus)
C1708745 (UMLS 2011AA)
CL Item
Adjuvant (Adjuvant RT)
C25722 (NCI Thesaurus)
C1522673 (UMLS 2011AA)
CL Item
Brachytherapy (Brachytherapy)
CL054378 (NCI Metathesaurus)
CL Item
Conformal (conformal)
CL Item
Electron Beam (electron beam)
CL Item
External Beam Radiation (External beam radiation)
CL Item
Hyperfractionated (hyperfractionated)
CL Item
Imrt (IMRT)
CL Item
High-dose Rate Brachytherapy Imrt (IMRT + Brachytherapy HDR)
C16135 (NCI Thesaurus)
C1512814 (UMLS 2011AA)
C15651 (NCI Thesaurus)
C0454270 (UMLS 2011AA)
CL Item
Low-dose Treatment Brachytherapy Imrt (IMRT + Brachytherapy LDR)
C15195 (NCI Thesaurus)
C0006098 (UMLS 2011AA)
C16135 (NCI Thesaurus)
C1512814 (UMLS 2011AA)
C49341 (NCI Thesaurus)
C1708745 (UMLS 2011AA)
CL Item
Imrt And Igrt (IMRT and IGRT)
CL Item
Neoadjuvant (Neoadjuvant RT)
CL Item
Not Applicable (Not Applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Other (Other specify)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Palliative Radiation Therapy (Palliative RT)
CL Item
Photodynamic Therapy (Photodynamic therapy)
CL Item
Photon Beam (photon beam)
CL Item
Proton Beam (proton beam)
C0729603 (NCI Metathesaurus)
CL Item
Radiofrequency Ablation (Radiofrequency ablation)
C0850292 (NCI Metathesaurus)
CL Item
Radiosurgery (radiosurgery)
CL Item
Tomotherapy (Tomotherapy)
C62731 (NCI Thesaurus)
C1831735 (UMLS 2011AA)
PriorRTHistorySpecify
Item
Other, Specify (Enter an explanation when Other, Specify is selected as a Radiation Type.)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25629 (NCI Thesaurus ObjectClass)
C0332152 (UMLS 2011AA ObjectClass)
C18772 (NCI Thesaurus Property)
C0262926 (UMLS 2011AA Property)
Item
Radiation Extent (Select the extent of the radiation therapy as follows:)
text
C15368 (NCI Thesaurus ObjectClass)
C19992 (NCI Thesaurus ObjectClass)
C1516607 (UMLS 2011AA ObjectClass)
C25162 (NCI Thesaurus Property)
C0805701 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
Code List
Radiation Extent (Select the extent of the radiation therapy as follows:)
CL Item
Chemotherapy Multiple Agents Systemic (10008452)
CL040135 (NCI Metathesaurus)
CL Item
Chemotherapy Single Agent Systemic (10008456)
CL Item
Homeopathic Therapy (10020363)
CL Item
Vaccine (10021430)
C923 (NCI Thesaurus)
C0042210 (UMLS 2011AA)
CL Item
Extensive Radiation (10037770)
C16230 (NCI Thesaurus)
C1517030 (UMLS 2011AA)
CL Item
Limited Radiation (10037770)
CL Item
Radiation (nos) (10037770)
CL Item
Srugery (10042609)
CL Item
Chemotherapy (nos) (10050693)
CL Item
No Prior Therapy (10052052)
C15903 (NCI Thesaurus)
C1518341 (UMLS 2011AA)
CL Item
Bone Marrow Transplant (10061730)
CL Item
Hematopoietic Stem Cell Transplantation (10063581)
CL Item
Hormonal Therapy (10065646)
CL025695 (NCI Metathesaurus)
CL Item
Anti-retroviral Therapy (90003000)
CL Item
Antisense (90003002)
CL Item
Gene Transfer (90003004)
C20185 (NCI Thesaurus)
C1517499 (UMLS 2011AA)
CL Item
Drug And/or Immunotherapy (90003006)
CL Item
Oncolytic Virotherapy (90003008)
CL Item
Prior Therapy (nos) (90003010)
CL Item
Chemotherapy Non-cytotoxic (90003014)
CL Item
Image Directed Local Therapy (90003016)
Item
Site (Select the site of the radiation therapy.)
text
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25507 (NCI Thesaurus Property)
C1521738 (UMLS 2011AA Property)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ValueDomain)
C1522449 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
Code List
Site (Select the site of the radiation therapy.)
CL Item
Total Abdomen (Abdomen, total)
C25304 (NCI Thesaurus)
C0439810 (UMLS 2011AA)
C12664 (NCI Thesaurus)
C0230168 (UMLS 2011AA)
CL Item
Arm (Arm)
C32141 (NCI Thesaurus)
C1140618 (UMLS 2011AA)
CL Item
Total Body (Body, total)
CL Item
Bone, Non-spine (Bone, non-spine)
CL Item
Brain, Focal (Brain, focal)
CL Item
Brain, Whole (Brain, whole)
CL Item
Brain To Cervical 2 (Brain-C2)
CL Item
Breast (Breast)
C12971 (NCI Thesaurus)
C0006141 (UMLS 2011AA)
CL Item
Chest Wall, Nos (Chest Wall)
C0205076 (NCI Metathesaurus)
CL Item
Eye (Eye)
C12401 (NCI Thesaurus)
C0015392 (UMLS 2011AA)
CL Item
Colon (Gastrointestinal, Colon)
C12382 (NCI Thesaurus)
C0009368 (UMLS 2011AA)
CL Item
Gallbladder (Gastrointestinal, Gallbladder)
C12377 (NCI Thesaurus)
C0016976 (UMLS 2011AA)
CL Item
Intestine (Gastrointestinal, Intestine)
C12736 (NCI Thesaurus)
C0021853 (UMLS 2011AA)
CL Item
Liver (Gastrointestinal, Liver)
C12392 (NCI Thesaurus)
C0023884 (UMLS 2011AA)
CL Item
Gastrointestinal, Not Otherwise Specified (Gastrointestinal, NOS)
CL Item
Pancreas (Gastrointestinal, Pancreas)
C12393 (NCI Thesaurus)
C0030274 (UMLS 2011AA)
CL Item
Rectum (Gastrointestinal, Rectum)
C12390 (NCI Thesaurus)
C0034896 (UMLS 2011AA)
C12390 (NCI Thesaurus)
C0034896 (UMLS 2011AA)
CL Item
Stomach (Gastrointestinal, Stomach)
C12391 (NCI Thesaurus)
C0038351 (UMLS 2011AA)
CL Item
Bladder (Genitourinary, Bladder)
C12414 (NCI Thesaurus)
C0005682 (UMLS 2011AA)
CL Item
Kidney (Genitourinary, Kidney)
C12415 (NCI Thesaurus)
C0022646 (UMLS 2011AA)
CL Item
Genitourinary, Not Otherwise Specified (Genitourinary, NOS)
CL Item
Prostate Gland (Genitourinary, Prostate)
C12410 (NCI Thesaurus)
C0033572 (UMLS 2011AA)
C12410 (NCI Thesaurus)
C0033572 (UMLS 2011AA)
CL Item
Genitourinary, Prostate And Seminal Vesicles (Genitourinary, Prostate and Seminal Vesicles)
C12410 (NCI Thesaurus)
C0033572 (UMLS 2011AA)
C25350 (NCI Thesaurus)
C2709259 (UMLS 2011AA)
C12787 (NCI Thesaurus)
C0036628 (UMLS 2011AA)
CL Item
Head (Head)
C12419 (NCI Thesaurus)
C0018670 (UMLS 2011AA)
CL Item
Head, Face, Or Neck (Head, Face, or Neck)
CL Item
Leg (Leg)
C32974 (NCI Thesaurus)
C1140621 (UMLS 2011AA)
CL Item
Lung (Lung)
C12468 (NCI Thesaurus)
C0024109 (UMLS 2011AA)
CL Item
Lymph Node, Distant (specify Site) (Lymph node, distant (specify site))
CL Item
Lymph Node, Locoregional (specify Site) (Lymph node, locoregional (specify site))
CL Item
Lymph Nodes (Lymph Nodes)
CL Item
Mantle Field (Mantle)
CL054735 (NCI Metathesaurus)
CL Item
Mediastinum (Mediastinum)
C12748 (NCI Thesaurus)
C0025066 (UMLS 2011AA)
CL Item
Parametrium (Parametrium)
C12320 (NCI Thesaurus)
C0227822 (UMLS 2011AA)
CL Item
Pelvis (ilium, Ischium, And Pubis Bones) (Pelvis)
C12767 (NCI Thesaurus)
C0030797 (UMLS 2011AA)
CL Item
Prostate Gland (Prostate)
C12410 (NCI Thesaurus)
C0033572 (UMLS 2011AA)
C12410 (NCI Thesaurus)
C0033572 (UMLS 2011AA)
CL Item
Anatomic Area Irradiated After The Prostate Is Surgically Resected (Prostate Bed)
CL Item
Rectum (Rectum)
C12390 (NCI Thesaurus)
C0034896 (UMLS 2011AA)
C12390 (NCI Thesaurus)
C0034896 (UMLS 2011AA)
CL Item
Sacrum (Sacrum)
C33508 (NCI Thesaurus)
C0036037 (UMLS 2011AA)
CL Item
Seminal Vesicle (Seminal vesicles)
C12787 (NCI Thesaurus)
C0036628 (UMLS 2011AA)
CL Item
Skin, Lower Extremity, Local (Skin, lower extremity, local)
CL Item
Entire Skin (Skin, total)
CL287824 (NCI Metathesaurus)
CL Item
Skin, Trunk, Local (Skin, trunk, local)
CL Item
Skin, Upper Extremity, Local (Skin, upper extremity, local)
CL Item
Spine (Spine)
CL Item
Spine (Spine, whole)
CL Item
Supraclavicular Field (Supraclavicular)
CL Item
Thorax (Thorax)
C12799 (NCI Thesaurus)
C0817096 (UMLS 2011AA)
CL Item
Trunk (Trunk)
C33816 (NCI Thesaurus)
C0460005 (UMLS 2011AA)
Item
Schedule (Select the radiation therapy schedule on which it was given.)
text
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25211 (NCI Thesaurus Property)
C0086960 (UMLS 2011AA Property)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
Code List
Schedule (Select the radiation therapy schedule on which it was given.)
CL Item
Twice A Week (2 times/week)
CL Item
Twice A Week As Needed (2 times/week PRN)
CL Item
Three Times A Week (3 times/week)
CL Item
Three Times A Week As Needed (3 times/week PRN)
CL Item
Five Times Per Day (5 times/day)
CL Item
Five Times A Day As Needed (5 times/day PRN)
CL Item
Six Times A Day As Needed (6 times/day PRN)
CL Item
Six Times Per Day (6 times/day)
CL Item
Seven Times Per Day (7 times/day)
CL Item
Seven Times A Day As Needed (7 times/day PRN)
CL Item
Eight Times Per Day (8 times/day)
CL Item
Eight Times A Day As Needed (8 times/day PRN)
CL Item
Before Meals (ac)
C64592 (NCI Thesaurus)
C1550738 (UMLS 2011AA)
CL Item
Before Meals As Needed (ac PRN)
CL Item
Twice A Day (BID)
C0585361 (NCI Metathesaurus)
CL Item
Two Times A Day As Needed (bid PRN)
CL Item
Two Times A Day Every Monday, Tuesday And Wednesday (bid qMTW)
CL Item
Two Times A Day Every Monday, Wednesday And Thursday (bid qMWTh)
CL Item
Two Times A Day, Every Other Day, For 3 Days (bid qod x3 days)
CL Item
Two Times A Day, Every Other Day, For 6 Doses (bid qod x6 doses)
CL Item
Twice A Week (BIW)
CL Item
Continuous (Continuous)
C53279 (NCI Thesaurus)
C0549178 (UMLS 2011AA)
CL Item
Continuous As Needed (Continuous PRN)
CL Item
At Bedtime (hs)
CL Item
At Bedtime As Needed (hs PRN)
CL Item
After Meals (pc)
C64594 (NCI Thesaurus)
C0376674 (UMLS 2011AA)
CL Item
After Meals As Needed (pc PRN)
CL Item
As Needed (PRN)
CL Item
Every 1 To 2 Hours As Needed (q1-2h PRN)
CL Item
Every Ten Days (q10d)
CL Item
Every 10 Days As Needed (q10d PRN)
CL Item
Every Ten Hours (q10h)
CL Item
Every 10 Hours As Needed (q10h PRN)
CL Item
Every Eleven Hours (q11h)
CL Item
Every 11 Hours As Needed (q11h PRN)
CL Item
Every Twelve Hours (q12h)
CL263791 (NCI Metathesaurus)
CL Item
Every 12 Hours As Needed (q12h PRN)
CL Item
Every 12 Months (q12month)
CL Item
Every Thirteen Hours (q13h)
CL Item
Every 13 Hours As Needed (q13h PRN)
CL Item
Every 14 Days (q14d)
CL Item
Every Fourteen Hours (q14h)
CL Item
Every 14 Hours As Needed (q14h PRN)
CL Item
Every Fifteen Hours (q15h)
CL Item
Every 15 Hours As Needed (q15h PRN)
CL Item
Every Sixteen Hours (q16h)
CL284485 (NCI Metathesaurus)
CL Item
Every 16 Hours As Needed (q16h PRN)
CL Item
Every Seventeen Hours (q17h)
CL Item
Every 17 Hours As Needed (q17h PRN)
CL Item
Every Eighteen Hours (q18h)
CL284486 (NCI Metathesaurus)
CL Item
Every 18 Hours As Needed (q18h PRN)
CL Item
Every Nineteen Hours (q19h)
CL Item
Every 19 Hours As Needed (q19h PRN)
CL Item
Every One Hour (q1h)
CL Item
Every One Hour As Needed (q1h PRN)
CL Item
Every 2 To 3 Hours As Needed (q2-3h PRN)
CL Item
Every 2 To 4 Hours As Needed (q2-4h PRN)
CL Item
Every Twenty Hours (q20h)
CL Item
Every 20 Hours As Needed (q20h PRN)
CL Item
Every Twenty-one Hours (q21h)
CL Item
Every 21 Hours As Needed (q21h PRN)
CL Item
Every Twenty-two Hours (q22h)
CL Item
Every 22 Hours As Needed (q22h PRN)
CL Item
Every Twenty-three Hours (q23h)
CL Item
Every 23 Hours As Needed (q23h PRN)
CL Item
Every Twenty Four Hours (q24h)
CL284488 (NCI Metathesaurus)
CL Item
Every 24 Hours As Needed (q24h PRN)
CL Item
Every Two Days (q2d)
CL Item
Every 2 Days As Needed (q2d PRN)
CL Item
Every Two Hours (q2h)
CL263786 (NCI Metathesaurus)
CL263786 (NCI Metathesaurus)
CL Item
Every 2 Hours As Needed (q2h PRN)
CL Item
Every Two Months (q2month)
C64536 (NCI Thesaurus)
C1880609 (UMLS 2011AA)
CL Item
Every 2 Months As Needed (q2month PRN)
CL Item
Every Two Weeks (q2wk)
CL Item
Every 2 Weeks As Needed (q2wk PRN)
CL Item
Every 3-4 Hours As Needed (q3-4h PRN)
CL Item
Every Thirty Six Hours (q36h)
CL284489 (NCI Metathesaurus)
CL Item
Every 36 Hours As Needed (q36h PRN)
CL Item
Every Three Days (q3d)
C64533 (NCI Thesaurus)
C1275551 (UMLS 2011AA)
CL Item
Every 3 Days As Needed (q3d PRN)
CL Item
Every Two Hours (q3h)
CL263786 (NCI Metathesaurus)
CL263786 (NCI Metathesaurus)
CL Item
Every 3 Hours As Needed (q3h PRN)
CL Item
Every Three Months (q3month)
C64537 (NCI Thesaurus)
C0332179 (UMLS 2011AA)
CL Item
Every 3 Months As Needed (q3month PRN)
CL Item
Every Three Weeks (q3wk)
C64535 (NCI Thesaurus)
C0585333 (UMLS 2011AA)
CL Item
Every Three Weeks As Needed (q3wk PRN)
CL Item
Every 4 To 6 Hours (q4-6h)
CL Item
Every 4 To 6 Hours As Needed (q4-6h PRN)
CL Item
Every Forty Eight Hours (q48h)
CL284493 (NCI Metathesaurus)
CL Item
Every 48 Hours As Needed (q48h PRN)
CL Item
Every Four Days (q4d)
C64534 (NCI Thesaurus)
C1275554 (UMLS 2011AA)
CL Item
Every 4 Days As Needed (q4d PRN)
CL Item
Every 4 Hours As Needed (q4h PRN)
CL Item
Every 4 Hours Every Other Day, For 3 Days (q4h qod x3 days)
CL Item
Every 4 Hours (Q4HR)
CL Item
Every Four Months (q4month)
C64538 (NCI Thesaurus)
C0585338 (UMLS 2011AA)
CL Item
Every 4 Months As Needed (q4month PRN)
CL Item
Every Four Weeks (q4wk)
C64529 (NCI Thesaurus)
C1275555 (UMLS 2011AA)
CL Item
Every 4 Weeks As Needed (q4wk PRN)
CL Item
Every Five Days (q5d)
CL284497 (NCI Metathesaurus)
CL Item
Every 5 Days As Needed (q5d PRN)
CL Item
Every Five Hours (q5h)
CL284498 (NCI Metathesaurus)
CL Item
Every 5 Hours As Needed (q5h PRN)
CL Item
Every Five Months (q5month)
CL Item
Every 5 Months As Needed (q5month PRN)
CL Item
Every Five Weeks (q5wk)
CL Item
Every 5 Weeks As Needed (q5wk PRN)
CL Item
Every 6 To 8 Hours As Needed (q6-8h PRN)
CL Item
Every Six Days (q6d)
CL Item
Every 6 Days As Needed (q6d PRN)
CL Item
Every 6 Hours As Needed (q6h PRN)
CL Item
Every 6 Hours Every Other Day, For 3 Days (q6h qod x3 days)
CL Item
Every 6 Hours (Q6HR)
CL Item
Every Six Months (q6month)
CL263803 (NCI Metathesaurus)
CL Item
Every 6 Months As Needed (q6month PRN)
CL Item
Every Six Weeks (q6wk)
CL263800 (NCI Metathesaurus)
CL Item
Every 6 Weeks As Needed (q6wk PRN)
CL Item
Every Seven Days (q7d)
CL284509 (NCI Metathesaurus)
CL Item
Every 7 Days As Needed (q7d PRN)
CL Item
Every Seven Hours (q7h)
CL Item
Every 7 Hours As Needed (q7h PRN)
CL Item
Every Seven Weeks (q7wk)
CL Item
Every 7 Weeks As Needed (q7wk PRN)
CL Item
Every 8 Days (q8d)
CL Item
Every 8 Days As Needed (q8d PRN)
CL Item
Every 8 Hours As Needed (q8h PRN)
CL Item
Every 8 Hours (Q8HR)
CL Item
Every 8 Weeks (q8wk)
CL Item
Every 8 Weeks As Needed (q8wk PRN)
CL Item
Every 9 Days (q9d)
CL Item
Every 9 Days As Needed (q9d PRN)
CL Item
Every 9 Hours (q9h)
CL Item
Every 9 Hours As Needed (q9h PRN)
CL Item
Every Morning (qam)
CL Item
Every Morning As Needed (qam PRN)
CL Item
Every Day (qd)
CL Item
One Time A Day As Needed (qd PRN)
CL Item
Once A Day For 3 Days (qd x3)
CL Item
Every Day For 4 Days (qd x4)
CL Item
Once A Day For 5 Days (qd x5)
CL Item
Once A Day For 7 Days (qd x7)
CL Item
Every Night (qhs)
CL Item
Every Night As Needed (qhs PRN)
CL Item
Four Times A Day (qid)
CL Item
Four Times A Day As Needed (qid PRN)
CL Item
Monthly (qmonth)
CL Item
Every Month As Needed (qmonth PRN)
CL Item
Every Monday, Tuesday And Wednesday (qMTW)
CL Item
Every Monday, Wednesday And Friday (qMWF)
CL Item
Every Other Day (QOD)
CL Item
Every Other Day As Needed (qod PRN)
CL Item
Every Other Day For 3 Days (qod x3 days)
CL Item
Weekly (qwk)
CL158132 (NCI Metathesaurus)
CL Item
Every Week As Needed (qwk PRN)
CL Item
Every Week For 4 Weeks (qwk x4)
CL Item
Every Week For 8 Courses (cycles) (qwk x8 courses)
CL Item
Tapering Doses (Tapering Doses)
CL Item
Three Times A Day (tid)
CL Item
Three Times A Day As Needed (tid PRN)
CL Item
Three Times In A Day, Every Other Day (tid qod)
CL Item
Three Times A Week (TIW)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
One Time (x1)
CL Item
For 1 Course (cycle) (x1 Course)
CL Item
One Time As Needed (x1 PRN)
CL Item
For 12 Courses (cycles) (x12 Courses)
CL Item
Two Times (x2)
CL Item
For 2 Courses (cycles) (x2 Courses)
CL Item
Two Times As Needed (x2 PRN)
CL Item
Three Times (x3)
CL Item
For 3 Courses (cycles) (x3 Courses)
CL Item
Three Times As Needed (x3 PRN)
CL Item
Four Times (x4)
CL Item
For 4 Courses (cycles) (x4 Courses)
CL Item
Four Times As Needed (x4 PRN)
CL Item
Five Times (x5)
CL Item
For 5 Courses (cycles) (x5 Courses)
CL Item
Five Times As Needed (x5 PRN)
CL Item
For 6 Courses (cycles) (x6 Courses)
CL Item
For 8 Courses (cycles) (x8 Courses)
CL Item
For 8 Days (x8 days)
RTAdministeredTotalDose
Item
Total Dose (State the total radiation dose the patient received during the treatment period. Leave this field as well as the Total Dose UOM blank if the radiation therapy is ongoing.)
double
C25304 (NCI Thesaurus ValueDomain)
C0439810 (UMLS 2011AA ValueDomain)
C15313 (NCI Thesaurus ObjectClass)
C1522449 (UMLS 2011AA ObjectClass)
C25488 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ValueDomain)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Item
Total Dose UOM (Select the radiation dose units of measurement e.g. cGy or rad, or cSv or rem.)
text
CL111054 (NCI Metathesaurus ObjectClass)
C25409 (NCI Thesaurus Property)
C1533734 (UMLS 2011AA Property)
C25488 (NCI Thesaurus ValueDomain)
C0178602 (UMLS 2011AA ValueDomain)
C25709 (NCI Thesaurus ValueDomain)
C1519795 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
Code List
Total Dose UOM (Select the radiation dose units of measurement e.g. cGy or rad, or cSv or rem.)
CL Item
Percent (%)
C48570 (NCI Thesaurus)
C0439165 (UMLS 2011AA)
CL Item
10e10 Cells (10E10 Cells)
CL Item
10e3 Cells (10E3 Cells)
CL Item
10e4 Cells Per Kilogram (10E4 Cell/kg)
CL Item
10e4 Cells (10E4 Cells)
CL Item
10e5 Cells Per Kilogram (10E5 Cell/kg)
CL Item
10e5 Cells (10E5 Cells)
CL Item
10e6 Cells Per Kilogram (10E6 Cell/kg)
CL Item
10e6 Cells (10E6 Cells)
CL Item
10e7 Cells Per Kilogram (10E7 Cell/kg)
CL Item
10e7 Cells (10E7 Cells)
CL Item
10e7 Plaque Forming Units (10E7 PFU)
CL Item
10e8 Cells (10E8 Cells)
CL Item
10e8 Plaque Forming Units (10E8 PFU)
CL Item
10e9 Cells (10E9 Cells)
CL Item
10e9 Plaque Forming Units (10E9 PFU)
CL Item
Ampule (Ampule)
C43165 (NCI Thesaurus)
C0179031 (UMLS 2011AA)
CL Item
Application (Applcatn)
C25397 (NCI Thesaurus)
C0185125 (UMLS 2011AA)
CL Item
Atomic Unit (au)
CL Item
Area Under The Curve (AUC)
C64774 (NCI Thesaurus)
C0376690 (UMLS 2011AA)
CL Item
Billion Pfu (bill PFU)
CL Item
Bottle (Bottle)
C43169 (NCI Thesaurus)
C0179376 (UMLS 2011AA)
CL Item
Breaths Per Minute (BPM)
C49674 (NCI Thesaurus)
C0439386 (UMLS 2011AA)
CL Item
Capful (Capful)
C49861 (NCI Thesaurus)
C1706092 (UMLS 2011AA)
CL Item
Caplet (Caplet)
C64696 (NCI Thesaurus)
C1879996 (UMLS 2011AA)
CL Item
Capsule (Capsule)
C25158 (NCI Thesaurus)
C0006935 (UMLS 2011AA)
CL Item
Cells (Cells)
CL Item
Cells Per Kilogram (Cells/kg)
CL Item
Centigray (cGy)
C64693 (NCI Thesaurus)
C0556645 (UMLS 2011AA)
CL Item
Curie (Ci)
C48466 (NCI Thesaurus)
C0700085 (UMLS 2011AA)
CL Item
Cycle (Course)
C25472 (NCI Thesaurus)
C1511572 (UMLS 2011AA)
C25379 (NCI Thesaurus)
C0750729 (UMLS 2011AA)
CL Item
Course (Course)
C25379 (NCI Thesaurus)
C0750729 (UMLS 2011AA)
CL Item
Deciliter (dL)
C64697 (NCI Thesaurus)
C0439241 (UMLS 2011AA)
CL Item
Dose (Dose)
C25488 (NCI Thesaurus)
C0178602 (UMLS 2011AA)
CL Item
Equivalent (Eq)
C48793 (NCI Thesaurus)
C0205163 (UMLS 2011AA)
CL Item
Grams (g) (g)
C48155 (NCI Thesaurus)
C0439208 (UMLS 2011AA)
CL Item
Gram Per M2 (g/m2)
C67282 (NCI Thesaurus)
C1300564 (UMLS 2011AA)
CL Item
Gallon (Gallon)
C48495 (NCI Thesaurus)
C0560013 (UMLS 2011AA)
CL Item
Drops (gtts)
C69442 (NCI Thesaurus)
C2347093 (UMLS 2011AA)
CL Item
Gray (Gy)
C18063 (NCI Thesaurus)
C0556636 (UMLS 2011AA)
CL Item
Hertz (Hz)
C42545 (NCI Thesaurus)
C0439482 (UMLS 2011AA)
CL Item
Inch (Inch)
C48500 (NCI Thesaurus)
C0439204 (UMLS 2011AA)
CL Item
Inhalation (Inhalatn)
C28245 (NCI Thesaurus)
C0004048 (UMLS 2011AA)
CL Item
Iu Vitamin A (IU Vit A)
C67374 (NCI Thesaurus)
C1881234 (UMLS 2011AA)
CL Item
International Unit Per Milligram (IU/mg)
C67380 (NCI Thesaurus)
C1319632 (UMLS 2011AA)
CL Item
International Units Or Milligram Alpha Tocopherol (IU/mg A-TE)
C67381 (NCI Thesaurus)
C1881235 (UMLS 2011AA)
CL Item
International Unit (IUnit)
C48579 (NCI Thesaurus)
C0439453 (UMLS 2011AA)
CL Item
International Unit Per Kilogram (IUnit/kg)
C67379 (NCI Thesaurus)
C0439463 (UMLS 2011AA)
CL Item
International Unit Per Liter (IUnit/L)
C67376 (NCI Thesaurus)
C0439457 (UMLS 2011AA)
CL Item
Intravenous Bag (IV Bag)
C67283 (NCI Thesaurus)
C1881246 (UMLS 2011AA)
CL Item
Infectious Viral Replicon Particles (IVRP)
C67350 (NCI Thesaurus)
C1883540 (UMLS 2011AA)
CL Item
Joules Per Centimeter Squared (Jcm2)
C67357 (NCI Thesaurus)
C1881294 (UMLS 2011AA)
CL Item
Kib-electron Volt (KeV)
C67276 (NCI Thesaurus)
C1881333 (UMLS 2011AA)
CL Item
Kilograms (kg)
C28252 (NCI Thesaurus)
C0439209 (UMLS 2011AA)
CL Item
Kilohertz (kHz)
C67279 (NCI Thesaurus)
C0556965 (UMLS 2011AA)
CL Item
Kilopascal (kPa)
C67284 (NCI Thesaurus)
C0439474 (UMLS 2011AA)
CL Item
Kilounit (kU)
C67309 (NCI Thesaurus)
C1881335 (UMLS 2011AA)
CL Item
Kilounit Per Kilogram (kU/kg)
C67382 (NCI Thesaurus)
C1532633 (UMLS 2011AA)
CL Item
Kilounit Per Liter (kU/L)
C67382 (NCI Thesaurus)
C1532633 (UMLS 2011AA)
CL Item
Liter (L)
C48505 (NCI Thesaurus)
C0475211 (UMLS 2011AA)
CL Item
Liters Per Minute (L/min)
C67388 (NCI Thesaurus)
C0439393 (UMLS 2011AA)
CL Item
Megabecquerel (MBq)
C70512 (NCI Thesaurus)
C0556640 (UMLS 2011AA)
CL Item
Millibecquerel (mBq)
CL Item
Microgram (mcg)
C48152 (NCI Thesaurus)
C0439211 (UMLS 2011AA)
CL Item
Microgram Per Centimeter Squared (mcg/cm2)
C67311 (NCI Thesaurus)
C1631160 (UMLS 2011AA)
CL Item
Microgram Per Hour (mcg/hr)
C67394 (NCI Thesaurus)
C0439425 (UMLS 2011AA)
CL Item
Microgram Per Kilogram (mcg/kg)
C67396 (NCI Thesaurus)
C1627892 (UMLS 2011AA)
CL Item
Microgram Per Meter Squared (mcg/m2)
C67311 (NCI Thesaurus)
C1631160 (UMLS 2011AA)
CL Item
Millicurie (mCi)
C48511 (NCI Thesaurus)
C0560005 (UMLS 2011AA)
CL Item
Measure (Measure)
CL Item
Milliequivalent (mEq)
C48512 (NCI Thesaurus)
C0439152 (UMLS 2011AA)
CL Item
Milliequivalents Per 24 Hours (mEq/24hr)
CL Item
Milliequivalent Per Deciliter (mEq/dL)
C67473 (NCI Thesaurus)
C1532568 (UMLS 2011AA)
CL Item
Milliequivalent Per Hour (mEq/hr)
C67472 (NCI Thesaurus)
C1532569 (UMLS 2011AA)
CL Item
Milliequivalent Per Liter (mEq/L)
C67474 (NCI Thesaurus)
C0439375 (UMLS 2011AA)
CL Item
Million Electron Volt (MeV)
C67238 (NCI Thesaurus)
C1881839 (UMLS 2011AA)
C67278 (NCI Thesaurus)
C0560135 (UMLS 2011AA)
CL Item
Milligram (mg)
C28253 (NCI Thesaurus)
C0439210 (UMLS 2011AA)
CL Item
Milligram Per 24 Hours (mg/24hr)
C67399 (NCI Thesaurus)
C0439423 (UMLS 2011AA)
CL Item
Milligram Per Deciliter (mg/dL)
CL Item
Milligram Per Hour (mg/hr)
CL Item
Milligram Per Inhalation (mg/inh)
C67400 (NCI Thesaurus)
C1881831 (UMLS 2011AA)
CL Item
Milligram Per Kilogram (mg/kg)
CL Item
Milligram Per Kilogram Per Day (mg/kg/day)
CL Item
Milligram Per Meter Squared (mg/m2)
CL Item
Milligram Per Milliliter (mg/mL)
CL Item
Milligram Per Week (mg/wk)
CL Item
Megahertz (MHz)
C67314 (NCI Thesaurus)
C0556962 (UMLS 2011AA)
CL Item
Microcurie (microCi)
CL Item
Microliter (microL)
C48153 (NCI Thesaurus)
C0439243 (UMLS 2011AA)
CL Item
Micromole (micromol)
C48509 (NCI Thesaurus)
C0439194 (UMLS 2011AA)
CL Item
Million Plaque Forming Units (mill PFU)
C67268 (NCI Thesaurus)
C1881844 (UMLS 2011AA)
CL Item
Million (Million)
C67238 (NCI Thesaurus)
C1881839 (UMLS 2011AA)
CL Item
Milliunit (millunit)
C67315 (NCI Thesaurus)
C1306898 (UMLS 2011AA)
CL Item
Milliinternational Unit (miu)
CL Item
Milliinternational Units Per Meter Squared (miu/m2)
CL Item
Cubic Centimeter (cc) (mL)
CL Item
Milliliter (mL)
C28254 (NCI Thesaurus)
C0439242 (UMLS 2011AA)
CL Item
Milliliter Per Hour (mL/hr)
CL Item
Milliliter Per Kilogram (mL/kg)
CL Item
Millimoles Per Liter (mM/L)
CL Item
Millimole (mmol)
C48513 (NCI Thesaurus)
C0439190 (UMLS 2011AA)
CL Item
Mole (Mole)
CL Item
Milliosmole (mosmol)
C67318 (NCI Thesaurus)
C0439154 (UMLS 2011AA)
CL Item
Megarad (Mrad)
C67349 (NCI Thesaurus)
C1881765 (UMLS 2011AA)
CL Item
Million Units (MU)
CL Item
Millivolt (mV)
C67324 (NCI Thesaurus)
C0456691 (UMLS 2011AA)
CL Item
Million Viral Particles (MVP)
C67351 (NCI Thesaurus)
C1881847 (UMLS 2011AA)
CL Item
Nanocurie (nCi)
C67352 (NCI Thesaurus)
C0560007 (UMLS 2011AA)
CL Item
Nanogram (ng)
CL Item
Nanogram Per Kilogram (ng/kg)
CL Item
Nanogram Per Liter (ng/L)
CL Item
Nanograms Per Milliliter (ng/mL)
CL Item
Nanometer Of Light (nm light)
CL Item
Nanomole (nmol)
C48517 (NCI Thesaurus)
C0439191 (UMLS 2011AA)
CL Item
No Source Data (No Srce)
C53269 (NCI Thesaurus)
C1546437 (UMLS 2011AA)
CL Item
Osmolality (osmol)
CL Item
Ounce (oz)
C48519 (NCI Thesaurus)
C0439218 (UMLS 2011AA)
CL Item
Pascal (Pa)
C42547 (NCI Thesaurus)
C0439473 (UMLS 2011AA)
CL Item
Packet (packet)
CL Item
Patch (Patch)
CL Item
Plaque Forming Units (PFU)
CL Item
Picograms (pg)
CL Item
Pounds Per Square Inch (psi)
CL Item
Puff (puff)
CL Item
Radiation Absorbed Dose (Rad)
CL Item
Vitamin A Retinol (RAE)
CL Item
Retinol Equivalents (RE)
CL Item
Seed (Seed)
CL Item
Session (Session)
C67447 (NCI Thesaurus)
C1883016 (UMLS 2011AA)
CL Item
Spray (Spray)
CL Item
Suppository (Suppstry)
CL Item
Tablets (Tablet)
CL Item
Tablespoon (Tbsp)
CL Item
Tissue Culture Infection Dose (TCID)
CL Item
Thousand (Thousand)
C67234 (NCI Thesaurus)
C1883310 (UMLS 2011AA)
CL Item
Troche (Troche)
CL Item
Teaspoon (tsp)
CL Item
Unit (Unit)
C44278 (NCI Thesaurus)
C0439148 (UMLS 2011AA)
CL Item
Unit Per Gram (Unit/g)
CL Item
Unit Per Kilogram (Unit/kg)
CL Item
Unit Per Meter Squared (Unit/m2)
CL Item
Unit Per Milliliter (Unit/mL)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
Viral Particles (VP)
CL Item
Yeast Units (YU)
C14286 (NCI Thesaurus)
C0043393 (UMLS 2011AA)
C67238 (NCI Thesaurus)
C1881839 (UMLS 2011AA)
C69122 (NCI Thesaurus)
C0205456 (UMLS 2011AA)
Item
Best Response
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C15368 (NCI Thesaurus ObjectClass)
C25432 (NCI Thesaurus ObjectClass)
C1522427 (UMLS 2011AA ObjectClass)
Code List
Best Response
CL Item
Complete Response (CR)
CL Item
Partial Response (PR)
C18212 (NCI Thesaurus)
CL Item
Less Than Partial Response (MR)
CL Item
Stable Disease (SD)
C18213 (NCI Thesaurus)
C0677946 (UMLS 2011AA)
CL Item
Progressive Disease (PD)
C35571 (NCI Thesaurus)
C1335499 (UMLS 2011AA)
CL Item
Not Evauable (NE)
CL Item
Not Assessed (NA)
CL Item
Unknown (UK)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No Response (NR)
Item
NonResponse Therapy Type
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
Code List
NonResponse Therapy Type
CL Item
Adjuvant Therapy (AJ)
C15675 (NCI Thesaurus)
C0677850 (UMLS 2011AA)
CL Item
Palliative Therapy (PA)
C15292 (NCI Thesaurus)
C0030231 (UMLS 2011AA)
CL Item
Neoadjuvant Therapy (NJ)
C15665 (NCI Thesaurus)
C0600558 (UMLS 2011AA)

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