Prior Radiation Supplement
Visit Date
date
Treatment Start Date
End Date
Radiation Therapy Type
integer
PriorRTHistorySpecify (Enter an explanation when Other, Specify is selected as a Radiation Type.)
text
CDUSTherapyNumberCode (Select the extent of the radiation therapy as follows:)
RadiationTherapyFieldAnatomicSiteName (Select the site of the radiation therapy.)
Radiation Therapy Schedule
Radiation Therapy Total Dose
float
AgentAdministrationDoseUnitofMeasureName (Select the radiation dose units of measurement e.g. cGy or rad, or cSv or rem.)
Best Response Assessment Type
Non Response Treatment Code