PrCa Radiation Procedures


This example shows a CRF used to collect information on radiation procedures.



"Prostate Cancer Radiation Therapy [PrCa_Radiation Therapy]" Form Preview
Prostate Cancer Radiation Therapy
Prostate Cancer Radiation
Was any radiation performed? Yes  No  
Procedure Category
Check if Radiation to Bone
What is the name of the radiation therapy?
Specify Other Radiation Therapy
Anatomical Location
Specify Other Anatomical Location
Side Right  Left  Bilateral  
Start Date
 01 Jan 2000
For what indication was the radiation performed?
Is the radiation ongoing? Yes  No  
End Date
 01 Jan 2000
What was the amount of radiation administered?
What was the unit? cGy  Gy  Rad  
* Mandatory field

Package(s)
PrCa_Radiation_Therapy_2023-01-31.zip