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?	Choose 3D Conformal Radiation Therapy External Beam Radiation Therapy Intensity-Modulated Radiation Therapy Brachytherapy Other
Specify Other Radiation Therapy
Anatomical Location	Choose Prostate Gland Head Abdominal Region Other
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