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OP RESEARCH PRO00031037 NCT04513717 ARM 1 HAQUE	

Types:      Research Oncology Treatment
Synonyms:  NRG-GU009

Prior to Step 1 Registration 1 @ 1 Days (<120 Days Prior)	Repeat 1 time	Cycle length: 120 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 2	Interval: --	Occurrences: --	Comments:	o Informed Consent 
o Inclusion/Exclusion Criteria  
o Subject Demographics
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 6	Interval: --	Occurrences: --	Comments:	ACE-27 Score form
		  	ONC NURSING COMMUNICATION 8	Interval: --	Occurrences: --	Comments:	HIV/HBV Viral testing documentation
			Labs
  	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		  	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --			Labs
  	HEPATITIS B SURFACE ANTIBODY	Interval: --	Occurrences: --		  	HEPATITIS B SURFACE ANTIGEN	Interval: --	Occurrences: --		  	HEPATITIS B CORE ANTIBODY TOTAL	Interval: --	Occurrences: --			Labs
  	HIV 1/2 ANTIGEN/ANTIBODY, FOURTH GENERATION, WITH REFLEXES	Interval: --	Occurrences: --			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Imaging
☐	CT PELVIS W CONTRAST	Interval: --	Occurrences: --		☐	CT PELVIS WO CONTRAST	Interval: --	Occurrences: --		☐	MRI PELVIS W CONTRAST	Interval: --	Occurrences: --		☐	MRI PELVIS WO CONTRAST	Interval: --	Occurrences: --			Imaging
  	NM BONE SCAN WHOLE BODY	Interval: --	Occurrences: --	Comments:	Or NaF PET. Please order as appropriate.
					
Prior to Step 2 Randomization  1 @1Days(<-180 days prior)	Repeat 1 time	Cycle length: 179 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 9	Interval: --	Occurrences: --	Comments:	Mandatory Decipher Analysis
		  	ONC NURSING COMMUNICATION 10	Interval: --	Occurrences: --	Comments:	H&E slide and corresponding FFPE Block
		  	ONC NURSING COMMUNICATION 11	Interval: --	Occurrences: --	Comments:	Cardiac and Comorbidity Event Assessment
		  	ONC NURSING COMMUNICATION 12	Interval: --	Occurrences: --	Comments:	QOL forms; EPIC-26, FACIT-Cog, PROMIS-Fatigue Short Form, PROMIS-Depression
		  	ONC NURSING COMMUNICATION 14	Interval: --	Occurrences: --	Comments:	QOL form submission
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 20	Interval: --	Occurrences: --	Comments:	Randomization
					
Prior to RT Treatment 1@ 1Days (Baseline/Prior to RT Treatment)	Repeat 1 time	Cycle length: 1 day	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 12	Interval: --	Occurrences: --	Comments:	QOL forms; EPIC-26, FACIT-Cog, PROMIS-Fatigue Short Form, PROMIS-Depression
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 22	Interval: --	Occurrences: --	Comments:	Radiation Therapy Consult
			Labs
  	HEMOGLOBIN A1C	Interval: --	Occurrences: --	Comments:	As clinically indicated
			Labs
  	RESEARCH STUDY SPECIMEN	Interval: --	Occurrences: --		  	RESEARCH STUDY SPECIMEN	Interval: --	Occurrences: --			Imaging
  	BONE DENSITY	Interval: --	Occurrences: --			Provider Communication
  	ONC PROVIDER COMMUNICATION	Interval: --	Occurrences: --	Comments:	F-18 Fluciclovine PET CT for patients who consent + Contrast Agent. Please order as appropriate.
					
Radiation Therapy 1:9 @ 9Weeks (2 to 9 weeks of treatment)	Repeat 1 time	Cycle length: 6 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 25	Interval: --	Occurrences: --	Comments:	o External Beam Radiation Therapy (EBRT). Will be performed by ARIA.  
o Brachytherapy. Will be performed by ARIA.
					
After End of RT 1 @ 1Days (D7)	Repeat 1 time	Cycle length: 77 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Provider Communication
  	ONC PROVIDER COMMUNICATION 2	Interval: --	Occurrences: --	Comments:	Order androgen deprivation therapy via Therapy Plans as appropriate.
			Nursing Orders
  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
			Labs
  	RESEARCH STUDY SPECIMEN	Interval: --	Occurrences: --					
Month 3	Repeat 1 time	Cycle length: 84 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 30	Interval: --	Occurrences: --	Comments:	Concomitant medications
		  	ONC NURSING COMMUNICATION 32	Interval: --	Occurrences: --	Comments:	ECOG performance status
		  	ONC NURSING COMMUNICATION 11	Interval: --	Occurrences: --	Comments:	Cardiac and Comorbidity Event Assessment
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 14	Interval: --	Occurrences: --	Comments:	QOL form submission
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		  	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Labs
  	RESEARCH STUDY SPECIMEN	Interval: --	Occurrences: --			Provider Communication
  	ONC PROVIDER COMMUNICATION 4	Interval: --	Occurrences: --	Comments:	Reminder to administer one of the androgen deprivation therapies. Please order via Therapy Plan. 
o Leuprolide (INJ): Suggested therapy per PI.
o Degarelix (INJ); 
o Triptorelin (INJ); 
o Goserelin (INJ); 
o Flutamide (PO); 
o Bicalutamide (PO); 
o Buserelin (INJ); 
o Histrelin (INJ).
					
Month 6	Repeat 1 time	Cycle length: 84 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 30	Interval: --	Occurrences: --	Comments:	Concomitant medications
		  	ONC NURSING COMMUNICATION 32	Interval: --	Occurrences: --	Comments:	ECOG performance status
		  	ONC NURSING COMMUNICATION 11	Interval: --	Occurrences: --	Comments:	Cardiac and Comorbidity Event Assessment
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 14	Interval: --	Occurrences: --	Comments:	QOL form submission
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		  	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Labs
  	RESEARCH STUDY SPECIMEN	Interval: --	Occurrences: --			Imaging
  	NM BONE SCAN WHOLE BODY	Interval: --	Occurrences: --	Comments:	Or NaF PET. Please order as appropriate.
			Provider Communication
  	ONC PROVIDER COMMUNICATION 3	Interval: --	Occurrences: --	Comments:	Reminder to administer one of the androgen deprivation therapies. Please order via Therapy Plan. 
o Leuprolide (INJ): Suggested therapy per PI.
o Degarelix (INJ); 
o Triptorelin (INJ); 
o Goserelin (INJ); 
o Bicalutamide (PO); 
o Buserelin (INJ); 
o Histrelin (INJ).
					
Month 9	Repeat 1 time	Cycle length: 84 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 30	Interval: --	Occurrences: --	Comments:	Concomitant medications
		  	ONC NURSING COMMUNICATION 32	Interval: --	Occurrences: --	Comments:	ECOG performance status
		  	ONC NURSING COMMUNICATION 11	Interval: --	Occurrences: --	Comments:	Cardiac and Comorbidity Event Assessment
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 14	Interval: --	Occurrences: --	Comments:	QOL form submission
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		  	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Labs
  	RESEARCH STUDY SPECIMEN	Interval: --	Occurrences: --			Provider Communication
  	ONC PROVIDER COMMUNICATION 3	Interval: --	Occurrences: --	Comments:	Reminder to administer one of the androgen deprivation therapies. Please order via Therapy Plan. 
o Leuprolide (INJ): Suggested therapy per PI.
o Degarelix (INJ); 
o Triptorelin (INJ); 
o Goserelin (INJ); 
o Bicalutamide (PO); 
o Buserelin (INJ); 
o Histrelin (INJ).
					
Month 12	Repeat 1 time	Cycle length: 84 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 30	Interval: --	Occurrences: --	Comments:	Concomitant medications
		  	ONC NURSING COMMUNICATION 32	Interval: --	Occurrences: --	Comments:	ECOG performance status
		  	ONC NURSING COMMUNICATION 11	Interval: --	Occurrences: --	Comments:	Cardiac and Comorbidity Event Assessment
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 14	Interval: --	Occurrences: --	Comments:	QOL form submission
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 12	Interval: --	Occurrences: --	Comments:	QOL forms; EPIC-26, FACIT-Cog, PROMIS-Fatigue Short Form, PROMIS-Depression
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		  	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --			Labs
  	HEMOGLOBIN A1C	Interval: --	Occurrences: --	Comments:	As clinically indicated
			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Labs
  	RESEARCH STUDY SPECIMEN	Interval: --	Occurrences: --			Imaging
  	NM BONE SCAN WHOLE BODY	Interval: --	Occurrences: --	Comments:	Or NaF PET. Please order as appropriate.
			Imaging
☐	CT PELVIS W CONTRAST	Interval: --	Occurrences: --		☐	CT PELVIS WO CONTRAST	Interval: --	Occurrences: --		☐	MRI PELVIS W CONTRAST	Interval: --	Occurrences: --		☐	MRI PELVIS WO CONTRAST	Interval: --	Occurrences: --			Provider Communication
  	ONC PROVIDER COMMUNICATION 3	Interval: --	Occurrences: --	Comments:	Reminder to administer one of the androgen deprivation therapies. Please order via Therapy Plan. 
o Leuprolide (INJ): Suggested therapy per PI.
o Degarelix (INJ); 
o Triptorelin (INJ); 
o Goserelin (INJ); 
o Bicalutamide (PO); 
o Buserelin (INJ); 
o Histrelin (INJ).
					
Month 15	Repeat 1 time	Cycle length: 84 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 30	Interval: --	Occurrences: --	Comments:	Concomitant medications
		  	ONC NURSING COMMUNICATION 32	Interval: --	Occurrences: --	Comments:	ECOG performance status
		  	ONC NURSING COMMUNICATION 11	Interval: --	Occurrences: --	Comments:	Cardiac and Comorbidity Event Assessment
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 14	Interval: --	Occurrences: --	Comments:	QOL form submission
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		  	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Labs
  	RESEARCH STUDY SPECIMEN	Interval: --	Occurrences: --			Provider Communication
  	ONC PROVIDER COMMUNICATION 3	Interval: --	Occurrences: --	Comments:	Reminder to administer one of the androgen deprivation therapies. Please order via Therapy Plan. 
o Leuprolide (INJ): Suggested therapy per PI.
o Degarelix (INJ); 
o Triptorelin (INJ); 
o Goserelin (INJ); 
o Bicalutamide (PO); 
o Buserelin (INJ); 
o Histrelin (INJ).
					
Month 18	Repeat 1 time	Cycle length: 84 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 30	Interval: --	Occurrences: --	Comments:	Concomitant medications
		  	ONC NURSING COMMUNICATION 32	Interval: --	Occurrences: --	Comments:	ECOG performance status
		  	ONC NURSING COMMUNICATION 11	Interval: --	Occurrences: --	Comments:	Cardiac and Comorbidity Event Assessment
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 14	Interval: --	Occurrences: --	Comments:	QOL form submission
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		  	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Labs
  	RESEARCH STUDY SPECIMEN	Interval: --	Occurrences: --			Imaging
  	NM BONE SCAN WHOLE BODY	Interval: --	Occurrences: --	Comments:	Or NaF PET. Please order as appropriate.
			Provider Communication
  	ONC PROVIDER COMMUNICATION 3	Interval: --	Occurrences: --	Comments:	Reminder to administer one of the androgen deprivation therapies. Please order via Therapy Plan. 
o Leuprolide (INJ): Suggested therapy per PI.
o Degarelix (INJ); 
o Triptorelin (INJ); 
o Goserelin (INJ); 
o Bicalutamide (PO); 
o Buserelin (INJ); 
o Histrelin (INJ).
					
Month 21	Repeat 1 time	Cycle length: 84 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 30	Interval: --	Occurrences: --	Comments:	Concomitant medications
		  	ONC NURSING COMMUNICATION 32	Interval: --	Occurrences: --	Comments:	ECOG performance status
		  	ONC NURSING COMMUNICATION 11	Interval: --	Occurrences: --	Comments:	Cardiac and Comorbidity Event Assessment
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 14	Interval: --	Occurrences: --	Comments:	QOL form submission
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		  	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Labs
  	RESEARCH STUDY SPECIMEN	Interval: --	Occurrences: --			Provider Communication
  	ONC PROVIDER COMMUNICATION 3	Interval: --	Occurrences: --	Comments:	Reminder to administer one of the androgen deprivation therapies. Please order via Therapy Plan. 
o Leuprolide (INJ): Suggested therapy per PI.
o Degarelix (INJ); 
o Triptorelin (INJ); 
o Goserelin (INJ); 
o Bicalutamide (PO); 
o Buserelin (INJ); 
o Histrelin (INJ).
					
Month 24	Repeat 1 time	Cycle length: 168 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 30	Interval: --	Occurrences: --	Comments:	Concomitant medications
		  	ONC NURSING COMMUNICATION 32	Interval: --	Occurrences: --	Comments:	ECOG performance status
		  	ONC NURSING COMMUNICATION 11	Interval: --	Occurrences: --	Comments:	Cardiac and Comorbidity Event Assessment
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 14	Interval: --	Occurrences: --	Comments:	QOL form submission
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 12	Interval: --	Occurrences: --	Comments:	QOL forms; EPIC-26, FACIT-Cog, PROMIS-Fatigue Short Form, PROMIS-Depression
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		  	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --			Labs
  	HEMOGLOBIN A1C	Interval: --	Occurrences: --	Comments:	As clinically indicated
			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Labs
  	RESEARCH STUDY SPECIMEN	Interval: --	Occurrences: --			Imaging
  	NM BONE SCAN WHOLE BODY	Interval: --	Occurrences: --	Comments:	Or NaF PET. Please order as appropriate.
			Imaging
☐	CT PELVIS W CONTRAST	Interval: --	Occurrences: --		☐	CT PELVIS WO CONTRAST	Interval: --	Occurrences: --		☐	MRI PELVIS W CONTRAST	Interval: --	Occurrences: --		☐	MRI PELVIS WO CONTRAST	Interval: --	Occurrences: --			Provider Communication
  	ONC PROVIDER COMMUNICATION 3	Interval: --	Occurrences: --	Comments:	Reminder to administer one of the androgen deprivation therapies. Please order via Therapy Plan. 
o Leuprolide (INJ): Suggested therapy per PI.
o Degarelix (INJ); 
o Triptorelin (INJ); 
o Goserelin (INJ); 
o Bicalutamide (PO); 
o Buserelin (INJ); 
o Histrelin (INJ).
					
Month 30	Repeat 1 time	Cycle length: 168 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 32	Interval: --	Occurrences: --	Comments:	ECOG performance status
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --					
Month 36	Repeat 1 time	Cycle length: 168 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 32	Interval: --	Occurrences: --	Comments:	ECOG performance status
		  	ONC NURSING COMMUNICATION 11	Interval: --	Occurrences: --	Comments:	Cardiac and Comorbidity Event Assessment
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 12	Interval: --	Occurrences: --	Comments:	QOL forms; EPIC-26, FACIT-Cog, PROMIS-Fatigue Short Form, PROMIS-Depression
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Imaging
  	NM BONE SCAN WHOLE BODY	Interval: --	Occurrences: --	Comments:	Or NaF PET. Please order as appropriate.
			Imaging
☐	CT PELVIS W CONTRAST	Interval: --	Occurrences: --	Comments:	as clinically indicated
		☐	CT PELVIS WO CONTRAST	Interval: --	Occurrences: --	Comments:	as clinically indicated
		☐	MRI PELVIS W CONTRAST	Interval: --	Occurrences: --	Comments:	as clinically indicated
		☐	MRI PELVIS WO CONTRAST	Interval: --	Occurrences: --	Comments:	as clinically indicated
			Imaging
  	BONE DENSITY	Interval: --	Occurrences: --					
Month 42	Repeat 1 time	Cycle length: 168 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --					
Month 48	Repeat 1 time	Cycle length: 168 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Imaging
☐	CT PELVIS W CONTRAST	Interval: --	Occurrences: --	Comments:	as clinically indicated
		☐	CT PELVIS WO CONTRAST	Interval: --	Occurrences: --	Comments:	as clinically indicated
		☐	MRI PELVIS W CONTRAST	Interval: --	Occurrences: --	Comments:	as clinically indicated
		☐	MRI PELVIS WO CONTRAST	Interval: --	Occurrences: --	Comments:	as clinically indicated
					
Month 54	Repeat 1 time	Cycle length: 168 days	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --					
Month 60	Repeat 1 time	Cycle length: 1 day	Day 1	Perform every 1 day x1			Research tolerance: -0/+0 days	Nursing Orders
  	ONC NURSING COMMUNICATION 11	Interval: --	Occurrences: --	Comments:	Cardiac and Comorbidity Event Assessment
		  	ONC NURSING COMMUNICATION 5	Interval: --	Occurrences: --	Comments:	Venipuncture
		  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	PRO-CTCAE
		  	ONC NURSING COMMUNICATION 16	Interval: --	Occurrences: --	Comments:	Adverse Event Assessments
		  	ONC NURSING COMMUNICATION 12	Interval: --	Occurrences: --	Comments:	QOL forms; EPIC-26, FACIT-Cog, PROMIS-Fatigue Short Form, PROMIS-Depression
		  	ONC NURSING COMMUNICATION 33	Interval: --	Occurrences: --	Comments:	History and Physical Exam (to include prostate exam, weight, height, waist measurement at belly button, blood pressure)
			Labs
  	TESTOSTERONE, TOTAL AND FREE, IMMUNOASSAY AND CALCULATION (FOR ADULT MALES)	Interval: --	Occurrences: --			Labs
  	PSA, TOTAL AND FREE	Interval: --	Occurrences: --			Imaging
  	NM BONE SCAN WHOLE BODY	Interval: --	Occurrences: --	Comments:	Or NaF PET. Please order as appropriate.
			Imaging
  	BONE DENSITY	Interval: --	Occurrences: --