ID
3197
Description
Melanoma-Treatment By Cycle Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A99E-3FA4-E034-080020C9C0E0
Link
Keywords
Versions (2)
- 9/19/12 9/19/12 -
- 1/8/15 1/8/15 - Martin Dugas
Uploaded on
September 19, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Treatment - Melanoma-Treatment By Cycle Form - 2020199v2.31
No Instruction available.
- StudyEvent: Melanoma-Treatment By Cycle Form
Description
Melanoma: Treatment Cycle Information-systemic Therapy
Description
Melanoma: Treatment Cycle-systemic Therapy
Description
CourseBeginDate
Data type
date
Description
CourseIdentification
Data type
text
Description
AgentTotalDose(percourse)
Data type
double
Description
AgentDoseUnits
Data type
text
Description
AgentName
Data type
text
Description
Melanoma: Treatment Cycle-vaccine Therapy
Description
VaccineDate
Data type
date
Description
CourseIdentification
Data type
text
Description
VaccineSite
Data type
text
Description
AgentTotalDose(percourse)
Data type
double
Description
VaccineSite,Other
Data type
text
Description
AgentDoseUnits
Data type
text
Description
AgentName
Data type
text
Description
Melanoma: Treatment Modifications
Description
Melanoma: Treatment Schedule-radiation Therapy
Description
RTBeginDate
Data type
date
Description
CourseIdentification
Data type
text
Description
RTEndDate
Data type
date
Description
RTSite
Data type
text
Description
RTSite,Other
Data type
text
Description
RTTotalDose
Data type
double
Description
RTInterruptionsInd
Data type
text
Description
RTInterruptionsReason
Data type
text
Description
Allows Documentation Of Any Additional Cooments
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No Instruction available.
- StudyEvent: Melanoma-Treatment By Cycle Form
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