Unnamed2
PlannedAssessmentPeriodType
text
AssessmentPerformedDate
date
AdverseEventMostRecentAssessmentInd-3
text
Clinical Tolerance: Ctca (version 3.0)
CommonToxicityCriteriaAdverseEventTermType
text
CommonToxicityCriteriaAdverseEventGrade
double
CommonToxicityCriteriaAdverseEventOtherHypersensitivitySpecify
text
CommonToxicityCriteriaAdverseEventOtherCardiovascularSpecify
text
CommonToxicityCriteriaAdverseEventOtherConstitutionalSymptomSpecify
text
CommonToxicityCriteriaAdverseEventOtherSkinSpecify
text
CommonToxicityCriteriaAdverseEventOtherEndocrineSystemSpecify
text
CommonToxicityCriteriaAdverseEventOtherGastrointestinalSymptomSpecify
text
CommonToxicityCriteriaAdverseEventOtherHemorrhageSpecify
text
CommonToxicityCriteriaAdverseEventOtherInfectionSpecify
text
CommonToxicityCriteriaAdverseEventOtherLabSpecify
text
CommonToxicityCriteriaAdverseEventOtherMusculoskeletalSpecify
text
CommonToxicityCriteriaAdverseEventOtherNeurologicSpecify
text
CommonToxicityCriteriaAdverseEventOtherPainSpecify
text
CommonToxicityCriteriaAdverseEventOtherPulmonarySpecify
text
CommonToxicityCriteriaAdverseEventOtherGenitourinarySpecify
text
CommonToxicityCriteriaAdverseEventOtherReproductiveFunctionSpecify
text
CommonToxicityCriteriaAdverseEventOtherVascularSpecify
text
Unnamed6
CommonToxicityCriteriaAdverseEventShortNameType
text
CTCAdverseEventSpecifiedTermType
text
CommonToxicityCriteriaAdverseEventGrade
double
AdverseEventMostRecentAssessmentInd-3
text
Comments
InvestigatorSignatureDate
date
InvestigatorSignatureText
text