Patient demographics
Patient Initials
text
Protocol Number ECOG
text
Patient ID ECOG
text
Study Number Participating Group
text
Institution Name
text
Trial subject ID Participating Group
text
Data amendment
Data amended
text
Data amended date
date
On Treatment
OFF (CHEMOTHERAPY) TREATMENT
PersonOff-TreatmentTimePeriodType
text
Prostate Specific Antigen (psa)
LaboratoryProcedureProstate-SpecificAntigenTumorMarkerResultValue
float
LaboratoryProcedureProstate-SpecificAntigenTumorMarkerResultDate
date
PSAValue,UpperLimit
float
Comments
Research Comments
text
Investigator Signature
text
Investigator Signature Date
date