Unnamed2
PatientName
text
PatientSouthwestOncologyGroupIdentifierNumber
double
PatientParticipatingIdentifierNumber
text
ProtocolParticipatingIdentifierNumber
text
Unnamed3
Unnamed4
RegistrarSouthwestOncologyGroupIdentifierNumber
text
SouthwestOncologyGroupTreatingInstitutionIdentifierNumber
double
ProtocolIRBApprovedDate
date
InformedConsentFormSignedDate
date
TreatmentProjectedBeginDate
date
SouthwestOncologyGroupInvestigatorIdentifierNumber
double
DateHIPAAAuthorizationsigned
text
SpecimenResearchConsentRelatedInd-3
text
BloodTissueSpecimenOtherDiseasesandDisordersResearchConsentInd-3
text
PatientContactConsentInd-3
text
Unnamed5
PatientBirthDate
date
PatientGenderCategory
text
PatientPaymentType
text
PatientEthnicityCategory
text
PatientRaceCategory
text
PatientSocialSecurityNumber
text
PatientAddressPostalCode
text
PatientAddressCountryName
text
PatientSocialInsuranceIdentifierNumber
text
AddressPostalCode
text
PerformanceStatus
text
AdjuvantChemotherapyPriorAdministeredInd-3
text
PatientEnglishComprehensionInd-3
text
Ccrr Module For Southwest Oncology Group Registration Form (s0303)