Tracking Information
InstitutionName
text
TreatingPhysicianName
text
PatientMedicalRecordNumber
text
PatientBirthDate
date
PatientSSNNumber
double
PatientAddressPostalCode
text
PatientAddressCountryName
text
Demographic Information
PatientRaceCategory
text
PatientEthnicityCategory
text
PatientPaymentType
text
PatientHeightMeasurement
double
PatientWeightMeasurement
double
PerformanceStatusAssessmentEasternCooperativeOncologyGroupScale
text
PriorCancerDiagnosisInd-3
text
PriorCancerTypeText
text
PriorCancerDiagnosisDate
date
Comments
Footer Module
ParticipatingGroupIdentifierCode
text
ProtocolParticipatingIdentifierNumber
text
PatientParticipatingIdentifierNumber
text