Unnamed2
PatientInitialsName
text
PatientMedicalRecordNumber
text
CombinedInstitutionName
text
ParticipatingGroupName
text
ProtocolParticipatingIdentifierNumber
text
PatientParticipatingIdentifierNumber
text
Patient Data
CancerFollow-upStatusInd-3
text
CancerFollow-UpStatusDate
date
PatientWeightMeasurement
double
PersonBodySurfaceAreaValue
double
PerformanceStatusAssessmentEasternCooperativeOncologyGroupScale
text
Notice Of Progression
DiseaseProgressionInd-3
text
AdditionalTherapyAdministeredInd-3
text
AlternativeProtocolBeginTreatmentInd-2
text
TreatmentNotBeginDescriptionSpecify
text
Criteria For Treatment
ChronicLymphocyticLeukemiaTherapyClinicalTrialEligibilityCriteriaType
text
AdverseEventAssessmentDate
date
Overall Response
ResponsiblePersonName
text
FormCompleteDate
date