IDs
Patient Name
string
ParticipatingGroup
text
PatientHospitalNumber
text
ParticipatingGroupProtocolNo.
text
AffiliateName
text
ParticipatingGroupPatientID
text
Treatment Cycle Information
Drug dose
float
Agent
string
OffTreatmentReason
string
OffTreatmentReason,Other
string
Treatment Schedule - Systemic Therapy
Treatment Schedule - Other Therapy
OptionalProtocolTherapyInd
string
OptionalProtocolTherapyName
string
ConcurrentNon-ProtocolTherapyInd
string
Concomitant Therapy
string
Comments
Signature