Protocol Administration
ProtocolIRBApprovedDate
date
InformedConsentFormSignedDate
date
TreatmentProjectedBeginDate
date
PatientSignedDischargeMedicalRecordDate
date
InstitutionContactPersonName
text
ContactPersonTelephoneNumber
text
ContactPersonFaxNumber
text
Patient Demographics/pre-treatment Characteristics
PatientInitialsName
text
PersonBirthDate
date
PatientPersonSocialSecurityNumber
text
PatientMedicalRecordNumber
text
PersonGenderTextType
text
RaceCategoryText
text
EthnicGroupCategoryText
text
Patient Demographics/pre-treatment Characteristics2
PerformanceStatusAssessmentEasternCooperativeOncologyGroupScale
text
PatientHeightMeasurement
double
PatientWeightMeasurement
double
PersonBodySurfaceAreaValue
double
PersonHealthcarePayerType
text
Patient Demographics/pre-treatment Characteristics3
DiseaseDescriptionText
text
DiseaseDescriptionStage
text
DiseasesandDisordersPathologyDescriptionText
text
AddressPostalCodeIdentifier
text
PersonAddressCountryName
text
Certification Of Eligibility And Protocol Design
PatientEligibilityIndicator
text
Protocol Design
StudyStratificationText
text
ProtocolTreatmentArmAssignmentText
text
BlindedProtocolAgentIdentifierNumber
text
Initial Patient Consent For Specimen Use
TissueSpecimenMalignantNeoplasmRelatedResearchConsentInd-3
text
SpecimenRelatedGeneticResearchConsentInd-2
text
PersonSpecimenMalignantNeoplasmResearchConsentInd-2
text
PatientOtherDiseaseorDisorderClinicalStudyConsentInd-2
text
PatientContactConsentInd-3
text
Calgb 580902
PatientAncillaryStudyOneEligibilityDeterminationInd-3
text
Registration Information
PatientRegistrationDate
date
PatientParticipatingIdentifierNumber
text
PatientCALGBIdentifierNumber
text
RegisteringPersonIdentifierSignatureName
text