Gyn: Form Administration
PersonCompletingForm,LastName
text
PersonCompletingForm,FirstName
text
AmendedDataInd
text
IntervalReportFromDate
date
IntervalReportToDate
date
Gyn: Surgical Treatment
ProtocolSurgeryInd
text
ProtocolSurgeryDate
date
ProtocolSurgeryType
text
ProtocolSurgeryOtherType
text
ProtocolSurgeryReason
text
ProtocolSurgeryOtherReason
text
ResidualDisease
float
ProtocolSurgery,QualifyingResultsInd
text
Gyn: Treatment Modifications (surgical Treatment)
Gyn: Treatment Schedule - Radiation Therapy
RTType
text
RTOtherType
text
BrachytherapyApplicationMethod
text
BrachytherapyBeginDate
date
BrachytherapyEndDate
date
BrachytherapyTotalDose,Right
float
BrachytherapyTotalDose,Left
float
BrachytherapyTotalImplantCount
float
RTBeginDate
date
RTEndDate
date
RTSite
text
RTSite,LocationName
text
RTSite,Other
text
RTTotalDose
float
RTTotalFractionCount
float
RTSite,Boost
text
RTSite,OtherBoost
text
RTTotalDose,Boost
float
RTTotalFractionCountBoost
float
RTInterruptionsInd
text
RTInterruptionsReason
text
RTInterruptionsReason,Medical
text
RTInterruptionsReason,Other
text
Gyn: Treatment Modifications (radiation Therapy)
Gyn: Treatment Schedule - Systemic Therapy
FirstDoseStartDate,FirstCycle
date
FirstDoseStartDate,LastCycle
date
AgentInitialDose
float
AgentDoseUnits
text
AgentName
text
Gyn: Treatment Modifications (systemic Therapy)
Gyn: Off-treatment Reason
OffTreatmentReason
text
OffTreatmentReason,Other
text
Gyn: Treatment Schedule - Optional Therapy
Gyn: Treatment Schedule - Non-protocol Therapy
Non-ProtocolTherapyInd,DuringTreatment
text
Non-ProtocolChemotherapyInd
text
Non-ProtocolChemotherapyType
text
Non-ProtocolHormonalTherapyInd
text
Non-ProtocolHormonalTherapyType
text
Non-ProtocolImmunotherapyInd
text
Non-ProtocolImmunotherapyType
text
Non-ProtocolRTInd
text
Non-ProtocolRTType
text
Non-protocolSurgeryPerformedInd-3
text
Non-ProtocolSurgeryType
text
OtherNon-ProtocolTherapyInd
text
OtherNon-ProtocolTherapyName
text
Allows Documentation Of Any Additional Cooments