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: Radiation Therapy-treatment Cycle Information
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: Systemic Therapy-treatment Cycle Information
Chemotherapy Cycle Start Date
date
CourseIdentification
float
AgentTotalDose(percourse)
float
AgentDoseUnits
text
AgentName
text
Gyn: Treatment Modifications (systemic Therapy)
Allows Documentation Of Any Additional Cooments