Screening
Protocol ID NCI
text
NationalCancerInstituteInstituteCode
ParticipantIdentifier
Adverse Events
NoAdverseEventIndicator
AdverseEventReportedDate
date
AdverseEventVerbatimTermText
EventOnsetDate
CommonTerminologyCriteriaforAdverseEventsVersion4.0LowLevelTermName
EventEndDate
AdverseEventSeverityGrade
AdverseEventAttributionCode
SeverityAdverseEventReportedCode
AdverseEventActionCode
AdverseEventOutcomeCode
ProtocolWithdrawalAdverseEventRelatedIndicatorCode
Research Comments
Dcp Template Footer
Protocol Title
Protocol Version
Protocol Version Date
PageNumber
float
CaseReportFormTotalPageNumber
DCPTemplateVersionText