Unnamed Module 2
Patient Height
float
Patient Weight
float
Body Surface Area
float
Cycle Number Chemotherapeutics
text
HeadandNeckTreatmentAssignmentType
text
HeadandNeckChemotherapyChangeInd
text
HeadandNeckTreatmentCurrentResponseType
text
Unnamed Module 3
Agent
text
Chemotherapy Cycle Start Date
date
Chemotherapy Cycle End Date
date
Agent Total Dose
float
TreatmentReducedDoseReason
text
TreatmentDiscontinuedType
text
Comments
Research Comments
text
Person Completing Form
text
Form Completion Date
date
Unnamed Module 4
Comments
Research Comments
text
Person Completing Form
text
Form Completion Date
date