Unnamed2
Patient'sName
text
ParticipatingGroup
text
PatientHospitalNumber
text
ParticipatingGroupProtocolNo.
text
AffiliateName
text
ParticipatingGroupPatientID
text
Treatment Cycle Information
AgentTotalDose(percourse)
double
AgentName
text
OffTreatmentReason
text
OffTreatmentReason,Other
text
Treatment Schedule - Systemic Therapy
Treatment Schedule - Other Therapy
OptionalProtocolTherapyInd
text
OptionalProtocolTherapyName
text
ConcurrentNon-ProtocolTherapyInd
text
indicatebelow(concurrentnon-protocoltherapygivenduringprotocoltreatment)
text
Comments
Unnamed5
Ccrr Module For Calgb: 49903 Advanced Treatment Summary Form; All Patients