Record details of surgery performed as part of the treatment when required by the protocol.
Description / Instructions
The Visit Date is optional on this case report form. Hit the "Tab" key to leave it empty and move to the Date of Vitals field.
Day in Course (d)
Indicates the day since the beginning of course the cardiac ejection fraction results are related to based on their date and time.
Date of Surgery (m)
Enter the date of the surgical procedure.
Enter the type of procedure performed to diagnose / to treat the patient's disease.
Briefly describe the findings of the procedure.
Briefly describe the extent of the residual disease, if any, at the conclusion of the operation. (i.e.: microscopic, macroscopic).
Were Margin Clear?
Select the results of tissue margin examination.
Use pick list.
Enter the comment for margin examination.
Total Lymph Nodes Involved
Enter the number of lymph nodes involved with disease as determined by pathologic examination.
Total Lymph Nodes Evaluated
Enter the total number of lymph nodes removed and pathologically assessed for disease.
Legend: (d) derived field, (m) RDC mandatory, (c) for CTEP reporting only.
Date of Surgery is in the future.
Enter a date that is equal to or earlier than the current date.
Day in Course
Derived from the respective course initiation start date.