Contents

Purpose

Record all ...

Consults eCRF

Field Name

Description / Instructions

Format

Visit Date

The Visit Date is optional on this case report form. Hit the "Tab" key to leave it empty and move to the Lesion # field.

DD-MMM-YYYY

Evaluation Date

 

DD-MMM-YYYY

Consult Evaluation Type

 

Use pick list.

Notes

 

200 characters

Legend: (d) derived field, (m) RDC mandatory, (c) for CTEP reporting only.

Validations

Code

Description

Resolutions

CON ?

?

?