Assessment
Date last contact
date
Patient Status
text
Primary Cause of Death
text
Cause of Death, specify
text
Documented clinical assessment for this cancer
text
Follow-Up Date
date
Current Disease Status
CurrentDiseasePrimaryMalignantNeoplasmAssessmentStatus
text
CurrentDiseaseRegionalLymphNodeAssessmentStatus
text
CurrentDiseaseDistantMetastasisAssessmentStatus
text
CurrentDiseaseSecondMalignantNeoplasmAssessmentStatus
text
Evaluation method
text
Evaluation method, specify
text
Events
EventDiseaseResponseStatus
text
EventDiseaseResponseDate
date
EventDiseaseResponseSpecify
text
ECOG Performance Status
text
Unnamed2
NewCancerDiagnosisInd-3
text
NewCancerDiagnosisAnatomicSite
text
NewCancerDiagnosisDate
date
NewCancerAnatomicSiteSpecify
text
Unnamed5
Non-ProtocolTherapyAdministeredType
text
Non-ProtocolTherapyAdministeredDate
date
Non-ProtocolTherapyAdministeredSpecify
text
Toxicities
OtherCardiovascularDiseasePresentInd-3
boolean
CongestiveHeartFailureAdverseEventPresentInd-3
boolean
Protocol Specific Adverse Event Evaluation
Adverse Event
text
Primary Site MedDRA Code
float
AdverseEventCommonTerminologyforAdverseEventsVersion4TermName
text
AdverseEventSeverityGrade
text
CTCAdverseEventReportBeginDate
date
CTC Adverse Event Attribution Category
text
SAE report
text
Footer Module
Research Comments
text
Investigator Signature
text
Investigator Signature Date
date