ID

10608

Description

ECOG 3200 Follow-Up Disease Evaluation Form (RECIST) NCT00025337 Combination Chemotherapy With or Without Bevacizumab Compared With Bevacizumab Alone in Treating Patients With Advanced or Metastatic Colorectal Cancer That Has Been Previously Treated Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1701C6A-B902-6656-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1701C6A-B902-6656-E034-080020C9C0E0

Keywords

  1. 8/27/12 8/27/12 -
  2. 5/23/15 5/23/15 -
  3. 6/3/15 6/3/15 -
Uploaded on

June 3, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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ECOG 3200 Follow-Up Disease Evaluation Form (RECIST) NCT00025337

No Instruction available.

  1. StudyEvent: ECOG 3200 Follow-Up Disease Evaluation Form (RECIST)
    1. No Instruction available.
Follow-up disease evaluation
Description

Follow-up disease evaluation

Date of data transfer
Description

Dateofdatatransfer

Data type

text

Transfer Method
Description

TransferMethod

Data type

text

Specify other transfer method
Description

Specifyothertransfermethod

Data type

text

Step No.
Description

StepNo.

Data type

text

Course Identification
Description

CourseIdentification

Data type

text

Patient Name
Description

PatientName

Data type

text

Particip. Group Protocol Number
Description

Particip.GroupProtocolNumber

Data type

double

Patient Study ID, Participating Group
Description

PatientStudyID,ParticipatingGroup

Data type

text

Institution Name
Description

InstitutionName

Data type

text

Affiliate Name
Description

AffiliateName

Data type

text

Amended Data Ind
Description

AmendedDataInd

Data type

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Amended Data Ind
Description

AmendedDataInd

Data type

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Lesion, Reference Number, Target
Description

Lesion,ReferenceNumber,Target

Data type

text

Lesion, Anatomic Site, Target
Description

Lesion,AnatomicSite,Target

Data type

text

Site Code, Target
Description

SiteCode,Target

Data type

text

Assessment Type, Target
Description

AssessmentType,Target

Data type

text

Assessment Date, Target
Description

AssessmentDate,Target

Data type

text

Lesion, Tumor Diameter
Description

Lesion,TumorDiameter

Data type

double

Alias
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
Lesion, Baseline Tumor Diameter
Description

Lesion,BaselineTumorDiameter

Data type

text

Lesion, Diameter, Longest Sum
Description

Lesion,Diameter,LongestSum

Data type

double

Lesion, Reference Number, Nontarget
Description

Lesion,ReferenceNumber,Nontarget

Data type

text

Lesion, Anatomic Site, Nontarget
Description

Lesion,AnatomicSite,Nontarget

Data type

text

Site Code, Nontarget
Description

SiteCode,Nontarget

Data type

text

Assessment Type, Nontarget
Description

AssessmentType,Nontarget

Data type

text

Assessment Date, Nontarget
Description

AssessmentDate,Nontarget

Data type

date

Lesion, Follow-up Status
Description

Lesion,Follow-upStatus

Data type

text

Cytology Result, Nontarget
Description

CytologyResult,Nontarget

Data type

text

Other Specify
Description

OtherSpecify

Data type

text

New Lesion Ind
Description

NewLesionInd

Data type

text

Lesion, Reference Number, New
Description

Lesion,ReferenceNumber,New

Data type

text

Lesion, Anatomic Site, New
Description

Lesion,AnatomicSite,New

Data type

text

Site Code, New
Description

SiteCode,New

Data type

text

Assessment Type, New
Description

AssessmentType,New

Data type

text

Assessment Date, New
Description

AssessmentDate,New

Data type

date

Cytology Result, New
Description

CytologyResult,New

Data type

text

Has Target Lesion Response Status Change
Description

HasTargetLesionResponseStatusChange

Data type

text

Target Lesion Response Status
Description

TargetLesionResponseStatus

Data type

text

Response Status Change
Description

ResponseStatusChange

Data type

text

Overall Response
Description

OverallResponse

Data type

text

Progressive Disease Observed Date
Description

ProgressiveDiseaseObservedDate

Data type

date

Progressive Disease Observed Date
Description

ProgressiveDiseaseObservedDate

Data type

date

Response Confirmed Ind
Description

ResponseConfirmedInd

Data type

text

PR/CR First Observed Date
Description

PR/CRFirstObservedDate

Data type

text

Alias
NCI Thesaurus Property
C18212
NCI Thesaurus ObjectClass
C9305
UMLS 2011AA ObjectClass
C0006826
NCI Thesaurus Property
C4870
UMLS 2011AA Property
C0677874
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
PR/CR First Observed Date
Description

PR/CRFirstObservedDate

Data type

text

Alias
NCI Thesaurus Property
C18212
NCI Thesaurus ObjectClass
C9305
UMLS 2011AA ObjectClass
C0006826
NCI Thesaurus Property
C4870
UMLS 2011AA Property
C0677874
NCI Thesaurus Property
C25599
UMLS 2011AA Property
C1441672
Symptomatic Deterioration Ind
Description

SymptomaticDeteriorationInd

Data type

text

Symptomatic Deterioration Specify
Description

SymptomaticDeteriorationSpecify

Data type

text

Symptomatic Deterioration Date
Description

SymptomaticDeteriorationDate

Data type

date

Comments
Description

Comments

Data type

text

Comments2
Description

Comments2

Data type

text

Similar models

No Instruction available.

  1. StudyEvent: ECOG 3200 Follow-Up Disease Evaluation Form (RECIST)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Follow-up disease evaluation
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
StepNo.
Item
Step No.
text
CourseIdentification
Item
Course Identification
text
PatientName
Item
Patient Name
text
Particip.GroupProtocolNumber
Item
Particip. Group Protocol Number
double
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate Name
text
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
Lesion,ReferenceNumber,Target
Item
Lesion, Reference Number, Target
text
Lesion,AnatomicSite,Target
Item
Lesion, Anatomic Site, Target
text
SiteCode,Target
Item
Site Code, Target
text
AssessmentType,Target
Item
Assessment Type, Target
text
AssessmentDate,Target
Item
Assessment Date, Target
text
Lesion,TumorDiameter
Item
Lesion, Tumor Diameter
double
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
Lesion,BaselineTumorDiameter
Item
Lesion, Baseline Tumor Diameter
text
Lesion,Diameter,LongestSum
Item
Lesion, Diameter, Longest Sum
double
Lesion,ReferenceNumber,Nontarget
Item
Lesion, Reference Number, Nontarget
text
Lesion,AnatomicSite,Nontarget
Item
Lesion, Anatomic Site, Nontarget
text
SiteCode,Nontarget
Item
Site Code, Nontarget
text
AssessmentType,Nontarget
Item
Assessment Type, Nontarget
text
AssessmentDate,Nontarget
Item
Assessment Date, Nontarget
date
Lesion,Follow-upStatus
Item
Lesion, Follow-up Status
text
CytologyResult,Nontarget
Item
Cytology Result, Nontarget
text
OtherSpecify
Item
Other Specify
text
NewLesionInd
Item
New Lesion Ind
text
Lesion,ReferenceNumber,New
Item
Lesion, Reference Number, New
text
Lesion,AnatomicSite,New
Item
Lesion, Anatomic Site, New
text
SiteCode,New
Item
Site Code, New
text
AssessmentType,New
Item
Assessment Type, New
text
AssessmentDate,New
Item
Assessment Date, New
date
CytologyResult,New
Item
Cytology Result, New
text
HasTargetLesionResponseStatusChange
Item
Has Target Lesion Response Status Change
text
TargetLesionResponseStatus
Item
Target Lesion Response Status
text
ResponseStatusChange
Item
Response Status Change
text
OverallResponse
Item
Overall Response
text
ProgressiveDiseaseObservedDate
Item
Progressive Disease Observed Date
date
ProgressiveDiseaseObservedDate
Item
Progressive Disease Observed Date
date
ResponseConfirmedInd
Item
Response Confirmed Ind
text
PR/CRFirstObservedDate
Item
PR/CR First Observed Date
text
C18212 (NCI Thesaurus Property)
C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C4870 (NCI Thesaurus Property)
C0677874 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
PR/CRFirstObservedDate
Item
PR/CR First Observed Date
text
C18212 (NCI Thesaurus Property)
C9305 (NCI Thesaurus ObjectClass)
C0006826 (UMLS 2011AA ObjectClass)
C4870 (NCI Thesaurus Property)
C0677874 (UMLS 2011AA Property)
C25599 (NCI Thesaurus Property)
C1441672 (UMLS 2011AA Property)
SymptomaticDeteriorationInd
Item
Symptomatic Deterioration Ind
text
SymptomaticDeteriorationSpecify
Item
Symptomatic Deterioration Specify
text
SymptomaticDeteriorationDate
Item
Symptomatic Deterioration Date
date
Comments
Item
Comments
text
Comments2
Item
Comments2
text

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