Data amendment
Data amended
text
Data amended date
date
Vital Status
Patient Status
text
Date last contact
date
Primary Cause of Death
text
Cause of Death, specify
text
Section II - Reporting Period
Reporting Period Start Date
date
Reporting Period End Date
date
Notice Of New Primary (including Second Colon Primary)
New primary cancer
boolean
NewCancerSiteText
text
Disease Follow-up Status
Documented clinical assessment for this cancer
text
CancerUnknownFollow-upAssessmentSpecify
text
Follow-Up Date
date
Cea
CarcinoembryonicAntigenSpecimenCollectionDate
text
LaboratoryProcedureCarcinoembryonicAntigenOutcomeValue
text
LaboratoryProcedureCarcinoembryonicAntigenOutcomeUpperLimitNormalValue
float
Notice Of Recurrence
RecurrentDiseaseFirstDiagnosisInd-3
text
DiseaseRecurrenceDate
date
ColorectalCarcinomaRecurrentDiseaseAnatomicSite
text
ColorectalRecurrentDiseaseLocationUnknownText
text
PhysicianRecurrentDiseaseDiagnosisInd-3
text
PhysicianRecurrentDiseaseDiagnosisSpecify
text
SurgicalProcedureRecurrentDiseaseTreatmentInd-3
text
Adverse Events
RadiationTherapyOncologyGroupAdverseEventRelapseReportInd-3
text
Non-protocol Therapy
Non-ProtocolTherapyFirstRecurrenceInd-3
boolean
Comments
Investigator Signature
text
Investigator Signature Date
date