ID
1242
Description
ECOG Follow-Up Disease Evaluation Form (RECIST), E2100 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AC81CEBA-3795-431A-E034-0003BA12F5E7
Link
Keywords
Versions (2)
- 8/27/12 8/27/12 -
- 5/23/15 5/23/15 -
Uploaded on
August 27, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer Response - ECOG Follow-Up Disease Evaluation Form (RECIST), E2100 - 2067696v3.0
Form No. 1548
- StudyEvent: ECOG Follow-Up Disease Evaluation Form (RECIST), E2100
Description
Unnamed2
Description
Target Lesions
Description
LesionNumber
Data type
double
Description
Lesion,AnatomicSite
Data type
text
Description
LesionMeasurableEvaluationAnatomicSite
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property
- C37894
- UMLS 2011AA Property
- C1513040
Description
MethodofEvaluation
Data type
text
Description
AssessmentDate
Data type
date
Description
Lesion,TumorDiameter
Data type
double
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
BASELINELongestDiameterofLesion
Data type
double
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
Lesion,Diameter,LongestSum
Data type
double
Description
Nontarget Lesions
Description
LesionNumber
Data type
double
Description
Lesion,AnatomicSite
Data type
text
Description
LesionMeasurableEvaluationAnatomicSite
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property
- C37894
- UMLS 2011AA Property
- C1513040
Description
MethodofEvaluation
Data type
text
Description
AssessmentDate
Data type
date
Description
Follow-UpStatusofLesions
Data type
text
Description
ProgressiveDiseaseNon-TargetLesionDescriptionText
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C35571
- UMLS 2011AA ObjectClass
- C1335499
- NCI Thesaurus Property
- C3824
- UMLS 2011AA Property
- C0221198
- NCI Thesaurus Property
- C25592
- UMLS 2011AA Property
- C1518389
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
Description
CytologyResult
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16491
- UMLS 2011AA ObjectClass
- C0010819
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
Description
Unnamed3
Description
New Lesions
Description
NewLesionInd
Data type
text
Description
LesionNumber
Data type
double
Description
Lesion,AnatomicSite
Data type
text
Description
LesionMeasurableEvaluationAnatomicSite
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property
- C37894
- UMLS 2011AA Property
- C1513040
Description
MethodofEvaluation
Data type
text
Description
AssessmentDate
Data type
date
Description
CytologyResult
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16491
- UMLS 2011AA ObjectClass
- C0010819
- NCI Thesaurus Property
- C20200
- UMLS 2011AA Property
- C1274040
Description
Response Of Target Lesions This Reporting Period
Description
Hastheresponseofthetargetlesionschanged,ORhasanunconfirmedresponsechangedtoaconfirmedresponse,sincelastreport?
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
Responsestatusatthisassessment(targetlesions)
Data type
text
Description
PR/CRfirstobserveddate(targetlesions)
Data type
date
Description
Progressivediseaseobserveddate(targetlesions)
Data type
date
Description
Overall Response Per Recist Criteria - Target, Nontarget And New Lesions
Description
Hastheoverallresponsechanged,ORhasanunconfirmedresponsechangedtoaconfirmedresponse,sincelastreport?
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
OverallTumorResponse
Data type
text
Description
ProgressiveDiseaseObservedDate
Data type
date
Description
ResponseConfirmedInd
Data type
text
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
Description
Symptomatic Deterioration
Description
Istheresymptomaticdeteriorationofthepatient'shealthstatusrequiringdiscontinuationoftreatment(thisreportingperiod)?
Data type
text
Description
yes,specify(symptomaticdeteriorationrequiringdiscontinuationoftreatment)
Data type
text
Description
SymptomaticDeteriorationDate
Data type
date
Description
Comments
Description
Ccrr Module For Ecog Follow-up Disease Evaluation Form (recist), E2100
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