Last Name
Item
Last Name
text
First Name
Item
First Name
text
Gynecologic Oncology Group Number
Item
GOG #
integer
Section
Item
Section
text
Institution/Affiliate Name
Item
Institution/Affiliate Name
text
Treating Physician
Item
Treating Physician
text
Hospital Chart Number
Item
Hospital Chart Number
integer
Birth Date
Item
Date of Birth
date
Social Security Number
Item
Social Security Number
integer
Zip Code
Item
Zip Code
integer
Other GOG Patient No.
Item
Other GOG Patient No.
integer
Item
Method of Payment
integer
Code List
Method of Payment
CL Item
Medicare/Private (4)
CL Item
Other government (5)
CL Item
Veteran's admin. (6)
Specify Other
Item
If Other, please specify
text
CL Item
Native American (5)
CL Item
Native Hawaiian (6)
CL Item
Eastern Indian (8)
Specify Other
Item
If Other, please specify
text
Height
Item
Height
integer
Performance status
Item
Performance Status
text
Previous Malignancy
Item
Previous Malignancy
boolean
Site of Previous Malignancy
Item
Site of Previous Malignancy
text
Date of Dx
Item
Date of Dx
date
Item
Primary Site
integer
CL Item
Uterine Sarcoma (8)
Primary Diagnosis Date
Item
Date of Primary Diagnosis
date
Item
Disease Status at Time of Registration
integer
Code List
Disease Status at Time of Registration
CL Item
Persistent (post 1st line Rx) (2)
Clinical/Radiological Measurement
Item
Clinically/Radiologically Measurable?
boolean
Clinical/Radiological Method Measurement
Item
Method of Clinical/Radiological Measurement
text
clinical history
Item
Brief clinical history
text
Prior Surgery
Item
Was any Prior Surgery performed?
boolean
Prior Hormonal
Item
Prior Hormonal
boolean
Specify
Item
Specify
text
Start Date
Item
Start Date
date
End Date
Item
End Date
date
Prior Radiation
Item
Prior Radiation
boolean
Specify
Item
Specify
text
Start Date
Item
Start Date
date
End Date
Item
End Date
date
Prior Immunological
Item
Prior Immunological
boolean
Specify
Item
Specify
text
Start Date
Item
Start Date
date
End Date
Item
End Date
date
Prior Chemotherapy
Item
Prior Chemotherapy
boolean
Specify
Item
Specify
text
Start Date
Item
Start Date
boolean
End Date
Item
End Date
date
Number of Regimens
Item
Number of Regimens
integer