Upper Gastrointestinal Cancers - Follow Up Form Source Form: NCI FormBuilder:

  1. 9/19/12 9/19/12 -
  2. 1/8/15 1/8/15 - Martin Dugas
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January 8, 2015

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Creative Commons BY-NC 3.0 Legacy
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Follow-Up - Upper Gastrointestinal Cancers - Follow Up Form - 2020208v2.31

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  1. StudyEvent: Upper Gastrointestinal Cancers - Follow Up Form
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Crf Header
Participating Group Code
Gi: Vital Status
Patient's Vital Status
Death Reason
Gi: Disease Follow-up Status
Cancer Follow-up Status Ind
Gi: Notice Of Progression
Progression Ind
Progression Site
Gi: Notice Of New Primary
New Primary Cancer Ind
Allows Documentation Of Any Additional Cooments

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