Esophageal Cancer - Advanced On-Study Form Source Form: NCI FormBuilder:


Versions (2) ▾
  1. 9/19/12
  2. 1/8/15
Uploaded on:

January 8, 2015

No DOI assigned. To request one please log in.
Creative Commons BY-NC 3.0 Legacy
Model comments:

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for:

Item comments for:

In order to download data models you must be logged in. Please log in or register for free.

On-Study - Esophageal Cancer - Advanced On-Study Form - 2020202v2.31

No Instruction available.

  1. StudyEvent: Esophageal Cancer - Advanced On-Study Form
    1. No Instruction available.
Crf Header
Participating Group Code
Esophageal: Form Administration
Amended Data Ind
Esophageal: Advanced Disease Description
Primary Site
Disease Involvement Site
Advanced Disease Registration Status
Histologic Type
Histologic Grade
T Stage, Pathologic
N Stage, Pathologic
M Stage, Pathologic
Esophageal: Advanced Prior Treatment
Prior Surgery Ind
Prior Chemotherapy Ind
Prior Immunotherapy Ind
Prior RT Ind