Header Module
Form Completion Date
date
Amendment date
Person Amending Form
text
Last Name
First Name
Patient Study ID
Person Completing Form Last Name
Primary Disease Assessment
PrimarySite
PrimarySite,Other
HistologicType
TumorHistologicCategorySpecify
GynecologicTumorHistologicGrade
Evaluation method
LesionAssessmentDate
SpecimenIdentifierNumber
SpecimenSite
SpecimenSite,LymphNode
SpecimenSite,Metastatic
SpecimenSite,Other
Secondary Disease Assessment
Footer Module
ParticipatingGroupIdentifierCode
Study Number Participating Group
Trial subject ID Participating Group
Ccrr Module For Pathology Form, Gog-0209, Form F
Evaluation method, specify
GynecologicDiseaseStatusType