Header Module
Form Completion Date
date
Amendment date
Person Amending Form
text
Patient Initials
Patient Study ID
Person Completing Form Last Name
Primary Disease Assessment
PrimarySite
Primary Disease Site
GynecologicTumorHistologicCategory
TumorHistologicVariationSpecify
GynecologicTumorHistologicGrade
Evaluation method
Evaluation method, specify
LesionAssessmentDate
SpecimenIdentifierNumber
SpecimenSite
LymphNodeInvolvementSiteSpecify
SpecimenSite,Metastatic
SpecimenSite,Other
Secondary Disease Assessment
DiseaseStatusType
Footer Module
ParticipatingGroupIdentifierCode
Study Number Participating Group
Trial subject ID Participating Group