Header Module
Form Completion Date
date
Amendment date
Person Amending Form
text
Patient Initials
Patient Study ID
ResponsiblePersonLastName
Primary Disease Assessment
PrimarySite
Primary Disease Site
GynecologicTumorHistologicCategory
Histologic Type, other
GynecologicTumorHistologicGrade
Evaluation method
Evaluation method, specify
LesionAssessmentDate
SpecimenIdentifierNumber
SpecimenSite
SpecimenSite,LymphNode
SpecimenSite,Metastatic
SpecimenSite,Other
Secondary Disease Assessment
DiseaseStatusType
Footer Module
ParticipatingGroupIdentifierCode
Study Number Participating Group
Trial subject ID Participating Group