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1 forms
  1. StudyEvent: ECOG 3200 On-Study Form
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
COG On-Study Form
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
StepNo.
Item
Step No.
text
PatientName
Item
Patient Name
text
Particip.GroupProtocolNumber
Item
Particip. Group Protocol Number
double
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate Name
text
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
PrimarySiteInd
Item
Primary Site Ind
text
RegionalLymphNode(s)Ind
Item
Regional Lymph Node(s) Ind
text
DistantLymphNode(s)Ind
Item
Distant Lymph Node(s) Ind
text
LungSiteInd
Item
Lung Site Ind
text
LiverSiteInd
Item
Liver Site Ind
text
OtherAbdominalInd
Item
Other Abdominal Ind
text
BoneSiteInd
Item
Bone Site Ind
text
BrainSiteInd
Item
Brain Site Ind
text
DistantSkin/SubcutaneousTissueInd
Item
Distant Skin/Subcutaneous Tissue Ind
text
OtherSiteInd
Item
Other Site Ind
text
OtherSiteName
Item
Other Site Name
text
AdvancedDiseaseRegistrationStatus
Item
Advanced Disease Registration Status
text
PriorSurgeryInd
Item
Prior Surgery Ind
text
PriorAdjuvantChemotherapyInd
Item
Prior Adjuvant Chemotherapy Ind
text
PriorAdjuvantImmunotherapyInd
Item
Prior Adjuvant Immunotherapy Ind
text
PriorRTInd
Item
Prior RT Ind
text
SitesofpriorRT
Item
Sites of prior RT
text
PriorRTEndDate
Item
Prior RT End Date
date
PerformanceStatus
Item
Performance Status
text
CarcinoembryonicAntigenSpecimenCollectionDate
Item
Date CEA obtained
text
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25159 (NCI Thesaurus ObjectClass)
C0007082 (UMLS 2011AA ObjectClass)
C25453 (NCI Thesaurus Property)
C1516698 (UMLS 2011AA Property)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
CEA
Item
CEA
text
LaboratoryProcedureCarcinoembryonicAntigenOutcomeUpperLimitNormalValue
Item
CEA ULN
double
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25159 (NCI Thesaurus Property)
C0007082 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25706 (NCI Thesaurus ValueDomain)
C1519815 (UMLS 2011AA ValueDomain)
CTCCode
Item
CTC Code
text
CTCAdverseEventTerm
Item
CTC Adverse Event Term
text
CTCAdverseEventGrade
Item
CTC Adverse Event Grade
text
Comments
Item
Comments
text
Comments2
Item
Comments2
text
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