CDE ID | CDE Description | * 421 | EDRN Participant ID (Go To: 2176) |
* 2176 | Visit code (Go To: 423) |
| Permissible Values (value): | BLN1 (1) |
|
| |
* 423 | EDRN Protocol ID (Go To: 422) |
* 422 | EDRN Site ID (Go To: 929) |
* 929 | EDRN Staff ID of the person who collected the data: (Go To: 3154) |
* 3154 | Cancer treatment received? (Go To: 1097) |
| Permissible Values (value): | No (0) |
|
| |
| |
* 3144 | Number of loops: (Go To: 2159) |
| Permissible Values (value): | 1 (1) |
|
| |
| |
| |
| |
| |
* 2159 | Specimen line number or identifier (system-generated): (Go To: 2148) |
* 2148 | Primary cancer treatment(s) received: (Go To: 2478) |
| Permissible Values (value): | Chemotherapy (1) |
|
| |
| |
| |
| | Other, specify: (97) (Go To: 2150) |
|
| |
* 2150 | Primary cancer treatment(s) received: (Other, specify) (Go To: 2478) |
* 2478 | Treatment start date (MM/YYYY): (Go To: 3003) |
* 3003 | Treatment or therapy name: (Go To: 2994) |
* 2994 | Cancer treatment dose (value): (Go To: 2955) |
* 2955 | Cancer treatment dose (unit): (Go To: 2993) |
| Permissible Values (value): | Gray (gy) (1) |
|
| |
| | Other, specify: (97) (Go To: 3002) |
|
| |
* 3002 | Cancer treatment dose (unit): (Other, specify) (Go To: 2993) |
* 2993 | Number of cycles: (Go To: 3158) |
3158 | Loop-specific comments: (Go To: 2546) |
* 2546 | Response to treatment: (Go To: 2889) |
| Permissible Values (value): | Complete Response (CR) (1) |
|
| | Partial Response (PR) (2) |
|
| |
| | Progressive disease (PD) (4) |
|
| | No treatment administered (5) |
|
| |
* 2889 | Tumor status: (Go To: 1097) |
| Permissible Values (value): | No tumor (1) |
|
| |
| | Original tumor still present (6) |
|
| |
1097 | Comments (do not include any participant identifiers) (Go To: End of Form) |