Form:GLNE 007 Colon Cancer Treatment v9.0


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 2176)
* 2176Visit code (Go To: 423)
 
Permissible Values (value):BLN1 (1)
 
 BLN2 (2)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 3154)
* 3154Cancer treatment received? (Go To: 1097)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 3144)
 
 Unknown (99)
* 3144Number of loops: (Go To: 2159)
 
Permissible Values (value):1 (1)
 
 2 (2)
 
 3 (3)
 
 4 (4)
 
 5 (5)
 
 6 (6)
* 2159Specimen line number or identifier (system-generated): (Go To: 2148)
* 2148Primary cancer treatment(s) received: (Go To: 2478)
 
Permissible Values (value):Chemotherapy (1)
 
 Radiation therapy (2)
 
 Surgery (3)
 
 Hormone therapy (4)
 
 Other, specify: (97) (Go To: 2150)
 
 Unknown (99)
* 2150Primary cancer treatment(s) received: (Other, specify) (Go To: 2478)
* 2478Treatment start date (MM/YYYY): (Go To: 3003)
* 3003Treatment or therapy name: (Go To: 2994)
* 2994Cancer treatment dose (value): (Go To: 2955)
* 2955Cancer treatment dose (unit): (Go To: 2993)
 
Permissible Values (value):Gray (gy) (1)
 
 mg/m2 (2)
 
 Other, specify: (97) (Go To: 3002)
 
 Unknown (99)
* 3002Cancer treatment dose (unit): (Other, specify) (Go To: 2993)
* 2993Number of cycles: (Go To: 3158)
   3158Loop-specific comments: (Go To: 2546)
* 2546Response to treatment: (Go To: 2889)
 
Permissible Values (value):Complete Response (CR) (1)
 
 Partial Response (PR) (2)
 
 Stable Disease (SD) (3)
 
 Progressive disease (PD) (4)
 
 No treatment administered (5)
 
 Unknown (99)
* 2889Tumor status: (Go To: 1097)
 
Permissible Values (value):No tumor (1)
 
 Recurrence (2)
 
 Original tumor still present (6)
 
 Unknown (99)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)