Example Case Report Forms for RS domain
Sources: DB1 | Forms loaded: 2
Form: Prior Systemic Anti-Cancer Therapy Regimen
Annotations
Domain name annotations
CM (Concomitant/Prior Medications)
RS (Disease Response and Clin Classification)
Show domain info
Primary Domain
CM
All Domains
CM, RS
# Question Response
1
Category for Medication
CMCAT
2
Type of Therapy
CMSCAT
3
Therapy Setting
TRTSTT
4
Regimen Number
CMGRPID
5
Best Overall Response
RSORRES_BESTRESP
6
Date of Best Overall Response
RSDAT
7
Date of Progressive Disease
RSDAT_PD
8
Line Number
CMSPID
9
Agent (one agent or therapy per line)
CMTRT
10
Start Date
CMSTDAT
11
End Date
CMENDAT
12
Dose
CMDOSE
13
Dose (text)
CMDOSTXT
14
Dose Unit
CMDOSU
15
If Other, specify
CMDOSU_OTH
16
Frequency
CMDOSFRQ
17
If Other, specify
CMDOSFRQ_OTH
18
Number of Cycles
CMNCYC
Example Case Report Forms for RS domain
Sources: DB1 | Forms loaded: 2
Form: Investigator Tumor Response Assessment
Show domain info
Primary Domain
RS
All Domains
RS
# Question Response
1
Was the Investigator’s assessment of overall response obtained?
field_001
2
Investigator’s assessment of overall response
field_002
3
Response Assessment Date
field_003
4
Reason the Investigator’s assessment of overall response not obtained
field_004
5
Did the patient experience Symptomatic Deterioration? 
field_005
6
Date of Symptomatic Deterioration
field_006