Form: Tumor Assessment YN?

Question Response

Form: Tumor Assessment - Target - Screening (RECIST v1.1)

Question Response
Line Number
Tumor ID




Location
Laterality
Method of Evaluation
Date of Procedure
Evaluator
Longest Diameter
Longest Diameter Unit

Form: Tumor Assessment - Target (RECIST v1.1)

Question Response
Line Number
Tumor ID




Select if changes to tumor were identified
Method of Evaluation
Date of Procedure
Tumor Identification Evaluator
Longest Diameter
Longest Diameter Unit
Check if the diameter was too small to measure
Check if the tumor was inevaluable
If the tumor was inevaluable, what was the reason?

Form: Tumor Assessment - Non-Target (RECIST v1.1)

Question Response
Line Number
Tumor ID




Method of Evaluation

Date of Procedure
Evaluator
Tumor State

Check if the tumor was inevaluable

If the tumor was inevaluable, what was the reason?
For previously identified new lesions,
Check if the tumor was inevaluable


If the tumor was inevaluable, what was the reason?

Form: Tumor Assessment - Non-Target - Screening (RECIST v1.1)

Question Response
Line Number
Tumor ID
Location
Laterality
Method of Evaluation
Date of Procedure
Evaluator

Form: Tumor Assessment - New (RECIST v1.1)

Question Response
Line Number
Tumor ID




Is this an assessment on previously identified lesion?
State of the tumor
Location
Laterality
Method of Evaluation

Date of Procedure
Evaluator

Form: Disease Response YN?

Question Response

Form: Disease Response (RECIST 1.1)

Question Response
Response Date
Target Response



Non-target Response

Overall Response




Response Evaluator