- 09-01-15 - 1 Formulier, 8 Itemgroepen, 38 Data-elementen, 1 Taal
Itemgroepen: CRF Header, Prostate: Vital Status, Prostate: Disease Follow-Up Status, Prostate: Notice of Progression, Prostate: PSA Measurements, Prostate: Non-Protocol Therapy, Prostate: Notice of New Primary, Prostate: Long-Term Toxicity
- 09-01-15 - 1 Formulier, 13 Itemgroepen, 77 Data-elementen, 1 Taal
Itemgroepen: Header Module, Amended Data, Patient Information, Disease Information, Recurrence Information, PROSTATE: PSA MEASUREMENTS, Treatment Schedule, TREATMENT SCHEDULE, Non-protocol Cancer Therapy, New Primary Cancer, CBC/diff, Adverse Events, Comments
- 17-09-21 - 1 Formulier, 9 Itemgroepen, 48 Data-elementen, 1 Taal
Itemgroepen: Patient Information, Month of Report, Physical Exam, Adverse Event Status, Therapy for Lower Urinary Tract Symptoms/Prostate Cancer since the last report, Other Malignancies or Marrow Dysplasia, Comments, Supporting Documentation, Form Completion
- 28-07-15 - 1 Formulier, 11 Itemgroepen, 34 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Off protocol treatment period, Data amendment, Section I - Vital Status, Section II - Reporting Period, Section III - Disease Follow-up Status, Section IV - Notice of New Primary, Section V - Adverse Events, Section IV - Non-Protocol Therapy Prior To Progression, Comments
- 08-06-15 - 1 Formulier, 9 Itemgroepen, 38 Data-elementen, 1 Taal
Itemgroepen: Header, Patient demographics, Data amendment, ON TREATMENT, OFF TREATMENT, Prostate Specific Antigen (PSA), Clinical Assessment, Symptomatic Deterioration, Comments
- 20-09-21 - 1 Formulier, 15 Itemgroepen, 76 Data-elementen, 1 Taal
Itemgroepen: Patient Information, Month of Report, Physical Exam, Digital Rectal Exam, PSA Measurements, Notice of Biochemical/Distant Relapse/Progression after Radical Intervention, Adverse Event Status, Therapy for Lower Urinary Tract Symptoms/Prostate Cancer since the last report, Other Malignancies or Marrow Dysplasia, Quality of Life Questionnaire1, Quality of Life Questionnaire2, Quality of Life Questionnaire3, Comments, Supporting Documentation, Form Completion (please print)

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