Zoekresultaten - Portaal voor medische datamodellen (MDM-portaal)

Endometrial Cancer NCT00942357 On-Study - Solid Tumor Evaluation Form (D2M) - 2843034v1.0 - Solid Tumor Evaluation Form (D2M)

- 09-01-15 - 1 Formulier, 6 Itemgroepen, 31 Data-elementen, 1 Taal

Itemgroepen: HEADER MODULE, TARGET LESION(S) EVALUATION, NON-TARGET LESION(S) EVALUATION, NEW LESION(S) AT FOLLOW-UP EVALUATION, Disease Status and Overall Best Response, Comments

Solid Tumor Evaluation Form (D2M) Carboplatin and Paclitaxel With or Without Cisplatin and Radiation Therapy in Treating Patients With Stage I, Stage II, Stage III, or Stage IVA Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=644E6D14-3D6E-95F3-E040-BB89AD4357FF

Cycle Dose Drug Form D2R Endometrial Cancer (NCT00063999)

- 09-01-15 - 1 Formulier, 2 Itemgroepen, 39 Data-elementen, 1 Taal

Itemgroepen: HEADER MODULE, TREATMENT CYCLE AND MODIFICATION

Cycle Dose Drug Form, GOG-0209, Form D2R Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer NCT00063999 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B2402FA9-5BBE-0F62-E034-0003BA12F5E7

Endometrial Cancer NCT00063999 Treatment - Treatment Completion Form, GOG-0209, Form Q0 - 2077501v3.0 - Treatment Completion Form, GOG-0209, Form Q0

- 09-01-15 - 1 Formulier, 5 Itemgroepen, 20 Data-elementen, 1 Taal

Itemgroepen: HEADER MODULE, TREATMENT SCHEDULE, OFF-TREATMENT REASON, FOOTER MODULE, CCRR MODULE

Treatment Completion Form, GOG-0209, Form Q0 Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B2403C63-772C-0F6D-E034-0003BA12F5E7

Endometrial Cancer NCT00942357 Pre-Study - Fast Fact Sheet for Protocol 0258 (Endometrium) - 3244339v1.0 - Fast Fact Sheet for Protocol 0258 (Endometrium)

- 09-01-15 - 1 Formulier, 3 Itemgroepen, 57 Data-elementen, 1 Taal

Itemgroepen: Patient Information, Eligibility 1, Provide comments about this Fast Fact Sheet

Fast Fact Sheet for Protocol 0258 (Endometrium) Carboplatin and Paclitaxel With or Without Cisplatin and Radiation Therapy in Treating Patients With Stage I, Stage II, Stage III, or Stage IVA Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A5C0A0F9-00AC-D53F-E040-BB89AD43271E

Endometrial Cancer NCT00063999 Eligibility - Fast Fact Sheet for Protocol 0209 (endometrial) - 2770341v1.0 - Fast Fact Sheet for Protocol 0209 (endometrial)

- 09-01-15 - 1 Formulier, 7 Itemgroepen, 62 Data-elementen, 1 Taal

Itemgroepen: Patient Information, Race, Disease Information, Therapy Information, Lab Results:, Registration Information, Comments

Fast Fact Sheet for Protocol 0209 (endometrial) Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=53CE53A6-C7B5-2895-E044-0003BA3F9857

Endometrial Cancer NCT00063999 On-Study - Recurrent Gynecologic Cancer - On Study Form, GOG-0209, Form OS-R - 2077062v3.0 - Recurrent Gynecologic Cancer - On Study Form, GOG-0209, Form OS-R

- 09-01-15 - 1 Formulier, 6 Itemgroepen, 39 Data-elementen, 1 Taal

Itemgroepen: HEADER MODULE, DISEASE DESCRIPTION - PRIOR HISTORY, DISEASE DESCRIPTION - CURRENT HISTORY, PRIOR TREATMENT FOR GYNECOLOGIC CANCER, FOOTER MODULE, CCRR MODULE

Recurrent Gynecologic Cancer - On Study Form, GOG-0209, Form OS-R Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B2400102-D1C7-0EDF-E034-0003BA12F5E7

Endometrial Cancer NCT00265759 Follow-Up - Operative - Reports Form - 2427172v1.0 - Operative - Reports Form

- 09-01-15 - 1 Formulier, 3 Itemgroepen, 9 Data-elementen, 1 Taal

Itemgroepen: Header Module, Header, Footer

Operative - Reports Form Exemestane, Letrozole, or Anastrozole in Treating Postmenopausal Women Who Are Undergoing Surgery for Stage II or Stage III Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=051461F3-A535-72A9-E044-0003BA3F9857

Endometrial Cancer NCT00063999 On-Study - Primary Gynecologic Cancer - On Study Form, GOG-0209, Form OSE - 2450967v1.0 - Primary Gynecologic Cancer - On Study Form, GOG-0209, Form OSE

- 09-01-15 - 1 Formulier, 3 Itemgroepen, 16 Data-elementen, 1 Taal

Itemgroepen: HEADER MODULE, ENDOMETRIAL: DISEASE DESCRIPTION, COMMENTS

Primary Gynecologic Cancer - On Study Form, GOG-0209, Form OSE Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0CC45F2A-6926-41E8-E044-0003BA3F9857

Endometrial Cancer NCT00265759 Follow-Up - Z1031: Extended Follow-up Form - 2316464v3.0 - Z1031: Extended Follow-up Form

- 09-01-15 - 1 Formulier, 5 Itemgroepen, 21 Data-elementen, 1 Taal

Itemgroepen: Header Module, Header, Notice of First Recurrence/Progression, Notice of New Primary, Footer Module

Z1031: Extended Follow-up Form Exemestane, Letrozole, or Anastrozole in Treating Postmenopausal Women Who Are Undergoing Surgery for Stage II or Stage III Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FAD6C4E6-87C2-1268-E034-0003BA3F9857

Endometrial Cancer NCT00265759 Follow-Up - Miscellaneous - Reports Form - 2427135v1.0 - Miscellaneous - Reports Form

- 09-01-15 - 1 Formulier, 3 Itemgroepen, 10 Data-elementen, 1 Taal

Itemgroepen: Header Module, Header, Footer

Miscellaneous - Reports Form Exemestane, Letrozole, or Anastrozole in Treating Postmenopausal Women Who Are Undergoing Surgery for Stage II or Stage III Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=05145510-13D8-711A-E044-0003BA3F9857

Endometrial Cancer NCT00063999 Pre-Study - Pre-Treatment Summary Form, GOG-0209, Form DR - 2451160v1.0 - Pre-Treatment Summary Form, GOG-0209, Form DR

- 09-01-15 - 1 Formulier, 3 Itemgroepen, 23 Data-elementen, 1 Taal

Itemgroepen: HEADER MODULE, NON-INVASIVE DIAGNOSTIC PROCEDURES, COMMENTS

Pre-Treatment Summary Form, GOG-0209, Form DR Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0CC6A86E-9AAD-737C-E044-0003BA3F9857

Endometrial Cancer NCT00063999 Response - Solid Tumor Evaluation Form, GOG-0209, Form D2M - 2077278v3.0 - Solid Tumor Evaluation Form, GOG-0209, Form D2M

- 09-01-15 - 1 Formulier, 7 Itemgroepen, 33 Data-elementen, 1 Taal

Itemgroepen: HEADER MODULE, TARGET LESION(S) EVALUATION, NON-TARGET LESION(S) EVALUATION, NEW TARGET LESION(S) AT FOLLOW-UP EVALUATION, OVERALL RESPONSE, FOOTER MODULE, CCRR MODULE

Solid Tumor Evaluation Form, GOG-0209, Form D2M Combination Chemotherapy in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B240191E-E5FE-0EF8-E034-0003BA12F5E7

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