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  1. 1. Clinical Trial
  2. 2. Routine Documentation
  3. 3. Registry/Cohort Study
  4. 4. Quality Assurance
  5. 5. Data Standard
  6. 6. Patient-Reported Outcome
  7. 7. Medical Specialty
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CWS-2007-HR Identifizierende Daten der CWS Studie DRKS00003774 - Identifizierende Daten der CWS Studie

- 8/6/14 - 1 form, 1 itemgroup, 9 items, 2 languages
Itemgroup: Demograpische Daten
CWS-2007-HR: A randomised phase-​III trial of the Cooperative Soft-​Tissue-​Study-​Group for localised high-​risk rhabdomyosarcoma and localised Rhabdomyosarcoma-​like Soft Tissue Sarcoma in children, adolescents, and young adults http://clinicaltrials.gov/show/NCT00876031 http://www.cws.olgahospital-stuttgart.de

Registration - Registration - 2768468v1.0 - Registration

- 9/20/21 - 1 form, 3 itemgroups, 19 items, 1 language
Itemgroups: DCP Template Header, Registration, DCP Template Footer
The Division of Cancer Prevention's registration case report form (CRF) template. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=52C7202A-91E5-347F-E044-0003BA3F9857

Registration - Enrollment - 3276705v1.0 - Enrollment

- 9/20/21 - 1 form, 1 itemgroup, 28 items, 1 language
Itemgroup: Enrollment
The patient's enrollment information at the time of study entry. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACFCC8EF-1679-775F-E040-BB89AD4328A6

On-Study - ENROLLMENT - 2393048v1.2 - ENROLLMENT

- 9/20/21 - 1 form, 6 itemgroups, 36 items, 1 language
Itemgroups: DEMOGRAPHY, GEOGRAPHY AND GROUP, HISTORY, CONSENT, VITAL SIGNS, COMMENTS
Enrollment form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=790C39AF-C663-A8ED-E040-BB89AD435AB1

BMTCTN-0702: Enrollment (ENR)

- 9/20/21 - 1 form, 16 itemgroups, 67 items, 1 language
Itemgroups: Patient demographics, Ethnicity and Race, Myeloma Follow-On Enrollment Form - Segment A, Left ventricular ejection fraction, Bilirubin, SGPT (ALT), SGOT (AST), Serum creatinine, DLCO (corrected for hemoglobin), FEV1, FVC, Exclusion criteria, Exclusion Criteria (cont.), Consent for Use of Biological Samples for Research, Risk Status, Comments
BMTCTN-0702: Enrollment (ENR) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7662DD82-8F7A-AEEF-E040-BB89AD43018E

On-Study - ENROLLMENT - 2988652v1.0 - ENROLLMENT

- 9/17/21 - 1 form, 6 itemgroups, 37 items, 1 language
Itemgroups: DEMOGRAPHY, GEOGRAPHY AND GROUP, HISTORY, CONSENT, VITAL SIGNS, COMMENTS
Enrollment form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D884695-F5C5-C71D-E040-BB89AD437E63

Registration - 2804 Revision 3 - CIBMTR Recipient ID Assignment Form - 3113592v1.0 - 2804 Revision 3 - CIBMTR Recipient ID Assignment Form

- 9/17/21 - 1 form, 12 itemgroups, 56 items, 1 language
Itemgroups: Identification Data, Recipient Data Part 1 of 4, Recipient Data Part 2 of 4, Recipient Data Part 3 of 4, Recipient Data Part 4 of 4, Hematopoietic Stem Cell Transplant (HSCT) Part 1 of 4, Hematopoietic Stem Cell Transplant (HSCT) Part 2 of 4, Hematopoietic Stem Cell Transplant (HSCT) Data Part 3 of 4, Hematopoietic Stem Cell Transplant (HSCT) Data Part 4 of 4, Cellular Therapy for Regenerative Medicine, Author Information , Form Processing
2804 Revision 3 - CIBMTR Recipient ID Assignment Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=89B7CC18-3E3B-B38F-E040-BB89AD433571

Registration - CALGB Registration Prior Therapy Worksheet - 2795306v1.0 - CALGB Registration Prior Therapy Worksheet

- 9/17/21 - 1 form, 10 itemgroups, 43 items, 1 language
Itemgroups: Header Module, Protocol Administration, Patient Demographics/Pre-Treatment Characteristics1, Patient Demographics/Pre-Treatment Characteristics2, Patient Demographics/Pre-Treatment Characteristics3, Certification Of Eligibility, Protocol Design, Initial Patient Consent For Specimen Use, Prior Cancer Therapies, Registration Information
CALGB Registration Prior Therapy Worksheet Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5A3D0AEA-474A-364B-E044-0003BA3F9857

Registration - CALGB Step 1 Registration Worksheet - 2795201v1.0 - CALGB Step 1 Registration Worksheet

- 9/17/21 - 1 form, 9 itemgroups, 40 items, 1 language
Itemgroups: Header Module, Protocol Administration, Patient Demographics/Pre-Treatment Characteristics1, Patient Demographics/Pre-Treatment Characteristics2, Patient Demographics/Pre-Treatment Characteristics3, Certification Of Eligibility, Protocol Design, Initial Patient Consent For Specimen Use, Registration Information
CALGB Step 1 Registration Worksheet Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5A3D0AEA-4662-364B-E044-0003BA3F9857

Registration - CALGB Registration Worksheet - 2794582v1.0 - CALGB Registration Worksheet

- 9/17/21 - 1 form, 9 itemgroups, 40 items, 1 language
Itemgroups: Header Module, Protocol Administration, Patient Demographics/Pre-Treatment Characteristics1, Patient Demographics/Pre-Treatment Characteristics2, Patient Demographics/Pre-Treatment Characteristics3, Certification Of Eligibility, Protocol Design, Initial Patient Consent For Specimen Use, Registration Information
CALGB Registration Worksheet Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=59FF920E-736A-5FDA-E044-0003BA3F9857

Leukemia NCT00513747 Registration - CALGB-10501 Registration Worksheet Form - 2660208v1.0 - CALGB-10501 Registration Worksheet Form

- 9/20/21 - 1 form, 6 itemgroups, 31 items, 1 language
Itemgroups: Header Module, Protocol Administration, Patient Demographics/Pre-Treatment Characteristics1, Patient Demographics/Pre-Treatment Characteristics2, Certification Of Eligibility/Protocol Design, Registration Information
CALGB-10501 Registration Worksheet Form Early or Delayed Fludarabine and Rituximab in Treating Patients With Previously Untreated Chronic Lymphocytic Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=33E5ACDE-FDD4-48D4-E044-0003BA3F9857

Leukemia DRKS00003845 NCT00651261 Registration - CALGB: 10603 Registration Worksheet For Non-North American Sites - 2945236v1.0 - CALGB: 10603 Registration Worksheet For Non-North American Sites

- 9/20/21 - 1 form, 8 itemgroups, 37 items, 1 language
Itemgroups: Header Module, Protocol Administration, Patient Demographics/Pre-Treatment Characteristics1, Patient Demographics/Pre-Treatment Characteristics2, Certification Of Eligibility, Protocol Design, Companion Studies, Registration Information
CALGB: 10603 Registration Worksheet For Non-North American Sites Daunorubicin, Cytarabine, and Midostaurin in Treating Patients With Newly Diagnosed Acute Myeloid Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7456F79A-F2F6-BFB6-E040-BB89AD436544

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