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CALGB: Thoracic Lymph Node Sampling Report NCT00499330

- 20.09.21 - 1 Formular, 7 Itemgruppen, 24 Datenelemente, 1 Sprache
Itemgruppen: Header, Patient demographics, Surgical Approach Right Sided Nodes, Right Sided Nodes, Surgical Approach Left Sided Nodes, Left Sided Nodes, Footer module
CALGB: Thoracic Lymph Node Sampling Report NCT00499330 Comparison of Different Types of Surgery in Treating Patients With Stage IA Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=225E819D-890F-6685-E044-0003BA3F9857

NCT00408408 NSABP Protocol B-40 - WORKSHEET FOR REPORTING BREAST RECONSTRUCTION INFORMATION

- 03.07.15 - 1 Formular, 3 Itemgruppen, 9 Datenelemente, 1 Sprache
Itemgruppen: Header, BREAST RECONSTRUCTION INFORMATION, Footer
NCT00408408 NSABP Protocol B-40 - WORKSHEET FOR REPORTING BREAST RECONSTRUCTION INFORMATION A Randomized Phase III Trial of Neoadjuvant Therapy in Patients With Palpable and Operable Breast Cancer Evaluating the Effect on Pathologic Complete Response (pCR) of Adding Capecitabine or Gemcitabine to Docetaxel When Administered Before AC With or Without Bevacizumab and Correlative Science Studies Attempting to Identify Predictors of High Likelihood for pCR With Each of the Regimens Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D9B7B8C-E72A-A457-E040-BB89AD4372F6

Treatment - Brain Cancer - Definitive Surgery Form - 2286489v3.0 - Brain Cancer - Definitive Surgery Form

- 09.01.15 - 1 Formular, 5 Itemgruppen, 20 Datenelemente, 1 Sprache
Itemgruppen: CRF Header, Brain: Form Administration, Brain: Surgical Treatment for Primary Site, Brain: Most Recent Surgery, Comments
Brain Cancer - Definitive Surgery Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DE9506AA-7EEF-2525-E034-0003BA12F5E7

Treatment - Brain Cancer - Treatment by Cycle Form - 2287531v3.0 - Brain Cancer - Treatment by Cycle Form

- 09.01.15 - 1 Formular, 7 Itemgruppen, 48 Datenelemente, 1 Sprache
Itemgruppen: CRF Header, Brain: Treatment Reporting Interval, Brain: Treatment Cycle Information - Clinical Evaluation Follow-up, Brain: Treatment Cycle Information - Systemic Therapy, Brain: Treatment Cycle Information - Concomitant Therapy, Brain: Treatment Schedule - Non-Protocol Therapy, Comments
Brain Cancer - Treatment by Cycle Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E51F0AB1-37FF-4133-E034-0003BA3F9857

Treatment - Brain Cancer - Neurologic Evaluation Form - 2286577v3.0 - Brain Cancer - Neurologic Evaluation Form

- 09.01.15 - 1 Formular, 3 Itemgruppen, 32 Datenelemente, 1 Sprache
Itemgruppen: CRF Header, Brain: Form Administration, Brain: Neurologic Evaluation
Brain Cancer - Neurologic Evaluation Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DE951920-1FCC-25F8-E034-0003BA12F5E7

Treatment - Brain Cancer - Radiation Therapy Treatment Form - 2286709v3.0 - Brain Cancer - Radiation Therapy Treatment Form

- 09.01.15 - 1 Formular, 3 Itemgruppen, 18 Datenelemente, 1 Sprache
Itemgruppen: CRF Header, Brain: Radiation Therapy, Comments
Brain Cancer - Radiation Therapy Treatment Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DE952E13-775D-272C-E034-0003BA12F5E7

Colorectal Cancer NCT00268463 Treatment - NSABP PROTOCOL C-09: Report of Arterial Catheter Flow Form - 2319723v3.0 - NSABP PROTOCOL C-09: Report of Arterial Catheter Flow Form

- 09.01.15 - 1 Formular, 1 Itemgruppe, 10 Datenelemente, 1 Sprache
Itemgruppe: Header
NSABP PROTOCOL C-09: Report of Arterial Catheter Flow Form Oxaliplatin and Capecitabine With or Without an Hepatic Arterial Infusion With Floxuridine in Treating Patients Who Are Undergoing Surgery and/or Ablation for Liver Metastases Due to Colorectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FC806838-F009-67DB-E034-0003BA3F9857

NSABP PROTOCOL C-09: Treatment Form for Group 2 Patients NCT00268463

- 03.06.15 - 1 Formular, 3 Itemgruppen, 31 Datenelemente, 1 Sprache
Itemgruppen: Header module, Assessment of Chemotherapy, TREATMENT GROUP 2. Complications Related to HAI Catheter or Pump
NSABP PROTOCOL C-09: Treatment Form for Group 2 Patients NCT00268463 Oxaliplatin and Capecitabine With or Without an Hepatic Arterial Infusion With Floxuridine in Treating Patients Who Are Undergoing Surgery and/or Ablation for Liver Metastases Due to Colorectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FCBE35C9-1452-58D9-E034-0003BA3F9857

NSABP PROTOCOL C-09: Treatment Form for Group 1 Patients NCT00268463

- 03.06.15 - 1 Formular, 2 Itemgruppen, 19 Datenelemente, 1 Sprache
Itemgruppen: Header module, Assessment of Chemotherapy
NSABP PROTOCOL C-09: Treatment Form for Group 1 Patients NCT00268463 Oxaliplatin and Capecitabine With or Without an Hepatic Arterial Infusion With Floxuridine in Treating Patients Who Are Undergoing Surgery and/or Ablation for Liver Metastases Due to Colorectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FCBE2AD1-8223-57D3-E034-0003BA3F9857

Treatment - Breast Cancer DataMart Common Data Elements Surgical Template - 2723098v1.0 - Breast Cancer DataMart Common Data Elements Surgical Template

- 20.09.17 - 1 Formular, 5 Itemgruppen, 24 Datenelemente, 1 Sprache
Itemgruppen: Tumor Assessment, Assessment of Lymph Nodes, Surgical Procedures, Margins, Breast Reconstruction
Breast Cancer DataMart Common Data Elements Surgical Template Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=443F4BFB-7974-666C-E044-0003BA3F9857

North Central Cancer Treatment Group N0577 Arm B & C Evaluation/Treatment Form NCT00887146

- 08.06.15 - 1 Formular, 2 Itemgruppen, 19 Datenelemente, 1 Sprache
Itemgruppen: Header Module, Assessment of Chemotherapy
North Central Cancer Treatment Group N0577 Arm B & C Evaluation/Treatment Form NCT00887146 Radiation Therapy or Radiation Therapy and Temozolomide or Temozolomide Alone in Treating Patients With Newly Diagnosed Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4C094A66-1244-40DD-E044-0003BA3F9857

Brain and Central Nervous System Tumors NCT00887146 On-Study - North Central Cancer Treatment Group CD Submission Form - 2804515v1.0 - North Central Cancer Treatment Group CD Submission Form

- 08.01.15 - 1 Formular, 3 Itemgruppen, 15 Datenelemente, 1 Sprache
Itemgruppen: Header Module, Header, Completed by VIEW Personnel:
North Central Cancer Treatment Group CD Submission Form Radiation Therapy or Radiation Therapy and Temozolomide or Temozolomide Alone in Treating Patients With Newly Diagnosed Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5C3973FB-A21F-4ECE-E044-0003BA3F9857

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