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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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Eligibility Leukemia NCT00582816

- 5/17/18 - 1 form, 2 itemgroups, 11 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Haploidentical Transplant With NK Cell Infusion for Pediatric Acute Leukemia and Solid Tumors; ODM derived from: https://clinicaltrials.gov/show/NCT00582816

AML Discharge Letter Example VII UKM

- 12/10/17 - 1 form, 12 itemgroups, 41 items, 1 language
Itemgroups: Administrative Data, Diagnosis, Secondary Diagnoses, Current reason for presentation, Donor typing, Medical History, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Medication List, Procedures
AML Discharge Letter Example VII UKM provided by PD Schliemann.

AML Discharge Letter Example VI UKM

- 12/10/17 - 1 form, 13 itemgroups, 39 items, 1 language
Itemgroups: Administrative Data, Diagnosis, Secondary Diagnoses, Allergies, Prior Therapy, Current reason for presentation, Medical History, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Medication List, Procedures
AML Discharge Letter Example VI UKM provided by PD Schliemann.

AML Discharge Letter Example IV UKM

- 12/10/17 - 1 form, 11 itemgroups, 40 items, 1 language
Itemgroups: Administrative Data, Diagnosis, Secondary Diagnoses, Current reason for presentation, Medical History, Medication List, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Procedures
AML Discharge Letter Example IV UKM provided by PD Schliemann.

AML Discharge Letter Example III UKM

- 12/10/17 - 1 form, 10 itemgroups, 39 items, 1 language
Itemgroups: Administrative Data, Diagnosis, Current reason for presentation, Medical History, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Medication List, Procedures
AML Discharge Letter Example III UKM provided by PD Schliemann.

AML Discharge Letter Example II UKM

- 12/10/17 - 1 form, 12 itemgroups, 46 items, 1 language
Itemgroups: Administrative Data, Diagnosis, Secondary Diagnoses, Prior Therapy, Current reason for presentation, Medical History, Medication List, Physical Examination, Lab Results, Apparative Diagnostics, Inpatient Treatment, Procedures
AML Discharge Letter Example II UKM provided by PD Schliemann.

Leukemia null Registration - S0100 Registration Form-2 - 2031499v3.0 - S0100 Registration Form-2

- 8/23/17 - 1 form, 1 itemgroup, 15 items, 1 language
Itemgroup: Registration Form-2
S0100 Registration Form-2 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AEB405CA-6FD5-4176-E034-0003BA12F5E7

S0100 POST- PBSCT TOXICITY FORM

- 8/22/17 - 1 form, 2 itemgroups, 14 items, 1 language
Itemgroups: Toxicity, Post- Pbsct Toxicity Form
S0100 POST- PBSCT TOXICITY FORM Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AEB50362-4F16-439A-E034-0003BA12F5E7

S0100 CNS LEUKEMIA CRANIAL IRRADIATION TOXICITY FORM

- 8/22/17 - 1 form, 2 itemgroups, 14 items, 1 language
Itemgroups: Toxicity, Cns Leukemia Cranial Irradiation Toxicity Form
S0100 CNS LEUKEMIA CRANIAL IRRADIATION TOXICITY FORM Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AEB38A2C-049E-4288-E034-0003BA12F5E7

S0100 Registration Form-4

- 8/22/17 - 1 form, 1 itemgroup, 15 items, 1 language
Itemgroup: CCRR MODULE
S0100 Registration Form-4 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AEB40AD7-35D8-4185-E034-0003BA12F5E7

S0100 MAINTENANCE TOXICITY FORM

- 8/22/17 - 1 form, 2 itemgroups, 14 items, 1 language
Itemgroups: Toxicity, Maintenance Toxicity Form
S0100 MAINTENANCE TOXICITY FORM Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AEB51D80-6426-43A7-E034-0003BA12F5E7

S0100 Registration Form-1

- 8/21/17 - 1 form, 3 itemgroups, 30 items, 1 language
Itemgroups: Patient Consent For Specimen Use, Stratification Factors, CCRR MODULE Registration Form
S0100 Registration Form-1 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AEB2F98C-212E-4168-E034-0003BA12F5E7

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