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Radiation Therapy Oncology Group Initial Follow-up Form Phase III Lung Prophylactic Cranial RT NCT00048997

- 20-09-21 - 1 Formulier, 3 Itemgroepen, 46 Data-elementen, 1 Taal
Itemgroepen: Header Module, Medical history, Comments
Radiation Therapy Oncology Group Initial Follow-up Form Phase III Lung Prophylactic Cranial RT Radiation Therapy in Preventing CNS Metastases in Patients With Non-Small Cell Lung Cancer NCT00048997 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9EC372A6-7094-05D5-E034-080020C9C0E0

ECOG 4599 Treatment Form

- 28-05-15 - 1 Formulier, 1 Itemgroep, 30 Data-elementen, 1 Taal
Itemgroep: ECOG treatment data
ECOG 4599 Toxicity Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A16E9DCC-CE6C-6087-E034-080020C9C0E0

Bladder Cancer NCT00014534 Treatment - CALGB: 90104 Off Treatment Notice Revised - 2169415v3.0 - CALGB: 90104 Off Treatment Notice Revised

- 09-01-15 - 1 Formulier, 1 Itemgroep, 20 Data-elementen, 1 Taal
Itemgroep: CCRR MODULE
CALGB: 90104 Off Treatment Notice Revised Combination Chemotherapy in Treating Patients With Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BE1B4CED-A464-70DB-E034-0003BA12F5E7

Bladder Cancer NCT01224665 Treatment - S1011 Intra-Op Surgical Assessment Form Standard Versus Extended LND (#10689) - 3153877v1.0 - S1011 Intra-Op Surgical Assessment Form Standard Versus Extended LND (#10689)

- 09-01-15 - 1 Formulier, 7 Itemgroepen, 43 Data-elementen, 1 Taal
Itemgroepen: Header Module, INTRA-OPERATIVE EXTENT-OF-DISEASE ASSESSMENT, SURGICAL ASSESSMENT OF NODAL DISSECTION, DESCRIPTION OF HOW NODAL PACKETS WERE SUBMITTED TO YOUR PATHOLOGIST, RECONSTRUCTION, OPERATIVE INFORMATION, Comments
S1011 Intra-Op Surgical Assessment Form Standard Versus Extended LND (#10689) Standard or Extended Pelvic Lymphadenectomy in Treating Patients Undergoing Surgery for Invasive Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=940453E3-434E-BBC7-E040-BB89AD431F9F

Bladder Cancer NCT01224665 Treatment - S1011 Surgeon's 90-Day Assessment Form Standard Versus Extended LND (#5223) - 3153915v1.0 - S1011 Surgeon's 90-Day Assessment Form Standard Versus Extended LND (#5223)

- 09-01-15 - 1 Formulier, 4 Itemgroepen, 25 Data-elementen, 1 Taal
Itemgroepen: Header Module, SURGICAL COMPLICATIONS, ADJUVANT TREATMENT RELATED TO THIS BLADDER CANCER, Comments
S1011 Surgeon's 90-Day Assessment Form Standard Versus Extended LND (#5223) Standard or Extended Pelvic Lymphadenectomy in Treating Patients Undergoing Surgery for Invasive Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=940453E3-43A8-BBC7-E040-BB89AD431F9F

Bladder Cancer NCT00014534 Treatment - NCI Cooperative Group Treatment Summary Form (CALGB-90104) - 2055978v3.0 - NCI Cooperative Group Treatment Summary Form (CALGB-90104)

- 08-01-15 - 1 Formulier, 5 Itemgroepen, 21 Data-elementen, 1 Taal
Itemgroepen: MSKCC 00-138; CALGB-90104; ECOG, Form Administration, Treatment Schedule - Chemotherapy, Off-Treatment and Modifications, CCRR MODULE
NCI Cooperative Group Treatment Summary Form (CALGB-90104) Combination Chemotherapy in Treating Patients With Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C02140-B193-2659-E034-0003BA12F5E7

Treatment - Gynecologic Cancer - Treatment Summary Form - 2019337v2.31 - Gynecologic Cancer - Treatment Summary Form

- 08-01-15 - 1 Formulier, 12 Itemgroepen, 76 Data-elementen, 1 Taal
Itemgroepen: CRF Header, GYN: FORM ADMINISTRATION, GYN: SURGICAL TREATMENT, GYN: TREATMENT MODIFICATIONS (SURGICAL TREATMENT), GYN: TREATMENT SCHEDULE - RADIATION THERAPY, GYN: TREATMENT MODIFICATIONS (RADIATION THERAPY), GYN: TREATMENT SCHEDULE - SYSTEMIC THERAPY, GYN: TREATMENT MODIFICATIONS (SYSTEMIC THERAPY), GYN: OFF-TREATMENT REASON, GYN: TREATMENT SCHEDULE - OPTIONAL THERAPY, GYN: TREATMENT SCHEDULE - NON-PROTOCOL THERAPY, Comments
Gynecologic Cancer - Treatment Summary Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A96A-3FA4-E034-080020C9C0E0

Treatment - Gynecologic Cancer - Treatment by Cycle Form - 2019338v2.31 - Gynecologic Cancer - Treatment by Cycle Form

- 08-01-15 - 1 Formulier, 9 Itemgroepen, 59 Data-elementen, 1 Taal
Itemgroepen: CRF Header, GYN: FORM ADMINISTRATION, GYN: SURGICAL TREATMENT, GYN: TREATMENT MODIFICATIONS (SURGICAL TREATMENT), GYN: RADIATION THERAPY-TREATMENT CYCLE INFORMATION, GYN: TREATMENT MODIFICATIONS (RADIATION THERAPY), GYN: SYSTEMIC THERAPY-TREATMENT CYCLE INFORMATION, GYN: TREATMENT MODIFICATIONS (SYSTEMIC THERAPY), Comments
Gynecologic Cancer - Treatment by Cycle Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A96C-3FA4-E034-080020C9C0E0

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