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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
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Bladder Cancer NCT00014534 Follow-Up - NCI Cooperative Group Follow-Up Form (CALGB-90104) - 2056490v3.0 - NCI Cooperative Group Follow-Up Form (CALGB-90104)

- 1/8/15 - 1 form, 9 itemgroups, 43 items, 1 language
Itemgroups: MSKCC 00-138; CALGB-90104; ECOG, Form Administration, Vital Status, Disease Follow-Up Status, Notice of Progression, Notice of New Primary, Notice of Long Term Toxicity, Comments, CCRR MODULE
NCI Cooperative Group Follow-Up 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=A9C23658-5AE0-303F-E034-0003BA12F5E7

Toxicity - Gynecologic Cancer - Toxicity Form- copy 2 - 2481262v1.0 - Gynecologic Cancer - Toxicity Form- copy 2

- 1/8/15 - 1 form, 4 itemgroups, 25 items, 1 language
Itemgroups: CRF Header, GYN: FORM ADMINISTRATION, GYN: ADVERSE EVENTS, Comments
Gynecologic Cancer - Toxicity Form- copy 2 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=13996779-2A06-0B29-E044-0003BA3F9857

Toxicity - Gynecologic Cancer - Toxicity Form-Prerna - 2481404v1.0 - Gynecologic Cancer - Toxicity Form-Prerna

- 1/8/15 - 1 form, 4 itemgroups, 26 items, 1 language
Itemgroups: CRF Header, GYN: FORM ADMINISTRATION, GYN: ADVERSE EVENTS, Comments
Gynecologic Cancer - Toxicity Form-Prerna Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=13D5637B-94B2-7453-E044-0003BA3F9857

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

- 1/8/15 - 1 form, 12 itemgroups, 76 items, 1 language
Itemgroups: 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

Toxicity - Gynecologic Cancer - Toxicity Form-Prerna 2 - 2481445v1.0 - Gynecologic Cancer - Toxicity Form-Prerna 2

- 1/8/15 - 1 form, 4 itemgroups, 26 items, 1 language
Itemgroups: CRF Header, GYN: FORM ADMINISTRATION, GYN: ADVERSE EVENTS, Comments
Gynecologic Cancer - Toxicity Form-Prerna 2 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=13D57CCB-EEFC-00A5-E044-0003BA3F9857

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

- 1/8/15 - 1 form, 9 itemgroups, 59 items, 1 language
Itemgroups: 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

On-Study - Recurrent Gynecologic Cancer - On-study Form - 2019342v2.31 - Recurrent Gynecologic Cancer - On-study Form

- 1/8/15 - 1 form, 6 itemgroups, 50 items, 1 language
Itemgroups: CRF Header, GYN: FORM ADMINISTRATION, GYN: DISEASE DESCRIPTION - PRIOR HISTORY, GYN: DISEASE DESCRIPTION - CURRENT HISTORY, GYN: PRIOR TREATMENT FOR GYNECOLOGIC CANCER, Comments
Recurrent Gynecologic Cancer - On-study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A974-3FA4-E034-080020C9C0E0

Toxicity - Gynecologic Cancer - Toxicity Form - 2019335v2.31 - Gynecologic Cancer - Toxicity Form

- 1/8/15 - 1 form, 4 itemgroups, 30 items, 1 language
Itemgroups: CRF Header, GYN: FORM ADMINISTRATION, GYN: ADVERSE EVENTS, Comments
Gynecologic Cancer - Toxicity Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A965-3FA4-E034-080020C9C0E0

Follow-Up Form Bladder Cancer (NCT00942331)

- 1/8/15 - 1 form, 8 itemgroups, 44 items, 1 language
Itemgroups: Header, Vital Status, Treatment Status, Disease Assessment, Measurable Disease Response, Notice of New Primary, Long-Term Toxicity, Non-Protocol Therapy
CALGB 90601: Follow-Up Form Gemcitabine Hydrochloride and Cisplatin With or Without Bevacizumab in Treating Patients With Advanced Urinary Tract Cancer NCT00942331 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6591C082-D8C1-EC1C-E040-BB89AD43479B

AIDS and Cancer Specimen Resource (ACSR) Procurement Form (F37) 3369057v1.0 - FP.0000

- 12/18/14 - 1 form, 4 itemgroups, 14 items, 1 language
Itemgroups: Header Module, Specimen Procurement, Contact Information, Comments
AIDS and Cancer Specimen Resource (ACSR) Procurement Form (F37) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=

Eligibility DRKS00003984 NCT00887198 Prostate Cancer - Eligibility

- 4/17/14 - 1 form, 2 itemgroups, 10 items, 2 languages
Itemgroups: Inclusion Criteria, Exclusion Criteria
ODM derived from http://clinicaltrials.gov/show/NCT00887198

Eligibility DRKS00003810 NCT00875667 Mantle Cell Lymphoma - Eligibility

- 4/16/14 - 1 form, 2 itemgroups, 14 items, 2 languages
Itemgroups: Inclusion Criteria, Exclusion Criteria
ODM derived from http://clinicaltrials.gov/show/NCT00875667

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