Résultats de recherche - Portail des modèles médicaux de données (portail MDM)

On-Study - Non-Hodgkins Lymphoma - On-Study Form - 2271898v3.0 - Non-Hodgkins Lymphoma - On-Study Form

- 17.09.21 - 1 Formulaire, 6 Groupes Item, 103 Eléments de données, 1 Langue

Groupes Item: CRF Header, Lymphoma: Form Administration, Non-Hodgkin's Lymphoma: Disease Description, Non-Hodgkin's Lymphoma: Baseline Hematology/Chemistry, Lymphoma: Prior Treatment, Lymphoma: Relapsed Disease

Non-Hodgkin's Lymphoma - On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=D5ECD56A-D766-0F4E-E034-0003BA12F5E7

On-Study - Colorectal Cancer - Advanced On-Study Form - 2282222v3.0 - Colorectal Cancer - Advanced On-Study Form

- 09.01.15 - 1 Formulaire, 5 Groupes Item, 27 Eléments de données, 1 Langue

Groupes Item: CRF Header, Colorectal: Form Administration, Colorectal: Disease Description, Colorectal: Prior Treatment, Comments

Colorectal Cancer - Advanced On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DB756AA2-EEA3-2E27-E034-0003BA12F5E7

On-Study - Primary Endometrial Cancer - On-Study Form - 2019340v3.0 - Primary Endometrial Cancer - On-Study Form

- 09.01.15 - 1 Formulaire, 5 Groupes Item, 29 Eléments de données, 1 Langue

Groupes Item: CRF Header, Endometrial: Form Administration, Endometrial: Disease Description, ENDOMETRIAL: DISEASE TREATMENT AND STATUS AT ENTRY, Comments

Primary Endometrial Cancer - On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=16D70DED-556D-4F42-E044-0003BA3F9857

On-Study - Colorectal Cancer - Adjuvant On-Study Form - 2263800v3.0 - Colorectal Cancer - Adjuvant On-Study Form

- 09.01.15 - 1 Formulaire, 4 Groupes Item, 18 Eléments de données, 1 Langue

Groupes Item: CRF Header, Colorectal: Form Administration, Colorectal: Disease Characteristics, Comments

Colorectal Cancer - Adjuvant On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DB75551B-5D8C-2D1C-E034-0003BA12F5E7

On-Study - Metastatic Brain Cancer - On-Study Form - 2287553v3.0 - Metastatic Brain Cancer - On-Study Form

- 09.01.15 - 1 Formulaire, 10 Groupes Item, 64 Eléments de données, 1 Langue

Groupes Item: CRF Header, Brain: Form Administration, Non-CNS: Initial Disease Description, Brain: Current Disease Description, Brain: Concomitant Medications, Metastatic Brain: Prior Health History, Metastatic Brain: Prior Treatment, Brain: Prior Treatment - Systemic Regimens, Brain: Prior Treatment - CNS RT, Brain: Prior Treatment - CNS Surgery

Metastatic Brain Cancer - On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EF3A8ACE-5457-4C56-E034-0003BA3F9857

On-Study - Primary Cervical Cancer - On-Study Form - 2019339v3.0 - Primary Cervical Cancer - On-Study Form

- 09.01.15 - 1 Formulaire, 4 Groupes Item, 26 Eléments de données, 1 Langue

Groupes Item: CRF Header, Cervical: Form Administration, Cervical: Disease Description, Comments

Primary Cervical Cancer - On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=16D0D1CF-B7EB-34E6-E044-0003BA3F9857

On-Study - Breast Cancer - Adjuvant On-Study Form - 2263232v3.0 - Breast Cancer - Adjuvant On-Study Form

- 09.01.15 - 1 Formulaire, 5 Groupes Item, 26 Eléments de données, 1 Langue

Groupes Item: CRF Header, Breast: Form Administration, Breast: Patient Characteristics, Breast: Surgical Procedures, Breast: Disease Description

Breast Cancer - Adjuvant On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DA189DBB-8EE5-059F-E034-0003BA12F5E7

On-Study - Gastric Cancer - Advanced On-Study Form - 2020204v2.31 - Gastric Cancer - Advanced On-Study Form

- 08.01.15 - 1 Formulaire, 4 Groupes Item, 30 Eléments de données, 1 Langue

Groupes Item: CRF Header, GASTRIC: FORM ADMINISTRATION, GASTRIC: ADVANCED DISEASE DESCRIPTION, GASTRIC: ADVANCED PRIOR TREATMENT

Gastric Cancer - Advanced On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A9A8-3FA4-E034-080020C9C0E0

On-Study - Primary Ovarian Cancer - On-Study Form - 2019341v2.31 - Primary Ovarian Cancer - On-Study Form

- 08.01.15 - 1 Formulaire, 6 Groupes Item, 39 Eléments de données, 1 Langue

Groupes Item: CRF Header, OVARIAN: FORM ADMINISTRATION, OVARIAN: DISEASE DESCRIPTION, OVARIAN: FINDINGS FROM PRIMARY SURGERY, OVARIAN: POST-OPERATIVE FINDINGS FOLLOWING SURGERY, Comments

Primary Ovarian Cancer - On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A972-3FA4-E034-080020C9C0E0

On-Study - Esophageal Cancer - Adjuvant On-Study Form - 2020201v2.31 - Esophageal Cancer - Adjuvant On-Study Form

- 08.01.15 - 1 Formulaire, 4 Groupes Item, 26 Eléments de données, 1 Langue

Groupes Item: CRF Header, ESOPHAGEAL: FORM ADMINISTRATION, ESOPHAGEAL: ADJUVANT DISEASE DESCRIPTION, ESOPHAGEAL: ADJUVANT PRIOR TREATMENT

Esophageal Cancer - Adjuvant On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A9A2-3FA4-E034-080020C9C0E0

On-Study - Local-Regional Melanoma-On-study Form - 2020196v2.31 - Local-Regional Melanoma-On-study Form

- 08.01.15 - 1 Formulaire, 7 Groupes Item, 61 Eléments de données, 1 Langue

Groupes Item: CRF Header, MELANOMA: FORM ADMINISTRATION, MELANOMA: DISEASE DESCRIPTION, MELANOMA: SENTINEL NODE BIOPSY, MELANOMA: PRIOR TREATMENT, MELANOMA: PRIOR TREATMENT-SYSTEMIC REGIMENS, Comments

Local-Regional Melanoma-On-study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A998-3FA4-E034-080020C9C0E0

On-Study - Esophageal Cancer - Advanced On-Study Form - 2020202v2.31 - Esophageal Cancer - Advanced On-Study Form

- 08.01.15 - 1 Formulaire, 4 Groupes Item, 30 Eléments de données, 1 Langue

Groupes Item: CRF Header, ESOPHAGEAL: FORM ADMINISTRATION, ESOPHAGEAL: ADVANCED DISEASE DESCRIPTION, ESOPHAGEAL: ADVANCED PRIOR TREATMENT

Esophageal Cancer - Advanced On-Study Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A9A4-3FA4-E034-080020C9C0E0

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