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Table of contents
  1. 1. Clinical Trial
    1. 1.1. Eligibility Determination
    1. 1.2. Medical History
    1. 1.3. Physical Examination
    1. 1.4. Assessment Score
    1. 1.5. Apparative Diagnostics
    1. 1.6. Laboratory
    1. 1.7. Pathology/Histology
    1. 1.8. Consent
    1. 1.9. Therapy
    1. 1.10. Operative Report
    1. 1.11. Adverse Event
    1. 1.12. Follow-Up
  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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NCT00565851 GYNECOLOGIC ONCOLOGY GROUP Surgical Reporting Form - FORM C

- 6/27/15 - 1 form, 3 itemgroups, 24 items, 1 language
Itemgroups: Patient demographics, Surgery assessment, Comments
NCT00565851 GYNECOLOGIC ONCOLOGY GROUP Surgical Reporting Form - FORM C Carboplatin and Paclitaxel With or Without Bevacizumab After Surgery in Treating Patients With Recurrent Ovarian Epithelial Cancer, Primary Peritoneal Cavity Cancer, or Fallopian Tube Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DA3F6FCF-2BF6-2D9B-E034-0003BA12F5E7

LASER ADMINISTRATION FELLOW EYE (UNSCHEDULED) CRFs Roche FVF4170G Macular Edema NCT00473382

- 6/28/17 - 1 form, 2 itemgroups, 10 items, 1 language
Itemgroups: Patient administration, LASER ADMINISTRATION STUDY EYE
Terms of use: You may not use this document or the information contained herein to a regulatory authority in connection with an application for a marketing authorization or any other regulatory submission without the express written consent of Roche Study #: FVF4168g Drug: Ranibizumab Study Title: A Phase III, Double-Masked, Multicenter, Randomized, Sham-Controlled Study Of The Efficacy And Safety Of Ranibizumab Injection In Subjects With Clinically Significant Macular Edema With Center Involvement Secondary To Diabetes Mellitus

ChroPac-trial: duodenum-preserving pancreatic head resection versus pancreatoduodenectomy for chronic pancreatitis - start

- 2/6/23 - 7 forms, 11 itemgroups, 40 items, 1 language
Itemgroups: Date of Visit, Inclusion Criteria, Exclusion Criteria, Quality of Life, Demography, Clinical Data, Duration of Symptoms, Imaging Techniques, Results preop imaging, Results preop Endoscopy, ERCP
Duodenum-preserving head resection versus pancreatico-duodenectomy for chronic pancreatitis of the head. Study Center of the German Surgical Society (SDGC) Trial protocol of a randomised controlled multicentre trial. Trials. 2010 Apr 29;11:47. doi: 10.1186/1745-6215-11-47. PMID: 20429912; PMCID: PMC2874785. Controlled-trials.com ISRCTN38973832

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5 itemgroups 11 items

Eligibility Insufficiency; Cardiac, Complicating Surgery NCT02231463

- 4/21/20 - 1 form, 2 itemgroups, 13 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Influence of Two Different PEEP Niveaus and a Trendelenburg Positioning Manoeuvre on Subclavian Vein Diameter; ODM derived from: https://clinicaltrials.gov/show/NCT02231463

Eligibility Cardiothoracic Surgery NCT02029534

- 10/18/19 - 1 form, 2 itemgroups, 12 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Intensive Statin Therapy Effect on Post-Operative Atrial Fibrillation (POAF); ODM derived from: https://clinicaltrials.gov/show/NCT02029534

Eligibility Cardiac Surgery NCT01552187

- 10/18/19 - 1 form, 2 itemgroups, 12 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
COlchicine for Prevention of the Post-pericardiotomy Syndrome and Post-operative Atrial Fibrillation (COPPS-2 Trial); ODM derived from: https://clinicaltrials.gov/show/NCT01552187

Pre-Study - PRIOR SURGERY SUPPLEMENT - 2398212v1.0 - PRIOR SURGERY SUPPLEMENT

- 9/20/21 - 1 form, 2 itemgroups, 8 items, 1 language
Itemgroups: PRIOR SURGERY SUPPLEMENT, COMMENTS
Prior Surgery form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF2F7B22-5065-707B-E034-0003BA3F9857

Eligibility Complications NCT00968045

- 1/8/18 - 1 form, 2 itemgroups, 10 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Fibrinogen and Bleeding After Cardiac Surgery; ODM derived from: https://clinicaltrials.gov/show/NCT00968045

Treatment - Gynecologic Oncology Group Surgical Status Form - 2918053v1.0 - Gynecologic Oncology Group Surgical Status Form

- 1/9/15 - 1 form, 7 itemgroups, 28 items, 1 language
Itemgroups: HEADER MODULE, SURGICAL INFORMATION, FIRST SURGICAL PROCEDURE, SECOND SURGICAL PROCEDURE, THIRD SURGICAL PROCEDURE, FOURTH SURGICAL PROCEDURE, Comments
Gynecologic Oncology Group Surgical Status Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6E5EDF6F-8B38-E23E-E040-BB89AD435A10

Eligibility Rheumatoid Arthritis NCT00650078

- 9/20/21 - 1 form, 2 itemgroups, 14 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Study to Assess the Safety and Efficacy of Modified-Release Prednisone (Lodotra®) Therapy in Patients With Active Rheumatoid Arthritis; ODM derived from: https://clinicaltrials.gov/show/NCT00650078

Eligibility Heart Transplantation NCT00723281

- 4/7/18 - 1 form, 2 itemgroups, 12 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Comparison of CT Angiography With Conventional Angiography and Intravascular Ultrasound in Heart Transplant Patients; ODM derived from: https://clinicaltrials.gov/show/NCT00723281

Eligibility Early Rheumatoid Arthritis NCT01185301

- 12/8/19 - 1 form, 2 itemgroups, 17 items, 1 language
Itemgroups: Inclusion Criteria, Exclusion Criteria
Study to Determine the Effects of Different Doses of Methotrexate (MTX) When Taken With Adalimumab in Subjects With Early Rheumatoid Arthritis (RA); ODM derived from: https://clinicaltrials.gov/show/NCT01185301

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