Registration ×
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Table of contents
  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
Selected data models

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- 9/20/21 - 1 form, 42 itemgroups, 314 items, 2 languages
Itemgroups: Header Module,Registration Header,Contact Person For Pathology Results,Patient Demographics,Eligibility Screening Form,Randomization,Informed consent,Patient Status,ECG,Cardiac Monitoring,Local Her2 Results,Hormonal Receptor Status,History Of Primary Breast Cancer,History Of Primary Cancer (continued),Sentinel Node Sampling,Most Extensive Primary Surgery,Axillary Node Dissection,Chemotherapy,Previous Or Current Cardiovascular Disease,ECG,Translational Research,Central Her2 Testing Form - FISH,Central Her2 Testing Form - IHC,Radiotherapy,Hormonetherapy,Concomitant Treatment,Administration of Study Drug,Chemotherapy,Targeted Therapy,Hormonetherapy,Radiotherapy,Surgery,Adverse Event (AE),Second Primary Malignancy and Contralateral Breast Cancer,Patient Status,Cardiac Monitoring,Mammogram,Hematoly and Biochemistry,Survival Follow-Up,Treatment Completion,Additional Comments ,Death Form
- 9/20/21 - 1 form, 12 itemgroups, 106 items, 1 language
Itemgroups: Header Module,Race,Demographics,Patient Consent,Page Headers,Section 1 - Surgery and Pathology,Section 2 - Imaging Studies,Section 2 -Imaging Studies (continued),Section 3 - Baseline Values (I),Section 3 - Baseline Values (II),Section 3 - Baseline Values (III),Section 4 - Patient History, Current and Recent Conditions
- 9/20/21 - 1 form, 10 itemgroups, 44 items, 1 language
Itemgroups: Header Module,Protocol Administration,Patient Demographics/Pre-Treatment Characteristics1,Patient Demographics/Pre-Treatment Characteristics2,Patient Demographics/Pre-Treatment Characteristics3,Certification Of Eligibility,Protocol Design,Initial Patient Consent For Specimen Use,CALGB 580902,Registration Information

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