PrCa Procedures (excluding Radiation Therapy)

This example shows a CRF used to collect information on procedures, excluding radiation therapy.

"Prostate Cancer Procedures [PrCa_Procedures]" Form Preview

Prostate Cancer Procedures

Prostate Cancer Procedures

Were any surgical, therapeutic or diagnostic procedures performed?

Yes No

Category of Procedure

Sub-category of Procedure

Surgery to Bone Not Surgery to Bone

What was the procedure name?

If applicable, what was the anatomical location where the procedure was performed?

Specify, Other Anatomical Location

If applicable, what was the side of the anatomical location of the procedure?

Right Left Bilateral

Date

01 Jan 2000

For what indication was the procedure performed?

* Mandatory field

Package(s)
PrCa_Procedures_2023-01-31.zip