Description:

RTOG-0421 QP: Radiation Therapy Oncology Group Performance Status Scale Miscellaneous Patient Assessment Form NCT00113399 Combination Chemotherapy With or Without Radiation Therapy in Treating Patients With Recurrent Head and Neck Cancer That Cannot Be Removed By Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EB3722D1-7299-70BB-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EB3722D1-7299-70BB-E034-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 9/19/12
  2. 1/9/15
  3. 6/21/15
Uploaded on:

June 21, 2015

DOI:
No DOI assigned. To request one please log in.
License:
Creative Commons BY-NC 3.0 Legacy
Model comments:

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for:

Item comments for:

In order to download data models you must be logged in. Please log in or register for free.

RTOG-0421 QP: Radiation Therapy Oncology Group Performance Status Scale Miscellaneous Patient Assessment Form NCT00113399

No Instruction available.

  1. StudyEvent: RTOG-0421 QP: Radiation Therapy Oncology Group Performance Status Scale Miscellaneous Patient Assessment Form
    1. No Instruction available.
RTOG clinical trial administrative data
Miscellaneous Patient Assessment
SCHEDULED DATA POINT (CHECK ONE)
IF NO PATIENT ASSESSMENT, SPECIFY REASON (CHECK ONE)
WAS INFORMATION OBTAINED BY TELEPHONE INTERVIEW (CHECK ONE)
NORMALCY OF DIET RATING (CHECK ONE)
PUBLIC EATING RATING (CHECK ONE)
UNDERSTANDABILITY OF SPEECH RATING (CHECK ONE)
Comments

Similar models