ID
1798
Description
RTOG-00522 HP: Radiation Therapy Oncology Group Miscellaneous Patient Assessment Form Radiation Therapy and Cisplatin With or Without Cetuximab in Treating Patients With Stage III or Stage IV Head and Neck Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F5E8260F-4AEB-157F-E034-0003BA3F9857
Link
Keywords
Versions (6)
- 9/19/12 9/19/12 -
- 8/11/14 8/11/14 - Martin Dugas
- 8/11/14 8/11/14 - Martin Dugas
- 1/9/15 1/9/15 - Martin Dugas
- 6/21/15 6/21/15 -
- 9/20/21 9/20/21 -
Uploaded on
September 19, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Head and Neck Cancer NCT00265941 Quality of Life - RTOG-0522 HP: Radiation Therapy Oncology Group Miscellaneous Patient Assessment Form - 2222582v1.0
No Instruction available.
- StudyEvent: RTOG-0522 HP: Radiation Therapy Oncology Group Miscellaneous Patient Assessment Form
Description
Unamed Module 2
Description
QOLMobilityAssessmentStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Metathesaurus Property
- C0449580
Description
QualityofLifeSelfCareAssessmentStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Thesaurus Property
- C15324
- UMLS 2011AA Property
- C0518889
Description
QOLPhyscialActivityAssessmentStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus Property
- C17708
- UMLS 2011AA Property
- C0026606
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
QOLPainAssessmentStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus Property
- C3303
- UMLS 2011AA Property
- C0030193
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
QOLAnxietyAssessmentStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus Property
- C26696
- UMLS 2011AA Property
- C0003467
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
Unnamed Module 3
Description
PatientHealthScore
Data type
double
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25178
- UMLS 2011AA Property
- C0018684
- NCI Thesaurus ValueDomain
- C25338
- UMLS 2011AA ValueDomain
- C0449820
Description
PatientSeriousSicknessInd-2
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C54035
- UMLS 2011AA Property
- C0205404
- NCI Metathesaurus Property
- C0221423
Description
ImmediateSeriousSicknessInd-2
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus Property
- C54035
- UMLS 2011AA Property
- C0205404
- NCI Metathesaurus ObjectClass
- CL282488
- NCI Metathesaurus Property
- C0221423
Description
CareAssistantPatientSeriousSicknessInd-2
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Metathesaurus ObjectClass
- CL259930
- NCI Thesaurus Property
- C54035
- UMLS 2011AA Property
- C0205404
- NCI Metathesaurus Property
- C0221423
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
PatientAgeYearCount
Data type
double
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus ValueDomain
- C29848
- UMLS 2011AA ValueDomain
- C0439234
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
- NCI Thesaurus Property
- C25150
- UMLS 2011AA Property
- C0001779
Description
QualityofLifePatientGenderAssessmentCategory
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus ObjectClass
- C17357
- UMLS 2011AA ObjectClass
- C0079399
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus ValueDomain
- C25372
- UMLS 2011AA ValueDomain
- C0683312
Description
SmokingCurrentUseInd-3
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus Property
- C25471
- UMLS 2011AA Property
- C0521116
- NCI Thesaurus ObjectClass
- C17934
- UMLS 2011AA ObjectClass
- C0453996
- NCI Metathesaurus Property
- C0449865
Description
SmokingUseInd-3
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C17934
- UMLS 2011AA ObjectClass
- C0453996
- NCI Thesaurus Property
- C25340
- UMLS 2011AA Property
- C0457083
Description
NoSmokingHistoryInd-2
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus ObjectClass
- C49487
- UMLS 2011AA ObjectClass
- C1298908
- NCI Thesaurus ObjectClass
- C17934
- UMLS 2011AA ObjectClass
- C0453996
- NCI Thesaurus Property
- C18772
- UMLS 2011AA Property
- C0262926
Description
SocialWorkHistoryInd-2
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus Property
- C18772
- UMLS 2011AA Property
- C0262926
- NCI Thesaurus ObjectClass
- C17142
- UMLS 2011AA ObjectClass
- C0037441
Description
SocialWorkHistoryRoleSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus Property
- C18772
- UMLS 2011AA Property
- C0262926
- NCI Thesaurus ObjectClass
- C17142
- UMLS 2011AA ObjectClass
- C0037441
- NCI Thesaurus ValueDomain
- C25199
- UMLS 2011AA ValueDomain
- C0035820
Description
PersonOccupationType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25193
- UMLS 2011AA Property
- C0028811
Description
PersonOccupationSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25193
- UMLS 2011AA Property
- C0028811
Description
ContinuedEducationMinimumAgeatLeavingSchoolInd-2
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C16529
- UMLS 2011AA ObjectClass
- C0013622
- NCI Metathesaurus ObjectClass
- C0750536
- NCI Thesaurus Property
- C25570
- UMLS 2011AA Property
- C1524031
- NCI Metathesaurus Property
- CL238333
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
PatientEducationalStatusInd-2
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Metathesaurus Property
- C0013658
Description
QualityofLifePatientAddressPostalCode
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Metathesaurus ObjectClass
- C1442065
- NCI Thesaurus Property
- C25621
- UMLS 2011AA Property
- C1514254
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
Similar models
No Instruction available.
- StudyEvent: RTOG-0522 HP: Radiation Therapy Oncology Group Miscellaneous Patient Assessment Form
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus Property)
C1514695 (UMLS 2011AA Property)
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C25688 (NCI Thesaurus ValueDomain)
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C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
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C0026606 (UMLS 2011AA Property)
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C0449438 (UMLS 2011AA ValueDomain)
C0518214 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C3303 (NCI Thesaurus Property)
C0030193 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C0518214 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
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CL259930 (NCI Metathesaurus ObjectClass)
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C0205404 (UMLS 2011AA Property)
C0221423 (NCI Metathesaurus Property)
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C1512698 (UMLS 2011AA ValueDomain)
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C1298908 (UMLS 2011AA)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
C1512698 (UMLS 2011AA ValueDomain)
C49487 (NCI Thesaurus ObjectClass)
C1298908 (UMLS 2011AA ObjectClass)
C17934 (NCI Thesaurus ObjectClass)
C0453996 (UMLS 2011AA ObjectClass)
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C1705108 (UMLS 2011AA)
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C18772 (NCI Thesaurus Property)
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C17142 (NCI Thesaurus ObjectClass)
C0037441 (UMLS 2011AA ObjectClass)
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C25193 (NCI Thesaurus Property)
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