Description:

Treatment Completion Form, Form Q0, GOG-0219 Cisplatin and Radiation Therapy With or Without Tirapazamine in Treating Patients With Cervical Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EF89A84E-7B15-0E3D-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EF89A84E-7B15-0E3D-E034-0003BA3F9857

Keywords:
Versions (2) ▾
  1. 8/27/12
  2. 1/8/15
Uploaded on:

January 8, 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.

Cervical Cancer NCT00262821 Off Treatment - Treatment Completion Form, Form Q0, GOG-0219 - 2302649v3.0

No Instruction available.

  1. StudyEvent: Treatment Completion Form, Form Q0, GOG-0219
    1. No Instruction available.
Header Module
Treatment Schedule
Off-treatment Reason
Reason treatment ended (check only one)
Will patient receive further treatment?
Comments
Footer Module

Similar models