ID
43435
Description
E1505 Registration Worksheet (step 1) Chemotherapy With or Without Bevacizumab in Treating Patients With Stage IB, Stage II, or Stage IIIA Non-Small Lung Cancer That Was Removed By Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=24E23D06-7E57-43FF-E044-0003BA3F9857
Link
Keywords
Versions (3)
- 12/18/14 12/18/14 - Martin Dugas
- 1/9/15 1/9/15 - Martin Dugas
- 9/20/21 9/20/21 -
Uploaded on
September 20, 2021
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Lung Cancer NCT00324805 Eligibility - E1505 Registration Worksheet (step 1) - 2555093v1.0
No Instruction available.
- StudyEvent: E1505 Registration Worksheet (step 1)
Description
Race
Description
PatientRaceCategory
Data type
text
Description
Patient Demographics / Pre-treatment Characteristics
Description
PatientSexCode
Data type
text
Description
PatientBirthDate
Data type
date
Description
AddressPostalCodeIdentifier
Data type
text
Description
PatientEthnicGroupCategory
Data type
text
Description
PatientMedicalRecordNumber
Data type
text
Description
PatientSSNNumber
Data type
text
Description
PatientInternationalPaymentType
Data type
text
Description
AttendingPhysicianIdentifierIndividualsName
Data type
text
Description
InstitutionContactPersonName
Data type
text
Description
ProtocolRegistrarName
Data type
text
Description
PatientAddressCountryCode
Data type
text
Description
ResearchCommentsText
Data type
text
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