ID

10093

Descrição

E2603 Concomitant Medication Form Form No. 2169 Carboplatin and Paclitaxel With or Without Sorafenib in Treating Patients With Unresectable Stage III or Stage IV Melanoma NCT00110019 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E7D649ED-D8C9-54BD-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E7D649ED-D8C9-54BD-E034-0003BA3F9857

Palavras-chave

  1. 19/09/2012 19/09/2012 -
  2. 26/11/2014 26/11/2014 - Martin Dugas
  3. 26/11/2014 26/11/2014 - Martin Dugas
  4. 08/01/2015 08/01/2015 - Martin Dugas
  5. 09/01/2015 09/01/2015 - Martin Dugas
  6. 09/01/2015 09/01/2015 - Martin Dugas
  7. 26/03/2015 26/03/2015 - Martin Dugas
Transferido a

26 de março de 2015

DOI

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Licença

Creative Commons BY-NC 3.0 Legacy

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    Melanoma Concomitant Medication NCT00110019

    No Instruction available.

    1. StudyEvent: E2603 Concomitant Medication Form Form No. 2169
      1. No Instruction available.
    Header
    Descrição

    Header

    Alias
    UMLS CUI-1
    C1320722
    ECOG Protocol Number
    Descrição

    Protocol Number ECOG

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1512162
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25491
    ECOG Patient ID
    Descrição

    Patient ID ECOG

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C1512162
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25491
    DCI Name
    Descrição

    Generic drug form

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C3242750
    NCI Thesaurus Property
    C19464
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus ObjectClass-2
    C25452
    Registration Step
    Descrição

    Registration Number

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1514821
    NCI Thesaurus ObjectClass
    C25646
    UMLS CUI-2
    C0237753
    NCI Thesaurus Property
    C16154
    NCI Thesaurus ValueDomain-2
    C16154
    Patient Initials
    Descrição

    Patient Initials

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    Participating Group Protocol Number
    Descrição

    Study Number Participating Group

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Institution/Affiliate
    Descrição

    Institution Name

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25454
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass-2
    C21541
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ValueDomain
    C25191
    NCI Thesaurus ValueDomain-2
    C21541
    Participating Group Patient ID
    Descrição

    Trial subject ID Participating Group

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Please mark an 'X' if data have been amended.
    Descrição

    Data amended

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus Property
    C25416
    Date data amended
    Descrição

    Data amended date

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25474
    UMLS CUI-2
    C0011008
    NCI Thesaurus Property
    C25416
    NCI Thesaurus ValueDomain-2
    C25367
    Reporting period Start Date
    Descrição

    Reporting Period Start Date

    Tipo de dados

    date

    Alias
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25616
    UMLS CUI-1
    C2361257
    NCI Thesaurus Property-2
    C25651
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25431
    Reporting period End Date
    Descrição

    Reporting Period End Date

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C2361259
    NCI Thesaurus Property
    C25616
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property-2
    C25651
    Comments
    Descrição

    Research Comments

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    Investigator Signature
    Descrição

    Investigator Signature

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    NCI Thesaurus Property
    C25678
    NCI Thesaurus ObjectClass
    C17089
    UMLS CUI-1
    C2346576
    Investigator Signature Date
    Descrição

    Investigator Signature Date

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS CUI-1
    C2346576
    NCI Thesaurus Property
    C25678
    UMLS CUI-2
    C0011008
    NCI Thesaurus ValueDomain-2
    C25367
    NCI Thesaurus ObjectClass
    C17089
    Concomitant Medication
    Descrição

    Concomitant Medication

    Alias
    UMLS CUI-1
    C2347852
    On Treatment Report Period (since start of treatment If treatment was delayed, choose the intended time period without delays.)
    Descrição

    Cycle number

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C2045829
    NCI Thesaurus Property
    C25214
    NCI Thesaurus Property-2
    C25616
    NCI Thesaurus ObjectClass
    C15368
    Were concomitant medications used during this reporting period?
    Descrição

    Were concomitant medications used during this reporting period?

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus ObjectClass-2
    C25730
    NCI Thesaurus Property
    C25382
    UMLS CUI-1
    C2347852
    Cycle (specify)
    Descrição

    Chemotherapy cycle

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C25214
    UMLS CUI-1
    C1302181
    NCI Thesaurus Property-2
    C25616
    NCI Thesaurus ValueDomain
    C25685
    NCI Thesaurus ValueDomain-2
    C25472
    NCI Thesaurus ValueDomain-3
    C25275
    Agent Name (Generic Name)
    Descrição

    Agent

    Tipo de dados

    text

    Alias
    NCI Thesaurus Property
    C25364
    UMLS CUI-1
    C1521826
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus ValueDomain
    C1708
    NCI Thesaurus ValueDomain-2
    C42614
    Dose
    Descrição

    Medication Dose

    Tipo de dados

    float

    Alias
    NCI Thesaurus ValueDomain
    C25488
    UMLS CUI-1
    C3174092
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus ValueDomain-2
    C1708
    NCI Thesaurus Property
    C25382
    Units
    Descrição

    Units (*)

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus Property
    C25730
    NCI Thesaurus Property-2
    C25409
    NCI Thesaurus ValueDomain
    C25709
    UMLS CUI-1
    C1519795
    other unit, specify
    Descrição

    ECOGMedicationUOMSpecify

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    NCI Thesaurus ObjectClass
    C25491
    NCI Thesaurus ObjectClass-2
    C459
    NCI Thesaurus Property
    C25365
    UMLS CUI-1
    C1519795
    Frequency
    Descrição

    Frequency (**)

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus ValueDomain
    C25515
    NCI Thesaurus Property
    C25382
    UMLS CUI-1
    C3476109
    other, specify
    Descrição

    Medication frequency

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS CUI-1
    C3476109
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus ObjectClass-2
    C25409
    NCI Thesaurus Property
    C25275
    Route
    Descrição

    Route (***)

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    NCI Thesaurus ObjectClass
    C459
    NCI Thesaurus ObjectClass-2
    C25409
    NCI Thesaurus Property
    C25169
    UMLS CUI-1
    C0013153
    other route, specify
    Descrição

    MedicationAdministrationRouteSpecify

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    NCI Thesaurus ObjectClass
    C459
    NCI Thesaurus ObjectClass-2
    C25409
    NCI Thesaurus Property
    C25169
    UMLS CUI-1
    C0013153
    Agent Start Date
    Descrição

    Agent Start Date (Leave blank if continuing from a prior report period)

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ValueDomain-2
    C25431
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus Property
    C25275
    UMLS CUI-1
    C2826734
    Is this medication continuing?
    Descrição

    Is this medication continuing?

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    NCI Thesaurus ObjectClass
    C459
    NCI Thesaurus Property
    C25409
    NCI Metathesaurus Property
    C0750536
    UMLS CUI-1
    C0013227
    UMLS CUI-2
    C0549178
    Agent End Date
    Descrição

    Agent End Date (Leave blank if continuing)

    Tipo de dados

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ObjectClass
    C1708
    NCI Thesaurus Property
    C25275
    UMLS CUI-1
    C2826744

    Similar models

    No Instruction available.

    1. StudyEvent: E2603 Concomitant Medication Form Form No. 2169
      1. No Instruction available.
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de dados
    Alias
    Item Group
    Header
    C1320722 (UMLS CUI-1)
    Protocol Number ECOG
    Item
    ECOG Protocol Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1512162 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25491 (NCI Thesaurus Property-2)
    Patient ID ECOG
    Item
    ECOG Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C1512162 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25491 (NCI Thesaurus Property-2)
    Generic drug form
    Item
    DCI Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C3242750 (UMLS CUI-1)
    C19464 (NCI Thesaurus Property)
    C25474 (NCI Thesaurus ObjectClass)
    C25452 (NCI Thesaurus ObjectClass-2)
    Registration Number
    Item
    Registration Step
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1514821 (UMLS CUI-1)
    C25646 (NCI Thesaurus ObjectClass)
    C0237753 (UMLS CUI-2)
    C16154 (NCI Thesaurus Property)
    C16154 (NCI Thesaurus ValueDomain-2)
    Patient Initials
    Item
    Patient Initials
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Study Number Participating Group
    Item
    Participating Group Protocol Number
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Institution Name
    Item
    Institution/Affiliate
    text
    C25454 (NCI Thesaurus ObjectClass)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C25191 (NCI Thesaurus ValueDomain)
    C21541 (NCI Thesaurus ValueDomain-2)
    Trial subject ID Participating Group
    Item
    Participating Group Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Data amended
    Item
    Please mark an 'X' if data have been amended.
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25474 (NCI Thesaurus ObjectClass)
    C25416 (NCI Thesaurus Property)
    Data amended date
    Item
    Date data amended
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25474 (NCI Thesaurus ObjectClass)
    C0011008 (UMLS CUI-2)
    C25416 (NCI Thesaurus Property)
    C25367 (NCI Thesaurus ValueDomain-2)
    Reporting Period Start Date
    Item
    Reporting period Start Date
    date
    C15368 (NCI Thesaurus ObjectClass)
    C25616 (NCI Thesaurus Property)
    C2361257 (UMLS CUI-1)
    C25651 (NCI Thesaurus Property-2)
    C25164 (NCI Thesaurus ValueDomain)
    C25431 (NCI Thesaurus ValueDomain-2)
    Reporting Period End Date
    Item
    Reporting period End Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C2361259 (UMLS CUI-1)
    C25616 (NCI Thesaurus Property)
    C15368 (NCI Thesaurus ObjectClass)
    C25651 (NCI Thesaurus Property-2)
    Research Comments
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    Investigator Signature
    Item
    Investigator Signature
    text
    C25704 (NCI Thesaurus ValueDomain)
    C25678 (NCI Thesaurus Property)
    C17089 (NCI Thesaurus ObjectClass)
    C2346576 (UMLS CUI-1)
    Investigator Signature Date
    Item
    Investigator Signature Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C2346576 (UMLS CUI-1)
    C25678 (NCI Thesaurus Property)
    C0011008 (UMLS CUI-2)
    C25367 (NCI Thesaurus ValueDomain-2)
    C17089 (NCI Thesaurus ObjectClass)
    Item Group
    Concomitant Medication
    C2347852 (UMLS CUI-1)
    Item
    On Treatment Report Period (since start of treatment If treatment was delayed, choose the intended time period without delays.)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C2045829 (UMLS CUI-1)
    C25214 (NCI Thesaurus Property)
    C25616 (NCI Thesaurus Property-2)
    C15368 (NCI Thesaurus ObjectClass)
    Code List
    On Treatment Report Period (since start of treatment If treatment was delayed, choose the intended time period without delays.)
    CL Item
    Baseline (Baseline)
    C25213 (NCI Thesaurus)
    C1442488 (UMLS 2011AA)
    C25213 (NCI Thesaurus-3)
    C1442488 (UMLS 2011AA-4)
    CL Item
    Cycle 1 (Cycle 1)
    CL Item
    Cycle 2 (Cycle 2)
    CL Item
    Cycle 3 (Cycle 3)
    CL Item
    Cycle 4 (Cycle 4)
    CL Item
    Cycle 5 (Cycle 5)
    CL Item
    Cycle 6 (Cycle 6)
    CL Item
    Cycle 7 (Cycle 7)
    CL Item
    Cycle 8 (Cycle 8)
    CL Item
    Cycle 9 (Cycle 9)
    CL Item
    Cycle 10 (Cycle 10)
    CL Item
    > Cycle 10 (> Cycle 10)
    Concomitant Medication used
    Item
    Were concomitant medications used during this reporting period?
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1708 (NCI Thesaurus ObjectClass)
    C25730 (NCI Thesaurus ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C2347852 (UMLS CUI-1)
    Chemotherapy cycle
    Item
    Cycle (specify)
    text
    C15368 (NCI Thesaurus ObjectClass)
    C25214 (NCI Thesaurus Property)
    C1302181 (UMLS CUI-1)
    C25616 (NCI Thesaurus Property-2)
    C25685 (NCI Thesaurus ValueDomain)
    C25472 (NCI Thesaurus ValueDomain-2)
    C25275 (NCI Thesaurus ValueDomain-3)
    Agent
    Item
    Agent Name (Generic Name)
    text
    C25364 (NCI Thesaurus Property)
    C1521826 (UMLS CUI-1)
    C1708 (NCI Thesaurus ObjectClass)
    C1708 (NCI Thesaurus ValueDomain)
    C42614 (NCI Thesaurus ValueDomain-2)
    Medication Dose
    Item
    Dose
    float
    C25488 (NCI Thesaurus ValueDomain)
    C3174092 (UMLS CUI-1)
    C1708 (NCI Thesaurus ObjectClass)
    C1708 (NCI Thesaurus ValueDomain-2)
    C25382 (NCI Thesaurus Property)
    Item
    Units
    text
    C1708 (NCI Thesaurus ObjectClass)
    C25730 (NCI Thesaurus Property)
    C25409 (NCI Thesaurus Property-2)
    C25709 (NCI Thesaurus ValueDomain)
    C1519795 (UMLS CUI-1)
    Code List
    Units
    CL Item
    Capsules (capsules)
    C0006935 (UMLS CUI-1)
    CL Item
    Gram (gram)
    C48155 (NCI Thesaurus)
    C0439208 (UMLS CUI-1)
    CL Item
    Drops (drops)
    C69442 (NCI Thesaurus)
    C2347093 (UMLS CUI-1)
    CL Item
    Inch (inch)
    C48500 (NCI Thesaurus)
    C0439204 (UMLS CUI-1)
    CL Item
    Kilograms (kilogram)
    C28252 (NCI Thesaurus)
    C0439209 (UMLS CUI-1)
    CL Item
    Liter (liter)
    C0475211 (UMLS CUI-1)
    CL Item
    Microgram (microgram)
    C0439211 (UMLS CUI-1)
    CL Item
    Milliequivalent (milliequivalent)
    C0439152 (UMLS CUI-1)
    CL Item
    Milligram (milligram)
    C28253 (NCI Thesaurus)
    C0439210 (UMLS CUI-1)
    CL Item
    Milliliter (milliliter)
    C28254 (NCI Thesaurus)
    C0439242 (UMLS CUI-1)
    CL Item
    Ounce (ounce)
    C48519 (NCI Thesaurus)
    C0439218 (UMLS CUI-1)
    CL Item
    Tablets (tablets)
    C0039225 (UMLS CUI-1)
    CL Item
    Tablespoon (tablespoon)
    C1532188 (UMLS CUI-1)
    CL Item
    Teaspoon (teaspoon)
    C1704619 (UMLS CUI-1)
    CL Item
    Unit (unit)
    C44278 (NCI Thesaurus)
    C0439148 (UMLS CUI-1)
    CL Item
    Other (other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS CUI-1)
    Unit, other
    Item
    other unit, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C25491 (NCI Thesaurus ObjectClass)
    C459 (NCI Thesaurus ObjectClass-2)
    C25365 (NCI Thesaurus Property)
    C1519795 (UMLS CUI-1)
    Item
    Frequency
    text
    C1708 (NCI Thesaurus ObjectClass)
    C25515 (NCI Thesaurus ValueDomain)
    C25382 (NCI Thesaurus Property)
    C3476109 (UMLS CUI-1)
    Code List
    Frequency
    CL Item
    Immediately (stat) (immediately)
    C0205548 (UMLS CUI-1)
    CL Item
    As Needed (p.r.n) (as needed)
    C1879745 (UMLS CUI-1)
    CL Item
    Every Day (q.d.) (every day)
    C0332173 (UMLS CUI-1)
    CL Item
    Every Other Day (q.o.d.) (every other day)
    C0558287 (UMLS CUI-1)
    CL Item
    Twice A Day (b.i.d) (twice a day)
    C0585361 (UMLS CUI-1)
    CL Item
    Three Times A Day (t.i.d) (three times a day)
    C0556984 (UMLS CUI-1)
    CL Item
    Four Times A Day (q.i.d) (four times a day)
    C0585291 (UMLS CUI-1)
    CL Item
    Twice A Week (b.i.w) (twice a week)
    C0556985 (UMLS CUI-1)
    CL Item
    Three Times A Week (t.i.w) (three times a week)
    C0556987 (UMLS CUI-1)
    CL Item
    Before Meals (a.c.) (before meals)
    C1550738 (UMLS CUI-1)
    CL Item
    After Meals (p.c.) (after meals)
    C0376674 (UMLS CUI-1)
    CL Item
    At Bedtime Or Hour Of Sleep (h.s.) (at bedtime or hour of sleep)
    C0521112 (UMLS CUI-1)
    CL Item
    Every 4 Hours (q4hr) (every 4 hours)
    C0585324 (UMLS CUI-1)
    CL Item
    Every 6 Hours (q6hr) (every 6 hours)
    C0585325 (UMLS CUI-1)
    CL Item
    Every 8 Hours (q8hr) (every 8 hours)
    C0585326 (UMLS CUI-1)
    CL Item
    Every 12 Hours (q12hr) (every 12 hours)
    C0585327 (UMLS CUI-1)
    CL Item
    Other (other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS CUI-1)
    Medication frequency
    Item
    other, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C3476109 (UMLS CUI-1)
    C1708 (NCI Thesaurus ObjectClass)
    C25409 (NCI Thesaurus ObjectClass-2)
    C25275 (NCI Thesaurus Property)
    Item
    Route
    text
    C25284 (NCI Thesaurus ValueDomain)
    C459 (NCI Thesaurus ObjectClass)
    C25409 (NCI Thesaurus ObjectClass-2)
    C25169 (NCI Thesaurus Property)
    C0013153 (UMLS CUI-1)
    Code List
    Route
    CL Item
    Oral (PO)
    C25311 (NCI Thesaurus)
    C25311 (NCI Thesaurus-3)
    C0442027 (UMLS CUI-1)
    CL Item
    Subcutaneous (SC)
    C13353 (NCI Thesaurus)
    C13353 (NCI Thesaurus-3)
    C0443315 (UMLS CUI-1)
    CL Item
    Intramuscular (IM)
    C27974 (NCI Thesaurus)
    C27974 (NCI Thesaurus-3)
    C0442117 (UMLS CUI-1)
    CL Item
    Intravenous (IV)
    X-MO-6794 (MGED)
    X-MO-6794 (MGED-2)
    C0348016 (UMLS CUI-1)
    CL Item
    Rectal (rectal)
    C25224 (NCI Thesaurus)
    C0205052 (UMLS CUI-1)
    CL Item
    Topical (topical)
    C13344 (NCI Thesaurus)
    C13344 (NCI Thesaurus-3)
    C0332237 (UMLS CUI-1)
    CL Item
    Nasal (nasal)
    C27958 (NCI Thesaurus)
    C0028429 (UMLS CUI-1)
    CL Item
    Inhaled (inhaled)
    C0001559 (UMLS CUI-1)
    CL Item
    Transdermal (transdermal)
    C28017 (NCI Thesaurus)
    C0694643 (UMLS CUI-1)
    CL Item
    Sublingual (sublingual)
    C89785 (NCI Thesaurus)
    C0001565 (UMLS CUI-1)
    CL Item
    Intradermal (intradermal)
    C28213 (NCI Thesaurus)
    C0150647 (UMLS CUI-1)
    CL Item
    Other (other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS CUI-1)
    Medication Administration Route, Specify
    Item
    other route, specify
    text
    C25685 (NCI Thesaurus ValueDomain)
    C459 (NCI Thesaurus ObjectClass)
    C25409 (NCI Thesaurus ObjectClass-2)
    C25169 (NCI Thesaurus Property)
    C0013153 (UMLS CUI-1)
    Concomitant Medication Start Date
    Item
    Agent Start Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C25431 (NCI Thesaurus ValueDomain-2)
    C1708 (NCI Thesaurus ObjectClass)
    C25275 (NCI Thesaurus Property)
    C2826734 (UMLS CUI-1)
    Medication continued
    Item
    Is this medication continuing?
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C459 (NCI Thesaurus ObjectClass)
    C25409 (NCI Thesaurus Property)
    C0750536 (NCI Metathesaurus Property)
    C0013227 (UMLS CUI-1)
    C0549178 (UMLS CUI-2)
    Concomitant Medication End Date
    Item
    Agent End Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C1708 (NCI Thesaurus ObjectClass)
    C25275 (NCI Thesaurus Property)
    C2826744 (UMLS CUI-1)

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