English

Medication

1 forms  
  1. StudyEvent: ODM
    1. Medication
Identification Numbers
Description

Identification Numbers

Alias
UMLS CUI-1
C1300638
Center Number
Description

Center Number

Data type

text

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Patient Number
Description

Patient Number

Data type

text

Alias
UMLS CUI [1]
C1830427
Patient Initials
Description

Patient Initials

Data type

text

Alias
UMLS CUI [1]
C2986440
Visit Date
Description

Visit Date

Data type

date

Alias
UMLS CUI [1]
C1320303
Topotecan and Ara-C Study Medication Record
Description

Topotecan and Ara-C Study Medication Record

Alias
UMLS CUI-1
C2734539
UMLS CUI-2
C0008972
UMLS CUI-3
C0146224
UMLS CUI-4
C0733521
Weight
Description

Record the patient's weight below, on Day 1 of infusion

Data type

text

Alias
UMLS CUI [1]
C0005910
Body Surface Area
Description

Record the patient's body surface area below, on Day 1 of infusion

Data type

float

Measurement units
  • m^2
Alias
UMLS CUI [1]
C0005902
m^2
Ideal Weight
Description

Ideal Weight

Data type

text

Alias
UMLS CUI [1]
C0421272
Ideal Weight Was Used
Description

Please mark the box below if the ideal weight was used to calculate body surface area.

Data type

boolean

Alias
UMLS CUI [1]
C0421272
Topotecan Administration
Description

Topotecan Administration

Alias
UMLS CUI-1
C3469597
UMLS CUI-2
C0146224
Day
Description

Day

Data type

text

Alias
UMLS CUI [1]
C0439228
Totally Daily Dose for this Infusion
Description

Totally Daily Dose for this Infusion

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1]
C2348070
mg
Infusion start date
Description

Infusion start date

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0574032
UMLS CUI [1,3]
C0439659
Infusion Start time
Description

Infusion Start time

Data type

time

Alias
UMLS CUI [1,1]
C0574032
UMLS CUI [1,2]
C0439659
UMLS CUI [1,3]
C0040223
Infusion Stop date
Description

Infusion Stop date

Data type

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0574032
Infusion Stop time
Description

Infusion Stop time

Data type

time

Alias
UMLS CUI [1,1]
C1522314
UMLS CUI [1,2]
C0574032
UMLS CUI [1,3]
C0040223
Ara-C Administration
Description

Ara-C Administration

Alias
UMLS CUI-1
C0733521
UMLS CUI-2
C3469597
Day
Description

Day

Data type

text

Alias
UMLS CUI [1]
C0439228
Totally Daily Dose for this Infusion
Description

Totally Daily Dose for this Infusion

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1]
C2348070
mg
Infusion start date
Description

Infusion start date

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0574032
UMLS CUI [1,3]
C0439659
Infusion Start time
Description

Infusion Start time

Data type

time

Alias
UMLS CUI [1,1]
C0574032
UMLS CUI [1,2]
C0439659
UMLS CUI [1,3]
C0040223
Infusion Stop date
Description

Infusion Stop date

Data type

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0574032
Infusion Stop time
Description

Infusion Stop time

Data type

time

Alias
UMLS CUI [1,1]
C1522314
UMLS CUI [1,2]
C0574032
UMLS CUI [1,3]
C0040223
Idarubicin and Ara-C Study Medication Record
Description

Idarubicin and Ara-C Study Medication Record

Alias
UMLS CUI-1
C2734539
UMLS CUI-2
C0008972
UMLS CUI-3
C0020789
UMLS CUI-4
C0020789
Weight
Description

Record the patient's weight below, on Day 1 of infusion

Data type

text

Alias
UMLS CUI [1]
C0005910
Body Surface Area
Description

Record the patient's body surface area below, on Day 1 of infusion

Data type

float

Measurement units
  • m^2
Alias
UMLS CUI [1]
C0005902
m^2
Ideal Weight
Description

Ideal Weight

Data type

text

Alias
UMLS CUI [1]
C0421272
Ideal Weight Was Used
Description

Please mark the box below if the ideal weight was used to calculate body surface area.

Data type

boolean

Alias
UMLS CUI [1]
C0421272
Idarubicin Administration
Description

Idarubicin Administration

Alias
UMLS CUI-1
C0013153
UMLS CUI-2
C0020789
Day
Description

Day

Data type

text

Alias
UMLS CUI [1]
C0439228
Totally Daily Dose for this Infusion
Description

Totally Daily Dose for this Infusion

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1]
C2348070
mg
Infusion start date
Description

Infusion start date

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0574032
UMLS CUI [1,3]
C0439659
Infusion Start time
Description

Infusion Start time

Data type

time

Alias
UMLS CUI [1,1]
C0574032
UMLS CUI [1,2]
C0439659
UMLS CUI [1,3]
C0040223
Infusion Stop date
Description

Infusion Stop date

Data type

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0574032
Infusion Stop time
Description

Infusion Stop time

Data type

time

Alias
UMLS CUI [1,1]
C1522314
UMLS CUI [1,2]
C0574032
UMLS CUI [1,3]
C0040223
Ara-C Administration
Description

Ara-C Administration

Alias
UMLS CUI-1
C0733521
UMLS CUI-2
C3469597
Day
Description

Day

Data type

text

Alias
UMLS CUI [1]
C0439228
Totally Daily Dose for this Infusion
Description

Totally Daily Dose for this Infusion

Data type

float

Measurement units
  • mg
Alias
UMLS CUI [1]
C2348070
mg
Infusion start date
Description

Infusion start date

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0574032
UMLS CUI [1,3]
C0439659
Infusion Start time
Description

Infusion Start time

Data type

time

Alias
UMLS CUI [1,1]
C0574032
UMLS CUI [1,2]
C0439659
UMLS CUI [1,3]
C0040223
Infusion Stop date
Description

Infusion Stop date

Data type

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0574032
Infusion Stop time
Description

Infusion Stop time

Data type

time

Alias
UMLS CUI [1,1]
C1522314
UMLS CUI [1,2]
C0574032
UMLS CUI [1,3]
C0040223
G-CSF Study Medication Record
Description

G-CSF Study Medication Record

Alias
UMLS CUI-1
C2734539
UMLS CUI-2
C0008972
UMLS CUI-3
C0079459
Day
Description

Day 14 to 28

Data type

text

Alias
UMLS CUI [1]
C0439228
Dose
Description

Dose

Data type

text

Alias
UMLS CUI [1,1]
C3174092
UMLS CUI [1,2]
C0079459
Route
Description

Route

Data type

text

Alias
UMLS CUI [1,1]
C0013153
UMLS CUI [1,2]
C0079459
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Time
Description

Time

Data type

time

Alias
UMLS CUI [1]
C0040223
Vital Signs-TAG Regiment only
Description

Vital Signs-TAG Regiment only

Alias
UMLS CUI-1
C0518766
UMLS CUI-2
C0146224
UMLS CUI-3
C0733521
UMLS CUI-4
C0079459
UMLS CUI-5
C0013227
Day
Description

Day

Data type

text

Alias
UMLS CUI [1]
C0439228
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Scheduled Time
Description

Prior to infusion

Data type

text

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C1301732
Actual Time
Description

Actual Time

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C0237400
Sitting Blood Pressure (Systolic) After 5 Minutes Sitting
Description

Sitting Blood Pressure (Systolic) After 5 Minutes Sitting

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0277814
mmHg
Sitting Blood Pressure (Diastolic) After 5 Minutes Sitting
Description

Sitting Blood Pressure (Diastolic) After 5 Minutes Sitting

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0277814
mmHg
Pulse After 5 Minutes Sitting
Description

Pulse After 5 Minutes Sitting

Data type

integer

Measurement units
  • beats/min
Alias
UMLS CUI [1,1]
C0232117
UMLS CUI [1,2]
C0277814
beats/min
Vital Signs-IDAG Regiment only-Vital signs are to be performed on Days 1, 2, and 3 prior to idarubicin infusion and post ara-C infusion. On Days 4 and 5, vital signs are to be performed prior and post ara-C infusion
Description

Vital Signs-IDAG Regiment only-Vital signs are to be performed on Days 1, 2, and 3 prior to idarubicin infusion and post ara-C infusion. On Days 4 and 5, vital signs are to be performed prior and post ara-C infusion

Alias
UMLS CUI-1
C0518766
UMLS CUI-2
C0020789
UMLS CUI-3
C0733521
UMLS CUI-4
C0079459
UMLS CUI-5
C0013227
Day
Description

Day

Data type

text

Alias
UMLS CUI [1]
C0439228
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Scheduled Time
Description

Prior to infusion

Data type

text

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C1301732
Actual Time
Description

Actual Time

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C0237400
Sitting Blood Pressure (Systolic) After 5 Minutes Sitting
Description

Sitting Blood Pressure (Systolic) After 5 Minutes Sitting

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0277814
mmHg
Sitting Blood Pressure (Diastolic) After 5 Minutes Sitting
Description

Sitting Blood Pressure (Diastolic) After 5 Minutes Sitting

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0277814
mmHg
Pulse After 5 Minutes Sitting
Description

Pulse After 5 Minutes Sitting

Data type

integer

Measurement units
  • beats/min
Alias
UMLS CUI [1,1]
C0232117
UMLS CUI [1,2]
C0277814
beats/min
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Similar models

Medication

1 forms
  1. StudyEvent: ODM
    1. Medication
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Identification Numbers
C1300638 (UMLS CUI-1)
Center Number
Item
Center Number
text
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Patient Number
Item
Patient Number
text
C1830427 (UMLS CUI [1])
Patient Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item Group
Topotecan and Ara-C Study Medication Record
C2734539 (UMLS CUI-1)
C0008972 (UMLS CUI-2)
C0146224 (UMLS CUI-3)
C0733521 (UMLS CUI-4)
Weight
Item
Weight
text
C0005910 (UMLS CUI [1])
Body Surface Area
Item
Body Surface Area
float
C0005902 (UMLS CUI [1])
Ideal Weight
Item
Ideal Weight
text
C0421272 (UMLS CUI [1])
Ideal Weight Was Used
Item
Ideal Weight Was Used
boolean
C0421272 (UMLS CUI [1])
Item Group
Topotecan Administration
C3469597 (UMLS CUI-1)
C0146224 (UMLS CUI-2)
Day
Item
Day
text
C0439228 (UMLS CUI [1])
Totally Daily Dose for this Infusion
Item
Totally Daily Dose for this Infusion
float
C2348070 (UMLS CUI [1])
Infusion start date
Item
Infusion start date
date
C0011008 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,3])
Infusion Start time
Item
Infusion Start time
time
C0574032 (UMLS CUI [1,1])
C0439659 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Infusion Stop date
Item
Infusion Stop date
date
C0806020 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
Infusion Stop time
Item
Infusion Stop time
time
C1522314 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item Group
Ara-C Administration
C0733521 (UMLS CUI-1)
C3469597 (UMLS CUI-2)
Day
Item
Day
text
C0439228 (UMLS CUI [1])
Totally Daily Dose for this Infusion
Item
Totally Daily Dose for this Infusion
float
C2348070 (UMLS CUI [1])
Infusion start date
Item
Infusion start date
date
C0011008 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,3])
Infusion Start time
Item
Infusion Start time
time
C0574032 (UMLS CUI [1,1])
C0439659 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Infusion Stop date
Item
Infusion Stop date
date
C0806020 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
Infusion Stop time
Item
Infusion Stop time
time
C1522314 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item Group
Idarubicin and Ara-C Study Medication Record
C2734539 (UMLS CUI-1)
C0008972 (UMLS CUI-2)
C0020789 (UMLS CUI-3)
C0020789 (UMLS CUI-4)
Weight
Item
Weight
text
C0005910 (UMLS CUI [1])
Body Surface Area
Item
Body Surface Area
float
C0005902 (UMLS CUI [1])
Ideal Weight
Item
Ideal Weight
text
C0421272 (UMLS CUI [1])
Ideal Weight Was Used
Item
Ideal Weight Was Used
boolean
C0421272 (UMLS CUI [1])
Item Group
Idarubicin Administration
C0013153 (UMLS CUI-1)
C0020789 (UMLS CUI-2)
Day
Item
Day
text
C0439228 (UMLS CUI [1])
Totally Daily Dose for this Infusion
Item
Totally Daily Dose for this Infusion
float
C2348070 (UMLS CUI [1])
Infusion start date
Item
Infusion start date
date
C0011008 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,3])
Infusion Start time
Item
Infusion Start time
time
C0574032 (UMLS CUI [1,1])
C0439659 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Infusion Stop date
Item
Infusion Stop date
date
C0806020 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
Infusion Stop time
Item
Infusion Stop time
time
C1522314 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item Group
Ara-C Administration
C0733521 (UMLS CUI-1)
C3469597 (UMLS CUI-2)
Day
Item
Day
text
C0439228 (UMLS CUI [1])
Totally Daily Dose for this Infusion
Item
Totally Daily Dose for this Infusion
float
C2348070 (UMLS CUI [1])
Infusion start date
Item
Infusion start date
date
C0011008 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,3])
Infusion Start time
Item
Infusion Start time
time
C0574032 (UMLS CUI [1,1])
C0439659 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Infusion Stop date
Item
Infusion Stop date
date
C0806020 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
Infusion Stop time
Item
Infusion Stop time
time
C1522314 (UMLS CUI [1,1])
C0574032 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item Group
G-CSF Study Medication Record
C2734539 (UMLS CUI-1)
C0008972 (UMLS CUI-2)
C0079459 (UMLS CUI-3)
Day
Item
Day
text
C0439228 (UMLS CUI [1])
Dose
Item
Dose
text
C3174092 (UMLS CUI [1,1])
C0079459 (UMLS CUI [1,2])
Item
Route
text
C0013153 (UMLS CUI [1,1])
C0079459 (UMLS CUI [1,2])
Route
Code List
Route
CL Item
SC (1)
CL Item
IV (2)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Time
Item
Time
time
C0040223 (UMLS CUI [1])
Item Group
Vital Signs-TAG Regiment only
C0518766 (UMLS CUI-1)
C0146224 (UMLS CUI-2)
C0733521 (UMLS CUI-3)
C0079459 (UMLS CUI-4)
C0013227 (UMLS CUI-5)
Day
Item
Day
text
C0439228 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Scheduled Time
Item
Scheduled Time
text
C0040223 (UMLS CUI [1,1])
C1301732 (UMLS CUI [1,2])
Actual Time
Item
Actual Time
time
C0040223 (UMLS CUI [1,1])
C0237400 (UMLS CUI [1,2])
Sitting Blood Pressure (Systolic) After 5 Minutes Sitting
Item
Sitting Blood Pressure (Systolic) After 5 Minutes Sitting
integer
C0871470 (UMLS CUI [1,1])
C0277814 (UMLS CUI [1,2])
Sitting Blood Pressure (Diastolic) After 5 Minutes Sitting
Item
Sitting Blood Pressure (Diastolic) After 5 Minutes Sitting
integer
C0428883 (UMLS CUI [1,1])
C0277814 (UMLS CUI [1,2])
Pulse After 5 Minutes Sitting
Item
Pulse After 5 Minutes Sitting
integer
C0232117 (UMLS CUI [1,1])
C0277814 (UMLS CUI [1,2])
Item Group
Vital Signs-IDAG Regiment only-Vital signs are to be performed on Days 1, 2, and 3 prior to idarubicin infusion and post ara-C infusion. On Days 4 and 5, vital signs are to be performed prior and post ara-C infusion
C0518766 (UMLS CUI-1)
C0020789 (UMLS CUI-2)
C0733521 (UMLS CUI-3)
C0079459 (UMLS CUI-4)
C0013227 (UMLS CUI-5)
Day
Item
Day
text
C0439228 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Scheduled Time
Item
Scheduled Time
text
C0040223 (UMLS CUI [1,1])
C1301732 (UMLS CUI [1,2])
Actual Time
Item
Actual Time
time
C0040223 (UMLS CUI [1,1])
C0237400 (UMLS CUI [1,2])
Sitting Blood Pressure (Systolic) After 5 Minutes Sitting
Item
Sitting Blood Pressure (Systolic) After 5 Minutes Sitting
integer
C0871470 (UMLS CUI [1,1])
C0277814 (UMLS CUI [1,2])
Sitting Blood Pressure (Diastolic) After 5 Minutes Sitting
Item
Sitting Blood Pressure (Diastolic) After 5 Minutes Sitting
integer
C0428883 (UMLS CUI [1,1])
C0277814 (UMLS CUI [1,2])
Pulse After 5 Minutes Sitting
Item
Pulse After 5 Minutes Sitting
integer
C0232117 (UMLS CUI [1,1])
C0277814 (UMLS CUI [1,2])
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