Form Number
Item
Form Number
integer
C1706499 (UMLS CUI [1,1])
C1704732 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
Series Page Number
Item
Series Page Number
integer
C1706499 (UMLS CUI [1,1])
C1704732 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
Comments
Item
Comments: clearly identify the item to which the comment applies (e.g., date, time, etc.)
text
C0947611 (UMLS CUI [1])
Item
Dose Specification
integer
C3174092 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Code List
Dose Specification
CL Item
Dosimetric Dose (1)
CL Item
Therapeutic Dose (2)
Date administered
Item
Date administered
date
C1533734 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Actual Dose administered
Item
Actual lodine-131 Anti-B1 Antibody dose administered
integer
C3174092 (UMLS CUI [1,1])
C1521801 (UMLS CUI [1,2])
Visit
Item
Visit:
text
C0545082 (UMLS CUI [1])
Date on or after
Item
Date on or after:
date
C1320303 (UMLS CUI [1])
Date on or before
Item
Date on or before:
date
C1320303 (UMLS CUI [1])
Laboratory Results
Item
Laboratory Results - Date:
date
C1254595 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
ANC
Item
ANC:
integer
C0948762 (UMLS CUI [1])
Hgb
Item
Hgb:
float
C0019046 (UMLS CUI [1])
Plt
Item
Plt:
integer
C0005821 (UMLS CUI [1])
WBC
Item
WBC:
integer
C0023508 (UMLS CUI [1])
Unable to Obtain
Item
Unable to Obtain - Specify:
text
C0022885 (UMLS CUI [1,1])
C1299582 (UMLS CUI [1,2])
Investigator Signature
Item
Investigator Signature
text
C2346576 (UMLS CUI [1])
Date
Item
Date
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])