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3100

Description

Study Drug form for C3D 3.12 Adopter Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF055E17-C215-4937-E034-0003BA3F9857

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF055E17-C215-4937-E034-0003BA3F9857

Mots-clés

  1. 19/09/2012 19/09/2012 -
Téléchargé le

19 septembre 2012

DOI

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Creative Commons BY-NC 3.0 Legacy

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    Treatment - STUDY MEDICATION ADMINISTRATION - 2392332v1.0

    Dates will appear as 'DD-MON-YYYY'

    1. StudyEvent: STUDY MEDICATION ADMINISTRATION
      1. Dates will appear as 'DD-MON-YYYY'
    Study Medication Administration
    Description

    Study Medication Administration

    Course Day Number
    Description

    CourseDayNumber

    Type de données

    double

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C25301
    UMLS 2011AA Property
    C0439228
    NCI Thesaurus ObjectClass
    C25379
    UMLS 2011AA ObjectClass
    C0750729
    Course Start Date
    Description

    CourseStartDate

    Type de données

    date

    Alias
    NCI Thesaurus ObjectClass
    C25379
    UMLS 2011AA ObjectClass
    C0750729
    NCI Metathesaurus ObjectClass
    CL219258
    NCI Thesaurus Property
    C25164
    UMLS 2011AA Property
    C0011008
    NCI Thesaurus Property
    C25431
    UMLS 2011AA Property
    C0439659
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Start Time
    Description

    StartTime

    Type de données

    time

    Alias
    NCI Thesaurus ObjectClass
    C25431
    UMLS 2011AA ObjectClass
    C0439659
    NCI Thesaurus ObjectClass
    C25409
    UMLS 2011AA ObjectClass
    C1533734
    NCI Thesaurus Property
    C25207
    UMLS 2011AA Property
    C0040223
    NCI Metathesaurus Property
    CL219258
    NCI Thesaurus ValueDomain
    C25207
    UMLS 2011AA ValueDomain
    C0040223
    Agent
    Description

    ProtocolAgentName

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25320
    UMLS 2011AA ObjectClass
    C1507394
    NCI Thesaurus ObjectClass
    C1708
    UMLS 2011AA ObjectClass
    C0450442
    NCI Thesaurus Property
    C42614
    UMLS 2011AA Property
    C0027365
    NCI Thesaurus ValueDomain
    C42614
    UMLS 2011AA ValueDomain
    C0027365
    Stop Date
    Description

    StopDate

    Type de données

    date

    Alias
    NCI Thesaurus Property
    C25164
    UMLS 2011AA Property
    C0011008
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C15368
    NCI Thesaurus Property
    C65125
    UMLS 2011AA Property
    C1947925
    Dose UOM
    Description

    ActualDoseAdministeredUnitofMeasureName

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25488
    UMLS 2011AA ObjectClass
    C0178602
    NCI Thesaurus ObjectClass
    C25274
    UMLS 2011AA ObjectClass
    C0237400
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    NCI Thesaurus ValueDomain
    C42614
    UMLS 2011AA ValueDomain
    C0027365
    Stop Time
    Description

    StopTime

    Type de données

    time

    Alias
    NCI Thesaurus Property
    C25207
    UMLS 2011AA Property
    C0040223
    NCI Thesaurus ValueDomain
    C25207
    UMLS 2011AA ValueDomain
    C0040223
    NCI Thesaurus ObjectClass
    C25409
    UMLS 2011AA ObjectClass
    C1533734
    NCI Thesaurus Property
    C65125
    UMLS 2011AA Property
    C1947925
    Course Number (This is a derived field and may be displayed on the form, if needed.)
    Description

    CourseNumber

    Type de données

    double

    Alias
    NCI Thesaurus Property
    C25337
    UMLS 2011AA Property
    C0237753
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C25379
    UMLS 2011AA ObjectClass
    C0750729
    Dose Level
    Description

    DoseLevel

    Type de données

    double

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C25488
    UMLS 2011AA ObjectClass
    C0178602
    NCI Thesaurus Property
    C25554
    UMLS 2011AA Property
    C0441889
    Dose UOM
    Description

    AgentAdministrationDoseUnitofMeasureName

    Type de données

    text

    Alias
    NCI Metathesaurus ObjectClass
    CL111054
    NCI Thesaurus Property
    C25409
    UMLS 2011AA Property
    C1533734
    NCI Thesaurus ValueDomain
    C42614
    UMLS 2011AA ValueDomain
    C0027365
    Administration Schedule Abbreviated Descriptive Text
    Description

    AdministrationScheduleAbbreviatedDescriptiveText

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus Property
    C25211
    UMLS 2011AA Property
    C0086960
    NCI Thesaurus ObjectClass
    C25409
    UMLS 2011AA ObjectClass
    C1533734
    Route
    Description

    AccessRouteofAdministrationTextCode

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25396
    UMLS 2011AA ObjectClass
    C0444454
    NCI Thesaurus Property
    C25169
    UMLS 2011AA Property
    C0449444
    NCI Thesaurus ValueDomain
    C25162
    UMLS 2011AA ValueDomain
    C0805701
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ValueDomain
    C38114
    UMLS 2011AA ValueDomain
    C0013153
    Agent Actual Dose
    Description

    AgentActualDose

    Type de données

    double

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C25488
    UMLS 2011AA ObjectClass
    C0178602
    NCI Thesaurus ObjectClass
    C25274
    UMLS 2011AA ObjectClass
    C0237400
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    Lot Number
    Description

    LotNumber

    Type de données

    text

    Alias
    NCI Metathesaurus ObjectClass
    C1115660
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus ValueDomain
    C45255
    UMLS 2011AA ValueDomain
    C1708523
    NCI Thesaurus ValueDomain
    C42614
    UMLS 2011AA ValueDomain
    C0027365
    NCI Thesaurus ValueDomain
    C68805
    UMLS 2011AA ValueDomain
    C2350015
    Duration Value
    Description

    DurationValue

    Type de données

    double

    Unités de mesure
    • cm
    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C25207
    UMLS 2011AA ObjectClass
    C0040223
    NCI Thesaurus Property
    C25330
    UMLS 2011AA Property
    C0449238
    cm
    Duration UOM
    Description

    TimeDurationUnitofMeasureCode

    Type de données

    text

    Alias
    NCI Metathesaurus ObjectClass
    CL110548
    NCI Thesaurus Property
    C25209
    UMLS 2011AA Property
    C0242485
    NCI Thesaurus ValueDomain
    C25162
    UMLS 2011AA ValueDomain
    C0805701
    NCI Thesaurus ValueDomain
    C25207
    UMLS 2011AA ValueDomain
    C0040223
    NCI Thesaurus ValueDomain
    C25709
    UMLS 2011AA ValueDomain
    C1519795
    NCI Thesaurus ValueDomain
    C25330
    UMLS 2011AA ValueDomain
    C0449238
    Study Drug Missed
    Description

    Study Drug Missed

    Missed Dose Date
    Description

    MissedDoseDate

    Type de données

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus Property
    C54031
    UMLS 2011AA Property
    C1705492
    NCI Thesaurus ObjectClass
    C25488
    UMLS 2011AA ObjectClass
    C0178602
    Missed Dose Amount
    Description

    MissedDoseAmount

    Type de données

    double

    Unités de mesure
    • cm
    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus Property
    C54031
    UMLS 2011AA Property
    C1705492
    NCI Thesaurus ObjectClass
    C25488
    UMLS 2011AA ObjectClass
    C0178602
    cm
    Agent
    Description

    ProtocolAgentName

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25320
    UMLS 2011AA ObjectClass
    C1507394
    NCI Thesaurus ObjectClass
    C1708
    UMLS 2011AA ObjectClass
    C0450442
    NCI Thesaurus Property
    C42614
    UMLS 2011AA Property
    C0027365
    NCI Thesaurus ValueDomain
    C42614
    UMLS 2011AA ValueDomain
    C0027365
    Dose UOM
    Description

    ActualDoseAdministeredUnitofMeasureName

    Type de données

    text

    Alias
    NCI Thesaurus ObjectClass
    C25488
    UMLS 2011AA ObjectClass
    C0178602
    NCI Thesaurus ObjectClass
    C25274
    UMLS 2011AA ObjectClass
    C0237400
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    NCI Thesaurus ValueDomain
    C42614
    UMLS 2011AA ValueDomain
    C0027365
    Course Number (This is a derived field and may be displayed on the form, if needed.)
    Description

    CourseNumber

    Type de données

    double

    Alias
    NCI Thesaurus Property
    C25337
    UMLS 2011AA Property
    C0237753
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    NCI Thesaurus ObjectClass
    C25379
    UMLS 2011AA ObjectClass
    C0750729
    Comments
    Description

    Comments

    Note Date
    Description

    NoteDate

    Type de données

    date

    Alias
    NCI Thesaurus Property
    C25164
    UMLS 2011AA Property
    C0011008
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Metathesaurus ObjectClass
    C1317574
    Research Comments Text
    Description

    ResearchCommentsText

    Type de données

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    UMLS 2011AA Property
    C0282411

    Similar models

    Dates will appear as 'DD-MON-YYYY'

    1. StudyEvent: STUDY MEDICATION ADMINISTRATION
      1. Dates will appear as 'DD-MON-YYYY'
    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Study Medication Administration
    CourseDayNumber
    Item
    Course Day Number
    double
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25301 (NCI Thesaurus Property)
    C0439228 (UMLS 2011AA Property)
    C25379 (NCI Thesaurus ObjectClass)
    C0750729 (UMLS 2011AA ObjectClass)
    CourseStartDate
    Item
    Course Start Date
    date
    C25379 (NCI Thesaurus ObjectClass)
    C0750729 (UMLS 2011AA ObjectClass)
    CL219258 (NCI Metathesaurus ObjectClass)
    C25164 (NCI Thesaurus Property)
    C0011008 (UMLS 2011AA Property)
    C25431 (NCI Thesaurus Property)
    C0439659 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    StartTime
    Item
    Start Time
    time
    C25431 (NCI Thesaurus ObjectClass)
    C0439659 (UMLS 2011AA ObjectClass)
    C25409 (NCI Thesaurus ObjectClass)
    C1533734 (UMLS 2011AA ObjectClass)
    C25207 (NCI Thesaurus Property)
    C0040223 (UMLS 2011AA Property)
    CL219258 (NCI Metathesaurus Property)
    C25207 (NCI Thesaurus ValueDomain)
    C0040223 (UMLS 2011AA ValueDomain)
    ProtocolAgentName
    Item
    Agent
    text
    C25320 (NCI Thesaurus ObjectClass)
    C1507394 (UMLS 2011AA ObjectClass)
    C1708 (NCI Thesaurus ObjectClass)
    C0450442 (UMLS 2011AA ObjectClass)
    C42614 (NCI Thesaurus Property)
    C0027365 (UMLS 2011AA Property)
    C42614 (NCI Thesaurus ValueDomain)
    C0027365 (UMLS 2011AA ValueDomain)
    StopDate
    Item
    Stop Date
    date
    C25164 (NCI Thesaurus Property)
    C0011008 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C15368 (NCI Thesaurus ObjectClass)
    C65125 (NCI Thesaurus Property)
    C1947925 (UMLS 2011AA Property)
    Item
    Dose UOM
    text
    C25488 (NCI Thesaurus ObjectClass)
    C0178602 (UMLS 2011AA ObjectClass)
    C25274 (NCI Thesaurus ObjectClass)
    C0237400 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    C42614 (NCI Thesaurus ValueDomain)
    C0027365 (UMLS 2011AA ValueDomain)
    Code List
    Dose UOM
    CL Item
    Percent (%)
    C48570 (NCI Thesaurus)
    C0439165 (UMLS 2011AA)
    CL Item
    10e4 Cells Per Kilogram (10E4 Cell/kg)
    CL Item
    10e5 Cells Per Kilogram (10E5 Cell/kg)
    CL Item
    10e6 Cells Per Kilogram (10E6 Cell/kg)
    CL Item
    10e7 Cells Per Kilogram (10E7 Cell/kg)
    CL Item
    10e7 Plaque Forming Units (10E7 PFU)
    CL Item
    10e8 Plaque Forming Units (10E8 PFU)
    CL Item
    10e9 Plaque Forming Units (10E9 PFU)
    CL Item
    Application (Applcatn)
    C25397 (NCI Thesaurus)
    C0185125 (UMLS 2011AA)
    CL Item
    Atomic Unit (au)
    CL Item
    Area Under The Curve (AUC)
    C64774 (NCI Thesaurus)
    C0376690 (UMLS 2011AA)
    CL Item
    Billion Pfu (bill PFU)
    CL Item
    Bottle (Bottle)
    C43169 (NCI Thesaurus)
    C0179376 (UMLS 2011AA)
    CL Item
    Caplet (Caplet)
    C64696 (NCI Thesaurus)
    C1879996 (UMLS 2011AA)
    CL Item
    Capsule (Capsule)
    C25158 (NCI Thesaurus)
    C0006935 (UMLS 2011AA)
    CL Item
    Cells (Cells)
    CL Item
    Centigray (cGy)
    C64693 (NCI Thesaurus)
    C0556645 (UMLS 2011AA)
    CL Item
    Curie (Ci)
    C48466 (NCI Thesaurus)
    C0700085 (UMLS 2011AA)
    CL Item
    Course (Course)
    C25379 (NCI Thesaurus)
    C0750729 (UMLS 2011AA)
    CL Item
    Cycle (Course)
    C25472 (NCI Thesaurus)
    C1511572 (UMLS 2011AA)
    C25379 (NCI Thesaurus)
    C0750729 (UMLS 2011AA)
    CL Item
    Deciliter (dL)
    C64697 (NCI Thesaurus)
    C0439241 (UMLS 2011AA)
    CL Item
    Dose (Dose)
    C25488 (NCI Thesaurus)
    C0178602 (UMLS 2011AA)
    CL Item
    Equivalent (Eq)
    C48793 (NCI Thesaurus)
    C0205163 (UMLS 2011AA)
    CL Item
    Grams (g) (g)
    C48155 (NCI Thesaurus)
    C0439208 (UMLS 2011AA)
    CL Item
    Gram Per M2 (g/m2)
    C67282 (NCI Thesaurus)
    C1300564 (UMLS 2011AA)
    CL Item
    Gallon (Gallon)
    C48495 (NCI Thesaurus)
    C0560013 (UMLS 2011AA)
    CL Item
    Drops (gtts)
    C69442 (NCI Thesaurus)
    C2347093 (UMLS 2011AA)
    CL Item
    Gray (Gy)
    C18063 (NCI Thesaurus)
    C0556636 (UMLS 2011AA)
    CL Item
    Hertz (Hz)
    C42545 (NCI Thesaurus)
    C0439482 (UMLS 2011AA)
    CL Item
    Inhalation (Inhalatn)
    C28245 (NCI Thesaurus)
    C0004048 (UMLS 2011AA)
    CL Item
    Iu Vitamin A (IU Vit A)
    C67374 (NCI Thesaurus)
    C1881234 (UMLS 2011AA)
    CL Item
    International Unit Per Milligram (IU/mg)
    C67380 (NCI Thesaurus)
    C1319632 (UMLS 2011AA)
    CL Item
    International Units Or Milligram Alpha Tocopherol (IU/mg A-TE)
    C67381 (NCI Thesaurus)
    C1881235 (UMLS 2011AA)
    CL Item
    International Unit (IUnit)
    C48579 (NCI Thesaurus)
    C0439453 (UMLS 2011AA)
    CL Item
    International Unit Per Kilogram (IUnit/kg)
    C67379 (NCI Thesaurus)
    C0439463 (UMLS 2011AA)
    CL Item
    International Unit Per Liter (IUnit/L)
    C67376 (NCI Thesaurus)
    C0439457 (UMLS 2011AA)
    CL Item
    Intravenous Bag (IV Bag)
    C67283 (NCI Thesaurus)
    C1881246 (UMLS 2011AA)
    CL Item
    Joules Per Centimeter Squared (Jcm2)
    C67357 (NCI Thesaurus)
    C1881294 (UMLS 2011AA)
    CL Item
    Kib-electron Volt (KeV)
    C67276 (NCI Thesaurus)
    C1881333 (UMLS 2011AA)
    CL Item
    Kilograms (kg)
    C28252 (NCI Thesaurus)
    C0439209 (UMLS 2011AA)
    CL Item
    Kilohertz (kHz)
    C67279 (NCI Thesaurus)
    C0556965 (UMLS 2011AA)
    CL Item
    Kilopascal (kPa)
    C67284 (NCI Thesaurus)
    C0439474 (UMLS 2011AA)
    CL Item
    Kilounit (kU)
    C67309 (NCI Thesaurus)
    C1881335 (UMLS 2011AA)
    CL Item
    Kilounit Per Kilogram (kU/kg)
    C67382 (NCI Thesaurus)
    C1532633 (UMLS 2011AA)
    CL Item
    Kilounit Per Liter (kU/L)
    C67382 (NCI Thesaurus)
    C1532633 (UMLS 2011AA)
    CL Item
    Liter (L)
    C48505 (NCI Thesaurus)
    C0475211 (UMLS 2011AA)
    CL Item
    Liters Per Minute (L/min)
    C67388 (NCI Thesaurus)
    C0439393 (UMLS 2011AA)
    CL Item
    Microgram (mcg)
    C48152 (NCI Thesaurus)
    C0439211 (UMLS 2011AA)
    CL Item
    Microgram Per Centimeter Squared (mcg/cm2)
    C67311 (NCI Thesaurus)
    C1631160 (UMLS 2011AA)
    CL Item
    Microgram Per Hour (mcg/hr)
    C67394 (NCI Thesaurus)
    C0439425 (UMLS 2011AA)
    CL Item
    Microgram Per Kilogram (mcg/kg)
    C67396 (NCI Thesaurus)
    C1627892 (UMLS 2011AA)
    CL Item
    Microgram Per Meter Squared (mcg/m2)
    C67311 (NCI Thesaurus)
    C1631160 (UMLS 2011AA)
    CL Item
    Millicurie (mCi)
    C48511 (NCI Thesaurus)
    C0560005 (UMLS 2011AA)
    CL Item
    Measure (Measure)
    CL Item
    Milliequivalent (mEq)
    C48512 (NCI Thesaurus)
    C0439152 (UMLS 2011AA)
    CL Item
    Milliequivalents Per 24 Hours (mEq/24hr)
    CL Item
    Milliequivalent Per Deciliter (mEq/dL)
    C67473 (NCI Thesaurus)
    C1532568 (UMLS 2011AA)
    CL Item
    Milliequivalent Per Hour (mEq/hr)
    C67472 (NCI Thesaurus)
    C1532569 (UMLS 2011AA)
    CL Item
    Milliequivalent Per Liter (mEq/L)
    C67474 (NCI Thesaurus)
    C0439375 (UMLS 2011AA)
    CL Item
    Million Electron Volt (MeV)
    C67238 (NCI Thesaurus)
    C1881839 (UMLS 2011AA)
    C67278 (NCI Thesaurus)
    C0560135 (UMLS 2011AA)
    CL Item
    Milligram (mg)
    C28253 (NCI Thesaurus)
    C0439210 (UMLS 2011AA)
    CL Item
    Milligram Per 24 Hours (mg/24hr)
    C67399 (NCI Thesaurus)
    C0439423 (UMLS 2011AA)
    CL Item
    Milligram Per Deciliter (mg/dL)
    CL Item
    Milligram Per Hour (mg/hr)
    CL Item
    Milligram Per Inhalation (mg/inh)
    C67400 (NCI Thesaurus)
    C1881831 (UMLS 2011AA)
    CL Item
    Milligram Per Kilogram (mg/kg)
    CL Item
    Milligram Per Meter Squared (mg/m2)
    CL Item
    Milligram Per Milliliter (mg/mL)
    CL Item
    Milligram Per Week (mg/wk)
    CL Item
    Megahertz (MHz)
    C67314 (NCI Thesaurus)
    C0556962 (UMLS 2011AA)
    CL Item
    Microcurie (microCi)
    CL Item
    Microliter (microL)
    C48153 (NCI Thesaurus)
    C0439243 (UMLS 2011AA)
    CL Item
    Micromole (micromol)
    C48509 (NCI Thesaurus)
    C0439194 (UMLS 2011AA)
    CL Item
    Million Plaque Forming Units (mill PFU)
    C67268 (NCI Thesaurus)
    C1881844 (UMLS 2011AA)
    CL Item
    Million (Million)
    C67238 (NCI Thesaurus)
    C1881839 (UMLS 2011AA)
    CL Item
    Milliunit (millunit)
    C67315 (NCI Thesaurus)
    C1306898 (UMLS 2011AA)
    CL Item
    Milliinternational Unit (miu)
    CL Item
    Milliinternational Units Per Meter Squared (miu/m2)
    CL Item
    Milliliter (mL)
    C28254 (NCI Thesaurus)
    C0439242 (UMLS 2011AA)
    CL Item
    Cubic Centimeter (cc) (mL)
    CL Item
    Milliliter Per Hour (mL/hr)
    CL Item
    Milliliter Per Kilogram (mL/kg)
    CL Item
    Millimole (mmol)
    C48513 (NCI Thesaurus)
    C0439190 (UMLS 2011AA)
    CL Item
    Mole (Mole)
    CL Item
    Milliosmole (mosmol)
    C67318 (NCI Thesaurus)
    C0439154 (UMLS 2011AA)
    CL Item
    Megarad (Mrad)
    C67349 (NCI Thesaurus)
    C1881765 (UMLS 2011AA)
    CL Item
    Million Units (MU)
    CL Item
    Millivolt (mV)
    C67324 (NCI Thesaurus)
    C0456691 (UMLS 2011AA)
    CL Item
    Million Viral Particles (MVP)
    C67351 (NCI Thesaurus)
    C1881847 (UMLS 2011AA)
    CL Item
    Nanocurie (nCi)
    C67352 (NCI Thesaurus)
    C0560007 (UMLS 2011AA)
    CL Item
    Nanogram (ng)
    CL Item
    Nanogram Per Kilogram (ng/kg)
    CL Item
    Nanogram Per Liter (ng/L)
    CL Item
    Nanograms Per Milliliter (ng/mL)
    CL Item
    Nanometer Of Light (nm light)
    CL Item
    Nanomole (nmol)
    C48517 (NCI Thesaurus)
    C0439191 (UMLS 2011AA)
    CL Item
    No Source Data (No Srce)
    C53269 (NCI Thesaurus)
    C1546437 (UMLS 2011AA)
    CL Item
    Osmolality (osmol)
    CL Item
    Ounce (oz)
    C48519 (NCI Thesaurus)
    C0439218 (UMLS 2011AA)
    CL Item
    Pascal (Pa)
    C42547 (NCI Thesaurus)
    C0439473 (UMLS 2011AA)
    CL Item
    Packet (packet)
    CL Item
    Patch (Patch)
    CL Item
    Plaque Forming Units (PFU)
    CL Item
    Picograms (pg)
    CL Item
    Pounds Per Square Inch (psi)
    CL Item
    Puff (puff)
    CL Item
    Radiation Absorbed Dose (Rad)
    CL Item
    Vitamin A Retinol (RAE)
    CL Item
    Retinol Equivalents (RE)
    CL Item
    Seed (Seed)
    CL Item
    Session (Session)
    C67447 (NCI Thesaurus)
    C1883016 (UMLS 2011AA)
    CL Item
    Spray (Spray)
    CL Item
    Suppository (Suppstry)
    CL Item
    Tablets (Tablet)
    CL Item
    Tablespoon (Tbsp)
    CL Item
    Tissue Culture Infection Dose (TCID)
    CL Item
    Thousand (Thousand)
    C67234 (NCI Thesaurus)
    C1883310 (UMLS 2011AA)
    CL Item
    Troche (Troche)
    CL Item
    Teaspoon (tsp)
    CL Item
    Unit (Unit)
    C44278 (NCI Thesaurus)
    C0439148 (UMLS 2011AA)
    CL Item
    Unit Per Gram (Unit/g)
    CL Item
    Unit Per Kilogram (Unit/kg)
    CL Item
    Unit Per Meter Squared (Unit/m2)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Viral Particles (VP)
    StopTime
    Item
    Stop Time
    time
    C25207 (NCI Thesaurus Property)
    C0040223 (UMLS 2011AA Property)
    C25207 (NCI Thesaurus ValueDomain)
    C0040223 (UMLS 2011AA ValueDomain)
    C25409 (NCI Thesaurus ObjectClass)
    C1533734 (UMLS 2011AA ObjectClass)
    C65125 (NCI Thesaurus Property)
    C1947925 (UMLS 2011AA Property)
    CourseNumber
    Item
    Course Number (This is a derived field and may be displayed on the form, if needed.)
    double
    C25337 (NCI Thesaurus Property)
    C0237753 (UMLS 2011AA Property)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25379 (NCI Thesaurus ObjectClass)
    C0750729 (UMLS 2011AA ObjectClass)
    DoseLevel
    Item
    Dose Level
    double
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25488 (NCI Thesaurus ObjectClass)
    C0178602 (UMLS 2011AA ObjectClass)
    C25554 (NCI Thesaurus Property)
    C0441889 (UMLS 2011AA Property)
    Item
    Dose UOM
    text
    CL111054 (NCI Metathesaurus ObjectClass)
    C25409 (NCI Thesaurus Property)
    C1533734 (UMLS 2011AA Property)
    C42614 (NCI Thesaurus ValueDomain)
    C0027365 (UMLS 2011AA ValueDomain)
    Code List
    Dose UOM
    CL Item
    Percent (%)
    C48570 (NCI Thesaurus)
    C0439165 (UMLS 2011AA)
    CL Item
    10e4 Cells Per Kilogram (10E4 Cell/kg)
    CL Item
    10e5 Cells Per Kilogram (10E5 Cell/kg)
    CL Item
    10e6 Cells Per Kilogram (10E6 Cell/kg)
    CL Item
    10e7 Cells Per Kilogram (10E7 Cell/kg)
    CL Item
    10e7 Plaque Forming Units (10E7 PFU)
    CL Item
    10e8 Plaque Forming Units (10E8 PFU)
    CL Item
    10e9 Plaque Forming Units (10E9 PFU)
    CL Item
    Application (Applcatn)
    C25397 (NCI Thesaurus)
    C0185125 (UMLS 2011AA)
    CL Item
    Atomic Unit (au)
    CL Item
    Area Under The Curve (AUC)
    C64774 (NCI Thesaurus)
    C0376690 (UMLS 2011AA)
    CL Item
    Billion Pfu (bill PFU)
    CL Item
    Bottle (Bottle)
    C43169 (NCI Thesaurus)
    C0179376 (UMLS 2011AA)
    CL Item
    Caplet (Caplet)
    C64696 (NCI Thesaurus)
    C1879996 (UMLS 2011AA)
    CL Item
    Capsule (Capsule)
    C25158 (NCI Thesaurus)
    C0006935 (UMLS 2011AA)
    CL Item
    Cells (Cells)
    CL Item
    Centigray (cGy)
    C64693 (NCI Thesaurus)
    C0556645 (UMLS 2011AA)
    CL Item
    Curie (Ci)
    C48466 (NCI Thesaurus)
    C0700085 (UMLS 2011AA)
    CL Item
    Course (Course)
    C25379 (NCI Thesaurus)
    C0750729 (UMLS 2011AA)
    CL Item
    Cycle (Course)
    C25472 (NCI Thesaurus)
    C1511572 (UMLS 2011AA)
    C25379 (NCI Thesaurus)
    C0750729 (UMLS 2011AA)
    CL Item
    Deciliter (dL)
    C64697 (NCI Thesaurus)
    C0439241 (UMLS 2011AA)
    CL Item
    Dose (Dose)
    C25488 (NCI Thesaurus)
    C0178602 (UMLS 2011AA)
    CL Item
    Equivalent (Eq)
    C48793 (NCI Thesaurus)
    C0205163 (UMLS 2011AA)
    CL Item
    Grams (g) (g)
    C48155 (NCI Thesaurus)
    C0439208 (UMLS 2011AA)
    CL Item
    Gram Per M2 (g/m2)
    C67282 (NCI Thesaurus)
    C1300564 (UMLS 2011AA)
    CL Item
    Gallon (Gallon)
    C48495 (NCI Thesaurus)
    C0560013 (UMLS 2011AA)
    CL Item
    Drops (gtts)
    C69442 (NCI Thesaurus)
    C2347093 (UMLS 2011AA)
    CL Item
    Gray (Gy)
    C18063 (NCI Thesaurus)
    C0556636 (UMLS 2011AA)
    CL Item
    Hertz (Hz)
    C42545 (NCI Thesaurus)
    C0439482 (UMLS 2011AA)
    CL Item
    Inhalation (Inhalatn)
    C28245 (NCI Thesaurus)
    C0004048 (UMLS 2011AA)
    CL Item
    Iu Vitamin A (IU Vit A)
    C67374 (NCI Thesaurus)
    C1881234 (UMLS 2011AA)
    CL Item
    International Unit Per Milligram (IU/mg)
    C67380 (NCI Thesaurus)
    C1319632 (UMLS 2011AA)
    CL Item
    International Units Or Milligram Alpha Tocopherol (IU/mg A-TE)
    C67381 (NCI Thesaurus)
    C1881235 (UMLS 2011AA)
    CL Item
    International Unit (IUnit)
    C48579 (NCI Thesaurus)
    C0439453 (UMLS 2011AA)
    CL Item
    International Unit Per Kilogram (IUnit/kg)
    C67379 (NCI Thesaurus)
    C0439463 (UMLS 2011AA)
    CL Item
    International Unit Per Liter (IUnit/L)
    C67376 (NCI Thesaurus)
    C0439457 (UMLS 2011AA)
    CL Item
    Intravenous Bag (IV Bag)
    C67283 (NCI Thesaurus)
    C1881246 (UMLS 2011AA)
    CL Item
    Joules Per Centimeter Squared (Jcm2)
    C67357 (NCI Thesaurus)
    C1881294 (UMLS 2011AA)
    CL Item
    Kib-electron Volt (KeV)
    C67276 (NCI Thesaurus)
    C1881333 (UMLS 2011AA)
    CL Item
    Kilograms (kg)
    C28252 (NCI Thesaurus)
    C0439209 (UMLS 2011AA)
    CL Item
    Kilohertz (kHz)
    C67279 (NCI Thesaurus)
    C0556965 (UMLS 2011AA)
    CL Item
    Kilopascal (kPa)
    C67284 (NCI Thesaurus)
    C0439474 (UMLS 2011AA)
    CL Item
    Kilounit (kU)
    C67309 (NCI Thesaurus)
    C1881335 (UMLS 2011AA)
    CL Item
    Kilounit Per Kilogram (kU/kg)
    C67382 (NCI Thesaurus)
    C1532633 (UMLS 2011AA)
    CL Item
    Kilounit Per Liter (kU/L)
    C67382 (NCI Thesaurus)
    C1532633 (UMLS 2011AA)
    CL Item
    Liter (L)
    C48505 (NCI Thesaurus)
    C0475211 (UMLS 2011AA)
    CL Item
    Liters Per Minute (L/min)
    C67388 (NCI Thesaurus)
    C0439393 (UMLS 2011AA)
    CL Item
    Microgram (mcg)
    C48152 (NCI Thesaurus)
    C0439211 (UMLS 2011AA)
    CL Item
    Microgram Per Centimeter Squared (mcg/cm2)
    C67311 (NCI Thesaurus)
    C1631160 (UMLS 2011AA)
    CL Item
    Microgram Per Hour (mcg/hr)
    C67394 (NCI Thesaurus)
    C0439425 (UMLS 2011AA)
    CL Item
    Microgram Per Kilogram (mcg/kg)
    C67396 (NCI Thesaurus)
    C1627892 (UMLS 2011AA)
    CL Item
    Microgram Per Meter Squared (mcg/m2)
    C67311 (NCI Thesaurus)
    C1631160 (UMLS 2011AA)
    CL Item
    Millicurie (mCi)
    C48511 (NCI Thesaurus)
    C0560005 (UMLS 2011AA)
    CL Item
    Measure (Measure)
    CL Item
    Milliequivalent (mEq)
    C48512 (NCI Thesaurus)
    C0439152 (UMLS 2011AA)
    CL Item
    Milliequivalents Per 24 Hours (mEq/24hr)
    CL Item
    Milliequivalent Per Deciliter (mEq/dL)
    C67473 (NCI Thesaurus)
    C1532568 (UMLS 2011AA)
    CL Item
    Milliequivalent Per Hour (mEq/hr)
    C67472 (NCI Thesaurus)
    C1532569 (UMLS 2011AA)
    CL Item
    Milliequivalent Per Liter (mEq/L)
    C67474 (NCI Thesaurus)
    C0439375 (UMLS 2011AA)
    CL Item
    Million Electron Volt (MeV)
    C67238 (NCI Thesaurus)
    C1881839 (UMLS 2011AA)
    C67278 (NCI Thesaurus)
    C0560135 (UMLS 2011AA)
    CL Item
    Milligram (mg)
    C28253 (NCI Thesaurus)
    C0439210 (UMLS 2011AA)
    CL Item
    Milligram Per 24 Hours (mg/24hr)
    C67399 (NCI Thesaurus)
    C0439423 (UMLS 2011AA)
    CL Item
    Milligram Per Deciliter (mg/dL)
    CL Item
    Milligram Per Hour (mg/hr)
    CL Item
    Milligram Per Inhalation (mg/inh)
    C67400 (NCI Thesaurus)
    C1881831 (UMLS 2011AA)
    CL Item
    Milligram Per Kilogram (mg/kg)
    CL Item
    Milligram Per Meter Squared (mg/m2)
    CL Item
    Milligram Per Milliliter (mg/mL)
    CL Item
    Milligram Per Week (mg/wk)
    CL Item
    Megahertz (MHz)
    C67314 (NCI Thesaurus)
    C0556962 (UMLS 2011AA)
    CL Item
    Microcurie (microCi)
    CL Item
    Microliter (microL)
    C48153 (NCI Thesaurus)
    C0439243 (UMLS 2011AA)
    CL Item
    Micromole (micromol)
    C48509 (NCI Thesaurus)
    C0439194 (UMLS 2011AA)
    CL Item
    Million Plaque Forming Units (mill PFU)
    C67268 (NCI Thesaurus)
    C1881844 (UMLS 2011AA)
    CL Item
    Million (Million)
    C67238 (NCI Thesaurus)
    C1881839 (UMLS 2011AA)
    CL Item
    Milliunit (millunit)
    C67315 (NCI Thesaurus)
    C1306898 (UMLS 2011AA)
    CL Item
    Milliinternational Unit (miu)
    CL Item
    Milliinternational Units Per Meter Squared (miu/m2)
    CL Item
    Milliliter (mL)
    C28254 (NCI Thesaurus)
    C0439242 (UMLS 2011AA)
    CL Item
    Cubic Centimeter (cc) (mL)
    CL Item
    Milliliter Per Hour (mL/hr)
    CL Item
    Milliliter Per Kilogram (mL/kg)
    CL Item
    Millimole (mmol)
    C48513 (NCI Thesaurus)
    C0439190 (UMLS 2011AA)
    CL Item
    Mole (Mole)
    CL Item
    Milliosmole (mosmol)
    C67318 (NCI Thesaurus)
    C0439154 (UMLS 2011AA)
    CL Item
    Megarad (Mrad)
    C67349 (NCI Thesaurus)
    C1881765 (UMLS 2011AA)
    CL Item
    Million Units (MU)
    CL Item
    Millivolt (mV)
    C67324 (NCI Thesaurus)
    C0456691 (UMLS 2011AA)
    CL Item
    Million Viral Particles (MVP)
    C67351 (NCI Thesaurus)
    C1881847 (UMLS 2011AA)
    CL Item
    Nanocurie (nCi)
    C67352 (NCI Thesaurus)
    C0560007 (UMLS 2011AA)
    CL Item
    Nanogram (ng)
    CL Item
    Nanogram Per Kilogram (ng/kg)
    CL Item
    Nanogram Per Liter (ng/L)
    CL Item
    Nanograms Per Milliliter (ng/mL)
    CL Item
    Nanometer Of Light (nm light)
    CL Item
    Nanomole (nmol)
    C48517 (NCI Thesaurus)
    C0439191 (UMLS 2011AA)
    CL Item
    No Source Data (No Srce)
    C53269 (NCI Thesaurus)
    C1546437 (UMLS 2011AA)
    CL Item
    Osmolality (osmol)
    CL Item
    Ounce (oz)
    C48519 (NCI Thesaurus)
    C0439218 (UMLS 2011AA)
    CL Item
    Pascal (Pa)
    C42547 (NCI Thesaurus)
    C0439473 (UMLS 2011AA)
    CL Item
    Packet (packet)
    CL Item
    Patch (Patch)
    CL Item
    Plaque Forming Units (PFU)
    CL Item
    Picograms (pg)
    CL Item
    Pounds Per Square Inch (psi)
    CL Item
    Puff (puff)
    CL Item
    Radiation Absorbed Dose (Rad)
    CL Item
    Vitamin A Retinol (RAE)
    CL Item
    Retinol Equivalents (RE)
    CL Item
    Seed (Seed)
    CL Item
    Session (Session)
    C67447 (NCI Thesaurus)
    C1883016 (UMLS 2011AA)
    CL Item
    Spray (Spray)
    CL Item
    Suppository (Suppstry)
    CL Item
    Tablets (Tablet)
    CL Item
    Tablespoon (Tbsp)
    CL Item
    Tissue Culture Infection Dose (TCID)
    CL Item
    Thousand (Thousand)
    C67234 (NCI Thesaurus)
    C1883310 (UMLS 2011AA)
    CL Item
    Troche (Troche)
    CL Item
    Teaspoon (tsp)
    CL Item
    Unit (Unit)
    C44278 (NCI Thesaurus)
    C0439148 (UMLS 2011AA)
    CL Item
    Unit Per Gram (Unit/g)
    CL Item
    Unit Per Kilogram (Unit/kg)
    CL Item
    Unit Per Meter Squared (Unit/m2)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Viral Particles (VP)
    AdministrationScheduleAbbreviatedDescriptiveText
    Item
    Administration Schedule Abbreviated Descriptive Text
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C25211 (NCI Thesaurus Property)
    C0086960 (UMLS 2011AA Property)
    C25409 (NCI Thesaurus ObjectClass)
    C1533734 (UMLS 2011AA ObjectClass)
    Item
    Route
    text
    C25396 (NCI Thesaurus ObjectClass)
    C0444454 (UMLS 2011AA ObjectClass)
    C25169 (NCI Thesaurus Property)
    C0449444 (UMLS 2011AA Property)
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C38114 (NCI Thesaurus ValueDomain)
    C0013153 (UMLS 2011AA ValueDomain)
    Code List
    Route
    CL Item
    Continuous Intravenous Infusion (CIV)
    C38196 (NCI Thesaurus)
    C1511497 (UMLS 2011AA)
    CL Item
    Endotracheal Route Of Administration (ENDOTR)
    C38208 (NCI Thesaurus)
    C1522653 (UMLS 2011AA)
    CL Item
    Gastrostomy Tube (G Tube)
    C38199 (NCI Thesaurus)
    C1522614 (UMLS 2011AA)
    CL Item
    Intra-arterial (IA)
    C94248 (NCI Thesaurus)
    CL Item
    Intradermal (ID)
    C28213 (NCI Thesaurus)
    C0150647 (UMLS 2011AA)
    CL Item
    Intrahepatic (IH)
    C13808 (NCI Thesaurus)
    C1512948 (UMLS 2011AA)
    CL Item
    Intrahepatic Infusion (IHI)
    C15731 (NCI Thesaurus)
    C1134564 (UMLS 2011AA)
    CL Item
    Intramuscular (IM)
    C27974 (NCI Thesaurus)
    C0442117 (UMLS 2011AA)
    CL Item
    Inhalation (Inhalatn)
    C28245 (NCI Thesaurus)
    C0004048 (UMLS 2011AA)
    CL Item
    Interstitial Route Of Administration (Interstl)
    C38219 (NCI Thesaurus)
    C1522203 (UMLS 2011AA)
    CL Item
    Intratumoral (INTUM)
    C28036 (NCI Thesaurus)
    C1517564 (UMLS 2011AA)
    CL Item
    Intraperitoneal (IP)
    C13352 (NCI Thesaurus)
    C0442120 (UMLS 2011AA)
    CL Item
    Intrathecal (IT)
    C38267 (NCI Thesaurus)
    C0677897 (UMLS 2011AA)
    CL Item
    Intravenous Bolus (IV)
    C38274 (NCI Thesaurus)
    C0021494 (UMLS 2011AA)
    CL Item
    Intravenous Infusion (IVI)
    C38275 (NCI Thesaurus)
    C1621368 (UMLS 2011AA)
    CL Item
    Nasal (NASAL)
    C27958 (NCI Thesaurus)
    C0028429 (UMLS 2011AA)
    CL Item
    Nasogastric (NG)
    C38285 (NCI Thesaurus)
    C0694637 (UMLS 2011AA)
    CL Item
    Ophthalmic, Each Eye (Oph Each)
    CL Item
    Ophthalmic, Left Eye (Oph Left)
    CL Item
    Ophthalmic, Right Eye (Oph Rt)
    CL Item
    Auricular Route Of Administration (Otic)
    C38192 (NCI Thesaurus)
    C1522191 (UMLS 2011AA)
    CL Item
    Oral (PO)
    C38288 (NCI Thesaurus)
    C1527415 (UMLS 2011AA)
    CL Item
    Rectal (PR)
    C25224 (NCI Thesaurus)
    C0205052 (UMLS 2011AA)
    CL Item
    Radiation (RT)
    C54648 (NCI Thesaurus)
    C1882536 (UMLS 2011AA)
    CL Item
    Subcutaneous (SC)
    C13353 (NCI Thesaurus)
    C0443315 (UMLS 2011AA)
    CL Item
    Sublingual (Sublingual)
    C89785 (NCI Thesaurus)
    CL Item
    Swish & Spit (SWSP)
    C38302 (NCI Thesaurus)
    C1515102 (UMLS 2011AA)
    CL Item
    Swish & Swallow (SWSW)
    C38303 (NCI Thesaurus)
    C1515103 (UMLS 2011AA)
    CL Item
    Topical (TOP)
    C13344 (NCI Thesaurus)
    C0332237 (UMLS 2011AA)
    CL Item
    Transdermal (Transdermal)
    C28017 (NCI Thesaurus)
    C0694643 (UMLS 2011AA)
    CL Item
    Transmucosal Route (Transmucosal)
    C38283 (NCI Thesaurus)
    C1513727 (UMLS 2011AA)
    CL Item
    Unknown Route Of Administration (Unknown)
    C38311 (NCI Thesaurus)
    C1521803 (UMLS 2011AA)
    CL Item
    Vaginal Route (Vaginal)
    C13309 (NCI Thesaurus)
    C0042232 (UMLS 2011AA)
    AgentActualDose
    Item
    Agent Actual Dose
    double
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25488 (NCI Thesaurus ObjectClass)
    C0178602 (UMLS 2011AA ObjectClass)
    C25274 (NCI Thesaurus ObjectClass)
    C0237400 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    LotNumber
    Item
    Lot Number
    text
    C1115660 (NCI Metathesaurus ObjectClass)
    C25364 (NCI Thesaurus Property)
    C0600091 (UMLS 2011AA Property)
    C45255 (NCI Thesaurus ValueDomain)
    C1708523 (UMLS 2011AA ValueDomain)
    C42614 (NCI Thesaurus ValueDomain)
    C0027365 (UMLS 2011AA ValueDomain)
    C68805 (NCI Thesaurus ValueDomain)
    C2350015 (UMLS 2011AA ValueDomain)
    DurationValue
    Item
    Duration Value
    double
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25207 (NCI Thesaurus ObjectClass)
    C0040223 (UMLS 2011AA ObjectClass)
    C25330 (NCI Thesaurus Property)
    C0449238 (UMLS 2011AA Property)
    Item
    Duration UOM
    text
    CL110548 (NCI Metathesaurus ObjectClass)
    C25209 (NCI Thesaurus Property)
    C0242485 (UMLS 2011AA Property)
    C25162 (NCI Thesaurus ValueDomain)
    C0805701 (UMLS 2011AA ValueDomain)
    C25207 (NCI Thesaurus ValueDomain)
    C0040223 (UMLS 2011AA ValueDomain)
    C25709 (NCI Thesaurus ValueDomain)
    C1519795 (UMLS 2011AA ValueDomain)
    C25330 (NCI Thesaurus ValueDomain)
    C0449238 (UMLS 2011AA ValueDomain)
    Code List
    Duration UOM
    CL Item
    Course (CO)
    C25379 (NCI Thesaurus)
    C0750729 (UMLS 2011AA)
    CL Item
    Days (DY)
    CL Item
    Hours (HR)
    CL Item
    Minutes (MN)
    CL Item
    Month (MO)
    C29846 (NCI Thesaurus)
    C0439231 (UMLS 2011AA)
    CL Item
    Second (SEC)
    C42535 (NCI Thesaurus)
    C0457385 (UMLS 2011AA)
    CL Item
    Weeks (WK)
    Item Group
    Study Drug Missed
    MissedDoseDate
    Item
    Missed Dose Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C54031 (NCI Thesaurus Property)
    C1705492 (UMLS 2011AA Property)
    C25488 (NCI Thesaurus ObjectClass)
    C0178602 (UMLS 2011AA ObjectClass)
    MissedDoseAmount
    Item
    Missed Dose Amount
    double
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C54031 (NCI Thesaurus Property)
    C1705492 (UMLS 2011AA Property)
    C25488 (NCI Thesaurus ObjectClass)
    C0178602 (UMLS 2011AA ObjectClass)
    ProtocolAgentName
    Item
    Agent
    text
    C25320 (NCI Thesaurus ObjectClass)
    C1507394 (UMLS 2011AA ObjectClass)
    C1708 (NCI Thesaurus ObjectClass)
    C0450442 (UMLS 2011AA ObjectClass)
    C42614 (NCI Thesaurus Property)
    C0027365 (UMLS 2011AA Property)
    C42614 (NCI Thesaurus ValueDomain)
    C0027365 (UMLS 2011AA ValueDomain)
    Item
    Dose UOM
    text
    C25488 (NCI Thesaurus ObjectClass)
    C0178602 (UMLS 2011AA ObjectClass)
    C25274 (NCI Thesaurus ObjectClass)
    C0237400 (UMLS 2011AA ObjectClass)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    C42614 (NCI Thesaurus ValueDomain)
    C0027365 (UMLS 2011AA ValueDomain)
    Code List
    Dose UOM
    CL Item
    Percent (%)
    C48570 (NCI Thesaurus)
    C0439165 (UMLS 2011AA)
    CL Item
    10e4 Cells Per Kilogram (10E4 Cell/kg)
    CL Item
    10e5 Cells Per Kilogram (10E5 Cell/kg)
    CL Item
    10e6 Cells Per Kilogram (10E6 Cell/kg)
    CL Item
    10e7 Cells Per Kilogram (10E7 Cell/kg)
    CL Item
    10e7 Plaque Forming Units (10E7 PFU)
    CL Item
    10e8 Plaque Forming Units (10E8 PFU)
    CL Item
    10e9 Plaque Forming Units (10E9 PFU)
    CL Item
    Application (Applcatn)
    C25397 (NCI Thesaurus)
    C0185125 (UMLS 2011AA)
    CL Item
    Atomic Unit (au)
    CL Item
    Area Under The Curve (AUC)
    C64774 (NCI Thesaurus)
    C0376690 (UMLS 2011AA)
    CL Item
    Billion Pfu (bill PFU)
    CL Item
    Bottle (Bottle)
    C43169 (NCI Thesaurus)
    C0179376 (UMLS 2011AA)
    CL Item
    Caplet (Caplet)
    C64696 (NCI Thesaurus)
    C1879996 (UMLS 2011AA)
    CL Item
    Capsule (Capsule)
    C25158 (NCI Thesaurus)
    C0006935 (UMLS 2011AA)
    CL Item
    Cells (Cells)
    CL Item
    Centigray (cGy)
    C64693 (NCI Thesaurus)
    C0556645 (UMLS 2011AA)
    CL Item
    Curie (Ci)
    C48466 (NCI Thesaurus)
    C0700085 (UMLS 2011AA)
    CL Item
    Course (Course)
    C25379 (NCI Thesaurus)
    C0750729 (UMLS 2011AA)
    CL Item
    Cycle (Course)
    C25472 (NCI Thesaurus)
    C1511572 (UMLS 2011AA)
    C25379 (NCI Thesaurus)
    C0750729 (UMLS 2011AA)
    CL Item
    Deciliter (dL)
    C64697 (NCI Thesaurus)
    C0439241 (UMLS 2011AA)
    CL Item
    Dose (Dose)
    C25488 (NCI Thesaurus)
    C0178602 (UMLS 2011AA)
    CL Item
    Equivalent (Eq)
    C48793 (NCI Thesaurus)
    C0205163 (UMLS 2011AA)
    CL Item
    Grams (g) (g)
    C48155 (NCI Thesaurus)
    C0439208 (UMLS 2011AA)
    CL Item
    Gram Per M2 (g/m2)
    C67282 (NCI Thesaurus)
    C1300564 (UMLS 2011AA)
    CL Item
    Gallon (Gallon)
    C48495 (NCI Thesaurus)
    C0560013 (UMLS 2011AA)
    CL Item
    Drops (gtts)
    C69442 (NCI Thesaurus)
    C2347093 (UMLS 2011AA)
    CL Item
    Gray (Gy)
    C18063 (NCI Thesaurus)
    C0556636 (UMLS 2011AA)
    CL Item
    Hertz (Hz)
    C42545 (NCI Thesaurus)
    C0439482 (UMLS 2011AA)
    CL Item
    Inhalation (Inhalatn)
    C28245 (NCI Thesaurus)
    C0004048 (UMLS 2011AA)
    CL Item
    Iu Vitamin A (IU Vit A)
    C67374 (NCI Thesaurus)
    C1881234 (UMLS 2011AA)
    CL Item
    International Unit Per Milligram (IU/mg)
    C67380 (NCI Thesaurus)
    C1319632 (UMLS 2011AA)
    CL Item
    International Units Or Milligram Alpha Tocopherol (IU/mg A-TE)
    C67381 (NCI Thesaurus)
    C1881235 (UMLS 2011AA)
    CL Item
    International Unit (IUnit)
    C48579 (NCI Thesaurus)
    C0439453 (UMLS 2011AA)
    CL Item
    International Unit Per Kilogram (IUnit/kg)
    C67379 (NCI Thesaurus)
    C0439463 (UMLS 2011AA)
    CL Item
    International Unit Per Liter (IUnit/L)
    C67376 (NCI Thesaurus)
    C0439457 (UMLS 2011AA)
    CL Item
    Intravenous Bag (IV Bag)
    C67283 (NCI Thesaurus)
    C1881246 (UMLS 2011AA)
    CL Item
    Joules Per Centimeter Squared (Jcm2)
    C67357 (NCI Thesaurus)
    C1881294 (UMLS 2011AA)
    CL Item
    Kib-electron Volt (KeV)
    C67276 (NCI Thesaurus)
    C1881333 (UMLS 2011AA)
    CL Item
    Kilograms (kg)
    C28252 (NCI Thesaurus)
    C0439209 (UMLS 2011AA)
    CL Item
    Kilohertz (kHz)
    C67279 (NCI Thesaurus)
    C0556965 (UMLS 2011AA)
    CL Item
    Kilopascal (kPa)
    C67284 (NCI Thesaurus)
    C0439474 (UMLS 2011AA)
    CL Item
    Kilounit (kU)
    C67309 (NCI Thesaurus)
    C1881335 (UMLS 2011AA)
    CL Item
    Kilounit Per Kilogram (kU/kg)
    C67382 (NCI Thesaurus)
    C1532633 (UMLS 2011AA)
    CL Item
    Kilounit Per Liter (kU/L)
    C67382 (NCI Thesaurus)
    C1532633 (UMLS 2011AA)
    CL Item
    Liter (L)
    C48505 (NCI Thesaurus)
    C0475211 (UMLS 2011AA)
    CL Item
    Liters Per Minute (L/min)
    C67388 (NCI Thesaurus)
    C0439393 (UMLS 2011AA)
    CL Item
    Microgram (mcg)
    C48152 (NCI Thesaurus)
    C0439211 (UMLS 2011AA)
    CL Item
    Microgram Per Centimeter Squared (mcg/cm2)
    C67311 (NCI Thesaurus)
    C1631160 (UMLS 2011AA)
    CL Item
    Microgram Per Hour (mcg/hr)
    C67394 (NCI Thesaurus)
    C0439425 (UMLS 2011AA)
    CL Item
    Microgram Per Kilogram (mcg/kg)
    C67396 (NCI Thesaurus)
    C1627892 (UMLS 2011AA)
    CL Item
    Microgram Per Meter Squared (mcg/m2)
    C67311 (NCI Thesaurus)
    C1631160 (UMLS 2011AA)
    CL Item
    Millicurie (mCi)
    C48511 (NCI Thesaurus)
    C0560005 (UMLS 2011AA)
    CL Item
    Measure (Measure)
    CL Item
    Milliequivalent (mEq)
    C48512 (NCI Thesaurus)
    C0439152 (UMLS 2011AA)
    CL Item
    Milliequivalents Per 24 Hours (mEq/24hr)
    CL Item
    Milliequivalent Per Deciliter (mEq/dL)
    C67473 (NCI Thesaurus)
    C1532568 (UMLS 2011AA)
    CL Item
    Milliequivalent Per Hour (mEq/hr)
    C67472 (NCI Thesaurus)
    C1532569 (UMLS 2011AA)
    CL Item
    Milliequivalent Per Liter (mEq/L)
    C67474 (NCI Thesaurus)
    C0439375 (UMLS 2011AA)
    CL Item
    Million Electron Volt (MeV)
    C67238 (NCI Thesaurus)
    C1881839 (UMLS 2011AA)
    C67278 (NCI Thesaurus)
    C0560135 (UMLS 2011AA)
    CL Item
    Milligram (mg)
    C28253 (NCI Thesaurus)
    C0439210 (UMLS 2011AA)
    CL Item
    Milligram Per 24 Hours (mg/24hr)
    C67399 (NCI Thesaurus)
    C0439423 (UMLS 2011AA)
    CL Item
    Milligram Per Deciliter (mg/dL)
    CL Item
    Milligram Per Hour (mg/hr)
    CL Item
    Milligram Per Inhalation (mg/inh)
    C67400 (NCI Thesaurus)
    C1881831 (UMLS 2011AA)
    CL Item
    Milligram Per Kilogram (mg/kg)
    CL Item
    Milligram Per Meter Squared (mg/m2)
    CL Item
    Milligram Per Milliliter (mg/mL)
    CL Item
    Milligram Per Week (mg/wk)
    CL Item
    Megahertz (MHz)
    C67314 (NCI Thesaurus)
    C0556962 (UMLS 2011AA)
    CL Item
    Microcurie (microCi)
    CL Item
    Microliter (microL)
    C48153 (NCI Thesaurus)
    C0439243 (UMLS 2011AA)
    CL Item
    Micromole (micromol)
    C48509 (NCI Thesaurus)
    C0439194 (UMLS 2011AA)
    CL Item
    Million Plaque Forming Units (mill PFU)
    C67268 (NCI Thesaurus)
    C1881844 (UMLS 2011AA)
    CL Item
    Million (Million)
    C67238 (NCI Thesaurus)
    C1881839 (UMLS 2011AA)
    CL Item
    Milliunit (millunit)
    C67315 (NCI Thesaurus)
    C1306898 (UMLS 2011AA)
    CL Item
    Milliinternational Unit (miu)
    CL Item
    Milliinternational Units Per Meter Squared (miu/m2)
    CL Item
    Milliliter (mL)
    C28254 (NCI Thesaurus)
    C0439242 (UMLS 2011AA)
    CL Item
    Cubic Centimeter (cc) (mL)
    CL Item
    Milliliter Per Hour (mL/hr)
    CL Item
    Milliliter Per Kilogram (mL/kg)
    CL Item
    Millimole (mmol)
    C48513 (NCI Thesaurus)
    C0439190 (UMLS 2011AA)
    CL Item
    Mole (Mole)
    CL Item
    Milliosmole (mosmol)
    C67318 (NCI Thesaurus)
    C0439154 (UMLS 2011AA)
    CL Item
    Megarad (Mrad)
    C67349 (NCI Thesaurus)
    C1881765 (UMLS 2011AA)
    CL Item
    Million Units (MU)
    CL Item
    Millivolt (mV)
    C67324 (NCI Thesaurus)
    C0456691 (UMLS 2011AA)
    CL Item
    Million Viral Particles (MVP)
    C67351 (NCI Thesaurus)
    C1881847 (UMLS 2011AA)
    CL Item
    Nanocurie (nCi)
    C67352 (NCI Thesaurus)
    C0560007 (UMLS 2011AA)
    CL Item
    Nanogram (ng)
    CL Item
    Nanogram Per Kilogram (ng/kg)
    CL Item
    Nanogram Per Liter (ng/L)
    CL Item
    Nanograms Per Milliliter (ng/mL)
    CL Item
    Nanometer Of Light (nm light)
    CL Item
    Nanomole (nmol)
    C48517 (NCI Thesaurus)
    C0439191 (UMLS 2011AA)
    CL Item
    No Source Data (No Srce)
    C53269 (NCI Thesaurus)
    C1546437 (UMLS 2011AA)
    CL Item
    Osmolality (osmol)
    CL Item
    Ounce (oz)
    C48519 (NCI Thesaurus)
    C0439218 (UMLS 2011AA)
    CL Item
    Pascal (Pa)
    C42547 (NCI Thesaurus)
    C0439473 (UMLS 2011AA)
    CL Item
    Packet (packet)
    CL Item
    Patch (Patch)
    CL Item
    Plaque Forming Units (PFU)
    CL Item
    Picograms (pg)
    CL Item
    Pounds Per Square Inch (psi)
    CL Item
    Puff (puff)
    CL Item
    Radiation Absorbed Dose (Rad)
    CL Item
    Vitamin A Retinol (RAE)
    CL Item
    Retinol Equivalents (RE)
    CL Item
    Seed (Seed)
    CL Item
    Session (Session)
    C67447 (NCI Thesaurus)
    C1883016 (UMLS 2011AA)
    CL Item
    Spray (Spray)
    CL Item
    Suppository (Suppstry)
    CL Item
    Tablets (Tablet)
    CL Item
    Tablespoon (Tbsp)
    CL Item
    Tissue Culture Infection Dose (TCID)
    CL Item
    Thousand (Thousand)
    C67234 (NCI Thesaurus)
    C1883310 (UMLS 2011AA)
    CL Item
    Troche (Troche)
    CL Item
    Teaspoon (tsp)
    CL Item
    Unit (Unit)
    C44278 (NCI Thesaurus)
    C0439148 (UMLS 2011AA)
    CL Item
    Unit Per Gram (Unit/g)
    CL Item
    Unit Per Kilogram (Unit/kg)
    CL Item
    Unit Per Meter Squared (Unit/m2)
    CL Item
    Unknown (Unknown)
    C17998 (NCI Thesaurus)
    C0439673 (UMLS 2011AA)
    CL Item
    Viral Particles (VP)
    CourseNumber
    Item
    Course Number (This is a derived field and may be displayed on the form, if needed.)
    double
    C25337 (NCI Thesaurus Property)
    C0237753 (UMLS 2011AA Property)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    C25379 (NCI Thesaurus ObjectClass)
    C0750729 (UMLS 2011AA ObjectClass)
    Item Group
    Comments
    NoteDate
    Item
    Note Date
    date
    C25164 (NCI Thesaurus Property)
    C0011008 (UMLS 2011AA Property)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C1317574 (NCI Metathesaurus ObjectClass)
    ResearchCommentsText
    Item
    Research Comments Text
    text
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    C0282411 (UMLS 2011AA Property)

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