Administrative data
Study Name
text
Site
Subject
Visit Name
DCI Name/Shortname
Status
Doc#
integer
Visit #
float
New Thyroid Nodules
Date of evaluation at which new nodule appeared
date
AE/SAE reference number
check one
Location
Bidimentional Measurement
Treatment
Was an action taken?
boolean
If Yes, please check all that apply
check only one
check all that apply
Was the action taken due to fine needle aspirate pathology result?
If yes, please provide details below
Lab Tests
record all relevant data
Free T4
Result
Unit
LLN
ULN
T4
TSH
Free T3
T3 Uptake