Study centre number
Item
Site #
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
patient ID
Item
Patient #
integer
C2348585 (UMLS CUI [1])
visit date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Investigator Name
Item
Investigator Name
text
C2826892 (UMLS CUI [1])
Additional form
Item
Check if (additional) supplemental instance of this form was used.
boolean
C1706499 (UMLS CUI [1])
CRF Sequential Number
Item
Instance Number
integer
C1516308 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Item
Equipment primed?
text
C3805286 (UMLS CUI [1])
Code List
Equipment primed?
Priming dose
Item
**Primed dose: __ μg/__mL
integer
C3174092 (UMLS CUI [1,1])
C0304229 (UMLS CUI [1,2])
C3805286 (UMLS CUI [1,3])
Priming dose
Item
**Primed dose: __ μg/__mL
integer
C3174092 (UMLS CUI [1,1])
C0304229 (UMLS CUI [1,2])
C3805286 (UMLS CUI [1,3])
Item
Number of bolus administered
text
C1511237 (UMLS CUI [1,1])
C2348184 (UMLS CUI [1,2])
Code List
Number of bolus administered
CL Item
initial (initial)
CL Item
seventh (seventh)
Item
Was this bolus administered?
text
C1511237 (UMLS CUI [1,1])
C1521801 (UMLS CUI [1,2])
Code List
Was this bolus administered?
Bolus dose
Item
*If yes, bolus dose:
integer
C1511237 (UMLS CUI [1])
Bolus start date
Item
Start Date:
date
C1511237 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Bolus start time
Item
Start Time:
time
C1511237 (UMLS CUI [1,1])
C1301880 (UMLS CUI [1,2])
Bolus stop time
Item
Stop Time:
time
C1511237 (UMLS CUI [1,1])
C1522314 (UMLS CUI [1,2])