Site Number
Item
Site Number
text
C2825164 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Patient Number
Item
Patient Number
text
C0030705 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Patient Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Date administered (Dosimetric Dose)
Item
Date administered (Dosimetric Dose)
date
C1533734 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C4019308 (UMLS CUI [2])
Time Started (Dosimetric Dose) - Cold
Item
Time Started (Dosimetric Dose) - Cold
time
C1301880 (UMLS CUI [1])
C4019308 (UMLS CUI [2])
C0009264 (UMLS CUI [3])
Time Started (Dosimetric Dose) - Cold Flush
Item
Time Started (Dosimetric Dose) - Cold Flush
time
C1301880 (UMLS CUI [1])
C4019308 (UMLS CUI [2])
C1696091 (UMLS CUI [3,1])
C0009264 (UMLS CUI [3,2])
Time Started (Dosimetric Dose) - Hot
Item
Time Started (Dosimetric Dose) - Hot
time
C1301880 (UMLS CUI [1])
C4019308 (UMLS CUI [2])
C2350229 (UMLS CUI [3])
Time Started (Dosimetric Dose) - Hot Flush
Item
Time Started (Dosimetric Dose) - Hot Flush
time
C1301880 (UMLS CUI [1])
C4019308 (UMLS CUI [2])
C1696091 (UMLS CUI [3,1])
C2350229 (UMLS CUI [3,2])
Time Finished (Dosimetric Dose) - Cold
Item
Time Finished (Dosimetric Dose) - Cold
time
C1522314 (UMLS CUI [1])
C4019308 (UMLS CUI [2])
C0009264 (UMLS CUI [3])
Time Finished (Dosimetric Dose) - Cold Flush
Item
Time Finished (Dosimetric Dose) - Cold Flush
time
C1522314 (UMLS CUI [1])
C4019308 (UMLS CUI [2])
C1696091 (UMLS CUI [3,1])
C0009264 (UMLS CUI [3,2])
Time Finished (Dosimetric Dose) - Hot
Item
Time Finished (Dosimetric Dose) - Hot
time
C1522314 (UMLS CUI [1])
C4019308 (UMLS CUI [2])
C2350229 (UMLS CUI [3])
Time Finished (Dosimetric Dose) - Hot Flush
Item
Time Finished (Dosimetric Dose) - Hot Flush
time
C1522314 (UMLS CUI [1])
C4019308 (UMLS CUI [2])
C1696091 (UMLS CUI [3,1])
C2350229 (UMLS CUI [3,2])
Anti-B1 dose (cold dose)
Item
Anti-B1 dose (cold dose)
float
C0768182 (UMLS CUI [1])
C3174092 (UMLS CUI [2,1])
C0009264 (UMLS CUI [2,2])
Lot number of Anti-B1
Item
Lot number of Anti-B1
text
C0768182 (UMLS CUI [1,1])
C1115660 (UMLS CUI [1,2])
Anti-B1 dose (hot dose)
Item
Anti-B1 dose (hot dose)
float
C0768182 (UMLS CUI [1])
C3174092 (UMLS CUI [2,1])
C2350229 (UMLS CUI [2,2])
Lot number of Anti-B1
Item
Lot number of Anti-B1
text
C0768182 (UMLS CUI [1,1])
C1115660 (UMLS CUI [1,2])
Iodine-131 Anti-B1 (prescripted)
Item
Iodine-131 Anti-B1 (prescripted)
float
C0768182 (UMLS CUI [1,1])
C0278329 (UMLS CUI [1,2])
Lot number (Nordion)
Item
Lot number (Nordion)
text
C1115660 (UMLS CUI [1])
Did infusion rate need to be adjusted?
Item
Did infusion rate need to be adjusted?
boolean
C2964135 (UMLS CUI [1,1])
C2826232 (UMLS CUI [1,2])
Item
If yes, specify adjustment of infusion rate
integer
C2964135 (UMLS CUI [1,1])
C0456081 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Code List
If yes, specify adjustment of infusion rate
CL Item
Decreased by 1/2 (1)
Specify other adjustment of infusion rate
Item
Specify other adjustment of infusion rate
text
C2964135 (UMLS CUI [1,1])
C0456081 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
If infusion rate was adjusted, specify reason
integer
C2964135 (UMLS CUI [1,1])
C0456081 (UMLS CUI [1,2])
C3146298 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
If infusion rate was adjusted, specify reason
CL Item
Decreased SBP (1)
CL Item
Mucosal congestion/Edema (4)
Specify other reason for adjustment
Item
Specify other reason for adjustment
text
C2964135 (UMLS CUI [1,1])
C0456081 (UMLS CUI [1,2])
C3146298 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
C2348235 (UMLS CUI [1,5])
Did the patient have any adverse experiences?
Item
Did the patient have any adverse experiences?
boolean
C0877248 (UMLS CUI [1])
Date administered (Therapeutic Dose)
Item
Date administered (Therapeutic Dose)
date
C1533734 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0178602 (UMLS CUI [2,1])
C0302350 (UMLS CUI [2,2])
Time Started (Therapeutic Dose) - Cold
Item
Time Started (Therapeutic Dose) - Cold
time
C1301880 (UMLS CUI [1])
C0178602 (UMLS CUI [2,1])
C0302350 (UMLS CUI [2,2])
C0009264 (UMLS CUI [3])
Time Started (Therapeutic Dose) - Cold Flush
Item
Time Started (Therapeutic Dose) - Cold Flush
time
C1301880 (UMLS CUI [1])
C0178602 (UMLS CUI [2,1])
C0302350 (UMLS CUI [2,2])
C1696091 (UMLS CUI [3,1])
C0009264 (UMLS CUI [3,2])
Time Started (Therapeutic Dose) - Hot
Item
Time Started (Therapeutic Dose) - Hot
time
C1301880 (UMLS CUI [1])
C0178602 (UMLS CUI [2,1])
C0302350 (UMLS CUI [2,2])
C2350229 (UMLS CUI [3])
Time Started (Therapeutic Dose) - Hot Flush
Item
Time Started (Therapeutic Dose) - Hot Flush
time
C1301880 (UMLS CUI [1])
C0178602 (UMLS CUI [2,1])
C0302350 (UMLS CUI [2,2])
C1696091 (UMLS CUI [3,1])
C2350229 (UMLS CUI [3,2])
Time Finished (Therapeutic Dose) - Cold
Item
Time Finished (Therapeutic Dose) - Cold
time
C1522314 (UMLS CUI [1])
C0178602 (UMLS CUI [2,1])
C0302350 (UMLS CUI [2,2])
C0009264 (UMLS CUI [3])
Time Finished (Therapeutic Dose) - Cold Flush
Item
Time Finished (Therapeutic Dose) - Cold Flush
time
C1522314 (UMLS CUI [1])
C0178602 (UMLS CUI [2,1])
C0302350 (UMLS CUI [2,2])
C1696091 (UMLS CUI [3,1])
C0009264 (UMLS CUI [3,2])
Time Finished (Therapeutic Dose) - Hot
Item
Time Finished (Therapeutic Dose) - Hot
time
C1522314 (UMLS CUI [1])
C0178602 (UMLS CUI [2,1])
C0302350 (UMLS CUI [2,2])
C2350229 (UMLS CUI [3])
Time Finished (Therapeutic Dose) - Hot Flush
Item
Time Finished (Therapeutic Dose) - Hot Flush
time
C1522314 (UMLS CUI [1])
C0178602 (UMLS CUI [2,1])
C0302350 (UMLS CUI [2,2])
C1696091 (UMLS CUI [3,1])
C2350229 (UMLS CUI [3,2])
Anti-B1 dose (cold dose)
Item
Anti-B1 dose (cold dose)
float
C0768182 (UMLS CUI [1])
C3174092 (UMLS CUI [2,1])
C0009264 (UMLS CUI [2,2])
Lot number of Anti-B1
Item
Lot number of Anti-B1
text
C0768182 (UMLS CUI [1,1])
C1115660 (UMLS CUI [1,2])
Anti-B1 dose (hot dose)
Item
Anti-B1 dose (hot dose)
float
C0768182 (UMLS CUI [1])
C3174092 (UMLS CUI [2,1])
C2350229 (UMLS CUI [2,2])
Lot number of Anti-B1
Item
Lot number of Anti-B1
text
C0768182 (UMLS CUI [1,1])
C1115660 (UMLS CUI [1,2])
Iodine-131 Anti-B1 (prescripted)
Item
Iodine-131 Anti-B1 (prescripted)
float
C0768182 (UMLS CUI [1,1])
C0278329 (UMLS CUI [1,2])
Lot number (Nordion)
Item
Lot number (Nordion)
text
C1115660 (UMLS CUI [1])
Whole body dose (prescribed)
Item
Whole body dose (prescribed)
float
C0678766 (UMLS CUI [1,1])
C0278329 (UMLS CUI [1,2])
C0444584 (UMLS CUI [1,3])
Was dose attenuated for obesity?
Item
Was dose attenuated for obesity?
boolean
C0574032 (UMLS CUI [1,1])
C1707811 (UMLS CUI [1,2])
C0028754 (UMLS CUI [1,3])
Did infusion rate need to be adjusted?
Item
Did infusion rate need to be adjusted?
boolean
C2964135 (UMLS CUI [1,1])
C2826232 (UMLS CUI [1,2])
Item
Specify adjustment of infusion
integer
C2964135 (UMLS CUI [1,1])
C0456081 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Code List
Specify adjustment of infusion
CL Item
Decreased by 1/2 (1)
Specify other adjustment of infusion
Item
Specify other adjustment of infusion
text
C2964135 (UMLS CUI [1,1])
C0456081 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
If infusion rate was adjusted, specify reason
integer
C2964135 (UMLS CUI [1,1])
C0456081 (UMLS CUI [1,2])
C3146298 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
If infusion rate was adjusted, specify reason
CL Item
Decreased SBP (1)
CL Item
Mucosal congestion/Edema (4)
Specify other reason for adjustment
Item
Specify other reason for adjustment
text
C2964135 (UMLS CUI [1,1])
C0456081 (UMLS CUI [1,2])
C3146298 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
C2348235 (UMLS CUI [1,5])
Did the patient have any adverse experiences?
Item
Did the patient have any adverse experiences?
boolean
C0877248 (UMLS CUI [1])
Was patient compliant with SSKI, Lugol's solution, or potassium iodide tablets as described in protocol?
Item
Was patient compliant with SSKI, Lugol's solution, or potassium iodide tablets as described in protocol?
boolean
C1321605 (UMLS CUI [1,1])
C1564085 (UMLS CUI [1,2])
C1321605 (UMLS CUI [2,1])
C0032831 (UMLS CUI [2,2])
C1321605 (UMLS CUI [3,1])
C0065234 (UMLS CUI [3,2])
If patient was not compliant, please explain
Item
If patient was not compliant, please explain
text
C1321605 (UMLS CUI [1,1])
C0681841 (UMLS CUI [1,2])