ID

42077

Descripción

Study ID: 104512 Clinical Study ID: 104512 Study Title: Phase I, Dose-Escalation Study of Iodine-131 Anti-B1 Antibody for Patients With Previously Treated Non Hodgkin's Lymphoma With More Than 25% Bone Marrow Involvement Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00992758 Sponsor: GlaxoSmithKline Phase: Phase 1 Study Recruitment Status: Completed Generic Name: Iodine-131 Anti-B1 Antibody Trade Name: Tositumomab Study Indication: Lymphoma, Non-Hodgkin

Palabras clave

Versiones (1)
  1. 23/3/21 23/3/21 -
Titular de derechos de autor

GlaxoSmithKline

Subido en

23 de marzo de 2021

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY 4.0
Comentarios del modelo :

Puede comentar sobre el modelo de datos aquí. A través de las burbujas de diálogo en los grupos de elementos y elementos, puede agregar comentarios específicos.

Volver a los comentarios del modelo
Comentarios de grupo de elementos para :

Comentarios del elemento para :

Para descargar modelos de datos, debe haber iniciado sesión. Por favor iniciar sesión o Registrate gratis.

Iodine-131 Anti-B1 Antibody for Patients With Previously Treated Non Hodgkin's Lymphoma NCT00992758

Inglés

Infusion Record

1 formularios  
  1. StudyEvent: ODM
    1. Infusion Record
Administrative
Descripción

Administrative

Alias
UMLS CUI-1
C1320722
Site Number
Descripción

Site Number

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2825164
UMLS CUI [1,2]
C0237753
Patient Number
Descripción

Patient Number

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1300638
Patient Initials
Descripción

Patient Initials

Tipo de datos

text

Alias
UMLS CUI [1]
C2986440
Infusion Record - Dosimetric Dose
Descripción

Infusion Record - Dosimetric Dose

Alias
UMLS CUI-1
C0574032
UMLS CUI-2
C2094191
Date administered (Dosimetric Dose)
Descripción

Date administered (Dosimetric Dose)

Tipo de datos

date

Alias
UMLS CUI [1,1]
C1533734
UMLS CUI [1,2]
C0011008
UMLS CUI [2]
C4019308
Time Started (Dosimetric Dose) - Cold
Descripción

Time Started (Dosimetric Dose) - Cold

Tipo de datos

time

Alias
UMLS CUI [1]
C1301880
UMLS CUI [2]
C4019308
UMLS CUI [3]
C0009264
Time Started (Dosimetric Dose) - Cold Flush
Descripción

Time Started (Dosimetric Dose) - Cold Flush

Tipo de datos

time

Alias
UMLS CUI [1]
C1301880
UMLS CUI [2]
C4019308
UMLS CUI [3,1]
C1696091
UMLS CUI [3,2]
C0009264
Time Started (Dosimetric Dose) - Hot
Descripción

Time Started (Dosimetric Dose) - Hot

Tipo de datos

time

Alias
UMLS CUI [1]
C1301880
UMLS CUI [2]
C4019308
UMLS CUI [3]
C2350229
Time Started (Dosimetric Dose) - Hot Flush
Descripción

Time Started (Dosimetric Dose) - Hot Flush

Tipo de datos

time

Alias
UMLS CUI [1]
C1301880
UMLS CUI [2]
C4019308
UMLS CUI [3,1]
C1696091
UMLS CUI [3,2]
C2350229
Time Finished (Dosimetric Dose) - Cold
Descripción

Time Finished (Dosimetric Dose) - Cold

Tipo de datos

time

Alias
UMLS CUI [1]
C1522314
UMLS CUI [2]
C4019308
UMLS CUI [3]
C0009264
Time Finished (Dosimetric Dose) - Cold Flush
Descripción

Time Finished (Dosimetric Dose) - Cold Flush

Tipo de datos

time

Alias
UMLS CUI [1]
C1522314
UMLS CUI [2]
C4019308
UMLS CUI [3,1]
C1696091
UMLS CUI [3,2]
C0009264
Time Finished (Dosimetric Dose) - Hot
Descripción

Time Finished (Dosimetric Dose) - Hot

Tipo de datos

time

Alias
UMLS CUI [1]
C1522314
UMLS CUI [2]
C4019308
UMLS CUI [3]
C2350229
Time Finished (Dosimetric Dose) - Hot Flush
Descripción

Time Finished (Dosimetric Dose) - Hot Flush

Tipo de datos

time

Alias
UMLS CUI [1]
C1522314
UMLS CUI [2]
C4019308
UMLS CUI [3,1]
C1696091
UMLS CUI [3,2]
C2350229
Anti-B1 dose (cold dose)
Descripción

Anti-B1 dose (cold dose)

Tipo de datos

float

Unidades de medida
  • mg
Alias
UMLS CUI [1]
C0768182
UMLS CUI [2,1]
C3174092
UMLS CUI [2,2]
C0009264
mg
Lot number of Anti-B1
Descripción

Lot number of Anti-B1

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0768182
UMLS CUI [1,2]
C1115660
Anti-B1 dose (hot dose)
Descripción

Anti-B1 dose (hot dose)

Tipo de datos

float

Unidades de medida
  • mg
Alias
UMLS CUI [1]
C0768182
UMLS CUI [2,1]
C3174092
UMLS CUI [2,2]
C2350229
mg
Lot number of Anti-B1
Descripción

Lot number of Anti-B1

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0768182
UMLS CUI [1,2]
C1115660
Iodine-131 Anti-B1 (prescripted)
Descripción

Iodine-131 Anti-B1 (prescripted)

Tipo de datos

float

Unidades de medida
  • mCi
Alias
UMLS CUI [1,1]
C0768182
UMLS CUI [1,2]
C0278329
mCi
Lot number (Nordion)
Descripción

Lot number (Nordion)

Tipo de datos

text

Alias
UMLS CUI [1]
C1115660
Did infusion rate need to be adjusted?
Descripción

Did infusion rate need to be adjusted?

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C2964135
UMLS CUI [1,2]
C2826232
If yes, specify adjustment of infusion rate
Descripción

If yes, specify adjustment of infusion rate

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2964135
UMLS CUI [1,2]
C0456081
UMLS CUI [1,3]
C2348235
Specify other adjustment of infusion rate
Descripción

Specify other adjustment of infusion rate

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2964135
UMLS CUI [1,2]
C0456081
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
If infusion rate was adjusted, specify reason
Descripción

Check all that apply

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2964135
UMLS CUI [1,2]
C0456081
UMLS CUI [1,3]
C3146298
UMLS CUI [1,4]
C2348235
Specify other reason for adjustment
Descripción

Specify other reason for adjustment

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2964135
UMLS CUI [1,2]
C0456081
UMLS CUI [1,3]
C3146298
UMLS CUI [1,4]
C0205394
UMLS CUI [1,5]
C2348235
Did the patient have any adverse experiences?
Descripción

If yes, please record on AE page.

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0877248
Infusion Record - Vital Signs (Dosimetric Dose)
Descripción

Infusion Record - Vital Signs (Dosimetric Dose)

Alias
UMLS CUI-1
C0574032
UMLS CUI-2
C0518766
UMLS CUI-3
C2094191
Time
Descripción

24 hr

Tipo de datos

time

Alias
UMLS CUI [1]
C0040223
Systolic Blood Pressure
Descripción

Systolic Blood Pressure

Tipo de datos

integer

Unidades de medida
  • mm[Hg]
Alias
UMLS CUI [1]
C0871470
mm[Hg]
Diastolic Blood Pressure
Descripción

Diastolic Blood Pressure

Tipo de datos

integer

Unidades de medida
  • mm[Hg]
Alias
UMLS CUI [1]
C0428883
mm[Hg]
Pulse
Descripción

Pulse

Tipo de datos

integer

Unidades de medida
  • beats/min
Alias
UMLS CUI [1]
C0232117
beats/min
Temperature
Descripción

Temperature

Tipo de datos

float

Unidades de medida
  • °C
Alias
UMLS CUI [1]
C0005903
°C
Comments
Descripción

Comments

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Infusion Record - Therapeutic Dose
Descripción

Infusion Record - Therapeutic Dose

Alias
UMLS CUI-1
C0574032
UMLS CUI-2
C0178602
UMLS CUI-3
C0302350
Date administered (Therapeutic Dose)
Descripción

Date administered (Therapeutic Dose)

Tipo de datos

date

Alias
UMLS CUI [1,1]
C1533734
UMLS CUI [1,2]
C0011008
UMLS CUI [2,1]
C0178602
UMLS CUI [2,2]
C0302350
Time Started (Therapeutic Dose) - Cold
Descripción

Time Started (Therapeutic Dose) - Cold

Tipo de datos

time

Alias
UMLS CUI [1]
C1301880
UMLS CUI [2,1]
C0178602
UMLS CUI [2,2]
C0302350
UMLS CUI [3]
C0009264
Time Started (Therapeutic Dose) - Cold Flush
Descripción

Time Started (Therapeutic Dose) - Cold Flush

Tipo de datos

time

Alias
UMLS CUI [1]
C1301880
UMLS CUI [2,1]
C0178602
UMLS CUI [2,2]
C0302350
UMLS CUI [3,1]
C1696091
UMLS CUI [3,2]
C0009264
Time Started (Therapeutic Dose) - Hot
Descripción

Time Started (Therapeutic Dose) - Hot

Tipo de datos

time

Alias
UMLS CUI [1]
C1301880
UMLS CUI [2,1]
C0178602
UMLS CUI [2,2]
C0302350
UMLS CUI [3]
C2350229
Time Started (Therapeutic Dose) - Hot Flush
Descripción

Time Started (Therapeutic Dose) - Hot Flush

Tipo de datos

time

Alias
UMLS CUI [1]
C1301880
UMLS CUI [2,1]
C0178602
UMLS CUI [2,2]
C0302350
UMLS CUI [3,1]
C1696091
UMLS CUI [3,2]
C2350229
Time Finished (Therapeutic Dose) - Cold
Descripción

Time Finished (Therapeutic Dose) - Cold

Tipo de datos

time

Alias
UMLS CUI [1]
C1522314
UMLS CUI [2,1]
C0178602
UMLS CUI [2,2]
C0302350
UMLS CUI [3]
C0009264
Time Finished (Therapeutic Dose) - Cold Flush
Descripción

Time Finished (Therapeutic Dose) - Cold Flush

Tipo de datos

time

Alias
UMLS CUI [1]
C1522314
UMLS CUI [2,1]
C0178602
UMLS CUI [2,2]
C0302350
UMLS CUI [3,1]
C1696091
UMLS CUI [3,2]
C0009264
Time Finished (Therapeutic Dose) - Hot
Descripción

Time Finished (Therapeutic Dose) - Hot

Tipo de datos

time

Alias
UMLS CUI [1]
C1522314
UMLS CUI [2,1]
C0178602
UMLS CUI [2,2]
C0302350
UMLS CUI [3]
C2350229
Time Finished (Therapeutic Dose) - Hot Flush
Descripción

Time Finished (Therapeutic Dose) - Hot Flush

Tipo de datos

time

Alias
UMLS CUI [1]
C1522314
UMLS CUI [2,1]
C0178602
UMLS CUI [2,2]
C0302350
UMLS CUI [3,1]
C1696091
UMLS CUI [3,2]
C2350229
Anti-B1 dose (cold dose)
Descripción

Anti-B1 dose (cold dose)

Tipo de datos

float

Unidades de medida
  • mg
Alias
UMLS CUI [1]
C0768182
UMLS CUI [2,1]
C3174092
UMLS CUI [2,2]
C0009264
mg
Lot number of Anti-B1
Descripción

Lot number of Anti-B1

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0768182
UMLS CUI [1,2]
C1115660
Anti-B1 dose (hot dose)
Descripción

Anti-B1 dose (hot dose)

Tipo de datos

float

Unidades de medida
  • mg
Alias
UMLS CUI [1]
C0768182
UMLS CUI [2,1]
C3174092
UMLS CUI [2,2]
C2350229
mg
Lot number of Anti-B1
Descripción

Lot number of Anti-B1

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0768182
UMLS CUI [1,2]
C1115660
Iodine-131 Anti-B1 (prescripted)
Descripción

Iodine-131 Anti-B1 (prescripted)

Tipo de datos

float

Unidades de medida
  • mCi
Alias
UMLS CUI [1,1]
C0768182
UMLS CUI [1,2]
C0278329
mCi
Lot number (Nordion)
Descripción

Lot number (Nordion)

Tipo de datos

text

Alias
UMLS CUI [1]
C1115660
Whole body dose (prescribed)
Descripción

Whole body dose (prescribed)

Tipo de datos

float

Unidades de medida
  • cGy
Alias
UMLS CUI [1,1]
C0678766
UMLS CUI [1,2]
C0278329
UMLS CUI [1,3]
C0444584
cGy
Was dose attenuated for obesity?
Descripción

Was dose attenuated for obesity?

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0574032
UMLS CUI [1,2]
C1707811
UMLS CUI [1,3]
C0028754
Did infusion rate need to be adjusted?
Descripción

Did infusion rate need to be adjusted?

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C2964135
UMLS CUI [1,2]
C2826232
Specify adjustment of infusion
Descripción

Specify adjustment of infusion

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2964135
UMLS CUI [1,2]
C0456081
UMLS CUI [1,3]
C2348235
Specify other adjustment of infusion
Descripción

Specify other adjustment of infusion

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2964135
UMLS CUI [1,2]
C0456081
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
If infusion rate was adjusted, specify reason
Descripción

Check all that apply

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C2964135
UMLS CUI [1,2]
C0456081
UMLS CUI [1,3]
C3146298
UMLS CUI [1,4]
C2348235
Specify other reason for adjustment
Descripción

Specify other reason for adjustment

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2964135
UMLS CUI [1,2]
C0456081
UMLS CUI [1,3]
C3146298
UMLS CUI [1,4]
C0205394
UMLS CUI [1,5]
C2348235
Did the patient have any adverse experiences?
Descripción

If yes, please record on AE page.

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0877248
Was patient compliant with SSKI, Lugol's solution, or potassium iodide tablets as described in protocol?
Descripción

Was patient compliant with SSKI, Lugol's solution, or potassium iodide tablets as described in protocol?

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1321605
UMLS CUI [1,2]
C1564085
UMLS CUI [2,1]
C1321605
UMLS CUI [2,2]
C0032831
UMLS CUI [3,1]
C1321605
UMLS CUI [3,2]
C0065234
If patient was not compliant, please explain
Descripción

If patient was not compliant, please explain

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1321605
UMLS CUI [1,2]
C0681841
Infusion Record - Vital Signs (Therapeutic Dose)
Descripción

Infusion Record - Vital Signs (Therapeutic Dose)

Alias
UMLS CUI-1
C0574032
UMLS CUI-2
C0518766
UMLS CUI-3
C0178602
UMLS CUI-4
C0302350
Time
Descripción

24 hr

Tipo de datos

time

Alias
UMLS CUI [1]
C0040223
Systolic Blood Pressure
Descripción

Systolic Blood Pressure

Tipo de datos

integer

Unidades de medida
  • mm[Hg]
Alias
UMLS CUI [1]
C0871470
mm[Hg]
Diastolic Blood Pressure
Descripción

Diastolic Blood Pressure

Tipo de datos

integer

Unidades de medida
  • mm[Hg]
Alias
UMLS CUI [1]
C0428883
mm[Hg]
Pulse
Descripción

Pulse

Tipo de datos

integer

Unidades de medida
  • beats/min
Alias
UMLS CUI [1]
C0232117
beats/min
Temperature
Descripción

Temperature

Tipo de datos

float

Unidades de medida
  • °C
Alias
UMLS CUI [1]
C0005903
°C
Comments
Descripción

Comments

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Volver a la parte superior de la página

Similar models

Infusion Record

1 formularios
  1. StudyEvent: ODM
    1. Infusion Record
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative
C1320722 (UMLS CUI-1)
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])
Item Group
Infusion Record - Dosimetric Dose
C0574032 (UMLS CUI-1)
C2094191 (UMLS CUI-2)
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])
If yes, specify adjustment of infusion rate
Code List
If yes, specify adjustment of infusion rate
CL Item
Decreased by 1/2 (1)
CL Item
Discontinued (2)
CL Item
Other (3)
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])
If infusion rate was adjusted, specify reason
Code List
If infusion rate was adjusted, specify reason
CL Item
Decreased SBP (1)
CL Item
Rigors (2)
CL Item
Fever (3)
CL Item
Mucosal congestion/Edema (4)
CL Item
Other (5)
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])
Item Group
Infusion Record - Vital Signs (Dosimetric Dose)
C0574032 (UMLS CUI-1)
C0518766 (UMLS CUI-2)
C2094191 (UMLS CUI-3)
Time
Item
Time
time
C0040223 (UMLS CUI [1])
Systolic Blood Pressure
Item
Systolic Blood Pressure
integer
C0871470 (UMLS CUI [1])
Diastolic Blood Pressure
Item
Diastolic Blood Pressure
integer
C0428883 (UMLS CUI [1])
Pulse
Item
Pulse
integer
C0232117 (UMLS CUI [1])
Temperature
Item
Temperature
float
C0005903 (UMLS CUI [1])
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
Item Group
Infusion Record - Therapeutic Dose
C0574032 (UMLS CUI-1)
C0178602 (UMLS CUI-2)
C0302350 (UMLS CUI-3)
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])
Specify adjustment o f infusion
Code List
Specify adjustment of infusion
CL Item
Decreased by 1/2 (1)
CL Item
Discontinued (2)
CL Item
Other (3)
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])
If infusion rate was adjusted, specify reason
Code List
If infusion rate was adjusted, specify reason
CL Item
Decreased SBP  (1)
CL Item
Rigors  (2)
CL Item
Fever  (3)
CL Item
Mucosal congestion/Edema  (4)
CL Item
Other (5)
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])
Item Group
Infusion Record - Vital Signs (Therapeutic Dose)
C0574032 (UMLS CUI-1)
C0518766 (UMLS CUI-2)
C0178602 (UMLS CUI-3)
C0302350 (UMLS CUI-4)
Time
Item
Time
time
C0040223 (UMLS CUI [1])
Systolic Blood Pressure
Item
Systolic Blood Pressure
integer
C0871470 (UMLS CUI [1])
Diastolic Blood Pressure
Item
Diastolic Blood Pressure
integer
C0428883 (UMLS CUI [1])
Pulse
Item
Pulse
integer
C0232117 (UMLS CUI [1])
Temperature
Item
Temperature
float
C0005903 (UMLS CUI [1])
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
Volver a la parte superior de la página 

Contacto

Utilice este formulario para comentarios, preguntas y sugerencias.

Los campos marcados con * son obligatorios.

Ayuda

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial