Starting with the office visit day (cycle start, day 1), enter the date and time of application of medication and the date and time for washing off after the medication

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header Module
Visit number
Item
Visit number
float
C25337 (NCI Thesaurus ValueDomain)
C1549755 (UMLS CUI-1)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
Item Group
Cidofovir Administration
Item
Day of cycle
text
C41161 (NCI Thesaurus ObjectClass)
C1521826 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus ObjectClass-2)
C1521801 (UMLS 2011AA ObjectClass-2)
C25301 (NCI Thesaurus Property)
C0439228 (UMLS 2011AA Property)
C25379 (NCI Thesaurus Property-2)
C0750729 (UMLS 2011AA Property-2)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
Code List
Day of cycle
CL Item
Day 1 (Day 1)
CL Item
Day 2 (Day 2)
CL Item
Day 3 (Day 3)
CL Item
Day 4 (Day 4)
CL Item
Day 5 (Day 5)
Agent Start Date
Item
Agent Start Date (medicine applied mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C1521826 (UMLS CUI-1)
C25431 (NCI Thesaurus ValueDomain-2)
C0808070 (UMLS CUI-2)
C1708 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
AgentAdministeredBeginTime
Item
Agent start time (medicine applied hh:mm)
time
C25431 (NCI Thesaurus ValueDomain)
C0439659 (UMLS 2011AA ValueDomain)
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C25207 (NCI Thesaurus ValueDomain-2)
C0040223 (UMLS 2011AA ValueDomain-2)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Agent End Date
Item
Agent End Date (medicine washed off mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C1521826 (UMLS CUI-1)
C1708 (NCI Thesaurus ObjectClass)
C0806020 (UMLS CUI-2)
C25275 (NCI Thesaurus Property)
AgentAdministeredEndTime
Item
Agent end time (medicine washed off hh:mm)
time
C1708 (NCI Thesaurus ObjectClass)
C0450442 (UMLS 2011AA ObjectClass)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
Item
Dose Modification
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25488 (NCI Thesaurus ObjectClass)
C0178602 (UMLS 2011AA ObjectClass)
C1600 (NCI Thesaurus ObjectClass-2)
C0286078 (UMLS 2011AA ObjectClass-2)
C25572 (NCI Thesaurus Property)
Code List
Dose Modification
CL Item
No Dose Modification (No dose modifications)
CL Item
Yes, Modification For >= Grade 3 Cutaneous Toxicity (Yes, modification for >= grade 3 cutaneous toxicity)
CL Item
Yes, Modification For Hematologic Or Noncutaneous Nonhematologic Toxicity (Yes, modification for hematologic or noncutaneous nonhematologic toxicity)
CL Item
Yes, Modification For Related >= Grade 2 Metabolic Toxicity (Yes, modification for related >= grade 2 metabolic toxicity)
CL Item
Yes, Modification For Second Occurrence Of Grade 2 Cutaneous Toxicity (Yes, modification for second occurrence of grade 2 cutaneous toxicity)
CL Item
Yes, Non-protocol Defined Modification (Yes, non-protocol defined modification)
Item Group
Comments
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C0947611 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)

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