ID

8569

Beskrivning

Urinalysis - RF25 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=CCE3C24A-B0A1-5094-E034-0003BA12F5E7

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=CCE3C24A-B0A1-5094-E034-0003BA12F5E7

Nyckelord

Versioner (2)
  1. 2012-09-19 2012-09-19 -
  2. 2015-01-09 2015-01-09 - Martin Dugas
Uppladdad den

9 januari 2015

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0 Legacy
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Sarcoma, Kaposi xxx Lab - Urinalysis - RF25 - 2267334v3.0

Engelsk

No Instruction available.

1 Formulär  
  1. StudyEvent: Urinalysis - RF25
    1. No Instruction available.
Ccrr Module For Urinalysis - Rf25
Beskrivning

Ccrr Module For Urinalysis - Rf25

Patient Initials
Beskrivning

Patient Initials

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Study#
Beskrivning

Protocol ID Coordinating Group

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C1711341
NCI Thesaurus Property
C25462
NCI Thesaurus Property-2
C25364
Site#
Beskrivning

NCIInstitutionIdentifierCode

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
NCI Thesaurus ObjectClass
C21541
UMLS 2011AA ObjectClass
C0018704
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass-2
C19202
UMLS 2011AA ObjectClass-2
C1513882
ID#
Beskrivning

Patient Study ID

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25462
NCI Thesaurus Property-2
C25364
Cycle#
Beskrivning

Cycle Number Chemotherapeutics

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2045829
NCI Thesaurus Property
C25471
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property-2
C25379
Date Specimen Obtained
Beskrivning

SpecimenCollectedDate

Datatyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
NCI Thesaurus Property
C25452
NCI Thesaurus Property-2
C25275
UMLS 2011AA Property
C2745955
Which evaluation does this represent?
Beskrivning

TimePeriod

Datatyp

text

Specific Grav
Beskrivning

LaboratoryProcedureUrineSpecificGravityOutcomeValue

Datatyp

float

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C13283
UMLS 2011AA Property
C0042036
NCI Thesaurus Property-2
C20200
UMLS 2011AA Property-2
C1274040
NCI Thesaurus Property-3
C64832
UMLS 2011AA Property-3
C0037786
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Cycle Day
Beskrivning

CycleDay

Datatyp

text

Sequence #
Beskrivning

Sequence#

Datatyp

text

Appearance
Beskrivning

Appearance

Datatyp

text

Color
Beskrivning

Color

Datatyp

text

Ph
Beskrivning

Ph

Datatyp

text

Glucose
Beskrivning

Glucose

Datatyp

text

Ketones
Beskrivning

Ketones

Datatyp

text

Protein
Beskrivning

Protein

Datatyp

text

Urobilingogen
Beskrivning

Urobilingogen

Datatyp

text

WBC
Beskrivning

WBC

Datatyp

text

RBC
Beskrivning

RBC

Datatyp

text

Cast
Beskrivning

Cast

Datatyp

text

Crystals
Beskrivning

Crystals

Datatyp

text

Bacteria
Beskrivning

Bacteria

Datatyp

text

Tillbaka till toppen

Similar models

No Instruction available.

1 Formulär
  1. StudyEvent: Urinalysis - RF25
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Ccrr Module For Urinalysis - Rf25
Patient Initials
Item
Patient Initials
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Protocol ID Coordinating Group
Item
Study#
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1711341 (UMLS CUI-2)
C25462 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
NCIInstitutionIdentifierCode
Item
Site#
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C19202 (NCI Thesaurus ObjectClass-2)
C1513882 (UMLS 2011AA ObjectClass-2)
Patient Study ID
Item
ID#
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25462 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Cycle Number Chemotherapeutics
Item
Cycle#
text
C25337 (NCI Thesaurus ValueDomain)
C2045829 (UMLS CUI-1)
C25471 (NCI Thesaurus Property)
C15368 (NCI Thesaurus ObjectClass)
C25379 (NCI Thesaurus Property-2)
SpecimenCollectedDate
Item
Date Specimen Obtained
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
C25452 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C2745955 (UMLS 2011AA Property)
Item
Which evaluation does this represent?
text
CL.1
Code List
Which evaluation does this represent?
CL Item
Entry/Baseline (Entry/Baseline)
CL Item
On Treatment (On Treatment)
CL Item
Post Therapy Evaluation (Post Therapy Evaluation)
LaboratoryProcedureUrineSpecificGravityOutcomeValue
Item
Specific Grav
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C13283 (NCI Thesaurus Property)
C0042036 (UMLS 2011AA Property)
C20200 (NCI Thesaurus Property-2)
C1274040 (UMLS 2011AA Property-2)
C64832 (NCI Thesaurus Property-3)
C0037786 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
CycleDay
Item
Cycle Day
text
Sequence#
Item
Sequence #
text
Item
Appearance
text
CL.2
Code List
Appearance
CL Item
Clear (Clear)
CL Item
Hazy (Hazy)
CL Item
Cloudy (Cloudy)
CL Item
Opaque (Opaque)
Item
Color
text
CL.3
Code List
Color
CL Item
Clear (Clear)
CL Item
Straw (Straw)
CL Item
Yellow (Yellow)
CL Item
Amber (Amber)
CL Item
Brown (Brown)
Ph
Item
Ph
text
Glucose
Item
Glucose
text
Item
Ketones
text
CL.4
Code List
Ketones
CL Item
Negative/trace (Negative/trace)
CL Item
1+ (1+)
CL Item
2+ (2+)
CL Item
3+ (3+)
CL Item
4+ (4+)
Item
Protein
text
CL.5
Code List
Protein
CL Item
Negative/trace (Negative/trace)
CL Item
1+ (1+)
CL Item
2+ (2+)
CL Item
3+ (3+)
CL Item
4+ (4+)
Urobilingogen
Item
Urobilingogen
text
WBC
Item
WBC
text
RBC
Item
RBC
text
Cast
Item
Cast
text
Item
Crystals
text
CL.6
Code List
Crystals
CL Item
Negative/trace (Negative/trace)
CL Item
1+ (1+)
CL Item
2+ (2+)
CL Item
3+ (3+)
CL Item
4+ (4+)
Item
Bacteria
text
CL.7
Code List
Bacteria
CL Item
Negative/trace (Negative/trace)
CL Item
1+ (1+)
CL Item
2+ (2+)
CL Item
3+ (3+)
CL Item
4+ (4+)
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

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