ID
11762
Description
On-Study - Physical Exam - 2803173v1.0 The Division of Cancer Prevention's physical exam case report form (CRF) template. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5C0F9C5A-FB66-15A0-E044-0003BA3F9857
Link
Keywords
Versions (3)
- 9/19/12 9/19/12 -
- 1/9/15 1/9/15 - Martin Dugas
- 7/30/15 7/30/15 - Martin Dugas
Uploaded on
July 30, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Physical Exam Cancer Prevention
No Instruction available.
- StudyEvent: Physical Exam
Description
Physical Examination
Alias
- UMLS CUI-1
- C0031809
Description
Physical Examination Date
Data type
date
Alias
- NCI Thesaurus Property
- C25164
- NCI Thesaurus ValueDomain
- C25164
- NCI Metathesaurus ObjectClass
- C0031809
- UMLS CUI-1-1
- C2826643
Description
Height
Data type
float
Measurement units
- cm
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ValueDomain
- C25712
- NCI Thesaurus Property
- C25347
- NCI Thesaurus ValueDomain-2
- C25347
- UMLS CUI-1-1
- C0005890
Description
Not Obtained
Data type
boolean
Alias
- NCI Thesaurus Property
- C25180
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass-2
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
- UMLS CUI-1-1
- C1882120
Description
Not Obtained
Data type
boolean
Alias
- NCI Thesaurus Property
- C25180
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass-2
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
- UMLS CUI-1-1
- C1882120
Description
Not Obtained
Data type
boolean
Alias
- NCI Thesaurus Property
- C25180
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass-2
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
- UMLS CUI-1-1
- C1882120
Description
Not Obtained
Data type
boolean
Alias
- NCI Thesaurus Property
- C25180
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass-2
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
- UMLS CUI-1-1
- C1882120
Description
Not Obtained
Data type
boolean
Alias
- NCI Thesaurus Property
- C25180
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass-2
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
- UMLS CUI-1-1
- C1882120
Description
Body weight
Data type
float
Measurement units
- kg
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C25208
- NCI Thesaurus ValueDomain
- C25208
- NCI Thesaurus ValueDomain-2
- C25712
- UMLS CUI-1-1
- C0005910
Description
Temperature
Data type
float
Measurement units
- °C
Alias
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus Property
- C25209
- NCI Metathesaurus ObjectClass
- C0886414
- UMLS CUI-1-1
- C0039476
Description
Pulse
Data type
integer
Measurement units
- beats/min
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ObjectClass-2
- C25749
- NCI Thesaurus Property
- C25636
- NCI Thesaurus ValueDomain
- C25209
- NCI Thesaurus ValueDomain-2
- C25749
- UMLS CUI-1-1
- C0232117
Description
Respiratory Rate
Data type
integer
Measurement units
- /min
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C20989
- NCI Thesaurus Property-2
- C49672
- NCI Thesaurus Property-3
- C49678
- NCI Thesaurus ValueDomain
- C25712
- UMLS CUI-1-1
- C0231832
Description
Systolic
Data type
integer
Measurement units
- mmHg
Alias
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ObjectClass-2
- C54706
- UMLS CUI-1-1
- C0871470
Description
Diastolic
Data type
integer
Measurement units
- mmHg
Alias
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ObjectClass-2
- C54706
- UMLS CUI-1-1
- C0428883
Description
Check here if NO body systems were examined
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C19464
- NCI Thesaurus Property
- C25250
- NCI Thesaurus Property-2
- C25594
- NCI Thesaurus Property-3
- C25404
- NCI Thesaurus ValueDomain
- C25180
Description
ECOG Performance Status
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS CUI-1
- C1520224
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ValueDomain-2
- C25491
- NCI Thesaurus ObjectClass
- C20641
Description
BodySystem/SiteName
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C13717
- UMLS 2011AA ObjectClass
- C1515974
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ValueDomain-2
- C42614
- UMLS 2011AA ValueDomain-2
- C0027365
Description
BodySystemIndicator
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C13041
- UMLS 2011AA ObjectClass
- C1268086
- NCI Thesaurus Property
- C25700
- UMLS 2011AA Property
- C0449913
- NCI Metathesaurus ValueDomain
- C0021212
Description
AbnormalCommentText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C25393
- UMLS 2011AA ObjectClass
- C0282411
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Description
Dcp Template Footer
Description
Protocol Title
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS CUI-1
- C2986303
- NCI Thesaurus ObjectClass
- C25320
- NCI Thesaurus Property
- C42774
Description
Protocol Version
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS CUI-1
- C2985700
- NCI Thesaurus ObjectClass
- C25320
- NCI Thesaurus Property
- C25364
Description
Protocol Version Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2985700
- NCI Thesaurus ObjectClass
- C25320
- UMLS CUI-2
- C0011008
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ValueDomain-2
- C25367
Description
PageNumber
Data type
float
Alias
- NCI Thesaurus Property
- C25337
- UMLS 2011AA Property
- C0237753
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Metathesaurus ObjectClass
- C0439643
Description
CaseReportFormTotalPageNumber
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C40988
- UMLS 2011AA ObjectClass
- C1516308
- NCI Thesaurus Property
- C25337
- UMLS 2011AA Property
- C0237753
- NCI Thesaurus Property-2
- C25304
- UMLS 2011AA Property-2
- C0439810
- NCI Thesaurus Property-3
- C42783
- UMLS 2011AA Property-3
- C1704732
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
Description
DCPTemplateVersionText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Metathesaurus ObjectClass
- C0728990
- NCI Thesaurus Property
- C25714
- UMLS 2011AA Property
- C0333052
Similar models
No Instruction available.
- StudyEvent: Physical Exam
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1513882 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C19202 (NCI Thesaurus Property-2)
C0805701 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25364 (NCI Thesaurus ValueDomain)
C0600091 (UMLS 2011AA ValueDomain)
C0332307 (UMLS 2011AA Property)
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25716 (NCI Thesaurus ObjectClass)
C0545082 (UMLS 2011AA ObjectClass)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C25716 (NCI Thesaurus ObjectClass)
C0545082 (UMLS 2011AA ObjectClass)
C25164 (NCI Thesaurus ValueDomain)
C0031809 (NCI Metathesaurus ObjectClass)
C2826643 (UMLS CUI-1-1)
C25712 (NCI Thesaurus ValueDomain)
C25347 (NCI Thesaurus Property)
C25347 (NCI Thesaurus ValueDomain-2)
C0005890 (UMLS CUI-1-1)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1882120 (UMLS CUI-1-1)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1882120 (UMLS CUI-1-1)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1882120 (UMLS CUI-1-1)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1882120 (UMLS CUI-1-1)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1882120 (UMLS CUI-1-1)
C25208 (NCI Thesaurus Property)
C25208 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C0005910 (UMLS CUI-1-1)
C25209 (NCI Thesaurus Property)
C0886414 (NCI Metathesaurus ObjectClass)
C0039476 (UMLS CUI-1-1)
C25749 (NCI Thesaurus ObjectClass-2)
C25636 (NCI Thesaurus Property)
C25209 (NCI Thesaurus ValueDomain)
C25749 (NCI Thesaurus ValueDomain-2)
C0232117 (UMLS CUI-1-1)
C20989 (NCI Thesaurus Property)
C49672 (NCI Thesaurus Property-2)
C49678 (NCI Thesaurus Property-3)
C25712 (NCI Thesaurus ValueDomain)
C0231832 (UMLS CUI-1-1)
C25190 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C54706 (NCI Thesaurus ObjectClass-2)
C0871470 (UMLS CUI-1-1)
C25190 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C54706 (NCI Thesaurus ObjectClass-2)
C0428883 (UMLS CUI-1-1)
C25250 (NCI Thesaurus Property)
C25594 (NCI Thesaurus Property-2)
C25404 (NCI Thesaurus Property-3)
C25180 (NCI Thesaurus ValueDomain)
C1520224 (UMLS CUI-1)
C25367 (NCI Thesaurus Property)
C25491 (NCI Thesaurus ValueDomain-2)
C20641 (NCI Thesaurus ObjectClass)
C1515974 (UMLS 2011AA ObjectClass)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus Property)
C42614 (NCI Thesaurus ValueDomain-2)
C0027365 (UMLS 2011AA ValueDomain-2)
C0700364 (UMLS 2011AA)
C1123023 (UMLS 2011AA)
C0817096 (UMLS 2011AA)
C0018787 (UMLS 2011AA)
C0230168 (UMLS 2011AA)
C0497254 (UMLS 2011AA)
C0017420 (UMLS 2011AA)
C0030797 (UMLS 2011AA)
C0205052 (UMLS 2011AA)
C0033572 (UMLS 2011AA)
C1801960 (UMLS 2011AA)
C1268086 (UMLS 2011AA ObjectClass)
C25700 (NCI Thesaurus Property)
C0449913 (UMLS 2011AA Property)
C0021212 (NCI Metathesaurus ValueDomain)
C0205307 (UMLS 2011AA)
C0205161 (UMLS 2011AA)
C0332128 (UMLS 2011AA)
C25594 (NCI Thesaurus-3)
C1518422 (UMLS 2011AA-4)
C1527021 (UMLS 2011AA ValueDomain)
C25393 (NCI Thesaurus ObjectClass)
C0282411 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C2986303 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C42774 (NCI Thesaurus Property)
C2985700 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C2985700 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C0011008 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C0237753 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C0439643 (NCI Metathesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25337 (NCI Thesaurus Property)
C0237753 (UMLS 2011AA Property)
C25304 (NCI Thesaurus Property-2)
C0439810 (UMLS 2011AA Property-2)
C42783 (NCI Thesaurus Property-3)
C1704732 (UMLS 2011AA Property-3)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C0728990 (NCI Metathesaurus ObjectClass)
C25714 (NCI Thesaurus Property)
C0333052 (UMLS 2011AA Property)