ID
3108
Description
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
September 19, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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On-Study - Physical Exam - 2803173v1.0
No Instruction available.
- StudyEvent: Physical Exam
Description
Physical Exam
Description
ExaminationDate
Data type
date
Alias
- NCI Thesaurus Property
- C25164
- UMLS 2011AA Property
- C0011008
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Metathesaurus ObjectClass
- C0031809
Description
PersonHeightValue
Data type
double
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
- NCI Thesaurus Property
- C25347
- UMLS 2011AA Property
- C0489786
- NCI Thesaurus ValueDomain
- C25347
- UMLS 2011AA ValueDomain
- C0489786
Description
PersonHeightUnitofMeasureCode
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25347
- UMLS 2011AA Property
- C0489786
Description
NotObtainedIndicator
Data type
text
Alias
- NCI Thesaurus Property
- C25180
- UMLS 2011AA Property
- C1522602
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
Description
NotObtainedIndicator
Data type
text
Alias
- NCI Thesaurus Property
- C25180
- UMLS 2011AA Property
- C1522602
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
Description
NotObtainedIndicator
Data type
text
Alias
- NCI Thesaurus Property
- C25180
- UMLS 2011AA Property
- C1522602
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
Description
NotObtainedIndicator
Data type
text
Alias
- NCI Thesaurus Property
- C25180
- UMLS 2011AA Property
- C1522602
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
Description
NotObtainedIndicator
Data type
text
Alias
- NCI Thesaurus Property
- C25180
- UMLS 2011AA Property
- C1522602
- NCI Metathesaurus ObjectClass
- CL310460
- NCI Metathesaurus ObjectClass
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
Description
PersonWeightValue
Data type
double
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25208
- UMLS 2011AA Property
- C0043100
- NCI Thesaurus ValueDomain
- C25208
- UMLS 2011AA ValueDomain
- C0043100
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
Description
WeightUnitofMeasureCode
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
- NCI Thesaurus ObjectClass
- C25208
- UMLS 2011AA ObjectClass
- C0043100
- NCI Thesaurus Property
- C25709
- UMLS 2011AA Property
- C1519795
Description
ParticipantTemperature
Data type
double
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus Property
- C25209
- UMLS 2011AA Property
- C0242485
- NCI Metathesaurus ObjectClass
- C0886414
Description
ParticipantTemperatureCode
Data type
text
Alias
- NCI Thesaurus Property
- C25209
- UMLS 2011AA Property
- C0242485
- NCI Thesaurus ValueDomain
- C25162
- UMLS 2011AA ValueDomain
- C0805701
- NCI Metathesaurus ObjectClass
- C0886414
Description
PulseRateMeasurementValue
Data type
double
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus ObjectClass
- C25749
- UMLS 2011AA ObjectClass
- C0391850
- NCI Thesaurus Property
- C25636
- UMLS 2011AA Property
- C1521828
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain
- C25749
- UMLS 2011AA ValueDomain
- C0391850
Description
PersonVitalSignsRespiratoryRatePhysicalExaminationValue
Data type
double
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus Property
- C49672
- UMLS 2011AA Property
- C1704752
- NCI Thesaurus Property
- C49678
- UMLS 2011AA Property
- C0231832
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
Description
BloodPressure,Systolic
Data type
double
Measurement units
- mmHg
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ObjectClass
- C54706
- UMLS 2011AA ObjectClass
- C0005823
Description
BloodPressure,Diastolic
Data type
double
Measurement units
- mmHg
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ObjectClass
- C54706
- UMLS 2011AA ObjectClass
- C0005823
Description
FormNotCompletedBox
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C19464
- UMLS 2011AA ObjectClass
- C0376315
- NCI Thesaurus Property
- C25250
- UMLS 2011AA Property
- C0205197
- NCI Thesaurus Property
- C25594
- UMLS 2011AA Property
- C1518422
- NCI Thesaurus Property
- C25404
- UMLS 2011AA Property
- C0441472
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
PerformanceStatusAssessmentEasternCooperativeOncologyGroupScale
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ValueDomain
- C25491
- UMLS 2011AA ValueDomain
- C1512162
- NCI Thesaurus ObjectClass
- C20641
- UMLS 2011AA ObjectClass
- C1518965
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
- C42614
- UMLS 2011AA ValueDomain
- 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
ProtocolTitleName
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25191
- UMLS 2011AA ValueDomain
- C1547383
- NCI Thesaurus ObjectClass
- C25320
- UMLS 2011AA ObjectClass
- C1507394
- NCI Thesaurus Property
- C42774
- UMLS 2011AA Property
- C1705823
Description
ProtocolVersion
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C25320
- UMLS 2011AA ObjectClass
- C1507394
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Description
ProtocolVersionDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25320
- UMLS 2011AA ObjectClass
- C1507394
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus ValueDomain
- C25367
Description
PageNumber
Data type
double
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
- C25304
- UMLS 2011AA Property
- C0439810
- NCI Thesaurus Property
- C42783
- UMLS 2011AA Property
- 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
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C19202 (NCI Thesaurus Property)
C1513882 (UMLS 2011AA Property)
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)
C25716 (NCI Thesaurus ObjectClass)
C0545082 (UMLS 2011AA ObjectClass)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C0031809 (NCI Metathesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS 2011AA Property)
C25347 (NCI Thesaurus ValueDomain)
C0489786 (UMLS 2011AA ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS 2011AA Property)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass)
C0021212 (NCI Metathesaurus ValueDomain)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass)
C0021212 (NCI Metathesaurus ValueDomain)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass)
C0021212 (NCI Metathesaurus ValueDomain)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass)
C0021212 (NCI Metathesaurus ValueDomain)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass)
C0021212 (NCI Metathesaurus ValueDomain)
C0027361 (UMLS 2011AA ObjectClass)
C25208 (NCI Thesaurus Property)
C0043100 (UMLS 2011AA Property)
C25208 (NCI Thesaurus ValueDomain)
C0043100 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25208 (NCI Thesaurus ObjectClass)
C0043100 (UMLS 2011AA ObjectClass)
C25709 (NCI Thesaurus Property)
C1519795 (UMLS 2011AA Property)
C0439209 (UMLS 2011AA)
C0439219 (UMLS 2011AA)
C0237753 (UMLS 2011AA ValueDomain)
C25209 (NCI Thesaurus Property)
C0242485 (UMLS 2011AA Property)
C0886414 (NCI Metathesaurus ObjectClass)
C0242485 (UMLS 2011AA Property)
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C0886414 (NCI Metathesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25749 (NCI Thesaurus ObjectClass)
C0391850 (UMLS 2011AA ObjectClass)
C25636 (NCI Thesaurus Property)
C1521828 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25749 (NCI Thesaurus ValueDomain)
C0391850 (UMLS 2011AA ValueDomain)
C0027361 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C49672 (NCI Thesaurus Property)
C1704752 (UMLS 2011AA Property)
C49678 (NCI Thesaurus Property)
C0231832 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C54706 (NCI Thesaurus ObjectClass)
C0005823 (UMLS 2011AA ObjectClass)
C0237753 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C54706 (NCI Thesaurus ObjectClass)
C0005823 (UMLS 2011AA ObjectClass)
C0376315 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25594 (NCI Thesaurus Property)
C1518422 (UMLS 2011AA Property)
C25404 (NCI Thesaurus Property)
C0441472 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0549184 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus Property)
C25491 (NCI Thesaurus ValueDomain)
C1512162 (UMLS 2011AA ValueDomain)
C20641 (NCI Thesaurus ObjectClass)
C1518965 (UMLS 2011AA ObjectClass)
C1515974 (UMLS 2011AA ObjectClass)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus Property)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
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)
C1518422 (UMLS 2011AA)
C1527021 (UMLS 2011AA ValueDomain)
C25393 (NCI Thesaurus ObjectClass)
C0282411 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C1547383 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C42774 (NCI Thesaurus Property)
C1705823 (UMLS 2011AA Property)
C1527021 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25367 (NCI Thesaurus ValueDomain)
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)
C0439810 (UMLS 2011AA Property)
C42783 (NCI Thesaurus Property)
C1704732 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C0728990 (NCI Metathesaurus ObjectClass)
C25714 (NCI Thesaurus Property)
C0333052 (UMLS 2011AA Property)