ID
7097
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
January 9, 2015
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
float
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-2
- C25347
- UMLS 2011AA ValueDomain-2
- 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-2
- 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-2
- 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-2
- 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-2
- 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-2
- CL052458
- NCI Metathesaurus ValueDomain
- C0021212
Description
PersonWeightValue
Data type
float
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-2
- C25712
- UMLS 2011AA ValueDomain-2
- 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
float
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
float
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus ObjectClass-2
- C25749
- UMLS 2011AA ObjectClass-2
- C0391850
- NCI Thesaurus Property
- C25636
- UMLS 2011AA Property
- C1521828
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C25749
- UMLS 2011AA ValueDomain-2
- C0391850
Description
PersonVitalSignsRespiratoryRatePhysicalExaminationValue
Data type
float
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus Property-2
- C49672
- UMLS 2011AA Property-2
- C1704752
- NCI Thesaurus Property-3
- C49678
- UMLS 2011AA Property-3
- C0231832
- NCI Thesaurus ValueDomain
- C25712
- UMLS 2011AA ValueDomain
- C1522609
Description
BloodPressure,Systolic
Data type
float
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-2
- C54706
- UMLS 2011AA ObjectClass-2
- C0005823
Description
BloodPressure,Diastolic
Data type
float
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-2
- C54706
- UMLS 2011AA ObjectClass-2
- 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-2
- C25594
- UMLS 2011AA Property-2
- C1518422
- NCI Thesaurus Property-3
- C25404
- UMLS 2011AA Property-3
- C0441472
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
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)
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-2)
C0489786 (UMLS 2011AA ValueDomain-2)
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-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
C0021212 (NCI Metathesaurus ValueDomain)
C1522602 (UMLS 2011AA Property)
CL310460 (NCI Metathesaurus ObjectClass)
CL052458 (NCI Metathesaurus ObjectClass-2)
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-2)
C1522609 (UMLS 2011AA ValueDomain-2)
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)
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C0805701 (UMLS 2011AA ValueDomain)
C0886414 (NCI Metathesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25749 (NCI Thesaurus ObjectClass-2)
C0391850 (UMLS 2011AA ObjectClass-2)
C25636 (NCI Thesaurus Property)
C1521828 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25749 (NCI Thesaurus ValueDomain-2)
C0391850 (UMLS 2011AA ValueDomain-2)
C0027361 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C49672 (NCI Thesaurus Property-2)
C1704752 (UMLS 2011AA Property-2)
C49678 (NCI Thesaurus Property-3)
C0231832 (UMLS 2011AA Property-3)
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-2)
C0005823 (UMLS 2011AA ObjectClass-2)
C0237753 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C54706 (NCI Thesaurus ObjectClass-2)
C0005823 (UMLS 2011AA ObjectClass-2)
C0376315 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25594 (NCI Thesaurus Property-2)
C1518422 (UMLS 2011AA Property-2)
C25404 (NCI Thesaurus Property-3)
C0441472 (UMLS 2011AA Property-3)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C0549184 (UMLS 2011AA)
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)