ID

11222

Description

The Vital Signs form for C3D 3.12 Adopters On-Study - VITAL SIGNS Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0139EB40-6292-1375-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0139EB40-6292-1375-E044-0003BA3F9857

Keywords

Versions (4)
  1. 9/19/12 9/19/12 -
  2. 8/8/14 8/8/14 - Martin Dugas
  3. 8/8/14 8/8/14 - Martin Dugas
  4. 6/26/15 6/26/15 - Martin Dugas
Uploaded on

June 26, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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On-Study - VITAL SIGNS

English

Dates will appear as 'DD-MON-YYYY'

1 forms  
  1. StudyEvent: VITAL SIGNS
    1. Dates will appear as 'DD-MON-YYYY'
Vital Signs
Description

Vital Signs

Alias
UMLS CUI-1
C0518766
Course Number
Description

Course Number

Data type

integer

Alias
NCI Thesaurus Property
C25337
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C25379
UMLS CUI-1
C0750729
UMLS CUI-2
C0237753
Course Day Number
Description

Course Day Number

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus Property
C25301
NCI Thesaurus ObjectClass
C25379
UMLS CUI-1
C0750729
UMLS CUI-2
C0439228
Evaluation Date
Description

EvaluationDate

Data type

date

Alias
NCI Thesaurus Property
C25164
UMLS 2011AA Property
C0011008
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25214
UMLS 2011AA ObjectClass
C0220825
Lab Collection Time
Description

LabCollectionTime

Data type

time

Alias
NCI Thesaurus Property
C25453
UMLS 2011AA Property
C1516698
NCI Thesaurus Property-2
C25207
UMLS 2011AA Property-2
C0040223
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
Karnofsky Performance Status Score
Description

Karnofsky Performance Status Score

Data type

integer

Alias
NCI Thesaurus Property
C25367
NCI Thesaurus ObjectClass
C20641
NCI Thesaurus ValueDomain
C25338
UMLS CUI-1
C0206065
Body weight
Description

Body weight

Data type

float

Measurement units
  • kg
Alias
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ObjectClass
C13041
NCI Thesaurus Property
C25208
UMLS CUI-1
C0005910
kg
Body surface area
Description

Body surface area

Data type

float

Measurement units
  • m²
Alias
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus Property
C25157
UMLS CUI-1
C0005902
m²
Temperature
Description

Temperature

Data type

float

Measurement units
  • °C
Alias
NCI Thesaurus ObjectClass
C25206
NCI Thesaurus Property
C41151
UMLS CUI-1
C0039476
°C
Pulse
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
C0232117
beats/min
Alpha DVG Respiration Rate
Description

Alpha DVG Respiration Rate

Data type

text

Alias
NCI Thesaurus ObjectClass
C25209
NCI Thesaurus Property
C25180
NCI Metathesaurus ValueDomain
C0021212
Systolic Blood Pressure Value
Description

Systolic Blood Pressure Value

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
C0871470
mmHg
Diastolic Blood Pressure Value
Description

Diastolic Blood Pressure Value

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
C0428883
mmHg
Pulse Oximetry Value
Description

Pulse Oximetry Value

Data type

float

Measurement units
  • %
Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C25749
NCI Metathesaurus Property
C0040656
UMLS CUI-1
C0034108
%
Research Comments Text
Description

ResearchCommentsText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
Height
Description

Height

Data type

float

Measurement units
  • cm
Alias
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus Property
C25347
UMLS CUI-1
C0005890
cm
Comments
Description

Comments

Note Date
Description

NoteDate

Data type

date

Alias
NCI Thesaurus Property
C25164
UMLS 2011AA Property
C0011008
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Metathesaurus ObjectClass
C1317574
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Similar models

Dates will appear as 'DD-MON-YYYY'

1 forms
  1. StudyEvent: VITAL SIGNS
    1. Dates will appear as 'DD-MON-YYYY'
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Course Number
Item
Course Number
integer
C25337 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS CUI-1)
C0237753 (UMLS CUI-2)
Course Day Number
Item
Course Day Number
integer
C25337 (NCI Thesaurus ValueDomain)
C25301 (NCI Thesaurus Property)
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS CUI-1)
C0439228 (UMLS CUI-2)
EvaluationDate
Item
Evaluation Date
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25214 (NCI Thesaurus ObjectClass)
C0220825 (UMLS 2011AA ObjectClass)
LabCollectionTime
Item
Lab Collection Time
time
C25453 (NCI Thesaurus Property)
C1516698 (UMLS 2011AA Property)
C25207 (NCI Thesaurus Property-2)
C0040223 (UMLS 2011AA Property-2)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
Item
Karnofsky Performance Status Score
integer
C25367 (NCI Thesaurus Property)
C20641 (NCI Thesaurus ObjectClass)
C25338 (NCI Thesaurus ValueDomain)
C0206065 (UMLS CUI-1)
CL.1
Code List
Karnofsky Performance Status Score
CL Item
Normal, No Complaints, No Evidence Of Disease (100)
CL Item
Able To Carry On Normal Activity; Minor Signs Or Symptoms Of Disease (90)
CL Item
Normal Activity With Effort; Some Signs Or Symptoms Of Disease (80)
CL Item
Cares For Self, Unable To Carry On Normal Activity Or To Do Active Work (70)
CL Item
Requires Occasional Assistance, But Is Able To Care For Most Of His/her Needs (60)
CL Item
Requires Considerable Assistance And Frequent Medical Care (50)
CL Item
Disabled, Requires Special Care And Assistance (40)
CL Item
Severely Disabled, Hospitalization Indicated. Death Not Imminent (30)
CL Item
Very Sick, Hospitalization Indicated. Death Not Imminent (20)
CL Item
Moribund, Fatal Processes Progressing Rapidly (10)
CL Item
Dead (0)
Weight
Item
Body weight
float
C25209 (NCI Thesaurus ValueDomain)
C13041 (NCI Thesaurus ObjectClass)
C25208 (NCI Thesaurus Property)
C0005910 (UMLS CUI-1)
BSA
Item
Body surface area
float
C25190 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C25157 (NCI Thesaurus Property)
C0005902 (UMLS CUI-1)
Temperature
Item
Temperature
float
C25206 (NCI Thesaurus ObjectClass)
C41151 (NCI Thesaurus Property)
C0039476 (UMLS CUI-1)
Pulse Rate
Item
Pulse
integer
C25190 (NCI Thesaurus ObjectClass)
C25749 (NCI Thesaurus ObjectClass-2)
C25636 (NCI Thesaurus Property)
C25209 (NCI Thesaurus ValueDomain)
C25749 (NCI Thesaurus ValueDomain-2)
C0232117 (UMLS CUI-1)
Item
Alpha DVG Respiration Rate
text
C25209 (NCI Thesaurus ObjectClass)
C25180 (NCI Thesaurus Property)
C0021212 (NCI Metathesaurus ValueDomain)
CL.2
Code List
Alpha DVG Respiration Rate
CL Item
Not Obtained (Not Obtained)
Systolic blood pressure
Item
Systolic Blood Pressure Value
integer
C25337 (NCI Thesaurus ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C54706 (NCI Thesaurus ObjectClass-2)
C0871470 (UMLS CUI-1)
Diastolic blood pressure
Item
Diastolic Blood Pressure Value
integer
C25337 (NCI Thesaurus ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C54706 (NCI Thesaurus ObjectClass-2)
C0428883 (UMLS CUI-1)
Pulse Oximetry
Item
Pulse Oximetry Value
float
C25337 (NCI Thesaurus ValueDomain)
C25749 (NCI Thesaurus ObjectClass)
C0040656 (NCI Metathesaurus Property)
C0034108 (UMLS CUI-1)
ResearchCommentsText
Item
Research Comments Text
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)
Height
Item
Height
float
C25209 (NCI Thesaurus ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C25347 (NCI Thesaurus Property)
C0005890 (UMLS CUI-1)
Item Group
Comments
NoteDate
Item
Note Date
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C1317574 (NCI Metathesaurus ObjectClass)
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