ID

1469

Description

The collection of CDEs used in the physical examination module. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4A4C2984-9940-4A8C-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4A4C2984-9940-4A8C-E044-0003BA3F9857

Keywords

Versions (2)
  1. 8/27/12 8/27/12 -
  2. 7/14/17 7/14/17 - Martin Dugas
Uploaded on

August 27, 2012

DOI

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License

Creative Commons BY-NC 3.0
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COMMON - NCI Standard Physical Examination Template - 2739214v1.0

English

No Instruction available.

1 forms  
  1. StudyEvent: NCI Standard Physical Examination Template
    1. No Instruction available.
Mandatory Physical Examination Questions
Description

Mandatory Physical Examination Questions

Evaluation Date (Enter the date the physical examination is performed.)
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
Conditional Physical Examination Questions
Description

Conditional Physical Examination Questions

Body System (Enter the body system)
Description

BodySystemType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C13041
UMLS 2011AA ObjectClass
C1268086
NCI Thesaurus Property
C25700
UMLS 2011AA Property
C0449913
Specify Other Body System/Site (Enter description of other body system/site.)
Description

OtherBodySystem/SiteText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C13041
UMLS 2011AA ObjectClass
C1268086
NCI Thesaurus Property
C25700
UMLS 2011AA Property
C0449913
Finding Description (Enter the physical exam description or relevant findings for the body system. Required if the Finding Result is Abnormal.)
Description

PatientAbnormalPhysicalExaminationSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C25401
UMLS 2011AA Property
C0205161
Finding Result (Enter the result of the assessment for a particular body system.)
Description

PhysicalExaminationFindingType

Data type

text

Alias
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C61036
UMLS 2011AA Property
C0243095
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C20989
UMLS 2011AA ValueDomain
C0031809
NCI Thesaurus ValueDomain
C61036
UMLS 2011AA ValueDomain
C0243095
Overall Physical Exam Performed (Enter whether the overall physical exam is performed. If yes, report all abnormal findings on Medical History CRF.)
Description

PatientPhysicalExaminationInd-2

Data type

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
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1 forms
  1. StudyEvent: NCI Standard Physical Examination Template
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Mandatory Physical Examination Questions
EvaluationDate
Item
Evaluation Date (Enter the date the physical examination is performed.)
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)
Item Group
Conditional Physical Examination Questions
Item
Body System (Enter the body system)
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C13041 (NCI Thesaurus ObjectClass)
C1268086 (UMLS 2011AA ObjectClass)
C25700 (NCI Thesaurus Property)
C0449913 (UMLS 2011AA Property)
CL.1
Code List
Body System (Enter the body system)
CL Item
Abdomen (ABDOMEN)
C12664 (NCI Thesaurus)
C0230168 (UMLS 2011AA)
CL Item
Allergy Or Drug Sensitivity History (Allergy/Drug Sensitivity)
CL Item
Appearance (Appearance)
CL Item
Body As A Whole (Body as a Whole)
CL Item
Breasts (BREASTS)
C12971 (NCI Thesaurus)
C0006141 (UMLS 2011AA)
CL Item
Cardiovascular (CARDIOVASCULAR)
C25292 (NCI Thesaurus)
C0007226 (UMLS 2011AA)
CL Item
Central Nervous System (Central Nervous System)
C12438 (NCI Thesaurus)
C0927232 (UMLS 2011AA)
CL Item
Chest (Chest)
C25389 (NCI Thesaurus)
C0817096 (UMLS 2011AA)
CL Item
Constitutional (Constitutional)
C37931 (NCI Thesaurus)
C1511487 (UMLS 2011AA)
CL Item
Dermatologic (DERMATOLOGIC)
C0205489 (NCI Metathesaurus)
CL Item
Endocrine System (Endocrine)
C12705 (NCI Thesaurus)
C0014136 (UMLS 2011AA)
CL Item
Endocrine/metabolic (ENDOCRINE/METABOLIC)
CL Item
Extremities (Extremities)
C30140 (NCI Thesaurus)
CL Item
Gastrointestinal (GASTROINTESTINAL)
C13359 (NCI Thesaurus)
C0521362 (UMLS 2011AA)
CL Item
Genitalia (GENITALIA)
C25177 (NCI Thesaurus)
C0017420 (UMLS 2011AA)
CL Item
Genitourinary (Genitourinary)
CL Item
H/e/e/n/t (H/E/E/N/T)
CL Item
Hematologic (HEMATOLOGIC)
C0205488 (NCI Metathesaurus)
CL Item
Hematopoietic/lymph (HEMATOPOIETIC/LYMPH)
C12745 (NCI Thesaurus)
C0024204 (UMLS 2011AA)
CL Item
Hepatic (Hepatic)
C13308 (NCI Thesaurus)
C0205054 (UMLS 2011AA)
CL Item
Immune (IMMUNE)
C17997 (NCI Thesaurus)
C0439662 (UMLS 2011AA)
CL Item
Integumentary/hair (Integumentary/Hair)
CL Item
Musculoskeletal (MUSCULOSKELETAL)
C25348 (NCI Thesaurus)
C0497254 (UMLS 2011AA)
CL Item
Neck (NECK)
C13063 (NCI Thesaurus)
C0027530 (UMLS 2011AA)
CL Item
Neurologic (NEUROLOGIC)
C25262 (NCI Thesaurus)
C0205494 (UMLS 2011AA)
CL Item
Other (OTHER)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Pelvis (PELVIS)
C12767 (NCI Thesaurus)
C0030797 (UMLS 2011AA)
CL Item
Peripheral Vascular System (Peripheral Vascular)
C0225806 (NCI Metathesaurus)
CL Item
Psychiatric (Psychiatric)
C0205487 (NCI Metathesaurus)
CL Item
Psychologic (PSYCHOLOGIC)
CL Item
Pulmonary (Pulmonary)
C13304 (NCI Thesaurus)
C2709248 (UMLS 2011AA)
CL Item
Rectal (Rectal)
C25224 (NCI Thesaurus)
C0205052 (UMLS 2011AA)
CL Item
Renal (Renal)
C25225 (NCI Thesaurus)
C0022646 (UMLS 2011AA)
CL Item
Reproductive History (Reproductive History)
C17655 (NCI Thesaurus)
C0206076 (UMLS 2011AA)
CL Item
Respiratory (RESPIRATORY)
C25656 (NCI Thesaurus)
C0521346 (UMLS 2011AA)
CL Item
Spleen (Spleen)
C12432 (NCI Thesaurus)
C0037993 (UMLS 2011AA)
CL Item
Substance Abuse/dependency (Substance abuse/Dependency)
CL Item
Transfusion History (Transfusion History)
C30142 (NCI Thesaurus)
C1519604 (UMLS 2011AA)
CL Item
Urinary (URINARY)
C25711 (NCI Thesaurus)
C1524119 (UMLS 2011AA)
OtherBodySystem/SiteText
Item
Specify Other Body System/Site (Enter description of other body system/site.)
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C13041 (NCI Thesaurus ObjectClass)
C1268086 (UMLS 2011AA ObjectClass)
C25700 (NCI Thesaurus Property)
C0449913 (UMLS 2011AA Property)
PatientAbnormalPhysicalExaminationSpecify
Item
Finding Description (Enter the physical exam description or relevant findings for the body system. Required if the Finding Result is Abnormal.)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25401 (NCI Thesaurus Property)
C0205161 (UMLS 2011AA Property)
Item
Finding Result (Enter the result of the assessment for a particular body system.)
text
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C61036 (NCI Thesaurus Property)
C0243095 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ValueDomain)
C0031809 (UMLS 2011AA ValueDomain)
C61036 (NCI Thesaurus ValueDomain)
C0243095 (UMLS 2011AA ValueDomain)
CL.2
Code List
Finding Result (Enter the result of the assessment for a particular body system.)
CL Item
None Examined (Not Examined)
C41132 (NCI Thesaurus)
C0549184 (UMLS 2011AA)
C25500 (NCI Thesaurus)
C0332128 (UMLS 2011AA)
CL Item
Abnormal (Abnormal)
C25401 (NCI Thesaurus)
C0205161 (UMLS 2011AA)
CL Item
Normal (Normal)
C14165 (NCI Thesaurus)
C0205307 (UMLS 2011AA)
Item
Overall Physical Exam Performed (Enter whether the overall physical exam is performed. If yes, report all abnormal findings on Medical History CRF.)
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
CL.3
Code List
Overall Physical Exam Performed (Enter whether the overall physical exam is performed. If yes, report all abnormal findings on Medical History CRF.)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
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