ID

23815

Description

COMMON - NCI Standard Physical Examination Template - 2739214v1.0 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

July 14, 2017

DOI

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License

Creative Commons BY-NC 3.0
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NCI Standard Physical Examination Template

English

No Instruction available.

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

Physical Examination Questions

Alias
UMLS CUI-1
C0031809
Evaluation Date
Description

Enter the date the physical examination is performed

Data type

date

Alias
NCI Thesaurus Property
C25164
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C25214
UMLS CUI [1]
C2985720
Body System
Description

Enter the body system

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C13041
NCI Thesaurus Property
C25700
UMLS CUI [1]
C0460002
Specify Other Body System/Site (Enter description of other body system/site.)
Description

Body System, other

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C13041
NCI Thesaurus Property
C25700
UMLS CUI [1,1]
C0460002
UMLS CUI [1,2]
C0205394
Finding Description
Description

Enter the physical exam description or relevant findings for the body system. Required if the Finding Result is Abnormal.

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C20989
NCI Thesaurus Property-2
C25401
UMLS CUI [1]
C0747585
Finding Result
Description

Enter the result of the assessment for a particular body system.

Data type

integer

Alias
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C61036
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ValueDomain-2
C20989
NCI Thesaurus ValueDomain-3
C61036
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0243095
Overall Physical Exam Performed
Description

Enter whether the overall physical exam is performed. If yes, report all abnormal findings on Medical History CRF.

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C20989
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C1561607
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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
Physical Examination Questions
C0031809 (UMLS CUI-1)
Evaluation Date
Item
Evaluation Date
date
C25164 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus ObjectClass)
C2985720 (UMLS CUI [1])
Item
Body System
integer
C25284 (NCI Thesaurus ValueDomain)
C13041 (NCI Thesaurus ObjectClass)
C25700 (NCI Thesaurus Property)
C0460002 (UMLS CUI [1])
CL.1
Code List
Body System
CL Item
Abdomen (1)
C0000726 (UMLS CUI-1)
CL Item
Allergy Or Drug Sensitivity History (2)
C0020517 (UMLS CUI-1)
CL Item
Appearance (3)
C0700364 (UMLS CUI-1)
CL Item
Body As A Whole (4)
C0229960 (UMLS CUI-1)
CL Item
Breasts (5)
C0006141 (UMLS CUI-1)
CL Item
Cardiovascular (6)
C0007226 (UMLS CUI-1)
CL Item
Central Nervous System (7)
C3714787 (UMLS CUI-1)
CL Item
Chest (8)
C0817096 (UMLS CUI-1)
CL Item
Constitutional (9)
C1511487 (UMLS CUI-1)
CL Item
Dermatologic (10)
C0205489 (UMLS CUI-1)
CL Item
Endocrine System (11)
C0014136 (UMLS CUI-1)
CL Item
Endocrine/metabolic (12)
C3841737 (UMLS CUI-1)
CL Item
Extremities (13)
C0015385 (UMLS CUI-1)
CL Item
Gastrointestinal (14)
C0521362 (UMLS CUI-1)
CL Item
Genitalia (15)
C0017420 (UMLS CUI-1)
CL Item
Genitourinary (16)
C0042066 (UMLS CUI-1)
CL Item
H/e/e/n/t (17)
C1512338 (UMLS CUI-1)
CL Item
Hematologic (18)
C0205488 (UMLS CUI-1)
CL Item
Hematopoietic/lymph (19)
C0229601 (UMLS CUI-1)
C0024202 (UMLS CUI-2)
CL Item
Hepatic (20)
C0205054 (UMLS CUI-1)
CL Item
Immune (21)
C0439662 (UMLS CUI-1)
CL Item
Integumentary/hair (22)
C0037267 (UMLS CUI-1)
CL Item
Musculoskeletal (23)
C0026860 (UMLS CUI-1)
CL Item
Neck (24)
C0027530 (UMLS CUI-1)
CL Item
Neurologic (25)
C0027763 (UMLS CUI-1)
CL Item
Other (26)
C0205394 (UMLS CUI-1)
CL Item
Pelvis (27)
C0030797 (UMLS CUI-1)
CL Item
Peripheral Vascular System (28)
C0225806 (UMLS CUI-1)
CL Item
Psychiatric (29)
C0233402 (UMLS CUI-1)
CL Item
Psychologic (30)
C0205486 (UMLS CUI-1)
CL Item
Pulmonary (31)
CL Item
Rectal (32)
CL Item
Renal (33)
CL Item
Reproductive History (34)
CL Item
Respiratory (35)
CL Item
Spleen (36)
CL Item
Substance Abuse/dependency (37)
CL Item
Transfusion History (38)
CL Item
Urinary (39)
Body System, other
Item
Specify Other Body System/Site (Enter description of other body system/site.)
text
C25704 (NCI Thesaurus ValueDomain)
C13041 (NCI Thesaurus ObjectClass)
C25700 (NCI Thesaurus Property)
C0460002 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Abnormal Physical Examination, specify
Item
Finding Description
text
C25685 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C25401 (NCI Thesaurus Property-2)
C0747585 (UMLS CUI [1])
Item
Finding Result
integer
C20989 (NCI Thesaurus ObjectClass)
C61036 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ValueDomain-2)
C61036 (NCI Thesaurus ValueDomain-3)
C0031809 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
CL.2
Code List
Finding Result
CL Item
Not Examined (1)
C0332129 (UMLS CUI-1)
CL Item
Abnormal (2)
C0205161 (UMLS CUI-1)
CL Item
Normal (3)
C0205307 (UMLS CUI-1)
Overall Physical Exam
Item
Overall Physical Exam Performed
boolean
C38147 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS CUI [1,1])
C1561607 (UMLS CUI [1,2])
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