ID

23823

Description

The collection of CDEs used in the Medical History module. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=47B2E622-7D02-2A12-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=47B2E622-7D02-2A12-E044-0003BA3F9857

Keywords

  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 Medical History Template

No Instruction available.

  1. StudyEvent: NCI Standard Medical History Template
    1. No Instruction available.
Mandatory Medical History Questions
Description

Mandatory Medical History Questions

Alias
UMLS CUI-1
C0262926
Medical History Date
Description

Enter the date that the medical history is collected.

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C18772
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0011008
Ongoing
Description

Enter whether the medical history condition is ongoing at the time of collection.

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
NCI Thesaurus Property
C53279
NCI Thesaurus ObjectClass
C18772
UMLS CUI [1]
C2826680
Description
Description

(Enter description of medical history at the time of collection.)

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus Property
C25401
NCI Thesaurus Property-2
C18772
NCI Thesaurus ObjectClass
C25261
UMLS CUI [1]
C0262926
Finding
Description

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

Data type

text

Alias
NCI Thesaurus ObjectClass
C95618
NCI Thesaurus ObjectClass-2
C25261
NCI Thesaurus ObjectClass-3
C54625
NCI Thesaurus Property
C3367
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ValueDomain-2
C95618
NCI Thesaurus ValueDomain-3
C61036
UMLS CUI [1]
C0489634
Medical History System
Description

(Enter the body system.)

Data type

text

Alias
NCI Thesaurus ObjectClass
C95618
NCI Thesaurus ObjectClass-2
C25261
NCI Thesaurus ObjectClass-3
C54625
NCI Thesaurus Property
C25466
NCI Thesaurus ValueDomain
C25372
NCI Thesaurus ValueDomain-2
C95618
UMLS CUI [1]
C0489634
Other (Body) System/Site Text
Description

(Enter description of other body system/site.)

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C13041
NCI Thesaurus Property
C25700
UMLS CUI [1]
C0460002
Medical History Assessment Indicator
Description

(Enter whether the medical history was assessed/gathered.)

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C25180
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25367
NCI Thesaurus ObjectClass-2
C18772
UMLS CUI [1]
C2050585

Similar models

No Instruction available.

  1. StudyEvent: NCI Standard Medical History Template
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Mandatory Medical History Questions
C0262926 (UMLS CUI-1)
Medical History Date
Item
Medical History Date
date
C25164 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C18772 (NCI Thesaurus Property)
C0262926 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Ongoing
text
C25180 (NCI Thesaurus ValueDomain)
C53279 (NCI Thesaurus Property)
C18772 (NCI Thesaurus ObjectClass)
C2826680 (UMLS CUI [1])
Code List
Ongoing
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Not Applicable (N/A)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
Medical History Description
Item
Description
text
C25704 (NCI Thesaurus ValueDomain)
C25401 (NCI Thesaurus Property)
C18772 (NCI Thesaurus Property-2)
C25261 (NCI Thesaurus ObjectClass)
C0262926 (UMLS CUI [1])
Item
Finding
text
C95618 (NCI Thesaurus ObjectClass)
C25261 (NCI Thesaurus ObjectClass-2)
C54625 (NCI Thesaurus ObjectClass-3)
C3367 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C95618 (NCI Thesaurus ValueDomain-2)
C61036 (NCI Thesaurus ValueDomain-3)
C0489634 (UMLS CUI [1])
Code List
Finding
CL Item
No Assessment (Not Assessed)
C49487 (NCI Thesaurus)
C25217 (NCI Thesaurus-3)
C3846720 (UMLS CUI-1)
CL Item
Abnormal (Abnormal)
C25401 (NCI Thesaurus)
C0205161 (UMLS CUI-1)
CL Item
Normal (Normal)
C14165 (NCI Thesaurus)
C0205307 (UMLS CUI-1)
Item
Medical History System
text
C95618 (NCI Thesaurus ObjectClass)
C25261 (NCI Thesaurus ObjectClass-2)
C54625 (NCI Thesaurus ObjectClass-3)
C25466 (NCI Thesaurus Property)
C25372 (NCI Thesaurus ValueDomain)
C95618 (NCI Thesaurus ValueDomain-2)
C0489634 (UMLS CUI [1])
Code List
Medical History System
CL Item
Abdomen (Abdomen)
C25342 (NCI Thesaurus)
C0000726 (UMLS CUI-1)
CL Item
Breast (Breasts)
C12971 (NCI Thesaurus)
C0006141 (UMLS CUI-1)
CL Item
Cardiovascular System (Cardiovascular)
C12686 (NCI Thesaurus)
C0007226 (UMLS CUI-1)
CL Item
Dermatologic (Dermatologic)
C41128 (NCI Thesaurus)
C0205489 (UMLS CUI-1)
CL Item
Endocrine System (Endocrine/Metabolic)
C12705 (NCI Thesaurus)
C0014136 (UMLS CUI-1)
CL Item
Gastrointestinal System (Gastrointestinal)
C12378 (NCI Thesaurus)
C0012240 (UMLS CUI-1)
CL Item
Genitourinary System (Genitourinary)
C12810 (NCI Thesaurus)
C0042066 (UMLS CUI-1)
CL Item
Head, Ears, Eyes, Nose And Throat (HEENT)
C42300 (NCI Thesaurus)
C1512338 (UMLS CUI-1)
CL Item
Immune System (Immune)
C12735 (NCI Thesaurus)
C0020962 (UMLS CUI-1)
CL Item
Musculoskeletal System (Musculoskeletal)
C12754 (NCI Thesaurus)
C0026860 (UMLS CUI-1)
CL Item
Neck (Neck)
C13063 (NCI Thesaurus)
C0027530 (UMLS CUI-1)
CL Item
Neurologic Examination (Neurologic)
C81313 (NCI Thesaurus)
C0027853 (UMLS CUI-1)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS CUI-1)
CL Item
Pelvic Examination (Pelvis)
C38104 (NCI Thesaurus)
C0200045 (UMLS CUI-1)
CL Item
Psychological (Psychologic)
C94316 (NCI Thesaurus)
C0205486 (UMLS CUI-1)
CL Item
Respiratory System (Respiratory)
C12779 (NCI Thesaurus)
C0035237 (UMLS CUI-1)
CL Item
Hematopoietic And Lymphatic System (Hematopoietic/Lymph Nodes(s)
C0229601 (UMLS CUI-1)
C0024202 (UMLS CUI-2)
Other Body System/Site
Item
Other (Body) System/Site Text
text
C25704 (NCI Thesaurus ValueDomain)
C13041 (NCI Thesaurus ObjectClass)
C25700 (NCI Thesaurus Property)
C0460002 (UMLS CUI [1])
Medical History assessed
Item
Medical History Assessment Indicator
boolean
C25180 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C18772 (NCI Thesaurus ObjectClass-2)
C2050585 (UMLS CUI [1])

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