ID

24431

Descrição

Urinalysis form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF900534-C741-5F7E-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF900534-C741-5F7E-E034-0003BA3F9857

Palavras-chave

  1. 19/09/2012 19/09/2012 -
  2. 31/07/2017 31/07/2017 - Martin Dugas
  3. 31/07/2017 31/07/2017 - Martin Dugas
Transferido a

31 de julho de 2017

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

C3D 3.12 Adopters

No Instruction available.

  1. StudyEvent: URINALYSIS
    1. No Instruction available.
Urinalysis
Descrição

Urinalysis

Alias
UMLS CUI-1
C0042014
Course Number
Descrição

Course Number

Tipo de dados

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
Descrição

Course Day

Tipo de dados

integer

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus Property
C25301
NCI Thesaurus ObjectClass
C25379
UMLS CUI-1
C0750729
UMLS CUI-2
C0439228
Sample Collection Date
Descrição

Sample Collection Date

Tipo de dados

date

Alias
NCI Thesaurus Property
C25164
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C25453
NCI Thesaurus ObjectClass-2
C19157
UMLS CUI-1
C1302413
Time
Descrição

Collection Time

Tipo de dados

time

Alias
NCI Thesaurus Property
C25453
NCI Thesaurus Property-2
C25207
NCI Thesaurus ValueDomain
C25207
NCI Thesaurus ObjectClass
C25294
UMLS CUI-1
C4064021
Lab Test
Descrição

Laboratory Test

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C38470
NCI Thesaurus ValueDomain
C25294
NCI Thesaurus Property
C42614
NCI Thesaurus ValueDomain-2
C42614
UMLS CUI-1
C0022885
Lab Value
Descrição

Lab Value

Tipo de dados

float

Alias
NCI Thesaurus ObjectClass
C37984
NCI Thesaurus Property
C25294
NCI Thesaurus ValueDomain
C25712
UMLS CUI [1]
C0587081
Lab Value
Descrição

LaboratoryTestResultCharacterValue

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C36292
NCI Thesaurus Property
C25712
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain-2
C36292
NCI Thesaurus ValueDomain-3
C68805
UMLS CUI [1,1]
C0587081
Lab Unit of Measure Name
Descrição

Units of Measure

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C38470
NCI Thesaurus Property
C25709
NCI Thesaurus ValueDomain
C42614
UMLS CUI-1
C1519795
Test Result Significance Indicator
Descrição

Test Result significant

Tipo de dados

boolean

Alias
NCI Thesaurus ObjectClass
C27232
NCI Metathesaurus Property
C0814896
NCI Thesaurus ValueDomain
C25162
NCI Thesaurus ValueDomain-2
C25704
NCI Thesaurus ValueDomain-3
C25180
UMLS CUI [1]
C2826633
Common Toxicity Criteria Adverse Event Grade
Descrição

CTC Adverse Event Grade

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus Property
C18000
NCI Thesaurus ObjectClass
C25468
UMLS CUI-1
C2985911
Comments
Descrição

Comments

Alias
UMLS CUI-1
C0947611
Note Date
Descrição

Note Date

Tipo de dados

date

Alias
NCI Thesaurus Property
C25164
NCI Thesaurus ValueDomain
C25164
NCI Metathesaurus ObjectClass
C1317574
UMLS CUI [1,1]
C1317574
UMLS CUI [1,2]
C0011008
Research Comments Text
Descrição

Research Comments

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS CUI-1
C0947611

Similar models

No Instruction available.

  1. StudyEvent: URINALYSIS
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Urinalysis
C0042014 (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
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)
Sample Collection Date
Item
Sample Collection Date
date
C25164 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C25453 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C1302413 (UMLS CUI-1)
Collection Time
Item
Time
time
C25453 (NCI Thesaurus Property)
C25207 (NCI Thesaurus Property-2)
C25207 (NCI Thesaurus ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C4064021 (UMLS CUI-1)
Item
Lab Test
text
C38470 (NCI Thesaurus ObjectClass)
C25294 (NCI Thesaurus ValueDomain)
C42614 (NCI Thesaurus Property)
C42614 (NCI Thesaurus ValueDomain-2)
C0022885 (UMLS CUI-1)
Code List
Lab Test
CL Item
24 Hours Urine Creatinine Clearance (Creatinine Clearance, 24 hour, Urine)
C13283 (NCI Thesaurus)
C0042036 (UMLS 2011AA)
C0439584 (NCI Metathesaurus)
C25747 (NCI Thesaurus-4)
C0373595 (UMLS 2011AA-5)
CL Item
Ph, Spot Urine (pH, Spot Urine)
CL Item
Specific Gravity, Spot Urine (Specific Gravity, Spot Urine)
CL Item
White Blood Cells (wbc), Microscopy, Spot Urine (White Blood Cells (WBC), Microscopy, Spot Urine)
CL Item
Red Blood Cells (rbc), Microscopy, #, Spot Urine (Red Blood Cells (RBC), Microscopy, #, Spot Urine)
CL Item
Casts, Spot Urine (Casts, Spot Urine)
CL Item
Glucose, Spot Urine (Glucose, Spot Urine)
CL Item
Protein Excretion, 24 Hour, Urine (Protein excretion, 24 hour, Urine)
CL Item
Ketones, Spot Urine (Ketones, Spot Urine)
CL Item
Bilirubin (bile), Spot Urine (Bilirubin (Bile), Spot Urine)
CL Item
Creatinine, Spot Or Timed Sample, Urine (Creatinine, Spot or Timed Sample, Urine)
CL Item
Volume, Urine (Volume, Urine)
CL Item
Specimen Collection Period, Urine (Specimen Collection Period, Urine)
Lab Value
Item
Lab Value
float
C37984 (NCI Thesaurus ObjectClass)
C25294 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C0587081 (UMLS CUI [1])
Lab Value
Item
Lab Value
text
C36292 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C36292 (NCI Thesaurus ValueDomain-2)
C68805 (NCI Thesaurus ValueDomain-3)
C0587081 (UMLS CUI [1,1])
Item
Lab Unit of Measure Name
text
C38470 (NCI Thesaurus ObjectClass)
C25709 (NCI Thesaurus Property)
C42614 (NCI Thesaurus ValueDomain)
C1519795 (UMLS CUI-1)
Code List
Lab Unit of Measure Name
CL Item
Percent (%)
C48570 (NCI Thesaurus)
C0439165 (UMLS CUI-1)
(Comment:en)
CL Item
Percent Per 100 Wbc (%/100 WBC)
(Comment:en)
CL Item
Per 100 Identifiable White Blood Cells (/100 WBC)
(Comment:en)
CL Item
Per Millimeter Cubed (/mm3)
C1300557 (UMLS CUI-1)
(Comment:en)
CL Item
10e12 Cells Per Liter (10E12 Cells/L)
(Comment:en)
CL Item
10e3 Cells Per Microliter (10E3 Cells/microL)
(Comment:en)
CL Item
10e6 Cells (10E6 Cells)
(Comment:en)
CL Item
10e6 Cells Per Microliter (10E6 Cells/microL)
(Comment:en)
CL Item
10e6 Cells Per Millimeter Cubed (10E6 Cells/mm3)
(Comment:en)
CL Item
10e7 Cells Per Kilogram (10E7 Cells/kg)
(Comment:en)
CL Item
10e8 Cells (10E8 Cells)
(Comment:en)
CL Item
10e9 Cells (10E9 Cells)
(Comment:en)
CL Item
10e9 Cells Per Liter (10E9 Cells/L)
(Comment:en)
CL Item
Complement Activity Enzyme Unit (CAE Unit)
(Comment:en)
CL Item
Cells Per Microliter (Cells/microL)
(Comment:en)
CL Item
Copies (Copies)
C1948062 (UMLS CUI-1)
(Comment:en)
CL Item
Cubic Microns (cubic microns)
(Comment:en)
CL Item
Enzyme Unit (EU)
C64778 (NCI Thesaurus)
C1880519 (UMLS CUI-1)
(Comment:en)
CL Item
Enzyme Units Per Deciliter (EU/dL)
(Comment:en)
CL Item
Enzyme Units Per Milliliter (EU/mL)
(Comment:en)
CL Item
Femtoliter (fL)
C64780 (NCI Thesaurus)
C0475213 (UMLS CUI-1)
(Comment:en)
CL Item
Grams (g) (g)
C48155 (NCI Thesaurus)
C0439208 (UMLS CUI-1)
(Comment:en)
CL Item
Gram Per 24 Hours (g/24hr)
C0439417 (UMLS CUI-1)
(Comment:en)
CL Item
Gram Per Deciliter (g/dL)
C0439267 (UMLS CUI-1)
(Comment:en)
CL Item
Gram Per Liter (g/L)
C0439294 (UMLS CUI-1)
(Comment:en)
CL Item
Gram Per Microliter (g/microL)
C1881001 (UMLS CUI-1)
(Comment:en)
CL Item
Per High Power Field (HPF)
(Comment:en)
CL Item
International Unit (Iunit)
C28255 (NCI Thesaurus)
C0439453 (UMLS CUI-1)
(Comment:en)
CL Item
International Unit Per Liter (IUnit/L)
C67376 (NCI Thesaurus)
C0439457 (UMLS CUI-1)
(Comment:en)
CL Item
International Unit Per Meter Squared (IUnit/m2)
(Comment:en)
CL Item
Iu/ml (IUnit/mL)
(Comment:en)
CL Item
Iu/ml (IUnit/mL)
CL Item
Kilounit Per Liter (kU/L)
C67382 (NCI Thesaurus)
C1532633 (UMLS CUI-1)
(Comment:en)
CL Item
Liter (L)
(Comment:en)
CL Item
Liters Per Minute (L/min)
C67388 (NCI Thesaurus)
C0439393 (UMLS CUI-1)
(Comment:en)
CL Item
Per Low Power Field (LPF)
(Comment:en)
CL Item
Microgram Per 24 Hours (mcg/24hr)
(Comment:en)
CL Item
Microgram Per Deciliter (mcg/dL)
(Comment:en)
CL Item
Microgram Per Liter (mcg/L)
C0439275 (UMLS CUI-1)
(Comment:en)
CL Item
Microgram Per Milliliter (mcg/mL)
C0439268 (UMLS CUI-1)
(Comment:en)
CL Item
Microgram Per Specimen (mcg/spec)
(Comment:en)
CL Item
Milliequivalent (mEq)
C48512 (NCI Thesaurus)
C0439152 (UMLS CUI-1)
(Comment:en)
CL Item
Milliequivalents Per 24 Hours (mEq/24hr)
(Comment:en)
CL Item
Milliequivalent Per Deciliter (mEq/dL)
C67473 (NCI Thesaurus)
C1532568 (UMLS CUI-1)
(Comment:en)
CL Item
Milliequivalent Per Kilogram (mEq/kg)
(Comment:en)
CL Item
Milliequivalent Per Liter (mEq/L)
C67474 (NCI Thesaurus)
C0439375 (UMLS CUI-1)
(Comment:en)
CL Item
Milligram (mg)
C28253 (NCI Thesaurus)
C0439210 (UMLS CUI-1)
(Comment:en)
CL Item
Milligram Per 24 Hours (mg/24hr)
C67399 (NCI Thesaurus)
C0439422 (UMLS CUI-1)
(Comment:en)
CL Item
Milligram Per Deciliter (mg/dL)
C0439269 (UMLS CUI-1)
(Comment:en)
CL Item
Milligram Per Kilogram (mg/kg)
C0439272 (UMLS CUI-1)
(Comment:en)
CL Item
Milligram Per Liter (mg/L)
CL Item
Milligram Per Milliliter (mg/mL)
CL Item
Milligram Per Milliliter Per Minute (mg/mL/min)
CL Item
Micro International Unit Per Milliliter (microIU/mL)
CL Item
Microliter (microL)
CL Item
Micromole Per 24 Hours (micromol/24hr)
CL Item
Micromole Per Deciliter (micromol/dL)
CL Item
Micromole Per Liter (micromol/L)
CL Item
Million Plaque Forming Units (mill PFU)
C67268 (NCI Thesaurus)
C1881844 (UMLS 2011AA)
CL Item
Million (Million)
C67238 (NCI Thesaurus)
C1881839 (UMLS 2011AA)
CL Item
Million Per Microliter (Million/microL)
CL Item
Million Per Millimeter Cubed (Million/mm3)
CL Item
Milliinternational Unit (miu)
CL Item
Milliinternational Units Per Meter Squared (miu/m2)
CL Item
Milliinternational Unit Per Milliliter (miu/mL)
CL Item
Milliter (mL)
CL Item
Milliliter Per Minute (mL/min)
CL Item
Milliliter Per Minute Times 1.73 Times Bsa (mL/min/1.73/BSA)
CL Item
Milliter Per Minute Per Millimeters Of Mercury (mL/minute/mmHg)
CL Item
Millimeter Per Hour (mm/hr)
CL Item
Millimeter Cubed (mm3)
CL Item
Millimeter Of Mercury (mmHg)
C49670 (NCI Thesaurus)
C0439475 (UMLS 2011AA)
CL Item
Millimole (mmol)
CL Item
Millimole Per 24 Hours (mmol/24hr)
CL Item
Millimole Per Liter (mmol/L)
CL Item
Milliosmole Per Kilogram (mosmol/kg)
CL Item
Million Units Per Milliliter (MU/mL)
CL Item
Not Applicable; No Uom Required (NA)
CL Item
Nanogram Per Deciliter (ng/dL)
CL Item
Nanograms Per Milliliter (ng/mL)
CL Item
Nanogram Per Milliliter Per Hour (ng/mL/hr)
C67430 (NCI Thesaurus)
C1533072 (UMLS 2011AA)
CL Item
Nanomole Per Liter (nmol/L)
C67432 (NCI Thesaurus)
C0439282 (UMLS 2011AA)
CL Item
Nanomole Per Milligram Of Protein (nMol/mg protein)
CL Item
Nanomole Per Milliliter (nmol/mL)
CL Item
No Source Data (No Srce)
C53269 (NCI Thesaurus)
C1546437 (UMLS 2011AA)
CL Item
Picograms (pg)
CL Item
Picogram Per Deciliter (pg/dL)
CL Item
Picrogram Per Milliliter (pg/mL)
CL Item
Pgpge2/mg Protein (pgPGE2/mg protein)
CL Item
Picomole Per Liter (pmol/L)
C67434 (NCI Thesaurus)
C0439284 (UMLS 2011AA)
CL Item
Ratio (Ratio)
CL Item
Rna Copies Per Milliliter (RNA copies/mL)
CL Item
Seconds (sec)
C0457385 (NCI Metathesaurus)
CL Item
Thousand (Thousand)
C67234 (NCI Thesaurus)
C1883310 (UMLS 2011AA)
CL Item
Thousand Per Microliter (Thousand/microL)
CL Item
Thousand Per Millimeter Squared (Thousand/mm2)
CL Item
Thousand Per Millimeter Cubed (Thousand/mm3)
CL Item
Titer (Titer)
CL Item
Unit (Unit)
C44278 (NCI Thesaurus)
C0439148 (UMLS 2011AA)
CL Item
Unit Per 24 Hours (Unit/24hr)
CL Item
Unit Per Liter (Unit/L)
CL Item
Unit Per Meter Squared (Unit/m2)
CL Item
Unit Per Millilliter (Unit/mL)
CL Item
Unit Per Millimeters Cubed (Unit/mm3)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Test Result significant
Item
Test Result Significance Indicator
boolean
C27232 (NCI Thesaurus ObjectClass)
C0814896 (NCI Metathesaurus Property)
C25162 (NCI Thesaurus ValueDomain)
C25704 (NCI Thesaurus ValueDomain-2)
C25180 (NCI Thesaurus ValueDomain-3)
C2826633 (UMLS CUI [1])
Item
Common Toxicity Criteria Adverse Event Grade
text
C25337 (NCI Thesaurus ValueDomain)
C18000 (NCI Thesaurus Property)
C25468 (NCI Thesaurus ObjectClass)
C2985911 (UMLS CUI-1)
Code List
Common Toxicity Criteria Adverse Event Grade
CL Item
No Adverse Event Or Within Normal Limits (0)
C1963761 (UMLS CUI-1)
(Comment:en)
CL Item
Mild Adverse Event (1)
C41338 (NCI Thesaurus)
C1513302 (UMLS CUI-1)
(Comment:en)
CL Item
Moderate Adverse Event (2)
C41339 (NCI Thesaurus)
C1513374 (UMLS CUI-1)
(Comment:en)
CL Item
Severe And Undesirable Adverse Event (3)
C1519275 (UMLS CUI-1)
(Comment:en)
CL Item
Life-threatening Or Disabling Adverse Event (4)
C3537125 (UMLS CUI-1)
(Comment:en)
CL Item
Death Related To Adverse Event (5)
C48275 (NCI Thesaurus)
C1705232 (UMLS CUI-1)
(Comment:en)
Item Group
Comments
C0947611 (UMLS CUI-1)
Note Date
Item
Note Date
date
C25164 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C1317574 (NCI Metathesaurus ObjectClass)
C1317574 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Research Comments
Item
Research Comments Text
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI-1)

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial