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Screening: Vital Signs Multiple Sclerosis ALAIN01 NCT02419378

18 forms  
Vital Signs
Description

Vital Signs

Alias
UMLS CUI-1
C0518766
Patient ID (derived)
Description

Patient ID (derived)

Data type

text

Alias
UMLS CUI [1]
C1269815
Vital Signs and Physical Examination: Date
Description

Vital Signs and Physical Examination: Date

Data type

date

Alias
UMLS CUI [1]
C2826644
Heart rate
Description

Heart rate

Data type

integer

Measurement units
  • bpm
Alias
UMLS CUI [1]
C0018810
bpm
Respiratory Rate
Description

Respiratory Rate

Data type

integer

Measurement units
  • /min
Alias
UMLS CUI [1]
C0231832
/min
Height
Description

Height

Data type

float

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Systolic blood pressure
Description

Systolic

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Diastolic blood pressure
Description

Diastolic

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Temperature
Description

Temperature

Data type

float

Measurement units
  • °C
Alias
UMLS CUI [1]
C0039476
°C
Body weight
Description

Body weight

Data type

float

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Physical Examination: General Appearance
Description

Physical Examination: General Appearance

Data type

text

Alias
UMLS CUI [1,1]
C1148438
Physical Examination: General Appearance, Text
Description

Physical Examination: General Appearance, Text

Data type

text

Alias
UMLS CUI [1]
C1148438
Physical Examination: Skin
Description

Physical Examination: Skin

Data type

text

Alias
UMLS CUI [1]
C0437750
Physical Examination: Skin, Text
Description

Physical Examination: Skin, Text

Data type

text

Alias
UMLS CUI [1]
C0437750
Physical Examination: HEENT
Description

Physical Examination: HEENT

Data type

text

Alias
UMLS CUI [1]
C3494720
Physical Examination: HEENT, Text
Description

Physical Examination: HEENT, Text

Data type

text

Alias
UMLS CUI [1]
C3494720
Physical Examination: Lymph Nodes
Description

Lymph Nodes Status

Data type

text

Alias
UMLS CUI [1,1]
C0024204
UMLS CUI [1,2]
C0449438
Physical Examination: Lymph Nodes, Text
Description

Physical Examination: Lymph Nodes, Text

Data type

text

Alias
UMLS CUI [1,1]
C0024204
UMLS CUI [1,2]
C0449438
Physical Examination: Heart
Description

Heart rate, Auscultation of the heart

Data type

text

Alias
UMLS CUI [1,1]
C0018810
UMLS CUI [1,2]
C0018793
Physical Examination: Heart, Text
Description

Physical Examination: Heart, Text

Data type

text

Alias
UMLS CUI [1,1]
C0018810
UMLS CUI [1,2]
C0018793
Physical Examination: Lungs
Description

Physical Examination: Lungs

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0024109
Physical Examination: Lungs, Text
Description

Physical Examination: Lungs, Text

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0024109
Physical Examination: Abdomen
Description

Physical Examination: Abdomen

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0000726
Physical Examination: Abdomen, Text
Description

Physical Examination: Abdomen, Text

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0000726
Physical Examination: Extremeties/Joints
Description

Physical Examination: Extremeties/Joints

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0278454
UMLS CUI [1,3]
C0022417
Physical Examination: Extremeties/Joints, Text
Description

Physical Examination: Extremeties/Joints, Text

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0022417
Physical Examination: Mental Status
Description

Physical Examination: Mental Status

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0278060
Physical Examination: Mental Status, Text
Description

Physical Examination: Mental Status, Text

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0278060
Initial Blood Pregnancy Test
Description

Blood Pregnancy Test

Data type

text

Alias
UMLS CUI [1]
C0850355
Initial Blood Pregnancy Test: Date
Description

Initial Blood Pregnancy Test: Date

Data type

date

Alias
UMLS CUI [1,1]
C0850355
UMLS CUI [1,2]
C0011008
Initial Blood Pregnancy Test: Result
Description

Initial Blood Pregnancy Test: Result

Data type

text

Alias
UMLS CUI [1]
C0850355
UMLS CUI [2]
C1254595
Initial Blood Pregnancy Test: Reason
Description

Initial Blood Pregnancy Test: Reason

Data type

text

Alias
UMLS CUI [1,1]
C0850355
UMLS CUI [1,2]
C0392360
Initial Blood Pregnancy Test: Reason, Text
Description

Initial Blood Pregnancy Test: Reason, Text

Data type

text

Alias
UMLS CUI [1,1]
C0850355
UMLS CUI [1,2]
C0392360
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Similar models

Screening: Vital Signs Multiple Sclerosis ALAIN01 NCT02419378

18 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Patient ID
Item
Patient ID (derived)
text
C1269815 (UMLS CUI [1])
Vital Signs date
Item
Vital Signs and Physical Examination: Date
date
C2826644 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Respiratory Rate
Item
Respiratory Rate
integer
C0231832 (UMLS CUI [1])
Height
Item
Height
float
C0005890 (UMLS CUI [1])
Systolic blood pressure
Item
Systolic blood pressure
integer
C0871470 (UMLS CUI [1])
Diastolic blood pressure
Item
Diastolic blood pressure
integer
C0428883 (UMLS CUI [1])
Temperature
Item
Temperature
float
C0039476 (UMLS CUI [1])
Weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
Item
Physical Examination: General Appearance
text
C1148438 (UMLS CUI [1,1])
Physical Examination: General Appearance
Code List
Physical Examination: General Appearance
CL Item
yes (1)
CL Item
no (0)
General Appearance
Item
Physical Examination: General Appearance, Text
text
C1148438 (UMLS CUI [1])
Item
Physical Examination: Skin
text
C0437750 (UMLS CUI [1])
Physical Examination: Skin
Code List
Physical Examination: Skin
CL Item
yes (1)
CL Item
no (0)
Skin examination
Item
Physical Examination: Skin, Text
text
C0437750 (UMLS CUI [1])
Item
Physical Examination: HEENT
text
C3494720 (UMLS CUI [1])
Physical Examination: HEENT
Code List
Physical Examination: HEENT
CL Item
yes (1)
CL Item
no (0)
HEENT Examination
Item
Physical Examination: HEENT, Text
text
C3494720 (UMLS CUI [1])
Item
Physical Examination: Lymph Nodes
text
C0024204 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
Physical Examination: Lymph Nodes
Code List
Physical Examination: Lymph Nodes
CL Item
yes (1)
CL Item
no (0)
Physical Examination: Lymph Nodes, Text
Item
Physical Examination: Lymph Nodes, Text
text
C0024204 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
Item
Physical Examination: Heart
text
C0018810 (UMLS CUI [1,1])
C0018793 (UMLS CUI [1,2])
Physical Examination: Heart
Code List
Physical Examination: Heart
CL Item
yes (1)
CL Item
no (0)
Physical Examination: Heart, Text
Item
Physical Examination: Heart, Text
text
C0018810 (UMLS CUI [1,1])
C0018793 (UMLS CUI [1,2])
Item
Physical Examination: Lungs
text
C0031809 (UMLS CUI [1,1])
C0024109 (UMLS CUI [1,2])
Physical Examination: Lungs
Code List
Physical Examination: Lungs
CL Item
yes (1)
CL Item
no (0)
Physical Examination: Lungs, Text
Item
Physical Examination: Lungs, Text
text
C0031809 (UMLS CUI [1,1])
C0024109 (UMLS CUI [1,2])
Item
Physical Examination: Abdomen
text
C0031809 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
Physical Examination: Abdomen
Code List
Physical Examination: Abdomen
CL Item
yes (1)
CL Item
no (0)
Physical Examination: Abdomen, Text
Item
Physical Examination: Abdomen, Text
text
C0031809 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
Item
Physical Examination: Extremeties/Joints
text
C0031809 (UMLS CUI [1,1])
C0278454 (UMLS CUI [1,2])
C0022417 (UMLS CUI [1,3])
Physical Examination: Extremeties/Joints
Code List
Physical Examination: Extremeties/Joints
CL Item
yes (1)
CL Item
no (0)
Physical Examination: Extremeties/Joints, Text
Item
Physical Examination: Extremeties/Joints, Text
text
C0031809 (UMLS CUI [1,1])
C0022417 (UMLS CUI [1,2])
Item
Physical Examination: Mental Status
text
C0031809 (UMLS CUI [1,1])
C0278060 (UMLS CUI [1,2])
Physical Examination: Mental Status
Code List
Physical Examination: Mental Status
CL Item
yes (1)
CL Item
no (0)
Physical Examination: Mental Status, Text
Item
Physical Examination: Mental Status, Text
text
C0031809 (UMLS CUI [1,1])
C0278060 (UMLS CUI [1,2])
Item
Initial Blood Pregnancy Test
text
C0850355 (UMLS CUI [1])
Initial Blood Pregnancy Test
Code List
Initial Blood Pregnancy Test
CL Item
Test done (1)
CL Item
Test not done (0)
Initial Blood Pregnancy Test: Date
Item
Initial Blood Pregnancy Test: Date
date
C0850355 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Initial Blood Pregnancy Test: Result
text
C0850355 (UMLS CUI [1])
C1254595 (UMLS CUI [2])
Initial Blood Pregnancy Test: Result
Code List
Initial Blood Pregnancy Test: Result
CL Item
negative (0)
CL Item
positive (1)
Item
Initial Blood Pregnancy Test: Reason
text
C0850355 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Initial Blood Pregnancy Test: Reason
Code List
Initial Blood Pregnancy Test: Reason
CL Item
no childbearing potential (0)
CL Item
other (9)
Initial Blood Pregnancy Test: Reason, Text
Item
Initial Blood Pregnancy Test: Reason, Text
text
C0850355 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
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