ID

43129

Beskrivning

Infectious Disease Markers Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=62093463-23EF-B53C-E040-BB89AD434539

Länk

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=62093463-23EF-B53C-E040-BB89AD434539

Nyckelord

Versioner (2)
  1. 2014-12-18 2014-12-18 - Martin Dugas
  2. 2021-09-20 2021-09-20 -
Uppladdad den

20 september 2021

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy
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Lab - 2004 - Infectious Disease Markers - 2630454v6.0

Engelsk

This form must be completed for all non-NMDP allogeneic or syngeneic donors, or non-NMDP cord blood units. If the donor or cord blood unit was secured through the NMDP, then report IDMs on forms 24 and 50 for allogeneic donors or through CORD Link for cord blood units.

1 Formulär  
Registry Use Only
Beskrivning

Registry Use Only

Sequence number:
Beskrivning

ClinicalDataFormSequenceNumber

Datatyp

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C19464
UMLS 2011AA Property
C0376315
NCI Thesaurus ObjectClass
C15783
UMLS 2011AA ObjectClass
C1516606
NCI Thesaurus ValueDomain
C25673
UMLS 2011AA ValueDomain
C1519249
Date received:
Beskrivning

ClinicalDataFormReceivedDate

Datatyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C19464
UMLS 2011AA Property
C0376315
NCI Thesaurus ValueDomain
C25639
UMLS 2011AA ValueDomain
C1514756
NCI Thesaurus ObjectClass
C15783
UMLS 2011AA ObjectClass
C1516606
Identification Data
Beskrivning

Identification Data

CIBMTR Center Number:
Beskrivning

HematopoieticStemCellTransplantationRecipientInstitution::CenterforInternationalBloodandMarrowTransplantResearchFacilityNumber

Datatyp

double

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C53268
UMLS 2011AA Property
C1709854
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain
C41206
UMLS 2011AA ValueDomain
C1272753
NCI Thesaurus ValueDomain
C62574
UMLS 2011AA ValueDomain
C1547538
CIBMTR Recipient ID:
Beskrivning

HematopoieticStemCellTransplantationRecipientIdentificationNumber

Datatyp

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C53268
UMLS 2011AA Property
C1709854
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus ValueDomain
C25737
UMLS 2011AA ValueDomain
C0205396
Identification Data
Beskrivning

Identification Data

Non-NMDP donor ID:
Beskrivning

HematopoieticStemCellTransplantationTissueDonorNotInstitution::NationalMarrowDonorProgramIdentifier

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C25168
UMLS 2011AA Property
C0040288
NCI Thesaurus ValueDomain
C25364
UMLS 2011AA ValueDomain
C0600091
NCI Thesaurus ValueDomain
C25594
UMLS 2011AA ValueDomain
C1518422
NCI Thesaurus ValueDomain
C41206
UMLS 2011AA ValueDomain
C1272753
Donor Gender
Beskrivning

TransplantDonorGenderType

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C25168
UMLS 2011AA ObjectClass
C0040288
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus Property
C17357
UMLS 2011AA Property
C0079399
Donor date of birth:
Beskrivning

TransplantDonorBirthDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C25168
UMLS 2011AA ObjectClass
C0040288
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus Property
C25155
UMLS 2011AA Property
C0005615
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25367
Identification Data
Beskrivning

Identification Data

Non-NMDP Cord Blood Unit (CBU) ID:
Beskrivning

HematopoieticStemCellTransplantationUmbilicalCordBloodTypeNotInstitution::NationalMarrowDonorProgramIdentifier

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C25284
UMLS 2011AA Property
C0332307
NCI Thesaurus Property
C13300
UMLS 2011AA Property
C0162371
NCI Thesaurus ValueDomain
C25364
UMLS 2011AA ValueDomain
C0600091
NCI Thesaurus ValueDomain
C25594
UMLS 2011AA ValueDomain
C1518422
NCI Thesaurus ValueDomain
C41206
UMLS 2011AA ValueDomain
C1272753
Identification Data
Beskrivning

Identification Data

Today's date:
Beskrivning

ClinicalDataFormTodayDate

Datatyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C19464
UMLS 2011AA Property
C0376315
NCI Thesaurus ObjectClass
C15783
UMLS 2011AA ObjectClass
C1516606
NCI Thesaurus ValueDomain
C41134
UMLS 2011AA ValueDomain
C0750526
Date of Hematopoietic Stem Cell Transplantation (HSCT) for which this form is being completed:
Beskrivning

HematopoieticStemCellTransplantationOccurrenceDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C15342
UMLS 2011AA ObjectClass
C0029216
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C15342
UMLS 2011AA ValueDomain
C0029216
Hsct Type
Beskrivning

Hsct Type

What source was used for the hematopoietic stem cell transplantation?
Beskrivning

HematopoieticStemCellGraftSourceName

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus Property
C25683
UMLS 2011AA Property
C0449416
NCI Thesaurus ValueDomain
C12551
UMLS 2011AA ValueDomain
C0018956
NCI Thesaurus ValueDomain
C25683
UMLS 2011AA ValueDomain
C0449416
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Was a particular hematopoietic stem cell source used?
Beskrivning

HematopoieticStemCellGraftSourceTherapyInd-2

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus Property
C25683
UMLS 2011AA Property
C0449416
Product Type
Beskrivning

Product Type

What type of hematopoietic stem cell transplant was used?
Beskrivning

HematopoieticStemCellGraftTypeName

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus Property
C25284
UMLS 2011AA Property
C0332307
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C12551
UMLS 2011AA ValueDomain
C0018956
NCI Thesaurus ValueDomain
C12981
UMLS 2011AA ValueDomain
C0332835
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Was a particular hematopoietic stem cell transplant type used?
Beskrivning

HematopoieticStemCellGraftTypeTherapyInd-2

Datatyp

text

Alias
NCI Thesaurus Property
C25284
UMLS 2011AA Property
C0332307
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
Specify the other hematopoietic stem cell transplant type: (Answer only if the value for 2730912 is "Other". )
Beskrivning

HematopoieticStemCellGraftOtherTypeSpecify

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C12551
UMLS 2011AA ObjectClass
C0018956
NCI Thesaurus ObjectClass
C12981
UMLS 2011AA ObjectClass
C0332835
NCI Thesaurus Property
C25284
UMLS 2011AA Property
C0332307
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ValueDomain
C17649
UMLS 2011AA ValueDomain
C0205394
Source Information
Beskrivning

Source Information

Who is being tested for IDMs?
Beskrivning

InfectionDiseaseMarkerLaboratoryProcedureSourceType

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C26726
UMLS 2011AA ObjectClass
C0009450
NCI Thesaurus ObjectClass
C18329
UMLS 2011AA ObjectClass
C1511983
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25683
UMLS 2011AA Property
C0449416
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C18329
UMLS 2011AA ValueDomain
C1511983
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
NCI Thesaurus ValueDomain
C25683
UMLS 2011AA ValueDomain
C0449416
Infectious Disease Marker
Beskrivning

Infectious Disease Marker

Test results of infectious disease marker for hepatitis B virus (HBV) surface antigen(HBsAG)
Beskrivning

SerologicalHematologyHepatitisBSurfaceAntigenTestLaboratoryFindingResult

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus ObjectClass
C41264
UMLS 2011AA ObjectClass
C0205473
NCI Thesaurus Property
C25294
UMLS 2011AA Property
C0022885
NCI Thesaurus Property
C62786
UMLS 2011AA Property
C0019168
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Date that the test for hepatitis B surface antigen (HBsAG) was performed:
Beskrivning

SerologicalHematologyHepatitisBSurfaceAntigenTestLaboratoryProcedureDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus ObjectClass
C41264
UMLS 2011AA ObjectClass
C0205473
NCI Thesaurus Property
C25294
UMLS 2011AA Property
C0022885
NCI Thesaurus Property
C62786
UMLS 2011AA Property
C0019168
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
Test results of infectious disease marker for hepatitis B virus (HBV) core antibody (Anti HBc) (No confirmatory test available)
Beskrivning

SerologicalHematologyHepatitisBVirusCoreAntibodyLaboratoryFindingResult

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus ObjectClass
C41264
UMLS 2011AA ObjectClass
C0205473
NCI Thesaurus Property
C25294
UMLS 2011AA Property
C0022885
NCI Thesaurus Property
C62797
UMLS 2011AA Property
C0369330
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Date that the test for hepatitis B virus core antibody (Anti HBc) was performed:
Beskrivning

SerologicalHematologyHepatitisBVirusCoreAntibodyTestLaboratoryProcedureDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus ObjectClass
C41264
UMLS 2011AA ObjectClass
C0205473
NCI Thesaurus Property
C25294
UMLS 2011AA Property
C0022885
NCI Thesaurus Property
C62797
UMLS 2011AA Property
C0369330
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
Hepatitis C Virus (hcv)
Beskrivning

Hepatitis C Virus (hcv)

Test results of infectious disease marker for hepatitis C virus (HCV) antibody (Anti-HCV)
Beskrivning

SerologicalHematologyHepatitisCAntibodyTestLaboratoryFindingResult

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus ObjectClass
C41264
UMLS 2011AA ObjectClass
C0205473
NCI Thesaurus Property
C3098
UMLS 2011AA Property
C0019196
NCI Thesaurus Property
C16295
UMLS 2011AA Property
C0003241
NCI Thesaurus Property
C25294
UMLS 2011AA Property
C0022885
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Date that the test for hepatitis C virus antibody (Anti-HCV) was performed:
Beskrivning

SerologicalHematologyHepatitisCAntibodyTestLaboratoryProcedureDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C16673
UMLS 2011AA ObjectClass
C0018943
NCI Thesaurus ObjectClass
C41264
UMLS 2011AA ObjectClass
C0205473
NCI Thesaurus Property
C3098
UMLS 2011AA Property
C0019196
NCI Thesaurus Property
C16295
UMLS 2011AA Property
C0003241
NCI Thesaurus Property
C25294
UMLS 2011AA Property
C0022885
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
Human T-lymphotropic Virus
Beskrivning

Human T-lymphotropic Virus

Test results of infectious disease marker for human T-Lymphotropic virus antibody(Anti-HTLV I/II):
Beskrivning

LaboratoryProcedureHTLV-1HTLV-2AntibodyLaboratoryFindingResult

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C16295
UMLS 2011AA Property
C0003241
NCI Thesaurus Property
C14223
UMLS 2011AA Property
C0020094
NCI Thesaurus Property
C14224
UMLS 2011AA Property
C0020099
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Date that the test for human T-Lymphotropic virus antibody (Anti-HTLV I/II) was performed:
Beskrivning

LaboratoryProcedureHTLV-1HTLV-2AntibodyDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C16295
UMLS 2011AA Property
C0003241
NCI Thesaurus Property
C14223
UMLS 2011AA Property
C0020094
NCI Thesaurus Property
C14224
UMLS 2011AA Property
C0020099
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
Human Immunodeficiency Virus (hiv)
Beskrivning

Human Immunodeficiency Virus (hiv)

Test results of infectious disease marker for human immunodeficiency virus(HIV)-1 p24 antigen:
Beskrivning

LaboratoryProcedureHIVp24AntigenLaboratoryFindingResult

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
NCI Thesaurus Property
C17431
UMLS 2011AA Property
C0085219
Date that the test for HIV-1 p24 antigen was performed:
Beskrivning

LaboratoryProcedureHIVp24AntigenDate

Datatyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
NCI Thesaurus Property
C17431
UMLS 2011AA Property
C0085219
Was FDA licensed nucleic acid amplification test (NAT)for human immunodeficiency virus(HIV)-1 or hepatitis C virus performed?
Beskrivning

LaboratoryProcedureHumanImmunodeficiencyVirus1HepatitisCVirusNucleicAcidAmplificationTestLaboratoryFindingYesorNoResponse

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C20055
UMLS 2011AA Property
C0200932
NCI Thesaurus Property
C14312
UMLS 2011AA Property
C0220847
NCI Thesaurus Property
C14220
UMLS 2011AA Property
C0019704
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
If FDA licensed nucleic acid amplification test (NAT)for human immunodeficiency virus(HIV)-1 performed; specify results
Beskrivning

NucleicAcidAmplificationTestHumanImmunodeficiencyVirus1LaboratoryFindingResult

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C20055
UMLS 2011AA ObjectClass
C0200932
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus Property
C14220
UMLS 2011AA Property
C0019704
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Date that the FDA licensed nucleic acid amplification test (NAT) for human immunodeficiency virus (HIV-1) was performed:
Beskrivning

NucleicAcidAmplificationTestHumanImmunodeficiencyVirus1LaboratoryProcedureDate

Datatyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C20055
UMLS 2011AA ObjectClass
C0200932
NCI Thesaurus Property
C14220
UMLS 2011AA Property
C0019704
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
Was FDA licensed nucleic acid amplification test (NAT)for hepatitis C virus performed; specify results
Beskrivning

NucleicAcidAmplificationTestHepatitisCVirusLaboratoryFindingResult

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C20055
UMLS 2011AA ObjectClass
C0200932
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus Property
C14312
UMLS 2011AA Property
C0220847
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Date that the FDA licensed nucleic acid amplification test (NAT) for hepatitis C virus was performed:
Beskrivning

NucleicAcidAmplificationTestHepatitisCVirusLaboratoryProcedureDate

Datatyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C20055
UMLS 2011AA ObjectClass
C0200932
NCI Thesaurus Property
C14312
UMLS 2011AA Property
C0220847
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
Test results of infectious disease marker for Anti-HIV 1 and anti-HIV 2 (antibodies to Human Immunodeficiency Viruses): (Testing for both HIV antibodies is required. This testing may be performed as separate tests or done using a combined assay.)
Beskrivning

LaboratoryProcedureHumanImmunodeficiencyVirus1HumanImmunodeficiencyVirus2AntibodyLaboratoryFindingResult

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C14220
UMLS 2011AA Property
C0019704
NCI Thesaurus Property
C16295
UMLS 2011AA Property
C0003241
NCI Thesaurus Property
C14221
UMLS 2011AA Property
C0019707
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Date that the test for Anti-HIV 1 and anti-HIV 2 (antibodies to Human Immunodeficiency Viruses) was performed:
Beskrivning

LaboratoryProcedureHumanImmunodeficiencyVirus1HumanImmunodeficiencyVirus2AntibodyDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C14220
UMLS 2011AA Property
C0019704
NCI Thesaurus Property
C16295
UMLS 2011AA Property
C0003241
NCI Thesaurus Property
C14221
UMLS 2011AA Property
C0019707
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
Syphilis
Beskrivning

Syphilis

Test results of infectious disease marker for syphilis using serologic testing for syphilis(STS)
Beskrivning

SerologicalLaboratoryProcedureSyphilisLaboratoryFindingResult

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C41264
UMLS 2011AA ObjectClass
C0205473
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C35055
UMLS 2011AA Property
C0039128
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Date that the the serologic test for syphilis (STS) was performed:
Beskrivning

SerologicalLaboratoryProcedureSyphilisDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C41264
UMLS 2011AA ObjectClass
C0205473
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C35055
UMLS 2011AA Property
C0039128
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
Cytomegalovirus (cmv)
Beskrivning

Cytomegalovirus (cmv)

Test results of infectious disease marker for cytomegalovirus(CMV) antibody (IgG or total):
Beskrivning

LaboratoryProcedureIgGOrTotalCytomegalovirusAntibodyLaboratoryFindingResult

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25304
UMLS 2011AA Property
C0439810
NCI Thesaurus Property
C14196
UMLS 2011AA Property
C0010825
NCI Thesaurus Property
C37998
UMLS 2011AA Property
C1518602
NCI Thesaurus Property
C568
UMLS 2011AA Property
C0020852
NCI Thesaurus Property
C16295
UMLS 2011AA Property
C0003241
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
Date that the test for cytomegalovirus (CMV) antibody (IgG or total) was performed:
Beskrivning

LaboratoryProcedureIgGOrTotalCytomegalovirusAntibodyDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C25304
UMLS 2011AA Property
C0439810
NCI Thesaurus Property
C14196
UMLS 2011AA Property
C0010825
NCI Thesaurus Property
C37998
UMLS 2011AA Property
C1518602
NCI Thesaurus Property
C568
UMLS 2011AA Property
C0020852
NCI Thesaurus Property
C16295
UMLS 2011AA Property
C0003241
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
West Nile Virus (wnv)
Beskrivning

West Nile Virus (wnv)

Test results of infectious disease marker for west nile virus(WNV) using nucleic acid amplification test (NAT)
Beskrivning

NucleicAcidAmplificationTestWestNileVirusLaboratoryFindingResult

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C20055
UMLS 2011AA ObjectClass
C0200932
NCI Thesaurus ValueDomain
C20200
UMLS 2011AA ValueDomain
C1274040
NCI Thesaurus ValueDomain
C36292
UMLS 2011AA ValueDomain
C0587081
NCI Thesaurus Property
C71877
UMLS 2011AA Property
C0043125
Date that the nucleic acid amplification test (NAT) for West Nile Viruse (WNV) was performed:
Beskrivning

NucleicAcidAmplificationTestWestNileVirusLaboratoryProcedureDate

Datatyp

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C20055
UMLS 2011AA ObjectClass
C0200932
NCI Thesaurus ValueDomain
C25294
UMLS 2011AA ValueDomain
C0022885
NCI Thesaurus Property
C71877
UMLS 2011AA Property
C0043125
Other Infectious Disease Marker
Beskrivning

Other Infectious Disease Marker

Other infectious disease marker?
Beskrivning

LaboratoryProcedureOtherInfectiousDiseaseMarkerAssessmentResultsInd-3

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property
C26726
UMLS 2011AA Property
C0009450
NCI Thesaurus Property
C18329
UMLS 2011AA Property
C1511983
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
Date test performed on other infectious disease marker:
Beskrivning

LaboratoryProcedureOtherInfectiousDiseaseMarkerAssessmentDate

Datatyp

date

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property
C26726
UMLS 2011AA Property
C0009450
NCI Thesaurus Property
C18329
UMLS 2011AA Property
C1511983
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ValueDomain
C25217
UMLS 2011AA ValueDomain
C1516048
Specify test and method for test performed on other infectious disease marker:
Beskrivning

LaboratoryProcedureOtherInfectiousDiseaseMarkerAssessmentSpecify

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property
C26726
UMLS 2011AA Property
C0009450
NCI Thesaurus Property
C18329
UMLS 2011AA Property
C1511983
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Specify test results for test performed on other infectious disease marker
Beskrivning

LaboratoryProcedureOtherInfectiousDiseaseMarkerLabResultSpecify

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property
C26726
UMLS 2011AA Property
C0009450
NCI Thesaurus Property
C18329
UMLS 2011AA Property
C1511983
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
Author Information
Beskrivning

Author Information

First Name
Beskrivning

PersonGiven/FirstName

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property
C40974
UMLS 2011AA Property
C1443235
Last Name
Beskrivning

PersonFamily/LastName

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property
C40975
UMLS 2011AA Property
C1301584
Telephone number:
Beskrivning

ContactPersonLocationTelephoneNumber

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus ObjectClass
C25461
UMLS 2011AA ObjectClass
C0337611
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain
C25395
UMLS 2011AA ValueDomain
C0039457
Fax number:
Beskrivning

ContactPersonLocationFaxNumber

Datatyp

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus ObjectClass
C25461
UMLS 2011AA ObjectClass
C0337611
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain
C25210
UMLS 2011AA ValueDomain
C0085205
EMail Address
Beskrivning

PersonEmailAddressText

Datatyp

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C42775
UMLS 2011AA Property
C1705961
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This form must be completed for all non-NMDP allogeneic or syngeneic donors, or non-NMDP cord blood units. If the donor or cord blood unit was secured through the NMDP, then report IDMs on forms 24 and 50 for allogeneic donors or through CORD Link for cord blood units.

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Registry Use Only
ClinicalDataFormSequenceNumber
Item
Sequence number:
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C15783 (NCI Thesaurus ObjectClass)
C1516606 (UMLS 2011AA ObjectClass)
C25673 (NCI Thesaurus ValueDomain)
C1519249 (UMLS 2011AA ValueDomain)
ClinicalDataFormReceivedDate
Item
Date received:
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C25639 (NCI Thesaurus ValueDomain)
C1514756 (UMLS 2011AA ValueDomain)
C15783 (NCI Thesaurus ObjectClass)
C1516606 (UMLS 2011AA ObjectClass)
Item Group
Identification Data
HematopoieticStemCellTransplantationRecipientInstitution::CenterforInternationalBloodandMarrowTransplantResearchFacilityNumber
Item
CIBMTR Center Number:
double
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C53268 (NCI Thesaurus Property)
C1709854 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C41206 (NCI Thesaurus ValueDomain)
C1272753 (UMLS 2011AA ValueDomain)
C62574 (NCI Thesaurus ValueDomain)
C1547538 (UMLS 2011AA ValueDomain)
HematopoieticStemCellTransplantationRecipientIdentificationNumber
Item
CIBMTR Recipient ID:
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C53268 (NCI Thesaurus Property)
C1709854 (UMLS 2011AA Property)
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C25737 (NCI Thesaurus ValueDomain)
C0205396 (UMLS 2011AA ValueDomain)
Item Group
Identification Data
HematopoieticStemCellTransplantationTissueDonorNotInstitution::NationalMarrowDonorProgramIdentifier
Item
Non-NMDP donor ID:
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C25168 (NCI Thesaurus Property)
C0040288 (UMLS 2011AA Property)
C25364 (NCI Thesaurus ValueDomain)
C0600091 (UMLS 2011AA ValueDomain)
C25594 (NCI Thesaurus ValueDomain)
C1518422 (UMLS 2011AA ValueDomain)
C41206 (NCI Thesaurus ValueDomain)
C1272753 (UMLS 2011AA ValueDomain)
Item
Donor Gender
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25168 (NCI Thesaurus ObjectClass)
C0040288 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C17357 (NCI Thesaurus Property)
C0079399 (UMLS 2011AA Property)
CL.1
Code List
Donor Gender
CL Item
Male (male)
C20197 (NCI Thesaurus)
C0086582 (UMLS 2011AA)
CL Item
Female (female)
C16576 (NCI Thesaurus)
C0086287 (UMLS 2011AA)
TransplantDonorBirthDate
Item
Donor date of birth:
date
C25168 (NCI Thesaurus ObjectClass)
C0040288 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C25155 (NCI Thesaurus Property)
C0005615 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
Item Group
Identification Data
HematopoieticStemCellTransplantationUmbilicalCordBloodTypeNotInstitution::NationalMarrowDonorProgramIdentifier
Item
Non-NMDP Cord Blood Unit (CBU) ID:
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C25284 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA Property)
C13300 (NCI Thesaurus Property)
C0162371 (UMLS 2011AA Property)
C25364 (NCI Thesaurus ValueDomain)
C0600091 (UMLS 2011AA ValueDomain)
C25594 (NCI Thesaurus ValueDomain)
C1518422 (UMLS 2011AA ValueDomain)
C41206 (NCI Thesaurus ValueDomain)
C1272753 (UMLS 2011AA ValueDomain)
Item Group
Identification Data
ClinicalDataFormTodayDate
Item
Today's date:
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C15783 (NCI Thesaurus ObjectClass)
C1516606 (UMLS 2011AA ObjectClass)
C41134 (NCI Thesaurus ValueDomain)
C0750526 (UMLS 2011AA ValueDomain)
HematopoieticStemCellTransplantationOccurrenceDate
Item
Date of Hematopoietic Stem Cell Transplantation (HSCT) for which this form is being completed:
date
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C15342 (NCI Thesaurus ObjectClass)
C0029216 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C15342 (NCI Thesaurus ValueDomain)
C0029216 (UMLS 2011AA ValueDomain)
Item Group
Hsct Type
Item
What source was used for the hematopoietic stem cell transplantation?
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
C12551 (NCI Thesaurus ValueDomain)
C0018956 (UMLS 2011AA ValueDomain)
C25683 (NCI Thesaurus ValueDomain)
C0449416 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.2
Code List
What source was used for the hematopoietic stem cell transplantation?
CL Item
Unrelated Allogenic (Allogeneic, unrelated)
C25328 (NCI Thesaurus)
C0445356 (UMLS 2011AA)
C28343 (NCI Thesaurus)
C1515895 (UMLS 2011AA)
CL Item
Related Allogenic (Allogeneic, related)
C25648 (NCI Thesaurus)
C0439849 (UMLS 2011AA)
C28343 (NCI Thesaurus)
C1515895 (UMLS 2011AA)
CL Item
Syngeneic (Syngeneic (identical twin))
Item
Was a particular hematopoietic stem cell source used?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
CL.3
Code List
Was a particular hematopoietic stem cell source used?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item Group
Product Type
Item
What type of hematopoietic stem cell transplant was used?
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C25284 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C12551 (NCI Thesaurus ValueDomain)
C0018956 (UMLS 2011AA ValueDomain)
C12981 (NCI Thesaurus ValueDomain)
C0332835 (UMLS 2011AA ValueDomain)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
CL.4
Code List
What type of hematopoietic stem cell transplant was used?
CL Item
Bone Marrow (Marrow)
C12431 (NCI Thesaurus)
C0005953 (UMLS 2011AA)
CL Item
Peripheral Blood Stem Cell (PBSC)
C12946 (NCI Thesaurus)
C1518999 (UMLS 2011AA)
CL Item
Umbilical Cord Blood (Cord blood)
C13300 (NCI Thesaurus)
C0162371 (UMLS 2011AA)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Item
Was a particular hematopoietic stem cell transplant type used?
text
C25284 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
CL.5
Code List
Was a particular hematopoietic stem cell transplant type used?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
HematopoieticStemCellGraftOtherTypeSpecify
Item
Specify the other hematopoietic stem cell transplant type: (Answer only if the value for 2730912 is "Other". )
text
C12551 (NCI Thesaurus ObjectClass)
C0018956 (UMLS 2011AA ObjectClass)
C12981 (NCI Thesaurus ObjectClass)
C0332835 (UMLS 2011AA ObjectClass)
C25284 (NCI Thesaurus Property)
C0332307 (UMLS 2011AA Property)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17649 (NCI Thesaurus ValueDomain)
C0205394 (UMLS 2011AA ValueDomain)
Item Group
Source Information
Item
Who is being tested for IDMs?
text
C26726 (NCI Thesaurus ObjectClass)
C0009450 (UMLS 2011AA ObjectClass)
C18329 (NCI Thesaurus ObjectClass)
C1511983 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25683 (NCI Thesaurus Property)
C0449416 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C18329 (NCI Thesaurus ValueDomain)
C1511983 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
C25683 (NCI Thesaurus ValueDomain)
C0449416 (UMLS 2011AA ValueDomain)
CL.6
Code List
Who is being tested for IDMs?
CL Item
Disease Marker Donor (Donor IDM (Marrow or PBSC))
C18329 (NCI Thesaurus)
C1511983 (UMLS 2011AA)
C48284 (NCI Thesaurus)
C0013018 (UMLS 2011AA)
CL Item
Umbilical Cord Blood Disease Marker Mother (Maternal IDM (Cord Blood))
C25189 (NCI Thesaurus)
C0026591 (UMLS 2011AA)
C13300 (NCI Thesaurus)
C0162371 (UMLS 2011AA)
C18329 (NCI Thesaurus)
C1511983 (UMLS 2011AA)
CL Item
Disease Marker Umbilical Cord Blood (Cord Blood Unit (IDM))
C13300 (NCI Thesaurus)
C0162371 (UMLS 2011AA)
C18329 (NCI Thesaurus)
C1511983 (UMLS 2011AA)
Item Group
Infectious Disease Marker
Item
Test results of infectious disease marker for hepatitis B virus (HBV) surface antigen(HBsAG)
text
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C41264 (NCI Thesaurus ObjectClass)
C0205473 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C62786 (NCI Thesaurus Property)
C0019168 (UMLS 2011AA Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.7
Code List
Test results of infectious disease marker for hepatitis B virus (HBV) surface antigen(HBsAG)
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Done: C49484 (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
SerologicalHematologyHepatitisBSurfaceAntigenTestLaboratoryProcedureDate
Item
Date that the test for hepatitis B surface antigen (HBsAG) was performed:
date
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C41264 (NCI Thesaurus ObjectClass)
C0205473 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C62786 (NCI Thesaurus Property)
C0019168 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
Item
Test results of infectious disease marker for hepatitis B virus (HBV) core antibody (Anti HBc) (No confirmatory test available)
text
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C41264 (NCI Thesaurus ObjectClass)
C0205473 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C62797 (NCI Thesaurus Property)
C0369330 (UMLS 2011AA Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.8
Code List
Test results of infectious disease marker for hepatitis B virus (HBV) core antibody (Anti HBc) (No confirmatory test available)
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Done: C49484 (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
SerologicalHematologyHepatitisBVirusCoreAntibodyTestLaboratoryProcedureDate
Item
Date that the test for hepatitis B virus core antibody (Anti HBc) was performed:
date
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C41264 (NCI Thesaurus ObjectClass)
C0205473 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C62797 (NCI Thesaurus Property)
C0369330 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
Item Group
Hepatitis C Virus (hcv)
Item
Test results of infectious disease marker for hepatitis C virus (HCV) antibody (Anti-HCV)
text
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C41264 (NCI Thesaurus ObjectClass)
C0205473 (UMLS 2011AA ObjectClass)
C3098 (NCI Thesaurus Property)
C0019196 (UMLS 2011AA Property)
C16295 (NCI Thesaurus Property)
C0003241 (UMLS 2011AA Property)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.9
Code List
Test results of infectious disease marker for hepatitis C virus (HCV) antibody (Anti-HCV)
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Done: C49484 (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
SerologicalHematologyHepatitisCAntibodyTestLaboratoryProcedureDate
Item
Date that the test for hepatitis C virus antibody (Anti-HCV) was performed:
date
C16673 (NCI Thesaurus ObjectClass)
C0018943 (UMLS 2011AA ObjectClass)
C41264 (NCI Thesaurus ObjectClass)
C0205473 (UMLS 2011AA ObjectClass)
C3098 (NCI Thesaurus Property)
C0019196 (UMLS 2011AA Property)
C16295 (NCI Thesaurus Property)
C0003241 (UMLS 2011AA Property)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
Item Group
Human T-lymphotropic Virus
Item
Test results of infectious disease marker for human T-Lymphotropic virus antibody(Anti-HTLV I/II):
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C16295 (NCI Thesaurus Property)
C0003241 (UMLS 2011AA Property)
C14223 (NCI Thesaurus Property)
C0020094 (UMLS 2011AA Property)
C14224 (NCI Thesaurus Property)
C0020099 (UMLS 2011AA Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.10
Code List
Test results of infectious disease marker for human T-Lymphotropic virus antibody(Anti-HTLV I/II):
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Done: C49484 (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
LaboratoryProcedureHTLV-1HTLV-2AntibodyDate
Item
Date that the test for human T-Lymphotropic virus antibody (Anti-HTLV I/II) was performed:
date
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C16295 (NCI Thesaurus Property)
C0003241 (UMLS 2011AA Property)
C14223 (NCI Thesaurus Property)
C0020094 (UMLS 2011AA Property)
C14224 (NCI Thesaurus Property)
C0020099 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
Item Group
Human Immunodeficiency Virus (hiv)
Item
Test results of infectious disease marker for human immunodeficiency virus(HIV)-1 p24 antigen:
text
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
C17431 (NCI Thesaurus Property)
C0085219 (UMLS 2011AA Property)
CL.11
Code List
Test results of infectious disease marker for human immunodeficiency virus(HIV)-1 p24 antigen:
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Report (Not reported)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25375 (NCI Thesaurus)
C0684224 (UMLS 2011AA)
CL Item
Human Immunodeficiency Virus Nucleic Acid Amplification Test Performed (Not performed; HIV NAT testing performed)
C14219 (NCI Thesaurus)
C0019682 (UMLS 2011AA)
C38000 (NCI Thesaurus)
C0884358 (UMLS 2011AA)
C20055 (NCI Thesaurus)
C0200932 (UMLS 2011AA)
LaboratoryProcedureHIVp24AntigenDate
Item
Date that the test for HIV-1 p24 antigen was performed:
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
C17431 (NCI Thesaurus Property)
C0085219 (UMLS 2011AA Property)
Item
Was FDA licensed nucleic acid amplification test (NAT)for human immunodeficiency virus(HIV)-1 or hepatitis C virus performed?
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C20055 (NCI Thesaurus Property)
C0200932 (UMLS 2011AA Property)
C14312 (NCI Thesaurus Property)
C0220847 (UMLS 2011AA Property)
C14220 (NCI Thesaurus Property)
C0019704 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.12
Code List
Was FDA licensed nucleic acid amplification test (NAT)for human immunodeficiency virus(HIV)-1 or hepatitis C virus performed?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
If FDA licensed nucleic acid amplification test (NAT)for human immunodeficiency virus(HIV)-1 performed; specify results
text
C20055 (NCI Thesaurus ObjectClass)
C0200932 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C14220 (NCI Thesaurus Property)
C0019704 (UMLS 2011AA Property)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.13
Code List
If FDA licensed nucleic acid amplification test (NAT)for human immunodeficiency virus(HIV)-1 performed; specify results
CL Item
Positive Finding (Positive)
C38758 (NCI Thesaurus)
C1514241 (UMLS 2011AA)
CL Item
Negative Finding (Negative)
C38757 (NCI Thesaurus)
C1513916 (UMLS 2011AA)
CL Item
Not Report (Not reported)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25375 (NCI Thesaurus)
C0684224 (UMLS 2011AA)
NucleicAcidAmplificationTestHumanImmunodeficiencyVirus1LaboratoryProcedureDate
Item
Date that the FDA licensed nucleic acid amplification test (NAT) for human immunodeficiency virus (HIV-1) was performed:
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C20055 (NCI Thesaurus ObjectClass)
C0200932 (UMLS 2011AA ObjectClass)
C14220 (NCI Thesaurus Property)
C0019704 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
Item
Was FDA licensed nucleic acid amplification test (NAT)for hepatitis C virus performed; specify results
text
C20055 (NCI Thesaurus ObjectClass)
C0200932 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C14312 (NCI Thesaurus Property)
C0220847 (UMLS 2011AA Property)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.14
Code List
Was FDA licensed nucleic acid amplification test (NAT)for hepatitis C virus performed; specify results
CL Item
Positive Finding (Positive)
C38758 (NCI Thesaurus)
C1514241 (UMLS 2011AA)
CL Item
Negative Finding (Negative)
C38757 (NCI Thesaurus)
C1513916 (UMLS 2011AA)
NucleicAcidAmplificationTestHepatitisCVirusLaboratoryProcedureDate
Item
Date that the FDA licensed nucleic acid amplification test (NAT) for hepatitis C virus was performed:
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C20055 (NCI Thesaurus ObjectClass)
C0200932 (UMLS 2011AA ObjectClass)
C14312 (NCI Thesaurus Property)
C0220847 (UMLS 2011AA Property)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
Item
Test results of infectious disease marker for Anti-HIV 1 and anti-HIV 2 (antibodies to Human Immunodeficiency Viruses): (Testing for both HIV antibodies is required. This testing may be performed as separate tests or done using a combined assay.)
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C14220 (NCI Thesaurus Property)
C0019704 (UMLS 2011AA Property)
C16295 (NCI Thesaurus Property)
C0003241 (UMLS 2011AA Property)
C14221 (NCI Thesaurus Property)
C0019707 (UMLS 2011AA Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.15
Code List
Test results of infectious disease marker for Anti-HIV 1 and anti-HIV 2 (antibodies to Human Immunodeficiency Viruses): (Testing for both HIV antibodies is required. This testing may be performed as separate tests or done using a combined assay.)
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Done: C49484 (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
CL Item
Not Report (Not reported)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25375 (NCI Thesaurus)
C0684224 (UMLS 2011AA)
LaboratoryProcedureHumanImmunodeficiencyVirus1HumanImmunodeficiencyVirus2AntibodyDate
Item
Date that the test for Anti-HIV 1 and anti-HIV 2 (antibodies to Human Immunodeficiency Viruses) was performed:
date
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C14220 (NCI Thesaurus Property)
C0019704 (UMLS 2011AA Property)
C16295 (NCI Thesaurus Property)
C0003241 (UMLS 2011AA Property)
C14221 (NCI Thesaurus Property)
C0019707 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
Item Group
Syphilis
Item
Test results of infectious disease marker for syphilis using serologic testing for syphilis(STS)
text
C41264 (NCI Thesaurus ObjectClass)
C0205473 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C35055 (NCI Thesaurus Property)
C0039128 (UMLS 2011AA Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.16
Code List
Test results of infectious disease marker for syphilis using serologic testing for syphilis(STS)
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Done: C49484 (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
SerologicalLaboratoryProcedureSyphilisDate
Item
Date that the the serologic test for syphilis (STS) was performed:
date
C41264 (NCI Thesaurus ObjectClass)
C0205473 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C35055 (NCI Thesaurus Property)
C0039128 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
Item Group
Cytomegalovirus (cmv)
Item
Test results of infectious disease marker for cytomegalovirus(CMV) antibody (IgG or total):
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25304 (NCI Thesaurus Property)
C0439810 (UMLS 2011AA Property)
C14196 (NCI Thesaurus Property)
C0010825 (UMLS 2011AA Property)
C37998 (NCI Thesaurus Property)
C1518602 (UMLS 2011AA Property)
C568 (NCI Thesaurus Property)
C0020852 (UMLS 2011AA Property)
C16295 (NCI Thesaurus Property)
C0003241 (UMLS 2011AA Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
CL.17
Code List
Test results of infectious disease marker for cytomegalovirus(CMV) antibody (IgG or total):
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C1518422 (UMLS 2011AA)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Previous Report Reaction (Previously reported reactive, not tested)
C25375 (NCI Thesaurus)
C0684224 (UMLS 2011AA)
C25627 (NCI Thesaurus)
C0205156 (UMLS 2011AA)
C25637 (NCI Thesaurus)
C0443286 (UMLS 2011AA)
CL Item
Not Done: C49484 (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
LaboratoryProcedureIgGOrTotalCytomegalovirusAntibodyDate
Item
Date that the test for cytomegalovirus (CMV) antibody (IgG or total) was performed:
date
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25304 (NCI Thesaurus Property)
C0439810 (UMLS 2011AA Property)
C14196 (NCI Thesaurus Property)
C0010825 (UMLS 2011AA Property)
C37998 (NCI Thesaurus Property)
C1518602 (UMLS 2011AA Property)
C568 (NCI Thesaurus Property)
C0020852 (UMLS 2011AA Property)
C16295 (NCI Thesaurus Property)
C0003241 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
Item Group
West Nile Virus (wnv)
Item
Test results of infectious disease marker for west nile virus(WNV) using nucleic acid amplification test (NAT)
text
C20055 (NCI Thesaurus ObjectClass)
C0200932 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C36292 (NCI Thesaurus ValueDomain)
C0587081 (UMLS 2011AA ValueDomain)
C71877 (NCI Thesaurus Property)
C0043125 (UMLS 2011AA Property)
CL.18
Code List
Test results of infectious disease marker for west nile virus(WNV) using nucleic acid amplification test (NAT)
CL Item
Positive Finding (Positive)
C38758 (NCI Thesaurus)
C1514241 (UMLS 2011AA)
CL Item
Negative Finding (Negative)
C38757 (NCI Thesaurus)
C1513916 (UMLS 2011AA)
CL Item
Not Done: C49484 (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS 2011AA)
CL Item
Not Applicable (Not applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
NucleicAcidAmplificationTestWestNileVirusLaboratoryProcedureDate
Item
Date that the nucleic acid amplification test (NAT) for West Nile Viruse (WNV) was performed:
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C20055 (NCI Thesaurus ObjectClass)
C0200932 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus ValueDomain)
C0022885 (UMLS 2011AA ValueDomain)
C71877 (NCI Thesaurus Property)
C0043125 (UMLS 2011AA Property)
Item Group
Other Infectious Disease Marker
Item
Other infectious disease marker?
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C26726 (NCI Thesaurus Property)
C0009450 (UMLS 2011AA Property)
C18329 (NCI Thesaurus Property)
C1511983 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
CL.19
Code List
Other infectious disease marker?
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
LaboratoryProcedureOtherInfectiousDiseaseMarkerAssessmentDate
Item
Date test performed on other infectious disease marker:
date
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C26726 (NCI Thesaurus Property)
C0009450 (UMLS 2011AA Property)
C18329 (NCI Thesaurus Property)
C1511983 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25217 (NCI Thesaurus ValueDomain)
C1516048 (UMLS 2011AA ValueDomain)
LaboratoryProcedureOtherInfectiousDiseaseMarkerAssessmentSpecify
Item
Specify test and method for test performed on other infectious disease marker:
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C26726 (NCI Thesaurus Property)
C0009450 (UMLS 2011AA Property)
C18329 (NCI Thesaurus Property)
C1511983 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
LaboratoryProcedureOtherInfectiousDiseaseMarkerLabResultSpecify
Item
Specify test results for test performed on other infectious disease marker
text
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C26726 (NCI Thesaurus Property)
C0009450 (UMLS 2011AA Property)
C18329 (NCI Thesaurus Property)
C1511983 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
Item Group
Author Information
PersonGiven/FirstName
Item
First Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C40974 (NCI Thesaurus Property)
C1443235 (UMLS 2011AA Property)
PersonFamily/LastName
Item
Last Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C40975 (NCI Thesaurus Property)
C1301584 (UMLS 2011AA Property)
ContactPersonLocationTelephoneNumber
Item
Telephone number:
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25461 (NCI Thesaurus ObjectClass)
C0337611 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25395 (NCI Thesaurus ValueDomain)
C0039457 (UMLS 2011AA ValueDomain)
ContactPersonLocationFaxNumber
Item
Fax number:
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25461 (NCI Thesaurus ObjectClass)
C0337611 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25210 (NCI Thesaurus ValueDomain)
C0085205 (UMLS 2011AA ValueDomain)
PersonEmailAddressText
Item
EMail Address
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C42775 (NCI Thesaurus Property)
C1705961 (UMLS 2011AA Property)
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