ID

43737

Description

Infectious Disease Markers Uses The ISO Date Format Version 1 Lab - 2004 - Infectious Disease Markers ISO Date Format Version 1 - 2884169v1.0 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6A861230-7A94-FE96-E040-BB89AD434611

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6A861230-7A94-FE96-E040-BB89AD434611

Keywords

Versions (4)
  1. 9/19/12 9/19/12 -
  2. 7/21/17 7/21/17 - Martin Dugas
  3. 7/21/17 7/21/17 - Martin Dugas
  4. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY-NC 3.0
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Infectious Disease Markers NHLBI

English

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 forms  
Registry Use Only
Description

Registry Use Only

Alias
UMLS CUI-1
C0034975
Sequence number
Description

ClinicalDataFormSequenceNumber

Data type

float

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus Property
C19464
NCI Thesaurus ObjectClass
C15783
NCI Thesaurus ValueDomain-2
C25673
UMLS CUI [1]
C2348184
Date received
Description

ClinicalDataFormReceivedDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus Property
C19464
NCI Thesaurus ValueDomain-2
C25639
NCI Thesaurus ObjectClass
C15783
UMLS CUI [1,1]
C1514756
UMLS CUI [1,2]
C0011008
Identification Data
Description

Identification Data

Alias
UMLS CUI-1
C2706991
CIBMTR Center Number
Description

HematopoieticStemCellTransplantationRecipientInstitution::CenterforInternationalBloodandMarrowTransplantResearchFacilityNumber

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
NCI Thesaurus ObjectClass-2
C15342
NCI Thesaurus Property
C53268
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ValueDomain-2
C41206
NCI Thesaurus ValueDomain-3
C62574
UMLS CUI [1]
C3261212
CIBMTR Recipient ID
Description

HematopoieticStemCellTransplantationRecipientIdentificationNumber

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
NCI Thesaurus ObjectClass-2
C15342
NCI Thesaurus Property
C53268
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ValueDomain-2
C25737
UMLS CUI [1,1]
C1709854
UMLS CUI [1,2]
C0600091
Non-NMDP donor ID
Description

HematopoieticStemCellTransplantationTissueDonorNotInstitution::NationalMarrowDonorProgramIdentifier

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
NCI Thesaurus ObjectClass-2
C15342
NCI Thesaurus Property
C25168
NCI Thesaurus ValueDomain
C25364
NCI Thesaurus ValueDomain-2
C25594
NCI Thesaurus ValueDomain-3
C41206
UMLS CUI [1,1]
C1718162
Donor Gender
Description

TransplantDonorGenderType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C25168
NCI Thesaurus ObjectClass-2
C12981
NCI Thesaurus Property
C17357
UMLS CUI [1,1]
C0013018
UMLS CUI [1,2]
C0079399
Donor date of birth
Description

TransplantDonorBirthDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C25168
NCI Thesaurus ObjectClass-2
C12981
NCI Thesaurus Property
C25155
UMLS CUI [1,1]
C2348576
UMLS CUI [1,2]
C0013018
Non-NMDP Cord Blood Unit (CBU) ID
Description

HematopoieticStemCellTransplantationUmbilicalCordBloodTypeNotInstitution::NationalMarrowDonorProgramIdentifier

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
NCI Thesaurus ObjectClass-2
C15342
NCI Thesaurus Property
C25284
NCI Thesaurus Property-2
C13300
NCI Thesaurus ValueDomain
C25364
NCI Thesaurus ValueDomain-2
C25594
NCI Thesaurus ValueDomain-3
C41206
UMLS CUI [1,1]
C0162371
UMLS CUI [1,2]
C0600091
Today's date
Description

ClinicalDataFormTodayDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus Property
C19464
NCI Thesaurus ObjectClass
C15783
NCI Thesaurus ValueDomain-2
C41134
UMLS CUI [1,1]
C1549507
Date of hematopoietic stem cell transplantation (HSCT) for which this form is being completed
Description

HematopoieticStemCellTransplantationOccurrenceDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C12551
NCI Thesaurus ObjectClass-2
C15342
NCI Thesaurus Property
C25275
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ValueDomain-2
C15342
UMLS CUI [1,1]
C0472699
UMLS CUI [1,2]
C0011008
HSCT Type
Description

HSCT Type

Alias
UMLS CUI-1
C0472699
What source was used for the hematopoietic stem cell transplantation?
Description

HematopoieticStemCellGraftSourceName

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
NCI Thesaurus ObjectClass-2
C12981
NCI Thesaurus Property
C25683
NCI Thesaurus ValueDomain
C12551
NCI Thesaurus ValueDomain-2
C25683
NCI Thesaurus ValueDomain-3
C42614
UMLS CUI [1,1]
C0018956
UMLS CUI [1,2]
C0449416
Was a particular hematopoietic stem cell source used?
Description

HematopoieticStemCellGraftSourceTherapyInd-2

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C12551
NCI Thesaurus ObjectClass-2
C12981
NCI Thesaurus Property
C25683
UMLS CUI [1,1]
C0018956
UMLS CUI [1,2]
C0449416
Product Type
Description

Product Type

Alias
UMLS CUI-1
C0592499
What type of hematopoietic stem cell transplant was used?
Description

HematopoieticStemCellGraftTypeName

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
NCI Thesaurus ObjectClass-2
C12981
NCI Thesaurus Property
C25284
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ValueDomain-2
C12551
NCI Thesaurus ValueDomain-3
C12981
NCI Thesaurus ValueDomain-4
C42614
UMLS CUI [1]
C0472699
Was a particular hematopoietic stem cell transplant type used?
Description

HematopoieticStemCellGraftTypeTherapyInd-2

Data type

boolean

Alias
NCI Thesaurus Property
C25284
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C12551
NCI Thesaurus ObjectClass-2
C12981
UMLS CUI [1,1]
C0472699
Specify the other hematopoietic stem cell transplant type
Description

HematopoieticStemCellGraftOtherTypeSpecify (Answer only if the value for 2730912 is "Other". )

Data type

text

Alias
NCI Thesaurus ObjectClass
C12551
NCI Thesaurus ObjectClass-2
C12981
NCI Thesaurus Property
C25284
NCI Thesaurus Property-2
C17649
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ValueDomain-2
C17649
UMLS CUI [1]
C0472699
Source Information
Description

Source Information

Alias
UMLS CUI-1
C0683836
Who is being tested for IDMs?
Description

InfectionDiseaseMarkerLaboratoryProcedureSourceType

Data type

text

Alias
NCI Thesaurus ObjectClass
C26726
NCI Thesaurus ObjectClass-2
C18329
NCI Thesaurus ObjectClass-3
C25294
NCI Thesaurus Property
C25683
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ValueDomain-2
C18329
NCI Thesaurus ValueDomain-3
C25294
NCI Thesaurus ValueDomain-4
C25683
UMLS CUI [1]
C0370003
HBV
Description

HBV

Alias
UMLS CUI-1
C0019169
Test results of infectious disease marker for hepatitis B virus
Description

SerologicalHematologyHepatitisBSurfaceAntigenTestLaboratoryFindingResult (HBV) surface antigen(HBsAG)

Data type

text

Alias
NCI Thesaurus ObjectClass
C16673
NCI Thesaurus ObjectClass-2
C41264
NCI Thesaurus Property
C25294
NCI Thesaurus Property-2
C62786
NCI Thesaurus ValueDomain
C20200
NCI Thesaurus ValueDomain-2
C36292
UMLS CUI [1]
C0019168
Date that the test for hepatitis B surface antigen (HBsAG) was performed
Description

SerologicalHematologyHepatitisBSurfaceAntigenTestDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C16673
NCI Thesaurus ObjectClass-2
C41264
NCI Thesaurus Property
C25294
NCI Thesaurus Property-2
C62786
NCI Thesaurus ValueDomain
C25164
UMLS CUI [1]
C2826247
Test results of infectious disease marker for hepatitis B virus
Description

SerologicalHematologyHepatitisBVirusCoreAntibodyLaboratoryFindingResult (HBV) core antibody (Anti HBc) (No confirmatory test available)

Data type

text

Alias
NCI Thesaurus ObjectClass
C16673
NCI Thesaurus ObjectClass-2
C41264
NCI Thesaurus Property
C25294
NCI Thesaurus Property-2
C62797
NCI Thesaurus ValueDomain
C20200
NCI Thesaurus ValueDomain-2
C36292
UMLS CUI [1]
C0312631
Date that the test for hepatitis B virus core antibody (Anti HBc) was performed
Description

SerologicalHematologyHepatitisBVirusCoreAntibodyTestDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C16673
NCI Thesaurus ObjectClass-2
C41264
NCI Thesaurus Property
C25294
NCI Thesaurus Property-2
C62797
NCI Thesaurus ValueDomain
C25164
UMLS CUI [1]
C2826247
HCV
Description

HCV

Alias
UMLS CUI-1
C0220847
Test results of infectious disease marker for hepatitis C virus
Description

SerologicalHematologyHepatitisCAntibodyTestLaboratoryFindingResult (HCV) antibody (Anti-HCV)

Data type

text

Alias
NCI Thesaurus ObjectClass
C16673
NCI Thesaurus ObjectClass-2
C41264
NCI Thesaurus Property
C3098
NCI Thesaurus Property-2
C16295
NCI Thesaurus Property-3
C25294
NCI Thesaurus ValueDomain
C20200
NCI Thesaurus ValueDomain-2
C36292
UMLS CUI [1]
C0201487
Date that the test for hepatitis C virus antibody (Anti-HCV) was performed
Description

SerologicalHematologyHepatitisCAntibodyTestDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C16673
NCI Thesaurus ObjectClass-2
C41264
NCI Thesaurus Property
C3098
NCI Thesaurus Property-2
C16295
NCI Thesaurus Property-3
C25294
NCI Thesaurus ValueDomain
C25164
UMLS CUI [1]
C2826247
Human T-lymphotropic Virus
Description

Human T-lymphotropic Virus

Alias
UMLS CUI-1
C0086427
Test results of infectious disease marker for human T-Lymphotropic virus antibody(Anti-HTLV I/II)
Description

LaboratoryProcedureHTLV-1HTLV-2AntibodyLaboratoryFindingResult

Data type

text

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C16295
NCI Thesaurus Property-2
C14223
NCI Thesaurus Property-3
C14224
NCI Thesaurus ValueDomain
C20200
NCI Thesaurus ValueDomain-2
C36292
UMLS CUI [1,1]
C0020095
UMLS CUI [1,2]
C0020100
Date that the test for human T-Lymphotropic virus antibody (Anti-HTLV I/II) was performed
Description

LaboratoryProcedureHTLV-1HTLV-2AntibodyDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C16295
NCI Thesaurus Property-2
C14223
NCI Thesaurus Property-3
C14224
NCI Thesaurus ValueDomain
C25164
UMLS CUI [1]
C2826247
HIV
Description

HIV

Alias
UMLS CUI-1
C0019682
Test results of infectious disease marker for human immunodeficiency virus (HIV)-1 p24 antigen
Description

LaboratoryProcedureHIVp24AntigenLaboratoryFindingResult

Data type

text

Alias
NCI Thesaurus ValueDomain
C20200
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain-2
C36292
NCI Thesaurus Property
C17431
UMLS CUI [1]
C2984942
Date that the test for HIV-1 p24 antigen was performed
Description

Test date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C17431
UMLS CUI [1]
C2826247
Was FDA licensed nucleic acid amplification test (NAT) for human immunodeficiency virus(HIV)-1 or hepatitis C virus performed?
Description

LaboratoryProcedureHumanImmunodeficiencyVirus1HepatitisCVirusNucleicAcidAmplificationTestLaboratoryFindingYesorNoResponse

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20055
NCI Thesaurus Property-2
C14312
NCI Thesaurus Property-3
C14220
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ValueDomain-2
C36292
UMLS CUI [1]
C0200932
If FDA licensed nucleic acid amplification test (NAT)for human immunodeficiency virus(HIV)-1 performed; specify results
Description

NucleicAcidAmplificationTestHumanImmunodeficiencyVirus1LaboratoryFindingResult

Data type

text

Alias
NCI Thesaurus ObjectClass
C20055
NCI Thesaurus ValueDomain
C20200
NCI Thesaurus Property
C14220
NCI Thesaurus ValueDomain-2
C36292
UMLS CUI [1]
C0200932
Date that the FDA licensed nucleic acid amplification test (NAT) for human immunodeficiency virus (HIV-1) was performed
Description

Test date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C20055
NCI Thesaurus Property
C14220
UMLS CUI [1]
C2826247
Was FDA licensed nucleic acid amplification test (NAT)for hepatitis C virus performed; specify results
Description

NucleicAcidAmplificationTestHepatitisCVirusLaboratoryFindingResult

Data type

text

Alias
NCI Thesaurus ObjectClass
C20055
NCI Thesaurus ValueDomain
C20200
NCI Thesaurus Property
C14312
NCI Thesaurus ValueDomain-2
C36292
UMLS CUI [1]
C0200932
Date that the FDA licensed nucleic acid amplification test (NAT) for hepatitis C virus was performed
Description

Test date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C20055
NCI Thesaurus Property
C14312
UMLS CUI [1]
C2826247
Test results of infectious disease marker for Anti-HIV 1 and anti-HIV 2
Description

LaboratoryProcedureHumanImmunodeficiencyVirus1HumanImmunodeficiencyVirus2AntibodyLaboratoryFindingResult (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.)

Data type

text

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C14220
NCI Thesaurus Property-2
C16295
NCI Thesaurus Property-3
C14221
NCI Thesaurus ValueDomain
C20200
NCI Thesaurus ValueDomain-2
C36292
UMLS CUI [1]
C0019683
Date that the test for Anti-HIV 1 and anti-HIV 2 (antibodies to Human Immunodeficiency Viruses) was performed
Description

LaboratoryProcedureHumanImmunodeficiencyVirus1HumanImmunodeficiencyVirus2AntibodyDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C14220
NCI Thesaurus Property-2
C16295
NCI Thesaurus Property-3
C14221
NCI Thesaurus ValueDomain
C25164
UMLS CUI [1]
C2826247
Syphilis
Description

Syphilis

Alias
UMLS CUI-1
C0039128
Test results of infectious disease marker for syphilis using serologic testing for syphilis
Description

SerologicalLaboratoryProcedureSyphilisLaboratoryFindingResult (STS)

Data type

text

Alias
NCI Thesaurus ObjectClass
C41264
NCI Thesaurus ObjectClass-2
C25294
NCI Thesaurus Property
C35055
NCI Thesaurus ValueDomain
C20200
NCI Thesaurus ValueDomain-2
C36292
UMLS CUI [1]
C3516463
Date that the the serologic test for syphilis (STS) was performed
Description

SerologicalLaboratoryProcedureSyphilisDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus Property
C35055
NCI Thesaurus ObjectClass
C41264
NCI Thesaurus ObjectClass-2
C25294
UMLS CUI [1]
C2826247
CMV
Description

CMV

Alias
UMLS CUI-1
C0010825
Test results of infectious disease marker for cytomegalovirus(CMV) antibody (IgG or total)
Description

LaboratoryProcedureIgGOrTotalCytomegalovirusAntibodyLaboratoryFindingResult

Data type

text

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C25304
NCI Thesaurus Property-2
C14196
NCI Thesaurus Property-3
C37998
NCI Thesaurus Property-4
C568
NCI Thesaurus Property-5
C16295
NCI Thesaurus ValueDomain
C20200
NCI Thesaurus ValueDomain-2
C36292
UMLS CUI [1]
C0236511
Date that the test for cytomegalovirus (CMV) antibody (IgG or total) was performed
Description

LaboratoryProcedureIgGOrTotalCytomegalovirusAntibodyDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C25304
NCI Thesaurus Property-2
C14196
NCI Thesaurus Property-3
C37998
NCI Thesaurus Property-4
C568
NCI Thesaurus Property-5
C16295
NCI Thesaurus ValueDomain
C25164
UMLS CUI [1]
C2826247
WNV
Description

WNV

Alias
UMLS CUI-1
C0043125
Test results of infectious disease marker for west nile virus
Description

NucleicAcidAmplificationTestWestNileVirusLaboratoryFindingResult (WNV) using nucleic acid amplification test (NAT)

Data type

text

Alias
NCI Thesaurus ObjectClass
C20055
NCI Thesaurus ValueDomain
C20200
NCI Thesaurus ValueDomain-2
C36292
NCI Thesaurus Property
C71877
UMLS CUI [1]
C0043125
Date that the nucleic acid amplification test (NAT) for West Nile Viruse (WNV) was performed
Description

Test date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C20055
NCI Thesaurus Property
C71877
UMLS CUI [1]
C2826247
Other Infectious Disease Marker
Description

Other Infectious Disease Marker

Alias
UMLS CUI-1
C0009450
UMLS CUI-2
C1511983
Other infectious disease marker?
Description

LaboratoryProcedureOtherInfectiousDiseaseMarkerAssessmentResultsInd-3

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C17649
NCI Thesaurus Property-2
C26726
NCI Thesaurus Property-3
C18329
NCI Thesaurus ValueDomain
C38148
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C1511983
Date test performed on other infectious disease marker
Description

LaboratoryProcedureOtherInfectiousDiseaseMarkerDate

Data type

date

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C17649
NCI Thesaurus Property-2
C26726
NCI Thesaurus Property-3
C18329
NCI Thesaurus ValueDomain
C25164
UMLS CUI [1]
C2826247
Specify test and method for test performed on other infectious disease marker
Description

LaboratoryProcedureOtherInfectiousDiseaseMarkerAssessmentSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C17649
NCI Thesaurus Property-2
C26726
NCI Thesaurus Property-3
C18329
NCI Thesaurus ValueDomain
C25685
UMLS CUI [1]
C0871511
Specify test results for test performed on other infectious disease marker
Description

LaboratoryProcedureOtherInfectiousDiseaseMarkerLabResultSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C17649
NCI Thesaurus Property-2
C26726
NCI Thesaurus Property-3
C18329
NCI Thesaurus ValueDomain
C25685
UMLS CUI [1]
C0456984
Author Information
Description

Author Information

Alias
UMLS CUI-1
C3812881
First Name
Description

PersonGiven/FirstName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C40974
UMLS CUI [1,1]
C1443235
Last Name
Description

PersonFamily/LastName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C40975
UMLS CUI [1,1]
C1301584
Telephone number
Description

ContactPersonLocationTelephoneNumber

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus ObjectClass-2
C25461
NCI Thesaurus Property
C25341
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ValueDomain-2
C25395
UMLS CUI [1,1]
C1515258
Fax number
Description

ContactPersonLocationFaxNumber

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus ObjectClass-2
C25461
NCI Thesaurus Property
C25341
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ValueDomain-2
C25210
UMLS CUI [1,1]
C1549619
EMail Address
Description

EMail

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus Property
C42775
UMLS CUI [1]
C0013849
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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 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Registry Use Only
C0034975 (UMLS CUI-1)
Sequence number
Item
Sequence number
float
C25337 (NCI Thesaurus ValueDomain)
C19464 (NCI Thesaurus Property)
C15783 (NCI Thesaurus ObjectClass)
C25673 (NCI Thesaurus ValueDomain-2)
C2348184 (UMLS CUI [1])
Date received
Item
Date received
date
C25164 (NCI Thesaurus ValueDomain)
C19464 (NCI Thesaurus Property)
C25639 (NCI Thesaurus ValueDomain-2)
C15783 (NCI Thesaurus ObjectClass)
C1514756 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Identification Data
C2706991 (UMLS CUI-1)
CIBMTR Center Number
Item
CIBMTR Center Number
text
C12551 (NCI Thesaurus ObjectClass)
C15342 (NCI Thesaurus ObjectClass-2)
C53268 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C41206 (NCI Thesaurus ValueDomain-2)
C62574 (NCI Thesaurus ValueDomain-3)
C3261212 (UMLS CUI [1])
CIBMTR Recipient ID
Item
CIBMTR Recipient ID
text
C12551 (NCI Thesaurus ObjectClass)
C15342 (NCI Thesaurus ObjectClass-2)
C53268 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C25737 (NCI Thesaurus ValueDomain-2)
C1709854 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Non-NMDP donor ID
Item
Non-NMDP donor ID
text
C12551 (NCI Thesaurus ObjectClass)
C15342 (NCI Thesaurus ObjectClass-2)
C25168 (NCI Thesaurus Property)
C25364 (NCI Thesaurus ValueDomain)
C25594 (NCI Thesaurus ValueDomain-2)
C41206 (NCI Thesaurus ValueDomain-3)
C1718162 (UMLS CUI [1,1])
Item
Donor Gender
text
C25284 (NCI Thesaurus ValueDomain)
C25168 (NCI Thesaurus ObjectClass)
C12981 (NCI Thesaurus ObjectClass-2)
C17357 (NCI Thesaurus Property)
C0013018 (UMLS CUI [1,1])
C0079399 (UMLS CUI [1,2])
CL.1
Code List
Donor Gender
CL Item
Male (male)
C20197 (NCI Thesaurus)
C0086582 (UMLS CUI-1)
(Comment:en)
CL Item
Female (female)
C16576 (NCI Thesaurus)
C0086287 (UMLS CUI-1)
(Comment:en)
Donor date of birth
Item
Donor date of birth
date
C25164 (NCI Thesaurus ValueDomain)
C25168 (NCI Thesaurus ObjectClass)
C12981 (NCI Thesaurus ObjectClass-2)
C25155 (NCI Thesaurus Property)
C2348576 (UMLS CUI [1,1])
C0013018 (UMLS CUI [1,2])
Non-NMDP Cord Blood Unit ID
Item
Non-NMDP Cord Blood Unit (CBU) ID
text
C12551 (NCI Thesaurus ObjectClass)
C15342 (NCI Thesaurus ObjectClass-2)
C25284 (NCI Thesaurus Property)
C13300 (NCI Thesaurus Property-2)
C25364 (NCI Thesaurus ValueDomain)
C25594 (NCI Thesaurus ValueDomain-2)
C41206 (NCI Thesaurus ValueDomain-3)
C0162371 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Today's date
Item
Today's date
date
C25164 (NCI Thesaurus ValueDomain)
C19464 (NCI Thesaurus Property)
C15783 (NCI Thesaurus ObjectClass)
C41134 (NCI Thesaurus ValueDomain-2)
C1549507 (UMLS CUI [1,1])
HSCT date
Item
Date of hematopoietic stem cell transplantation (HSCT) for which this form is being completed
date
C12551 (NCI Thesaurus ObjectClass)
C15342 (NCI Thesaurus ObjectClass-2)
C25275 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C15342 (NCI Thesaurus ValueDomain-2)
C0472699 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
HSCT Type
C0472699 (UMLS CUI-1)
Item
What source was used for the hematopoietic stem cell transplantation?
text
C12551 (NCI Thesaurus ObjectClass)
C12981 (NCI Thesaurus ObjectClass-2)
C25683 (NCI Thesaurus Property)
C12551 (NCI Thesaurus ValueDomain)
C25683 (NCI Thesaurus ValueDomain-2)
C42614 (NCI Thesaurus ValueDomain-3)
C0018956 (UMLS CUI [1,1])
C0449416 (UMLS CUI [1,2])
CL.2
Code List
What source was used for the hematopoietic stem cell transplantation?
CL Item
Unrelated Allogenic (Allogeneic, unrelated)
C25328 (NCI Thesaurus)
C28343 (NCI Thesaurus-3)
C1515895 (UMLS CUI-1)
C0445356 (UMLS CUI-2)
(Comment:en)
CL Item
Related Allogenic (Allogeneic, related)
C25648 (NCI Thesaurus)
C28343 (NCI Thesaurus-3)
C1515895 (UMLS CUI-1)
C0439849 (UMLS CUI-2)
(Comment:en)
CL Item
Syngeneic (Syngeneic (identical twin))
C2348628 (UMLS CUI-1)
(Comment:en)
hematopoietic stem cell source
Item
Was a particular hematopoietic stem cell source used?
boolean
C38147 (NCI Thesaurus ValueDomain)
C12551 (NCI Thesaurus ObjectClass)
C12981 (NCI Thesaurus ObjectClass-2)
C25683 (NCI Thesaurus Property)
C0018956 (UMLS CUI [1,1])
C0449416 (UMLS CUI [1,2])
Item Group
Product Type
C0592499 (UMLS CUI-1)
Item
What type of hematopoietic stem cell transplant was used?
text
C12551 (NCI Thesaurus ObjectClass)
C12981 (NCI Thesaurus ObjectClass-2)
C25284 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C12551 (NCI Thesaurus ValueDomain-2)
C12981 (NCI Thesaurus ValueDomain-3)
C42614 (NCI Thesaurus ValueDomain-4)
C0472699 (UMLS CUI [1])
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)
hematopoietic stem cell transplant type
Item
Was a particular hematopoietic stem cell transplant type used?
boolean
C25284 (NCI Thesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C12551 (NCI Thesaurus ObjectClass)
C12981 (NCI Thesaurus ObjectClass-2)
C0472699 (UMLS CUI [1,1])
hematopoietic stem cell transplant type, other
Item
Specify the other hematopoietic stem cell transplant type
text
C12551 (NCI Thesaurus ObjectClass)
C12981 (NCI Thesaurus ObjectClass-2)
C25284 (NCI Thesaurus Property)
C17649 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C17649 (NCI Thesaurus ValueDomain-2)
C0472699 (UMLS CUI [1])
Item Group
Source Information
C0683836 (UMLS CUI-1)
Item
Who is being tested for IDMs?
text
C26726 (NCI Thesaurus ObjectClass)
C18329 (NCI Thesaurus ObjectClass-2)
C25294 (NCI Thesaurus ObjectClass-3)
C25683 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C18329 (NCI Thesaurus ValueDomain-2)
C25294 (NCI Thesaurus ValueDomain-3)
C25683 (NCI Thesaurus ValueDomain-4)
C0370003 (UMLS CUI [1])
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-3)
C0013018 (UMLS 2011AA-4)
CL Item
Umbilical Cord Blood Disease Marker Mother (Maternal IDM (Cord Blood))
C25189 (NCI Thesaurus)
C0026591 (UMLS 2011AA)
C13300 (NCI Thesaurus-3)
C0162371 (UMLS 2011AA-4)
C18329 (NCI Thesaurus-5)
C1511983 (UMLS 2011AA-6)
CL Item
Disease Marker Umbilical Cord Blood (Cord Blood Unit (IDM))
C13300 (NCI Thesaurus)
C0162371 (UMLS 2011AA)
C18329 (NCI Thesaurus-3)
C1511983 (UMLS 2011AA-4)
Item Group
HBV
C0019169 (UMLS CUI-1)
Item
Test results of infectious disease marker for hepatitis B virus
text
C16673 (NCI Thesaurus ObjectClass)
C41264 (NCI Thesaurus ObjectClass-2)
C25294 (NCI Thesaurus Property)
C62786 (NCI Thesaurus Property-2)
C20200 (NCI Thesaurus ValueDomain)
C36292 (NCI Thesaurus ValueDomain-2)
C0019168 (UMLS CUI [1])
CL.7
Code List
Test results of infectious disease marker for hepatitis B virus
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0205332 (UMLS CUI-1)
(Comment:en)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C25637 (NCI Thesaurus-3)
C1295728 (UMLS CUI-1)
(Comment:en)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS CUI-1)
(Comment:en)
Test date
Item
Date that the test for hepatitis B surface antigen (HBsAG) was performed
date
C16673 (NCI Thesaurus ObjectClass)
C41264 (NCI Thesaurus ObjectClass-2)
C25294 (NCI Thesaurus Property)
C62786 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C2826247 (UMLS CUI [1])
Item
Test results of infectious disease marker for hepatitis B virus
text
C16673 (NCI Thesaurus ObjectClass)
C41264 (NCI Thesaurus ObjectClass-2)
C25294 (NCI Thesaurus Property)
C62797 (NCI Thesaurus Property-2)
C20200 (NCI Thesaurus ValueDomain)
C36292 (NCI Thesaurus ValueDomain-2)
C0312631 (UMLS CUI [1])
CL.7
Code List
Test results of infectious disease marker for hepatitis B virus
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0205332 (UMLS CUI-1)
(Comment:en)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C25637 (NCI Thesaurus-3)
C1295728 (UMLS CUI-1)
(Comment:en)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS CUI-1)
(Comment:en)
Test date
Item
Date that the test for hepatitis B virus core antibody (Anti HBc) was performed
date
C16673 (NCI Thesaurus ObjectClass)
C41264 (NCI Thesaurus ObjectClass-2)
C25294 (NCI Thesaurus Property)
C62797 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C2826247 (UMLS CUI [1])
Item Group
HCV
C0220847 (UMLS CUI-1)
Item
Test results of infectious disease marker for hepatitis C virus
text
C16673 (NCI Thesaurus ObjectClass)
C41264 (NCI Thesaurus ObjectClass-2)
C3098 (NCI Thesaurus Property)
C16295 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus Property-3)
C20200 (NCI Thesaurus ValueDomain)
C36292 (NCI Thesaurus ValueDomain-2)
C0201487 (UMLS CUI [1])
CL.7
Code List
Test results of infectious disease marker for hepatitis C virus
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0205332 (UMLS CUI-1)
(Comment:en)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C25637 (NCI Thesaurus-3)
C1295728 (UMLS CUI-1)
(Comment:en)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS CUI-1)
(Comment:en)
Test date
Item
Date that the test for hepatitis C virus antibody (Anti-HCV) was performed
date
C16673 (NCI Thesaurus ObjectClass)
C41264 (NCI Thesaurus ObjectClass-2)
C3098 (NCI Thesaurus Property)
C16295 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus Property-3)
C25164 (NCI Thesaurus ValueDomain)
C2826247 (UMLS CUI [1])
Item Group
Human T-lymphotropic Virus
C0086427 (UMLS CUI-1)
Item
Test results of infectious disease marker for human T-Lymphotropic virus antibody(Anti-HTLV I/II)
text
C25294 (NCI Thesaurus ObjectClass)
C16295 (NCI Thesaurus Property)
C14223 (NCI Thesaurus Property-2)
C14224 (NCI Thesaurus Property-3)
C20200 (NCI Thesaurus ValueDomain)
C36292 (NCI Thesaurus ValueDomain-2)
C0020095 (UMLS CUI [1,1])
C0020100 (UMLS CUI [1,2])
CL.7
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)
C0205332 (UMLS CUI-1)
(Comment:en)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C25637 (NCI Thesaurus-3)
C1295728 (UMLS CUI-1)
(Comment:en)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS CUI-1)
(Comment:en)
Test date
Item
Date that the test for human T-Lymphotropic virus antibody (Anti-HTLV I/II) was performed
date
C25294 (NCI Thesaurus ObjectClass)
C16295 (NCI Thesaurus Property)
C14223 (NCI Thesaurus Property-2)
C14224 (NCI Thesaurus Property-3)
C25164 (NCI Thesaurus ValueDomain)
C2826247 (UMLS CUI [1])
Item Group
HIV
C0019682 (UMLS CUI-1)
Item
Test results of infectious disease marker for human immunodeficiency virus (HIV)-1 p24 antigen
text
C20200 (NCI Thesaurus ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C36292 (NCI Thesaurus ValueDomain-2)
C17431 (NCI Thesaurus Property)
C2984942 (UMLS CUI [1])
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)
C0205332 (UMLS CUI-1)
(Comment:en)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C25637 (NCI Thesaurus-3)
C1295728 (UMLS CUI-1)
(Comment:en)
CL Item
Not Reported (Not reported)
C25594 (NCI Thesaurus)
C25375 (NCI Thesaurus-3)
C1549114 (UMLS CUI-1)
(Comment:en)
CL Item
Human Immunodeficiency Virus Nucleic Acid Amplification Test Performed (HIV NAT testing performed)
C0019682 (UMLS CUI-1)
C0200932 (UMLS CUI-2)
(Comment:en)
Test date
Item
Date that the test for HIV-1 p24 antigen was performed
date
C25164 (NCI Thesaurus ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C17431 (NCI Thesaurus Property)
C2826247 (UMLS CUI [1])
nucleic acid amplification test
Item
Was FDA licensed nucleic acid amplification test (NAT) for human immunodeficiency virus(HIV)-1 or hepatitis C virus performed?
boolean
C25294 (NCI Thesaurus ObjectClass)
C20055 (NCI Thesaurus Property)
C14312 (NCI Thesaurus Property-2)
C14220 (NCI Thesaurus Property-3)
C38147 (NCI Thesaurus ValueDomain)
C36292 (NCI Thesaurus ValueDomain-2)
C0200932 (UMLS CUI [1])
Item
If FDA licensed nucleic acid amplification test (NAT)for human immunodeficiency virus(HIV)-1 performed; specify results
text
C20055 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus ValueDomain)
C14220 (NCI Thesaurus Property)
C36292 (NCI Thesaurus ValueDomain-2)
C0200932 (UMLS CUI [1])
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 CUI-1)
(Comment:en)
CL Item
Negative Finding (Negative)
C38757 (NCI Thesaurus)
C1513916 (UMLS CUI-1)
(Comment:en)
CL Item
Not Reported (Not reported)
C25594 (NCI Thesaurus)
C25375 (NCI Thesaurus-3)
C1549114 (UMLS CUI-1)
(Comment:en)
Test date
Item
Date that the FDA licensed nucleic acid amplification test (NAT) for human immunodeficiency virus (HIV-1) was performed
date
C25164 (NCI Thesaurus ValueDomain)
C20055 (NCI Thesaurus ObjectClass)
C14220 (NCI Thesaurus Property)
C2826247 (UMLS CUI [1])
Item
Was FDA licensed nucleic acid amplification test (NAT)for hepatitis C virus performed; specify results
text
C20055 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus ValueDomain)
C14312 (NCI Thesaurus Property)
C36292 (NCI Thesaurus ValueDomain-2)
C0200932 (UMLS CUI [1])
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)
Test date
Item
Date that the FDA licensed nucleic acid amplification test (NAT) for hepatitis C virus was performed
date
C25164 (NCI Thesaurus ValueDomain)
C20055 (NCI Thesaurus ObjectClass)
C14312 (NCI Thesaurus Property)
C2826247 (UMLS CUI [1])
Item
Test results of infectious disease marker for Anti-HIV 1 and anti-HIV 2
text
C25294 (NCI Thesaurus ObjectClass)
C14220 (NCI Thesaurus Property)
C16295 (NCI Thesaurus Property-2)
C14221 (NCI Thesaurus Property-3)
C20200 (NCI Thesaurus ValueDomain)
C36292 (NCI Thesaurus ValueDomain-2)
C0019683 (UMLS CUI [1])
CL.15
Code List
Test results of infectious disease marker for Anti-HIV 1 and anti-HIV 2
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0205332 (UMLS CUI-1)
(Comment:en)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C25637 (NCI Thesaurus-3)
C1295728 (UMLS CUI-1)
(Comment:en)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS CUI-1)
(Comment:en)
CL Item
Not Reported (Not reported)
C25594 (NCI Thesaurus)
C25375 (NCI Thesaurus-3)
C1549114 (UMLS CUI-1)
(Comment:en)
Test date
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)
C14220 (NCI Thesaurus Property)
C16295 (NCI Thesaurus Property-2)
C14221 (NCI Thesaurus Property-3)
C25164 (NCI Thesaurus ValueDomain)
C2826247 (UMLS CUI [1])
Item Group
Syphilis
C0039128 (UMLS CUI-1)
Item
Test results of infectious disease marker for syphilis using serologic testing for syphilis
text
C41264 (NCI Thesaurus ObjectClass)
C25294 (NCI Thesaurus ObjectClass-2)
C35055 (NCI Thesaurus Property)
C20200 (NCI Thesaurus ValueDomain)
C36292 (NCI Thesaurus ValueDomain-2)
C3516463 (UMLS CUI [1])
CL.7
Code List
Test results of infectious disease marker for syphilis using serologic testing for syphilis
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0205332 (UMLS CUI-1)
(Comment:en)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C25637 (NCI Thesaurus-3)
C1295728 (UMLS CUI-1)
(Comment:en)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS CUI-1)
(Comment:en)
Test date
Item
Date that the the serologic test for syphilis (STS) was performed
date
C25164 (NCI Thesaurus ValueDomain)
C35055 (NCI Thesaurus Property)
C41264 (NCI Thesaurus ObjectClass)
C25294 (NCI Thesaurus ObjectClass-2)
C2826247 (UMLS CUI [1])
Item Group
CMV
C0010825 (UMLS CUI-1)
Item
Test results of infectious disease marker for cytomegalovirus(CMV) antibody (IgG or total)
text
C25294 (NCI Thesaurus ObjectClass)
C25304 (NCI Thesaurus Property)
C14196 (NCI Thesaurus Property-2)
C37998 (NCI Thesaurus Property-3)
C568 (NCI Thesaurus Property-4)
C16295 (NCI Thesaurus Property-5)
C20200 (NCI Thesaurus ValueDomain)
C36292 (NCI Thesaurus ValueDomain-2)
C0236511 (UMLS CUI [1])
CL.17
Code List
Test results of infectious disease marker for cytomegalovirus(CMV) antibody (IgG or total)
CL Item
Reaction (Reactive)
C25637 (NCI Thesaurus)
C0205332 (UMLS CUI-1)
(Comment:en)
CL Item
Not Reaction (Non-reactive)
C25594 (NCI Thesaurus)
C25637 (NCI Thesaurus-3)
C1295728 (UMLS CUI-1)
(Comment:en)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS CUI-1)
(Comment:en)
CL Item
Previously reported reactive, not tested (Previously reported reactive)
C0205332 (UMLS CUI-1)
C1444637 (UMLS CUI-2)
(Comment:en)
Test date
Item
Date that the test for cytomegalovirus (CMV) antibody (IgG or total) was performed
date
C25294 (NCI Thesaurus ObjectClass)
C25304 (NCI Thesaurus Property)
C14196 (NCI Thesaurus Property-2)
C37998 (NCI Thesaurus Property-3)
C568 (NCI Thesaurus Property-4)
C16295 (NCI Thesaurus Property-5)
C25164 (NCI Thesaurus ValueDomain)
C2826247 (UMLS CUI [1])
Item Group
WNV
C0043125 (UMLS CUI-1)
Item
Test results of infectious disease marker for west nile virus
text
C20055 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus ValueDomain)
C36292 (NCI Thesaurus ValueDomain-2)
C71877 (NCI Thesaurus Property)
C0043125 (UMLS CUI [1])
CL.18
Code List
Test results of infectious disease marker for west nile virus
CL Item
Positive Finding (Positive)
C38758 (NCI Thesaurus)
C1514241 (UMLS CUI-1)
(Comment:en)
CL Item
Negative Finding (Negative)
C38757 (NCI Thesaurus)
C1513916 (UMLS CUI-1)
(Comment:en)
CL Item
Not Done (Not Done)
C49484 (NCI Thesaurus)
C1272696 (UMLS CUI-1)
(Comment:en)
CL Item
Not Applicable (Not applicable)
C48660 (NCI Thesaurus)
C1272460 (UMLS CUI-1)
(Comment:en)
Test date
Item
Date that the nucleic acid amplification test (NAT) for West Nile Viruse (WNV) was performed
date
C25164 (NCI Thesaurus ValueDomain)
C20055 (NCI Thesaurus ObjectClass)
C71877 (NCI Thesaurus Property)
C2826247 (UMLS CUI [1])
Item Group
Other Infectious Disease Marker
C0009450 (UMLS CUI-1)
C1511983 (UMLS CUI-2)
Infectious disease marker, other
Item
Other infectious disease marker?
boolean
C25294 (NCI Thesaurus ObjectClass)
C17649 (NCI Thesaurus Property)
C26726 (NCI Thesaurus Property-2)
C18329 (NCI Thesaurus Property-3)
C38148 (NCI Thesaurus ValueDomain)
C0009450 (UMLS CUI [1,1])
C1511983 (UMLS CUI [1,2])
Test date
Item
Date test performed on other infectious disease marker
date
C25294 (NCI Thesaurus ObjectClass)
C17649 (NCI Thesaurus Property)
C26726 (NCI Thesaurus Property-2)
C18329 (NCI Thesaurus Property-3)
C25164 (NCI Thesaurus ValueDomain)
C2826247 (UMLS CUI [1])
Test method
Item
Specify test and method for test performed on other infectious disease marker
text
C25294 (NCI Thesaurus ObjectClass)
C17649 (NCI Thesaurus Property)
C26726 (NCI Thesaurus Property-2)
C18329 (NCI Thesaurus Property-3)
C25685 (NCI Thesaurus ValueDomain)
C0871511 (UMLS CUI [1])
Test results
Item
Specify test results for test performed on other infectious disease marker
text
C25294 (NCI Thesaurus ObjectClass)
C17649 (NCI Thesaurus Property)
C26726 (NCI Thesaurus Property-2)
C18329 (NCI Thesaurus Property-3)
C25685 (NCI Thesaurus ValueDomain)
C0456984 (UMLS CUI [1])
Item Group
Author Information
C3812881 (UMLS CUI-1)
First Name
Item
First Name
text
C25191 (NCI Thesaurus ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C40974 (NCI Thesaurus Property-2)
C1443235 (UMLS CUI [1,1])
Last Name
Item
Last Name
text
C25191 (NCI Thesaurus ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C40975 (NCI Thesaurus Property-2)
C1301584 (UMLS CUI [1,1])
Telephone number
Item
Telephone number
text
C25190 (NCI Thesaurus ObjectClass)
C25461 (NCI Thesaurus ObjectClass-2)
C25341 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C25395 (NCI Thesaurus ValueDomain-2)
C1515258 (UMLS CUI [1,1])
Fax number
Item
Fax number
text
C25190 (NCI Thesaurus ObjectClass)
C25461 (NCI Thesaurus ObjectClass-2)
C25341 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C25210 (NCI Thesaurus ValueDomain-2)
C1549619 (UMLS CUI [1,1])
EMail
Item
EMail Address
text
C25704 (NCI Thesaurus ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C42775 (NCI Thesaurus Property)
C0013849 (UMLS CUI [1])
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