ID

5572

Description

The Vital Signs form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0139EB40-6292-1375-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0139EB40-6292-1375-E044-0003BA3F9857

Keywords

Versions (4)
  1. 9/19/12 9/19/12 -
  2. 8/8/14 8/8/14 - Martin Dugas
  3. 8/8/14 8/8/14 - Martin Dugas
  4. 6/26/15 6/26/15 - Martin Dugas
Uploaded on

August 8, 2014

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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On-Study - VITAL SIGNS - 2406095v1.0

English

Dates will appear as 'DD-MON-YYYY'

1 forms  
  1. StudyEvent: VITAL SIGNS
    1. Dates will appear as 'DD-MON-YYYY'
Vital Signs
Description

Vital Signs

Course Number
Description

CourseNumber

Data type

double

Alias
NCI Thesaurus Property
C25337
UMLS 2011AA Property
C0237753
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C25379
UMLS 2011AA ObjectClass
C0750729
Course Day Number
Description

CourseDayNumber

Data type

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C25301
UMLS 2011AA Property
C0439228
NCI Thesaurus ObjectClass
C25379
UMLS 2011AA ObjectClass
C0750729
Evaluation Date
Description

EvaluationDate

Data type

date

Alias
NCI Thesaurus Property
C25164
UMLS 2011AA Property
C0011008
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25214
UMLS 2011AA ObjectClass
C0220825
Lab Collection Time
Description

LabCollectionTime

Data type

time

Alias
NCI Thesaurus Property
C25453
UMLS 2011AA Property
C1516698
NCI Thesaurus Property
C25207
UMLS 2011AA Property
C0040223
NCI Thesaurus ValueDomain
C25207
UMLS 2011AA ValueDomain
C0040223
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
Karnofsky Performance Status Score
Description

KarnofskyPerformanceStatusScore

Data type

text

Alias
NCI Thesaurus Property
C25367
NCI Thesaurus ObjectClass
C20641
UMLS 2011AA ObjectClass
C1518965
NCI Thesaurus ValueDomain
C25338
UMLS 2011AA ValueDomain
C0449820
Body Weight in Kilograms
Description

BodyWeightinKilograms

Data type

double

Measurement units
  • Kg
Alias
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
NCI Thesaurus ObjectClass
C13041
UMLS 2011AA ObjectClass
C1268086
NCI Thesaurus Property
C25208
UMLS 2011AA Property
C0043100
Kg
BSA
Description

PersonBodySurfaceAreaValue

Data type

double

Measurement units
  • m2
Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
NCI Thesaurus Property
C25157
UMLS 2011AA Property
C0005902
m2
Temp Derived (Cel)
Description

TemperatureDerivedinCelsius

Data type

double

Alias
NCI Thesaurus ObjectClass
C25206
UMLS 2011AA ObjectClass
C0039476
NCI Thesaurus Property
C41151
UMLS 2011AA Property
C1516378
Pulse
Description

PulseRateMeasurementValue

Data type

double

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus ObjectClass
C25749
UMLS 2011AA ObjectClass
C0391850
NCI Thesaurus Property
C25636
UMLS 2011AA Property
C1521828
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
NCI Thesaurus ValueDomain
C25749
UMLS 2011AA ValueDomain
C0391850
Alpha DVG Respiration Rate
Description

AlphaDVGRespirationRate

Data type

text

Alias
NCI Thesaurus ObjectClass
C25209
UMLS 2011AA ObjectClass
C0242485
NCI Thesaurus Property
C25180
UMLS 2011AA Property
C1522602
NCI Metathesaurus ValueDomain
C0021212
Systolic Blood Pressure Value
Description

Systolic blood pressure

Data type

double

Measurement units
  • mmHg
Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C0871470
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus Property
C25367
NCI Thesaurus ObjectClass
C54706
mmHg
Diastolic Blood Pressure Value
Description

Diastolic blood pressure

Data type

double

Measurement units
  • mmHg
Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C0428883
NCI Thesaurus ObjectClass
C25190
NCI Thesaurus Property
C25367
NCI Thesaurus ObjectClass
C54706
mmHg
Pulse Oximetry Value
Description

PulseOximetryValue

Data type

double

Measurement units
  • %
Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C25749
UMLS 2011AA ObjectClass
C0391850
NCI Metathesaurus Property
C0040656
%
Research Comments Text
Description

ResearchCommentsText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
Height (cm)
Description

PersonHeightMeasurement

Data type

double

Measurement units
  • cm
Alias
NCI Thesaurus ValueDomain
C25209
UMLS 2011AA ValueDomain
C0242485
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25347
UMLS 2011AA Property
C0489786
cm
Comments
Description

Comments

Note Date
Description

NoteDate

Data type

date

Alias
NCI Thesaurus Property
C25164
UMLS 2011AA Property
C0011008
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Metathesaurus ObjectClass
C1317574
Research Comments Text
Description

ResearchCommentsText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
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Similar models

Dates will appear as 'DD-MON-YYYY'

1 forms
  1. StudyEvent: VITAL SIGNS
    1. Dates will appear as 'DD-MON-YYYY'
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Vital Signs
CourseNumber
Item
Course Number
double
C25337 (NCI Thesaurus Property)
C0237753 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS 2011AA ObjectClass)
CourseDayNumber
Item
Course Day Number
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25301 (NCI Thesaurus Property)
C0439228 (UMLS 2011AA Property)
C25379 (NCI Thesaurus ObjectClass)
C0750729 (UMLS 2011AA ObjectClass)
EvaluationDate
Item
Evaluation Date
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25214 (NCI Thesaurus ObjectClass)
C0220825 (UMLS 2011AA ObjectClass)
LabCollectionTime
Item
Lab Collection Time
time
C25453 (NCI Thesaurus Property)
C1516698 (UMLS 2011AA Property)
C25207 (NCI Thesaurus Property)
C0040223 (UMLS 2011AA Property)
C25207 (NCI Thesaurus ValueDomain)
C0040223 (UMLS 2011AA ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
Item
Karnofsky Performance Status Score
text
C25367 (NCI Thesaurus Property)
C20641 (NCI Thesaurus ObjectClass)
C1518965 (UMLS 2011AA ObjectClass)
C25338 (NCI Thesaurus ValueDomain)
C0449820 (UMLS 2011AA ValueDomain)
CL.1
Code List
Karnofsky Performance Status Score
CL Item
Normal, No Complaints, No Evidence Of Disease (100)
CL Item
Able To Carry On Normal Activity; Minor Signs Or Symptoms Of Disease (90)
CL Item
Normal Activity With Effort; Some Signs Or Symptoms Of Disease (80)
CL Item
Cares For Self, Unable To Carry On Normal Activity Or To Do Active Work (70)
CL Item
Requires Occasional Assistance, But Is Able To Care For Most Of His/her Needs (60)
CL Item
Requires Considerable Assistance And Frequent Medical Care (50)
CL Item
Disabled, Requires Special Care And Assistance (40)
CL Item
Severely Disabled, Hospitalization Indicated. Death Not Imminent (30)
CL Item
Very Sick, Hospitalization Indicated. Death Not Imminent (20)
CL Item
Moribund, Fatal Processes Progressing Rapidly (10)
CL Item
Dead (0)
BodyWeightinKilograms
Item
Body Weight in Kilograms
double
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C13041 (NCI Thesaurus ObjectClass)
C1268086 (UMLS 2011AA ObjectClass)
C25208 (NCI Thesaurus Property)
C0043100 (UMLS 2011AA Property)
PersonBodySurfaceAreaValue
Item
BSA
double
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25157 (NCI Thesaurus Property)
C0005902 (UMLS 2011AA Property)
TemperatureDerivedinCelsius
Item
Temp Derived (Cel)
double
C25206 (NCI Thesaurus ObjectClass)
C0039476 (UMLS 2011AA ObjectClass)
C41151 (NCI Thesaurus Property)
C1516378 (UMLS 2011AA Property)
PulseRateMeasurementValue
Item
Pulse
double
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25749 (NCI Thesaurus ObjectClass)
C0391850 (UMLS 2011AA ObjectClass)
C25636 (NCI Thesaurus Property)
C1521828 (UMLS 2011AA Property)
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25749 (NCI Thesaurus ValueDomain)
C0391850 (UMLS 2011AA ValueDomain)
Item
Alpha DVG Respiration Rate
text
C25209 (NCI Thesaurus ObjectClass)
C0242485 (UMLS 2011AA ObjectClass)
C25180 (NCI Thesaurus Property)
C1522602 (UMLS 2011AA Property)
C0021212 (NCI Metathesaurus ValueDomain)
CL.2
Code List
Alpha DVG Respiration Rate
CL Item
Not Obtained (Not Obtained)
Systolic blood pressure
Item
Systolic Blood Pressure Value
double
C25337 (NCI Thesaurus ValueDomain)
C0871470 (UMLS CUI-1)
C25190 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C54706 (NCI Thesaurus ObjectClass)
Diastolic blood pressure
Item
Diastolic Blood Pressure Value
double
C25337 (NCI Thesaurus ValueDomain)
C0428883 (UMLS CUI-1)
C25190 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C54706 (NCI Thesaurus ObjectClass)
PulseOximetryValue
Item
Pulse Oximetry Value
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25749 (NCI Thesaurus ObjectClass)
C0391850 (UMLS 2011AA ObjectClass)
C0040656 (NCI Metathesaurus Property)
ResearchCommentsText
Item
Research Comments Text
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)
PersonHeightMeasurement
Item
Height (cm)
double
C25209 (NCI Thesaurus ValueDomain)
C0242485 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS 2011AA Property)
Item Group
Comments
NoteDate
Item
Note Date
date
C25164 (NCI Thesaurus Property)
C0011008 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C1317574 (NCI Metathesaurus ObjectClass)
ResearchCommentsText
Item
Research Comments Text
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)
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