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  1. StudyEvent: AMC-045 Vital Signs Form (F20)
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Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header Module
Visit Number
Item
Visit number
text
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI-1)
Assessment Date
Item
Date of evaluation
date
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain)
C38000 (NCI Thesaurus Property)
C2985720 (UMLS CUI-1-1)
Time Test Given
Item
Time Test Completed
time
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C25250 (NCI Thesaurus Property)
C0518766 (NCI Metathesaurus Property)
C25207 (NCI Thesaurus ValueDomain)
C2825565 (UMLS CUI-1-1)
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Height
Item
Height
float
C25209 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25347 (NCI Thesaurus Property)
C0005890 (UMLS CUI-1-1)
Weight
Item
Body weight
float
C25209 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25208 (NCI Thesaurus Property)
C0005910 (UMLS CUI-1-1)
BSA
Item
Body surface area
float
C25190 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C25157 (NCI Thesaurus Property)
C0005902 (UMLS CUI-1-1)
Systolic blood pressure
Item
Systolic
integer
C25209 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus Property)
C25298 (NCI Thesaurus ObjectClass)
C0871470 (UMLS CUI-1-1)
Diastolic blood pressure
Item
Diastolic
integer
C25209 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus Property)
C25299 (NCI Thesaurus ObjectClass)
C0428883 (UMLS CUI-1-1)
Heart rate
Item
Heart rate
integer
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C49672 (NCI Thesaurus Property)
C49677 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C0018810 (UMLS CUI-1-1)
Respiratory Rate
Item
Respiratory Rate
integer
C25190 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C49672 (NCI Thesaurus Property)
C49678 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C0231832 (UMLS CUI-1-1)
Body Temperature
Item
Temperature
float
C25190 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C25206 (NCI Thesaurus Property)
C49672 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C0005903 (UMLS CUI-1-1)
Item
Karnofsky Performance Status
integer
C25367 (NCI Thesaurus Property)
C20641 (NCI Thesaurus ObjectClass)
C25338 (NCI Thesaurus ValueDomain)
C0206065 (UMLS CUI-1-1)
Code List
Karnofsky Performance Status
CL Item
Dead (0)
CL Item
Moribund, Fatal Processes Progressing Rapidly (10)
CL Item
Normal, No Complaints, No Evidence Of Disease (100)
CL Item
Very Sick, Hospitalization Indicated. Death Not Imminent (20)
CL Item
Severely Disabled, Hospitalization Indicated. Death Not Imminent (30)
CL Item
Disabled, Requires Special Care And Assistance (40)
CL Item
Requires Considerable Assistance And Frequent Medical Care (50)
CL Item
Requires Occasional Assistance, But Is Able To Care For Most Of His/her Needs (60)
CL Item
Cares For Self, Unable To Carry On Normal Activity Or To Do Active Work (70)
CL Item
Normal Activity With Effort; Some Signs Or Symptoms Of Disease (80)
CL Item
Able To Carry On Normal Activity; Minor Signs Or Symptoms Of Disease (90)
Item Group
Footer Module
Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI-1)

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