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.

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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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])
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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