caDSR

Vital_Signs_NCI_Standard_Template_10-04-2013-508_Compl.xls

Long Name	Vital Signs NCI Standard Template
Definition	The collection of CDEs used in the vital signs modules.
Context	caBIG
Protocol Long Name	NCI Standard Template Forms
Workflow	RELEASED
Type	CRF
Public ID	3476772
Version	1.0

Module Long Name	Module Instructions	Question	CDE	CDE Public ID	CDE Version	Value Domain Data Type	Value Domain Unit of Measure	Display Format	Valid Value	Form Value Meaning Text	Form Value Meaning Desc.
Optional Vital Signs Questions	There is no requirement for inclusion of these elements on the case report form. If the design and scientific questions posed in the study dictate the need to collect this type of data, these elements should be included.
		Date of Measurement	Measurement Vital Signs Occurrence Date	2829808	1.0	DATE
		Time of Measurement	Measurement Vital Signs Occurrence Time	2829812	1.0	NUMBER
		Participant Position	Participant Position Type	2008432	2.0	CHARACTER
									Prone	Prone Position	An anterior recumbent body position whereby the person lies on its stomach and faces downward.
									Semiprone	Semiprone	Lying on side, lateral recumbent
									Sitting	Sitting	The state or act of one who sits; the posture of one who occupies a seat.
									Standing	Standing	The act of assuming or maintaining an erect upright position.
									Supine	Supine Position	A posterior recumbent body position whereby the person lies on its back and faces upward.
									Unknown	Unknown	Not known, not observed, not recorded, or refused.
									Upright	Upright	Erect, perpendicular position
		Performance Status (Karnofsky)	Karnofsky Performance Status Score	2003853	4.2	CHARACTER
									0	Dead	Dead
									10	Moribund, fatal processes progressing rapidly	Moribund, fatal processes progressing rapidly
									20	Very sick, hospitalization indicated. Death not imminent	Very sick, hospitalization indicated. Death not imminent
									30	Severely disabled, hospitalization indicated. Death not imminent	Severely disabled, hospitalization indicated. Death not imminent
									40	Disabled, requires special care and assistance	Disabled, requires special care and assistance
									50	Requires considerable assistance and frequent medical care	Requires considerable assistance and frequent medical care
									60	Requires occasional assistance, but is able to care for most of his/her needs	Requires occasional assistance, but is able to care for most of his/her needs
									70	Cares for self, unable to carry on normal activity or to do active work	Cares for self, unable to carry on normal activity or to do active work
									80	Normal activity with effort; some signs or symptoms of disease	Normal activity with effort; some signs or symptoms of disease
									90	Able to carry on normal activity; minor signs or symptoms of disease	Able to carry on normal activity; minor signs or symptoms of disease
									100	Normal, no complaints, no evidence of disease	Normal, no complaints, no evidence of disease
		Performance Status (Zubrod)	Zubrod Performance Status Score	2003315	4.2	CHARACTER
									0	Normal Activity	Normal Activity
									1	Symptoms, but nearly fully ambulatory	Symptoms, but nearly fully ambulatory
									2	Some bed time, but needs to be in bed <50% of normal daytime	Some bed time, but needs to be in bed <50% of normal daytime
									3	Needs to be in bed > 50% of normal daytime	Needs to be in bed > 50% of normal daytime
									4	Unable to get out of bed	Unable to get out of bed
		Performance Status (Lansky)	Lansky Performance Status Score	2180158	1.1	CHARACTER
									0	Unresponsive	Unresponsive, according to the Lansky performance scale
									10	No play; does not get out of bed.	No play; does not get out of bed. (Lansky Performance Status Scale)
									20	Often sleeping; play entirely limited to very passive activities.	Often sleeping; play entirely limited to very passive activities. (Lansky Performance Status Scale)
									30	In bed; needs assistance even for quiet play.	In bed; needs assistance even for quiet play. (Lansky Performance Status Scale)
									40	Mostly in bed; participates in quiet activities.	Mostly in bed; participates in quiet activities. (Lansky Performance Status Scale)
									50	Gets dressed, but lies around much of the day; no active play, able to participate in all quiet play and activities.	Gets dressed, but lies around much of the day; no active play, able to participate in all quiet play and activities. (Lansky Performance Status Scale)
									60	Up and around, but minimal active play; keeps busy with quieter activities.	Up and around, but minimal active play; keeps busy with quieter activities. (Lansky performance status scale)
									70	Both greater restriction of and less time spent in play activity	Both greater restriction of and less time spent in play activity according to the Lansky scale.
									80	Active, but tires more quickly	Active, but tires more quickly according to the Lansky scale.
									90	Minor restrictions in physically strenuous activity	Minor restrictions in physically strenuous activity according to the Lansky scale.
									100	Fully active, normal	Full active, normal according to the Lansky scale
		Performance Status (ECOG)	Performance Status Assessment Eastern Cooperative Oncology Group Scale	88	5.1	CHARACTER
									0	Fully active, able to carry on all pre-disease performance without restriction.	Fully active, able to carry on all pre-disease performance without restriction.
									1	Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light housework, office work.	Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light housework, office work.
									2	Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours.	Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours.
									3	Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours.	Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours.
									4	Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair.	Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair.
									5	Dead	Dead
		Weight	Person Weight Value	2179689	4.0	NUMBER
		Ideal Weight	Person Ideal Body Weight Value	2956248	1.0	NUMBER
		Weight Unit of Measure UCUM Code	Person Weight Unit of Measure Unified Code for Units of Measure Code	2630200	1.0	CHARACTER
									[lb_av]	Pound	A traditional unit of mass. By international agreement, one avoirdupois pound is equal to exactly 0.453 592 37 kilogram, 16 ounces, or 1.215 28 troy pounds.
									[oz_av]	Ounce	The traditional unit of mass. The avoirdupois ounce is equal to 1/16 pound, or 28.3495 grams, or 0.911 457 troy ounce.
									g	gram	gram
									kg	kilogram	kilogram
		Height	Person Height Value	2179643	4.0	NUMBER
		Height Unit of Measure UCUM Code	Person Height Unit of Measure Unified Code for Units of Measure Code	2538920	1.0	CHARACTER
									[ft_i]	[ft_i]	Foot (International customary units) UCUM Code
									[in_i]	[in_i]	inch (International Customary Units) UCUM Code
									cm	CENTIMETER	A centimeter is a basic unit of length in the former CGS version of metric system, equal to one hundredth of a meter or approximately 0.393 700 787 inch.
									m	Meter	The unit of linear measure in the metric system, one of the seven base units of the International System of Units (Systeme International d'Unites, SI). Meter is defined as the length of the path traveled by light in a vacuum during a time interval of 1/299 792 458 of a second and is equal to 1.093 61 yards.
		Body Surface Area (BSA)	Person Body Surface Area Value	653	6.0	NUMBER	m2
		Body Mass Index (BMI)	Person Body Mass Index Value	2006410	3.0	NUMBER	kg/m2
		Body Temperature	Person Vital Signs Temperature Physical Examination Value	2644401	1.0	NUMBER		999.9
		Temperature Route	Person Vital Signs Temperature Route Type	3913255	1.0	CHARACTER
									Axillary	Axillary	(AK-sil-air-ee) Pertaining to the armpit area, including the lymph nodes that are located there.
									Dermal	Dermal	Of or relating to or located in the dermis.
									Nasopharyngeal	Nasopharyngeal	Nasopharyngeal
									Oral	Oral	The introduction of a substance to the mouth or into the gastrointestinal tract by the way of the mouth, usually for systemic action. It is the most common, convenient, and usually the safest and least expensive route of drug administration, but it uses the most complicated pathway to the tissues and bioavailability varies. The disadvantages of method are hepatic first pass metabolism and enzymatic degradation of the drug within the gastrointestinal tract. This prohibits oral administration of certain classes of drugs especially peptides and proteins.
									Rectal	Rectal	Rectal; of, or pertaining to, the rectum.
									Tympanic (Ear)	Ear	The organ of hearing: composed of the external ear, which includes the auricle and the external acoustic, or auditory, meatus; the middle ear, or the tympanic cavity with its ossicles; and the internal ear or inner ear, or labyrinth, which includes the semicircular canals, vestibule, and cochlea. SEE ALSO auricle. SYN auris.
		Temperature Unit of Measure UCUM Code	Person Temperature Unified Code for Units of Measure Code	2956267	1.0	CHARACTER
									CEL	Celsius	Celsius (International customary units) UCUM Code
									[degF]	Fahrenheit	Fahrenheit (International customary units) UCUM Code
		Pulse	Pulse Rate Measurement Value	2767073	1.0	NUMBER
		Pulse Ox	Pulse Oximetry Value	2186214	1.0	NUMBER	%
		Respiratory Rate	Person Vital Signs Respiratory Rate Physical Examination Value	2644399	1.0	NUMBER
		Systolic BP	Systolic Blood Pressure Value	2004289	1.0	NUMBER	mmHg
		Diastolic BP	Diastolic Blood Pressure Value	2004291	1.0	NUMBER	mmHg
		Comments	Research Comments Text	797	5.0	CHARACTER
		Comments Date	Comment Created Date	2956253	1.0	DATE		MM/DD/YYYY

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