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Diastolic Blood Pressure C25299 CDISC VSTESTCD = “DIABPBlood Pressure C54706 The pressure of the circulating blood against the walls of the blood vessels. Personal Attribute C19332 The distinguishing qualities or prominent aspects of an individual per Property or Attribute C35552 The distinguishing qualities or prominent aspect of a person, object, action, process, or substance. The blood pressure after the contraction of the heart while the chambers of the heart refill with blood. NCI’s Thesaurus relates concept in hierarical structure by using super- and sub-concepts.

Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

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Page 1: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

Diastolic Blood Pressure C25299

CDISC VSTESTCD = “DIABP”

Blood Pressure C54706

The pressure of the circulating blood against the walls of the blood vessels.

Personal Attribute C19332

The distinguishing qualities or prominent aspects of an individual person.

Property or Attribute C35552

The distinguishing qualities or prominent aspect of a person, object, action, process, or substance.

The blood pressure after the contraction of the heart while the chambers of the heart refill with blood.

NCI’s Thesaurus relates concept in hierarical structure by using super- and sub-concepts.

Page 2: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

Choriogonadotropin Beta Measurement C64851

CDISC LBTESTCD = “HCG”Synonym: “Pregnancy Test”

Protein or Enzyme Type Measurement C64430

Chemistry Test C49237

Laboratory Procedure C25294

A medical procedure that involves testing a sample of blood, urine, or other substance from the body. Tests can help determine a

diagnosis, plan treatment, check to see if treatment is working, or monitor the disease over time.

CDISC Definition: A measurement of the Choriogonadotropin Beta in a biological specimen.

NCI Defintion: A determination of the presence of Choriogonadotropin Beta protein.

NCI’s Thesaurus relates concept in hierarical structure by using super- and sub-concepts.

Intervention or ProcedureC25218

Activity or measure that produces an effect or that is intended to alter the course of a disease in patient or population. This is a general

term encompassing medical, social, behavioral, environmental and other acts that can have preventive and/or therapeutic impact. .

Clinical or Research Activity C16203

Any specific activity undertaken during the course of a clinical study or research protocol.

Page 3: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

Postpartum HypertensionC35802

Hypertension C3117

Pathological increase in blood pressure; a repeatedly elevated blood pressure exceeding 140 over 90 mmHg

Blood Pressure Finding C54707

A test result that reports the diastolic and systolic pressure of the blood.

Cardiovascular System Finding C35552

Patient complaints (symptoms), physical/laboratory findings(signs) related to the cardiovascular system.

Finding by Site or System C36278

Finding C3367

Objective evidence of disease perceptible to the examining physician (sign) and subjective evidence of disease perceived

by the patient (symptom)..

Disease, Disorder or FindingC7057

Specification of human conditions relevant to cancer. This includes observations, test results, history, and other concepts

relevant to characterization of human cancer-related conditions. Non-neoplastic conditions of interest are also

included.

NCI’s Thesaurus relates concept in hierarical structure by using super- and sub-concepts.

Page 4: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

CDISC SDTM and related initativies

HL7 “Health Level Seven”

CDISCClinical Data

Interchange Standards Consortium

Re

latio

nsh

ip H

L7

/CD

ISC

RCRIMRegulated Clinical Research

and Information Management,

technical committee

SDTM variables specifiedas packages of Controlled

TerminologiesPublished as an Excel matrixeson CDISC website

NCI Thesaurus In OWL format

BRIDGBiomedical

Research Integrated Domain Group Model

All terms and conceptsare incorporated from

NCI Thesaurus thorugh NCI EVS

UMLS

Page 5: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

CDISC’s Controlled Terminoligy for VSTEST Codesas part of package 1

Published as an Excel matrixeson CDISC website

Page 6: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

Vital Signs Test Name

Observation

Action

Heart Rate“HR”

Pulse Rate“PULSE”

Respiratory Rate“RESP”

Personal Attribute

Characteristic

Weight“WEIGHT”

Property or Attribute

Blood Pressure

Diastolic Pressure“DIABP”

Systolic Pressure“SYSBP”

Body Mass Index“BMI”

Temperature“TEMP”

Conceptual Entities

Height“HEIGHT”

Mean Arterial Pressure“MAP”

Blood Pressure Finding

Cardiovascular System Finding

Finding by Site or System

Body Frame Size“FRMSIZE”

Adipose Tissue“BODYFAT”

Soft Tissue

Body Surface Area“BSA”

Connective and Soft Tissue

Tissue

Microanatomic Structure

Anatomic StructureSystem or Substance

Concept structures in NCI’s Thesaurus for Concepts that have been in aligned to proposed CDISC’s VSTEST Codes

NCI’s Thesaurus relates concept in hierarical structure by using super- and sub-concepts.

Page 7: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

Vital Signs Test Name

Observation

Action

Heart Rate“HR”

Pulse Rate“PULSE”

Respiratory Rate“RESP”

Personal Attribute

Characteristic

Weight“WEIGHT”

Property or Attribute

Blood Pressure

Diastolic Pressure“DIABP”

Systolic Pressure“SYSBP”

Body Mass Index“BMI”

Temperature“TEMP”

Conceptual Entities

Height“HEIGHT”

Mean Arterial Pressure“MAP”

Blood Pressure Finding

Cardiovascular System Finding

Finding by Site or System

Body Frame Size“FRMSIZE”

Adipose Tissue“BODYFAT”

Soft Tissue

Body Surface Area“BSA”

Connective and Soft Tissue

Tissue

Microanatomic Structure

Anatomic StructureSystem or Substance

Concept structures in NCI’s Thesaurus for Concepts that have been in aligned to proposed CDISC’s VSTEST Codes

The blood pressure after the contraction of the heart while the chambers of the heart refill with blood.

NCI’s Thesaurus relates concept in hierarical structure by using super- and sub-concepts.

Page 8: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

Vital Signs Test Name

Observation

Action

Heart Rate“HR”

Pulse Rate“PULSE”

Respiratory Rate“RESP”

Personal Attribute

Characteristic

Weight“WEIGHT”

Property or Attribute

Blood Pressure

Diastolic Pressure“DIABP”

Systolic Pressure“SYSBP”

Body Mass Index“BMI”

Temperature“TEMP”

Conceptual Entities

Height“HEIGHT”

Mean Arterial Pressure“MAP”

Blood Pressure Finding

Cardiovascular System Finding

Finding by Site or System

Body Frame Size“FRMSIZE”

Adipose Tissue“BODYFAT”

Soft Tissue

Body Surface Area“BSA”

Connective and Soft Tissue

Tissue

Microanatomic Structure

Anatomic StructureSystem or Substance

Concept structures in NCI’s Thesaurus for Concepts that have been in aligned to proposed CDISC’s VSTEST Codes

(Pulse)

The rhythmic wave within the arteries occurring with each contraction ofthe left ventricle.

The rate of the pulse as observed in an artery, expressed as beats per minute. It can be measured at several anatomical sites, including the wrist, neck, temple, groin, behind the knees, or on top of the foot.

NCI’s Thesaurus relates concept in hierarical structure by using super- and sub-concepts.

Page 9: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

Topic Identifier TimingGrouping

QualSynonym

Qual Res

ResQual

VarVar

Qual

RecordQual

Res

Generic dataset structure for all domainsBased on the descriptions in the Study Data Tabulation Model document

Example from CDISC SDTM Implementation Guideline version 3.1.2

VSTESTCD VSORRES

VSPOSVSLOC

Page 10: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

Hypertension can be seen as a Risk Factor in SDTM Medical History for a specific clinical study

A CRF (Case Report Form) asks whether or not the subject had any of a list of 4 specific risk factors, including hypertension, and there is a space for the investigator to write in other risk factors.

In SDTM this is classified as a Medical History and below is an example on row 7 describing how a (sligfhly simplified) record in a MH domain could look like

Example from CDISC SDTM Implementation Guideline version 3.1.2

Page 11: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

Pregnancy can be seen as a type of Disposition event in SDTM domain for Disposition for a specific clinical study

From CDISC SDTM Implementation Guideline version 3.1.2, to be published as a controlled terminioligy

Page 12: Diastolic Blood Pressure C25299 C25299 CDISC VSTESTCD = “DIABP” Blood Pressure C54706 The pressure of the circulating blood against the walls of the blood

Primary Usein Health Care

per patient

Primary use inDrug Development (i.e. Secondary Use of Health Care data in clinical research)

Secondary Usein Drug Developmentas Knowledge Base

Secondary UseEpi / Population / Real life analysis

Secondary Usein Health Care

as Knowledge Base

Patient

Subject

Organizing clinical trials information that is to be submitted to the FDA.

SDTM

Auhortities

Population