ID

10010

Description

AMC-046 HIV Viral Load Form (F40) Cidofovir in Treating HIV-Infected Patients With High-Grade Squamous Intraepithelial Lesions of the Skin Near the Anus NCT00550589 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=715886E9-A905-36FE-E040-BB89AD430F6F

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=715886E9-A905-36FE-E040-BB89AD430F6F

Keywords

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

March 14, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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Anal Cancer NCT00550589 Lab - AMC-046 HIV Viral Load Form (F40) - 2933354v1.0

English

No Instruction available.

1 forms  
  1. StudyEvent: AMC-046 HIV Viral Load Form (F40)
    1. No Instruction available.
Header Module
Description

Header Module

Visit number
Description

Visit number

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16696
NCI Thesaurus Property
C25385
UMLS CUI-1
C1549755
HIV Viral Load
Description

HIV Viral Load

Results of HIV viral load assay (Enter results from right to left.)
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedAmount

Data type

text

Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25417
UMLS CUI-1
C0019682
UMLS CUI-2
C0376705
HIV viral load value
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedValue

Data type

float

Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25712
UMLS CUI-1
C0019682
UMLS CUI-2
C0376705
Method of detection
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedType

Data type

text

Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0019682
UMLS CUI-2
C0376705
UMLS CUI-3
C0005507
UMLS CUI-4
C0884358
UMLS CUI-5
C0332307
Other, specify
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25685
UMLS CUI-1
C0019682
UMLS CUI-2
C0376705
HIV viral load assay type
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedCategory

Data type

text

Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25372
UMLS CUI-1
C0019682
UMLS CUI-2
C0376705
UMLS CUI-3
C0005507
UMLS CUI-4
C0683312
Limits of detection
Description

HumanImmunodeficiencyVirusViralLoadAssayLowerThresholdDetectedNumber

Data type

float

Measurement units
  • Copies/mL
Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C48228
NCI Thesaurus Property-2
C25309
NCI Thesaurus Property-3
C25481
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C0019682
UMLS CUI-2
C0376705
UMLS CUI-3
C0449864
Copies/mL
Lab Facility Name (Testing Laboratory information)
Description

SpecimenLabIdentifierName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass
C37984
UMLS 2011AA ObjectClass
C0022877
NCI Thesaurus ObjectClass-2
C19157
UMLS 2011AA ObjectClass-2
C0370003
Comments
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

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1 forms
  1. StudyEvent: AMC-046 HIV Viral Load Form (F40)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
HospitalAdmissionOrdinalNumber
Item
Visit number
integer
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI-1)
Item Group
Item
Results of HIV viral load assay (Enter results from right to left.)
text
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25417 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
CL.1
Code List
Results of HIV viral load assay (Enter results from right to left.)
CL Item
Greater Than (>) (Greater than (>))
CL Item
Less Than (Less than (<))
CL Item
Undetectable (Undetectable)
CL Item
) (Equal to ()
HIV viral load value
Item
HIV viral load value
float
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
Item
Method of detection
text
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
C0005507 (UMLS CUI-3)
C0884358 (UMLS CUI-4)
C0332307 (UMLS CUI-5)
CL.2
Code List
Method of detection
CL Item
Roche Amplicor Monitor Assay (Roche Amplicor Monitor Assay)
CL Item
Versant Hiv-1 Rna Assay By Branched Dna (Versant HIV-1 RNA assay by branched DNA)
CL Item
Cobas Ampliprep/taqman Hiv-1 Assay (COBAS AmpliPrep/TAQMAN HIV-1 assay)
CL Item
Abbott Realtime Hiv-1 Assay (Abbott RealTime HIV-1 assay)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Other HIV viral load assay
Item
Other, specify
text
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
Item
HIV viral load assay type
text
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25372 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
C0005507 (UMLS CUI-3)
C0683312 (UMLS CUI-4)
CL.3
Code List
HIV viral load assay type
CL Item
Standard (Standard)
CL Item
Ultra (Ultra)
HIV virus load lower threshold
Item
Limits of detection
float
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C48228 (NCI Thesaurus Property)
C25309 (NCI Thesaurus Property-2)
C25481 (NCI Thesaurus Property-3)
C25337 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
C0449864 (UMLS CUI-3)
SpecimenLabIdentifierName
Item
Lab Facility Name (Testing Laboratory information)
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C37984 (NCI Thesaurus ObjectClass)
C0022877 (UMLS 2011AA ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C0370003 (UMLS 2011AA ObjectClass-2)
ResearchCommentsText
Item
Comments
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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