ID
10386
Beskrivning
AMC-075B Enrollment Form (ENR) Vorinostat and Combination Chemotherapy With Rituximab in Treating Patients With Previously Untreated HIV-Related Diffuse Large B-Cell Non-Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9B26D8A0-BAA8-E8FB-E040-BB89AD4335F8
Länk
Nyckelord
Versioner (3)
- 2012-09-19 2012-09-19 -
- 2015-05-28 2015-05-28 -
- 2015-06-03 2015-06-03 -
Uppladdad den
28 maj 2015
DOI
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Licens
Creative Commons BY-NC 3.0 Legacy
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AMC-075B Enrollment Form (ENR)
No Instruction available.
- StudyEvent: AMC-075B Enrollment Form (ENR)
Beskrivning
Inclusion/exclusion Criteria
Beskrivning
AIDSMalignancyConsortiumPatientInclusionClinicalTrialEligibilityCriteria075Type
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C16960 (undefined)
- UMLS 2011AA ObjectClass
- C0030705 (Patients)
- SNOMED
- 116154003
- NCI Thesaurus ObjectClass-2
- C19707 (undefined)
- UMLS 2011AA ObjectClass-2
- C1515830 (AIDS Malignancy Consortium)
- NCI Thesaurus Property
- C16112 (undefined)
- UMLS 2011AA Property
- C1516637 (Clinical Trial Eligibility Criteria)
- NCI Thesaurus Property-2
- C25532 (undefined)
- UMLS 2011AA Property-2
- C1512693 (Inclusion)
- NCI Thesaurus ValueDomain
- C25284 (undefined)
- UMLS 2011AA ValueDomain
- C0332307 (Type - attribute)
- SNOMED
- 261664005
Beskrivning
Exclusion Criteria
Beskrivning
AIDSMalignancyConsortiumPatientExclusionClinicalTrialEligibilityCriteria075Type
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C16960 (undefined)
- UMLS 2011AA ObjectClass
- C0030705 (Patients)
- SNOMED
- 116154003
- NCI Thesaurus ObjectClass-2
- C19707 (undefined)
- UMLS 2011AA ObjectClass-2
- C1515830 (AIDS Malignancy Consortium)
- NCI Thesaurus Property
- C16112 (undefined)
- UMLS 2011AA Property
- C1516637 (Clinical Trial Eligibility Criteria)
- NCI Thesaurus Property-2
- C25370 (undefined)
- UMLS 2011AA Property-2
- C0680251 (Exclusion Criteria)
- NCI Thesaurus ValueDomain
- C25284 (undefined)
- UMLS 2011AA ValueDomain
- C0332307 (Type - attribute)
- SNOMED
- 261664005
Beskrivning
PatientAgeYearCount
Datatyp
float
Alias
- NCI Thesaurus ObjectClass
- C16960 (undefined)
- UMLS 2011AA ObjectClass
- C0030705 (Patients)
- SNOMED
- 116154003
- NCI Thesaurus ValueDomain
- C29848 (undefined)
- UMLS 2011AA ValueDomain
- C0439234 (year)
- SNOMED
- 258707000
- NCI Thesaurus ValueDomain-2
- C25463 (undefined)
- UMLS 2011AA ValueDomain-2
- C0750480 (Count)
- NCI Thesaurus Property
- C25150 (undefined)
- UMLS 2011AA Property
- C0001779 (Age)
- SNOMED
- 424144002
- LOINC
- LP28815-6
Beskrivning
InformedConsentFormSignedDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164 (undefined)
- UMLS 2011AA ValueDomain
- C0011008 (Date in time)
- SNOMED
- 410671006
- NCI Thesaurus ValueDomain-2
- C25367 (undefined)
- NCI Thesaurus ObjectClass
- C16468 (undefined)
- UMLS 2011AA ObjectClass
- C0009797 (Consent Forms)
- NCI Thesaurus Property
- C25679 (undefined)
Beskrivning
Enrollment Stratification Data
Beskrivning
LymphomaAnnArborLymphomaStagingSystemClassificationStage
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C3208 (undefined)
- UMLS 2011AA ObjectClass
- C0024299 (Lymphoma)
- SNOMED
- 115244002
- LOINC
- LA15685-3
- NCI Thesaurus ValueDomain
- C16899 (undefined)
- UMLS 2011AA ValueDomain
- C1300072 (Tumor stage)
- SNOMED
- 371508000
- NCI Thesaurus Property
- C25161 (undefined)
- UMLS 2011AA Property
- C0008902 (Classification)
- SNOMED
- 73504009
Beskrivning
InternationalPrognosticIndexPatientLactateDehydrogenaseAssessmentInd-2
Datatyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C16960 (undefined)
- UMLS 2011AA ObjectClass
- C0030705 (Patients)
- SNOMED
- 116154003
- NCI Thesaurus ObjectClass-2
- C20118 (undefined)
- UMLS 2011AA ObjectClass-2
- C1512894 (International Prognostic Index)
- SNOMED
- 716567001
- NCI Thesaurus Property
- C20989 (undefined)
- UMLS 2011AA Property
- C0031809 (Physical Examination)
- SNOMED
- 5880005
- LOINC
- MTHU028014
- NCI Thesaurus Property-2
- C25184 (undefined)
- UMLS 2011AA Property-2
- C0022917 (Lactate Dehydrogenase)
- SNOMED
- 70012008
- NCI Thesaurus ValueDomain
- C38147 (undefined)
- UMLS 2011AA ValueDomain
- C1512698 (Yes or No Response)
Beskrivning
LaboratoryProcedureTumorMarkerKi-67AntigenResultType
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C25294 (undefined)
- UMLS 2011AA ObjectClass
- C0022885 (Laboratory Procedures)
- SNOMED
- 269814003
- NCI Thesaurus Property
- C20200 (undefined)
- UMLS 2011AA Property
- C1274040 (Result)
- SNOMED
- 394617004
- NCI Thesaurus Property-2
- C17220 (undefined)
- UMLS 2011AA Property-2
- C0041365 (Tumor Markers)
- NCI Thesaurus Property-3
- C17675 (undefined)
- UMLS 2011AA Property-3
- C0208804 (Ki-67 Antigen)
- LOINC
- LP39016-8
- NCI Thesaurus ValueDomain
- C25284 (undefined)
- UMLS 2011AA ValueDomain
- C0332307 (Type - attribute)
- SNOMED
- 261664005
Beskrivning
HematopoieticDiseaseDiagnosisType
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25284 (undefined)
- UMLS 2011AA ValueDomain
- C0332307 (Type - attribute)
- SNOMED
- 261664005
- NCI Thesaurus ObjectClass
- C2991 (undefined)
- UMLS 2011AA ObjectClass
- C0012634 (Disease)
- SNOMED
- 64572001
- LOINC
- LP21006-9
- NCI Thesaurus ObjectClass-2
- C13324 (undefined)
- UMLS 2011AA ObjectClass-2
- C0229601 (Hematopoietic)
- NCI Thesaurus Property
- C15220 (undefined)
- UMLS 2011AA Property
- C0011900 (Diagnosis)
- SNOMED
- 439401001
- LOINC
- LP30831-9
Beskrivning
PatientInternationalPrognosticIndexRiskStratificationType
Datatyp
text
Alias
- NCI Thesaurus ObjectClass
- C16960 (undefined)
- UMLS 2011AA ObjectClass
- C0030705 (Patients)
- SNOMED
- 116154003
- NCI Thesaurus Property
- C17102 (undefined)
- UMLS 2011AA Property
- C0035647 (Risk)
- SNOMED
- 30207005
- NCI Thesaurus Property-2
- C20118 (undefined)
- UMLS 2011AA Property-2
- C1512894 (International Prognostic Index)
- SNOMED
- 716567001
- NCI Thesaurus Property-3
- C25689 (undefined)
- UMLS 2011AA Property-3
- C1514983 (Stratification)
- NCI Thesaurus ValueDomain
- C25284 (undefined)
- UMLS 2011AA ValueDomain
- C0332307 (Type - attribute)
- SNOMED
- 261664005
Beskrivning
Specimen Consent
Beskrivning
BloodTissueSpecimenOtherDiseasesandDisordersFutureResearchConsentInd-2
Datatyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C12801 (undefined)
- UMLS 2011AA ObjectClass
- C0040300 (Body tissue)
- SNOMED
- 85756007
- LOINC
- LP7641-6
- NCI Thesaurus ObjectClass-2
- C12434 (undefined)
- UMLS 2011AA ObjectClass-2
- C0229664 (peripheral blood)
- SNOMED
- 119273009
- NCI Thesaurus ObjectClass-3
- C19157 (undefined)
- UMLS 2011AA ObjectClass-3
- C0370003 (Specimen)
- SNOMED
- 123038009
- LOINC
- LP7593-9
- NCI Thesaurus Property
- C17649 (undefined)
- UMLS 2011AA Property
- C0205394 (Other)
- SNOMED
- 74964007
- LOINC
- LP21049-9
- NCI Thesaurus Property-2
- C15319 (undefined)
- NCI Thesaurus Property-3
- C67527 (undefined)
- UMLS 2011AA Property-2
- C0016884 (Future)
- NCI Thesaurus Property-4
- C2991 (undefined)
- UMLS 2011AA Property-3
- C0012634 (Disease)
- SNOMED
- 64572001
- LOINC
- LP21006-9
- NCI Thesaurus Property-5
- C25460 (undefined)
- UMLS 2011AA Property-4
- C1511481 (Consent)
- LOINC
- LP100037-3
- NCI Thesaurus ValueDomain
- C38147 (undefined)
- UMLS 2011AA ValueDomain
- C1512698 (Yes or No Response)
Beskrivning
Comments
Beskrivning
ResearchCommentsText
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704 (undefined)
- UMLS 2011AA ValueDomain
- C1527021 (Text)
- LOINC
- LP6885-0
- NCI Thesaurus ObjectClass
- C15319 (undefined)
- NCI Thesaurus Property
- C25393 (undefined)
- UMLS 2011AA Property
- C0282411 (Published Comment)
- LOINC
- MTHU018874
Similar models
No Instruction available.
- StudyEvent: AMC-075B Enrollment Form (ENR)
C25631 (NCI Thesaurus ObjectClass-2)
C25431 (NCI Thesaurus Property)
C0439659 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property-2)
C2745955 (UMLS 2011AA Property-2)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
C0439659 (UMLS 2011AA ValueDomain-2)
C0679823 (UMLS 2011AA ObjectClass)
C37998 (NCI Thesaurus ObjectClass-2)
C1518602 (UMLS 2011AA ObjectClass-2)
C51883 (NCI Thesaurus ObjectClass-3)
C1710470 (UMLS 2011AA ObjectClass-3)
C25936 (NCI Thesaurus ObjectClass-4)
C0035173 (UMLS 2011AA ObjectClass-4)
C25191 (NCI Thesaurus Property)
C1547383 (UMLS 2011AA Property)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25395 (NCI Thesaurus Property)
C0039457 (UMLS 2011AA Property)
C25461 (NCI Thesaurus ObjectClass-2)
C0337611 (UMLS 2011AA ObjectClass-2)
C0030705 (UMLS 2011AA ObjectClass)
C19707 (NCI Thesaurus ObjectClass-2)
C1515830 (UMLS 2011AA ObjectClass-2)
C16112 (NCI Thesaurus Property)
C1516637 (UMLS 2011AA Property)
C25532 (NCI Thesaurus Property-2)
C1512693 (UMLS 2011AA Property-2)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C0030705 (UMLS 2011AA ObjectClass)
C19707 (NCI Thesaurus ObjectClass-2)
C1515830 (UMLS 2011AA ObjectClass-2)
C16112 (NCI Thesaurus Property)
C1516637 (UMLS 2011AA Property)
C25370 (NCI Thesaurus Property-2)
C0680251 (UMLS 2011AA Property-2)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C0030705 (UMLS 2011AA ObjectClass)
C29848 (NCI Thesaurus ValueDomain)
C0439234 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain-2)
C0750480 (UMLS 2011AA ValueDomain-2)
C25150 (NCI Thesaurus Property)
C0001779 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain-2)
C16468 (NCI Thesaurus ObjectClass)
C0009797 (UMLS 2011AA ObjectClass)
C25679 (NCI Thesaurus Property)
C0024299 (UMLS 2011AA ObjectClass)
C16899 (NCI Thesaurus ValueDomain)
C1300072 (UMLS 2011AA ValueDomain)
C25161 (NCI Thesaurus Property)
C0008902 (UMLS 2011AA Property)
C0030705 (UMLS 2011AA ObjectClass)
C20118 (NCI Thesaurus ObjectClass-2)
C1512894 (UMLS 2011AA ObjectClass-2)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25184 (NCI Thesaurus Property-2)
C0022917 (UMLS 2011AA Property-2)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C0022885 (UMLS 2011AA ObjectClass)
C20200 (NCI Thesaurus Property)
C1274040 (UMLS 2011AA Property)
C17220 (NCI Thesaurus Property-2)
C0041365 (UMLS 2011AA Property-2)
C17675 (NCI Thesaurus Property-3)
C0208804 (UMLS 2011AA Property-3)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C1629507 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C13324 (NCI Thesaurus ObjectClass-2)
C0229601 (UMLS 2011AA ObjectClass-2)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C1333296 (UMLS 2011AA)
C1333295 (UMLS 2011AA)
C0030705 (UMLS 2011AA ObjectClass)
C17102 (NCI Thesaurus Property)
C0035647 (UMLS 2011AA Property)
C20118 (NCI Thesaurus Property-2)
C1512894 (UMLS 2011AA Property-2)
C25689 (NCI Thesaurus Property-3)
C1514983 (UMLS 2011AA Property-3)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C0040300 (UMLS 2011AA ObjectClass)
C12434 (NCI Thesaurus ObjectClass-2)
C0229664 (UMLS 2011AA ObjectClass-2)
C19157 (NCI Thesaurus ObjectClass-3)
C0370003 (UMLS 2011AA ObjectClass-3)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C15319 (NCI Thesaurus Property-2)
C67527 (NCI Thesaurus Property-3)
C0016884 (UMLS 2011AA Property-2)
C2991 (NCI Thesaurus Property-4)
C0012634 (UMLS 2011AA Property-3)
C25460 (NCI Thesaurus Property-5)
C1511481 (UMLS 2011AA Property-4)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)
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