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ID

11615

Description

AMC-061 HIV T-Cell Laboratory Values Form (F24) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Undergoing Highly Active Antiretroviral Therapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=715886E9-A82F-36FE-E040-BB89AD430F6F

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=715886E9-A82F-36FE-E040-BB89AD430F6F

Keywords

Versions (3)
  1. 8/26/12 8/26/12 -
  2. 7/8/15 7/8/15 -
  3. 7/8/15 7/8/15 -
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July 8, 2015

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License

Creative Commons BY-NC 3.0 Legacy
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    AMC-061 HIV T-Cell Laboratory Values Form (F24)

    English

    No Instruction available.

    1 forms  
    1. StudyEvent: AMC-061 HIV T-Cell Laboratory Values Form (F24)
      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
    Sequence number
    Description

    Sequence number

    Data type

    integer

    Alias
    NCI Thesaurus ObjectClass
    C19464
    NCI Thesaurus ValueDomain
    C25463
    NCI Thesaurus ObjectClass-2
    C49153
    NCI Thesaurus Property
    C25694
    UMLS CUI-1
    C2348184
    Date of Evaluation (mm/dd/yyyy)
    Description

    Date of Evaluation (mm/dd/yyyy)

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    NCI Thesaurus ObjectClass
    C3824
    NCI Thesaurus Property
    C20989
    NCI Thesaurus ValueDomain-2
    C25367
    UMLS CUI-1
    C0011008
    UMLS CUI-2
    C0220825
    T-cell Laboratory Values
    Description

    T-cell Laboratory Values

    T-Helper CD4+ %
    Description

    T-Helper CD4+ %

    Data type

    float

    Measurement units
    • %
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C12537
    NCI Thesaurus Property-3
    C12538
    NCI Thesaurus ValueDomain
    C25613
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS CUI-1
    C1274040
    UMLS CUI-2
    C0039215
    %
    T-Helper CD4+ absolute count
    Description

    T-Helper CD4+ absolute count

    Data type

    integer

    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C20200
    NCI Thesaurus Property-2
    C12537
    NCI Thesaurus Property-3
    C12538
    NCI Thesaurus ValueDomain
    C25463
    UMLS CUI-1
    C0039215
    UMLS CUI-2
    C0519835
    Other, specify
    Description

    Other, specify

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    NCI Thesaurus Property
    C12535
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0024264
    UMLS CUI-2
    C1521902
    Percent Positive Lymphocytes
    Description

    Percent Positive Lymphocytes

    Data type

    float

    Measurement units
    • %
    Alias
    NCI Thesaurus ObjectClass
    C25294
    NCI Thesaurus Property
    C12535
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ValueDomain
    C25613
    NCI Thesaurus ValueDomain-2
    C25712
    UMLS CUI-1
    C0039215
    UMLS CUI-2
    C0242629
    %
    Absolute Count
    Description

    Absolute Count

    Data type

    float

    Alias
    NCI Thesaurus Property
    C12535
    NCI Thesaurus Property-2
    C20200
    NCI Thesaurus ValueDomain
    C25463
    NCI Thesaurus ObjectClass
    C25294
    UMLS CUI-1
    C0242629
    UMLS CUI-2
    C0200635
    Comments
    Description

    Comments

    Comments
    Description

    Comments

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    UMLS CUI-1
    C0282411
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    Similar models

    No Instruction available.

    1 forms
    1. StudyEvent: AMC-061 HIV T-Cell Laboratory Values Form (F24)
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Header Module
    HospitalAdmissionOrdinalNumber
    Item
    Visit number
    integer
    C25337 (NCI Thesaurus ValueDomain)
    C16696 (NCI Thesaurus ObjectClass)
    C25385 (NCI Thesaurus Property)
    C1549755 (UMLS CUI-1)
    SequentialFormSubmissionCount
    Item
    Sequence number
    integer
    C19464 (NCI Thesaurus ObjectClass)
    C25463 (NCI Thesaurus ValueDomain)
    C49153 (NCI Thesaurus ObjectClass-2)
    C25694 (NCI Thesaurus Property)
    C2348184 (UMLS CUI-1)
    LesionAssessmentDate
    Item
    Date of Evaluation (mm/dd/yyyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C20989 (NCI Thesaurus Property)
    C25367 (NCI Thesaurus ValueDomain-2)
    C0011008 (UMLS CUI-1)
    C0220825 (UMLS CUI-2)
    Item Group
    T-cell Laboratory Values
    T-Helper CD4+ %
    Item
    T-Helper CD4+ %
    float
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C12537 (NCI Thesaurus Property-2)
    C12538 (NCI Thesaurus Property-3)
    C25613 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C1274040 (UMLS CUI-1)
    C0039215 (UMLS CUI-2)
    LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomeCount
    Item
    T-Helper CD4+ absolute count
    integer
    C25294 (NCI Thesaurus ObjectClass)
    C20200 (NCI Thesaurus Property)
    C12537 (NCI Thesaurus Property-2)
    C12538 (NCI Thesaurus Property-3)
    C25463 (NCI Thesaurus ValueDomain)
    C0039215 (UMLS CUI-1)
    C0519835 (UMLS CUI-2)
    LaboratoryProcedureLymphocyteOutcomeName
    Item
    Other, specify
    text
    C25191 (NCI Thesaurus ValueDomain)
    C12535 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25294 (NCI Thesaurus ObjectClass)
    C0024264 (UMLS CUI-1)
    C1521902 (UMLS CUI-2)
    LaboratoryProcedureLymphocyteOutcomePercentageValue
    Item
    Percent Positive Lymphocytes
    float
    C25294 (NCI Thesaurus ObjectClass)
    C12535 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25613 (NCI Thesaurus ValueDomain)
    C25712 (NCI Thesaurus ValueDomain-2)
    C0039215 (UMLS CUI-1)
    C0242629 (UMLS CUI-2)
    LaboratoryProcedureLymphocyteOutcomeCount
    Item
    Absolute Count
    float
    C12535 (NCI Thesaurus Property)
    C20200 (NCI Thesaurus Property-2)
    C25463 (NCI Thesaurus ValueDomain)
    C25294 (NCI Thesaurus ObjectClass)
    C0242629 (UMLS CUI-1)
    C0200635 (UMLS CUI-2)
    Item Group
    Comments
    ResearchCommentsText
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
    C0282411 (UMLS CUI-1)
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