ID

23869

Description

AMC-052 History of AIDS Defining Disease Form (F03) Human Papillomavirus Vaccine Therapy in Treating Men With HIV-1 Infection https://clinicaltrials.gov/ct2/show/NCT00513526 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3953A5F2-81C4-5D54-E044-0003BA3F9857

Link

https://clinicaltrials.gov/ct2/show/NCT00513526

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 7/15/17 7/15/17 - Martin Dugas
Uploaded on

July 15, 2017

DOI

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License

Creative Commons BY 4.0
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HIV HPV vaccine NCT00513526 AMC-052

English

No Instruction available.

1 forms  
  1. StudyEvent: AMC-052 History of AIDS Defining Disease Form (F03)
    1. No Instruction available.
History of AIDS Defining Disease
Description

History of AIDS Defining Disease

Alias
UMLS CUI-1
C2368571
Date of Examination
Description

Evaluation Date

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C3824
NCI Thesaurus Property
C20989
NCI Thesaurus ValueDomain-2
C25367
UMLS CUI [1]
C2985720
History of opportunistic diseases and predisposing disease
Description

History of opportunistic diseases

Data type

boolean

Alias
NCI Thesaurus ObjectClass
C2991
NCI Thesaurus ObjectClass-2
C3289
NCI Thesaurus ObjectClass-3
C16505
NCI Metathesaurus Property
C0262926
NCI Thesaurus ValueDomain
C38147
UMLS CUI [1,1]
C0029118
UMLS CUI [1,2]
C0262926
Disease Type
Description

Disease Category

Data type

integer

Alias
NCI Thesaurus ObjectClass
C2991
NCI Thesaurus ObjectClass-2
C2851
NCI Thesaurus ObjectClass-3
C25281
NCI Thesaurus Property
C15220
NCI Thesaurus ValueDomain
C25284
UMLS CUI [1]
C3699655
Disease status
Description

Please select the disease status of the diseases listed

Data type

text

Alias
NCI Thesaurus Property
C25755
NCI Thesaurus Property-2
C25341
NCI Thesaurus ObjectClass
C2991
NCI Thesaurus ValueDomain
C25688
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0449438
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-052 History of AIDS Defining Disease Form (F03)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
History of AIDS Defining Disease
C2368571 (UMLS CUI-1)
Evaluation Date
Item
Date of Examination
date
C25164 (NCI Thesaurus ValueDomain)
C3824 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C2985720 (UMLS CUI [1])
History of opportunistic diseases
Item
History of opportunistic diseases and predisposing disease
boolean
C2991 (NCI Thesaurus ObjectClass)
C3289 (NCI Thesaurus ObjectClass-2)
C16505 (NCI Thesaurus ObjectClass-3)
C0262926 (NCI Metathesaurus Property)
C38147 (NCI Thesaurus ValueDomain)
C0029118 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Item
Disease Type
integer
C2991 (NCI Thesaurus ObjectClass)
C2851 (NCI Thesaurus ObjectClass-2)
C25281 (NCI Thesaurus ObjectClass-3)
C15220 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C3699655 (UMLS CUI [1])
CL.2
Code List
Disease Type
CL Item
Candidiasis of bronchi, trachea or lungs (1)
C0153251 (UMLS CUI-1)
CL Item
Candidiasis, esophageal (2)
C0239295 (UMLS CUI-1)
CL Item
Cervical Cancer (3)
C0007847 (UMLS CUI-1)
CL Item
Coccidioidomycosis, disseminated or extrapulmonary (4)
C0009186 (UMLS CUI-1)
CL Item
Cryptococcosis (5)
C0010414 (UMLS CUI-1)
CL Item
Cryptosporidiosis, chronic intestinal (6)
C0010418 (UMLS CUI-1)
CL Item
CMV other than liver, spleen or nodes (7)
C0010823 (UMLS CUI-1)
CL Item
CMV retinitis (8)
C0206178 (UMLS CUI-1)
CL Item
Encephalopathy (9)
C0085584 (UMLS CUI-1)
CL Item
Histoplasmosis, disseminated or extrapulmonary (10)
C0019655 (UMLS CUI-1)
CL Item
Kaposi's sarcoma (11)
C0036220 (UMLS CUI-1)
CL Item
Non-Hodgkin's Lymphoma (12)
C0024305 (UMLS CUI-1)
CL Item
Lymphoma, primary, of brain (13)
C0240803 (UMLS CUI-1)
CL Item
Mycobacterium avium complex or Mycobacterium kansasii disseminated or extrapulmonary (14)
C1411980 (UMLS CUI-1)
C0275706 (UMLS CUI-2)
CL Item
Mycobacterium tuberculosis of any site, pulmonary, disseminated or extrapulmonary (15)
C0041296 (UMLS CUI-1)
CL Item
Mycobacterium, other species or unidentified species, disseminated or extrapulmonary (16)
C0026918 (UMLS CUI-1)
CL Item
Pneumocystis jirovecii pneumonia (17)
C1535939 (UMLS CUI-1)
CL Item
Pneumonia, recurrent (18)
C0694550 (UMLS CUI-1)
CL Item
Progressive multifocal leukoencephalopathy (19)
C0023524 (UMLS CUI-1)
CL Item
Salmonella septicemia, recurrent (20)
C0349437 (UMLS CUI-1)
CL Item
Toxoplasmosis of the brain (21)
C0085315 (UMLS CUI-1)
CL Item
Wasting syndrome, due to HIV (22)
C0043046 (UMLS CUI-1)
CL Item
Herpes simplex: chronic ulcers or bronchitis, pneumonitis or esophagitis (23)
C0019348 (UMLS CUI-1)
CL Item
Isosporiasis, chronic intestinal (24)
C0343399 (UMLS CUI-1)
Item
Disease status
text
C25755 (NCI Thesaurus Property)
C25341 (NCI Thesaurus Property-2)
C2991 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0012634 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
CL.3
Code List
Disease status
CL Item
Active (Currently active)
C45329 (NCI Thesaurus)
C0205177 (UMLS CUI-1)
CL Item
Present (Ever present)
C25626 (NCI Thesaurus)
C0150312 (UMLS CUI-1)
CL Item
Never Present (Never present)
C2003901 (UMLS CUI-1)
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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