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

  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

No Instruction available.

  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

Similar models

No Instruction available.

  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])
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])
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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