Information:
Error:
ID
23870
Description
Infection NCT00513526 Lab - AMC-052 Cytology Result Form - 2676560v1.0 AMC-052 Cytology Result Form Human Papillomavirus Vaccine Therapy in Treating Men With HIV-1 Infection Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=39509C2C-7CC9-2C7B-E044-0003BA3F9857
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Versions (2)
- 9/19/12 9/19/12 -
- 7/15/17 7/15/17 - Martin Dugas
Uploaded on
July 15, 2017
DOI
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License
Creative Commons BY-NC 3.0
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HIV HPV vaccine NCT00513526 AMC-052
No Instruction available.
- StudyEvent: AMC-052 Cytology Result Form
Similar models
No Instruction available.
- StudyEvent: AMC-052 Cytology Result Form
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Anal Cytology Collection Date
Item
Date anal cytology obtained
date
C16491 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C28048 (NCI Thesaurus ObjectClass-3)
C25453 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C2367587 (UMLS CUI [1,1])
C1317250 (UMLS CUI [1,2])
C19157 (NCI Thesaurus ObjectClass-2)
C28048 (NCI Thesaurus ObjectClass-3)
C25453 (NCI Thesaurus Property)
C25164 (NCI Thesaurus ValueDomain)
C2367587 (UMLS CUI [1,1])
C1317250 (UMLS CUI [1,2])
Item
Swab used
integer
C16491 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C28048 (NCI Thesaurus ObjectClass-3)
C16847 (NCI Thesaurus Property)
C25453 (NCI Thesaurus Property-2)
C25284 (NCI Thesaurus ValueDomain)
C2367587 (UMLS CUI [1,1])
C0449331 (UMLS CUI [1,2])
C19157 (NCI Thesaurus ObjectClass-2)
C28048 (NCI Thesaurus ObjectClass-3)
C16847 (NCI Thesaurus Property)
C25453 (NCI Thesaurus Property-2)
C25284 (NCI Thesaurus ValueDomain)
C2367587 (UMLS CUI [1,1])
C0449331 (UMLS CUI [1,2])
CL Item
Cytobrush (1)
CL Item
Dacron Swab (2)
Item
Anal cytology result
integer
C16491 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C28048 (NCI Thesaurus ObjectClass-3)
C20200 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C2367587 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C19157 (NCI Thesaurus ObjectClass-2)
C28048 (NCI Thesaurus ObjectClass-3)
C20200 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C2367587 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
CL Item
ASC-H (1)
C1510966 (UMLS CUI-1)
CL Item
ASCUS (2)
C0521184 (UMLS CUI-1)
CL Item
High grade SIL (3)
C0333875 (UMLS CUI-1)
CL Item
Low grade SIL (4)
C1302773 (UMLS CUI-1)
CL Item
Normal (5)
C0205307 (UMLS CUI-1)
CL Item
Unevaluable (6)
C1883425 (UMLS CUI-1)
CL Item
Invasive cancer (7)
C0677898 (UMLS CUI-1)
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1])
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1])