ID

23871

Description

AMC-052 HIV Viral Load Form (F40) Human Papillomavirus Vaccine Therapy in Treating Men With HIV-1 Infection Infection NCT00513526 Lab - AMC-052 HIV Viral Load Form (F40) - 2676767v1.0 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3952E724-41E4-361E-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3952E724-41E4-361E-E044-0003BA3F9857

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-NC 3.0
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HIV HPV vaccine NCT00513526 AMC-052

English

No Instruction available.

1 forms  
  1. StudyEvent: AMC-052 HIV Viral Load Form (F40)
    1. No Instruction available.
Header Module
Description

Header Module

Alias
UMLS CUI-1
C1320722
Visit number
Description

Hospital Admission Number

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16696
NCI Thesaurus Property
C25385
UMLS CUI [1]
C1549755
Lab Facility Name
Description

(Testing Laboratory information)

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus Property
C25364
NCI Thesaurus ObjectClass
C37984
NCI Thesaurus ObjectClass-2
C19157
UMLS CUI [1]
C1882331
Comments
Description

Research Comments

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS CUI [1]
C0947611
HIV Viral Load
Description

HIV Viral Load

Alias
UMLS CUI-1
C0019682
UMLS CUI-2
C0376705
Results of HIV viral load assay
Description

Enter results from right to left.

Data type

integer

Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25417
UMLS CUI [1]
C0376705
HIV viral load value
Description

HIV viral load value

Data type

float

Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25712
UMLS CUI [1]
C0376705
Method of detection
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedType

Data type

integer

Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25284
UMLS CUI [1,1]
C0449335
UMLS CUI [1,2]
C0019682
Other, specify
Description

Assay, other

Data type

text

Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25685
UMLS CUI [1,1]
C0005507
UMLS CUI [1,2]
C1521902
HIV viral load assay type
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedCategory

Data type

integer

Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C38000
NCI Thesaurus ValueDomain
C25372
UMLS CUI [1,1]
C0449335
UMLS CUI [1,2]
C0019682
Limits of detection
Description

HumanImmunodeficiencyVirusViralLoadAssayLowerThresholdDetectedNumber

Data type

float

Measurement units
  • Copies/mL
Alias
NCI Thesaurus ObjectClass
C14219
NCI Thesaurus ObjectClass-2
C51952
NCI Thesaurus ObjectClass-3
C16341
NCI Thesaurus Property
C48228
NCI Thesaurus Property-2
C25309
NCI Thesaurus Property-3
C25481
NCI Thesaurus ValueDomain
C25337
UMLS CUI [1]
C2718050
Copies/mL
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Similar models

No Instruction available.

1 forms
  1. StudyEvent: AMC-052 HIV Viral Load Form (F40)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header Module
C1320722 (UMLS CUI-1)
Hospital Admission Number
Item
Visit number
text
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI [1])
Lab Name
Item
Lab Facility Name
text
C25191 (NCI Thesaurus ValueDomain)
C25364 (NCI Thesaurus Property)
C37984 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C1882331 (UMLS CUI [1])
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1])
Item Group
HIV Viral Load
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
Item
Results of HIV viral load assay
integer
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25417 (NCI Thesaurus ValueDomain)
C0376705 (UMLS CUI [1])
CL.1
Code List
Results of HIV viral load assay
CL Item
Undetectable (1)
C3827727 (UMLS CUI-1)
CL Item
Greater than (2)
C0439093 (UMLS CUI-1)
CL Item
Less than (3)
C0439092 (UMLS CUI-1)
CL Item
Equal to (4)
C0439089 (UMLS CUI-1)
HIV viral load value
Item
HIV viral load value
float
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C0376705 (UMLS CUI [1])
Item
Method of detection
integer
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C0449335 (UMLS CUI [1,1])
C0019682 (UMLS CUI [1,2])
CL.2
Code List
Method of detection
CL Item
Roche Amplicor Monitor Assay (1)
CL Item
Versant HIV-1 RNA assay by branched DNA (2)
CL Item
COBAS AmpliPrep/TAQMAN HIV-1 assay (3)
CL Item
Abbott RealTime HIV-1 assay (4)
CL Item
Other (5)
Assay, other
Item
Other, specify
text
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C0005507 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
Item
HIV viral load assay type
integer
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25372 (NCI Thesaurus ValueDomain)
C0449335 (UMLS CUI [1,1])
C0019682 (UMLS CUI [1,2])
CL.3
Code List
HIV viral load assay type
CL Item
Standard (1)
C1442989 (UMLS CUI-1)
CL Item
Ultra (2)
C0439822 (UMLS CUI-1)
Detection limit
Item
Limits of detection
float
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C48228 (NCI Thesaurus Property)
C25309 (NCI Thesaurus Property-2)
C25481 (NCI Thesaurus Property-3)
C25337 (NCI Thesaurus ValueDomain)
C2718050 (UMLS CUI [1])
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