ID

23871

Descrição

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

Palavras-chave

  1. 19/09/2012 19/09/2012 -
  2. 15/07/2017 15/07/2017 - Martin Dugas
Transferido a

15 de julho de 2017

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

HIV HPV vaccine NCT00513526 AMC-052

No Instruction available.

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

Header Module

Alias
UMLS CUI-1
C1320722
Visit number
Descrição

Hospital Admission Number

Tipo de dados

text

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

(Testing Laboratory information)

Tipo de dados

text

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

Research Comments

Tipo de dados

text

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

HIV Viral Load

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

Enter results from right to left.

Tipo de dados

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
Descrição

HIV viral load value

Tipo de dados

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
Descrição

HumanImmunodeficiencyVirusViralLoadAssayPerformedType

Tipo de dados

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
Descrição

Assay, other

Tipo de dados

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
Descrição

HumanImmunodeficiencyVirusViralLoadAssayPerformedCategory

Tipo de dados

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
Descrição

HumanImmunodeficiencyVirusViralLoadAssayLowerThresholdDetectedNumber

Tipo de dados

float

Unidades de medida
  • 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

Similar models

No Instruction available.

  1. StudyEvent: AMC-052 HIV Viral Load Form (F40)
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
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])
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])
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])
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])

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial