ID

25012

Description

AMC-053 HIV T-Cell Laboratory Values Form (F24) Bortezomib, Ifosfamide, Carboplatin, and Etoposide, With or Without Rituximab, in Treating Patients With Relapsed or Refractory AIDS-Related Non-Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=71583731-B276-1194-E040-BB89AD437269

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=71583731-B276-1194-E040-BB89AD437269

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 8/24/17 8/24/17 -
Uploaded on

August 24, 2017

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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AMC-053 HIV T-Cell Laboratory Values Form (F24)

English

No Instruction available.

1 forms  
  1. StudyEvent: AMC-053 HIV T-Cell Laboratory Values Form (F24)
    1. No Instruction available.
Header - HIV T-Cell Laboratory Values Form
Description

Header - HIV T-Cell Laboratory Values Form

Alias
UMLS CUI-1
C1320722
UMLS CUI-2
C0024305
UMLS CUI-3
C0019682
Visit number
Description

Visit number

Data type

float

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16696
NCI Thesaurus Property
C25385
UMLS CUI-1
C1549755
Sequence number
Description

SequentialFormSubmissionCount

Data type

float

Alias
NCI Thesaurus ObjectClass
C19464
NCI Thesaurus ValueDomain
C25463
NCI Thesaurus ObjectClass-2
C49153
NCI Thesaurus Property
C25694
UMLS CUI [1,1]
C2348184
Date of Evaluation
Description

Date of Evaluation

Alias
UMLS CUI-1
C0221198
UMLS CUI-2
C0220825
UMLS CUI-3
C0024305
UMLS CUI-4
C0019682
Date of Evaluation
Description

LesionAssessmentDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C3824
NCI Thesaurus Property
C20989
NCI Thesaurus ValueDomain-2
C25367
UMLS CUI [1,1]
C0221198
UMLS CUI [1,2]
C0220825
UMLS CUI [1,3]
C0011008
Reporting Period
Description

Clinical Trial Period

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C25214
NCI Thesaurus Property
C25616
NCI Thesaurus ObjectClass-2
C25651
UMLS CUI [1]
C2347804
T-cell Laboratory Values
Description

T-cell Laboratory Values

Alias
UMLS CUI-1
C0039194
UMLS CUI-2
C0587081
UMLS CUI-3
C0024305
UMLS CUI-4
C0019682
T-Helper CD4+ %
Description

LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomePercentageValue

Data type

float

Measurement units
  • %
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C12537
NCI Thesaurus Property-3
C12538
NCI Thesaurus ValueDomain
C25613
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI [1,1]
C0039215
UMLS CUI [1,2]
C0439165
UMLS CUI [1,3]
C0022885
%
T-Helper CD4+ absolute count
Description

LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomeCount

Data type

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C12537
NCI Thesaurus Property-3
C12538
NCI Thesaurus ValueDomain
C25463
UMLS CUI [1]
C1277776
T-Suppressor CD8+ %
Description

LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomePercentageValue

Data type

float

Measurement units
  • %
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C12542
NCI Thesaurus Property-3
C12541
NCI Thesaurus ValueDomain
C25613
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI [1,1]
C0242629
UMLS CUI [1,2]
C0439165
UMLS CUI [1,3]
C0022885
%
T-Suppressor CD8+ absolute count
Description

LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomeCount

Data type

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C12542
NCI Thesaurus Property-3
C12541
NCI Thesaurus ValueDomain
C25463
UMLS CUI [1]
C1277777
B-Cell CD20+ %
Description

LaboratoryProcedureB-LymphocyteCD20AntigenOutcomePercentageValue

Data type

float

Measurement units
  • %
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C12474
NCI Thesaurus Property-2
C20200
NCI Thesaurus Property-3
C38896
NCI Thesaurus ValueDomain
C25613
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI [1,1]
C1277783
UMLS CUI [1,2]
C0439165
UMLS CUI [1,3]
C0022885
%
B-Cell CD20+ absolute count
Description

LaboratoryProcedureB-LymphocyteCD20AntigenOutcomeCount

Data type

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C12474
NCI Thesaurus Property-2
C20200
NCI Thesaurus Property-3
C38896
NCI Thesaurus ValueDomain
C25463
UMLS CUI [1,1]
C1277783
UMLS CUI [1,2]
C0205344
Other, specify
Description

LaboratoryProcedureLymphocyteOutcomeName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus Property
C12535
NCI Thesaurus Property-2
C20200
NCI Thesaurus ObjectClass
C25294
UMLS CUI [1]
C0022885
Percent Positive Lymphocytes
Description

LaboratoryProcedureLymphocyteOutcomePercentageValue

Data type

float

Measurement units
  • %
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C12535
NCI Thesaurus Property-2
C20200
NCI Thesaurus ValueDomain
C25613
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI [1,1]
C0439178
UMLS CUI [1,2]
C0024264
UMLS CUI [1,3]
C0022885
%
Absolute Count
Description

LaboratoryProcedureLymphocyteOutcomeCount

Data type

float

Alias
NCI Thesaurus Property
C12535
NCI Thesaurus Property-2
C20200
NCI Thesaurus ValueDomain
C25463
NCI Thesaurus ObjectClass
C25294
UMLS CUI [1,1]
C3544087
UMLS CUI [1,2]
C0022885
Comments
Description

Research Comments

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0022885
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Similar models

No Instruction available.

1 forms
  1. StudyEvent: AMC-053 HIV T-Cell Laboratory Values Form (F24)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header - HIV T-Cell Laboratory Values Form
C1320722 (UMLS CUI-1)
C0024305 (UMLS CUI-2)
C0019682 (UMLS CUI-3)
Visit number
Item
Visit number
float
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI-1)
Sequence number
Item
Sequence number
float
C19464 (NCI Thesaurus ObjectClass)
C25463 (NCI Thesaurus ValueDomain)
C49153 (NCI Thesaurus ObjectClass-2)
C25694 (NCI Thesaurus Property)
C2348184 (UMLS CUI [1,1])
Item Group
Date of Evaluation
C0221198 (UMLS CUI-1)
C0220825 (UMLS CUI-2)
C0024305 (UMLS CUI-3)
C0019682 (UMLS CUI-4)
LesionAssessmentDate
Item
Date of Evaluation
date
C25164 (NCI Thesaurus ValueDomain)
C3824 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C25367 (NCI Thesaurus ValueDomain-2)
C0221198 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Reporting Period
integer
C25284 (NCI Thesaurus ValueDomain)
C25214 (NCI Thesaurus ObjectClass)
C25616 (NCI Thesaurus Property)
C25651 (NCI Thesaurus ObjectClass-2)
C2347804 (UMLS CUI [1])
CL.1
Code List
Reporting Period
CL Item
Baseline (1)
CL Item
On Treatment (2)
CL Item
Post-therapy (3)
Item Group
T-cell Laboratory Values
C0039194 (UMLS CUI-1)
C0587081 (UMLS CUI-2)
C0024305 (UMLS CUI-3)
C0019682 (UMLS CUI-4)
T-Helper CD4+ %
Item
T-Helper CD4+ %
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C12537 (NCI Thesaurus Property-2)
C12538 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C0039215 (UMLS CUI [1,1])
C0439165 (UMLS CUI [1,2])
C0022885 (UMLS CUI [1,3])
T-Helper CD4+ absolute count
Item
T-Helper CD4+ absolute count
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C12537 (NCI Thesaurus Property-2)
C12538 (NCI Thesaurus Property-3)
C25463 (NCI Thesaurus ValueDomain)
C1277776 (UMLS CUI [1])
T-Suppressor CD8+ %
Item
T-Suppressor CD8+ %
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C12542 (NCI Thesaurus Property-2)
C12541 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C0242629 (UMLS CUI [1,1])
C0439165 (UMLS CUI [1,2])
C0022885 (UMLS CUI [1,3])
T-Suppressor CD8+ absolute count
Item
T-Suppressor CD8+ absolute count
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C12542 (NCI Thesaurus Property-2)
C12541 (NCI Thesaurus Property-3)
C25463 (NCI Thesaurus ValueDomain)
C1277777 (UMLS CUI [1])
B-Cell CD20+ %
Item
B-Cell CD20+ %
float
C25294 (NCI Thesaurus ObjectClass)
C12474 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C38896 (NCI Thesaurus Property-3)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1277783 (UMLS CUI [1,1])
C0439165 (UMLS CUI [1,2])
C0022885 (UMLS CUI [1,3])
B-Cell CD20+ absolute count
Item
B-Cell CD20+ absolute count
float
C25294 (NCI Thesaurus ObjectClass)
C12474 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C38896 (NCI Thesaurus Property-3)
C25463 (NCI Thesaurus ValueDomain)
C1277783 (UMLS CUI [1,1])
C0205344 (UMLS CUI [1,2])
Other, specify
Item
Other, specify
text
C25191 (NCI Thesaurus ValueDomain)
C12535 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS CUI [1])
Positive Lymphocytes
Item
Percent Positive Lymphocytes
float
C25294 (NCI Thesaurus ObjectClass)
C12535 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25613 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C0439178 (UMLS CUI [1,1])
C0024264 (UMLS CUI [1,2])
C0022885 (UMLS CUI [1,3])
Absolute Count
Item
Absolute Count
float
C12535 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C25463 (NCI Thesaurus ValueDomain)
C25294 (NCI Thesaurus ObjectClass)
C3544087 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
Research Comments
Item
Comments
text
C0947611 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
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