ID

25012

Beschreibung

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

Stichworte

  1. 19.09.12 19.09.12 -
  2. 24.08.17 24.08.17 -
Hochgeladen am

24. August 2017

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0 Legacy

Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

AMC-053 HIV T-Cell Laboratory Values Form (F24)

No Instruction available.

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

Header - HIV T-Cell Laboratory Values Form

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

Visit number

Datentyp

float

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

SequentialFormSubmissionCount

Datentyp

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
Beschreibung

Date of Evaluation

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

LesionAssessmentDate

Datentyp

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
Beschreibung

Clinical Trial Period

Datentyp

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
Beschreibung

T-cell Laboratory Values

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

LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomePercentageValue

Datentyp

float

Maßeinheiten
  • %
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
Beschreibung

LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomeCount

Datentyp

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+ %
Beschreibung

LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomePercentageValue

Datentyp

float

Maßeinheiten
  • %
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
Beschreibung

LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomeCount

Datentyp

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+ %
Beschreibung

LaboratoryProcedureB-LymphocyteCD20AntigenOutcomePercentageValue

Datentyp

float

Maßeinheiten
  • %
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
Beschreibung

LaboratoryProcedureB-LymphocyteCD20AntigenOutcomeCount

Datentyp

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
Beschreibung

LaboratoryProcedureLymphocyteOutcomeName

Datentyp

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
Beschreibung

LaboratoryProcedureLymphocyteOutcomePercentageValue

Datentyp

float

Maßeinheiten
  • %
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
Beschreibung

LaboratoryProcedureLymphocyteOutcomeCount

Datentyp

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
Beschreibung

Research Comments

Datentyp

text

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

Ähnliche Modelle

No Instruction available.

  1. StudyEvent: AMC-053 HIV T-Cell Laboratory Values Form (F24)
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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])
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])

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video