ID

25183

Description

AMC-053 Chemistries, LFT's Form (F23) 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=8B73192C-C109-46D4-E040-BB89AD433800

Lien

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8B73192C-C109-46D4-E040-BB89AD433800

Mots-clés

Versions (2)
  1. 19/09/2012 19/09/2012 -
  2. 28/08/2017 28/08/2017 -
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28 août 2017

DOI

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Licence

Creative Commons BY-NC 3.0 Legacy
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AMC-053 Chemistries, LFT's Form (F23)

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No Instruction available.

1 Formulaires  
  1. StudyEvent: AMC-053 Chemistries, LFT's Form (F23)
    1. No Instruction available.
Header - Chemistries, LFT's Form
Description

Header - Chemistries, LFT's Form

Alias
UMLS CUI-1
C1320722
UMLS CUI-2
C0005774
UMLS CUI-3
C0022885
UMLS CUI-4
C1332051
Visit number
Description

Visit number

Type de données

float

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

SequentialFormSubmissionCount

Type de données

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

Evaluation Date

Type de données

date

Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C25367
NCI Thesaurus ValueDomain-2
C25367
NCI Thesaurus Property
C38000
UMLS CUI [1,1]
C0220825
UMLS CUI [1,2]
C0011008
Lab Values
Description

Lab Values

Alias
UMLS CUI-1
C0022885
UMLS CUI-2
C0005774
Sodium
Description

LaboratoryProcedureSodiumElectrolytesOutcomeSpecifiedValue (mEq/L)

Type de données

float

Unités de mesure
  • mmol/L
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C830
NCI Thesaurus Property-3
C464
NCI Thesaurus ValueDomain
C25712
UMLS CUI [1,1]
C0337443
mmol/L
Potassium
Description

LaboratoryProcedurePotassiumElectrolytesOutcomeSpecifiedValue (mEq/L)

Type de données

float

Unités de mesure
  • mmol/L
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C464
NCI Thesaurus Property-3
C765
NCI Thesaurus ValueDomain
C25712
UMLS CUI [1,1]
C0202194
mmol/L
Chloride
Description

LaboratoryProcedureChlorideIonElectrolytesOutcomeSpecifiedValue (mEq/L)

Type de données

float

Unités de mesure
  • mEq/L
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C464
NCI Thesaurus Property-3
C1741
NCI Thesaurus ValueDomain
C25712
UMLS CUI [1,1]
C0201952
mEq/L
Calcium
Description

LaboratoryProcedureCalciumElectrolytesOutcomeValue (mg/dl)

Type de données

float

Unités de mesure
  • mg/dL
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C331
NCI Thesaurus Property-2
C20200
NCI Thesaurus Property-3
C464
NCI Thesaurus ValueDomain
C25712
UMLS CUI [1,1]
C0201925
mg/dL
Magnesium
Description

LaboratoryProcedureMagnesiumResultUnspecifiedValue

Type de données

float

Unités de mesure
  • mmol/L
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C29239
NCI Thesaurus ValueDomain
C38046
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI [1,1]
C0373675
mmol/L
Phosphorus
Description

LaboratoryProcedurePhosphorusResultUnspecifiedValue (mg/dl)

Type de données

float

Alias
NCI Thesaurus Property
C20200
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus Property-2
C47934
UMLS CUI [1]
C0523826
Bicarbonate
Description

LaboratoryProcedureBicarbonateOutcomeSpecifiedValue (mEq/L)

Type de données

float

Unités de mesure
  • mEq/L
Alias
NCI Thesaurus Property
C20200
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus Property-2
C37918
UMLS CUI [1,1]
C0202059
mEq/L
Alkaline Phosphatase
Description

Alkaline Phosphatase

Type de données

float

Alias
NCI Thesaurus Property
C20200
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus Property-2
C16276
UMLS CUI-1
C0201850
SGOT
Description

SGOT (AST)

Type de données

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C25202
NCI Thesaurus Property-2
C20200
NCI Thesaurus ValueDomain
C38046
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI-1
C0201899
SGPT
Description

SGPT (ALT)

Type de données

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C25293
NCI Thesaurus ValueDomain
C38046
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI-1
C0201836
LDH
Description

LaboratoryProcedureLactateDehydrogenaseResultUnspecifiedValue (Lactic Dehydrogenase mU/ml)

Type de données

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C25184
NCI Thesaurus ValueDomain
C38046
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI [1,1]
C0202113
BUN
Description

Blood Urea Nitrogen

Type de données

float

Alias
NCI Thesaurus Property
C20200
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property-2
C61019
NCI Thesaurus ValueDomain
C25712
UMLS CUI-1
C0005845
Creatinine
Description

Creatinine, Serum

Type de données

float

Unités de mesure
  • mg/dL
Alias
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C399
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
UMLS CUI-1
C0201976
mg/dL
Total Bilirubin
Description

Bilirubin, Total

Type de données

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C38037
NCI Thesaurus ValueDomain
C38046
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI-1
C0201913
Indirect Bilirubin
Description

LaboratoryProcedureIndirectBilirubinMeasurementResultUnspecifiedValue (mg/dl)

Type de données

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C64483
NCI Thesaurus ValueDomain
C38046
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI [1,1]
C1881193
Direct Bilirubin
Description

LaboratoryProcedureDirectBilirubinMeasurementResultUnspecifiedValue (mg/dl)

Type de données

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C64481
NCI Thesaurus ValueDomain
C38046
NCI Thesaurus ValueDomain-2
C25712
UMLS CUI [1,1]
C0201916
Total Protein
Description

Protein, Serum Total

Type de données

float

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C25304
NCI Thesaurus Property-2
C20200
NCI Thesaurus Property-3
C17126
NCI Thesaurus ValueDomain
C25712
UMLS CUI-1
C0036836
Albumin
Description

LaboratoryProcedureAlbuminResultUnspecifiedValue (g/dl)

Type de données

float

Alias
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C214
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
UMLS CUI [1,1]
C0201838
Other, specify test
Description

LaboratoryProcedureSecondOptionalPerformedSpecify

Type de données

text

Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C38000
NCI Thesaurus Property-2
C25666
NCI Thesaurus Property-3
C25603
NCI Thesaurus ValueDomain
C25685
UMLS CUI [1]
C0022885
Other specify value
Description

LaboratoryProcedurePerformedValue

Type de données

float

Alias
NCI Thesaurus Property
C38000
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus ValueDomain
C25712
UMLS CUI [1]
C0022885
Units
Description

AssessmentLabUOM

Type de données

text

Alias
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C37984
NCI Thesaurus ValueDomain
C25709
UMLS CUI [1,1]
C1519795
UMLS CUI [1,2]
C0022885
Comments
Description

Comments

Alias
UMLS CUI-1
C0947611
UMLS CUI-2
C0005774
UMLS CUI-3
C0022885
Comments
Description

Research Comments

Type de données

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0005774
UMLS CUI [1,3]
C0022885
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1 Formulaires
  1. StudyEvent: AMC-053 Chemistries, LFT's Form (F23)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Header - Chemistries, LFT's Form
C1320722 (UMLS CUI-1)
C0005774 (UMLS CUI-2)
C0022885 (UMLS CUI-3)
C1332051 (UMLS CUI-4)
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])
Evaluation Date
Item
Date of evaluation
date
C25164 (NCI Thesaurus ValueDomain)
C25367 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain-2)
C38000 (NCI Thesaurus Property)
C0220825 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Lab Values
C0022885 (UMLS CUI-1)
C0005774 (UMLS CUI-2)
Sodium
Item
Sodium
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C830 (NCI Thesaurus Property-2)
C464 (NCI Thesaurus Property-3)
C25712 (NCI Thesaurus ValueDomain)
C0337443 (UMLS CUI [1,1])
Potassium
Item
Potassium
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C464 (NCI Thesaurus Property-2)
C765 (NCI Thesaurus Property-3)
C25712 (NCI Thesaurus ValueDomain)
C0202194 (UMLS CUI [1,1])
Chloride
Item
Chloride
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C464 (NCI Thesaurus Property-2)
C1741 (NCI Thesaurus Property-3)
C25712 (NCI Thesaurus ValueDomain)
C0201952 (UMLS CUI [1,1])
Calcium
Item
Calcium
float
C25294 (NCI Thesaurus ObjectClass)
C331 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C464 (NCI Thesaurus Property-3)
C25712 (NCI Thesaurus ValueDomain)
C0201925 (UMLS CUI [1,1])
Magnesium
Item
Magnesium
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C29239 (NCI Thesaurus Property-2)
C38046 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C0373675 (UMLS CUI [1,1])
Phosphorus
Item
Phosphorus
float
C20200 (NCI Thesaurus Property)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C47934 (NCI Thesaurus Property-2)
C0523826 (UMLS CUI [1])
Bicarbonate
Item
Bicarbonate
float
C20200 (NCI Thesaurus Property)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C37918 (NCI Thesaurus Property-2)
C0202059 (UMLS CUI [1,1])
Alkaline Phosphatase
Item
Alkaline Phosphatase
float
C20200 (NCI Thesaurus Property)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C16276 (NCI Thesaurus Property-2)
C0201850 (UMLS CUI-1)
SGOT (AST)
Item
SGOT
float
C25294 (NCI Thesaurus ObjectClass)
C25202 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C38046 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C0201899 (UMLS CUI-1)
SGPT (ALT)
Item
SGPT
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C25293 (NCI Thesaurus Property-2)
C38046 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C0201836 (UMLS CUI-1)
LDH
Item
LDH
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C25184 (NCI Thesaurus Property-2)
C38046 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C0202113 (UMLS CUI [1,1])
Blood Urea Nitrogen
Item
BUN
float
C20200 (NCI Thesaurus Property)
C25294 (NCI Thesaurus ObjectClass)
C61019 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C0005845 (UMLS CUI-1)
Creatinine, Serum
Item
Creatinine
float
C20200 (NCI Thesaurus Property)
C399 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C0201976 (UMLS CUI-1)
Bilirubin, Total
Item
Total Bilirubin
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C38037 (NCI Thesaurus Property-2)
C38046 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C0201913 (UMLS CUI-1)
Indirect Bilirubin
Item
Indirect Bilirubin
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C64483 (NCI Thesaurus Property-2)
C38046 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C1881193 (UMLS CUI [1,1])
Direct Bilirubin
Item
Direct Bilirubin
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C64481 (NCI Thesaurus Property-2)
C38046 (NCI Thesaurus ValueDomain)
C25712 (NCI Thesaurus ValueDomain-2)
C0201916 (UMLS CUI [1,1])
Protein, Serum Total
Item
Total Protein
float
C25294 (NCI Thesaurus ObjectClass)
C25304 (NCI Thesaurus Property)
C20200 (NCI Thesaurus Property-2)
C17126 (NCI Thesaurus Property-3)
C25712 (NCI Thesaurus ValueDomain)
C0036836 (UMLS CUI-1)
Albumin
Item
Albumin
float
C20200 (NCI Thesaurus Property)
C214 (NCI Thesaurus Property-2)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C0201838 (UMLS CUI [1,1])
Other, specify test
Item
Other, specify test
text
C25294 (NCI Thesaurus ObjectClass)
C38000 (NCI Thesaurus Property)
C25666 (NCI Thesaurus Property-2)
C25603 (NCI Thesaurus Property-3)
C25685 (NCI Thesaurus ValueDomain)
C0022885 (UMLS CUI [1])
LaboratoryProcedurePerformedValue
Item
Other specify value
float
C38000 (NCI Thesaurus Property)
C25294 (NCI Thesaurus ObjectClass)
C25712 (NCI Thesaurus ValueDomain)
C0022885 (UMLS CUI [1])
AssessmentLabUOM
Item
Units
text
C20989 (NCI Thesaurus ObjectClass)
C37984 (NCI Thesaurus Property)
C25709 (NCI Thesaurus ValueDomain)
C1519795 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
Item Group
Comments
C0947611 (UMLS CUI-1)
C0005774 (UMLS CUI-2)
C0022885 (UMLS CUI-3)
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1,1])
C0005774 (UMLS CUI [1,2])
C0022885 (UMLS CUI [1,3])
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