ID
25267
Beschreibung
AMC-075 Pregnancy Report Form (PRF) Vorinostat and Combination Chemotherapy With Rituximab in Treating Patients With Previously Untreated HIV-Related Diffuse Large B-Cell Non-Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A0F9B852-8D06-8306-E040-BB89AD434EB4
Link
Stichworte
Versionen (2)
- 19.09.12 19.09.12 -
- 29.08.17 29.08.17 -
Hochgeladen am
29. August 2017
DOI
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Lizenz
Creative Commons BY-NC 3.0 Legacy
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AMC-075 Pregnancy Report Form (PRF)
For date fields, if the month and year are known, but the exact date is not, please enter "15" for the day.
- StudyEvent: AMC-075 Pregnancy Report Form (PRF)
Beschreibung
Current Pregnancy Information
Alias
- UMLS CUI-1
- C0032961
- UMLS CUI-2
- C1332051
Beschreibung
Patient Most Recent Pregnancy Test Date
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C16960
- NCI Metathesaurus Property
- C0032976
- NCI Thesaurus Property
- C25577
- UMLS CUI [1,1]
- C0032976
- UMLS CUI [1,2]
- C0011008
Beschreibung
PregnancyLaboratoryProcedurePerformedType
Datentyp
integer
Alias
- NCI Thesaurus ValueDomain
- C25284
- NCI Thesaurus Property
- C38000
- NCI Thesaurus ObjectClass
- C25742
- NCI Thesaurus ObjectClass-2
- C25294
- UMLS CUI [1,1]
- C0032976
- UMLS CUI [1,2]
- C0332307
Beschreibung
Patient Serum Pregnancy Test
Datentyp
integer
Alias
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C13325
- NCI Thesaurus Property-2
- C92949
- UMLS CUI [1]
- C0430060
Beschreibung
PatientSerumPregnancyTestDate
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C13325
- UMLS 2011AA Property
- C0229671
- NCI Thesaurus Property-2
- C92949
Beschreibung
LastMenstrualCycleOccurrenceDate (mm/dd/yyyy)
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C25551
- NCI Thesaurus Property
- C25275
- NCI Thesaurus ObjectClass-2
- C16838
- UMLS CUI [1]
- C0425932
Beschreibung
PatientEstimatedConceptionDate (mm/dd/yyyy)
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25498
- NCI Thesaurus Property-2
- C16465
- UMLS CUI [1,1]
- C0009637
- UMLS CUI [1,2]
- C0750572
- UMLS CUI [1,3]
- C0011008
Beschreibung
Pregnancy Delivery Date
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C25742
- NCI Thesaurus Property
- C61560
- UMLS CUI [1]
- C3146290
Beschreibung
Previous Pregnancy Information
Alias
- UMLS CUI-1
- C0032961
- UMLS CUI-2
- C1332051
Beschreibung
Patient Pregnancy Count
Datentyp
integer
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ValueDomain
- C25463
- NCI Thesaurus Property
- C25742
- UMLS CUI [1]
- C0422807
Beschreibung
Pregnancy Live Birth Count
Datentyp
integer
Alias
- NCI Thesaurus ValueDomain
- C25463
- UMLS CUI [1,1]
- C0481667
- UMLS CUI [1,2]
- C0449788
Beschreibung
Number of Spontaneous abortions
Datentyp
integer
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ValueDomain
- C25463
- NCI Thesaurus Property
- C25742
- UMLS CUI [1,1]
- C0000786
- UMLS CUI [1,2]
- C0449788
Beschreibung
Number of Elective abortions
Datentyp
integer
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ValueDomain
- C25463
- NCI Thesaurus Property
- C25742
- UMLS CUI [1,1]
- C0269439
- UMLS CUI [1,2]
- C0449788
Beschreibung
PersonPreviousPregnancyComplicationInd-3
Datentyp
integer
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C25627
- NCI Thesaurus Property-2
- C34941
- UMLS CUI [1,1]
- C0009566
- UMLS CUI [1,2]
- C0032961
Beschreibung
PersonPreviousPregnancyComplicationSpecify (If yes)
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C25627
- NCI Thesaurus Property-2
- C34941
- UMLS CUI [1,1]
- C0009566
- UMLS CUI [1,2]
- C0032961
Beschreibung
PersonCongenitalAbnormalityPregnancyInd-3
Datentyp
integer
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ValueDomain
- C38148
- NCI Thesaurus Property
- C25742
- NCI Thesaurus Property-2
- C2849
- UMLS CUI [1,1]
- C0000768
- UMLS CUI [1,2]
- C0032961
Beschreibung
Patient Congenital Abnormality Specify
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C2849
- UMLS CUI [1,1]
- C0000768
- UMLS CUI [1,2]
- C0032961
Beschreibung
Relevant Medical History
Alias
- UMLS CUI-1
- C0262926
Beschreibung
PersonPersonalMedicalHistoryPregnancyText (include alcohol/tobacco and substance abuse, illness during this pregnancy, assisted conception; specify other disorders including familial birth defects/genetic/chromosomal disorders/methods of diagnosis, etc)
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus Property
- C25742
- NCI Thesaurus Property-2
- C18772
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0026591
Beschreibung
PersonFatherKnownIndicator
Datentyp
integer
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ValueDomain
- C25180
- NCI Thesaurus Property
- C25174
- NCI Thesaurus Property-2
- C80137
- UMLS CUI [1,1]
- C0015671
- UMLS CUI [1,2]
- C0205309
Beschreibung
FatherPersonChildCount
Datentyp
integer
Alias
- NCI Thesaurus ObjectClass
- C25190
- NCI Thesaurus ObjectClass-2
- C25174
- NCI Thesaurus ValueDomain
- C25463
- NCI Thesaurus Property
- C42708
- UMLS CUI [1,1]
- C0015671
- UMLS CUI [1,2]
- C0449788
- UMLS CUI [1,3]
- C0680063
Beschreibung
FatherAgeValue
Datentyp
integer
Maßeinheiten
- years
Alias
- NCI Thesaurus ObjectClass
- C25174
- NCI Thesaurus Property
- C25150
- NCI Thesaurus ValueDomain
- C25712
- UMLS CUI [1,1]
- C0015671
- UMLS CUI [1,2]
- C0001779
Beschreibung
ConcomitantDiseaseOrganSystemPersonalMedicalHistorySpecify (include chronic illnesses; specify familial birth defects/genetic/chromosomal disorders, habitual exposure; specify alcohol/tobacco and substance exposure; specify substance abuse and medication use)
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C2991
- NCI Thesaurus ObjectClass-2
- C25730
- NCI Thesaurus Property
- C18772
- NCI Thesaurus Property-2
- C12919
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0015671
Beschreibung
Comments
Alias
- UMLS CUI-1
- C0947611
- UMLS CUI-2
- C0032961
- UMLS CUI-4
- C1332051
Ähnliche Modelle
For date fields, if the month and year are known, but the exact date is not, please enter "15" for the day.
- StudyEvent: AMC-075 Pregnancy Report Form (PRF)
C0032961 (UMLS CUI-2)
C1332051 (UMLS CUI-3)
C25463 (NCI Thesaurus ValueDomain)
C49153 (NCI Thesaurus ObjectClass-2)
C25694 (NCI Thesaurus Property)
C2348184 (UMLS CUI [1])
C1332051 (UMLS CUI-2)
C16960 (NCI Thesaurus ObjectClass)
C0032976 (NCI Metathesaurus Property)
C25577 (NCI Thesaurus Property)
C0032976 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C38000 (NCI Thesaurus Property)
C25742 (NCI Thesaurus ObjectClass)
C25294 (NCI Thesaurus ObjectClass-2)
C0032976 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C16960 (NCI Thesaurus ObjectClass)
C13325 (NCI Thesaurus Property)
C92949 (NCI Thesaurus Property-2)
C0430060 (UMLS CUI [1])
C0011008 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C13325 (NCI Thesaurus Property)
C0229671 (UMLS 2011AA Property)
C92949 (NCI Thesaurus Property-2)
C25551 (NCI Thesaurus ObjectClass)
C25275 (NCI Thesaurus Property)
C16838 (NCI Thesaurus ObjectClass-2)
C0425932 (UMLS CUI [1])
C16960 (NCI Thesaurus ObjectClass)
C25498 (NCI Thesaurus Property)
C16465 (NCI Thesaurus Property-2)
C0009637 (UMLS CUI [1,1])
C0750572 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C25742 (NCI Thesaurus ObjectClass)
C61560 (NCI Thesaurus Property)
C3146290 (UMLS CUI [1])
C1332051 (UMLS CUI-2)
C25463 (NCI Thesaurus ValueDomain)
C25742 (NCI Thesaurus Property)
C0422807 (UMLS CUI [1])
C0481667 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
C25463 (NCI Thesaurus ValueDomain)
C25742 (NCI Thesaurus Property)
C0000786 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
C25463 (NCI Thesaurus ValueDomain)
C25742 (NCI Thesaurus Property)
C0269439 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
C38148 (NCI Thesaurus ValueDomain)
C25627 (NCI Thesaurus Property)
C34941 (NCI Thesaurus Property-2)
C0009566 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
C25190 (NCI Thesaurus ObjectClass)
C25627 (NCI Thesaurus Property)
C34941 (NCI Thesaurus Property-2)
C0009566 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
C38148 (NCI Thesaurus ValueDomain)
C25742 (NCI Thesaurus Property)
C2849 (NCI Thesaurus Property-2)
C0000768 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
C16960 (NCI Thesaurus ObjectClass)
C2849 (NCI Thesaurus Property)
C0000768 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
C25190 (NCI Thesaurus ObjectClass)
C25742 (NCI Thesaurus Property)
C18772 (NCI Thesaurus Property-2)
C0262926 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
C25180 (NCI Thesaurus ValueDomain)
C25174 (NCI Thesaurus Property)
C80137 (NCI Thesaurus Property-2)
C0015671 (UMLS CUI [1,1])
C0205309 (UMLS CUI [1,2])
C25174 (NCI Thesaurus ObjectClass-2)
C25463 (NCI Thesaurus ValueDomain)
C42708 (NCI Thesaurus Property)
C0015671 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
C0680063 (UMLS CUI [1,3])
C25150 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C0015671 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
C25730 (NCI Thesaurus ObjectClass-2)
C18772 (NCI Thesaurus Property)
C12919 (NCI Thesaurus Property-2)
C25685 (NCI Thesaurus ValueDomain)
C0262926 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
C1332051 (UMLS CUI [2])