ID

25804

Descrição

AMC-063 Interventions Form (RK5) Bortezomib in Treating Patients With Relapsed or Refractory AIDS-Related Kaposi Sarcoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8163A333-B8CA-35E0-E040-BB89AD435080

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8163A333-B8CA-35E0-E040-BB89AD435080

Palavras-chave

Versões (3)
  1. 19/09/2012 19/09/2012 -
  2. 20/09/2017 20/09/2017 -
  3. 20/09/2021 20/09/2021 -
Transferido a

20 de setembro de 2017

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0 Legacy
Comentários do modelo :

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

Voltar para os comentários do modelo
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.

AMC-063 Interventions Form (RK5)

Inglês

No Instruction available.

1 Formulários  
  1. StudyEvent: AMC-070 Interventions Form (RK5)
    1. No Instruction available.
Header - Interventions Form
Descrição

Header - Interventions Form

Alias
UMLS CUI-1
C1320722
UMLS CUI-2
C0276535
UMLS CUI-3
C0184661
UMLS CUI-4
C1176309
Visit number
Descrição

Visit number

Tipo de dados

integer

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

Interventions

Alias
UMLS CUI-1
C0276535
UMLS CUI-2
C0184661
UMLS CUI-3
C1176309
Interventions for Oral Cavity Lesions
Descrição

KaposiSarcomaRelatedOralCavityDisorderInterventionType

Tipo de dados

integer

Alias
NCI Thesaurus ObjectClass
C25648
NCI Thesaurus ObjectClass-2
C9087
NCI Thesaurus ObjectClass-3
C27641
NCI Thesaurus Property
C16197
NCI Thesaurus ValueDomain
C25284
UMLS CUI [1,1]
C4280289
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Other, specify
Descrição

KaposiSarcomaRelatedOralCavityDisorderInterventionSpecify

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C25648
NCI Thesaurus ObjectClass-2
C9087
NCI Thesaurus ObjectClass-3
C27641
NCI Thesaurus Property
C16197
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ValueDomain-2
C25382
UMLS CUI [1,1]
C4280289
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Interventions for gastrointestinal (GI) lesions
Descrição

Gastric Kaposi Sarcoma Intervention Type

Tipo de dados

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C5529
NCI Thesaurus Property
C16197
UMLS CUI [1,1]
C1398066
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Other, specify
Descrição

Gastric Kaposi Sarcoma Intervention Specify

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ValueDomain-2
C25382
NCI Thesaurus ObjectClass
C5529
NCI Thesaurus Property
C16197
UMLS CUI [1,1]
C1398066
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Interventions for Pulmonary Lesions
Descrição

LungKaposiSarcomaInterventionType

Tipo de dados

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C3551
NCI Thesaurus Property
C16197
UMLS CUI [1,1]
C0577916
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Other, specify
Descrição

LungKaposiSarcomaInterventionSpecify

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ValueDomain-2
C25382
NCI Thesaurus ObjectClass
C3551
NCI Thesaurus Property
C16197
UMLS CUI [1,1]
C0577916
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Interventions for Extremity Edema
Descrição

KaposiSarcomaRelatedLimbEdemaInterventionType

Tipo de dados

integer

Alias
NCI Thesaurus ObjectClass
C25648
NCI Thesaurus ObjectClass-2
C3002
NCI Thesaurus ObjectClass-3
C9087
NCI Thesaurus ObjectClass-4
C12429
NCI Thesaurus Property
C16197
NCI Thesaurus ValueDomain
C25284
UMLS CUI [1,1]
C1827170
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Other, specify
Descrição

KaposiSarcomaRelatedLimbEdemaInterventionSpecify

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C25648
NCI Thesaurus ObjectClass-2
C3002
NCI Thesaurus ObjectClass-3
C9087
NCI Thesaurus ObjectClass-4
C12429
NCI Thesaurus Property
C16197
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ValueDomain-2
C25382
UMLS CUI [1,1]
C1827170
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Interventions for Periorbital Edema
Descrição

KaposiSarcomaRelatedOrbitEdemaInterventionType

Tipo de dados

integer

Alias
NCI Thesaurus ObjectClass
C25648
NCI Thesaurus ObjectClass-2
C3002
NCI Thesaurus ObjectClass-3
C9087
NCI Thesaurus ObjectClass-4
C12347
NCI Thesaurus Property
C16197
NCI Thesaurus ValueDomain
C25284
UMLS CUI [1,1]
C0151205
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Other, specify
Descrição

KaposiSarcomaRelatedOrbitEdemaInterventionSpecify

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C25648
NCI Thesaurus ObjectClass-2
C3002
NCI Thesaurus ObjectClass-3
C9087
NCI Thesaurus ObjectClass-4
C12347
NCI Thesaurus Property
C16197
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ValueDomain-2
C25382
UMLS CUI [1,1]
C0151205
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Interventions for Scrotal/Genital Edema
Descrição

KaposiSarcomaRelatedGenitaliaEdemaInterventionType

Tipo de dados

integer

Alias
NCI Thesaurus ObjectClass
C25648
NCI Thesaurus ObjectClass-2
C3002
NCI Thesaurus ObjectClass-3
C25177
NCI Thesaurus ObjectClass-4
C9087
NCI Thesaurus Property
C16197
NCI Thesaurus ValueDomain
C25284
UMLS CUI [1,1]
C0151604
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Other, specify
Descrição

KaposiSarcomaRelatedGenitaliaEdemaInterventionSpecify

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C25648
NCI Thesaurus ObjectClass-2
C3002
NCI Thesaurus ObjectClass-3
C25177
NCI Thesaurus ObjectClass-4
C9087
NCI Thesaurus Property
C16197
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ValueDomain-2
C25382
UMLS CUI [1,1]
C0151604
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Interventions for Foot Kaposi's Sarcoma
Descrição

KaposiSarcomaRelatedFootDiseaseInterventionType (KS)

Tipo de dados

integer

Alias
NCI Thesaurus ObjectClass
C25648
NCI Thesaurus ObjectClass-2
C2991
NCI Thesaurus ObjectClass-3
C9087
NCI Thesaurus ObjectClass-4
C32622
NCI Thesaurus Property
C16197
NCI Thesaurus ValueDomain
C25284
UMLS CUI [1,1]
C0016504
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Other, specify
Descrição

KaposiSarcomaRelatedFootDiseaseInterventionSpecify

Tipo de dados

text

Alias
NCI Thesaurus ObjectClass
C25648
NCI Thesaurus ObjectClass-2
C2991
NCI Thesaurus ObjectClass-3
C9087
NCI Thesaurus ObjectClass-4
C32622
NCI Thesaurus Property
C16197
NCI Thesaurus ValueDomain
C25685
NCI Thesaurus ValueDomain-2
C25382
UMLS CUI [1,1]
C0016504
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
UMLS CUI [2]
C0276535
Comments
Descrição

Comments

Alias
UMLS CUI-1
C0947611
UMLS CUI-2
C0276535
UMLS CUI-3
C0184661
UMLS CUI-4
C1176309
Comments
Descrição

Research Comments

Tipo de dados

text

Alias
NCI Thesaurus ValueDomain
C25704
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C1332051
Voltar ao início da página

Similar models

No Instruction available.

1 Formulários
  1. StudyEvent: AMC-070 Interventions Form (RK5)
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Header - Interventions Form
C1320722 (UMLS CUI-1)
C0276535 (UMLS CUI-2)
C0184661 (UMLS CUI-3)
C1176309 (UMLS CUI-4)
Visit number
Item
Visit number
integer
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI [1])
Item Group
Interventions
C0276535 (UMLS CUI-1)
C0184661 (UMLS CUI-2)
C1176309 (UMLS CUI-3)
Item
Interventions for Oral Cavity Lesions
integer
C25648 (NCI Thesaurus ObjectClass)
C9087 (NCI Thesaurus ObjectClass-2)
C27641 (NCI Thesaurus ObjectClass-3)
C16197 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C4280289 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
CL.1
Code List
Interventions for Oral Cavity Lesions
CL Item
Local Anesthetic/analgesic (1)
CL Item
Local Intervention To Ks Lesions (2)
CL Item
Other (3)
Other, specify
Item
Other, specify
text
C25648 (NCI Thesaurus ObjectClass)
C9087 (NCI Thesaurus ObjectClass-2)
C27641 (NCI Thesaurus ObjectClass-3)
C16197 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C25382 (NCI Thesaurus ValueDomain-2)
C4280289 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
Item
Interventions for gastrointestinal (GI) lesions
integer
C25284 (NCI Thesaurus ValueDomain)
C5529 (NCI Thesaurus ObjectClass)
C16197 (NCI Thesaurus Property)
C1398066 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
CL.2
Code List
Interventions for gastrointestinal (GI) lesions
CL Item
Antiemetics (1)
CL Item
Blood Transfusion (2)
CL Item
Other (3)
Gastric Kaposi Sarcoma Intervention Specify
Item
Other, specify
text
C25685 (NCI Thesaurus ValueDomain)
C25382 (NCI Thesaurus ValueDomain-2)
C5529 (NCI Thesaurus ObjectClass)
C16197 (NCI Thesaurus Property)
C1398066 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
Item
Interventions for Pulmonary Lesions
integer
C25284 (NCI Thesaurus ValueDomain)
C3551 (NCI Thesaurus ObjectClass)
C16197 (NCI Thesaurus Property)
C0577916 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
CL.3
Code List
Interventions for Pulmonary Lesions
CL Item
Bronchodilators (1)
CL Item
Cough Suppressant (2)
CL Item
Other (3)
CL Item
Oxygen (4)
CL Item
Steroids (5)
LungKaposiSarcomaInterventionSpecify
Item
Other, specify
text
C25685 (NCI Thesaurus ValueDomain)
C25382 (NCI Thesaurus ValueDomain-2)
C3551 (NCI Thesaurus ObjectClass)
C16197 (NCI Thesaurus Property)
C0577916 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
Item
Interventions for Extremity Edema
integer
C25648 (NCI Thesaurus ObjectClass)
C3002 (NCI Thesaurus ObjectClass-2)
C9087 (NCI Thesaurus ObjectClass-3)
C12429 (NCI Thesaurus ObjectClass-4)
C16197 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C1827170 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
CL.4
Code List
Interventions for Extremity Edema
CL Item
Diuretic (1)
CL Item
Other (2)
Other, specify
Item
Other, specify
text
C25648 (NCI Thesaurus ObjectClass)
C3002 (NCI Thesaurus ObjectClass-2)
C9087 (NCI Thesaurus ObjectClass-3)
C12429 (NCI Thesaurus ObjectClass-4)
C16197 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C25382 (NCI Thesaurus ValueDomain-2)
C1827170 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
Item
Interventions for Periorbital Edema
integer
C25648 (NCI Thesaurus ObjectClass)
C3002 (NCI Thesaurus ObjectClass-2)
C9087 (NCI Thesaurus ObjectClass-3)
C12347 (NCI Thesaurus ObjectClass-4)
C16197 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C0151205 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
CL.5
Code List
Interventions for Periorbital Edema
CL Item
Analgesics (1)
CL Item
Local Therapy (2)
CL Item
Other (3)
Other, specify
Item
Other, specify
text
C25648 (NCI Thesaurus ObjectClass)
C3002 (NCI Thesaurus ObjectClass-2)
C9087 (NCI Thesaurus ObjectClass-3)
C12347 (NCI Thesaurus ObjectClass-4)
C16197 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C25382 (NCI Thesaurus ValueDomain-2)
C0151205 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
Item
Interventions for Scrotal/Genital Edema
integer
C25648 (NCI Thesaurus ObjectClass)
C3002 (NCI Thesaurus ObjectClass-2)
C25177 (NCI Thesaurus ObjectClass-3)
C9087 (NCI Thesaurus ObjectClass-4)
C16197 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C0151604 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
CL.6
Code List
Interventions for Scrotal/Genital Edema
CL Item
Analgesics (1)
CL Item
Other (2)
Other, specify
Item
Other, specify
text
C25648 (NCI Thesaurus ObjectClass)
C3002 (NCI Thesaurus ObjectClass-2)
C25177 (NCI Thesaurus ObjectClass-3)
C9087 (NCI Thesaurus ObjectClass-4)
C16197 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C25382 (NCI Thesaurus ValueDomain-2)
C0151604 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
Item
Interventions for Foot Kaposi's Sarcoma
integer
C25648 (NCI Thesaurus ObjectClass)
C2991 (NCI Thesaurus ObjectClass-2)
C9087 (NCI Thesaurus ObjectClass-3)
C32622 (NCI Thesaurus ObjectClass-4)
C16197 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C0016504 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
CL.7
Code List
Interventions for Foot Kaposi's Sarcoma
CL Item
Analgesics (1)
CL Item
Uses Cane, Wheelchair (2)
CL Item
Other (3)
Other, specify
Item
Other, specify
text
C25648 (NCI Thesaurus ObjectClass)
C2991 (NCI Thesaurus ObjectClass-2)
C9087 (NCI Thesaurus ObjectClass-3)
C32622 (NCI Thesaurus ObjectClass-4)
C16197 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C25382 (NCI Thesaurus ValueDomain-2)
C0016504 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0276535 (UMLS CUI [2])
Item Group
Comments
C0947611 (UMLS CUI-1)
C0276535 (UMLS CUI-2)
C0184661 (UMLS CUI-3)
C1176309 (UMLS CUI-4)
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI [1,1])
C1332051 (UMLS CUI [1,2])
Voltar ao início da página 

Contacto

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

Campos marcados com * são obrigatórios.

Ajuda

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