ID

3048

Description

AMC-051 HIV Viral Load Form (F40) Sirolimus in Treating Patients With HIV-Related Kaposi's Sarcoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=2FDFA89A-080D-6018-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=2FDFA89A-080D-6018-E044-0003BA3F9857

Keywords

Versions (1)
  1. 9/19/12 9/19/12 -
Uploaded on

September 19, 2012

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License

Creative Commons BY-NC 3.0 Legacy
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Sarcoma NCT00450320 Lab - AMC-051 HIV Viral Load Form (F40) - 2636115v1.0

English

No Instruction available.

1 forms  
  1. StudyEvent: AMC-051 HIV Viral Load Form (F40)
    1. No Instruction available.
Unnamed1
Description

Unnamed1

Visit number
Description

HospitalAdmissionOrdinalNumber

Data type

double

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C16696
UMLS 2011AA ObjectClass
C0019994
NCI Thesaurus Property
C25385
UMLS 2011AA Property
C0809949
Unnamed2
Description

Unnamed2

Results of HIV viral load assay (Enter results from right to left.)
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedAmount

Data type

text

Alias
NCI Thesaurus ObjectClass
C14219
UMLS 2011AA ObjectClass
C0019682
NCI Thesaurus ObjectClass
C51952
UMLS 2011AA ObjectClass
C0376705
NCI Thesaurus ObjectClass
C16341
UMLS 2011AA ObjectClass
C0005507
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ValueDomain
C25417
HIV viral load value
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedValue

Data type

double

Alias
NCI Thesaurus ObjectClass
C14219
UMLS 2011AA ObjectClass
C0019682
NCI Thesaurus ObjectClass
C51952
UMLS 2011AA ObjectClass
C0376705
NCI Thesaurus ObjectClass
C16341
UMLS 2011AA ObjectClass
C0005507
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Method of detection
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedType

Data type

text

Alias
NCI Thesaurus ObjectClass
C14219
UMLS 2011AA ObjectClass
C0019682
NCI Thesaurus ObjectClass
C51952
UMLS 2011AA ObjectClass
C0376705
NCI Thesaurus ObjectClass
C16341
UMLS 2011AA ObjectClass
C0005507
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
Other, specify
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C14219
UMLS 2011AA ObjectClass
C0019682
NCI Thesaurus ObjectClass
C51952
UMLS 2011AA ObjectClass
C0376705
NCI Thesaurus ObjectClass
C16341
UMLS 2011AA ObjectClass
C0005507
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
HIV viral load assay type
Description

HumanImmunodeficiencyVirusViralLoadAssayPerformedCategory

Data type

text

Alias
NCI Thesaurus ObjectClass
C14219
UMLS 2011AA ObjectClass
C0019682
NCI Thesaurus ObjectClass
C51952
UMLS 2011AA ObjectClass
C0376705
NCI Thesaurus ObjectClass
C16341
UMLS 2011AA ObjectClass
C0005507
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus ValueDomain
C25372
UMLS 2011AA ValueDomain
C0683312
Limits of detection (Copies/mL)
Description

HumanImmunodeficiencyVirusViralLoadAssayLowerThresholdDetectedNumber

Data type

double

Alias
NCI Thesaurus ObjectClass
C14219
UMLS 2011AA ObjectClass
C0019682
NCI Thesaurus ObjectClass
C51952
UMLS 2011AA ObjectClass
C0376705
NCI Thesaurus ObjectClass
C16341
UMLS 2011AA ObjectClass
C0005507
NCI Thesaurus Property
C48228
UMLS 2011AA Property
C0449864
NCI Thesaurus Property
C25309
UMLS 2011AA Property
C0441994
NCI Thesaurus Property
C25481
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
Lab Facility Name (Testing Laboratory information)
Description

SpecimenLabIdentifierName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass
C37984
UMLS 2011AA ObjectClass
C0022877
NCI Thesaurus ObjectClass
C19157
UMLS 2011AA ObjectClass
C0370003
Comments
Description

Comments

Comments
Description

ResearchCommentsText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
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Similar models

No Instruction available.

1 forms
  1. StudyEvent: AMC-051 HIV Viral Load Form (F40)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Unnamed1
HospitalAdmissionOrdinalNumber
Item
Visit number
double
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C0019994 (UMLS 2011AA ObjectClass)
C25385 (NCI Thesaurus Property)
C0809949 (UMLS 2011AA Property)
Item Group
Unnamed2
Item
Results of HIV viral load assay (Enter results from right to left.)
text
C14219 (NCI Thesaurus ObjectClass)
C0019682 (UMLS 2011AA ObjectClass)
C51952 (NCI Thesaurus ObjectClass)
C0376705 (UMLS 2011AA ObjectClass)
C16341 (NCI Thesaurus ObjectClass)
C0005507 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25417 (NCI Thesaurus ValueDomain)
CL.1
Code List
Results of HIV viral load assay (Enter results from right to left.)
CL Item
Greater Than (>) (Greater than (>))
CL Item
Less Than (Less than (<))
CL Item
Equal To (Equal to (=))
CL Item
Undetectable (Undetectable)
HumanImmunodeficiencyVirusViralLoadAssayPerformedValue
Item
HIV viral load value
double
C14219 (NCI Thesaurus ObjectClass)
C0019682 (UMLS 2011AA ObjectClass)
C51952 (NCI Thesaurus ObjectClass)
C0376705 (UMLS 2011AA ObjectClass)
C16341 (NCI Thesaurus ObjectClass)
C0005507 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
Item
Method of detection
text
C14219 (NCI Thesaurus ObjectClass)
C0019682 (UMLS 2011AA ObjectClass)
C51952 (NCI Thesaurus ObjectClass)
C0376705 (UMLS 2011AA ObjectClass)
C16341 (NCI Thesaurus ObjectClass)
C0005507 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.2
Code List
Method of detection
CL Item
Roche Amplicor Monitor Assay (Roche Amplicor Monitor Assay)
CL Item
Versant Hiv-1 Rna Assay By Branched Dna (Versant HIV-1 RNA assay by branched DNA)
CL Item
Cobas Ampliprep/taqman Hiv-1 Assay (COBAS AmpliPrep/TAQMAN HIV-1 assay)
CL Item
Abbott Realtime Hiv-1 Assay (Abbott RealTime HIV-1 assay)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
HumanImmunodeficiencyVirusViralLoadAssayPerformedSpecify
Item
Other, specify
text
C14219 (NCI Thesaurus ObjectClass)
C0019682 (UMLS 2011AA ObjectClass)
C51952 (NCI Thesaurus ObjectClass)
C0376705 (UMLS 2011AA ObjectClass)
C16341 (NCI Thesaurus ObjectClass)
C0005507 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
Item
HIV viral load assay type
text
C14219 (NCI Thesaurus ObjectClass)
C0019682 (UMLS 2011AA ObjectClass)
C51952 (NCI Thesaurus ObjectClass)
C0376705 (UMLS 2011AA ObjectClass)
C16341 (NCI Thesaurus ObjectClass)
C0005507 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
CL.3
Code List
HIV viral load assay type
CL Item
Standard (Standard)
CL Item
Ultra (Ultra)
HumanImmunodeficiencyVirusViralLoadAssayLowerThresholdDetectedNumber
Item
Limits of detection (Copies/mL)
double
C14219 (NCI Thesaurus ObjectClass)
C0019682 (UMLS 2011AA ObjectClass)
C51952 (NCI Thesaurus ObjectClass)
C0376705 (UMLS 2011AA ObjectClass)
C16341 (NCI Thesaurus ObjectClass)
C0005507 (UMLS 2011AA ObjectClass)
C48228 (NCI Thesaurus Property)
C0449864 (UMLS 2011AA Property)
C25309 (NCI Thesaurus Property)
C0441994 (UMLS 2011AA Property)
C25481 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
SpecimenLabIdentifierName
Item
Lab Facility Name (Testing Laboratory information)
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C37984 (NCI Thesaurus ObjectClass)
C0022877 (UMLS 2011AA ObjectClass)
C19157 (NCI Thesaurus ObjectClass)
C0370003 (UMLS 2011AA ObjectClass)
Item Group
Comments
ResearchCommentsText
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)
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