ID
43103
Description
AMC-075 Baseline Lymphoma Disease Activity and Assessment Form (LAA) 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=9F16C635-12A6-DD97-E040-BB89AD43743A
Link
Keywords
Versions (2)
- 9/19/12 9/19/12 -
- 9/20/21 9/20/21 -
Uploaded on
September 20, 2021
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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NCT01193842 On-Study - AMC-075 Baseline Lymphoma Disease Activity and Assessment Form (LAA) - 3206533v1.0
Complete this form at baseline only
- StudyEvent: AMC-075 Baseline Lymphoma Disease Activity and Assessment Form (LAA)
Description
Unnamed2
Description
LymphomaSweatingSymptomInd-3
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C3208
- UMLS 2011AA ObjectClass
- C0024299
- NCI Thesaurus Property
- C4876
- UMLS 2011AA Property
- C1457887
- NCI Thesaurus Property
- C36172
- UMLS 2011AA Property
- C0038990
Description
LymphomaFeverSymptomInd-3
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C3208
- UMLS 2011AA ObjectClass
- C0024299
- NCI Thesaurus Property
- C4876
- UMLS 2011AA Property
- C1457887
- NCI Thesaurus Property
- C3038
- UMLS 2011AA Property
- C0015967
Description
LymphomaWeightLossInd-3
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus Property
- C3445
- UMLS 2011AA Property
- C1262477
- NCI Thesaurus ObjectClass
- C3208
- UMLS 2011AA ObjectClass
- C0024299
Description
HematopoieticDiseaseDiagnosisType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ObjectClass
- C13324
- UMLS 2011AA ObjectClass
- C0229601
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
DiffuseLargeB-CellLymphomaMorphologyType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C8851
- UMLS 2011AA ObjectClass
- C0079744
- NCI Thesaurus Property
- C17943
- UMLS 2011AA Property
- C0700619
Description
Burkitt'sLymphomaMorphologyType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C2912
- UMLS 2011AA ObjectClass
- C0006413
- NCI Thesaurus Property
- C17943
- UMLS 2011AA Property
- C0700619
Description
DiseaseDiagnosisHematopoieticSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ValueDomain
- C13324
- UMLS 2011AA ValueDomain
- C0229601
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
DiseaseDiagnosisHematopoieticSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ValueDomain
- C13324
- UMLS 2011AA ValueDomain
- C0229601
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
DiseaseDiagnosisHematopoieticSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ValueDomain
- C13324
- UMLS 2011AA ValueDomain
- C0229601
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
Hodgkin'sLymphomaMorphologyType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C9357
- UMLS 2011AA ObjectClass
- C0019829
- NCI Thesaurus Property
- C17943
- UMLS 2011AA Property
- C0700619
Description
CancerInitialDiagnosisDate
Data type
date
Alias
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain
- C25367
Description
AssessmentMethodType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C20989
- UMLS 2011AA ObjectClass
- C0031809
- NCI Thesaurus Property
- C16847
- UMLS 2011AA Property
- C0449851
Description
AssessmentMethodSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C20989
- UMLS 2011AA ObjectClass
- C0031809
- NCI Thesaurus Property
- C16847
- UMLS 2011AA Property
- C0449851
Description
Histogenetic Subtyping Markers
Description
TumorMarkerAvailableAssessmentType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus ObjectClass
- C17220
- UMLS 2011AA ObjectClass
- C0041365
- NCI Thesaurus Property
- C25429
- UMLS 2011AA Property
- C0470187
Description
FindingResultStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C3367
- UMLS 2011AA ObjectClass
- C0037088
- NCI Metathesaurus Property
- CL282989
- NCI Thesaurus ValueDomain
- C20200
- UMLS 2011AA ValueDomain
- C1274040
- NCI Thesaurus ValueDomain
- C3367
- UMLS 2011AA ValueDomain
- C0037088
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
AntibodyEpstein-BarrVirusTestType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C14204
- UMLS 2011AA Property
- C0014644
- NCI Thesaurus ObjectClass
- C16295
- UMLS 2011AA ObjectClass
- C0003241
- NCI Thesaurus Property
- C25294
- UMLS 2011AA Property
- C0022885
Description
Lymphatic Involvement
Description
LymphNodeProgressionCriteriaIndicator
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus ObjectClass
- C25331
- NCI Thesaurus ObjectClass
- C12745
- UMLS 2011AA ObjectClass
- C0024204
- NCI Thesaurus Property
- C25466
- UMLS 2011AA Property
- C0243161
Description
DiseaseInvolvementSite
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25548
- UMLS 2011AA Property
- C1314939
Description
Comments
Similar models
Complete this form at baseline only
- StudyEvent: AMC-075 Baseline Lymphoma Disease Activity and Assessment Form (LAA)
C0237753 (UMLS 2011AA ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C0019994 (UMLS 2011AA ObjectClass)
C25385 (NCI Thesaurus Property)
C0809949 (UMLS 2011AA Property)
C1512699 (UMLS 2011AA ValueDomain)
C3208 (NCI Thesaurus ObjectClass)
C0024299 (UMLS 2011AA ObjectClass)
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C1705108 (UMLS 2011AA)
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C0024299 (UMLS 2011AA ObjectClass)
C1298908 (UMLS 2011AA)
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C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C13324 (NCI Thesaurus ObjectClass)
C0229601 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
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C1292753 (UMLS 2011AA)
C0019829 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
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C17943 (NCI Thesaurus Property)
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C2912 (NCI Thesaurus ObjectClass)
C0006413 (UMLS 2011AA ObjectClass)
C17943 (NCI Thesaurus Property)
C0700619 (UMLS 2011AA Property)
C0205394 (UMLS 2011AA)
C1521902 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C13324 (NCI Thesaurus ValueDomain)
C0229601 (UMLS 2011AA ValueDomain)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C1521902 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C13324 (NCI Thesaurus ValueDomain)
C0229601 (UMLS 2011AA ValueDomain)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C1521902 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C13324 (NCI Thesaurus ValueDomain)
C0229601 (UMLS 2011AA ValueDomain)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C0332307 (UMLS 2011AA ValueDomain)
C9357 (NCI Thesaurus ObjectClass)
C0019829 (UMLS 2011AA ObjectClass)
C17943 (NCI Thesaurus Property)
C0700619 (UMLS 2011AA Property)
C0205426 (UMLS 2011AA)
C0006826 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C0010819 (UMLS 2011AA)
C0005558 (UMLS 2011AA)
C15189 (NCI Thesaurus)
C0005558 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C1521902 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C17220 (NCI Thesaurus ObjectClass)
C0041365 (UMLS 2011AA ObjectClass)
C25429 (NCI Thesaurus Property)
C0470187 (UMLS 2011AA Property)
C0037088 (UMLS 2011AA ObjectClass)
CL282989 (NCI Metathesaurus Property)
C20200 (NCI Thesaurus ValueDomain)
C1274040 (UMLS 2011AA ValueDomain)
C3367 (NCI Thesaurus ValueDomain)
C0037088 (UMLS 2011AA ValueDomain)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1446409 (UMLS 2011AA)
C0205160 (UMLS 2011AA)
C1518422 (UMLS 2011AA)
C25217 (NCI Thesaurus)
C1516048 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C14204 (NCI Thesaurus Property)
C0014644 (UMLS 2011AA Property)
C16295 (NCI Thesaurus ObjectClass)
C0003241 (UMLS 2011AA ObjectClass)
C25294 (NCI Thesaurus Property)
C0022885 (UMLS 2011AA Property)
C1522602 (UMLS 2011AA ValueDomain)
C25331 (NCI Thesaurus ObjectClass)
C12745 (NCI Thesaurus ObjectClass)
C0024204 (UMLS 2011AA ObjectClass)
C25466 (NCI Thesaurus Property)
C0243161 (UMLS 2011AA Property)
C1705108 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1515974 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25548 (NCI Thesaurus Property)
C1314939 (UMLS 2011AA Property)
C0005953 (UMLS 2011AA)
C0039597 (UMLS 2011AA)
C0030471 (UMLS 2011AA)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)