ID

43224

Description

AMC-052 Serum HPV Antibody Collection and Shipping Form Human Papillomavirus Vaccine Therapy in Treating Men With HIV-1 Infection NCT00513526 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=546E2EAC-07C0-32E8-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=546E2EAC-07C0-32E8-E044-0003BA3F9857

Keywords

  1. 9/19/12 9/19/12 -
  2. 1/16/15 1/16/15 - Martin Dugas
  3. 1/16/15 1/16/15 - Martin Dugas
  4. 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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HPV Antibody Collection and Shipping Form (NCT00513526)

HPV Antibody Collection and Shipping Form (NCT00513526)

  1. StudyEvent: AMC-052 Serum HPV Antibody Collection and Shipping Form
    1. HPV Antibody Collection and Shipping Form (NCT00513526)
Probe
Description

Probe

Alias
UMLS CUI-1
C0370003
Proben ID
Description

Probennummer

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus Property
C25364
NCI Thesaurus ObjectClass
C19157
UMLS CUI-1
C1299222
Hospital Admission Ordinal Number
Description

Hospital Admission Ordinal Number

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16696
NCI Thesaurus Property
C25385
UMLS CUI-1
C1549755
Specimen collected
Description

Specimen collected

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C19157
NCI Thesaurus Property
C25452
UMLS CUI-1
C0370003
UMLS CUI-2
C1516698
Specimen collection date
Description

Specimen collection date

Data type

date

Measurement units
  • mm/dd/yyyy
Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus ObjectClass
C19157
NCI Thesaurus Property
C25452
NCI Thesaurus Property-2
C25275
UMLS CUI-1
C1302413
mm/dd/yyyy
Specimen Count
Description

Specimen Count

Data type

integer

Alias
NCI Thesaurus ValueDomain
C25463
NCI Thesaurus ObjectClass
C19157
NCI Thesaurus Property
C25695
UMLS CUI-1
C0370003
UMLS CUI-2
C0750480
Specimen shipped
Description

Specimen shipped

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C19157
NCI Thesaurus Property
C25695
UMLS CUI-1
C0370003
UMLS CUI-2
C1524049
Additional Specimen submitted
Description

Additional Specimen submitted

Data type

boolean

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C25406
NCI Thesaurus ObjectClass-2
C19157
NCI Thesaurus Property
C25695
UMLS CUI-1
C1524062
UMLS CUI-2
C0370003
UMLS CUI-3
C1515023
Specimen Destination Site
Description

Specimen Destination Site

Data type

text

Alias
NCI Thesaurus ObjectClass
C25406
NCI Thesaurus ObjectClass-2
C19157
NCI Thesaurus ValueDomain
C25688
NCI Thesaurus Property
C25695
UMLS CUI-1
C0370003
UMLS CUI-2
C0079220
Versanddatum
Description

Versanddatum

Data type

date

Measurement units
  • mm/dd/yyyy
Alias
NCI Thesaurus ValueDomain
C25164
NCI Thesaurus Property
C25294
NCI Thesaurus ObjectClass
C19157
NCI Thesaurus Property-2
C25695
UMLS CUI-1
C0370003
UMLS CUI-2
C1515023
UMLS CUI-3
C0011008
mm/dd/yyyy

Similar models

HPV Antibody Collection and Shipping Form (NCT00513526)

  1. StudyEvent: AMC-052 Serum HPV Antibody Collection and Shipping Form
    1. HPV Antibody Collection and Shipping Form (NCT00513526)
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Probe
C0370003 (UMLS CUI-1)
Specimen ID
Item
Proben ID
text
C25337 (NCI Thesaurus ValueDomain)
C25364 (NCI Thesaurus Property)
C19157 (NCI Thesaurus ObjectClass)
C1299222 (UMLS CUI-1)
Hospital Admission Ordinal Number
Item
integer
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI-1)
Specimen collected
Item
boolean
C38147 (NCI Thesaurus ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus Property)
C0370003 (UMLS CUI-1)
C1516698 (UMLS CUI-2)
Specimen collection date
Item
date
C25164 (NCI Thesaurus ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C25452 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C1302413 (UMLS CUI-1)
Specimen Count
Item
integer
C25463 (NCI Thesaurus ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C25695 (NCI Thesaurus Property)
C0370003 (UMLS CUI-1)
C0750480 (UMLS CUI-2)
Specimen shipped
Item
boolean
C38147 (NCI Thesaurus ValueDomain)
C19157 (NCI Thesaurus ObjectClass)
C25695 (NCI Thesaurus Property)
C0370003 (UMLS CUI-1)
C1524049 (UMLS CUI-2)
Additional Specimen submitted
Item
boolean
C38147 (NCI Thesaurus ValueDomain)
C25406 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C25695 (NCI Thesaurus Property)
C1524062 (UMLS CUI-1)
C0370003 (UMLS CUI-2)
C1515023 (UMLS CUI-3)
Item
text
C25406 (NCI Thesaurus ObjectClass)
C19157 (NCI Thesaurus ObjectClass-2)
C25688 (NCI Thesaurus ValueDomain)
C25695 (NCI Thesaurus Property)
C0370003 (UMLS CUI-1)
C0079220 (UMLS CUI-2)
Code List
Specimen Destination Site
CL Item
 (ACSR)
CL Item
 (Merck)
Specimen shipping date
Item
Versanddatum
date
C25164 (NCI Thesaurus ValueDomain)
C25294 (NCI Thesaurus Property)
C19157 (NCI Thesaurus ObjectClass)
C25695 (NCI Thesaurus Property-2)
C0370003 (UMLS CUI-1)
C1515023 (UMLS CUI-2)
C0011008 (UMLS CUI-3)

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