ID

604

Description

AMC-076 HIV T-Cell Laboratory Values Form (F24) Infrared Coagulator Ablation or Observation in Preventing Anal Cancer in HIV-Positive Patients With Anal Neoplasia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A80B56C5-5F38-DD40-E040-BB89AD43147B

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A80B56C5-5F38-DD40-E040-BB89AD43147B

Keywords

Versions (3)
  1. 8/26/12 8/26/12 -
  2. 5/24/17 5/24/17 - Martin Dugas
  3. 5/24/17 5/24/17 - Martin Dugas
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August 26, 2012

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Creative Commons BY-NC 3.0 Legacy
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    Anal Cancer NCT01164722 Lab - AMC-076 HIV T-Cell Laboratory Values Form (F24) - 3253279v1.0

    English

    No Instruction available.

    1 forms  
    1. StudyEvent: AMC-076 HIV T-Cell Laboratory Values Form (F24)
      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
    Sequence number
    Description

    SequentialFormSubmissionCount

    Data type

    double

    Alias
    NCI Thesaurus ObjectClass
    C19464
    UMLS 2011AA ObjectClass
    C0376315
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    NCI Thesaurus ObjectClass
    C49153
    UMLS 2011AA ObjectClass
    C1705294
    NCI Thesaurus Property
    C25694
    UMLS 2011AA Property
    C1515022
    Unnamed2
    Description

    Unnamed2

    Date of Evaluation (mm/dd/yyyy)
    Description

    LesionAssessmentDate

    Data type

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C3824
    UMLS 2011AA ObjectClass
    C0221198
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain
    C25367
    T-cell Laboratory Values
    Description

    T-cell Laboratory Values

    T-Helper CD4+ %
    Description

    LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomePercentageValue

    Data type

    double

    Measurement units
    • %
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property
    C12537
    UMLS 2011AA Property
    C0039215
    NCI Thesaurus Property
    C12538
    UMLS 2011AA Property
    C0018894
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    %
    T-Helper CD4+ absolute count
    Description

    LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomeCount

    Data type

    double

    Alias
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C12537
    UMLS 2011AA Property
    C0039215
    NCI Thesaurus Property
    C12538
    UMLS 2011AA Property
    C0018894
    T-Suppressor CD8+ %
    Description

    LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomePercentageValue

    Data type

    double

    Measurement units
    • %
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property
    C12542
    UMLS 2011AA Property
    C0242629
    NCI Thesaurus Property
    C12541
    UMLS 2011AA Property
    C0162556
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    %
    T-Suppressor CD8+ absolute count
    Description

    LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomeCount

    Data type

    double

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property
    C12542
    UMLS 2011AA Property
    C0242629
    NCI Thesaurus Property
    C12541
    UMLS 2011AA Property
    C0162556
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    Other, specify
    Description

    LaboratoryProcedureLymphocyteOutcomeName

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS 2011AA ValueDomain
    C1547383
    NCI Thesaurus Property
    C12535
    UMLS 2011AA Property
    C0024264
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    Percent Positive Lymphocytes
    Description

    LaboratoryProcedureLymphocyteOutcomePercentageValue

    Data type

    double

    Measurement units
    • %
    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C12535
    UMLS 2011AA Property
    C0024264
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ValueDomain
    C25613
    UMLS 2011AA ValueDomain
    C0439165
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    %
    Absolute Count
    Description

    LaboratoryProcedureLymphocyteOutcomeCount

    Data type

    double

    Alias
    NCI Thesaurus Property
    C12535
    UMLS 2011AA Property
    C0024264
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus ValueDomain
    C25463
    UMLS 2011AA ValueDomain
    C0750480
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    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-076 HIV T-Cell Laboratory Values Form (F24)
      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)
    SequentialFormSubmissionCount
    Item
    Sequence number
    double
    C19464 (NCI Thesaurus ObjectClass)
    C0376315 (UMLS 2011AA ObjectClass)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    C49153 (NCI Thesaurus ObjectClass)
    C1705294 (UMLS 2011AA ObjectClass)
    C25694 (NCI Thesaurus Property)
    C1515022 (UMLS 2011AA Property)
    Item Group
    Unnamed2
    LesionAssessmentDate
    Item
    Date of Evaluation (mm/dd/yyyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C3824 (NCI Thesaurus ObjectClass)
    C0221198 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25367 (NCI Thesaurus ValueDomain)
    Item Group
    T-cell Laboratory Values
    LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomePercentageValue
    Item
    T-Helper CD4+ %
    double
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C12537 (NCI Thesaurus Property)
    C0039215 (UMLS 2011AA Property)
    C12538 (NCI Thesaurus Property)
    C0018894 (UMLS 2011AA Property)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomeCount
    Item
    T-Helper CD4+ absolute count
    double
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C12537 (NCI Thesaurus Property)
    C0039215 (UMLS 2011AA Property)
    C12538 (NCI Thesaurus Property)
    C0018894 (UMLS 2011AA Property)
    LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomePercentageValue
    Item
    T-Suppressor CD8+ %
    double
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C12542 (NCI Thesaurus Property)
    C0242629 (UMLS 2011AA Property)
    C12541 (NCI Thesaurus Property)
    C0162556 (UMLS 2011AA Property)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomeCount
    Item
    T-Suppressor CD8+ absolute count
    double
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C12542 (NCI Thesaurus Property)
    C0242629 (UMLS 2011AA Property)
    C12541 (NCI Thesaurus Property)
    C0162556 (UMLS 2011AA Property)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    LaboratoryProcedureLymphocyteOutcomeName
    Item
    Other, specify
    text
    C25191 (NCI Thesaurus ValueDomain)
    C1547383 (UMLS 2011AA ValueDomain)
    C12535 (NCI Thesaurus Property)
    C0024264 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    LaboratoryProcedureLymphocyteOutcomePercentageValue
    Item
    Percent Positive Lymphocytes
    double
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C12535 (NCI Thesaurus Property)
    C0024264 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25613 (NCI Thesaurus ValueDomain)
    C0439165 (UMLS 2011AA ValueDomain)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    LaboratoryProcedureLymphocyteOutcomeCount
    Item
    Absolute Count
    double
    C12535 (NCI Thesaurus Property)
    C0024264 (UMLS 2011AA Property)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C25463 (NCI Thesaurus ValueDomain)
    C0750480 (UMLS 2011AA ValueDomain)
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (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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