ID

6202

Description

AMC-078 HIV T-Cell Laboratory Values Form (CD4) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=

Keywords

  1. 12/18/14 12/18/14 - Martin Dugas
Uploaded on

December 18, 2014

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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AMC-078 HIV T-Cell Laboratory Values Form (CD4) - 3369124v1.0

No Instruction available.

  1. StudyEvent: SE.0000
    1. No Instruction available.
Header Module
Description

Header Module

Alias
UMLS CUI-1
C1320722
Visit number
Description

HospitalAdmissionOrdinalNumber

Data type

double

Sequence number
Description

SequentialFormSubmissionCount

Data type

double

Date of Evaluation (mm/dd/yyyy)
Description

LesionAssessmentDate

Data type

date

T-cell Laboratory Values
Description

T-cell Laboratory Values

T-Helper CD4+ %
Description

LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomePercentageValue

Data type

double

Measurement units
  • %
%
T-Helper CD4+ absolute count
Description

LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomeCount

Data type

double

T-Suppressor CD8+ %
Description

LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomePercentageValue

Data type

double

Measurement units
  • %
%
T-Suppressor CD8+ absolute count
Description

LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomeCount

Data type

double

Other, specify
Description

LaboratoryProcedureLymphocyteOutcomeName

Data type

text

Percent Positive Lymphocytes
Description

LaboratoryProcedureLymphocyteOutcomePercentageValue

Data type

double

Measurement units
  • %
%
Absolute Count
Description

LaboratoryProcedureLymphocyteOutcomeCount

Data type

double

Comments
Description

Comments

Comments
Description

ResearchCommentsText

Data type

text

Similar models

No Instruction available.

  1. StudyEvent: SE.0000
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header Module
C1320722 (UMLS CUI-1)
HospitalAdmissionOrdinalNumber
Item
Visit number
double
SequentialFormSubmissionCount
Item
Sequence number
double
LesionAssessmentDate
Item
Date of Evaluation (mm/dd/yyyy)
date
Item Group
T-cell Laboratory Values
LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomePercentageValue
Item
T-Helper CD4+ %
double
LaboratoryProcedureCD4-PositiveT-LymphocyteHelper-InducerT-LymphocyteOutcomeCount
Item
T-Helper CD4+ absolute count
double
LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomePercentageValue
Item
T-Suppressor CD8+ %
double
LaboratoryProcedureCD8-PositiveT-LymphocyteSuppressor-InducerT-LymphocyteOutcomeCount
Item
T-Suppressor CD8+ absolute count
double
LaboratoryProcedureLymphocyteOutcomeName
Item
Other, specify
text
LaboratoryProcedureLymphocyteOutcomePercentageValue
Item
Percent Positive Lymphocytes
double
LaboratoryProcedureLymphocyteOutcomeCount
Item
Absolute Count
double
Item Group
Comments
ResearchCommentsText
Item
Comments
text

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