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726

Beschrijving

AMC-061 HIV Viral Load Form (F40) Sunitinib Malate in Treating HIV-Positive Patients With Cancer Undergoing Highly Active Antiretroviral Therapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=715886E9-A940-36FE-E040-BB89AD430F6F

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=715886E9-A940-36FE-E040-BB89AD430F6F

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Versies (2)
  1. 26-08-12 26-08-12 -
  2. 20-06-17 20-06-17 - Martin Dugas
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26 augustus 2012

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Creative Commons BY-NC 3.0
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    Brain and Central Nervous System Tumors NCT00890747 Lab - AMC-061 HIV Viral Load Form (F40) - 2933381v1.0

    Engels

    No Instruction available.

    1 Formulieren  
    1. StudyEvent: AMC-061 HIV Viral Load Form (F40)
      1. No Instruction available.
    Unnamed1
    Beschrijving

    Unnamed1

    Visit number
    Beschrijving

    HospitalAdmissionOrdinalNumber

    Datatype

    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
    Beschrijving

    Unnamed2

    Date Specimen Obtained (mm/dd/yyyy)
    Beschrijving

    SpecimenCollectedDate

    Datatype

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    NCI Thesaurus ObjectClass
    C19157
    UMLS 2011AA ObjectClass
    C0370003
    NCI Thesaurus Property
    C25452
    NCI Thesaurus Property
    C25275
    UMLS 2011AA Property
    C2745955
    Results of HIV viral load assay (Enter results from right to left.)
    Beschrijving

    HumanImmunodeficiencyVirusViralLoadAssayPerformedAmount

    Datatype

    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
    Beschrijving

    HumanImmunodeficiencyVirusViralLoadAssayPerformedValue

    Datatype

    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
    Beschrijving

    HumanImmunodeficiencyVirusViralLoadAssayPerformedType

    Datatype

    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
    Beschrijving

    HumanImmunodeficiencyVirusViralLoadAssayPerformedSpecify

    Datatype

    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
    Beschrijving

    HumanImmunodeficiencyVirusViralLoadAssayPerformedCategory

    Datatype

    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)
    Beschrijving

    HumanImmunodeficiencyVirusViralLoadAssayLowerThresholdDetectedNumber

    Datatype

    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)
    Beschrijving

    SpecimenLabIdentifierName

    Datatype

    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
    Beschrijving

    Comments

    Comments
    Beschrijving

    ResearchCommentsText

    Datatype

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
    UMLS 2011AA Property
    C0282411
    Terug naar het begin van de pagina

    Similar models

    No Instruction available.

    1 Formulieren
    1. StudyEvent: AMC-061 HIV Viral Load Form (F40)
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    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
    SpecimenCollectedDate
    Item
    Date Specimen Obtained (mm/dd/yyyy)
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    C19157 (NCI Thesaurus ObjectClass)
    C0370003 (UMLS 2011AA ObjectClass)
    C25452 (NCI Thesaurus Property)
    C25275 (NCI Thesaurus Property)
    C2745955 (UMLS 2011AA Property)
    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)
    Terug naar het begin van de pagina 

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