ID

8566

Beschreibung

History of AIDS Defining Diseases - RF03B Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=CCE36D78-FA64-4758-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=CCE36D78-FA64-4758-E034-0003BA12F5E7

Stichworte

Versionen (2)
  1. 19.09.12 19.09.12 -
  2. 09.01.15 09.01.15 - Martin Dugas
Hochgeladen am

9. Januar 2015

DOI

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Lizenz

Creative Commons BY-NC 3.0 Legacy
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Sarcoma, Kaposi xxx On-Study - History of AIDS Defining Diseases - RF03B - 2266635v3.0

Englisch

No Instruction available.

1 Formulare  
  1. StudyEvent: History of AIDS Defining Diseases - RF03B
    1. No Instruction available.
Ccrr Module For History Of Aids Defining Diseases - Rf03b
Beschreibung

Ccrr Module For History Of Aids Defining Diseases - Rf03b

Patient Initials
Beschreibung

Patient Initials

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Study#
Beschreibung

Protocol ID Coordinating Group

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C3274381
NCI Thesaurus ObjectClass
C25320
UMLS CUI-2
C1711341
NCI Thesaurus Property
C25462
NCI Thesaurus Property-2
C25364
Site#
Beschreibung

NCIInstitutionIdentifierCode

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
NCI Thesaurus ObjectClass
C21541
UMLS 2011AA ObjectClass
C0018704
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass-2
C19202
UMLS 2011AA ObjectClass-2
C1513882
ID#
Beschreibung

Patient Study ID

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25462
NCI Thesaurus Property-2
C25364
Cycle #
Beschreibung

Cycle Number Chemotherapeutics

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2045829
NCI Thesaurus Property
C25471
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus Property-2
C25379
Date of Visit
Beschreibung

LesionAssessmentDate

Datentyp

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
Diseases
Beschreibung

ChronicDiseaseDiagnosisType

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
NCI Thesaurus ObjectClass-2
C14141
UMLS 2011AA ObjectClass-2
C0205191
Check if still active
Beschreibung

ChronicDiseasePresentInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus ObjectClass-2
C14141
UMLS 2011AA ObjectClass-2
C0205191
Check if still active
Beschreibung

ChronicDiseasePresentInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus ObjectClass-2
C14141
UMLS 2011AA ObjectClass-2
C0205191
Check if still active
Beschreibung

ChronicDiseasePresentInd-3

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus ObjectClass-2
C14141
UMLS 2011AA ObjectClass-2
C0205191
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Ähnliche Modelle

No Instruction available.

1 Formulare
  1. StudyEvent: History of AIDS Defining Diseases - RF03B
    1. No Instruction available.
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Ccrr Module For History Of Aids Defining Diseases - Rf03b
Patient Initials
Item
Patient Initials
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Protocol ID Coordinating Group
Item
Study#
text
C25337 (NCI Thesaurus ValueDomain)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1711341 (UMLS CUI-2)
C25462 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
NCIInstitutionIdentifierCode
Item
Site#
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C19202 (NCI Thesaurus ObjectClass-2)
C1513882 (UMLS 2011AA ObjectClass-2)
Patient Study ID
Item
ID#
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25462 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
Cycle Number Chemotherapeutics
Item
Cycle #
text
C25337 (NCI Thesaurus ValueDomain)
C2045829 (UMLS CUI-1)
C25471 (NCI Thesaurus Property)
C15368 (NCI Thesaurus ObjectClass)
C25379 (NCI Thesaurus Property-2)
LesionAssessmentDate
Item
Date of Visit
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)
Item
Diseases
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C14141 (NCI Thesaurus ObjectClass-2)
C0205191 (UMLS 2011AA ObjectClass-2)
CL.2
Code List
Diseases
CL Item
Candidiasis of bronchi, trachea or lungs (Candidiasis of bronchi, trachea or lungs)
CL Item
Candidiasis, esophageal (Candidiasis, esophageal)
CL Item
Cervical cancer, invasive (Cervical cancer, invasive)
CL Item
Coccidioidomycosis, disseminated or extrapulmunary (Coccidioidomycosis, disseminated or extrapulmunary)
CL Item
Cryptococcosis, extrapulmonary (Cryptococcosis, extrapulmonary)
CL Item
Cryptosporidiosis, chronic intestinal (Cryptosporidiosis, chronic intestinal)
CL Item
CMV other than liver, spleen or nodes (CMV other than liver, spleen or nodes)
CL Item
CMV retinitis (CMV retinitis)
CL Item
Encephalopathy, HIV-related (Encephalopathy, HIV-related)
CL Item
Herpes simplex, chronic ulcer or bronchitis, pneumasitic or esophagitis (Herpes simplex, chronic ulcer or bronchitis, pneumasitic or esophagitis)
CL Item
Histoplasmosis, disseminated or extrapulmonary (Histoplasmosis, disseminated or extrapulmonary)
CL Item
Isosporiasis, chronic intestinal (>1 mon) (Isosporiasis, chronic intestinal (>1 mon))
CL Item
Kaposi's sarcoma (Kaposi's sarcoma)
CL Item
Lymphoma, systemic non-Hodgkin's (Lymphoma, systemic non-Hodgkin's)
CL Item
Lymphoma, primary CNS (Lymphoma, primary CNS)
CL Item
Mycobacterium avium complex, disseminated or extrapulmonary (Mycobacterium avium complex, disseminated or extrapulmonary)
CL Item
Mycobacterium tuberculosis (Mycobacterium tuberculosis)
CL Item
Mycobacterium, other disseminated or extrapulmonary (Mycobacterium, other disseminated or extrapulmonary)
CL Item
Pneumocystis carinii pneumonia (Pneumocystis carinii pneumonia)
CL Item
Pneumonia, recurrent (Pneumonia, recurrent)
CL Item
Nocardiosis (Nocardiosis)
CL Item
Progressive multi-focal leukoencephalopathy (Progressive multi-focal leukoencephalopathy)
CL Item
Salmonella septicemia (Salmonella septicemia)
CL Item
Toxoplasmosis of the brain (Toxoplasmosis of the brain)
CL Item
Wasting syndrome, due to HIV (Wasting syndrome, due to HIV)
ChronicDiseasePresentInd-3
Item
Check if still active
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C14141 (NCI Thesaurus ObjectClass-2)
C0205191 (UMLS 2011AA ObjectClass-2)
ChronicDiseasePresentInd-3
Item
Check if still active
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C14141 (NCI Thesaurus ObjectClass-2)
C0205191 (UMLS 2011AA ObjectClass-2)
ChronicDiseasePresentInd-3
Item
Check if still active
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C14141 (NCI Thesaurus ObjectClass-2)
C0205191 (UMLS 2011AA ObjectClass-2)
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