ID

8612

Description

HIV T-Cell Laboratory Values - RF24 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=CCE3794C-8984-4792-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=CCE3794C-8984-4792-E034-0003BA12F5E7

Keywords

Versions (2)
  1. 9/20/12 9/20/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
Uploaded on

January 9, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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Sarcoma, Kaposi xxx Lab - HIV T-Cell Laboratory Values - RF24 - 2266672v3.0

English

No Instruction available.

1 forms  
  1. StudyEvent: HIV T-Cell Laboratory Values - RF24
    1. No Instruction available.
Ccrr Module For Hiv T-cell Laboratory Values - Rf24
Description

Ccrr Module For Hiv T-cell Laboratory Values - Rf24

Patient Initials
Description

Patient Initials

Data type

text

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

Protocol ID Coordinating Group

Data type

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#
Description

NCIInstitutionIdentifierCode

Data type

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#
Description

Patient Study ID

Data type

text

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

Cycle Number Chemotherapeutics

Data type

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
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-2
C25367
Which evaluation does this represent?
Description

TimePeriod

Data type

text

Other, (Positive lymphocytes) Absolute Count
Description

LaboratoryProcedureFirstOptionalPerformedValue

Data type

float

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus Property-2
C25509
UMLS 2011AA Property-2
C1279901
NCI Thesaurus Property-3
C25603
UMLS 2011AA Property-3
C1518600
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Other, (Positive lymphocytes) Absolute Count
Description

LaboratoryProcedureFirstOptionalPerformedValue

Data type

float

Alias
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus Property-2
C25509
UMLS 2011AA Property-2
C1279901
NCI Thesaurus Property-3
C25603
UMLS 2011AA Property-3
C1518600
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Other, specify (Positive lymphocytes)
Description

LaboratoryProcedureFirstOptionalPerformedSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus Property-2
C25509
UMLS 2011AA Property-2
C1279901
NCI Thesaurus ObjectClass
C25294
UMLS 2011AA ObjectClass
C0022885
NCI Thesaurus Property-3
C25603
UMLS 2011AA Property-3
C1518600
Cycle Day
Description

CycleDay

Data type

text

Sequence #
Description

Sequence#

Data type

text

T-Helper, CD4 (%)
Description

T-Helper,CD4(%)

Data type

text

T-Helper, CD4 Absolute Count
Description

T-Helper,CD4AbsoluteCount

Data type

text

T-Supressor, CD8 (%)
Description

T-Supressor,CD8(%)

Data type

text

T-Supressor, CD8 Absolute Count
Description

T-Supressor,CD8AbsoluteCount

Data type

text

T-Cell, CD3 (%)
Description

T-Cell,CD3(%)

Data type

text

T-Cell, CD3 Absolute Count
Description

T-Cell,CD3AbsoluteCount

Data type

text

B-Cell, CD19 (%)
Description

B-Cell,CD19(%)

Data type

text

B-Cell, CD19 Absolute Count
Description

B-Cell,CD19AbsoluteCount

Data type

text

T-Cell, CD20 (%)
Description

T-Cell,CD20(%)

Data type

text

T-Cell, CD20 Absolute Count
Description

T-Cell,CD20AbsoluteCount

Data type

text

CD38 expresson on CD4 positive T-cells
Description

CD38expressononCD4positiveT-cells

Data type

text

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No Instruction available.

1 forms
  1. StudyEvent: HIV T-Cell Laboratory Values - RF24
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Ccrr Module For Hiv T-cell Laboratory Values - Rf24
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)
C25367 (NCI Thesaurus ValueDomain-2)
Item
Which evaluation does this represent?
text
CL.1
Code List
Which evaluation does this represent?
CL Item
Entry/Baseline (Entry/Baseline)
CL Item
On Treatment (On Treatment)
CL Item
Post Therapy Evaluation (Post Therapy Evaluation)
LaboratoryProcedureFirstOptionalPerformedValue
Item
Other, (Positive lymphocytes) Absolute Count
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property-2)
C1279901 (UMLS 2011AA Property-2)
C25603 (NCI Thesaurus Property-3)
C1518600 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
LaboratoryProcedureFirstOptionalPerformedValue
Item
Other, (Positive lymphocytes) Absolute Count
float
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property-2)
C1279901 (UMLS 2011AA Property-2)
C25603 (NCI Thesaurus Property-3)
C1518600 (UMLS 2011AA Property-3)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
LaboratoryProcedureFirstOptionalPerformedSpecify
Item
Other, specify (Positive lymphocytes)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C25509 (NCI Thesaurus Property-2)
C1279901 (UMLS 2011AA Property-2)
C25294 (NCI Thesaurus ObjectClass)
C0022885 (UMLS 2011AA ObjectClass)
C25603 (NCI Thesaurus Property-3)
C1518600 (UMLS 2011AA Property-3)
CycleDay
Item
Cycle Day
text
Sequence#
Item
Sequence #
text
T-Helper,CD4(%)
Item
T-Helper, CD4 (%)
text
T-Helper,CD4AbsoluteCount
Item
T-Helper, CD4 Absolute Count
text
T-Supressor,CD8(%)
Item
T-Supressor, CD8 (%)
text
T-Supressor,CD8AbsoluteCount
Item
T-Supressor, CD8 Absolute Count
text
T-Cell,CD3(%)
Item
T-Cell, CD3 (%)
text
T-Cell,CD3AbsoluteCount
Item
T-Cell, CD3 Absolute Count
text
B-Cell,CD19(%)
Item
B-Cell, CD19 (%)
text
B-Cell,CD19AbsoluteCount
Item
B-Cell, CD19 Absolute Count
text
T-Cell,CD20(%)
Item
T-Cell, CD20 (%)
text
T-Cell,CD20AbsoluteCount
Item
T-Cell, CD20 Absolute Count
text
CD38expressononCD4positiveT-cells
Item
CD38 expresson on CD4 positive T-cells
text
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