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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

  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

    No Instruction available.

    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

    Similar models

    No Instruction available.

    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
    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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