Anal Cancer NCT00550589 Lab - AMC-046 HIV Viral Load Form (F40) - 2933354v1.0
AMC-046 HIV Viral Load Form (F40) Cidofovir in Treating HIV-Infected Patients With High-Grade Squamous Intraepithelial Lesions of the Skin Near the Anus NCT00550589 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=715886E9-A905-36FE-E040-BB89AD430F6F

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  1. StudyEvent: AMC-046 HIV Viral Load Form (F40)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
HospitalAdmissionOrdinalNumber
Item
Visit number
integer
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI-1)
Item Group
Item
Results of HIV viral load assay (Enter results from right to left.)
text
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25417 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
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
Undetectable (Undetectable)
CL Item
) (Equal to ()
HIV viral load value
Item
HIV viral load value
float
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25712 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
Item
Method of detection
text
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25284 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
C0005507 (UMLS CUI-3)
C0884358 (UMLS CUI-4)
C0332307 (UMLS CUI-5)
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)
Other HIV viral load assay
Item
Other, specify
text
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25685 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
Item
HIV viral load assay type
text
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C38000 (NCI Thesaurus Property)
C25372 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
C0005507 (UMLS CUI-3)
C0683312 (UMLS CUI-4)
Code List
HIV viral load assay type
CL Item
Standard (Standard)
CL Item
Ultra (Ultra)
HIV virus load lower threshold
Item
Limits of detection
float
C14219 (NCI Thesaurus ObjectClass)
C51952 (NCI Thesaurus ObjectClass-2)
C16341 (NCI Thesaurus ObjectClass-3)
C48228 (NCI Thesaurus Property)
C25309 (NCI Thesaurus Property-2)
C25481 (NCI Thesaurus Property-3)
C25337 (NCI Thesaurus ValueDomain)
C0019682 (UMLS CUI-1)
C0376705 (UMLS CUI-2)
C0449864 (UMLS CUI-3)
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-2)
C0370003 (UMLS 2011AA ObjectClass-2)
ResearchCommentsText
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)