ID
667
Description
AMC-061 Baseline Evaluation Form (B61) 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=715BD918-9168-2975-E040-BB89AD434610
Lien
Mots-clés
Versions (2)
- 26/08/2012 26/08/2012 -
- 20/05/2015 20/05/2015 - Martin Dugas
Téléchargé le
26 août 2012
DOI
Pour une demande vous connecter.
Licence
Creative Commons BY-NC 3.0 Legacy
Modèle Commentaires :
Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.
Groupe Item commentaires pour :
Item commentaires pour :
Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.
Brain and Central Nervous System Tumors NCT00890747 On-Study - AMC-061 Baseline Evaluation Form (B61) - 2933416v1.0
Complete this form at baseline only
- StudyEvent: AMC-061 Baseline Evaluation Form (B61)
Description
Unnamed2
Description
CancerInitialDiagnosisDate
Type de données
date
Alias
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus Property
- C25509
- UMLS 2011AA Property
- C1279901
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ValueDomain
- C25367
Description
DiseaseDescriptionStatus
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Description
HematopoieticDiseaseDiagnosisType
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ObjectClass
- C13324
- UMLS 2011AA ObjectClass
- C0229601
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
DiseaseDiagnosisHematopoieticSpecify
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ValueDomain
- C13324
- UMLS 2011AA ValueDomain
- C0229601
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
DiffuseLargeB-CellLymphomaMorphologyType
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C8851
- UMLS 2011AA ObjectClass
- C0079744
- NCI Thesaurus Property
- C17943
- UMLS 2011AA Property
- C0700619
Description
Burkitt'sLymphomaMorphologyType
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C2912
- UMLS 2011AA ObjectClass
- C0006413
- NCI Thesaurus Property
- C17943
- UMLS 2011AA Property
- C0700619
Description
Kaposi's Sarcoma Assessment
Description
KaposiSarcomaMalignantNeoplasmCutaneousAssessmentInd-2
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus ObjectClass
- C9087
- UMLS 2011AA ObjectClass
- C0036220
- NCI Thesaurus Property
- C25367
- NCI Thesaurus Property
- C13316
- UMLS 2011AA Property
- C0221912
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
KaposiSarcomaMalignantNeoplasmElevatedCount
Type de données
double
Alias
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus ObjectClass
- C9087
- UMLS 2011AA ObjectClass
- C0036220
- NCI Thesaurus Property
- C25493
- UMLS 2011AA Property
- C0205250
- NCI Thesaurus Property
- C25256
- UMLS 2011AA Property
- C1265611
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Description
KaposiSarcomaMalignantNeoplasmFlatCount
Type de données
double
Alias
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus ObjectClass
- C9087
- UMLS 2011AA ObjectClass
- C0036220
- NCI Thesaurus Property
- C25256
- UMLS 2011AA Property
- C1265611
- NCI Metathesaurus Property
- C0205324
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Description
OralCavityDisorderAssessmentIndicator
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus Property
- C25367
- NCI Thesaurus ObjectClass
- C27641
- UMLS 2011AA ObjectClass
- C0026636
Description
VisceralNeoplasmPresentInd-3
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus Property
- C25626
- UMLS 2011AA Property
- C0150312
- NCI Thesaurus ObjectClass
- C25315
- UMLS 2011AA ObjectClass
- C0442045
Description
Hematologic Malignancy Assessment
Description
HematologicLeukemiaDiseaseDiagnosisType
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C62780
- UMLS 2011AA ObjectClass
- C0205488
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ObjectClass
- C3161
- UMLS 2011AA ObjectClass
- C0023418
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Description
AcuteLymphoblasticLeukemiaDiseaseDiagnosisType
Type de données
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
- C3167
- UMLS 2011AA ObjectClass
- C0023449
Description
AcuteMyeloidLeukemiaDiseaseDiagnosisType
Type de données
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C3171
- UMLS 2011AA ObjectClass
- C0023467
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
ChronicLymphoidLeukemiaDiseaseDiagnosisType
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ObjectClass
- C14141
- UMLS 2011AA ObjectClass
- C0205191
- NCI Thesaurus ObjectClass
- C7539
- UMLS 2011AA ObjectClass
- C0023448
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Description
ChronicMyeloproliferativeDisorderDiseaseDiagnosisType
Type de données
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
- C4345
- UMLS 2011AA ObjectClass
- C1292778
Description
LeukemiaMiscellaneousDiseaseDiagnosisType
Type de données
text
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus ObjectClass
- C3161
- UMLS 2011AA ObjectClass
- C0023418
- NCI Thesaurus ObjectClass
- C69023
- UMLS 2011AA ObjectClass
- C0205395
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Description
Comments
Similar models
Complete this form at baseline only
- StudyEvent: AMC-061 Baseline Evaluation Form (B61)
C0237753 (UMLS 2011AA ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C0019994 (UMLS 2011AA ObjectClass)
C25385 (NCI Thesaurus Property)
C0809949 (UMLS 2011AA Property)
C0006826 (UMLS 2011AA ObjectClass)
C25509 (NCI Thesaurus Property)
C1279901 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
C0012634 (UMLS 2011AA ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C1513040 (UMLS 2011AA)
C1518373 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C13324 (NCI Thesaurus ObjectClass)
C0229601 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C0079744 (UMLS 2011AA)
C1292753 (UMLS 2011AA)
C0019829 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C1521902 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C13324 (NCI Thesaurus ValueDomain)
C0229601 (UMLS 2011AA ValueDomain)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C0332307 (UMLS 2011AA ValueDomain)
C8851 (NCI Thesaurus ObjectClass)
C0079744 (UMLS 2011AA ObjectClass)
C17943 (NCI Thesaurus Property)
C0700619 (UMLS 2011AA Property)
C0332307 (UMLS 2011AA ValueDomain)
C2912 (NCI Thesaurus ObjectClass)
C0006413 (UMLS 2011AA ObjectClass)
C17943 (NCI Thesaurus Property)
C0700619 (UMLS 2011AA Property)
C0006826 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C13316 (NCI Thesaurus Property)
C0221912 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0006826 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C25493 (NCI Thesaurus Property)
C0205250 (UMLS 2011AA Property)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C0006826 (UMLS 2011AA ObjectClass)
C9087 (NCI Thesaurus ObjectClass)
C0036220 (UMLS 2011AA ObjectClass)
C25256 (NCI Thesaurus Property)
C1265611 (UMLS 2011AA Property)
C0205324 (NCI Metathesaurus Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus Property)
C27641 (NCI Thesaurus ObjectClass)
C0026636 (UMLS 2011AA ObjectClass)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C3262 (NCI Thesaurus ObjectClass)
C0027651 (UMLS 2011AA ObjectClass)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C25315 (NCI Thesaurus ObjectClass)
C0442045 (UMLS 2011AA ObjectClass)
C0205488 (UMLS 2011AA ObjectClass)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C3161 (NCI Thesaurus ObjectClass)
C0023418 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C0023449 (UMLS 2011AA)
C0023467 (UMLS 2011AA)
C0023434 (UMLS 2011AA)
C1292778 (UMLS 2011AA)
C0023418 (UMLS 2011AA)
C3161 (NCI Thesaurus)
C0023418 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C3167 (NCI Thesaurus ObjectClass)
C0023449 (UMLS 2011AA ObjectClass)
C1292769 (UMLS 2011AA)
C1961099 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C3171 (NCI Thesaurus ObjectClass)
C0023467 (UMLS 2011AA ObjectClass)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C0012634 (UMLS 2011AA ObjectClass)
C14141 (NCI Thesaurus ObjectClass)
C0205191 (UMLS 2011AA ObjectClass)
C7539 (NCI Thesaurus ObjectClass)
C0023448 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C0023493 (UMLS 2011AA)
C0023443 (UMLS 2011AA)
C0023486 (UMLS 2011AA)
C1955861 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C4345 (NCI Thesaurus ObjectClass)
C1292778 (UMLS 2011AA ObjectClass)
C1518602 (UMLS 2011AA)
C27038 (NCI Thesaurus)
C1540912 (UMLS 2011AA)
C4563 (NCI Thesaurus)
C0346421 (UMLS 2011AA)
C0001815 (UMLS 2011AA)
C0279543 (UMLS 2011AA)
C0040028 (UMLS 2011AA)
C0032463 (UMLS 2011AA)
C0012634 (UMLS 2011AA ObjectClass)
C3161 (NCI Thesaurus ObjectClass)
C0023418 (UMLS 2011AA ObjectClass)
C69023 (NCI Thesaurus ObjectClass)
C0205395 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C0023418 (UMLS 2011AA)
C3161 (NCI Thesaurus)
C0023418 (UMLS 2011AA)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)