ID
9999
Description
AMC-058 Missed Visit Form (F35) Detecting Anal and Genital Human Papillomavirus Infection and Squamous Intraepithelial Lesions in HIV-Positive Patients Enrolled in AIDS Cancer Clinical Trials NCT00695422 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=84985F78-ADFC-9672-E040-BB89AD43767C
Link
Keywords
Versions (2)
- 8/26/12 8/26/12 -
- 3/13/15 3/13/15 - Martin Dugas
Uploaded on
March 13, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Aids-related Malignancies NCT00695422 On-Study - AMC-058 Missed Visit Form (F35) - 3063630v1.0
No Instruction available.
- StudyEvent: AMC-058 Missed Visit Form (F35)
Description
Missed Visit Information
Alias
- UMLS CUI-1
- C1705492
- UMLS CUI-2
- C1512346
Description
PatientAbsentVisitDate
Data type
date
Measurement units
- mm/dd/yyyy
Alias
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C48190
- NCI Thesaurus Property-2
- C25716
- UMLS CUI-1
- C1705492
- UMLS CUI-2
- C1512346
- UMLS CUI-3
- C0011008
Description
PatientAbsentVisitReason
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C48190
- NCI Thesaurus Property-2
- C25716
- UMLS CUI-1
- C0392360
- UMLS CUI-2
- C0030705
- UMLS CUI-3
- C0332197
- UMLS CUI-4
- C0545082
Description
PatientAbsentVisitSpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C48190
- NCI Thesaurus Property-2
- C25716
- UMLS CUI-1
- C1521902
- UMLS CUI-2
- C0030705
- UMLS CUI-3
- C0332197
- UMLS CUI-4
- C0545082
Description
PatientScheduleNextVisitInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C53286
- NCI Thesaurus Property-2
- C25211
- NCI Thesaurus Property-3
- C25716
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI-1
- C0184760
Similar models
No Instruction available.
- StudyEvent: AMC-058 Missed Visit Form (F35)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI-1)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0947611 (UMLS CUI-1)
C1512346 (UMLS CUI-2)
C16960 (NCI Thesaurus ObjectClass)
C48190 (NCI Thesaurus Property)
C25716 (NCI Thesaurus Property-2)
C1705492 (UMLS CUI-1)
C1512346 (UMLS CUI-2)
C0011008 (UMLS CUI-3)
C16960 (NCI Thesaurus ObjectClass)
C48190 (NCI Thesaurus Property)
C25716 (NCI Thesaurus Property-2)
C0392360 (UMLS CUI-1)
C0030705 (UMLS CUI-2)
C0332197 (UMLS CUI-3)
C0545082 (UMLS CUI-4)
C16960 (NCI Thesaurus ObjectClass)
C48190 (NCI Thesaurus Property)
C25716 (NCI Thesaurus Property-2)
C1521902 (UMLS CUI-1)
C0030705 (UMLS CUI-2)
C0332197 (UMLS CUI-3)
C0545082 (UMLS CUI-4)
C53286 (NCI Thesaurus Property)
C25211 (NCI Thesaurus Property-2)
C25716 (NCI Thesaurus Property-3)
C38147 (NCI Thesaurus ValueDomain)
C0184760 (UMLS CUI-1)