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  1. StudyEvent: AMC-076 HPV On-Study Form (ONS)
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Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header Module
Hospital Admission Ordinal Number
Item
Visit number
text
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI-1)
Item Group
HIV Status
HIV Diagnosis Date
Item
Date of HIV+ diagnosis (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C14219 (NCI Thesaurus ObjectClass)
C15220 (NCI Thesaurus Property)
C0920550 (UMLS CUI-1)
C2316983 (UMLS CUI-2)
AIDS Diagnosis Date
Item
Date of AIDS diagnosis (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C15220 (NCI Thesaurus Property)
C2851 (NCI Thesaurus ObjectClass)
C2316983 (UMLS CUI-1)
C0597774 (UMLS CUI-2)
Item
CDC HIV Risk Group
text
C16960 (NCI Thesaurus ObjectClass)
C14219 (NCI Thesaurus Property)
C17102 (NCI Thesaurus Property-2)
C25161 (NCI Thesaurus Property-3)
C25372 (NCI Thesaurus ValueDomain)
C0425042 (UMLS CUI-1)
CL.1
Code List
CDC HIV Risk Group
CL Item
Homosexual Or Bisexual Contact (Homosexual or bisexual contact)
C0019900 (UMLS CUI-1)
C0005639 (UMLS CUI-2)
CL Item
Heterosexual Contact (Heterosexual contact)
C0556476 (UMLS CUI-1)
CL Item
Iv Drug User (IV drug user)
C0860112 (UMLS CUI-1)
CL Item
Transfusion Recipient (Transfusion recipient)
C0005841 (UMLS CUI-1)
C1709854 (UMLS CUI-2)
CL Item
Hemophilia (Hemophiliac)
C3093 (NCI Thesaurus)
C0684275 (UMLS CUI-1)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS CUI-1)
Patient Human Immuno deficiency Virus Risk Category Specify
Item
Other, specify
text
C25685 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C14219 (NCI Thesaurus Property)
C17102 (NCI Thesaurus Property-2)
C25161 (NCI Thesaurus Property-3)
C0425042 (UMLS CUI-1)
Item Group
Condyloma Status
HPV Disease Genital Anal Condyloma Personal Medical History
Item
History of anal, perianal, or genital condyloma (If "Yes", answer the following)
boolean
C2991 (NCI Thesaurus ObjectClass)
C14226 (NCI Thesaurus ObjectClass-2)
C13348 (NCI Thesaurus Property)
C18772 (NCI Thesaurus Property-2)
C4054 (NCI Thesaurus Property-3)
C38147 (NCI Thesaurus ValueDomain)
C0302180 (UMLS CUI-1)
Item
History of penile or genital condyloma
text
C2991 (NCI Thesaurus ObjectClass)
C14226 (NCI Thesaurus ObjectClass-2)
C13348 (NCI Thesaurus Property)
C12409 (NCI Thesaurus Property-2)
C18772 (NCI Thesaurus Property-3)
C2960 (NCI Thesaurus Property-4)
C25688 (NCI Thesaurus ValueDomain)
C0262926 (UMLS CUI-1)
C0302180 (UMLS CUI-2)
CL.3
Code List
History of penile or genital condyloma
CL Item
Yes, Resolved With History Of Treatment (Yes, resolved with history of treatment)
CL Item
Yes, Resolved Without Treatment (Yes, resolved without treatment)
CL Item
Active Genital Condyloma (Active genital condyloma)
CL Item
Active Penile Condyloma (Active penile condyloma)
CL Item
No History (No history)
Item
History of perianal condyloma
text
C2991 (NCI Thesaurus ObjectClass)
C14226 (NCI Thesaurus ObjectClass-2)
C18772 (NCI Thesaurus Property)
C52247 (NCI Thesaurus Property-2)
C4054 (NCI Thesaurus Property-3)
C25688 (NCI Thesaurus ValueDomain)
C0262926 (UMLS CUI-1)
C1282914 (UMLS CUI-2)
C0281779 (UMLS CUI-3)
CL.4
Code List
History of perianal condyloma
CL Item
Yes, Resolved With History Of Treatment (Yes, resolved with history of treatment)
CL Item
Yes, Resolved Without Treatment (Yes, resolved without treatment)
CL Item
Active Perianal Condyloma (Active perianal condyloma)
CL Item
No History (No history)
Item
History of intraanal condlyoma
text
C2991 (NCI Thesaurus ObjectClass)
C14226 (NCI Thesaurus ObjectClass-2)
C25234 (NCI Thesaurus Property)
C18772 (NCI Thesaurus Property-2)
C4054 (NCI Thesaurus Property-3)
C25688 (NCI Thesaurus ValueDomain)
C0281779 (UMLS CUI-1)
C0262926 (UMLS CUI-2)
CL.5
Code List
History of intraanal condlyoma
CL Item
Yes, Resolved With History Of Treatment (Yes, resolved with history of treatment)
CL Item
Yes, Resolved Without Treatment (Yes, resolved without treatment)
CL Item
Active Intraanal Condyloma (Active intraanal condyloma)
CL Item
No History (No history)
Item Group
Comments
Research Comments
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS CUI-1)
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