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Eligibility Breast Neoplasms NCT00830973

1 forms  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
patient currently has a pharmacy benefit with medco for an enrolled client
Description

Pharmacy Benefit Clinical trial participant

Data type

boolean

Alias
UMLS CUI [1,1]
C0031322
UMLS CUI [1,2]
C0010187
UMLS CUI [1,3]
C1997894
patient has a adjudicated tamoxifen pharmacy claims within the last six months
Description

Tamoxifen | Insurance, Pharmaceutical Services

Data type

boolean

Alias
UMLS CUI [1]
C0039286
UMLS CUI [2]
C0021691
patient is still taking tamoxifen to prevent recurrent breast cancer
Description

Tamoxifen | Prevention Breast cancer recurrent

Data type

boolean

Alias
UMLS CUI [1]
C0039286
UMLS CUI [2,1]
C2700409
UMLS CUI [2,2]
C0278493
patient is a natural postmenopausal women 50 years of age or older
Description

Postmenopausal state | Age

Data type

boolean

Alias
UMLS CUI [1]
C0232970
UMLS CUI [2]
C0001779
patient signs consent
Description

Informed Consent

Data type

boolean

Alias
UMLS CUI [1]
C0021430
patient is willing to provide sample for genetic testing
Description

Sample Provide Genetic testing

Data type

boolean

Alias
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1999230
UMLS CUI [1,3]
C0679560
physician managing tamoxifen therapy is willing to order pharmacogenetic test
Description

Tamoxifen | Pharmacogenetic Test Willing

Data type

boolean

Alias
UMLS CUI [1]
C0039286
UMLS CUI [2,1]
C2347500
UMLS CUI [2,2]
C0600109
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
patient is male
Description

Gender

Data type

boolean

Alias
UMLS CUI [1]
C0079399
patient is under 50 years old
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
patient has previous history of cyp450 2d6 testing
Description

Cytochrome P-450 2D6 Testing

Data type

boolean

Alias
UMLS CUI [1,1]
C0057223
UMLS CUI [1,2]
C0039593
patient is no longer taking tamoxifen
Description

Tamoxifen Discontinued

Data type

boolean

Alias
UMLS CUI [1,1]
C0039286
UMLS CUI [1,2]
C1444662
patient refuses to sign consent
Description

Informed Consent Refused

Data type

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C1705116
patient wishes to no longer participate after testing
Description

Participation Continue Unwilling | Testing Status post

Data type

boolean

Alias
UMLS CUI [1,1]
C0679823
UMLS CUI [1,2]
C0549178
UMLS CUI [1,3]
C0558080
UMLS CUI [2,1]
C0039593
UMLS CUI [2,2]
C0231290
patient's physician refuses to order pharmacogenetic test
Description

Pharmacogenetic Test Refused

Data type

boolean

Alias
UMLS CUI [1,1]
C2347500
UMLS CUI [1,2]
C1705116
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Similar models

Eligibility Breast Neoplasms NCT00830973

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Pharmacy Benefit Clinical trial participant
Item
patient currently has a pharmacy benefit with medco for an enrolled client
boolean
C0031322 (UMLS CUI [1,1])
C0010187 (UMLS CUI [1,2])
C1997894 (UMLS CUI [1,3])
Tamoxifen | Insurance, Pharmaceutical Services
Item
patient has a adjudicated tamoxifen pharmacy claims within the last six months
boolean
C0039286 (UMLS CUI [1])
C0021691 (UMLS CUI [2])
Tamoxifen | Prevention Breast cancer recurrent
Item
patient is still taking tamoxifen to prevent recurrent breast cancer
boolean
C0039286 (UMLS CUI [1])
C2700409 (UMLS CUI [2,1])
C0278493 (UMLS CUI [2,2])
Postmenopausal state | Age
Item
patient is a natural postmenopausal women 50 years of age or older
boolean
C0232970 (UMLS CUI [1])
C0001779 (UMLS CUI [2])
Informed Consent
Item
patient signs consent
boolean
C0021430 (UMLS CUI [1])
Sample Provide Genetic testing
Item
patient is willing to provide sample for genetic testing
boolean
C0370003 (UMLS CUI [1,1])
C1999230 (UMLS CUI [1,2])
C0679560 (UMLS CUI [1,3])
Tamoxifen | Pharmacogenetic Test Willing
Item
physician managing tamoxifen therapy is willing to order pharmacogenetic test
boolean
C0039286 (UMLS CUI [1])
C2347500 (UMLS CUI [2,1])
C0600109 (UMLS CUI [2,2])
Item Group
C0680251 (UMLS CUI)
Gender
Item
patient is male
boolean
C0079399 (UMLS CUI [1])
Age
Item
patient is under 50 years old
boolean
C0001779 (UMLS CUI [1])
Cytochrome P-450 2D6 Testing
Item
patient has previous history of cyp450 2d6 testing
boolean
C0057223 (UMLS CUI [1,1])
C0039593 (UMLS CUI [1,2])
Tamoxifen Discontinued
Item
patient is no longer taking tamoxifen
boolean
C0039286 (UMLS CUI [1,1])
C1444662 (UMLS CUI [1,2])
Informed Consent Refused
Item
patient refuses to sign consent
boolean
C0021430 (UMLS CUI [1,1])
C1705116 (UMLS CUI [1,2])
Participation Continue Unwilling | Testing Status post
Item
patient wishes to no longer participate after testing
boolean
C0679823 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
C0558080 (UMLS CUI [1,3])
C0039593 (UMLS CUI [2,1])
C0231290 (UMLS CUI [2,2])
Pharmacogenetic Test Refused
Item
patient's physician refuses to order pharmacogenetic test
boolean
C2347500 (UMLS CUI [1,1])
C1705116 (UMLS CUI [1,2])
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