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Eligibility Asthma NCT01996891

1 forms  
  1. StudyEvent: Eligibility
    1. Eligibility Asthma NCT01996891
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
age 10-21 years
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
clinical diagnosis of moderate or severe persistent asthma
Description

Moderate persistent asthma | Severe persistent asthma

Data type

boolean

Alias
UMLS CUI [1]
C1960047
UMLS CUI [2]
C1960048
currently prescribed inhaled corticosteroids for asthma with anticipated stable dosing regimen for the duration of the study
Description

Asthma | inhaled steroids

Data type

boolean

Alias
UMLS CUI [1]
C0004096
UMLS CUI [2,1]
C2065041
UMLS CUI [2,2]
C2348331
UMLS CUI [2,3]
C0205360
admission to boston children's hospital for clinical asthma exacerbation
Description

Exacerbation of asthma | admission to children's hospital | City of Boston

Data type

boolean

Alias
UMLS CUI [1]
C0349790
UMLS CUI [2,1]
C2094693
UMLS CUI [2,2]
C0006037
medical clearance from primary care provider
Description

Medical Diagnostic Clinical Judgment

Data type

boolean

Alias
UMLS CUI [1]
C0237512
willingness to comply with study diet
Description

Compliance behavior | Study | Diet

Data type

boolean

Alias
UMLS CUI [1]
C1321605
UMLS CUI [2]
C2603343
UMLS CUI [3]
C0012155
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
body mass index (bmi) < 3rd centile (age- and gender- adjusted normative range from center for disease control)
Description

Body mass index

Data type

boolean

Alias
UMLS CUI [1]
C1305855
known eating disorder
Description

Eating disorders

Data type

boolean

Alias
UMLS CUI [1]
C0013473
celiac disease
Description

Celiac disease

Data type

boolean

Alias
UMLS CUI [1]
C0007570
any food allergy
Description

Food allergy

Data type

boolean

Alias
UMLS CUI [1]
C0016470
any other major illness as assessed by medical history or the following screening tests:
Description

Other disease | Medical History | Screening test

Data type

boolean

Alias
UMLS CUI [1]
C2359476
UMLS CUI [2]
C0262926
UMLS CUI [3]
C0871311
alanine aminotransferase (alt) > twice upper limit of normal for age
Description

Alanine aminotransferase measurement | Upper Limit of Normal

Data type

boolean

Alias
UMLS CUI [1]
C0201836
UMLS CUI [2]
C1519815
creatinine > 1.0 mg/dl for age 10-18 years; > 1.2 mg/dl for females > 18 years; or > 1.4 mg/dl for males > 18 years)
Description

Creatinine measurement, serum (procedure)

Data type

boolean

Alias
UMLS CUI [1]
C0201976
random glucose > 200 mg/dl
Description

Glucose measurement, random

Data type

boolean

Alias
UMLS CUI [1]
C0202046
hemoglobin < 11 g/dl for males age 10-18 years; < 11. g/dl for females age 10-18 years; <11.4 g/dl for males >18 years; or <10.9 g/dl for females age > 18 years
Description

Hemoglobin measurement

Data type

boolean

Alias
UMLS CUI [1]
C0518015
use of systemic steroids for indication other than asthma
Description

Systemic steroids

Data type

boolean

Alias
UMLS CUI [1]
C2825233
UMLS CUI [2]
C3146298
UMLS CUI [3]
C0004096
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Similar models

Eligibility Asthma NCT01996891

1 forms
  1. StudyEvent: Eligibility
    1. Eligibility Asthma NCT01996891
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Age
Item
age 10-21 years
boolean
C0001779 (UMLS CUI [1])
Moderate persistent asthma | Severe persistent asthma
Item
clinical diagnosis of moderate or severe persistent asthma
boolean
C1960047 (UMLS CUI [1])
C1960048 (UMLS CUI [2])
Asthma | inhaled steroids
Item
currently prescribed inhaled corticosteroids for asthma with anticipated stable dosing regimen for the duration of the study
boolean
C0004096 (UMLS CUI [1])
C2065041 (UMLS CUI [2,1])
C2348331 (UMLS CUI [2,2])
C0205360 (UMLS CUI [2,3])
Exacerbation of asthma | admission to children's hospital | City of Boston
Item
admission to boston children's hospital for clinical asthma exacerbation
boolean
C0349790 (UMLS CUI [1])
C2094693 (UMLS CUI [2,1])
C0006037 (UMLS CUI [2,2])
Medical Diagnostic Clinical Judgment
Item
medical clearance from primary care provider
boolean
C0237512 (UMLS CUI [1])
Compliance behavior | Study | Diet
Item
willingness to comply with study diet
boolean
C1321605 (UMLS CUI [1])
C2603343 (UMLS CUI [2])
C0012155 (UMLS CUI [3])
Item Group
C0680251 (UMLS CUI)
Body mass index
Item
body mass index (bmi) < 3rd centile (age- and gender- adjusted normative range from center for disease control)
boolean
C1305855 (UMLS CUI [1])
Eating disorders
Item
known eating disorder
boolean
C0013473 (UMLS CUI [1])
Celiac disease
Item
celiac disease
boolean
C0007570 (UMLS CUI [1])
Food allergy
Item
any food allergy
boolean
C0016470 (UMLS CUI [1])
Other disease | Medical History | Screening test
Item
any other major illness as assessed by medical history or the following screening tests:
boolean
C2359476 (UMLS CUI [1])
C0262926 (UMLS CUI [2])
C0871311 (UMLS CUI [3])
Alanine aminotransferase measurement | Upper Limit of Normal
Item
alanine aminotransferase (alt) > twice upper limit of normal for age
boolean
C0201836 (UMLS CUI [1])
C1519815 (UMLS CUI [2])
Creatinine measurement, serum (procedure)
Item
creatinine > 1.0 mg/dl for age 10-18 years; > 1.2 mg/dl for females > 18 years; or > 1.4 mg/dl for males > 18 years)
boolean
C0201976 (UMLS CUI [1])
Glucose measurement, random
Item
random glucose > 200 mg/dl
boolean
C0202046 (UMLS CUI [1])
Hemoglobin measurement
Item
hemoglobin < 11 g/dl for males age 10-18 years; < 11. g/dl for females age 10-18 years; <11.4 g/dl for males >18 years; or <10.9 g/dl for females age > 18 years
boolean
C0518015 (UMLS CUI [1])
Systemic steroids
Item
use of systemic steroids for indication other than asthma
boolean
C2825233 (UMLS CUI [1])
C3146298 (UMLS CUI [2])
C0004096 (UMLS CUI [3])
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