ID

38100

Description

Study of Survivorship Care Plans and Outcomes in Underserved Breast Cancer Survivors; ODM derived from: https://clinicaltrials.gov/show/NCT01627366

Link

https://clinicaltrials.gov/show/NCT01627366

Keywords

Versions (1)
  1. 9/17/19 9/17/19 -
Copyright Holder

See clinicaltrials.gov

Uploaded on

September 17, 2019

DOI

To request one please log in.

License

Creative Commons BY 4.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Eligibility Breast Cancer NCT01627366

English

Eligibility Breast Cancer NCT01627366

1 forms  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
female
Description

Gender

Data type

boolean

Alias
UMLS CUI [1]
C0079399
21 years of age or older
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
english- or spanish-speaking
Description

Able to speak English Language | Able to speak Spanish Language

Data type

boolean

Alias
UMLS CUI [1,1]
C0564215
UMLS CUI [1,2]
C0376245
UMLS CUI [2,1]
C0564215
UMLS CUI [2,2]
C0037750
diagnosis of ductal carcinoma in situ (dcis) or stage i, ii, or iii bc for the first time
Description

DCIS | Breast Carcinoma Firstly TNM Breast tumor staging

Data type

boolean

Alias
UMLS CUI [1]
C0007124
UMLS CUI [2,1]
C0678222
UMLS CUI [2,2]
C1279901
UMLS CUI [2,3]
C0474926
10-24 months post-diagnosis
Description

Time Period Elapsed Since Diagnosis

Data type

boolean

Alias
UMLS CUI [1,1]
C1948053
UMLS CUI [1,2]
C1707889
UMLS CUI [1,3]
C1711239
UMLS CUI [1,4]
C0011900
at least 1 month post-chemotherapy completion
Description

Status post Chemotherapy Completion

Data type

boolean

Alias
UMLS CUI [1,1]
C0231290
UMLS CUI [1,2]
C0392920
UMLS CUI [1,3]
C0205197
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
previous cancer except non-melanomatous skin cancers or in situ non-breast cancers
Description

Malignant Neoplasms | Exception Skin carcinoma | Exception Carcinoma in Situ | Breast Carcinoma Excluded

Data type

boolean

Alias
UMLS CUI [1]
C0006826
UMLS CUI [2,1]
C1705847
UMLS CUI [2,2]
C0699893
UMLS CUI [3,1]
C1705847
UMLS CUI [3,2]
C0007099
UMLS CUI [4,1]
C0678222
UMLS CUI [4,2]
C0332196
pregnant and lactating women
Description

Pregnancy | Breast Feeding

Data type

boolean

Alias
UMLS CUI [1]
C0032961
UMLS CUI [2]
C0006147
patients receiving parenteral anti-cancer therapy, except trastuzumab
Description

Cancer treatment Parenteral | Exception Trastuzumab

Data type

boolean

Alias
UMLS CUI [1,1]
C0920425
UMLS CUI [1,2]
C1518896
UMLS CUI [2,1]
C1705847
UMLS CUI [2,2]
C0728747
clinically apparent cognitive or psychiatric impairment
Description

Impaired cognition | Impairment Psychiatric

Data type

boolean

Alias
UMLS CUI [1]
C0338656
UMLS CUI [2,1]
C0221099
UMLS CUI [2,2]
C0205487
participation in another research study
Description

Study Subject Participation Status | Research study

Data type

boolean

Alias
UMLS CUI [1]
C2348568
UMLS CUI [2]
C0681814
current treatment for another cancer
Description

Therapeutic procedure Cancer Other

Data type

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1707251
male
Description

Gender

Data type

boolean

Alias
UMLS CUI [1]
C0079399
residing outside of los angeles county
Description

Residence Remote

Data type

boolean

Alias
UMLS CUI [1,1]
C0237096
UMLS CUI [1,2]
C0205157
too ill to participate
Description

Illness Severe | Study Subject Participation Status Excluded

Data type

boolean

Alias
UMLS CUI [1,1]
C0221423
UMLS CUI [1,2]
C0205082
UMLS CUI [2,1]
C2348568
UMLS CUI [2,2]
C0332196
Back to the top of the page

Similar models

Eligibility Breast Cancer NCT01627366

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Gender
Item
female
boolean
C0079399 (UMLS CUI [1])
Age
Item
21 years of age or older
boolean
C0001779 (UMLS CUI [1])
Able to speak English Language | Able to speak Spanish Language
Item
english- or spanish-speaking
boolean
C0564215 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
C0564215 (UMLS CUI [2,1])
C0037750 (UMLS CUI [2,2])
DCIS | Breast Carcinoma Firstly TNM Breast tumor staging
Item
diagnosis of ductal carcinoma in situ (dcis) or stage i, ii, or iii bc for the first time
boolean
C0007124 (UMLS CUI [1])
C0678222 (UMLS CUI [2,1])
C1279901 (UMLS CUI [2,2])
C0474926 (UMLS CUI [2,3])
Time Period Elapsed Since Diagnosis
Item
10-24 months post-diagnosis
boolean
C1948053 (UMLS CUI [1,1])
C1707889 (UMLS CUI [1,2])
C1711239 (UMLS CUI [1,3])
C0011900 (UMLS CUI [1,4])
Status post Chemotherapy Completion
Item
at least 1 month post-chemotherapy completion
boolean
C0231290 (UMLS CUI [1,1])
C0392920 (UMLS CUI [1,2])
C0205197 (UMLS CUI [1,3])
Item Group
C0680251 (UMLS CUI)
Malignant Neoplasms | Exception Skin carcinoma | Exception Carcinoma in Situ | Breast Carcinoma Excluded
Item
previous cancer except non-melanomatous skin cancers or in situ non-breast cancers
boolean
C0006826 (UMLS CUI [1])
C1705847 (UMLS CUI [2,1])
C0699893 (UMLS CUI [2,2])
C1705847 (UMLS CUI [3,1])
C0007099 (UMLS CUI [3,2])
C0678222 (UMLS CUI [4,1])
C0332196 (UMLS CUI [4,2])
Pregnancy | Breast Feeding
Item
pregnant and lactating women
boolean
C0032961 (UMLS CUI [1])
C0006147 (UMLS CUI [2])
Cancer treatment Parenteral | Exception Trastuzumab
Item
patients receiving parenteral anti-cancer therapy, except trastuzumab
boolean
C0920425 (UMLS CUI [1,1])
C1518896 (UMLS CUI [1,2])
C1705847 (UMLS CUI [2,1])
C0728747 (UMLS CUI [2,2])
Impaired cognition | Impairment Psychiatric
Item
clinically apparent cognitive or psychiatric impairment
boolean
C0338656 (UMLS CUI [1])
C0221099 (UMLS CUI [2,1])
C0205487 (UMLS CUI [2,2])
Study Subject Participation Status | Research study
Item
participation in another research study
boolean
C2348568 (UMLS CUI [1])
C0681814 (UMLS CUI [2])
Therapeutic procedure Cancer Other
Item
current treatment for another cancer
boolean
C0087111 (UMLS CUI [1,1])
C1707251 (UMLS CUI [1,2])
Gender
Item
male
boolean
C0079399 (UMLS CUI [1])
Residence Remote
Item
residing outside of los angeles county
boolean
C0237096 (UMLS CUI [1,1])
C0205157 (UMLS CUI [1,2])
Illness Severe | Study Subject Participation Status Excluded
Item
too ill to participate
boolean
C0221423 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C2348568 (UMLS CUI [2,1])
C0332196 (UMLS CUI [2,2])
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial