English

Eligibility Breast Cancer NCT02275754

1 forms  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
self identified hispanic/latino
Description

Hispanic or Latino

Data type

boolean

Alias
UMLS CUI [1]
C0086409
at least 18 yrs old
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
fluent in spoken spanish or english
Description

Able to speak fluently English Language | Able to speak fluently Spanish Language

Data type

boolean

Alias
UMLS CUI [1,1]
C0564241
UMLS CUI [1,2]
C0376245
UMLS CUI [2,1]
C0564241
UMLS CUI [2,2]
C0037750
diagnosed with breast, prostate or colorectal cancer within the past fifteen months and thus considered a cancer survivor and are currently not undergoing treatment, with the exception of hormone therapy for prostate patients
Description

Breast Carcinoma | Prostate carcinoma | Colorectal Carcinoma | Cancer Survivor | Therapy Absent | Exception Hormone Therapy Prostate Patients

Data type

boolean

Alias
UMLS CUI [1]
C0678222
UMLS CUI [2]
C0600139
UMLS CUI [3]
C0009402
UMLS CUI [4]
C1516231
UMLS CUI [5,1]
C0087111
UMLS CUI [5,2]
C0332197
UMLS CUI [6,1]
C1705847
UMLS CUI [6,2]
C0279025
UMLS CUI [6,3]
C0033572
UMLS CUI [6,4]
C0030705
no evidence of metastatic disease
Description

Neoplasm Metastasis Absent

Data type

boolean

Alias
UMLS CUI [1,1]
C0027627
UMLS CUI [1,2]
C0332197
no current severe mental illness
Description

Severe Mental Disorder Absent

Data type

boolean

Alias
UMLS CUI [1,1]
C4046029
UMLS CUI [1,2]
C0332197
no substance dependence within the past year -
Description

Substance Dependence Absent

Data type

boolean

Alias
UMLS CUI [1,1]
C0038580
UMLS CUI [1,2]
C0332197
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
does not meet inclusion criteria
Description

Inclusion criteria failed

Data type

boolean

Alias
UMLS CUI [1,1]
C1512693
UMLS CUI [1,2]
C0231175
psychotic disorder
Description

Psychotic Disorder

Data type

boolean

Alias
UMLS CUI [1]
C0033975
active suicidal ideation
Description

Feeling suicidal

Data type

boolean

Alias
UMLS CUI [1]
C0424000
substance dependence (alcohol/drugs) within the past 12 months
Description

Substance Dependence

Data type

boolean

Alias
UMLS CUI [1]
C0038580
does not meet the requisite cutoff of 3 or more correct responses on spmsq (short portable mental status questionnaire)
Description

Mental status questionnaire Completion Unsuccessful

Data type

boolean

Alias
UMLS CUI [1,1]
C0451291
UMLS CUI [1,2]
C0205197
UMLS CUI [1,3]
C1272705
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Similar models

Eligibility Breast Cancer NCT02275754

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Hispanic or Latino
Item
self identified hispanic/latino
boolean
C0086409 (UMLS CUI [1])
Age
Item
at least 18 yrs old
boolean
C0001779 (UMLS CUI [1])
Able to speak fluently English Language | Able to speak fluently Spanish Language
Item
fluent in spoken spanish or english
boolean
C0564241 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
C0564241 (UMLS CUI [2,1])
C0037750 (UMLS CUI [2,2])
Breast Carcinoma | Prostate carcinoma | Colorectal Carcinoma | Cancer Survivor | Therapy Absent | Exception Hormone Therapy Prostate Patients
Item
diagnosed with breast, prostate or colorectal cancer within the past fifteen months and thus considered a cancer survivor and are currently not undergoing treatment, with the exception of hormone therapy for prostate patients
boolean
C0678222 (UMLS CUI [1])
C0600139 (UMLS CUI [2])
C0009402 (UMLS CUI [3])
C1516231 (UMLS CUI [4])
C0087111 (UMLS CUI [5,1])
C0332197 (UMLS CUI [5,2])
C1705847 (UMLS CUI [6,1])
C0279025 (UMLS CUI [6,2])
C0033572 (UMLS CUI [6,3])
C0030705 (UMLS CUI [6,4])
Neoplasm Metastasis Absent
Item
no evidence of metastatic disease
boolean
C0027627 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
Severe Mental Disorder Absent
Item
no current severe mental illness
boolean
C4046029 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
Substance Dependence Absent
Item
no substance dependence within the past year -
boolean
C0038580 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
Item Group
C0680251 (UMLS CUI)
Inclusion criteria failed
Item
does not meet inclusion criteria
boolean
C1512693 (UMLS CUI [1,1])
C0231175 (UMLS CUI [1,2])
Psychotic Disorder
Item
psychotic disorder
boolean
C0033975 (UMLS CUI [1])
Feeling suicidal
Item
active suicidal ideation
boolean
C0424000 (UMLS CUI [1])
Substance Dependence
Item
substance dependence (alcohol/drugs) within the past 12 months
boolean
C0038580 (UMLS CUI [1])
Mental status questionnaire Completion Unsuccessful
Item
does not meet the requisite cutoff of 3 or more correct responses on spmsq (short portable mental status questionnaire)
boolean
C0451291 (UMLS CUI [1,1])
C0205197 (UMLS CUI [1,2])
C1272705 (UMLS CUI [1,3])
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