ID

38807

Description

Southeastern Diabetes Initiative Clinical Intervention; ODM derived from: https://clinicaltrials.gov/show/NCT01965639

Link

https://clinicaltrials.gov/show/NCT01965639

Keywords

Versions (1)
  1. 11/5/19 11/5/19 -
Copyright Holder

See clinicaltrials.gov

Uploaded on

November 5, 2019

DOI

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License

Creative Commons BY 4.0
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Eligibility Diabetes Mellitus, Type 2 NCT01965639

English

Eligibility Diabetes Mellitus, Type 2 NCT01965639

1 forms  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
adults >=18yrs
Description

Adult | Age

Data type

boolean

Alias
UMLS CUI [1]
C0001675
UMLS CUI [2]
C0001779
diagnosis of type 2 diabetes
Description

Diabetes Mellitus, Non-Insulin-Dependent

Data type

boolean

Alias
UMLS CUI [1]
C0011860
reside in durham county, nc, cabarrus county, nc, quitman county, ms or mingo county, wv or the neighboring areas and receive the majority of their healthcare in the four listed counties.
Description

Residence | Receive Health Care

Data type

boolean

Alias
UMLS CUI [1]
C0237096
UMLS CUI [2,1]
C1514756
UMLS CUI [2,2]
C0086388
have capacity to give consent (or have a surrogate legally authorized representative or caregiver provide consent on their behalf).
Description

Informed Consent | Informed Consent Patient Representative | Informed Consent Caregiver

Data type

boolean

Alias
UMLS CUI [1]
C0021430
UMLS CUI [2,1]
C0021430
UMLS CUI [2,2]
C0030701
UMLS CUI [3,1]
C0021430
UMLS CUI [3,2]
C0085537
defined as high risk by the risk algorithm or their primary care clinician.
Description

High risk Assessment Primary Care Physician

Data type

boolean

Alias
UMLS CUI [1,1]
C4319571
UMLS CUI [1,2]
C1516048
UMLS CUI [1,3]
C0033131
referral from the primary care clinician or patient's medical home if one has been designated.
Description

Patient referral Primary Care Physician

Data type

boolean

Alias
UMLS CUI [1,1]
C0034927
UMLS CUI [1,2]
C0033131
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
lack capacity to make decisions and do not have a surrogate with authority to make health care decisions.
Description

Lacking Capability Decision Making

Data type

boolean

Alias
UMLS CUI [1,1]
C0332268
UMLS CUI [1,2]
C2698977
UMLS CUI [1,3]
C0011109
have a terminal illness with a life expectancy of 6 months or less
Description

Terminal illness | Life Expectancy

Data type

boolean

Alias
UMLS CUI [1]
C0679247
UMLS CUI [2]
C0023671
diagnosis of type 1 diabetes or gestational diabetes
Description

Diabetes Mellitus, Insulin-Dependent | Gestational Diabetes

Data type

boolean

Alias
UMLS CUI [1]
C0011854
UMLS CUI [2]
C0085207
currently pregnant (confirmed via self-report and/or medical record)
Description

Pregnancy

Data type

boolean

Alias
UMLS CUI [1]
C0032961
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Similar models

Eligibility Diabetes Mellitus, Type 2 NCT01965639

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Adult | Age
Item
adults >=18yrs
boolean
C0001675 (UMLS CUI [1])
C0001779 (UMLS CUI [2])
Diabetes Mellitus, Non-Insulin-Dependent
Item
diagnosis of type 2 diabetes
boolean
C0011860 (UMLS CUI [1])
Residence | Receive Health Care
Item
reside in durham county, nc, cabarrus county, nc, quitman county, ms or mingo county, wv or the neighboring areas and receive the majority of their healthcare in the four listed counties.
boolean
C0237096 (UMLS CUI [1])
C1514756 (UMLS CUI [2,1])
C0086388 (UMLS CUI [2,2])
Informed Consent | Informed Consent Patient Representative | Informed Consent Caregiver
Item
have capacity to give consent (or have a surrogate legally authorized representative or caregiver provide consent on their behalf).
boolean
C0021430 (UMLS CUI [1])
C0021430 (UMLS CUI [2,1])
C0030701 (UMLS CUI [2,2])
C0021430 (UMLS CUI [3,1])
C0085537 (UMLS CUI [3,2])
High risk Assessment Primary Care Physician
Item
defined as high risk by the risk algorithm or their primary care clinician.
boolean
C4319571 (UMLS CUI [1,1])
C1516048 (UMLS CUI [1,2])
C0033131 (UMLS CUI [1,3])
Patient referral Primary Care Physician
Item
referral from the primary care clinician or patient's medical home if one has been designated.
boolean
C0034927 (UMLS CUI [1,1])
C0033131 (UMLS CUI [1,2])
Item Group
C0680251 (UMLS CUI)
Lacking Capability Decision Making
Item
lack capacity to make decisions and do not have a surrogate with authority to make health care decisions.
boolean
C0332268 (UMLS CUI [1,1])
C2698977 (UMLS CUI [1,2])
C0011109 (UMLS CUI [1,3])
Terminal illness | Life Expectancy
Item
have a terminal illness with a life expectancy of 6 months or less
boolean
C0679247 (UMLS CUI [1])
C0023671 (UMLS CUI [2])
Diabetes Mellitus, Insulin-Dependent | Gestational Diabetes
Item
diagnosis of type 1 diabetes or gestational diabetes
boolean
C0011854 (UMLS CUI [1])
C0085207 (UMLS CUI [2])
Pregnancy
Item
currently pregnant (confirmed via self-report and/or medical record)
boolean
C0032961 (UMLS CUI [1])
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