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Eligibility Diabetes NCT01373489

1 forms  
  1. StudyEvent: Eligibility
    1. Eligibility Diabetes NCT01373489
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
age ≥18 years and receiving care within the franklin c. fetter family health center
Description

Age | Care Receiving Health center

Data type

boolean

Alias
UMLS CUI [1]
C0001779
UMLS CUI [2,1]
C1947933
UMLS CUI [2,2]
C1514756
UMLS CUI [2,3]
C0475309
clinical diagnosis of t2dm and hba1c ≥8% at the screening visit
Description

Diabetes Mellitus, Non-Insulin-Dependent | Hemoglobin A1c measurement

Data type

boolean

Alias
UMLS CUI [1]
C0011860
UMLS CUI [2]
C0474680
subject must be willing to use the fora 2-in-1 system
Description

Use of System Specified | Blood Glucose In addition to Blood Pressure

Data type

boolean

Alias
UMLS CUI [1,1]
C1524063
UMLS CUI [1,2]
C0449913
UMLS CUI [1,3]
C0205369
UMLS CUI [2,1]
C0005802
UMLS CUI [2,2]
C0332287
UMLS CUI [2,3]
C0005823
subject must have a working land-line for the duration of the study in order to be able to upload the readings from the fora 2-in-1 machine
Description

Availability of Working Telephone

Data type

boolean

Alias
UMLS CUI [1,1]
C0470187
UMLS CUI [1,2]
C0043227
UMLS CUI [1,3]
C0039457
subjects must be able to communicate in english
Description

Able to communicate English Language

Data type

boolean

Alias
UMLS CUI [1,1]
C2364293
UMLS CUI [1,2]
C0376245
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
mental confusion on interview suggesting significant dementia
Description

Confusion Patient interview | Suggestive of Dementia

Data type

boolean

Alias
UMLS CUI [1,1]
C0009676
UMLS CUI [1,2]
C0683518
UMLS CUI [2,1]
C0332299
UMLS CUI [2,2]
C0497327
participation in other diabetes clinical trials
Description

Study Subject Participation Status | Diabetes Mellitus Clinical Trial

Data type

boolean

Alias
UMLS CUI [1]
C2348568
UMLS CUI [2,1]
C0011849
UMLS CUI [2,2]
C0008976
alcohol or drug abuse/dependency using a screening questionnaire
Description

Substance Use Disorders | Substance Dependence | Use of Screening questionnaire

Data type

boolean

Alias
UMLS CUI [1]
C0038586
UMLS CUI [2]
C0038580
UMLS CUI [3,1]
C1524063
UMLS CUI [3,2]
C1134635
active psychosis or acute mental disorder
Description

Psychotic Disorder | Mental disorder

Data type

boolean

Alias
UMLS CUI [1]
C0033975
UMLS CUI [2]
C0004936
life expectancy <6 months
Description

Life Expectancy

Data type

boolean

Alias
UMLS CUI [1]
C0023671
pregnant and/or lactating females
Description

Pregnancy | Breast Feeding

Data type

boolean

Alias
UMLS CUI [1]
C0032961
UMLS CUI [2]
C0006147
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Similar models

Eligibility Diabetes NCT01373489

1 forms
  1. StudyEvent: Eligibility
    1. Eligibility Diabetes NCT01373489
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Age | Care Receiving Health center
Item
age ≥18 years and receiving care within the franklin c. fetter family health center
boolean
C0001779 (UMLS CUI [1])
C1947933 (UMLS CUI [2,1])
C1514756 (UMLS CUI [2,2])
C0475309 (UMLS CUI [2,3])
Diabetes Mellitus, Non-Insulin-Dependent | Hemoglobin A1c measurement
Item
clinical diagnosis of t2dm and hba1c ≥8% at the screening visit
boolean
C0011860 (UMLS CUI [1])
C0474680 (UMLS CUI [2])
Use of System Specified | Blood Glucose In addition to Blood Pressure
Item
subject must be willing to use the fora 2-in-1 system
boolean
C1524063 (UMLS CUI [1,1])
C0449913 (UMLS CUI [1,2])
C0205369 (UMLS CUI [1,3])
C0005802 (UMLS CUI [2,1])
C0332287 (UMLS CUI [2,2])
C0005823 (UMLS CUI [2,3])
Availability of Working Telephone
Item
subject must have a working land-line for the duration of the study in order to be able to upload the readings from the fora 2-in-1 machine
boolean
C0470187 (UMLS CUI [1,1])
C0043227 (UMLS CUI [1,2])
C0039457 (UMLS CUI [1,3])
Able to communicate English Language
Item
subjects must be able to communicate in english
boolean
C2364293 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
Item Group
C0680251 (UMLS CUI)
Confusion Patient interview | Suggestive of Dementia
Item
mental confusion on interview suggesting significant dementia
boolean
C0009676 (UMLS CUI [1,1])
C0683518 (UMLS CUI [1,2])
C0332299 (UMLS CUI [2,1])
C0497327 (UMLS CUI [2,2])
Study Subject Participation Status | Diabetes Mellitus Clinical Trial
Item
participation in other diabetes clinical trials
boolean
C2348568 (UMLS CUI [1])
C0011849 (UMLS CUI [2,1])
C0008976 (UMLS CUI [2,2])
Substance Use Disorders | Substance Dependence | Use of Screening questionnaire
Item
alcohol or drug abuse/dependency using a screening questionnaire
boolean
C0038586 (UMLS CUI [1])
C0038580 (UMLS CUI [2])
C1524063 (UMLS CUI [3,1])
C1134635 (UMLS CUI [3,2])
Psychotic Disorder | Mental disorder
Item
active psychosis or acute mental disorder
boolean
C0033975 (UMLS CUI [1])
C0004936 (UMLS CUI [2])
Life Expectancy
Item
life expectancy <6 months
boolean
C0023671 (UMLS CUI [1])
Pregnancy | Breast Feeding
Item
pregnant and/or lactating females
boolean
C0032961 (UMLS CUI [1])
C0006147 (UMLS CUI [2])
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