ID

38997

Beschrijving

A Complex Contraception Registry; ODM derived from: https://clinicaltrials.gov/show/NCT02219269

Link

https://clinicaltrials.gov/show/NCT02219269

Trefwoorden

  1. 18-11-19 18-11-19 -
  2. 19-11-19 19-11-19 -
Houder van rechten

See clinicaltrials.gov

Geüploaded op

19 november 2019

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY 4.0

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Eligibility Diabetes NCT02219269

Eligibility Diabetes NCT02219269

  1. StudyEvent: Eligibility
    1. Eligibility Diabetes NCT02219269
Inclusion Criteria
Beschrijving

Inclusion Criteria

Alias
UMLS CUI
C1512693
1. ethnic background: no limitation, will include minorities
Beschrijving

Ethnic group Limitation Absent | Minority Groups Included

Datatype

boolean

Alias
UMLS CUI [1,1]
C0015031
UMLS CUI [1,2]
C0449295
UMLS CUI [1,3]
C0332197
UMLS CUI [2,1]
C0026192
UMLS CUI [2,2]
C0332257
2. sexually active with men
Beschrijving

Sexually active Partner in relationship Gender

Datatype

boolean

Alias
UMLS CUI [1,1]
C0241028
UMLS CUI [1,2]
C0682323
UMLS CUI [1,3]
C0079399
3. diagnosis with at least one of the following conditions
Beschrijving

Diagnosis Condition Quantity

Datatype

boolean

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0348080
UMLS CUI [1,3]
C1265611
diabetes and other endocrine disorders
Beschrijving

Diabetes Mellitus | Endocrine System Diseases

Datatype

boolean

Alias
UMLS CUI [1]
C0011849
UMLS CUI [2]
C0014130
cardiovascular disease, such as ischemic heart disease, valvular disease, hypertension or pulmonary hypertension
Beschrijving

Cardiovascular Diseases | Myocardial Ischemia | Valvular disease | Hypertensive disease | Pulmonary Hypertension

Datatype

boolean

Alias
UMLS CUI [1]
C0007222
UMLS CUI [2]
C0151744
UMLS CUI [3]
C3258293
UMLS CUI [4]
C0020538
UMLS CUI [5]
C0020542
epilepsy, migraine, and other neurologic disorders
Beschrijving

Epilepsy | Migraine Disorders | Nervous system disorder

Datatype

boolean

Alias
UMLS CUI [1]
C0014544
UMLS CUI [2]
C0149931
UMLS CUI [3]
C0027765
history of or current cancer
Beschrijving

Malignant Neoplasms

Datatype

boolean

Alias
UMLS CUI [1]
C0006826
history of or planning bariatric surgery
Beschrijving

Bariatric Surgery | Bariatric Surgery Planned

Datatype

boolean

Alias
UMLS CUI [1]
C1456587
UMLS CUI [2,1]
C1456587
UMLS CUI [2,2]
C1301732
history of or planning solid organ transplant
Beschrijving

Solid organ transplant | Solid organ transplant Planned

Datatype

boolean

Alias
UMLS CUI [1]
C0730400
UMLS CUI [2,1]
C0730400
UMLS CUI [2,2]
C1301732
systematic lupus erythematous and other rheumatologic conditions
Beschrijving

Lupus Erythematosus, Systemic | Rheumatic disorder

Datatype

boolean

Alias
UMLS CUI [1]
C0024141
UMLS CUI [2]
C3495832
history of or current venous thrombosis embolism
Beschrijving

Venous thrombosis/embolism

Datatype

boolean

Alias
UMLS CUI [1]
C3150390
other medical conditions (such as sickle cell disease or cystic fibrosis)
Beschrijving

Other medical condition | Anemia, Sickle Cell | Cystic Fibrosis

Datatype

boolean

Alias
UMLS CUI [1]
C3843040
UMLS CUI [2]
C0002895
UMLS CUI [3]
C0010674
Exclusion Criteria
Beschrijving

Exclusion Criteria

Alias
UMLS CUI
C0680251
1. pregnant at time of recruitment
Beschrijving

Pregnancy

Datatype

boolean

Alias
UMLS CUI [1]
C0032961
2. history of hysterectomy, bilateral oophorectomy, or sterilization procedure
Beschrijving

Hysterectomy | Bilateral oophorectomy | Sexual sterilization

Datatype

boolean

Alias
UMLS CUI [1]
C0020699
UMLS CUI [2]
C0278321
UMLS CUI [3]
C0038288
3. unable to provide informed consent
Beschrijving

Informed Consent Unable

Datatype

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C1299582
4. attempting to become pregnant at time of recruitment
Beschrijving

Pregnancy Attempt

Datatype

boolean

Alias
UMLS CUI [1,1]
C0032961
UMLS CUI [1,2]
C1516084
5. not sexually active with men
Beschrijving

Absence Sexually active Partner in relationship Gender

Datatype

boolean

Alias
UMLS CUI [1,1]
C0332197
UMLS CUI [1,2]
C0241028
UMLS CUI [1,3]
C0682323
UMLS CUI [1,4]
C0079399
6. no active telephone number or email for follow up
Beschrijving

Telephone Number Lacking Follow-up | E-mail Address Lacking Follow-up

Datatype

boolean

Alias
UMLS CUI [1,1]
C1515258
UMLS CUI [1,2]
C0332268
UMLS CUI [1,3]
C3274571
UMLS CUI [2,1]
C1705961
UMLS CUI [2,2]
C0332268
UMLS CUI [2,3]
C3274571
women who are pregnant will be excluded from this study. however, no pregnancy testing will be conducted; pregnancy status will be based on self-reporting by subjects.
Beschrijving

Pregnancy Self-Report | Pregnancy Tests Absent

Datatype

boolean

Alias
UMLS CUI [1,1]
C0032961
UMLS CUI [1,2]
C2700446
UMLS CUI [2,1]
C0032976
UMLS CUI [2,2]
C0332197

Similar models

Eligibility Diabetes NCT02219269

  1. StudyEvent: Eligibility
    1. Eligibility Diabetes NCT02219269
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
C1512693 (UMLS CUI)
Ethnic group Limitation Absent | Minority Groups Included
Item
1. ethnic background: no limitation, will include minorities
boolean
C0015031 (UMLS CUI [1,1])
C0449295 (UMLS CUI [1,2])
C0332197 (UMLS CUI [1,3])
C0026192 (UMLS CUI [2,1])
C0332257 (UMLS CUI [2,2])
Sexually active Partner in relationship Gender
Item
2. sexually active with men
boolean
C0241028 (UMLS CUI [1,1])
C0682323 (UMLS CUI [1,2])
C0079399 (UMLS CUI [1,3])
Diagnosis Condition Quantity
Item
3. diagnosis with at least one of the following conditions
boolean
C0011900 (UMLS CUI [1,1])
C0348080 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
Diabetes Mellitus | Endocrine System Diseases
Item
diabetes and other endocrine disorders
boolean
C0011849 (UMLS CUI [1])
C0014130 (UMLS CUI [2])
Cardiovascular Diseases | Myocardial Ischemia | Valvular disease | Hypertensive disease | Pulmonary Hypertension
Item
cardiovascular disease, such as ischemic heart disease, valvular disease, hypertension or pulmonary hypertension
boolean
C0007222 (UMLS CUI [1])
C0151744 (UMLS CUI [2])
C3258293 (UMLS CUI [3])
C0020538 (UMLS CUI [4])
C0020542 (UMLS CUI [5])
Epilepsy | Migraine Disorders | Nervous system disorder
Item
epilepsy, migraine, and other neurologic disorders
boolean
C0014544 (UMLS CUI [1])
C0149931 (UMLS CUI [2])
C0027765 (UMLS CUI [3])
Malignant Neoplasms
Item
history of or current cancer
boolean
C0006826 (UMLS CUI [1])
Bariatric Surgery | Bariatric Surgery Planned
Item
history of or planning bariatric surgery
boolean
C1456587 (UMLS CUI [1])
C1456587 (UMLS CUI [2,1])
C1301732 (UMLS CUI [2,2])
Solid organ transplant | Solid organ transplant Planned
Item
history of or planning solid organ transplant
boolean
C0730400 (UMLS CUI [1])
C0730400 (UMLS CUI [2,1])
C1301732 (UMLS CUI [2,2])
Lupus Erythematosus, Systemic | Rheumatic disorder
Item
systematic lupus erythematous and other rheumatologic conditions
boolean
C0024141 (UMLS CUI [1])
C3495832 (UMLS CUI [2])
Venous thrombosis/embolism
Item
history of or current venous thrombosis embolism
boolean
C3150390 (UMLS CUI [1])
Other medical condition | Anemia, Sickle Cell | Cystic Fibrosis
Item
other medical conditions (such as sickle cell disease or cystic fibrosis)
boolean
C3843040 (UMLS CUI [1])
C0002895 (UMLS CUI [2])
C0010674 (UMLS CUI [3])
Item Group
C0680251 (UMLS CUI)
Pregnancy
Item
1. pregnant at time of recruitment
boolean
C0032961 (UMLS CUI [1])
Hysterectomy | Bilateral oophorectomy | Sexual sterilization
Item
2. history of hysterectomy, bilateral oophorectomy, or sterilization procedure
boolean
C0020699 (UMLS CUI [1])
C0278321 (UMLS CUI [2])
C0038288 (UMLS CUI [3])
Informed Consent Unable
Item
3. unable to provide informed consent
boolean
C0021430 (UMLS CUI [1,1])
C1299582 (UMLS CUI [1,2])
Pregnancy Attempt
Item
4. attempting to become pregnant at time of recruitment
boolean
C0032961 (UMLS CUI [1,1])
C1516084 (UMLS CUI [1,2])
Absence Sexually active Partner in relationship Gender
Item
5. not sexually active with men
boolean
C0332197 (UMLS CUI [1,1])
C0241028 (UMLS CUI [1,2])
C0682323 (UMLS CUI [1,3])
C0079399 (UMLS CUI [1,4])
Telephone Number Lacking Follow-up | E-mail Address Lacking Follow-up
Item
6. no active telephone number or email for follow up
boolean
C1515258 (UMLS CUI [1,1])
C0332268 (UMLS CUI [1,2])
C3274571 (UMLS CUI [1,3])
C1705961 (UMLS CUI [2,1])
C0332268 (UMLS CUI [2,2])
C3274571 (UMLS CUI [2,3])
Pregnancy Self-Report | Pregnancy Tests Absent
Item
women who are pregnant will be excluded from this study. however, no pregnancy testing will be conducted; pregnancy status will be based on self-reporting by subjects.
boolean
C0032961 (UMLS CUI [1,1])
C2700446 (UMLS CUI [1,2])
C0032976 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

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