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Eligibility Diabetes NCT01107015

1 forms  
  1. StudyEvent: Eligibility
    1. Eligibility Diabetes NCT01107015
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
type 2 diabetic [patient]
Description

Diabetes Mellitus, Non-Insulin-Dependent

Data type

boolean

Alias
UMLS CUI [1]
C0011860
a1c equal to or greater than 7.5 [patient]
Description

Glucohemoglobin measurement

Data type

boolean

Alias
UMLS CUI [1]
C0202054
18-64 years of age at time of recruitment [patient]
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
access to the internet (does not need to be at their home, elsewhere is fine e.g. work) [patient]
Description

Access Internet

Data type

boolean

Alias
UMLS CUI [1,1]
C0444454
UMLS CUI [1,2]
C0282111
e-mail account [patient]
Description

E-mail Address

Data type

boolean

Alias
UMLS CUI [1]
C1705961
must speak english [patient]
Description

Able to speak English Language

Data type

boolean

Alias
UMLS CUI [1,1]
C0564215
UMLS CUI [1,2]
C0376245
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
no insulin pump [patient]
Description

Insulin pump

Data type

boolean

Alias
UMLS CUI [1]
C1140609
no current alcohol or drug abuse- must be sober 1 year [patient]
Description

Substance Use Disorders

Data type

boolean

Alias
UMLS CUI [1]
C0038586
not currently pregnant [patient]
Description

Pregnancy

Data type

boolean

Alias
UMLS CUI [1]
C0032961
no terminal diagnosis [patient]
Description

Terminal illness

Data type

boolean

Alias
UMLS CUI [1]
C0679247
no dementia or alzheimer's [patient]
Description

Dementia | Alzheimer's Disease

Data type

boolean

Alias
UMLS CUI [1]
C0497327
UMLS CUI [2]
C0002395
no active chemotherapy [patient]
Description

Chemotherapy

Data type

boolean

Alias
UMLS CUI [1]
C0392920
no significant hearing impairment [patient]
Description

Hearing impairment

Data type

boolean

Alias
UMLS CUI [1]
C1384666
poorly corrected vision that would impede use of phone [patient]
Description

Vision Correction Poor | Ability to use telephone Limited

Data type

boolean

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C1947976
UMLS CUI [1,3]
C0542537
UMLS CUI [2,1]
C0577446
UMLS CUI [2,2]
C0439801
no mute or aphasia [patient]
Description

Unable to talk | Aphasia

Data type

boolean

Alias
UMLS CUI [1]
C0564216
UMLS CUI [2]
C0003537
no diagnosis of schizophrenia, bipolar disorder, or major psychosis [patient]
Description

Schizophrenia | Bipolar Disorder | Psychotic Disorder Major

Data type

boolean

Alias
UMLS CUI [1]
C0036341
UMLS CUI [2]
C0005586
UMLS CUI [3,1]
C0033975
UMLS CUI [3,2]
C0205164
no medicaid or medicare
Description

Medicaid | Medicare

Data type

boolean

Alias
UMLS CUI [1]
C0025071
UMLS CUI [2]
C0018717
no uninsured
Description

Uninsured

Data type

boolean

Alias
UMLS CUI [1]
C0087134
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Similar models

Eligibility Diabetes NCT01107015

1 forms
  1. StudyEvent: Eligibility
    1. Eligibility Diabetes NCT01107015
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Diabetes Mellitus, Non-Insulin-Dependent
Item
type 2 diabetic [patient]
boolean
C0011860 (UMLS CUI [1])
Glucohemoglobin measurement
Item
a1c equal to or greater than 7.5 [patient]
boolean
C0202054 (UMLS CUI [1])
Age
Item
18-64 years of age at time of recruitment [patient]
boolean
C0001779 (UMLS CUI [1])
Access Internet
Item
access to the internet (does not need to be at their home, elsewhere is fine e.g. work) [patient]
boolean
C0444454 (UMLS CUI [1,1])
C0282111 (UMLS CUI [1,2])
E-mail Address
Item
e-mail account [patient]
boolean
C1705961 (UMLS CUI [1])
Able to speak English Language
Item
must speak english [patient]
boolean
C0564215 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
Item Group
C0680251 (UMLS CUI)
Insulin pump
Item
no insulin pump [patient]
boolean
C1140609 (UMLS CUI [1])
Substance Use Disorders
Item
no current alcohol or drug abuse- must be sober 1 year [patient]
boolean
C0038586 (UMLS CUI [1])
Pregnancy
Item
not currently pregnant [patient]
boolean
C0032961 (UMLS CUI [1])
Terminal illness
Item
no terminal diagnosis [patient]
boolean
C0679247 (UMLS CUI [1])
Dementia | Alzheimer's Disease
Item
no dementia or alzheimer's [patient]
boolean
C0497327 (UMLS CUI [1])
C0002395 (UMLS CUI [2])
Chemotherapy
Item
no active chemotherapy [patient]
boolean
C0392920 (UMLS CUI [1])
Hearing impairment
Item
no significant hearing impairment [patient]
boolean
C1384666 (UMLS CUI [1])
Vision Correction Poor | Ability to use telephone Limited
Item
poorly corrected vision that would impede use of phone [patient]
boolean
C0042789 (UMLS CUI [1,1])
C1947976 (UMLS CUI [1,2])
C0542537 (UMLS CUI [1,3])
C0577446 (UMLS CUI [2,1])
C0439801 (UMLS CUI [2,2])
Unable to talk | Aphasia
Item
no mute or aphasia [patient]
boolean
C0564216 (UMLS CUI [1])
C0003537 (UMLS CUI [2])
Schizophrenia | Bipolar Disorder | Psychotic Disorder Major
Item
no diagnosis of schizophrenia, bipolar disorder, or major psychosis [patient]
boolean
C0036341 (UMLS CUI [1])
C0005586 (UMLS CUI [2])
C0033975 (UMLS CUI [3,1])
C0205164 (UMLS CUI [3,2])
Medicaid | Medicare
Item
no medicaid or medicare
boolean
C0025071 (UMLS CUI [1])
C0018717 (UMLS CUI [2])
Uninsured
Item
no uninsured
boolean
C0087134 (UMLS CUI [1])
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