ID

4951

Description

ODM derived from http://clinicaltrials.gov/show/NCT00673647

Link

http://clinicaltrials.gov/show/NCT00673647

Keywords

Versions (2)
  1. 12/9/13 12/9/13 - Martin Dugas
  2. 4/15/14 4/15/14 - Julian Varghese
Uploaded on

April 15, 2014

DOI

To request one please log in.

License

Creative Commons BY 4.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Eligibility NCT00673647 Cannabis Use Disorders

German English

Eligibility

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

Inclusion Criteria

Alias
UMLS CUI 2011AA
CL425202
age at least 16 Years
Description

age at least 16 Years

Data type

boolean

Alias
UMLS CUI 2011AA
C0001779
SNOMED CT 2011_0131
397669002
Cannabis Use Disorders
Description

Cannabis Use Disorders

Data type

boolean

Alias
UMLS CUI 2011AA
C2874509
ICD-10-CM Version 2010
F12.99
UMLS CUI 2011AA
C0011900
SNOMED CT 2011_0131
439401001
LOINC Version 232
MTHU008876
motivation to change cannabis use
Description

motivation to change cannabis use

Data type

boolean

Alias
UMLS CUI 2011AA
C0683523
UMLS CUI 2011AA
CL428866
MedDRA 14.1
10070996
current (12 mth) regular cannabis use (at least 2 days a week)
Description

current (12 mth) regular cannabis use (at least 2 days a week)

Data type

boolean

Alias
UMLS CUI 2011AA
C0521116
SNOMED CT 2011_0131
15240007
UMLS CUI 2011AA
C0439234
SNOMED CT 2011_0131
258707000
HL7 V3 2006_05
Y
UMLS CUI 2011AA
C0205272
SNOMED CT 2011_0131
17854005
UMLS CUI 2011AA
CL428866
MedDRA 14.1
10070996
UMLS CUI 2011AA
C0205448
SNOMED CT 2011_0131
19338005
UMLS CUI 2011AA
C0439228
SNOMED CT 2011_0131
258703001
HL7 V3 2006_05
D
UMLS CUI 2011AA
C0439230
SNOMED CT 2011_0131
258705008
HL7 V3 2006_05
WK
informed consent to the study procedures and assessments
Description

informed consent to the study procedures and assessments

Data type

boolean

Alias
UMLS CUI 2011AA
C0021430
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI 2011AA
CL425201
current alcohol or any illicit drug dependence syndrome according to DSM-IV other than due to cannabis
Description

current alcohol or any illicit drug dependence syndrome according to DSM-IV other than due to cannabis

Data type

boolean

Alias
UMLS CUI 2011AA
C0521116
SNOMED CT 2011_0131
15240007
UMLS CUI 2011AA
C0001973
SNOMED CT 2011_0131
284591009
MedDRA 14.1
10001639
ICD-10-CM Version 2010
F10.2
ICD-9-CM Version 2011
305.01
UMLS CUI 2011AA
C0332266
SNOMED CT 2011_0131
66401009
UMLS CUI 2011AA
C1510472
SNOMED CT 2011_0131
191816009
MedDRA 14.1
10013663
ICD-9-CM Version 2011
304
UMLS CUI 2011AA
C0039082
SNOMED CT 2011_0131
64572001
UMLS CUI 2011AA
C0680240
UMLS CUI 2011AA
C0220952
UMLS CUI 2011AA
CL411789
UMLS CUI 2011AA
CL420107
UMLS CUI 2011AA
C0936079
SNOMED CT 2011_0131
22924007
lifetime history of any psychotic disorder
Description

lifetime history of any psychotic disorder

Data type

boolean

Alias
UMLS CUI 2011AA
C0376558
LOINC Version 232
MTHU029989
UMLS CUI 2011AA
C0040223
SNOMED CT 2011_0131
410670007
LOINC Version 232
MTHU009151
UMLS CUI 2011AA
CL421546
SNOMED CT 2011_0131
392521001
UMLS CUI 2011AA
C0033975
SNOMED CT 2011_0131
69322001
MedDRA 14.1
10061920
ICD-9-CM Version 2011
290-299.99
CTCAE 1105E
E12954
current severe episode of Major depression
Description

current severe episode of Major depression

Data type

boolean

Alias
UMLS CUI 2011AA
C0521116
SNOMED CT 2011_0131
15240007
UMLS CUI 2011AA
C0205082
SNOMED CT 2011_0131
24484000
UMLS CUI 2011AA
C0332189
SNOMED CT 2011_0131
272128006
UMLS CUI 2011AA
C1269683
SNOMED CT 2011_0131
370143000
MedDRA 14.1
10057840
ICD-10-CM Version 2010
F32.9
current panic-agoraphobic disorder (severe)
Description

current panic-agoraphobic disorder (severe)

Data type

boolean

Alias
UMLS CUI 2011AA
C0521116
SNOMED CT 2011_0131
15240007
UMLS CUI 2011AA
C0236800
SNOMED CT 2011_0131
35607004
MedDRA 14.1
10052794
ICD-10-CM Version 2010
F40.01
ICD-9-CM Version 2011
300.21
UMLS CUI 2011AA
C0205082
SNOMED CT 2011_0131
24484000
severe learning disability, brain damage or pervasive developmental disorder
Description

severe learning disability, brain damage or pervasive developmental disorder

Data type

boolean

Alias
UMLS CUI 2011AA
C0205082
SNOMED CT 2011_0131
24484000
UMLS CUI 2011AA
C0751265
SNOMED CT 2011_0131
1855002
MedDRA 14.1
10024092
ICD-10-CM Version 2010
F81.9
UMLS CUI 2011AA
C0270611
SNOMED CT 2011_0131
2470005
MedDRA 14.1
10067967
ICD-10-CM Version 2010
S06.9
UMLS CUI 2011AA
C0524528
SNOMED CT 2011_0131
35919005
MedDRA 14.1
10061345
ICD-10-CM Version 2010
F84.9
ICD-9-CM Version 2011
299
currently acute suicidality
Description

currently acute suicidality

Data type

boolean

Alias
UMLS CUI 2011AA
C0521116
SNOMED CT 2011_0131
15240007
UMLS CUI 2011AA
C0205178
SNOMED CT 2011_0131
272118002
UMLS CUI 2011AA
C0235196
SNOMED CT 2011_0131
10042461
not fluent in german language
Description

not fluent in german language

Data type

boolean

Alias
UMLS CUI 2011AA
C1518422
UMLS CUI 2011AA
C0205170
SNOMED CT 2011_0131
20572008
UMLS CUI 2011AA
CL386648
UMLS CUI 2011AA
C0023008
SNOMED CT 2011_0131
61909002
LOINC Version 232
MTHU021113
any other current treatment for cannabis use disorders
Description

any other current treatment for cannabis use disorders

Data type

boolean

Alias
UMLS CUI 2011AA
C0205394
SNOMED CT 2011_0131
74964007
UMLS CUI 2011AA
C2827774
UMLS CUI 2011AA
C2874509
ICD-10-CM Version 2010
F12.99
Back to the top of the page

Similar models

Eligibility

1 forms
  1. StudyEvent: Eligibility
    1. Eligibility
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Inclusion Criteria
CL425202 (UMLS CUI 2011AA)
age at least 16 Years
Item
age at least 16 Years
boolean
C0001779 (UMLS CUI 2011AA)
397669002 (SNOMED CT 2011_0131)
Cannabis Use Disorders
Item
Cannabis Use Disorders
boolean
C2874509 (UMLS CUI 2011AA)
F12.99 (ICD-10-CM Version 2010)
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
motivation to change cannabis use
Item
motivation to change cannabis use
boolean
C0683523 (UMLS CUI 2011AA)
CL428866 (UMLS CUI 2011AA)
10070996 (MedDRA 14.1)
current (12 mth) regular cannabis use (at least 2 days a week)
Item
current (12 mth) regular cannabis use (at least 2 days a week)
boolean
C0521116 (UMLS CUI 2011AA)
15240007 (SNOMED CT 2011_0131)
C0439234 (UMLS CUI 2011AA)
258707000 (SNOMED CT 2011_0131)
Y (HL7 V3 2006_05)
C0205272 (UMLS CUI 2011AA)
17854005 (SNOMED CT 2011_0131)
CL428866 (UMLS CUI 2011AA)
10070996 (MedDRA 14.1)
C0205448 (UMLS CUI 2011AA)
19338005 (SNOMED CT 2011_0131)
C0439228 (UMLS CUI 2011AA)
258703001 (SNOMED CT 2011_0131)
D (HL7 V3 2006_05)
C0439230 (UMLS CUI 2011AA)
258705008 (SNOMED CT 2011_0131)
WK (HL7 V3 2006_05)
informed consent to the study procedures and assessments
Item
informed consent to the study procedures and assessments
boolean
C0021430 (UMLS CUI 2011AA)
Item Group
Exclusion Criteria
CL425201 (UMLS CUI 2011AA)
current alcohol or any illicit drug dependence syndrome according to DSM-IV other than due to cannabis
Item
current alcohol or any illicit drug dependence syndrome according to DSM-IV other than due to cannabis
boolean
C0521116 (UMLS CUI 2011AA)
15240007 (SNOMED CT 2011_0131)
C0001973 (UMLS CUI 2011AA)
284591009 (SNOMED CT 2011_0131)
10001639 (MedDRA 14.1)
F10.2 (ICD-10-CM Version 2010)
305.01 (ICD-9-CM Version 2011)
C0332266 (UMLS CUI 2011AA)
66401009 (SNOMED CT 2011_0131)
C1510472 (UMLS CUI 2011AA)
191816009 (SNOMED CT 2011_0131)
10013663 (MedDRA 14.1)
304 (ICD-9-CM Version 2011)
C0039082 (UMLS CUI 2011AA)
64572001 (SNOMED CT 2011_0131)
C0680240 (UMLS CUI 2011AA)
C0220952 (UMLS CUI 2011AA)
CL411789 (UMLS CUI 2011AA)
CL420107 (UMLS CUI 2011AA)
C0936079 (UMLS CUI 2011AA)
22924007 (SNOMED CT 2011_0131)
lifetime history of any psychotic disorder
Item
lifetime history of any psychotic disorder
boolean
C0376558 (UMLS CUI 2011AA)
MTHU029989 (LOINC Version 232)
C0040223 (UMLS CUI 2011AA)
410670007 (SNOMED CT 2011_0131)
MTHU009151 (LOINC Version 232)
CL421546 (UMLS CUI 2011AA)
392521001 (SNOMED CT 2011_0131)
C0033975 (UMLS CUI 2011AA)
69322001 (SNOMED CT 2011_0131)
10061920 (MedDRA 14.1)
290-299.99 (ICD-9-CM Version 2011)
E12954 (CTCAE 1105E)
current severe episode of Major depression
Item
current severe episode of Major depression
boolean
C0521116 (UMLS CUI 2011AA)
15240007 (SNOMED CT 2011_0131)
C0205082 (UMLS CUI 2011AA)
24484000 (SNOMED CT 2011_0131)
C0332189 (UMLS CUI 2011AA)
272128006 (SNOMED CT 2011_0131)
C1269683 (UMLS CUI 2011AA)
370143000 (SNOMED CT 2011_0131)
10057840 (MedDRA 14.1)
F32.9 (ICD-10-CM Version 2010)
current panic-agoraphobic disorder (severe)
Item
current panic-agoraphobic disorder (severe)
boolean
C0521116 (UMLS CUI 2011AA)
15240007 (SNOMED CT 2011_0131)
C0236800 (UMLS CUI 2011AA)
35607004 (SNOMED CT 2011_0131)
10052794 (MedDRA 14.1)
F40.01 (ICD-10-CM Version 2010)
300.21 (ICD-9-CM Version 2011)
C0205082 (UMLS CUI 2011AA)
24484000 (SNOMED CT 2011_0131)
severe learning disability, brain damage or pervasive developmental disorder
Item
severe learning disability, brain damage or pervasive developmental disorder
boolean
C0205082 (UMLS CUI 2011AA)
24484000 (SNOMED CT 2011_0131)
C0751265 (UMLS CUI 2011AA)
1855002 (SNOMED CT 2011_0131)
10024092 (MedDRA 14.1)
F81.9 (ICD-10-CM Version 2010)
C0270611 (UMLS CUI 2011AA)
2470005 (SNOMED CT 2011_0131)
10067967 (MedDRA 14.1)
S06.9 (ICD-10-CM Version 2010)
C0524528 (UMLS CUI 2011AA)
35919005 (SNOMED CT 2011_0131)
10061345 (MedDRA 14.1)
F84.9 (ICD-10-CM Version 2010)
299 (ICD-9-CM Version 2011)
currently acute suicidality
Item
currently acute suicidality
boolean
C0521116 (UMLS CUI 2011AA)
15240007 (SNOMED CT 2011_0131)
C0205178 (UMLS CUI 2011AA)
272118002 (SNOMED CT 2011_0131)
C0235196 (UMLS CUI 2011AA)
10042461 (SNOMED CT 2011_0131)
not fluent in german language
Item
not fluent in german language
boolean
C1518422 (UMLS CUI 2011AA)
C0205170 (UMLS CUI 2011AA)
20572008 (SNOMED CT 2011_0131)
CL386648 (UMLS CUI 2011AA)
C0023008 (UMLS CUI 2011AA)
61909002 (SNOMED CT 2011_0131)
MTHU021113 (LOINC Version 232)
any other current treatment for cannabis use disorders
Item
any other current treatment for cannabis use disorders
boolean
C0205394 (UMLS CUI 2011AA)
74964007 (SNOMED CT 2011_0131)
C2827774 (UMLS CUI 2011AA)
C2874509 (UMLS CUI 2011AA)
F12.99 (ICD-10-CM Version 2010)
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

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