ID

5052

Beschreibung

ODM derived from http://clinicaltrials.gov/show/NCT00955565

Link

http://clinicaltrials.gov/show/NCT00955565

Stichworte

  1. 07.12.13 07.12.13 - Martin Dugas
  2. 17.04.14 17.04.14 - Julian Varghese
Hochgeladen am

17. April 2014

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY 4.0

Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Eligibility NCT00955565 Hip Fracture

Eligibility

  1. StudyEvent: Eligibility
    1. Eligibility
Einschlusskriterien
Beschreibung

Einschlusskriterien

Alias
UMLS CUI 2011AA
CL425202
Alter mindestens 18 Jahre
Beschreibung

age at least 18 Years

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0001779
SNOMED CT 2011_0131
397669002
Radiologically confirmed sacroiliac dislocation or sacroiliac fracture
Beschreibung

Radiologically confirmed sacroiliac dislocation or sacroiliac fracture

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0205483
SNOMED CT 2011_0131
5526005
UMLS CUI 2011AA
C0750484
UMLS CUI 2011AA
C0555898
SNOMED CT 2011_0131
264185005
UMLS CUI 2011AA
C0012691
SNOMED CT 2011_0131
87642003
ICD-9-CM Version 2011
830-839.99
UMLS CUI 2011AA
C0016658
SNOMED CT 2011_0131
125605004
MedDRA 14.1
10017076
ICD-10-CM Version 2010
T14.8
ICD-9-CM Version 2011
800-829.99
CTCAE 1105E
E11703
UMLS CUI 2011AA
C0011900
SNOMED CT 2011_0131
439401001
LOINC Version 232
MTHU008876
sakroiliakale Arthritis
Beschreibung

Sacroiliac arthritis

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0748473
Written informed consent by patient or his/her legal representative
Beschreibung

Written informed consent by patient or his/her legal representative

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0021430
Ausschlusskriterien
Beschreibung

Ausschlusskriterien

Alias
UMLS CUI 2011AA
CL425201
Poor life expectancy (<3 months)
Beschreibung

Poor life expectancy (<3 months)

Datentyp

boolean

Alias
UMLS CUI 2011AA
C2700379
UMLS CUI 2011AA
C0023671
LOINC Version 232
LP75025-4
Fracture of pathologic origin
Beschreibung

Fracture of pathologic origin

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0016658
SNOMED CT 2011_0131
125605004
MedDRA 14.1
10017076
ICD-10-CM Version 2010
T14.8
ICD-9-CM Version 2011
800-829.99
CTCAE 1105E
E11703
UMLS CUI 2011AA
C1521733
SNOMED CT 2011_0131
29458008
UMLS CUI 2011AA
C0439659
SNOMED CT 2011_0131
246062003
LOINC Version 232
MTHU026300
History of substance abuse (recreational drugs, alcohol)within 12 months prior to screening
Beschreibung

History of substance abuse (recreational drugs, alcohol)within 12 months prior to screening

Datentyp

boolean

Alias
UMLS CUI 2011AA
C1299544
SNOMED CT 2011_0131
371435006
UMLS CUI 2011AA
C0242508
UMLS CUI 2011AA
C0221628
SNOMED CT 2011_0131
371434005
Häftling, Gefangene(r)
Beschreibung

Prisoner

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0033167
Currently involved in another study that precludes or complicates participation
Beschreibung

Currently involved in another study that precludes or complicates participation

Datentyp

boolean

Alias
UMLS CUI 2011AA
C1314939
SNOMED CT 2011_0131
248448006
UMLS CUI 2011AA
C0205394
SNOMED CT 2011_0131
74964007
UMLS CUI 2011AA
C0008976
SNOMED CT 2011_0131
110465008
UMLS CUI 2011AA
C0332196
SNOMED CT 2011_0131
77765009
UMLS CUI 2011AA
C0679823
HL7 V3 2006_05
PART
Disease or condition that would preclude accurate evaluation (e.g., significant psychiatric disease)
Beschreibung

Disease or condition that would preclude accurate evaluation (e.g., significant psychiatric disease)

Datentyp

boolean

Alias
UMLS CUI 2011AA
C1699700
HL7 V3 2006_05
MEDCCAT
UMLS CUI 2011AA
C0332196
SNOMED CT 2011_0131
77765009
UMLS CUI 2011AA
C0443131
SNOMED CT 2011_0131
263656005
UMLS CUI 2011AA
C0220825
UMLS CUI 2011AA
C0004936
SNOMED CT 2011_0131
74732009
MedDRA 14.1
10037174
ICD-10-CM Version 2010
F99
ICD-9-CM Version 2011
290-319.99

Ähnliche Modelle

Eligibility

  1. StudyEvent: Eligibility
    1. Eligibility
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Einschlusskriterien
CL425202 (UMLS CUI 2011AA)
age at least 18 Years
Item
Alter mindestens 18 Jahre
boolean
C0001779 (UMLS CUI 2011AA)
397669002 (SNOMED CT 2011_0131)
Radiologically confirmed sacroiliac dislocation or sacroiliac fracture
Item
Radiologically confirmed sacroiliac dislocation or sacroiliac fracture
boolean
C0205483 (UMLS CUI 2011AA)
5526005 (SNOMED CT 2011_0131)
C0750484 (UMLS CUI 2011AA)
C0555898 (UMLS CUI 2011AA)
264185005 (SNOMED CT 2011_0131)
C0012691 (UMLS CUI 2011AA)
87642003 (SNOMED CT 2011_0131)
830-839.99 (ICD-9-CM Version 2011)
C0016658 (UMLS CUI 2011AA)
125605004 (SNOMED CT 2011_0131)
10017076 (MedDRA 14.1)
T14.8 (ICD-10-CM Version 2010)
800-829.99 (ICD-9-CM Version 2011)
E11703 (CTCAE 1105E)
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
Sacroiliac arthritis
Item
sakroiliakale Arthritis
boolean
C0748473 (UMLS CUI 2011AA)
Written informed consent by patient or his/her legal representative
Item
Written informed consent by patient or his/her legal representative
boolean
C0021430 (UMLS CUI 2011AA)
Item Group
Ausschlusskriterien
CL425201 (UMLS CUI 2011AA)
Poor life expectancy (<3 months)
Item
Poor life expectancy (<3 months)
boolean
C2700379 (UMLS CUI 2011AA)
C0023671 (UMLS CUI 2011AA)
LP75025-4 (LOINC Version 232)
Fracture of pathologic origin
Item
Fracture of pathologic origin
boolean
C0016658 (UMLS CUI 2011AA)
125605004 (SNOMED CT 2011_0131)
10017076 (MedDRA 14.1)
T14.8 (ICD-10-CM Version 2010)
800-829.99 (ICD-9-CM Version 2011)
E11703 (CTCAE 1105E)
C1521733 (UMLS CUI 2011AA)
29458008 (SNOMED CT 2011_0131)
C0439659 (UMLS CUI 2011AA)
246062003 (SNOMED CT 2011_0131)
MTHU026300 (LOINC Version 232)
History of substance abuse (recreational drugs, alcohol)within 12 months prior to screening
Item
History of substance abuse (recreational drugs, alcohol)within 12 months prior to screening
boolean
C1299544 (UMLS CUI 2011AA)
371435006 (SNOMED CT 2011_0131)
C0242508 (UMLS CUI 2011AA)
C0221628 (UMLS CUI 2011AA)
371434005 (SNOMED CT 2011_0131)
Prisoner
Item
Häftling, Gefangene(r)
boolean
C0033167 (UMLS CUI 2011AA)
Currently involved in another study that precludes or complicates participation
Item
Currently involved in another study that precludes or complicates participation
boolean
C1314939 (UMLS CUI 2011AA)
248448006 (SNOMED CT 2011_0131)
C0205394 (UMLS CUI 2011AA)
74964007 (SNOMED CT 2011_0131)
C0008976 (UMLS CUI 2011AA)
110465008 (SNOMED CT 2011_0131)
C0332196 (UMLS CUI 2011AA)
77765009 (SNOMED CT 2011_0131)
C0679823 (UMLS CUI 2011AA)
PART (HL7 V3 2006_05)
Disease or condition that would preclude accurate evaluation (e.g., significant psychiatric disease)
Item
Disease or condition that would preclude accurate evaluation (e.g., significant psychiatric disease)
boolean
C1699700 (UMLS CUI 2011AA)
MEDCCAT (HL7 V3 2006_05)
C0332196 (UMLS CUI 2011AA)
77765009 (SNOMED CT 2011_0131)
C0443131 (UMLS CUI 2011AA)
263656005 (SNOMED CT 2011_0131)
C0220825 (UMLS CUI 2011AA)
C0004936 (UMLS CUI 2011AA)
74732009 (SNOMED CT 2011_0131)
10037174 (MedDRA 14.1)
F99 (ICD-10-CM Version 2010)
290-319.99 (ICD-9-CM Version 2011)

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video