ID

164

Beskrivning

ODM derived from http://clinicaltrials.gov/show/NCT00225186

Länk

http://clinicaltrials.gov/show/NCT00225186

Nyckelord

Versioner (3)
  1. 2012-02-10 2012-02-10 -
  2. 2015-06-05 2015-06-05 - Martin Dugas
  3. 2021-09-20 2021-09-20 -
Uppladdad den

10 februari 2012

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0 Legacy
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Eligibility NCT00225186 Endometriosis

Tysk Engelsk

Eligibility

1 Formulär  
  1. StudyEvent: Eligibility
    1. Eligibility
Inclusion Criteria
Beskrivning

Inclusion Criteria

18 to 45 years
Beskrivning

Age

Datatyp

boolean

Female patients with endometriosis-associated pelvic pain
Beskrivning

Female patients with endometriosis-associated pelvic pain

Datatyp

boolean

Exclusion Criteria
Beskrivning

Exclusion Criteria

Pregnant or lactating women
Beskrivning

Pregnant or lactating women

Datatyp

boolean

History or suspicion of hormone dependent tumor
Beskrivning

History or suspicion of hormone dependent tumor

Datatyp

boolean

Therapy resistant endometriosis or need for primary surgical treatment
Beskrivning

Therapy resistant endometriosis or need for primary surgical treatment

Datatyp

boolean

Any other conditions which forbid the participation
Beskrivning

Any other conditions which forbid the participation

Datatyp

boolean

Medical Concepts
Beskrivning

Medical Concepts

Age
Beskrivning

Age

Datatyp

string

Alias
UMLS CUI
C0001779
SNOMED CT 2010_0731
102518004
Diagnosis
Beskrivning

Diagnosis

Datatyp

string

Alias
UMLS CUI
C0011900
SNOMED CT 2010_0731
439401001
LOINC Version 232
MTHU008876
Gender
Beskrivning

Gender

Datatyp

string

Alias
UMLS CUI
C0079399
SNOMED CT 2010_0731
263495000
LOINC Version 232
MTHU002975
Endometriosis, site unspecified
Beskrivning

Endometriosis

Datatyp

string

Alias
UMLS CUI
C0014175
SNOMED CT 2010_0731
396224008
MedDRA 13.1
10014778
ICD-10-CM Version 2010
N80
ICD-9-CM Version 2011
617
Pain
Beskrivning

Pain

Datatyp

string

Alias
UMLS CUI
C0030193
SNOMED CT 2010_0731
22253000
MedDRA 13.1
10033371
LOINC Version 232
MTHU029813
ICD-10-CM Version 2010
R52
ICD-9-CM Version 2011
338-338.9
CTCAE Version 4.03
E11167
pregnant
Beskrivning

pregnant

Datatyp

string

Alias
UMLS CUI
C0549206
MedDRA 13.1
10036586
Breast feeding, Nursing
Beskrivning

Lactation

Datatyp

string

Alias
UMLS CUI
C0006147
MedDRA 13.1
10006247
Malignant Neoplasms
Beskrivning

Cancer

Datatyp

string

Alias
UMLS CUI
C0006826
SNOMED CT 2010_0731
363346000
MedDRA 13.1
10028997
LOINC Version 232
MTHU010328
ICD-10-CM Version 2010
C00-C96
Tillbaka till toppen

Similar models

Eligibility

1 Formulär
  1. StudyEvent: Eligibility
    1. Eligibility
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Inclusion Criteria
Age
Item
18 to 45 years
boolean
Female patients with endometriosis-associated pelvic pain
Item
Female patients with endometriosis-associated pelvic pain
boolean
Item Group
Exclusion Criteria
Pregnant or lactating women
Item
Pregnant or lactating women
boolean
History or suspicion of hormone dependent tumor
Item
History or suspicion of hormone dependent tumor
boolean
Therapy resistant endometriosis or need for primary surgical treatment
Item
Therapy resistant endometriosis or need for primary surgical treatment
boolean
Any other conditions which forbid the participation
Item
Any other conditions which forbid the participation
boolean
Item Group
Medical Concepts
Age
Item
Age
string
C0001779 (UMLS CUI)
102518004 (SNOMED CT 2010_0731)
Diagnosis
Item
Diagnosis
string
C0011900 (UMLS CUI)
439401001 (SNOMED CT 2010_0731)
MTHU008876 (LOINC Version 232)
Gender
Item
Gender
string
C0079399 (UMLS CUI)
263495000 (SNOMED CT 2010_0731)
MTHU002975 (LOINC Version 232)
Endometriosis
Item
Endometriosis, site unspecified
string
C0014175 (UMLS CUI)
396224008 (SNOMED CT 2010_0731)
10014778 (MedDRA 13.1)
N80 (ICD-10-CM Version 2010)
617 (ICD-9-CM Version 2011)
Pain
Item
Pain
string
C0030193 (UMLS CUI)
22253000 (SNOMED CT 2010_0731)
10033371 (MedDRA 13.1)
MTHU029813 (LOINC Version 232)
R52 (ICD-10-CM Version 2010)
338-338.9 (ICD-9-CM Version 2011)
E11167 (CTCAE Version 4.03)
pregnant
Item
pregnant
string
C0549206 (UMLS CUI)
10036586 (MedDRA 13.1)
Lactation
Item
Breast feeding, Nursing
string
C0006147 (UMLS CUI)
10006247 (MedDRA 13.1)
Cancer
Item
Malignant Neoplasms
string
C0006826 (UMLS CUI)
363346000 (SNOMED CT 2010_0731)
10028997 (MedDRA 13.1)
MTHU010328 (LOINC Version 232)
C00-C96 (ICD-10-CM Version 2010)
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

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