ID

4912

Description

ODM derived from http://clinicaltrials.gov/show/NCT00505388

Lien

http://clinicaltrials.gov/show/NCT00505388

Mots-clés

  1. 10/12/2013 10/12/2013 - Martin Dugas
  2. 14/04/2014 14/04/2014 - Julian Varghese
Téléchargé le

14 avril 2014

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY 4.0

Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

Eligibility NCT00505388 Bronchial Asthma

Eligibility

  1. StudyEvent: Eligibility
    1. Eligibility
Einschlusskriterien
Description

Einschlusskriterien

Alias
UMLS CUI 2011AA
CL425202
Alter mindestens 18 Jahre
Description

Age at least 18

Type de données

boolean

Alias
UMLS CUI 2011AA
C0001779
SNOMED CT 2011_0131
397669002
Asthma patients prescribed Symbicort as maintenance and reliever therapy, according to the label, before inclusion in this programme
Description

Asthma patients prescribed Symbicort as maintenance and reliever therapy, according to the label, before inclusion in this programme

Type de données

boolean

Alias
UMLS CUI 2011AA
C0004096
SNOMED CT 2011_0131
195967001
MedDRA 14.1
10003553
LOINC Version 232
MTHU020815
ICD-10-CM Version 2010
J45
ICD-9-CM Version 2011
493
UMLS CUI 2011AA
C0011900
SNOMED CT 2011_0131
439401001
LOINC Version 232
MTHU008876
UMLS CUI 2011AA
C0033080
SNOMED CT 2011_0131
16076005
UMLS CUI 2011AA
C1121854
UMLS CUI 2011AA
C0677908
SNOMED CT 2011_0131
314122007
UMLS CUI 2011AA
C0332303
SNOMED CT 2011_0131
1241001
UMLS CUI 2011AA
C0039798
UMLS CUI 2011AA
CL415824
UMLS CUI 2011AA
C0332152
SNOMED CT 2011_0131
288556008
UMLS CUI 2011AA
CL425202
UMLS CUI 2011AA
C1709697
signed and dated informed consent(ICF)
Description

signed and dated informed consent(ICF)

Type de données

boolean

Alias
UMLS CUI 2011AA
C0021430
for patients under-age, signed and dated ICF form from both the patient and the patient's parent/legal guardian is required
Description

for patients under-age, signed and dated ICF form from both the patient and the patient's parent/legal guardian is required

Type de données

boolean

Alias
UMLS CUI 2011AA
C0026193
SNOMED CT 2011_0131
410599005
UMLS CUI 2011AA
C1561610
UMLS CUI 2011AA
C0011008
SNOMED CT 2011_0131
410671006
LOINC Version 232
MTHU021546
UMLS CUI 2011AA
C0009797
UMLS CUI 2011AA
C0030705
SNOMED CT 2011_0131
116154003
UMLS CUI 2011AA
C0030551
SNOMED CT 2011_0131
40683002
HL7 V3 2006_05
PARNT
UMLS CUI 2011AA
C0023226
SNOMED CT 2011_0131
58626002
LOINC Version 232
MTHU020628
UMLS CUI 2011AA
C1514873
Ausschlusskriterien
Description

Ausschlusskriterien

Alias
UMLS CUI 2011AA
CL425201
Involvement in the planning and conduct of the programme (applies to both AstraZeneca staff or staff at the investigational site)
Description

Involvement in the planning and conduct of the programme (applies to both AstraZeneca staff or staff at the investigational site)

Type de données

boolean

Alias
UMLS CUI 2011AA
C1314939
SNOMED CT 2011_0131
248448006
UMLS CUI 2011AA
CL025474
UMLS CUI 2011AA
C0805733
LOINC Version 232
MTHU008303
UMLS CUI 2011AA
C1709697
UMLS CUI 2011AA
C0851286

Similar models

Eligibility

  1. StudyEvent: Eligibility
    1. Eligibility
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Einschlusskriterien
CL425202 (UMLS CUI 2011AA)
Age at least 18
Item
Alter mindestens 18 Jahre
boolean
C0001779 (UMLS CUI 2011AA)
397669002 (SNOMED CT 2011_0131)
Asthma patients prescribed Symbicort as maintenance and reliever therapy, according to the label, before inclusion in this programme
Item
Asthma patients prescribed Symbicort as maintenance and reliever therapy, according to the label, before inclusion in this programme
boolean
C0004096 (UMLS CUI 2011AA)
195967001 (SNOMED CT 2011_0131)
10003553 (MedDRA 14.1)
MTHU020815 (LOINC Version 232)
J45 (ICD-10-CM Version 2010)
493 (ICD-9-CM Version 2011)
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
C0033080 (UMLS CUI 2011AA)
16076005 (SNOMED CT 2011_0131)
C1121854 (UMLS CUI 2011AA)
C0677908 (UMLS CUI 2011AA)
314122007 (SNOMED CT 2011_0131)
C0332303 (UMLS CUI 2011AA)
1241001 (SNOMED CT 2011_0131)
C0039798 (UMLS CUI 2011AA)
CL415824 (UMLS CUI 2011AA)
C0332152 (UMLS CUI 2011AA)
288556008 (SNOMED CT 2011_0131)
CL425202 (UMLS CUI 2011AA)
C1709697 (UMLS CUI 2011AA)
signed and dated informed consent(ICF)
Item
signed and dated informed consent(ICF)
boolean
C0021430 (UMLS CUI 2011AA)
for patients under-age, signed and dated ICF form from both the patient and the patient's parent/legal guardian is required
Item
for patients under-age, signed and dated ICF form from both the patient and the patient's parent/legal guardian is required
boolean
C0026193 (UMLS CUI 2011AA)
410599005 (SNOMED CT 2011_0131)
C1561610 (UMLS CUI 2011AA)
C0011008 (UMLS CUI 2011AA)
410671006 (SNOMED CT 2011_0131)
MTHU021546 (LOINC Version 232)
C0009797 (UMLS CUI 2011AA)
C0030705 (UMLS CUI 2011AA)
116154003 (SNOMED CT 2011_0131)
C0030551 (UMLS CUI 2011AA)
40683002 (SNOMED CT 2011_0131)
PARNT (HL7 V3 2006_05)
C0023226 (UMLS CUI 2011AA)
58626002 (SNOMED CT 2011_0131)
MTHU020628 (LOINC Version 232)
C1514873 (UMLS CUI 2011AA)
Item Group
Ausschlusskriterien
CL425201 (UMLS CUI 2011AA)
Involvement in the planning and conduct of the programme (applies to both AstraZeneca staff or staff at the investigational site)
Item
Involvement in the planning and conduct of the programme (applies to both AstraZeneca staff or staff at the investigational site)
boolean
C1314939 (UMLS CUI 2011AA)
248448006 (SNOMED CT 2011_0131)
CL025474 (UMLS CUI 2011AA)
C0805733 (UMLS CUI 2011AA)
MTHU008303 (LOINC Version 232)
C1709697 (UMLS CUI 2011AA)
C0851286 (UMLS CUI 2011AA)

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

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