ID

4917

Beskrivning

ODM derived from http://clinicaltrials.gov/show/NCT00509184

Länk

http://clinicaltrials.gov/show/NCT00509184

Nyckelord

  1. 2013-12-10 2013-12-10 - Martin Dugas
  2. 2014-04-14 2014-04-14 - Julian Varghese
Uppladdad den

14 april 2014

DOI

För en begäran logga in.

Licens

Creative Commons BY 4.0

Modellkommentarer :

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

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 NCT00509184 Lymphoma, Malignant

Eligibility

  1. StudyEvent: Eligibility
    1. Eligibility
Inclusion Criteria
Beskrivning

Inclusion Criteria

Alias
UMLS CUI 2011AA
CL425202
age 18 Years to 75 Years
Beskrivning

age 18 Years to 75 Years

Datatyp

boolean

Alias
UMLS CUI 2011AA
C0001779
SNOMED CT 2011_0131
397669002
verified follicular lymphoma grade 1 or 2
Beskrivning

verified follicular lymphoma grade 1 or 2

Datatyp

boolean

Alias
UMLS CUI 2011AA
C1711411
UMLS CUI 2011AA
C2853785
ICD-10-CM Version 2010
C82.00
UMLS CUI 2011AA
C0011900
SNOMED CT 2011_0131
439401001
LOINC Version 232
MTHU008876
UMLS CUI 2011AA
C2853795
ICD-10-CM Version 2010
C82.10
only nodal involvement (incl. Waldeyer) clinical stage I or II
Beskrivning

only nodal involvement (incl. Waldeyer) clinical stage I or II

Datatyp

boolean

Alias
UMLS CUI 2011AA
C0441949
SNOMED CT 2011_0131
258283002
UMLS CUI 2011AA
C0279954
UMLS CUI 2011AA
C0280143
UMLS CUI 2011AA
C0279955
UMLS CUI 2011AA
C0280144
UMLS CUI 2011AA
C0459892
SNOMED CT 2011_0131
17861009
Tumor volume <= 7 cm
Beskrivning

largest tumor <= 7 cm

Datatyp

boolean

Alias
UMLS CUI 2011AA
C0475276
SNOMED CT 2011_0131
258261001
adequate bone marrow reserves
Beskrivning

adequate bone marrow reserves

Datatyp

boolean

Alias
UMLS CUI 2011AA
C0205411
SNOMED CT 2011_0131
88323005
UMLS CUI 2011AA
C0005953
SNOMED CT 2011_0131
14016003
LOINC Version 232
MTHU016536
UMLS CUI 2011AA
C2347957
Exclusion Criteria
Beskrivning

Exclusion Criteria

Alias
UMLS CUI 2011AA
CL425201
ECOG performance status finding >2
Beskrivning

ECOG >2

Datatyp

boolean

Alias
UMLS CUI 2011AA
C1520224
SNOMED CT 2011_0131
424122007
Follicular lymphoma grade III, unspecified
Beskrivning

Follicular lymphoma grade 3

Datatyp

boolean

Alias
UMLS CUI 2011AA
C2853805
ICD-10-CM Version 2010
C82.2
Bulky Disease (>7cm)
Beskrivning

bulky disease (>7 cm)

Datatyp

boolean

Alias
UMLS CUI 2011AA
C1511341
involvement of the spleen
Beskrivning

involvement of the spleen

Datatyp

boolean

Alias
UMLS CUI 2011AA
C1314939
SNOMED CT 2011_0131
248448006
UMLS CUI 2011AA
C0037993
SNOMED CT 2011_0131
78961009
LOINC Version 232
MTHU012104
neoplasia in PMH (except: basalioma, spinalioma)
Beskrivning

neoplasia in PMH (except: basalioma, spinalioma)

Datatyp

boolean

Alias
UMLS CUI 2011AA
C2735088
LOINC Version 232
MTHU034770
UMLS CUI 2011AA
C1554961
UMLS CUI 2011AA
C0007117
SNOMED CT 2011_0131
1338007
MedDRA 14.1
10004146
UMLS CUI 2011AA
C1168311
MedDRA 14.1
10059813
Immunodeficiency syndromes, viral hepatitis, connective tissue disease
Beskrivning

Immunodeficiency syndromes, viral hepatitis, connective tissue disease

Datatyp

boolean

Alias
UMLS CUI 2011AA
C0021051
SNOMED CT 2011_0131
234532001
MedDRA 14.1
10061598
ICD-10-CM Version 2010
D84.9
ICD-9-CM Version 2011
279.3
UMLS CUI 2011AA
C0042721
SNOMED CT 2011_0131
3738000
MedDRA 14.1
10019799
LOINC Version 232
MTHU020837
ICD-10-CM Version 2010
B19
ICD-9-CM Version 2011
070
CTCAE 1105E
E11410
UMLS CUI 2011AA
C0009782
SNOMED CT 2011_0131
105969002
MedDRA 14.1
10061087
severe psychiatric disease
Beskrivning

severe psychiatric disease

Datatyp

boolean

Alias
UMLS CUI 2011AA
C0205082
SNOMED CT 2011_0131
24484000
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
pregnancy or breast feeding
Beskrivning

pregnancy or breast feeding

Datatyp

boolean

Alias
UMLS CUI 2011AA
C0032961
SNOMED CT 2011_0131
289908002
MedDRA 14.1
10036556
LOINC Version 232
MTHU035048
UMLS CUI 2011AA
C0006147
MedDRA 14.1
10006247
known allergies against foreign proteins
Beskrivning

known allergies against foreign proteins

Datatyp

boolean

Alias
UMLS CUI 2011AA
C0205309
SNOMED CT 2011_0131
36692007
UMLS CUI 2011AA
C0020517
SNOMED CT 2011_0131
257550005
ICD-10-CM Version 2010
T78.40
UMLS CUI 2011AA
C1517294
UMLS CUI 2011AA
C0033684
SNOMED CT 2011_0131
88878007
LOINC Version 232
MTHU001951

Similar models

Eligibility

  1. StudyEvent: Eligibility
    1. Eligibility
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Inclusion Criteria
CL425202 (UMLS CUI 2011AA)
age 18 Years to 75 Years
Item
age 18 Years to 75 Years
boolean
C0001779 (UMLS CUI 2011AA)
397669002 (SNOMED CT 2011_0131)
verified follicular lymphoma grade 1 or 2
Item
verified follicular lymphoma grade 1 or 2
boolean
C1711411 (UMLS CUI 2011AA)
C2853785 (UMLS CUI 2011AA)
C82.00 (ICD-10-CM Version 2010)
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
C2853795 (UMLS CUI 2011AA)
C82.10 (ICD-10-CM Version 2010)
only nodal involvement (incl. Waldeyer) clinical stage I or II
Item
only nodal involvement (incl. Waldeyer) clinical stage I or II
boolean
C0441949 (UMLS CUI 2011AA)
258283002 (SNOMED CT 2011_0131)
C0279954 (UMLS CUI 2011AA)
C0280143 (UMLS CUI 2011AA)
C0279955 (UMLS CUI 2011AA)
C0280144 (UMLS CUI 2011AA)
C0459892 (UMLS CUI 2011AA)
17861009 (SNOMED CT 2011_0131)
largest tumor <= 7 cm
Item
Tumor volume <= 7 cm
boolean
C0475276 (UMLS CUI 2011AA)
258261001 (SNOMED CT 2011_0131)
adequate bone marrow reserves
Item
adequate bone marrow reserves
boolean
C0205411 (UMLS CUI 2011AA)
88323005 (SNOMED CT 2011_0131)
C0005953 (UMLS CUI 2011AA)
14016003 (SNOMED CT 2011_0131)
MTHU016536 (LOINC Version 232)
C2347957 (UMLS CUI 2011AA)
Item Group
Exclusion Criteria
CL425201 (UMLS CUI 2011AA)
ECOG >2
Item
ECOG performance status finding >2
boolean
C1520224 (UMLS CUI 2011AA)
424122007 (SNOMED CT 2011_0131)
Follicular lymphoma grade 3
Item
Follicular lymphoma grade III, unspecified
boolean
C2853805 (UMLS CUI 2011AA)
C82.2 (ICD-10-CM Version 2010)
bulky disease (>7 cm)
Item
Bulky Disease (>7cm)
boolean
C1511341 (UMLS CUI 2011AA)
involvement of the spleen
Item
involvement of the spleen
boolean
C1314939 (UMLS CUI 2011AA)
248448006 (SNOMED CT 2011_0131)
C0037993 (UMLS CUI 2011AA)
78961009 (SNOMED CT 2011_0131)
MTHU012104 (LOINC Version 232)
neoplasia in PMH (except: basalioma, spinalioma)
Item
neoplasia in PMH (except: basalioma, spinalioma)
boolean
C2735088 (UMLS CUI 2011AA)
MTHU034770 (LOINC Version 232)
C1554961 (UMLS CUI 2011AA)
C0007117 (UMLS CUI 2011AA)
1338007 (SNOMED CT 2011_0131)
10004146 (MedDRA 14.1)
C1168311 (UMLS CUI 2011AA)
10059813 (MedDRA 14.1)
Immunodeficiency syndromes, viral hepatitis, connective tissue disease
Item
Immunodeficiency syndromes, viral hepatitis, connective tissue disease
boolean
C0021051 (UMLS CUI 2011AA)
234532001 (SNOMED CT 2011_0131)
10061598 (MedDRA 14.1)
D84.9 (ICD-10-CM Version 2010)
279.3 (ICD-9-CM Version 2011)
C0042721 (UMLS CUI 2011AA)
3738000 (SNOMED CT 2011_0131)
10019799 (MedDRA 14.1)
MTHU020837 (LOINC Version 232)
B19 (ICD-10-CM Version 2010)
070 (ICD-9-CM Version 2011)
E11410 (CTCAE 1105E)
C0009782 (UMLS CUI 2011AA)
105969002 (SNOMED CT 2011_0131)
10061087 (MedDRA 14.1)
severe psychiatric disease
Item
severe psychiatric disease
boolean
C0205082 (UMLS CUI 2011AA)
24484000 (SNOMED CT 2011_0131)
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)
pregnancy or breast feeding
Item
pregnancy or breast feeding
boolean
C0032961 (UMLS CUI 2011AA)
289908002 (SNOMED CT 2011_0131)
10036556 (MedDRA 14.1)
MTHU035048 (LOINC Version 232)
C0006147 (UMLS CUI 2011AA)
10006247 (MedDRA 14.1)
known allergies against foreign proteins
Item
known allergies against foreign proteins
boolean
C0205309 (UMLS CUI 2011AA)
36692007 (SNOMED CT 2011_0131)
C0020517 (UMLS CUI 2011AA)
257550005 (SNOMED CT 2011_0131)
T78.40 (ICD-10-CM Version 2010)
C1517294 (UMLS CUI 2011AA)
C0033684 (UMLS CUI 2011AA)
88878007 (SNOMED CT 2011_0131)
MTHU001951 (LOINC Version 232)

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

Fält markerade med * är obligatoriska.

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