Eligibility Psoriatic Arthritis in Psoriasis NCT01316224

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Psoriasis medical history interview | physical examination
Item
participant has a documented clinical diagnosis of psoriasis, as determined by participant interview of his/her medical history and confirmation of diagnosis through physical examination by the investigator
boolean
C0033860 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0021822 (UMLS CUI [1,3])
C0033860 (UMLS CUI [2,1])
C0031809 (UMLS CUI [2,2])
Indication of psoriasis systemic therapy
Item
participant has indication of psoriasis systemic therapy
boolean
C0033860 (UMLS CUI [1,1])
C1515119 (UMLS CUI [1,2])
C3146298 (UMLS CUI [1,3])
Childbearing potential absent | postmenopausal | female sterilization (bilateral tubal ligation, bilateral oophorectomy or hysterectomy) | childbearing potential contraceptive methods | condoms | contraceptive sponge | vaginal foam | contraceptive vaginal gel | diaphragm | iud
Item
if female, participant is either not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy), or is of childbearing potential and practicing one of the following methods of birth control: condoms, sponge, foams, jellies, diaphragm or intrauterine device (iud)
boolean
C3831118 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
C0232970 (UMLS CUI [2])
C0015787 (UMLS CUI [3])
C0589114 (UMLS CUI [4])
C0278321 (UMLS CUI [5])
C0020699 (UMLS CUI [6])
C3831118 (UMLS CUI [7,1])
C0700589 (UMLS CUI [7,2])
C0677582 (UMLS CUI [8])
C0183461 (UMLS CUI [9])
C0042254 (UMLS CUI [10])
C0009871 (UMLS CUI [11,1])
C0042257 (UMLS CUI [11,2])
C0042241 (UMLS CUI [12])
C0021900 (UMLS CUI [13])
Recent intake of oral contraceptives | recent parenteral contraceptives
Item
contraceptives (oral or parenteral) for three months (90 days) prior to study drug administration
boolean
C0009905 (UMLS CUI [1,1])
C0332185 (UMLS CUI [1,2])
C0700589 (UMLS CUI [2,1])
C1518896 (UMLS CUI [2,2])
C0332185 (UMLS CUI [2,3])
Partner had vasectomy
Item
a vasectomized partner
boolean
C0420842 (UMLS CUI [1])
Sexual Abstinence
Item
total abstinence from sexual intercourse
boolean
C0036899 (UMLS CUI [1])
Able to give informed consent | willing to give informed consent | compliance with study protocol
Item
able and willing to give written informed consent and comply with the requirements of the study protocol
boolean
C0021430 (UMLS CUI [1,1])
C0085732 (UMLS CUI [1,2])
C0021430 (UMLS CUI [2,1])
C0600109 (UMLS CUI [2,2])
C0525058 (UMLS CUI [3])
Item Group
C0680251 (UMLS CUI)
Active infection
Item
participants who have active infections
boolean
C0009450 (UMLS CUI [1,1])
C0205177 (UMLS CUI [1,2])
Participation in another study or clinical trial
Item
participants enrolled in another study or clinical trial
boolean
C2348568 (UMLS CUI [1])
Condition interfering with study conduction | condition causing patient risk
Item
any condition that according to the criteria of the participating investigator represents an obstacle for study conduction and/or participants to an unacceptable risk
boolean
C0348080 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C2732579 (UMLS CUI [1,3])
C0348080 (UMLS CUI [2,1])
C1444641 (UMLS CUI [2,2])
C1113679 (UMLS CUI [2,3])
History of active tuberculosis | histoplasmosis | listeriosis
Item
history of active tuberculosis (tb), histoplasmosis or listeriosis
boolean
C0151332 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0019655 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
C0023860 (UMLS CUI [3,1])
C0262926 (UMLS CUI [3,2])
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