ID

13296

Descripción

Use of the Self-Expanding CoreValve Prosthesis without Predilation in Patients with Significantly IMPaired Left-VentrIcular Ejection Fraction for Transcatheter Aortic Valve Implantation Study. Form is used in following visits: - Baseline Projektleiter (LKP): Prof. Dr. med. Georg Nickenig Medizinische Klinik und Poliklinik II Sigmund-Freud-Str. 25, 53125 Bonn Tel. 0228-287-15217, Fax 0228-287-16423 Email: georg.nickenig@ukb.uni-bonn.de

Palabras clave

Versiones (1)
  1. 1/2/16 1/2/16 -
Subido en

1 de febrero de 2016

DOI

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Licencia

Creative Commons BY-NC 3.0
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Anamnesis SIMPLIFy TAVI Transcatheter Aortic Valve Implantation Without Predilation NCT01539746

Inglés

Anamnesis NCT01539746

1 formularios  
  1. StudyEvent: ODM
    1. Anamnesis NCT01539746
Date of visit
Descripción

Date of visit

Alias
UMLS CUI-1
C1320303
Date of visit
Descripción

Date of visit

Tipo de datos

date

Alias
UMLS CUI [1]
C1320303
Anamnesis and comorbidities
Descripción

Anamnesis and comorbidities

Alias
UMLS CUI-1
C0199182
Arterial hypertension
Descripción

Arterial hypertension

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0020538
Aortic aneurysm
Descripción

Aortic aneurysm

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0003486
Porcelain aorta
Descripción

Porcelain aorta

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1096249
Atrial fibrillation
Descripción

Atrial fibrillation

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0004238
Coronary artery disease (CAD)
Descripción

Coronary artery disease (CAD)

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0010068
Involved coronary arteries
Descripción

Involved coronary arteries

Tipo de datos

integer

Alias
UMLS CUI [1]
C0205042
Myocardial infarction
Descripción

Myocardial infarction

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0027051
Date of myocardial infarction
Descripción

Date of myocardial infarction

Tipo de datos

date

Alias
UMLS CUI [1]
C2924287
PCI
Descripción

PCI

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1532338
Date of PCI
Descripción

Date of PCI

Tipo de datos

date

Alias
UMLS CUI [1,1]
C1532338
UMLS CUI [1,2]
C0011008
Pacemaker
Descripción

Pacemaker

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0030163
ICD
Descripción

ICD

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0162589
Carotid stenosis
Descripción

Carotid stenosis

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0007282
Stroke
Descripción

Stroke

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0038454
Date of stroke
Descripción

Date of stroke

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0011008
Peripheral arterial disease
Descripción

Peripheral arterial disease

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1704436
COPD
Descripción

COPD

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0024117
FEV1 < 1 l
Descripción

FEV1 < 1 l

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0748133
Diabetes mellitus
Descripción

Diabetes mellitus

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0011849
Type of diabetes mellitus
Descripción

Type of diabetes mellitus

Tipo de datos

integer

Alias
UMLS CUI [1]
C1320657
Immunosuppressive therapy
Descripción

Immunosuppressive therapy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0021079
Dementia
Descripción

Dementia

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0497327
Malignancy
Descripción

Malignancy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0006826
Pulmonary hypertension (PAP > 60mmHg)
Descripción

Pulmonary hypertension (PAP > 60mmHg)

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0020542
Renal Insufficiency with GFR < 60mL/Min
Descripción

Renal Insufficiency with GFR < 60mL/Min

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1565489
Liver cirrhosis
Descripción

Liver cirrhosis

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0023890
Cachexia
Descripción

Cachexia

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0006625
Surgical Anamnesis
Descripción

Surgical Anamnesis

Alias
UMLS CUI-1
C0025084
Coronary artery bypass surgery (CABG-Op)
Descripción

Coronary artery bypass surgery (CABG-Op)

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0010055
Heart valve surgery
Descripción

Heart valve surgery

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0190065
Balloon valvuloplasty
Descripción

Balloon valvuloplasty

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0004708
Further comorbidities
Descripción

Further comorbidities

Alias
UMLS CUI-1
C0009488
Comorbidity
Descripción

Comorbidity (specify)

Tipo de datos

text

Alias
UMLS CUI [1]
C0009488
Onset of comorbidity
Descripción

Onset of comorbidity

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0009488
UMLS CUI [1,2]
C0332162
End of comorbidity
Descripción

End of comorbidity

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0009488
UMLS CUI [1,2]
C0806020
Currently present
Descripción

Currently present

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0150312
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Similar models

Anamnesis NCT01539746

1 formularios
  1. StudyEvent: ODM
    1. Anamnesis NCT01539746
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Date of visit
C1320303 (UMLS CUI-1)
date of visit
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Item Group
Anamnesis and comorbidities
C0199182 (UMLS CUI-1)
hypertension
Item
Arterial hypertension
boolean
C0020538 (UMLS CUI [1])
aortic aneurysm
Item
Aortic aneurysm
boolean
C0003486 (UMLS CUI [1])
porzellan aorta
Item
Porcelain aorta
boolean
C1096249 (UMLS CUI [1])
atrial fibrillation
Item
Atrial fibrillation
boolean
C0004238 (UMLS CUI [1])
coronary heart disease
Item
Coronary artery disease (CAD)
boolean
C0010068 (UMLS CUI [1])
Item
Involved coronary arteries
integer
C0205042 (UMLS CUI [1])
involved coronary arteries
Code List
Involved coronary arteries
CL Item
One-vessel disease (1)
C3275121 (UMLS CUI-1)
CL Item
Two-vessel disease (2)
C0581375 (UMLS CUI-1)
CL Item
Three-vessel disease (3)
C3272265 (UMLS CUI-1)
myocardial infarction
Item
Myocardial infarction
boolean
C0027051 (UMLS CUI [1])
date of myocardial infarction
Item
Date of myocardial infarction
date
C2924287 (UMLS CUI [1])
PCI
Item
PCI
boolean
C1532338 (UMLS CUI [1])
date of PCI
Item
Date of PCI
date
C1532338 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
pacemaker
Item
Pacemaker
boolean
C0030163 (UMLS CUI [1])
ICD
Item
ICD
boolean
C0162589 (UMLS CUI [1])
carotid stenosis
Item
Carotid stenosis
boolean
C0007282 (UMLS CUI [1])
stroke
Item
Stroke
boolean
C0038454 (UMLS CUI [1])
date of stroke
Item
Date of stroke
boolean
C0038454 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
PAD
Item
Peripheral arterial disease
boolean
C1704436 (UMLS CUI [1])
COPD
Item
COPD
boolean
C0024117 (UMLS CUI [1])
FEV1
Item
FEV1 < 1 l
boolean
C0748133 (UMLS CUI [1])
diabetes mellitus
Item
Diabetes mellitus
boolean
C0011849 (UMLS CUI [1])
Item
Type of diabetes mellitus
integer
C1320657 (UMLS CUI [1])
type of diabetes
Code List
Type of diabetes mellitus
CL Item
non insulin-dependent diabetes mellitus (1)
C0011860 (UMLS CUI-1)
CL Item
insulin-dependent diabetes mellitus (2)
C0011854 (UMLS CUI-1)
immunosuppressive therapy
Item
Immunosuppressive therapy
boolean
C0021079 (UMLS CUI [1])
dementia
Item
Dementia
boolean
C0497327 (UMLS CUI [1])
malignancy
Item
Malignancy
boolean
C0006826 (UMLS CUI [1])
pulmonary hypertension
Item
Pulmonary hypertension (PAP > 60mmHg)
boolean
C0020542 (UMLS CUI [1])
renal Insufficiency
Item
Renal Insufficiency with GFR < 60mL/Min
boolean
C1565489 (UMLS CUI [1])
liver cirrhosis
Item
Liver cirrhosis
boolean
C0023890 (UMLS CUI [1])
cachexia
Item
Cachexia
boolean
C0006625 (UMLS CUI [1])
Item Group
Surgical Anamnesis
C0025084 (UMLS CUI-1)
CABG-Op
Item
Coronary artery bypass surgery (CABG-Op)
boolean
C0010055 (UMLS CUI [1])
heart valve surgery
Item
Heart valve surgery
boolean
C0190065 (UMLS CUI [1])
balloon valvuloplasty
Item
Balloon valvuloplasty
boolean
C0004708 (UMLS CUI [1])
Item Group
Further comorbidities
C0009488 (UMLS CUI-1)
comorbidity
Item
Comorbidity
text
C0009488 (UMLS CUI [1])
onset
Item
Onset of comorbidity
date
C0009488 (UMLS CUI [1,1])
C0332162 (UMLS CUI [1,2])
end date
Item
End of comorbidity
date
C0009488 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
present
Item
Currently present
boolean
C0150312 (UMLS CUI [1])
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