ID

13296

Description

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

Mots-clés

Versions (1)
  1. 01/02/2016 01/02/2016 -
Téléchargé le

1 février 2016

DOI

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Licence

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

Anglais

Anamnesis NCT01539746

1 Formulaires  
  1. StudyEvent: ODM
    1. Anamnesis NCT01539746
Date of visit
Description

Date of visit

Alias
UMLS CUI-1
C1320303
Date of visit
Description

Date of visit

Type de données

date

Alias
UMLS CUI [1]
C1320303
Anamnesis and comorbidities
Description

Anamnesis and comorbidities

Alias
UMLS CUI-1
C0199182
Arterial hypertension
Description

Arterial hypertension

Type de données

boolean

Alias
UMLS CUI [1]
C0020538
Aortic aneurysm
Description

Aortic aneurysm

Type de données

boolean

Alias
UMLS CUI [1]
C0003486
Porcelain aorta
Description

Porcelain aorta

Type de données

boolean

Alias
UMLS CUI [1]
C1096249
Atrial fibrillation
Description

Atrial fibrillation

Type de données

boolean

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

Coronary artery disease (CAD)

Type de données

boolean

Alias
UMLS CUI [1]
C0010068
Involved coronary arteries
Description

Involved coronary arteries

Type de données

integer

Alias
UMLS CUI [1]
C0205042
Myocardial infarction
Description

Myocardial infarction

Type de données

boolean

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

Date of myocardial infarction

Type de données

date

Alias
UMLS CUI [1]
C2924287
PCI
Description

PCI

Type de données

boolean

Alias
UMLS CUI [1]
C1532338
Date of PCI
Description

Date of PCI

Type de données

date

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

Pacemaker

Type de données

boolean

Alias
UMLS CUI [1]
C0030163
ICD
Description

ICD

Type de données

boolean

Alias
UMLS CUI [1]
C0162589
Carotid stenosis
Description

Carotid stenosis

Type de données

boolean

Alias
UMLS CUI [1]
C0007282
Stroke
Description

Stroke

Type de données

boolean

Alias
UMLS CUI [1]
C0038454
Date of stroke
Description

Date of stroke

Type de données

boolean

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

Peripheral arterial disease

Type de données

boolean

Alias
UMLS CUI [1]
C1704436
COPD
Description

COPD

Type de données

boolean

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

FEV1 < 1 l

Type de données

boolean

Alias
UMLS CUI [1]
C0748133
Diabetes mellitus
Description

Diabetes mellitus

Type de données

boolean

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

Type of diabetes mellitus

Type de données

integer

Alias
UMLS CUI [1]
C1320657
Immunosuppressive therapy
Description

Immunosuppressive therapy

Type de données

boolean

Alias
UMLS CUI [1]
C0021079
Dementia
Description

Dementia

Type de données

boolean

Alias
UMLS CUI [1]
C0497327
Malignancy
Description

Malignancy

Type de données

boolean

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

Pulmonary hypertension (PAP > 60mmHg)

Type de données

boolean

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

Renal Insufficiency with GFR < 60mL/Min

Type de données

boolean

Alias
UMLS CUI [1]
C1565489
Liver cirrhosis
Description

Liver cirrhosis

Type de données

boolean

Alias
UMLS CUI [1]
C0023890
Cachexia
Description

Cachexia

Type de données

boolean

Alias
UMLS CUI [1]
C0006625
Surgical Anamnesis
Description

Surgical Anamnesis

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

Coronary artery bypass surgery (CABG-Op)

Type de données

boolean

Alias
UMLS CUI [1]
C0010055
Heart valve surgery
Description

Heart valve surgery

Type de données

boolean

Alias
UMLS CUI [1]
C0190065
Balloon valvuloplasty
Description

Balloon valvuloplasty

Type de données

boolean

Alias
UMLS CUI [1]
C0004708
Further comorbidities
Description

Further comorbidities

Alias
UMLS CUI-1
C0009488
Comorbidity
Description

Comorbidity (specify)

Type de données

text

Alias
UMLS CUI [1]
C0009488
Onset of comorbidity
Description

Onset of comorbidity

Type de données

date

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

End of comorbidity

Type de données

date

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

Currently present

Type de données

boolean

Alias
UMLS CUI [1]
C0150312
Retour au début de la page

Similar models

Anamnesis NCT01539746

1 Formulaires
  1. StudyEvent: ODM
    1. Anamnesis NCT01539746
Name
Type
Description | Question | Decode (Coded Value)
Type de données
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])
Retour au début de la page 

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