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ID

13522

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 - Visit 5 (30 days +15d) - Visit 6 (180 days +-30d) - Visit 7 (1 year + 1m) 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

Keywords

Versions (3)
  1. 2/1/16 2/1/16 -
  2. 2/6/16 2/6/16 -
  3. 2/12/16 2/12/16 - Julian Varghese
Uploaded on

February 12, 2016

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

    English

    Physical examination NCT01539746

    1 forms  
    Date of visit
    Description

    Date of visit

    Alias
    UMLS CUI-1
    C1320303
    Date of visit
    Description

    Date of visit

    Data type

    date

    Alias
    UMLS CUI [1]
    C1320303
    Physical Examination
    Description

    Physical Examination

    Alias
    UMLS CUI-1
    C0031809
    Height
    Description

    Height

    Data type

    float

    Measurement units
    • cm
    Alias
    UMLS CUI [1]
    C0005890
    cm
    Weight
    Description

    Weight

    Data type

    float

    Measurement units
    • kg
    Alias
    UMLS CUI [1]
    C0005910
    kg
    General condition
    Description

    General condition

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1142435
    Further comments
    Description

    Further comments

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1142435
    UMLS CUI [1,2]
    C1830770
    Head, Eyes, Neck, Nose, Throat, Ears
    Description

    Head, Eyes, Neck, Nose, Throat, Ears

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0031809
    UMLS CUI [1,2]
    C0018670
    UMLS CUI [2,1]
    C0031809
    UMLS CUI [2,2]
    C0015392
    UMLS CUI [3,1]
    C0031809
    UMLS CUI [3,2]
    C0027530
    UMLS CUI [4,1]
    C0031809
    UMLS CUI [4,2]
    C0028429
    UMLS CUI [5,1]
    C0031809
    UMLS CUI [5,2]
    C3665375
    UMLS CUI [6,1]
    C0031809
    UMLS CUI [6,2]
    C0013443
    Further comments
    Description

    Further comments

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0031809
    UMLS CUI [1,2]
    C1830770
    Lung
    Description

    Lung

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0031809
    UMLS CUI [1,2]
    C0024109
    Further comments
    Description

    Further comments

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0024109
    UMLS CUI [1,2]
    C1830770
    Heart/ cardiovascular system
    Description

    Heart/ cardiovascular system

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0031809
    UMLS CUI [1,2]
    C0007226
    Further comments
    Description

    Further comments

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0007226
    UMLS CUI [1,2]
    C1830770
    Abdomen
    Description

    Abdomen

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0031809
    UMLS CUI [1,2]
    C0000726
    Further comments
    Description

    Further comments

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0000726
    UMLS CUI [1,2]
    C1830770
    Musculoskeletal system
    Description

    Musculoskeletal system

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0031809
    UMLS CUI [1,2]
    C0026860
    Further comments
    Description

    Further comments

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0026860
    UMLS CUI [1,2]
    C1830770
    Lymph nodes
    Description

    Lymph nodes

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0031809
    UMLS CUI [1,2]
    C0024204
    Further comments
    Description

    Further comments

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0024204
    UMLS CUI [1,2]
    C1830770
    Neurological examination
    Description

    Neurological examination

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0027853
    Further comments
    Description

    Further comments

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0027853
    UMLS CUI [1,2]
    C1830770
    Skin/ Mucous membrane
    Description

    Skin/ Mucous membrane

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1123023
    UMLS CUI [2]
    C0026724
    Other
    Description

    Other

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0205394
    Further comments
    Description

    Further comments

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0205394
    UMLS CUI [1,2]
    C1830770
    6-MWT
    Description

    6-MWT

    Alias
    UMLS CUI-1
    C3900196
    6-MWT: Distance
    Description

    6-MWT

    Data type

    float

    Measurement units
    • m
    Alias
    UMLS CUI [1]
    C3900196
    m
    6-MWT not possible
    Description

    6-MWT not possible

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C3900196
    UMLS CUI [1,2]
    C3846095
    NYHA class
    Description

    NYHA class

    Alias
    UMLS CUI-1
    C1275491
    NYHA class
    Description

    NYHA class

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1275491
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    Similar models

    Physical examination NCT01539746

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Date of visit
    C1320303 (UMLS CUI-1)
    date of visit
    Item
    Date of visit
    date
    C1320303 (UMLS CUI [1])
    Item Group
    Physical Examination
    C0031809 (UMLS CUI-1)
    height
    Item
    Height
    float
    C0005890 (UMLS CUI [1])
    weight
    Item
    Weight
    float
    C0005910 (UMLS CUI [1])
    Item
    General condition
    integer
    C1142435 (UMLS CUI [1])
    general condition
    Code List
    General condition
    CL Item
    Normal (1)
    C0205307 (UMLS CUI-1)
    CL Item
    Path. (2)
    C1521733 (UMLS CUI-1)
    CL Item
    Not examined (3)
    C0332128 (UMLS CUI-1)
    C1518422 (UMLS CUI-2)
    further comments general condition
    Item
    Further comments
    text
    C1142435 (UMLS CUI [1,1])
    C1830770 (UMLS CUI [1,2])
    Item
    Head, Eyes, Neck, Nose, Throat, Ears
    integer
    C0031809 (UMLS CUI [1,1])
    C0018670 (UMLS CUI [1,2])
    C0031809 (UMLS CUI [2,1])
    C0015392 (UMLS CUI [2,2])
    C0031809 (UMLS CUI [3,1])
    C0027530 (UMLS CUI [3,2])
    C0031809 (UMLS CUI [4,1])
    C0028429 (UMLS CUI [4,2])
    C0031809 (UMLS CUI [5,1])
    C3665375 (UMLS CUI [5,2])
    C0031809 (UMLS CUI [6,1])
    C0013443 (UMLS CUI [6,2])
    general condition
    Code List
    Head, Eyes, Neck, Nose, Throat, Ears
    CL Item
    Normal (1)
    C0205307 (UMLS CUI-1)
    CL Item
    Path. (2)
    C1521733 (UMLS CUI-1)
    CL Item
    Not examined (3)
    C0332128 (UMLS CUI-1)
    C1518422 (UMLS CUI-2)
    further comments body parts
    Item
    Further comments
    text
    C0031809 (UMLS CUI [1,1])
    C1830770 (UMLS CUI [1,2])
    Item
    Lung
    integer
    C0031809 (UMLS CUI [1,1])
    C0024109 (UMLS CUI [1,2])
    general condition
    Code List
    Lung
    CL Item
    Normal (1)
    C0205307 (UMLS CUI-1)
    CL Item
    Path. (2)
    C1521733 (UMLS CUI-1)
    CL Item
    Not examined (3)
    C0332128 (UMLS CUI-1)
    C1518422 (UMLS CUI-2)
    further comments lung
    Item
    Further comments
    text
    C0024109 (UMLS CUI [1,1])
    C1830770 (UMLS CUI [1,2])
    Item
    Heart/ cardiovascular system
    integer
    C0031809 (UMLS CUI [1,1])
    C0007226 (UMLS CUI [1,2])
    general condition
    Code List
    Heart/ cardiovascular system
    CL Item
    Normal (1)
    C0205307 (UMLS CUI-1)
    CL Item
    Path. (2)
    C1521733 (UMLS CUI-1)
    CL Item
    Not examined (3)
    C0332128 (UMLS CUI-1)
    C1518422 (UMLS CUI-2)
    further comments cardio system
    Item
    Further comments
    text
    C0007226 (UMLS CUI [1,1])
    C1830770 (UMLS CUI [1,2])
    Item
    Abdomen
    integer
    C0031809 (UMLS CUI [1,1])
    C0000726 (UMLS CUI [1,2])
    general condition
    Code List
    Abdomen
    CL Item
    Normal (1)
    C0205307 (UMLS CUI-1)
    CL Item
    Path. (2)
    C1521733 (UMLS CUI-1)
    CL Item
    Not examined (3)
    C0332128 (UMLS CUI-1)
    C1518422 (UMLS CUI-2)
    further comments abdomen
    Item
    Further comments
    text
    C0000726 (UMLS CUI [1,1])
    C1830770 (UMLS CUI [1,2])
    Item
    Musculoskeletal system
    integer
    C0031809 (UMLS CUI [1,1])
    C0026860 (UMLS CUI [1,2])
    general condition
    Code List
    Musculoskeletal system
    CL Item
    Normal (1)
    C0205307 (UMLS CUI-1)
    CL Item
    Path. (2)
    C1521733 (UMLS CUI-1)
    CL Item
    Not examined (3)
    C0332128 (UMLS CUI-1)
    C1518422 (UMLS CUI-2)
    further comments musco system
    Item
    Further comments
    text
    C0026860 (UMLS CUI [1,1])
    C1830770 (UMLS CUI [1,2])
    Item
    Lymph nodes
    integer
    C0031809 (UMLS CUI [1,1])
    C0024204 (UMLS CUI [1,2])
    general condition
    Code List
    Lymph nodes
    CL Item
    Normal (1)
    C0205307 (UMLS CUI-1)
    CL Item
    Path. (2)
    C1521733 (UMLS CUI-1)
    CL Item
    Not examined (3)
    C0332128 (UMLS CUI-1)
    C1518422 (UMLS CUI-2)
    further comments lymph nodes
    Item
    Further comments
    text
    C0024204 (UMLS CUI [1,1])
    C1830770 (UMLS CUI [1,2])
    Item
    Neurological examination
    integer
    C0027853 (UMLS CUI [1])
    general condition
    Code List
    Neurological examination
    CL Item
    Normal (1)
    C0205307 (UMLS CUI-1)
    CL Item
    Path. (2)
    C1521733 (UMLS CUI-1)
    CL Item
    Not examined (3)
    C0332128 (UMLS CUI-1)
    C1518422 (UMLS CUI-2)
    further comments neurogical exam
    Item
    Further comments
    text
    C0027853 (UMLS CUI [1,1])
    C1830770 (UMLS CUI [1,2])
    Item
    Skin/ Mucous membrane
    integer
    C1123023 (UMLS CUI [1])
    C0026724 (UMLS CUI [2])
    general condition
    Code List
    Skin/ Mucous membrane
    CL Item
    Normal (1)
    C0205307 (UMLS CUI-1)
    CL Item
    Path. (2)
    C1521733 (UMLS CUI-1)
    CL Item
    Not examined (3)
    C0332128 (UMLS CUI-1)
    C1518422 (UMLS CUI-2)
    Item
    Other
    integer
    C0205394 (UMLS CUI [1])
    general condition
    Code List
    Other
    CL Item
    Normal (1)
    C0205307 (UMLS CUI-1)
    CL Item
    Path. (2)
    C1521733 (UMLS CUI-1)
    CL Item
    Not examined (3)
    C0332128 (UMLS CUI-1)
    C1518422 (UMLS CUI-2)
    further comments other
    Item
    Further comments
    text
    C0205394 (UMLS CUI [1,1])
    C1830770 (UMLS CUI [1,2])
    Item Group
    6-MWT
    C3900196 (UMLS CUI-1)
    6-MWT
    Item
    6-MWT: Distance
    float
    C3900196 (UMLS CUI [1])
    6-MWT not possible
    Item
    6-MWT not possible
    boolean
    C3900196 (UMLS CUI [1,1])
    C3846095 (UMLS CUI [1,2])
    Item Group
    NYHA class
    C1275491 (UMLS CUI-1)
    Item
    NYHA class
    integer
    C1275491 (UMLS CUI [1])
    NYHA class
    Code List
    NYHA class
    CL Item
    I (1)
    CL Item
    II (2)
    CL Item
    III (3)
    CL Item
    IV (4)
    CL Item
    not done (99)
    C1272696 (UMLS CUI-1)
    Back to the top of the page 

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