ID

13522

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 - 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

Palabras clave

Versiones (3)
  1. 1/2/16 1/2/16 -
  2. 6/2/16 6/2/16 -
  3. 12/2/16 12/2/16 - Julian Varghese
Subido en

12 de febrero de 2016

DOI

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Licencia

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

Inglés

Physical examination NCT01539746

1 formularios  
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
Physical Examination
Descripción

Physical Examination

Alias
UMLS CUI-1
C0031809
Height
Descripción

Height

Tipo de datos

float

Unidades de medida
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight
Descripción

Weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
UMLS CUI [1]
C0005910
kg
General condition
Descripción

General condition

Tipo de datos

integer

Alias
UMLS CUI [1]
C1142435
Further comments
Descripción

Further comments

Tipo de datos

text

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

Head, Eyes, Neck, Nose, Throat, Ears

Tipo de datos

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
Descripción

Further comments

Tipo de datos

text

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

Lung

Tipo de datos

integer

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

Further comments

Tipo de datos

text

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

Heart/ cardiovascular system

Tipo de datos

integer

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

Further comments

Tipo de datos

text

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

Abdomen

Tipo de datos

integer

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

Further comments

Tipo de datos

text

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

Musculoskeletal system

Tipo de datos

integer

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

Further comments

Tipo de datos

text

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

Lymph nodes

Tipo de datos

integer

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

Further comments

Tipo de datos

text

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

Neurological examination

Tipo de datos

integer

Alias
UMLS CUI [1]
C0027853
Further comments
Descripción

Further comments

Tipo de datos

text

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

Skin/ Mucous membrane

Tipo de datos

integer

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

Other

Tipo de datos

integer

Alias
UMLS CUI [1]
C0205394
Further comments
Descripción

Further comments

Tipo de datos

text

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

6-MWT

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

6-MWT

Tipo de datos

float

Unidades de medida
  • m
Alias
UMLS CUI [1]
C3900196
m
6-MWT not possible
Descripción

6-MWT not possible

Tipo de datos

boolean

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

NYHA class

Alias
UMLS CUI-1
C1275491
NYHA class
Descripción

NYHA class

Tipo de datos

integer

Alias
UMLS CUI [1]
C1275491
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Similar models

Physical examination NCT01539746

1 formularios
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
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)
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