ID

13522

Beschreibung

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

Stichworte

Versionen (3)
  1. 01.02.16 01.02.16 -
  2. 06.02.16 06.02.16 -
  3. 12.02.16 12.02.16 - Julian Varghese
Hochgeladen am

12. Februar 2016

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Physical examination SIMPLIFy TAVI Transcatheter Aortic Valve Implantation Without Predilation NCT01539746

Englisch

Physical examination NCT01539746

1 Formulare  
Date of visit
Beschreibung

Date of visit

Alias
UMLS CUI-1
C1320303
Date of visit
Beschreibung

Date of visit

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Physical Examination
Beschreibung

Physical Examination

Alias
UMLS CUI-1
C0031809
Height
Beschreibung

Height

Datentyp

float

Maßeinheiten
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight
Beschreibung

Weight

Datentyp

float

Maßeinheiten
  • kg
Alias
UMLS CUI [1]
C0005910
kg
General condition
Beschreibung

General condition

Datentyp

integer

Alias
UMLS CUI [1]
C1142435
Further comments
Beschreibung

Further comments

Datentyp

text

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

Head, Eyes, Neck, Nose, Throat, Ears

Datentyp

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
Beschreibung

Further comments

Datentyp

text

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

Lung

Datentyp

integer

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

Further comments

Datentyp

text

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

Heart/ cardiovascular system

Datentyp

integer

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

Further comments

Datentyp

text

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

Abdomen

Datentyp

integer

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

Further comments

Datentyp

text

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

Musculoskeletal system

Datentyp

integer

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

Further comments

Datentyp

text

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

Lymph nodes

Datentyp

integer

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

Further comments

Datentyp

text

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

Neurological examination

Datentyp

integer

Alias
UMLS CUI [1]
C0027853
Further comments
Beschreibung

Further comments

Datentyp

text

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

Skin/ Mucous membrane

Datentyp

integer

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

Other

Datentyp

integer

Alias
UMLS CUI [1]
C0205394
Further comments
Beschreibung

Further comments

Datentyp

text

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

6-MWT

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

6-MWT

Datentyp

float

Maßeinheiten
  • m
Alias
UMLS CUI [1]
C3900196
m
6-MWT not possible
Beschreibung

6-MWT not possible

Datentyp

boolean

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

NYHA class

Alias
UMLS CUI-1
C1275491
NYHA class
Beschreibung

NYHA class

Datentyp

integer

Alias
UMLS CUI [1]
C1275491
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Physical examination NCT01539746

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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)
Zum Seitenanfang zurückkehren 

Kontakt

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video