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CABACS Case Report Form [carotid reconstruction]

1 Formulär  
Surgery documentation "CABG with CEA"
Beskrivning

Surgery documentation "CABG with CEA"

Patient ID
Beskrivning

Patient Study ID

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Outcome event "technical failure":Did the carotid stenosis prove to be inoperable or could be reduced inadequately (less than 70 percent according to ECST)
Beskrivning

If yes, please fill in technical failure Outcome event form and send via FAX to study coordinator within 7 days.

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1705586
UMLS CUI [1,2]
C0162643
Sequence of surgical procedures
Beskrivning

Sequence of surgical procedures

Datatyp

integer

Alias
UMLS CUI [1,1]
C1519249
UMLS CUI [1,2]
C0543467
Surgical procedures,OPS codes
Beskrivning

Surgical Procedures

Datatyp

text

Alias
UMLS CUI [1]
C0543467
General anaesthesia
Beskrivning

General Anesthesia

Datatyp

boolean

Alias
UMLS CUI [1]
C0002915
Regional anesthesia
Beskrivning

Regional anesthesia

Datatyp

boolean

Alias
UMLS CUI [1]
C0002911
Creation of shunt
Beskrivning

Creation of shunt

Datatyp

boolean

Alias
UMLS CUI [1]
C0813207
Endarterectomy with thrombectomy
Beskrivning

Endarterectomy with thrombectomy

Datatyp

integer

Alias
UMLS CUI [1]
C0863670
Endarterectomy of internal carotid artery with eversion and end-to-end anastomosis
Beskrivning

Endarterectomy of internal carotid artery with eversion and end-to-end anastomosis

Datatyp

boolean

Alias
UMLS CUI [1]
C1320889
Carotid interposition
Beskrivning

Carotid interposition

Datatyp

integer

Alias
UMLS CUI [1]
C0843316
Other surgical procedures
Beskrivning

Surgical procedures

Datatyp

integer

Alias
UMLS CUI [1]
C0543467
Additional intraoperative procedures/actions
Beskrivning

Additional intraoperative procedures

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0243164
UMLS CUI [1,2]
C0940824
Time vessels have been clamped
Beskrivning

Clamp time

Datatyp

time

Måttenheter
  • Minutes
Alias
UMLS CUI [1,1]
C1718394
UMLS CUI [1,2]
C1718391
Minutes
Neurological monitoring
Beskrivning

Neurological monitoring

Datatyp

boolean

Alias
UMLS CUI [1]
C0150281
Neurological monitoring:please specify
Beskrivning

Neurological monitoring

Datatyp

integer

Alias
UMLS CUI [1]
C0150281
Intraprocedural control
Beskrivning

Intraprocedural control

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0585033
UMLS CUI [1,2]
C0243148
Intraprocedural control:Please specify
Beskrivning

Intraprocedural control

Datatyp

integer

Alias
UMLS CUI [1,1]
C0585033
UMLS CUI [1,2]
C0243148
Operative time from first incision to suture
Beskrivning

Operative time

Datatyp

time

Måttenheter
  • Minutes
Alias
UMLS CUI [1]
C3494201
Minutes
Recurrent procedure
Beskrivning

Recurrent procedure

Datatyp

boolean

Alias
UMLS CUI [1,1]
C2945760
UMLS CUI [1,2]
C0543467
Hypothermia,induced
Beskrivning

Hypothermia,induced

Datatyp

boolean

Alias
UMLS CUI [1]
C0020674
Hypothermia,induced: please specify body temperature
Beskrivning

Hypothermia,induced

Datatyp

float

Måttenheter
  • °C
Alias
UMLS CUI [1]
C0020674
°C
Date of completion of this form
Beskrivning

Date of completion

Datatyp

date

Alias
UMLS CUI [1]
C0011008
Signature by investigator
Beskrivning

Signature

Datatyp

text

Alias
UMLS CUI [1]
C1519316
Name of Investigator
Beskrivning

Name of Investigator

Datatyp

text

Alias
UMLS CUI [1]
C0008961
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Similar models

CABACS Case Report Form [carotid reconstruction]

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Surgery documentation "CABG with CEA"
Patient Study ID
Item
Patient ID
text
C2348585 (UMLS CUI [1])
Outcome event "technical failure"
Item
Outcome event "technical failure":Did the carotid stenosis prove to be inoperable or could be reduced inadequately (less than 70 percent according to ECST)
boolean
C1705586 (UMLS CUI [1,1])
C0162643 (UMLS CUI [1,2])
Item
Sequence of surgical procedures
integer
C1519249 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Sequence of surgical procedures
Code List
Sequence of surgical procedures
CL Item
First CEA, then CABG (1)
CL Item
First CABG, then CEA (2)
Surgical Procedures
Item
Surgical procedures,OPS codes
text
C0543467 (UMLS CUI [1])
General Anesthesia
Item
General anaesthesia
boolean
C0002915 (UMLS CUI [1])
Regional anesthesia
Item
Regional anesthesia
boolean
C0002911 (UMLS CUI [1])
Creation of shunt
Item
Creation of shunt
boolean
C0813207 (UMLS CUI [1])
Item
Endarterectomy with thrombectomy
integer
C0863670 (UMLS CUI [1])
Endarterectomy with thrombectomy
Code List
Endarterectomy with thrombectomy
CL Item
no (0)
CL Item
venous patch (1)
CL Item
PTFE-Patch (2)
CL Item
polyurethane patch (3)
CL Item
dacron patch (4)
CL Item
direct suture (5)
CL Item
other (6)
Endarterectomy of internal carotid artery with eversion and end-to-end anastomosis
Item
Endarterectomy of internal carotid artery with eversion and end-to-end anastomosis
boolean
C1320889 (UMLS CUI [1])
Item
Carotid interposition
integer
C0843316 (UMLS CUI [1])
Carotid interposition
Code List
Carotid interposition
CL Item
no (0)
CL Item
vein (1)
CL Item
PTFE (2)
CL Item
Dacron (3)
CL Item
other (9)
Item
Other surgical procedures
integer
C0543467 (UMLS CUI [1])
Surgical procedures
Code List
Other surgical procedures
CL Item
no (0)
CL Item
Externa plastic (1)
CL Item
carotid-carotid bypass (2)
CL Item
other (9)
Additional intraoperative procedures
Item
Additional intraoperative procedures/actions
boolean
C0243164 (UMLS CUI [1,1])
C0940824 (UMLS CUI [1,2])
Clamp time
Item
Time vessels have been clamped
time
C1718394 (UMLS CUI [1,1])
C1718391 (UMLS CUI [1,2])
Neurological monitoring
Item
Neurological monitoring
boolean
C0150281 (UMLS CUI [1])
Item
Neurological monitoring:please specify
integer
C0150281 (UMLS CUI [1])
Neurological monitoring
Code List
Neurological monitoring:please specify
CL Item
SEP (1)
CL Item
EEG (2)
CL Item
Oxymetry (3)
CL Item
other (9)
Intraprocedural control
Item
Intraprocedural control
boolean
C0585033 (UMLS CUI [1,1])
C0243148 (UMLS CUI [1,2])
Item
Intraprocedural control:Please specify
integer
C0585033 (UMLS CUI [1,1])
C0243148 (UMLS CUI [1,2])
Intraprocedural control
Code List
Intraprocedural control:Please specify
CL Item
Ultrasound (1)
CL Item
Angiography (2)
CL Item
Doppler-Flowmetry (3)
CL Item
other (9)
Operative time
Item
Operative time from first incision to suture
time
C3494201 (UMLS CUI [1])
Recurrent procedure
Item
Recurrent procedure
boolean
C2945760 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Hypothermia,induced
Item
Hypothermia,induced
boolean
C0020674 (UMLS CUI [1])
Hypothermia,induced
Item
Hypothermia,induced: please specify body temperature
float
C0020674 (UMLS CUI [1])
Date of completion
Item
Date of completion of this form
date
C0011008 (UMLS CUI [1])
Signature
Item
Signature by investigator
text
C1519316 (UMLS CUI [1])
Name of Investigator
Item
Name of Investigator
text
C0008961 (UMLS CUI [1])
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