Patient Study ID
Item
Patient ID
text
C2348585 (UMLS CUI [1])
Date of diagnosis
Item
Date of diagnosis
date
C0011008 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Extent of restenosis
Item
Extent of restenosis
integer
C0333186 (UMLS CUI [1,1])
C0449279 (UMLS CUI [1,2])
Item
Localization
integer
C0475264 (UMLS CUI [1])
Item
Reason for restenosis
integer
C0333186 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
Code List
Reason for restenosis
CL Item
hyperplasia of tunica intima (1)
CL Item
atherosclerotic plaque (2)
CL Item
dissection of vessel (3)
CL Item
thrombotic event (4)
CL Item
intervention termination (6)
Item
Additional medical examination
integer
C0582103 (UMLS CUI [1,1])
C0940824 (UMLS CUI [1,2])
Code List
Additional medical examination
CL Item
CTA-computed angiography (1)
CL Item
MRA- magnetic resonance angiography (2)
CL Item
DSA-digital subtraction angiography (3)
CL Item
Other (specify) (4)
Additional medical examination
Item
Additional medical examination, please specify other method used
text
C0582103 (UMLS CUI [1,1])
C0940824 (UMLS CUI [1,2])
Extent of disease confirmed
Item
Extent of disease confirmed?
boolean
C0449279 (UMLS CUI [1,1])
C0750484 (UMLS CUI [1,2])
Item
Symptomatic technical failure
integer
C0231220 (UMLS CUI [1])
Code List
Symptomatic technical failure
CL Item
TIA/Amaurosis (1)
CL Item
cerebrovascular accident (please fill in outcome event form "Stroke") (2)
Item
Treatment
integer
C0087111 (UMLS CUI [1])
CL Item
Yes (please fill in SAE form) (1)
Item
Treatment
integer
C0087111 (UMLS CUI [1])
CL Item
Percutaneous Transluminal Angioplasty/Stent (1)
CL Item
Repeated surgical procedure (2)
Date
Item
Date of repeated surgery or Percutaneous Transluminal Angioplasty/Stent
date
C0011008 (UMLS CUI [1,1])
C0035110 (UMLS CUI [1,2])
Item
Correlation with trial procedure CABG +/- CEA
integer
C1707520 (UMLS CUI [1])
Code List
Correlation with trial procedure CABG +/- CEA
CL Item
no correlation (5)
CL Item
can not be assessed (6)
Item
Outcome
integer
C1705586 (UMLS CUI [1])
CL Item
not yet recovered (2)
CL Item
recovered with sequelae (4)
Other relevant information
Item
Other relevant information,please specify
text
C0517287 (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])