ID

15763

Beskrivning

Greiser KH, Kluttig A, Schumann B, Swenne CA, Kors JA, Kuss O, Haerting J, Schmidt H, Thiery J, Werdan K. Cardiovascular diseases, risk factors and short-term heart rate variability in an elderly general population: the CARLA study 2002-2006. Eur J Epidemiol. 2009;24(3):123-42 http://www.ncbi.nlm.nih.gov/pubmed/19199053 "Cross-sectional data of a population-based cohort including 1,779 women and men aged 45-83 years were used to analyse associations of time and frequency domain measures of HRV (derived from 5-min ECG segments) with age, behavioural and biomedical risk factors and disease in the whole sample and in a "healthy" subgroup." publication granted by Dr. rer. medic. Alexander Kluttig, MPH Leiter des Studienzentrums Halle der Nationalen Kohorte Institut für Medizinische Epidemiologie, Biometrie und Informatik Martin-Luther-Universität Halle-Wittenberg Magdeburger Str. 8 D-06097 Halle/Saale

Länk

http://www.ncbi.nlm.nih.gov/pubmed/19199053

Nyckelord

Versioner (5)
  1. 2016-06-12 2016-06-12 -
  2. 2016-06-20 2016-06-20 -
  3. 2016-07-06 2016-07-06 -
  4. 2016-11-30 2016-11-30 -
  5. 2018-02-06 2018-02-06 -
Uppladdad den

12 juni 2016

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Blood samples CARLA

Engelsk

Blood samples CARLA

1 Formulär  
  1. StudyEvent: ODM
    1. Blood samples CARLA
General information
Beskrivning

General information

Subject ID
Beskrivning

Subject ID

Datatyp

text

Alias
UMLS CUI [1]
C2348585
B01 Examiner ID
Beskrivning

B01 Examiner ID

Datatyp

text

B02 Date
Beskrivning

B02 Date

Datatyp

date

B02 Time
Beskrivning

B02 Time

Datatyp

time

Preliminary questions
Beskrivning

Preliminary questions

B03 Examiner: Does the subject agree to the taking of blood samples?
Beskrivning

B03 Agreement of subject

Datatyp

integer

B03 If not, please specify reason:
Beskrivning

If subject does not agree to taking of blood samples, specify reason here.

Datatyp

text

B04 Do you suffer from haemophilia?
Beskrivning

Examiner: In case of haemophilia, do not take blood samples!

Datatyp

integer

B05 Have you been administered an anticoagulant?
Beskrivning

Examiner: Intake of Marcumar, Marcuphen, Coumadin, Falithrom, Phenproratiopharm

Datatyp

integer

B06 Have you already eaten today?
Beskrivning

B06 Food intake

Datatyp

integer

B07 When was the last time you ate something today?
Beskrivning

B07 Time of food intake

Datatyp

time

B08 Are you allergic to latex?
Beskrivning

B08 Latex allergy

Datatyp

integer

Taking of blood samples
Beskrivning

Taking of blood samples

1. Serum-Gel-Monovette (9 ml)
Beskrivning

color: brown (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
2. EDTA-Monovette (2.7 ml)
Beskrivning

color: red (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
3. EDTA-Monovette (9 ml)
Beskrivning

color: red (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
4. Citrate-Monovette (coagulation tube, 5 ml)
Beskrivning

color: green (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
5. Serum-Gel-Monovette (9 ml)
Beskrivning

color: brown (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
6. EDTA-Monovette (2.7 ml)
Beskrivning

color: red (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
7. Serum-Gel-Monovette (9 ml)
Beskrivning

color: brown (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
8. EDTA-Monovette (9 ml)
Beskrivning

color: red (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
9. Serum-Gel-Monovette (9 ml)
Beskrivning

color: brown (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
10. Li-Heparin-Monovette (9 ml)
Beskrivning

color: orange (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
11. EDTA-Monovette (4.9 ml)
Beskrivning

color: red (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
12. EDTA-Monovette (9 ml)
Beskrivning

color: red (EN 14820)

Datatyp

float

Måttenheter
  • ml
ml
13. Li-Heparin-Monovette (4.9 ml)
Beskrivning

13. Li-Heparin-Monovette (4.9 ml)

Datatyp

float

Måttenheter
  • ml
ml
Final information
Beskrivning

Final information

B10 Examiner: Has the subject stated to suffer from hepatitis?
Beskrivning

B10 Hepatitis

Datatyp

integer

B11 Examiner: Has the subject stated to suffer from an HIV-infection?
Beskrivning

B11 HIV-infection

Datatyp

integer

B12 Could the blood samples be taken?
Beskrivning

B12 Could the blood samples be taken?

Datatyp

integer

B12 If not, please specify reason:
Beskrivning

If blood samples could not be taken, specify reason here.

Datatyp

text

B13 End of blood taking (exact time)
Beskrivning

B13 End of blood taking (exact time)

Datatyp

time

B14 Comments
Beskrivning

B14 Comments

Datatyp

text

1st data entry: DNo.
Beskrivning

1st data entry: DNo.

Datatyp

text

1st data entry: Date
Beskrivning

1st data entry: Date

Datatyp

date

2nd data entry: DNo.
Beskrivning

2nd data entry: DNo.

Datatyp

text

2nd data entry: Date
Beskrivning

2nd data entry: Date

Datatyp

date

Tillbaka till toppen

Similar models

Blood samples CARLA

1 Formulär
  1. StudyEvent: ODM
    1. Blood samples CARLA
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
General information
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
B01 Examiner ID
Item
B01 Examiner ID
text
B02 Date
Item
B02 Date
date
B02 Time
Item
B02 Time
time
Item Group
Preliminary questions
Item
B03 Examiner: Does the subject agree to the taking of blood samples?
integer
Agreement of subject
Code List
B03 Examiner: Does the subject agree to the taking of blood samples?
CL Item
Yes (1)
CL Item
Yes, but without storage of blood for follow-up projects (Do not take tubes 5-9!) (2)
CL Item
No (End) (3)
B03 Reason
Item
B03 If not, please specify reason:
text
Item
B04 Do you suffer from haemophilia?
integer
Do you suffer from haemophilia?
Code List
B04 Do you suffer from haemophilia?
CL Item
Yes (End) (1)
CL Item
No (2)
Item
B05 Have you been administered an anticoagulant?
integer
Have you been administered an anticoagulant?
Code List
B05 Have you been administered an anticoagulant?
CL Item
Yes (1)
CL Item
No (2)
Item
B06 Have you already eaten today?
integer
Food intake
Code List
B06 Have you already eaten today?
CL Item
Yes (1)
CL Item
No (Skip question B07) (2)
B07 Time of food intake
Item
B07 When was the last time you ate something today?
time
Item
B08 Are you allergic to latex?
integer
Latex allergy
Code List
B08 Are you allergic to latex?
CL Item
Yes (Please use latex-free gloves when taking the blood sample!) (1)
CL Item
No (2)
Item Group
Taking of blood samples
1. Serum-Gel-Monovette (9 ml)
Item
1. Serum-Gel-Monovette (9 ml)
float
2. EDTA-Monovette (2.7 ml)
Item
2. EDTA-Monovette (2.7 ml)
float
3. EDTA-Monovette (9 ml)
Item
3. EDTA-Monovette (9 ml)
float
4. Citrate-Monovette (coagulation tube, 5 ml)
Item
4. Citrate-Monovette (coagulation tube, 5 ml)
float
5. Serum-Gel-Monovette (9 ml)
Item
5. Serum-Gel-Monovette (9 ml)
float
6. EDTA-Monovette (2.7 ml)
Item
6. EDTA-Monovette (2.7 ml)
float
7. Serum-Gel-Monovette (9 ml)
Item
7. Serum-Gel-Monovette (9 ml)
float
8. EDTA-Monovette (9 ml)
Item
8. EDTA-Monovette (9 ml)
float
9. Serum-Gel-Monovette (9 ml)
Item
9. Serum-Gel-Monovette (9 ml)
float
10. Li-Heparin-Monovette (9 ml)
Item
10. Li-Heparin-Monovette (9 ml)
float
11. EDTA-Monovette (4.9 ml)
Item
11. EDTA-Monovette (4.9 ml)
float
12. EDTA-Monovette (9 ml)
Item
12. EDTA-Monovette (9 ml)
float
13. Li-Heparin-Monovette (4.9 ml)
Item
13. Li-Heparin-Monovette (4.9 ml)
float
Item Group
Final information
Item
B10 Examiner: Has the subject stated to suffer from hepatitis?
integer
B10 Hepatitis
Code List
B10 Examiner: Has the subject stated to suffer from hepatitis?
CL Item
Yes (1)
CL Item
No (2)
Item
B11 Examiner: Has the subject stated to suffer from an HIV-infection?
integer
B11 HIV-infections
Code List
B11 Examiner: Has the subject stated to suffer from an HIV-infection?
CL Item
Yes (1)
CL Item
No (2)
Item
B12 Could the blood samples be taken?
integer
B12 Could the blood samples be taken?
Code List
B12 Could the blood samples be taken?
CL Item
Yes (1)
CL Item
No (2)
B12 Reason
Item
B12 If not, please specify reason:
text
B13 End of blood taking (exact time)
Item
B13 End of blood taking (exact time)
time
B14 Comments
Item
B14 Comments
text
1st data entry: DNo.
Item
1st data entry: DNo.
text
1st data entry: Date
Item
1st data entry: Date
date
2nd data entry: DNo.
Item
2nd data entry: DNo.
text
2nd data entry: Date
Item
2nd data entry: Date
date
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial