Informações: Esta não é a versão mais recente do modelo de dados. Uma visão geral da versão pode ser encontrada à esquerda em Versões. Para a versão mais recente, clique aqui.
Informações:
Falhas:
ID
15947
Descrição
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
Link
http://www.ncbi.nlm.nih.gov/pubmed/19199053
Palavras-chave
Versões (5)
- 20/06/2016 20/06/2016 -
- 20/06/2016 20/06/2016 -
- 27/07/2016 27/07/2016 -
- 19/12/2016 19/12/2016 -
- 06/02/2018 06/02/2018 -
Transferido a
20 de junho de 2016
DOI
Para um pedido faça login.
Licença
Creative Commons BY-NC 3.0 Legacy
Comentários do modelo :
Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.
Comentários do grupo de itens para :
Comentários do item para :
Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.
Echocardiography CARLA Follow-up
Echocardiography CARLA Follow-up
- StudyEvent: ODM
Similar models
Echocardiography CARLA Follow-up
- StudyEvent: ODM
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Examiner ID
Item
Examiner ID
text
Date of investigation
Item
Date of investigation
date
Beginning of investigation
Item
Beginning of investigation
time
CL Item
Room no. 119 (on the right, old device) (A)
CL Item
Room no. 111 (on the left, new device) (N)
Item Group
Medical history: 1. Heart failure / Myocardial insufficiency
CL Item
Yes (1)
CL Item
No (2)
CL Item
I don't know (-8)
Item
1. b) Do you experience shortness of breath, fatigue, or palpitation during physical activity ?
integer
Code List
1. b) Do you experience shortness of breath, fatigue, or palpitation during physical activity ?
CL Item
"Yes" then NYHA = I) (No (if 1.a )
CL Item
During ordinary physical activity (climbing several floors of stairs; NYHA II) (2)
CL Item
During less than ordinary activity (climbing less than one floor of stairs; NYHA III) (3)
CL Item
At rest and during any physical activity (NYHA IV) (4)
CL Item
During any physical activity (1)
CL Item
Max. 5 episodes/day (2)
CL Item
Max. 5 episodes/week (3)
CL Item
Max. 5 episodes/month (4)
Item Group
Medical history: 2. Angina pectoris / Coronary heart disease
Item
2. a) Have you been diagnosed with coronary heart disease (CHD)?
integer
Code List
2. a) Have you been diagnosed with coronary heart disease (CHD)?
CL Item
Yes (1)
CL Item
No (2)
CL Item
I don't know (-8)
Item
2. b) Do you experience chest pain during physical activity (angina pectoris)?
integer
Code List
2. b) Do you experience chest pain during physical activity (angina pectoris)?
CL Item
"Yes" then CCS = I) (No (if 2.a )
CL Item
During ordinary physical activity (climbing several floors of stairs; CCS II) (2)
CL Item
During less than ordinary activity (climbing less than one floor of stairs; CCS III) (3)
CL Item
At rest and during any physical activity (CCS IV) (4)
CL Item
During any physical activity (1)
CL Item
Max. 5 episodes/day (2)
CL Item
Max. 5 episodes/week (3)
CL Item
Max. 5 episodes/month (4)
CL Item
Yes (1)
CL Item
No (2)
CL Item
I don't know (-8)
CL Item
Not specified (-9)
Code List
Do you suffer/Have you ever suffered from palpitations?
CL Item
Yes (1)
CL Item
No (2)
CL Item
I don't know (-8)
CL Item
Not specified (-9)
Code List
Do you suffer/Have you ever suffered from skipped heart beats?
CL Item
Yes (1)
CL Item
No (2)
CL Item
I don't know (-8)
CL Item
Not specified (-9)
Cardiac arrhythmia: plain text diagnosis
Item
Cardiac arrhythmia: plain text diagnosis
text
Item Group
Medical history: Medical history: Further symptoms of cardiac insufficiency
CL Item
Yes (1)
CL Item
No (2)
CL Item
I don't know (-8)
CL Item
Not specified (-9)
CL Item
Yes (1)
CL Item
No (2)
CL Item
I don't know (-8)
CL Item
Not specified (-9)
Item
6. Do you suffer from water retention in the legs in the evening?
integer
CL Item
Yes (1)
CL Item
No (2)
CL Item
I don't know (-8)
CL Item
Not specified (-9)
CL Item
Fine (1)
CL Item
Limited (2)
CL Item
Not sufficient for analysis (3)
CL Item
Fine (1)
CL Item
Limited (2)
CL Item
Not sufficient for analysis (3)
CL Item
Complete (1)
CL Item
Incomplete (2)
Item
In case of incompleteness of parameters, please specify reason
integer
Code List
In case of incompleteness of parameters, please specify reason
CL Item
Obesity (1)
CL Item
COPD (2)
CL Item
Asthenic physique (3)
CL Item
Other (4)
Comments
Item
Comments
text
Control of findings/supervision by (physician ID):
Item
Control of findings/supervision by (physician ID):
text
End of echocardiography
Item
End of echocardiography
time
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
Reader number
Item
Reader number
text
Date of reading
Item
Date of reading
date
Beginning of reading
Item
Beginning of reading
time
CL Item
Complete (1)
CL Item
Incomplete (2)
Item
In case of incompleteness of parameters, please specify reason
integer
Code List
In case of incompleteness of parameters, please specify reason
CL Item
Missing images/data (1)
CL Item
Poor quality of images (2)
CL Item
Other (3)
Comments
Item
Comments
text
Recommendation Text
Item
Recommendation Text
text
CL Item
Visit physician in the near future for control/clarification (1)
CL Item
Visit physician or medical emergency service immediately (2)
CL Item
Subjects needs to be informed immediately about results (3)
Item
In case subject needs to be informed immediately, please specify
integer
Code List
In case subject needs to be informed immediately, please specify
CL Item
By telephone (1)
CL Item
Preliminary dispatch (2)
Item
Which results will the subject be informed about?
text
TreatingPhysicianSignatureText
Item
Signature of treating physician
text
C1527021 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
C1710470 (UMLS CUI [1,3])
C1519316 (UMLS CUI [1,2])
C1710470 (UMLS CUI [1,3])
Name of treating physician
Item
Name of treating physician
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
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Reader number
Item
Reader number
text
Date of reading
Item
Date of reading
date
Beginning of reading
Item
Beginning of reading
time
CL Item
Complete (1)
CL Item
Incomplete (2)
Item
In case of incompleteness of parameters, please specify reason
integer
Code List
In case of incompleteness of parameters, please specify reason
CL Item
Missing images/data (1)
CL Item
Poor quality of images (2)
CL Item
Other (3)
Comments
Item
Comments
text
TreatingPhysicianSignatureText
Item
Signature of treating physician
text
C1527021 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
C1710470 (UMLS CUI [1,3])
C1519316 (UMLS CUI [1,2])
C1710470 (UMLS CUI [1,3])
Name of treating physician
Item
Name of treating physician
text
End of Echo-Reading
Item
End of Echo-Reading
time
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
Physician ID
Item
Physician ID
text
Date
Item
Date
date
ECG evaluation: medical diagnosis
Item
ECG evaluation: medical diagnosis
text
Recommendation Text
Item
Recommendation Text
text
CL Item
Visit physician in the near future for control/clarification (1)
CL Item
Visit physician or medical emergency service immediately (2)
CL Item
Subjects needs to be informed immediately about results (3)
Item
In case subject needs to be informed immediately, please specify
integer
Code List
In case subject needs to be informed immediately, please specify
CL Item
By telephone (1)
CL Item
Preliminary dispatch (2)
Item
Which results will the subject be informed about?
text
TreatingPhysicianSignatureText
Item
Signature of treating physician
text
C1527021 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
C1710470 (UMLS CUI [1,3])
C1519316 (UMLS CUI [1,2])
C1710470 (UMLS CUI [1,3])
Name of treating physician
Item
Name of treating physician
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