Inglês

Pre-Screening Log RICH study NCT02669589

1 Formulários  
Patient Information
Descrição

Patient Information

Alias
UMLS CUI-1
C1955348
ID of Center
Descrição

Center ID

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Inclusion Criteria
Descrição

Inclusion Criteria

Alias
UMLS CUI-1
C1512693
Screening Date:
Descrição

Screening Date

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0220908
Age of Patient:
Descrição

Age

Tipo de dados

float

Unidades de medida
  • years
Alias
UMLS CUI [1]
C0001779
years
Patient's gender:
Descrição

Gender

Tipo de dados

text

Alias
UMLS CUI [1]
C0079399
Oliguria?
Descrição

Oliguria

Tipo de dados

boolean

Alias
UMLS CUI [1]
C0028961
Cardiovascular Score ≥3? as soon as dose of epinephrine or norephrine is necessary: group SOFA 3-4
Descrição

Cardiovascular Score

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0007226
UMLS CUI [1,2]
C0449820
Reason for Exclusion
Descrição

Reason for Exclusion

Alias
UMLS CUI-1
C0392360
UMLS CUI-2
C0680251
Specify which incusion or exclusion criteria are disobeyed: (if more than 3 criteria, chose the 3 most import ones)
Descrição

Inclusion or exclusion criteria

Tipo de dados

text

Alias
UMLS CUI [1]
C1512693
UMLS CUI [2]
C0680251
Other reason?
Descrição

Other reason

Tipo de dados

boolean

Alias
UMLS CUI [1]
C3840932
If "other reason", specify:
Descrição

Other reason specification

Tipo de dados

text

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C2348235
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Similar models

Pre-Screening Log RICH study NCT02669589

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Patient Information
C1955348 (UMLS CUI-1)
Center ID
Item
ID of Center
text
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Item Group
Inclusion Criteria
C1512693 (UMLS CUI-1)
Screening Date
Item
Screening Date:
date
C0011008 (UMLS CUI [1,1])
C0220908 (UMLS CUI [1,2])
Age
Item
Age of Patient:
float
C0001779 (UMLS CUI [1])
Item
Patient's gender:
text
C0079399 (UMLS CUI [1])
Gender
Code List
Patient's gender:
CL Item
male (male)
CL Item
female (female)
Oliguria
Item
Oliguria?
boolean
C0028961 (UMLS CUI [1])
Cardiovascular Score
Item
Cardiovascular Score ≥3? as soon as dose of epinephrine or norephrine is necessary: group SOFA 3-4
boolean
C0007226 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
Item Group
Reason for Exclusion
C0392360 (UMLS CUI-1)
C0680251 (UMLS CUI-2)
Item
Specify which incusion or exclusion criteria are disobeyed: (if more than 3 criteria, chose the 3 most import ones)
text
C1512693 (UMLS CUI [1])
C0680251 (UMLS CUI [2])
Inclusion or exclusion criteria
Code List
Specify which incusion or exclusion criteria are disobeyed: (if more than 3 criteria, chose the 3 most import ones)
CL Item
planned unlimited intensive care for at least 3 days (98)
CL Item
severe sepsis/septic shock OR high catecholamine use OR refractory fluid overload: imaging/worsening of lung oedema (99)
CL Item
Patient with high bleeding risk (01)
CL Item
haemorrhagic diathesis (02)
CL Item
Chronic Kidney Disease (KDOQI IV without dialysis dependency) (03)
CL Item
after Akute Kidney Injury (within the last 90 days) (04)
CL Item
Chronic Kideny Disease with dialysis dependency (05)
CL Item
Systemic Anticoagulation (06)
CL Item
Allergic Reaction to anticoagulation agent or ingredients, HIT (07)
CL Item
Akute Kidney Injury (by occlusion or surgical lesion of A. renalis) (08)
CL Item
Akute Kidney Injury (by (Glomerulo-)neprhitis, interstitial nephritis, vaskulitis, postrenal obstruction) (09)
CL Item
patient with DNR-Order (10)
CL Item
Hemolytic-uremic syndroLactic acidosisenic purpura (11)
CL Item
long lasting and severe lactic acidosis in context with acute liver failure and/ or shock (12)
CL Item
condition after renal transplantation within the last 12 months (13)
CL Item
pregnancy or lactating (14)
CL Item
abortus imminens (15)
CL Item
no free dialysis machines availabe (16)
CL Item
participation in other interventional trials within the last 3 months (17)
CL Item
patients who have personal relation to one of the people who supervises the trial (18)
CL Item
people who are in an institution due to court order or administrative order (19)
Other reason
Item
Other reason?
boolean
C3840932 (UMLS CUI [1])
Other reason specification
Item
If "other reason", specify:
text
C3840932 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
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