ID

17730

Description

Hospital Clinical trial Documentation Form at the University Hospital Muenster. Original Form name: Belastungsprotokoll MSZ

Keywords

Versions (1)
  1. 9/30/16 9/30/16 -
Uploaded on

September 30, 2016

DOI

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License

Creative Commons BY-NC 3.0
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Exercise-Stress-Test report University Hospital Muenster (UKM)

German

Exercise-Stress-Test report

1 forms  
Demographische Informationen
Description

Demographische Informationen

Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Geburtsdatum
Description

Birth Date

Data type

date

Alias
UMLS CUI [1]
C0421451
Fallnummer
Description

Case ID

Data type

integer

Alias
UMLS CUI [1,1]
C0868928
UMLS CUI [1,2]
C0600091
Die o.g. Patientin stimmt der Verarbeitung der erhobenen Daten zu Studienzwecken zu.
Description

Consent

Data type

boolean

Alias
UMLS CUI [1]
C1511481
Protokolle
Description

Protocol type

Data type

integer

Alias
UMLS CUI [1]
C0442711
Kameras für die Protokolle
Description

Camera for protocol

Data type

integer

Alias
UMLS CUI [1,1]
C0442711
UMLS CUI [1,2]
C0179533
Isotop
Description

Isotope

Data type

integer

Alias
UMLS CUI [1]
C1522449
Kalibrierte Aktivität (Stress)
Description

Calibrated activity (stress)

Data type

integer

Measurement units
  • MBq
Alias
UMLS CUI [1,1]
C0038435
UMLS CUI [1,2]
C0006751
MBq
Kalibrierungszeitpunkt:
Description

Time of calibration

Data type

time

Alias
UMLS CUI [1,1]
C0006751
UMLS CUI [1,2]
C1548318
Baseline EKG
Description

Baseline EKG

EKG in Ruhe
Description

ECG at rest

Data type

integer

Alias
UMLS CUI [1]
C2960418
Kommentar
Description

Comment

Data type

text

Alias
UMLS CUI [1]
C0947611
RR in Ruhe
Description

Blood pressure at rest

Data type

text

Alias
UMLS CUI [1]
C0005823
Herzfrequenz in Ruhe
Description

Heart Rate at rest

Data type

integer

Alias
UMLS CUI [1]
C0018810
Belastungstest
Description

Belastungstest

Injektionszeitpunkt
Description

Time of injection

Data type

time

Alias
UMLS CUI [1,1]
C1533685
UMLS CUI [1,2]
C0040223
Dauer
Description

Duration

Data type

integer

Measurement units
  • hh:mm:ss
Alias
UMLS CUI [1]
C0449238
hh:mm:ss
Belastung
Description

Exercise

Data type

integer

Measurement units
  • Watt
Alias
UMLS CUI [1]
C0015259
Watt
Systolischer Blutdruck
Description

Systolic blood pressure

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Diastolischer Blutdruck
Description

Diastolic blood pressure

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Herzfrequenz
Description

Heart rate

Data type

integer

Measurement units
  • bpm
Alias
UMLS CUI [1]
C0018810
bpm
Nitro-Spray nach Belastung
Description

Nitro-Spray after exercise

Data type

boolean

Alias
UMLS CUI [1]
C1948381
EKG unter Belastung
Description

ECG Stress-Test

Data type

integer

Alias
UMLS CUI [1]
C1304755
RR syst Max
Description

Maximum syst. blood pressure

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C1282150
mmHg
RR dia. Max
Description

Maximum diastolic blood pressure

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C1282162
mmHg
Max. Belastung
Description

Maximum stress

Data type

integer

Measurement units
  • Watt
Alias
UMLS CUI [1,1]
C0038435
UMLS CUI [1,2]
C0806909
Watt
Max. Predicted Heart rate
Description

Max. Predicted Heart rate

Data type

integer

Measurement units
  • bpm
Alias
UMLS CUI [1,1]
C0806909
UMLS CUI [1,2]
C0018810
UMLS CUI [1,3]
C0681842
bpm
Erreicht
Description

Percent achieved

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C0432600
%
Injizierte Aktivität (Stress)
Description

Injected stress

Data type

integer

Measurement units
  • MBq
Alias
UMLS CUI [1]
C1827946
MBq
Abbruchkriterien
Description

Termination criteria

Data type

integer

Alias
UMLS CUI [1,1]
C1283212
UMLS CUI [1,2]
C0243161
Unterschrift
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316
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Similar models

Exercise-Stress-Test report

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Demographische Informationen
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Birth Date
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Case ID
Item
Fallnummer
integer
C0868928 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Consent
Item
Die o.g. Patientin stimmt der Verarbeitung der erhobenen Daten zu Studienzwecken zu.
boolean
C1511481 (UMLS CUI [1])
Item
Protokolle
integer
C0442711 (UMLS CUI [1])
Protocol type
Code List
Protokolle
CL Item
Ruhe (1)
CL Item
keine Ruhe (2)
CL Item
Ruhe abhängig von der Belastung (3)
CL Item
Stress-Ergometrie (4)
CL Item
Stress-Adenosin (5)
Item
Kameras für die Protokolle
integer
C0442711 (UMLS CUI [1,1])
C0179533 (UMLS CUI [1,2])
Camera for protocol
Code List
Kameras für die Protokolle
CL Item
Symbia (1)
CL Item
ECAM (2)
CL Item
PET/CT (3)
CL Item
Hayk-Eye (4)
CL Item
PET (5)
Item
Isotop
integer
C1522449 (UMLS CUI [1])
Camera for protocol
Code List
Isotop
CL Item
TC-99m (1)
CL Item
C-11 (2)
CL Item
N-13 (3)
CL Item
F-18 (4)
Calibrated activity (stress)
Item
Kalibrierte Aktivität (Stress)
integer
C0038435 (UMLS CUI [1,1])
C0006751 (UMLS CUI [1,2])
Time of calibration
Item
Kalibrierungszeitpunkt:
time
C0006751 (UMLS CUI [1,1])
C1548318 (UMLS CUI [1,2])
Item Group
Baseline EKG
Item
EKG in Ruhe
integer
C2960418 (UMLS CUI [1])
ECG at rest
Code List
EKG in Ruhe
CL Item
EKG unauffällig (1)
CL Item
Sinus-Rhythmus (2)
CL Item
AV-Block (3)
CL Item
VHF (4)
CL Item
Senkung (5)
CL Item
Hebung (6)
CL Item
VES (7)
CL Item
SVES (8)
CL Item
RSB (9)
CL Item
LSB (10)
CL Item
T-Wellen-Negativierung (11)
Comment
Item
Kommentar
text
C0947611 (UMLS CUI [1])
Blood pressure at rest
Item
RR in Ruhe
text
C0005823 (UMLS CUI [1])
Heart Rate at rest
Item
Herzfrequenz in Ruhe
integer
C0018810 (UMLS CUI [1])
Item Group
Belastungstest
Time of injection
Item
Injektionszeitpunkt
time
C1533685 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Duration
Item
Dauer
integer
C0449238 (UMLS CUI [1])
Exercise
Item
Belastung
integer
C0015259 (UMLS CUI [1])
Systolic blood pressure
Item
Systolischer Blutdruck
integer
C0871470 (UMLS CUI [1])
Diastolic blood pressure
Item
Diastolischer Blutdruck
integer
C0428883 (UMLS CUI [1])
Heart rate
Item
Herzfrequenz
integer
C0018810 (UMLS CUI [1])
Nitro-Spray after exercise
Item
Nitro-Spray nach Belastung
boolean
C1948381 (UMLS CUI [1])
Item
EKG unter Belastung
integer
C1304755 (UMLS CUI [1])
ECG at rest
Code List
EKG unter Belastung
CL Item
EKG unauffällig (1)
CL Item
Sinus-Rhythmus (2)
CL Item
AV-Block (3)
CL Item
VHF (4)
CL Item
Senkung (5)
CL Item
Hebung (6)
CL Item
VES (7)
CL Item
SVES (8)
CL Item
RSB (9)
CL Item
LSB (10)
CL Item
T-Wellen-Negativierung (11)
Maximum syst. blood pressure
Item
RR syst Max
integer
C1282150 (UMLS CUI [1])
Maximum diastolic blood pressure
Item
RR dia. Max
integer
C1282162 (UMLS CUI [1])
Maximum stress
Item
Max. Belastung
integer
C0038435 (UMLS CUI [1,1])
C0806909 (UMLS CUI [1,2])
Max. Predicted Heart rate
Item
Max. Predicted Heart rate
integer
C0806909 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
C0681842 (UMLS CUI [1,3])
Percent achieved
Item
Erreicht
integer
C0432600 (UMLS CUI [1])
Injected stress
Item
Injizierte Aktivität (Stress)
integer
C1827946 (UMLS CUI [1])
Item
Abbruchkriterien
integer
C1283212 (UMLS CUI [1,1])
C0243161 (UMLS CUI [1,2])
Termination criteria
Code List
Abbruchkriterien
CL Item
Allgemeine Erschöpfung (1)
CL Item
Muskuläre Erschöpfung (2)
CL Item
AP-Beschwerden (3)
CL Item
Dyspnoe (4)
CL Item
EKG-Veränderungen (5)
Signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])
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