Screening and Observation Period UK Essen Therapy of Chronic Cold Agglutinin Disease With Eculizumab NCT01303952

In-/Exclusion Criteria
Beschrijving

In-/Exclusion Criteria

Alias
UMLS CUI-1
C1512693
UMLS CUI-2
C0680251
Pat.-No.
Beschrijving

Patient number

Datatype

integer

Alias
UMLS CUI [1]
C1830427
The patient gave his or her consent on
Beschrijving

The patient gave his or her consent on

Datatype

text

Maateenheden
  • YYYY-MM-DD
Alias
UMLS CUI [1]
C2985782
YYYY-MM-DD
Are all inclusion criteria fulfilled?
Beschrijving

Are all inclusion criteria fulfilled?

Datatype

integer

Alias
UMLS CUI [1]
C1512693
Are none of the exclusion criteria fulfilled?
Beschrijving

Are none of the exclusion criteria fulfilled?

Datatype

integer

Alias
UMLS CUI [1]
C2828389
Demographics, Vital Signs and Examinations
Beschrijving

Demographics, Vital Signs and Examinations

Alias
UMLS CUI-1
C1955348
UMLS CUI-3
C0518766
UMLS CUI-5
C0582103
Date of Screening
Beschrijving

Date of Screening

Datatype

text

Maateenheden
  • YYYY-MM-DD
Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C1710477
YYYY-MM-DD
Date of Birth
Beschrijving

Date of Birth

Datatype

text

Maateenheden
  • YYYY-MM
Alias
UMLS CUI [1]
C0421451
YYYY-MM
Sex
Beschrijving

Sex

Datatype

integer

Alias
UMLS CUI [1]
C0079399
Nationality
Beschrijving

Nationality

Datatype

integer

Alias
UMLS CUI [1]
C0027473
specify nationality
Beschrijving

specify nationality

Datatype

text

Alias
UMLS CUI [1]
C0027473
Height
Beschrijving

Height

Datatype

float

Maateenheden
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight
Beschrijving

Weight

Datatype

float

Maateenheden
  • kg
Alias
UMLS CUI [1]
C0005910
kg
LDH
Beschrijving

LDH

Datatype

float

Maateenheden
  • U/l
Alias
UMLS CUI [1]
C0202113
U/l
1. Systolic blood pressure
Beschrijving

1. Systolic blood pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
1. Diastolic blood pressure
Beschrijving

1. Diastolic blood pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
2. Systolic blood pressure
Beschrijving

2. Systolic blood pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
2. Diastolic blood pressure
Beschrijving

2. Diastolic blood pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
3. Systolic blood pressure
Beschrijving

3. Systolic blood pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
3. Diastolic blood pressure
Beschrijving

3. Diastolic blood pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Sitting heart rate
Beschrijving

Sitting heart rate

Datatype

integer

Maateenheden
  • beats per minute
Alias
UMLS CUI [1]
C2029904
beats per minute
Body temperature
Beschrijving

Body temperature

Datatype

float

Maateenheden
  • °C
Alias
UMLS CUI [1]
C0005903
°C
Physical examination
Beschrijving

Physical examination

Datatype

integer

Alias
UMLS CUI [1]
C0031809
Abdominal ultrasound
Beschrijving

Abdominal ultrasound

Datatype

integer

Alias
UMLS CUI [1]
C2348813
12-lead electrocardiogram
Beschrijving

12-lead electrocardiogram

Datatype

integer

Alias
UMLS CUI [1]
C0430456
Bone marrow
Beschrijving

Bone marrow

Datatype

integer

Alias
UMLS CUI [1]
C0005957
Circulatory Symptoms
Beschrijving

Circulatory Symptoms

Alias
UMLS CUI-1
C0476270
One year transfusion history
Beschrijving

One year transfusion history

Alias
UMLS CUI-1
C1519604
Preexisting and concomitant diseases
Beschrijving

Preexisting and concomitant diseases

Alias
UMLS CUI-1
C0243087
Visit 0 - FACIT
Beschrijving

Visit 0 - FACIT

Alias
UMLS CUI-1
C1512346
UMLS CUI-2
C3476791
Visit 0 - SF36
Beschrijving

Visit 0 - SF36

Alias
UMLS CUI-1
C1512346
UMLS CUI-2
C3640521

Similar models

Screening and Observation Period UK Essen Therapy of Chronic Cold Agglutinin Disease With Eculizumab NCT01303952

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
In-/Exclusion Criteria
C1512693 (UMLS CUI-1)
C0680251 (UMLS CUI-2)
Patient number
Item
Pat.-No.
integer
C1830427 (UMLS CUI [1])
The patient gave his or her consent on
Item
The patient gave his or her consent on
text
C2985782 (UMLS CUI [1])
Item
Are all inclusion criteria fulfilled?
integer
C1512693 (UMLS CUI [1])
Code List
Are all inclusion criteria fulfilled?
CL Item
no (0)
CL Item
yes (1)
Item
Are none of the exclusion criteria fulfilled?
integer
C2828389 (UMLS CUI [1])
Code List
Are none of the exclusion criteria fulfilled?
CL Item
no (0)
CL Item
yes (1)
Item Group
Demographics, Vital Signs and Examinations
C1955348 (UMLS CUI-1)
C0518766 (UMLS CUI-3)
C0582103 (UMLS CUI-5)
Date of Screening
Item
Date of Screening
text
C0011008 (UMLS CUI [1,1])
C1710477 (UMLS CUI [1,2])
Date of Birth
Item
Date of Birth
text
C0421451 (UMLS CUI [1])
Item
Sex
integer
C0079399 (UMLS CUI [1])
Code List
Sex
CL Item
Male (1)
CL Item
Female (2)
Item
Nationality
integer
C0027473 (UMLS CUI [1])
Code List
Nationality
CL Item
German (1)
CL Item
other (2)
specify nationality
Item
specify nationality
text
C0027473 (UMLS CUI [1])
Height
Item
Height
float
C0005890 (UMLS CUI [1])
Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
LDH
Item
LDH
float
C0202113 (UMLS CUI [1])
1. Systolic blood pressure
Item
1. Systolic blood pressure
integer
C0871470 (UMLS CUI [1])
1. Diastolic blood pressure
Item
1. Diastolic blood pressure
integer
C0428883 (UMLS CUI [1])
2. Systolic blood pressure
Item
2. Systolic blood pressure
integer
C0871470 (UMLS CUI [1])
2. Diastolic blood pressure
Item
2. Diastolic blood pressure
integer
C0428883 (UMLS CUI [1])
3. Systolic blood pressure
Item
3. Systolic blood pressure
integer
C0871470 (UMLS CUI [1])
3. Diastolic blood pressure
Item
3. Diastolic blood pressure
integer
C0428883 (UMLS CUI [1])
Sitting heart rate
Item
Sitting heart rate
integer
C2029904 (UMLS CUI [1])
Body temperature
Item
Body temperature
float
C0005903 (UMLS CUI [1])
Item
Physical examination
integer
C0031809 (UMLS CUI [1])
Code List
Physical examination
CL Item
without pathologic findings (0)
CL Item
with pathologic findings (1)
Item
Abdominal ultrasound
integer
C2348813 (UMLS CUI [1])
Code List
Abdominal ultrasound
CL Item
without pathologic findings (0)
CL Item
with pathologic findings (1)
Item
12-lead electrocardiogram
integer
C0430456 (UMLS CUI [1])
Code List
12-lead electrocardiogram
CL Item
without pathologic findings , 1=with pathologic findings (0)
Item
Bone marrow
integer
C0005957 (UMLS CUI [1])
Code List
Bone marrow
CL Item
without pathologic findings  (0)
CL Item
with pathologic findings (1)
Item Group
Circulatory Symptoms
C0476270 (UMLS CUI-1)
Item Group
One year transfusion history
C1519604 (UMLS CUI-1)
Item Group
Preexisting and concomitant diseases
C0243087 (UMLS CUI-1)
Item Group
Visit 0 - FACIT
C1512346 (UMLS CUI-1)
C3476791 (UMLS CUI-2)
Item Group
Visit 0 - SF36
C1512346 (UMLS CUI-1)
C3640521 (UMLS CUI-2)