Medical History Visit 1 Month 0 PRoFESS - Prevention Regimen For Effectively Avoiding Second Strokes NCT00153062

Medical History
Beschrijving

Medical History

Alias
UMLS CUI-1
C0262926
1. Number of Previous Symptomatic Strokes (not including qualifying stroke)
Beschrijving

Number of Previous Symptomatic Strokes

Datatype

float

Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0750480
Date of most recent prior Strokes (not including qualifying stroke) (dd mon yy): (Starting with most recent) (2)
Beschrijving

Date of recent Stroke

Datatype

date

Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0750480
2. Date of most recent prior Strokes (not including qualifying stroke) (dd mon yy): (Starting with most recent) (1)
Beschrijving

Date of recent stroke

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0038454
Date of most recent prior Strokes (not including qualifying stroke) (dd mon yy): (Starting with most recent) (3)
Beschrijving

Date of recent Stroke

Datatype

date

Alias
UMLS CUI [1,1]
C0038454
UMLS CUI [1,2]
C0750480
Does the patient have any of the following:
Beschrijving

Does the patient have any of the following:

Alias
UMLS CUI-1
C0011900
UMLS CUI-2
C0205394
3. Ischemic coronary artery disease
Beschrijving

Ischemic coronary artery disease

Datatype

boolean

Alias
UMLS CUI [1,1]
C1956346
UMLS CUI [1,2]
C0151744
UMLS CUI [1,3]
C0262926
if "yes", year of first diagnosis
Beschrijving

if "yes", year of first diagnosis

Datatype

date

Alias
UMLS CUI [1,1]
C0205265
UMLS CUI [1,2]
C0011900
UMLS CUI [1,3]
C0439234
UMLS CUI [1,4]
C0151744
4. Prior myocardial infarctions
Beschrijving

Prior myocardial infarctions

Datatype

boolean

Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0262926
if "yes", number of infarctions
Beschrijving

if "yes", number of infarctions

Datatype

float

Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0750480
if "yes", date of most recent infarctions
Beschrijving

if "yes", date of most recent infarctions

Datatype

date

Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0011008
5. Peripheral arterial occlusive disease (PAOD)
Beschrijving

Peripheral arterial occlusive disease (PAOD)

Datatype

boolean

Alias
UMLS CUI [1,1]
C1306889
UMLS CUI [1,2]
C0262926
if "yes", year of first diagnosis (yy)
Beschrijving

if "yes", year of first diagnosis (yy)

Datatype

date

Alias
UMLS CUI [1,1]
C0205265
UMLS CUI [1,2]
C0011900
UMLS CUI [1,3]
C0439234
UMLS CUI [1,4]
C1306889
6. Prior Transient Ischemic Attacks
Beschrijving

Prior Transient Ischemic Attacks

Datatype

boolean

Alias
UMLS CUI [1,1]
C0007787
UMLS CUI [1,2]
C0262926
if ´yes´, Date of last Transient Ischemic Attack
Beschrijving

if ´yes´, Date of last TIA

Datatype

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0007787
7. Diabetes mellitus
Beschrijving

Diabetes mellitus

Datatype

boolean

Alias
UMLS CUI [1,1]
C0011849
UMLS CUI [1,2]
C0262926
if ´yes´, age at of diagnosis (years)
Beschrijving

if ´yes´, age at of diagnosis

Datatype

date

Alias
UMLS CUI [1,1]
C0001779
UMLS CUI [1,2]
C0205265
UMLS CUI [1,3]
C0011900
8. Hypertension
Beschrijving

Hypertension

Datatype

boolean

Alias
UMLS CUI [1,1]
C0020538
UMLS CUI [1,2]
C0262926
if ´yes´, age at diagnosis (years)
Beschrijving

if ´yes´, age at diagnosis

Datatype

date

Alias
UMLS CUI [1,1]
C0001779
UMLS CUI [1,2]
C0205265
UMLS CUI [1,3]
C0011900
9. Hyperlipidemia
Beschrijving

Hyperlipidemia

Datatype

boolean

Alias
UMLS CUI [1,1]
C0020473
UMLS CUI [1,2]
C0262926
10. Atrial fibrillation
Beschrijving

Atrial fibrillation

Datatype

boolean

Alias
UMLS CUI [1,1]
C0004238
UMLS CUI [1,2]
C0262926
11. Congestive Heart failure (CHF)
Beschrijving

Congestive Heart failure (CHF)

Datatype

boolean

Alias
UMLS CUI [1,1]
C0018802
UMLS CUI [1,2]
C0262926
12. Deep venous thrombosis (DVT)
Beschrijving

Deep venous thrombosis (DVT)

Datatype

boolean

Alias
UMLS CUI [1,1]
C0149871
UMLS CUI [1,2]
C0262926
13. Valvular disease
Beschrijving

Valvular disease

Datatype

boolean

Alias
UMLS CUI [1,1]
C3258293
UMLS CUI [1,2]
C0262926
14. Did the patient suffer from migraine headaches in the last 12 months.
Beschrijving

Migraine headaches

Datatype

boolean

Alias
UMLS CUI [1,1]
C0149931
UMLS CUI [1,2]
C0262926
if ´no´, has the patient previously suffered from migraine headaches (<10 attacks/lifetime)
Beschrijving

if ´no´, has the patient previously suffered from migraine headaches (<10 attacks/lifetime)

Datatype

boolean

Alias
UMLS CUI [1,1]
C0149931
UMLS CUI [1,2]
C4071830
UMLS CUI [1,3]
C0262926
Laboratory Blood Tests
Beschrijving

Laboratory Blood Tests

Alias
UMLS CUI-1
C0018941
15. Has a laboratory test been performed? (results from previous 3 month are acceptable)
Beschrijving

Laboratory Blood Test Performance

Datatype

boolean

Alias
UMLS CUI [1]
C2346633
If Yes, date of sample
Beschrijving

Date

Datatype

date

Alias
UMLS CUI [1,1]
C2346633
UMLS CUI [1,2]
C0011008
16. Potassium Value (and Unit)
Beschrijving

Potassium Value

Datatype

float

Alias
UMLS CUI [1]
C0556596
17. Creatinine Value (and Unit)
Beschrijving

Creatinine Value

Datatype

float

Alias
UMLS CUI [1]
C0201975
Optional tests (No new test should be performed to obtain results)
Beschrijving

Optional tests (No new test should be performed to obtain results)

Alias
UMLS CUI-1
C0392366
18. White Blood Cell Count Value
Beschrijving

White Blood Cell Count Value

Datatype

float

Alias
UMLS CUI [1]
C0023508
19. Haematocrit Value
Beschrijving

Haematocrit

Datatype

float

Alias
UMLS CUI [1]
C0018935

Similar models

Medical History Visit 1 Month 0 PRoFESS - Prevention Regimen For Effectively Avoiding Second Strokes NCT00153062

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Medical History
C0262926 (UMLS CUI-1)
Number of Previous Symptomatic Strokes
Item
1. Number of Previous Symptomatic Strokes (not including qualifying stroke)
float
C0038454 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Date of recent Stroke
Item
Date of most recent prior Strokes (not including qualifying stroke) (dd mon yy): (Starting with most recent) (2)
date
C0038454 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Date of recent stroke
Item
2. Date of most recent prior Strokes (not including qualifying stroke) (dd mon yy): (Starting with most recent) (1)
date
C0011008 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
Date of recent Stroke
Item
Date of most recent prior Strokes (not including qualifying stroke) (dd mon yy): (Starting with most recent) (3)
date
C0038454 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Item Group
Does the patient have any of the following:
C0011900 (UMLS CUI-1)
C0205394 (UMLS CUI-2)
Ischemic coronary artery disease
Item
3. Ischemic coronary artery disease
boolean
C1956346 (UMLS CUI [1,1])
C0151744 (UMLS CUI [1,2])
C0262926 (UMLS CUI [1,3])
if "yes", year of first diagnosis
Item
if "yes", year of first diagnosis
date
C0205265 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C0439234 (UMLS CUI [1,3])
C0151744 (UMLS CUI [1,4])
Prior myocardial infarctions
Item
4. Prior myocardial infarctions
boolean
C0027051 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
if "yes", number of infarctions
Item
if "yes", number of infarctions
float
C0027051 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
if "yes", date of most recent infarctions
Item
if "yes", date of most recent infarctions
date
C0027051 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Peripheral arterial occlusive disease (PAOD)
Item
5. Peripheral arterial occlusive disease (PAOD)
boolean
C1306889 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
if "yes", year of first diagnosis (yy)
Item
if "yes", year of first diagnosis (yy)
date
C0205265 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C0439234 (UMLS CUI [1,3])
C1306889 (UMLS CUI [1,4])
Prior Transient Ischemic Attacks
Item
6. Prior Transient Ischemic Attacks
boolean
C0007787 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
if ´yes´, Date of last TIA
Item
if ´yes´, Date of last Transient Ischemic Attack
date
C0011008 (UMLS CUI [1,1])
C0007787 (UMLS CUI [1,2])
Diabetes mellitus
Item
7. Diabetes mellitus
boolean
C0011849 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
if ´yes´, age at of diagnosis
Item
if ´yes´, age at of diagnosis (years)
date
C0001779 (UMLS CUI [1,1])
C0205265 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
Hypertension
Item
8. Hypertension
boolean
C0020538 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
if ´yes´, age at diagnosis
Item
if ´yes´, age at diagnosis (years)
date
C0001779 (UMLS CUI [1,1])
C0205265 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
Hyperlipidemia
Item
9. Hyperlipidemia
boolean
C0020473 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Atrial fibrillation
Item
10. Atrial fibrillation
boolean
C0004238 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Congestive Heart failure (CHF)
Item
11. Congestive Heart failure (CHF)
boolean
C0018802 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Deep venous thrombosis (DVT)
Item
12. Deep venous thrombosis (DVT)
boolean
C0149871 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Valvular disease
Item
13. Valvular disease
boolean
C3258293 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Migraine headaches
Item
14. Did the patient suffer from migraine headaches in the last 12 months.
boolean
C0149931 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
if ´no´, has the patient previously suffered from migraine headaches (<10 attacks/lifetime)
Item
if ´no´, has the patient previously suffered from migraine headaches (<10 attacks/lifetime)
boolean
C0149931 (UMLS CUI [1,1])
C4071830 (UMLS CUI [1,2])
C0262926 (UMLS CUI [1,3])
Item Group
Laboratory Blood Tests
C0018941 (UMLS CUI-1)
Laboratory Blood Test Performance
Item
15. Has a laboratory test been performed? (results from previous 3 month are acceptable)
boolean
C2346633 (UMLS CUI [1])
Date
Item
If Yes, date of sample
date
C2346633 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Potassium Value
Item
16. Potassium Value (and Unit)
float
C0556596 (UMLS CUI [1])
Creatinine Value
Item
17. Creatinine Value (and Unit)
float
C0201975 (UMLS CUI [1])
Item Group
Optional tests (No new test should be performed to obtain results)
C0392366 (UMLS CUI-1)
White Blood Cell Count Value
Item
18. White Blood Cell Count Value
float
C0023508 (UMLS CUI [1])
Haematocrit
Item
19. Haematocrit Value
float
C0018935 (UMLS CUI [1])