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Eligibility Fibrillation, Atrial NCT00402363

1 forms  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
men and women age 18 years or older
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
history of symptomatic atrial fibrillation (either paroxysmal or persistent)
Description

ATRIAL FIBRILLATION SYMPTOMATIC | Paroxysmal atrial fibrillation | Persistent atrial fibrillation

Data type

boolean

Alias
UMLS CUI [1]
C0741283
UMLS CUI [2]
C0235480
UMLS CUI [3]
C2585653
provide written informed consent and authorization for protected health information disclosure
Description

Informed Consent | Authorization Health information Disclosure

Data type

boolean

Alias
UMLS CUI [1]
C0021430
UMLS CUI [2,1]
C1524004
UMLS CUI [2,2]
C0850397
UMLS CUI [2,3]
C0012625
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
permanent (chronic) atrial fibrillation
Description

Permanent atrial fibrillation chronic

Data type

boolean

Alias
UMLS CUI [1,1]
C2586056
UMLS CUI [1,2]
C0205191
antiarrhythmic drug therapy which cannot be stopped
Description

Anti-Arrhythmia Agents uninterrupted

Data type

boolean

Alias
UMLS CUI [1,1]
C0003195
UMLS CUI [1,2]
C3843614
use of amiodarone with prior 6 months
Description

Amiodarone

Data type

boolean

Alias
UMLS CUI [1]
C0002598
history of unsuccessful cardioversion
Description

Cardioversion Unsuccessful

Data type

boolean

Alias
UMLS CUI [1,1]
C0013778
UMLS CUI [1,2]
C1272705
history of certain cardiovascular conditions or cardiac surgery within prior 6 months
Description

Cardiovascular conditions | Cardiac Surgery procedure

Data type

boolean

Alias
UMLS CUI [1]
C2015790
UMLS CUI [2]
C0018821
history of stroke within prior 6 months
Description

Cerebrovascular accident

Data type

boolean

Alias
UMLS CUI [1]
C0038454
implanted cardio-defibrillator
Description

defibrillator implanted

Data type

boolean

Alias
UMLS CUI [1]
C0850291
certain circulatory, thyroid, pulmonary, liver, kidney, musculoskeletal or metabolic conditions, or cancer (except non-melanoma skin cancer)
Description

Disorder of circulatory system | Thyroid Diseases | Lung diseases | Liver diseases | Kidney Diseases | Musculoskeletal Diseases | Metabolic Diseases | Malignant Neoplasms | Skin carcinoma

Data type

boolean

Alias
UMLS CUI [1]
C0728936
UMLS CUI [2]
C0040128
UMLS CUI [3]
C0024115
UMLS CUI [4]
C0023895
UMLS CUI [5]
C0022658
UMLS CUI [6]
C0026857
UMLS CUI [7]
C0025517
UMLS CUI [8]
C0006826
UMLS CUI [9]
C0699893
poorly controlled diabetes
Description

poorly controlled diabetes mellitus

Data type

boolean

Alias
UMLS CUI [1]
C0554876
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Similar models

Eligibility Fibrillation, Atrial NCT00402363

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Age
Item
men and women age 18 years or older
boolean
C0001779 (UMLS CUI [1])
ATRIAL FIBRILLATION SYMPTOMATIC | Paroxysmal atrial fibrillation | Persistent atrial fibrillation
Item
history of symptomatic atrial fibrillation (either paroxysmal or persistent)
boolean
C0741283 (UMLS CUI [1])
C0235480 (UMLS CUI [2])
C2585653 (UMLS CUI [3])
Informed Consent | Authorization Health information Disclosure
Item
provide written informed consent and authorization for protected health information disclosure
boolean
C0021430 (UMLS CUI [1])
C1524004 (UMLS CUI [2,1])
C0850397 (UMLS CUI [2,2])
C0012625 (UMLS CUI [2,3])
Item Group
C0680251 (UMLS CUI)
Permanent atrial fibrillation chronic
Item
permanent (chronic) atrial fibrillation
boolean
C2586056 (UMLS CUI [1,1])
C0205191 (UMLS CUI [1,2])
Anti-Arrhythmia Agents uninterrupted
Item
antiarrhythmic drug therapy which cannot be stopped
boolean
C0003195 (UMLS CUI [1,1])
C3843614 (UMLS CUI [1,2])
Amiodarone
Item
use of amiodarone with prior 6 months
boolean
C0002598 (UMLS CUI [1])
Cardioversion Unsuccessful
Item
history of unsuccessful cardioversion
boolean
C0013778 (UMLS CUI [1,1])
C1272705 (UMLS CUI [1,2])
Cardiovascular conditions | Cardiac Surgery procedure
Item
history of certain cardiovascular conditions or cardiac surgery within prior 6 months
boolean
C2015790 (UMLS CUI [1])
C0018821 (UMLS CUI [2])
Cerebrovascular accident
Item
history of stroke within prior 6 months
boolean
C0038454 (UMLS CUI [1])
defibrillator implanted
Item
implanted cardio-defibrillator
boolean
C0850291 (UMLS CUI [1])
Disorder of circulatory system | Thyroid Diseases | Lung diseases | Liver diseases | Kidney Diseases | Musculoskeletal Diseases | Metabolic Diseases | Malignant Neoplasms | Skin carcinoma
Item
certain circulatory, thyroid, pulmonary, liver, kidney, musculoskeletal or metabolic conditions, or cancer (except non-melanoma skin cancer)
boolean
C0728936 (UMLS CUI [1])
C0040128 (UMLS CUI [2])
C0024115 (UMLS CUI [3])
C0023895 (UMLS CUI [4])
C0022658 (UMLS CUI [5])
C0026857 (UMLS CUI [6])
C0025517 (UMLS CUI [7])
C0006826 (UMLS CUI [8])
C0699893 (UMLS CUI [9])
poorly controlled diabetes mellitus
Item
poorly controlled diabetes
boolean
C0554876 (UMLS CUI [1])
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