ID

25151

Description

DEMOGRAPHY Ropinirole Case Report Form GSK Study ID: 100013 Clinical Study ID: RRL100013 A 12-Week, Double-Blind, Placebo-Controlled, Twice-Daily Dosing Study to Assess the Efficacy and Safety of Ropinirole in Patients Suffering from Restless Legs Syndrome (RLS) Requiring Extended Treatment Coverage

Keywords

  1. 8/27/17 8/27/17 -
Copyright Holder

gsk

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August 27, 2017

DOI

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License

Creative Commons BY-NC 3.0

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DEMOGRAPHY Ropinirole Case Report Form GSK RRL100013

DEMOGRAPHY Ropinirole Case Report Form GSK

DEMOGRAPHY
Description

DEMOGRAPHY

Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Gender
Description

Gender

Data type

integer

Alias
UMLS CUI [1]
C0079399
Ethnicity
Description

Ethnicity

Data type

integer

Alias
UMLS CUI [1]
C0015031
Race
Description

Race

Data type

integer

Alias
UMLS CUI [1]
C0034510
VITAL SIGNS
Description

VITAL SIGNS

Height
Description

Height

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight
Description

Weight

Data type

integer

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Blood pressure Semi-Supine
Description

Blood pressure Semi-Supine

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1,1]
C0005823
UMLS CUI [1,2]
C0038846
Blood pressure Standing position
Description

Blood pressure Standing position

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1,1]
C0005823
UMLS CUI [1,2]
C0231472
Heart rate standing position
Description

Heart rate standing position

Data type

integer

Measurement units
  • beats/minute
Alias
UMLS CUI [1,1]
C0018810
UMLS CUI [1,2]
C0231472
beats/minute
Heart rate Semi-Supine
Description

Heart rate Semi-Supine

Data type

integer

Measurement units
  • beats/minute
Alias
UMLS CUI [1,1]
C0018810
UMLS CUI [1,2]
C0038846
beats/minute
RLS DIAGNOSTIC CLINICAL INTERVIEW - WORKSHEET
Description

RLS DIAGNOSTIC CLINICAL INTERVIEW - WORKSHEET

Final diagnosis
Description

Final diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011900
Does subject report growing pains:
Description

Does subject report growing pains:

Data type

boolean

Alias
UMLS CUI [1]
C0423693
Have you ever had unpleasant or uncomfortable feelings in your legs that occurred mainly while you were either sitting or lying down?
Description

If no, go to #3

Data type

boolean

Alias
UMLS CUI [1]
C2112857
Are these feelings painful rather than just uncomfortable?
Description

Are these feelings painful rather than just uncomfortable?

Data type

boolean

Alias
UMLS CUI [1]
C0030193
UMLS CUI [2]
C2051418
How would you describe these feelings or sensations?
Description

How would you describe these feelings or sensations?

Data type

text

Alias
UMLS CUI [1,1]
C0036659
UMLS CUI [1,2]
C0678257
Have you ever felt the need or urge to move your legs that occurred mainly while you were either sitting or lying down?
Description

If yes, go to #3a. If no, go to #4.

Data type

boolean

Alias
UMLS CUI [1]
C4289280
Do these feelings in your legs ever become overwhelming to the point that you cannot resist moving your legs?
Description

Do these feelings in your legs ever become overwhelming to the point that you cannot resist moving your legs?

Data type

boolean

Alias
UMLS CUI [1]
C0030193
If you developed these feelings in your legs and you could not move your legs, or if someone were to hold your legs down, how would this effect the feelings in your legs?:
Description

If you developed these feelings in your legs and you could not move your legs, or if someone were to hold your legs down, how would this effect the feelings in your legs?:

Data type

boolean

Alias
UMLS CUI [1]
C0560841
ALCOHOL INTAKE
Description

ALCOHOL INTAKE

ALCOHOL INTAKE
Description

ALCOHOL CONVERTER 1 unit of alcohol in US = 1.5oz hard liquor, 1 beer, 4oz wine Round up/down to the nearest integer.

Data type

integer

Alias
UMLS CUI [1]
C0001948
CAFFEINE INTAKE INVEST/GA TOR INSTRUCTIONS
Description

CAFFEINE INTAKE INVEST/GA TOR INSTRUCTIONS

CAFFEINE INTAKE
Description

8 fluid ounces coffee = 3 units (approximately 136mg caffeine) 8 fluid ounces tea = 2 units (approximately 64mg caffeine) 8 fluid ounces caffeinated soda = 1 unit (approximately 46mg caffeine) Round up/down to the nearest integer.

Data type

integer

RLS SCREEN HISTORY
Description

RLS SCREEN HISTORY

What was the subject's age at the onset of RLS?
Description

What was the subject's age at the onset of RLS?

Data type

integer

Alias
UMLS CUI [1,1]
C0206132
UMLS CUI [1,2]
C0035258
Did the subject start any new medication near the time of their first onset of RLS symptoms that may have caused RLS?
Description

If 'Yes' specify medication(s)

Data type

boolean

Alias
UMLS CUI [1,1]
C0035258
UMLS CUI [1,2]
C0420250
If female, did RLS symptoms develop during pregnancy?
Description

If female, did RLS symptoms develop during pregnancy?

Data type

integer

Alias
UMLS CUI [1,1]
C0035258
UMLS CUI [1,2]
C0032961
Has any first degree relative (mother/father, brother/sister, son/daughter) of the subject ever been diagnosed with or had symptoms of RLS?
Description

Has any first degree relative (mother/father, brother/sister, son/daughter) of the subject ever been diagnosed with or had symptoms of RLS?

Data type

boolean

Alias
UMLS CUI [1,1]
C0035258
UMLS CUI [1,2]
C0080103
Has the subject ever had PLMS (Periodic Limb Movements during Sleep)?
Description

If 'YES', what was the subject's age at the onset of PLMS?

Data type

boolean

Alias
UMLS CUI [1]
C1970020
Has any first degree relative (mother/father, brother/sister, son/daughter) of the subject ever been diagnosed with or had symptoms of PLMS?
Description

Has any first degree relative (mother/father, brother/sister, son/daughter) of the subject ever been diagnosed with or had symptoms of PLMS?

Data type

boolean

Alias
UMLS CUI [1,1]
C1970020
UMLS CUI [1,2]
C0080103
Does the subject have any sleep disorder as defined by DSM IV other than qualifying disease state for this study?
Description

If 'Yes' record on the Medical Conditions page.

Data type

boolean

Alias
UMLS CUI [1]
C0851578
When are the subject's current RLS symptoms mainly present?
Description

When are the subject's current RLS symptoms mainly present?

Data type

integer

Alias
UMLS CUI [1,1]
C0035258
UMLS CUI [1,2]
C1457887
Have any of the following parts of the subject's body ever been affected by RLS symptoms?
Description

Have any of the following parts of the subject's body ever been affected by RLS symptoms?

Data type

integer

Alias
UMLS CUI [1,1]
C0035258
UMLS CUI [1,2]
C0035258
Does the subject consume alcohol?
Description

Does the subject consume alcohol?

Data type

boolean

Alias
UMLS CUI [1]
C0001948
If Yes, record the average number of units of alcohol' consumed per week
Description

If Yes, record the average number of units of alcohol' consumed per week

Data type

text

Alias
UMLS CUI [1,1]
C0001948
UMLS CUI [1,2]
C0556331
Does the subject consume caffeine (coffee, tea, other caffeinated substances)?
Description

Does the subject consume caffeine (coffee, tea, other caffeinated substances)?

Data type

boolean

Alias
UMLS CUI [1]
C0948365
INTERNATIONAL RESTLESS LEG SYNDROME STUDY GROUP (IRLSSG) DIAGNOSTIC CRITERIA
Description

INTERNATIONAL RESTLESS LEG SYNDROME STUDY GROUP (IRLSSG) DIAGNOSTIC CRITERIA

An urge to move the legs, usually accompanied or caused by uncomfortable and unpleasant sensations in the legs.
Description

An urge to move the legs, usually accompanied or caused by uncomfortable and unpleasant sensations in the legs.

Data type

boolean

Alias
UMLS CUI [1,1]
C0518561
UMLS CUI [1,2]
C0035258
The urge to move or unpleasant sensations begin or worsen during periods of rest or inactivity such as lying or sitting.
Description

The urge to move or unpleasant sensations begin or worsen during periods of rest or inactivity such as lying or sitting.

Data type

boolean

Alias
UMLS CUI [1,1]
C0035258
UMLS CUI [1,2]
C3890554
The urge to move or unpleasant sensations are partially or totally relieved by movement, such as walking or stretching, at least as long as the activity continues.
Description

The urge to move or unpleasant sensations are partially or totally relieved by movement, such as walking or stretching, at least as long as the activity continues.

Data type

integer

Alias
UMLS CUI [1,1]
C0080331
UMLS CUI [1,2]
C0600080
The urge to move or unpleasant sensations are worse in the evening or night than during the day or only occur in the evening or night.
Description

The urge to move or unpleasant sensations are worse in the evening or night than during the day or only occur in the evening or night.

Data type

boolean

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C3845371
CARDIOVASCULAR MEDICAL HISTORY
Description

CARDIOVASCULAR MEDICAL HISTORY

Myocardial infarction
Description

Myocardial infarction

Data type

integer

Alias
UMLS CUI [1]
C0027051
Atherosclerosis
Description

Atherosclerosis

Data type

integer

Alias
UMLS CUI [1]
C0004153
Cardiac valve disease
Description

Cardiac valve disease

Data type

integer

Alias
UMLS CUI [1]
C0018824
Peripheral vascular disease
Description

Peripheral vascular disease

Data type

integer

Alias
UMLS CUI [1]
C0085096
Unspecified cerebrovascular disease
Description

Unspecified cerebrovascular disease

Data type

integer

Alias
UMLS CUI [1]
C0007820
Transient ischaemic attack
Description

Transient ischaemic attack

Data type

integer

Alias
UMLS CUI [1]
C0007787
Stroke
Description

Stroke

Data type

integer

Alias
UMLS CUI [1]
C0038454
Cardiac arrest
Description

Cardiac arrest

Data type

integer

Alias
UMLS CUI [1]
C0018790
Coronary artery disease
Description

Coronary artery disease

Data type

integer

Alias
UMLS CUI [1]
C1956346
ischaemic heart disease
Description

ischaemic heart disease

Data type

integer

Alias
UMLS CUI [1]
C0151744
ischaemic heart disease with cardiomyopathy
Description

ischaemic heart disease with cardiomyopathy

Data type

integer

Alias
UMLS CUI [1,1]
C0151744
UMLS CUI [1,2]
C0878544
Stable angina pectoris
Description

Stable angina pectoris

Data type

integer

Alias
UMLS CUI [1]
C0340288
Unstable angina
Description

Unstable angina

Data type

integer

Alias
UMLS CUI [1]
C0002965
Heart failure
Description

Heart failure

Data type

integer

Alias
UMLS CUI [1]
C0018801
Arrhythmia
Description

Arrhythmia

Data type

integer

Alias
UMLS CUI [1]
C0003811
Left ventricular dysfunction
Description

Left ventricular dysfunction

Data type

integer

Alias
UMLS CUI [1]
C0242698
Pulmonary oedema
Description

Pulmonary oedema

Data type

integer

Alias
UMLS CUI [1]
C0034063
Hypertension
Description

Hypertension

Data type

integer

Alias
UMLS CUI [1]
C0020538
Oedema
Description

Oedema

Data type

text

Alias
UMLS CUI [1]
C0013604
Left ventricular hypertrophy
Description

Left ventricular hypertrophy

Data type

integer

Alias
UMLS CUI [1]
C0149721
Cardiomegaly
Description

Cardiomegaly

Data type

integer

Alias
UMLS CUI [1]
C0018800
Cardiomyopathy
Description

Cardiomyopathy

Data type

integer

Alias
UMLS CUI [1]
C0878544
Diastolic dysfunction
Description

Diastolic dysfunction

Data type

integer

Alias
UMLS CUI [1]
C0520863
Coronary artery by-pass
Description

Coronary artery by-pass

Data type

integer

Alias
UMLS CUI [1]
C0010055
Angioplasty
Description

Angioplasty

Data type

integer

Alias
UMLS CUI [1]
C0162577
STENT insertion
Description

STENT insertion

Data type

integer

Alias
UMLS CUI [1]
C0398087
Cardiac transplantation
Description

Cardiac transplantation

Data type

integer

Alias
UMLS CUI [1]
C3275052
Amputation
Description

Amputation

Data type

integer

Alias
UMLS CUI [1]
C0002688
Pacemaker insertion
Description

Pacemaker insertion

Data type

integer

Alias
UMLS CUI [1]
C0189843
Carotid endarterectomy
Description

Carotid endarterectomy

Data type

integer

Alias
UMLS CUI [1]
C3275052
Vascular bypass graft (other than coronary)
Description

Vascular bypass graft (other than coronary)

Data type

integer

Alias
UMLS CUI [1]
C0863745

Similar models

DEMOGRAPHY Ropinirole Case Report Form GSK

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
DEMOGRAPHY
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
Gender
integer
C0079399 (UMLS CUI [1])
Code List
Gender
CL Item
m (1)
CL Item
f (2)
Item
Ethnicity
integer
C0015031 (UMLS CUI [1])
Code List
Ethnicity
CL Item
Hispanic or Latino (1)
CL Item
Not Hispanic or Latino (2)
Item
Race
integer
C0034510 (UMLS CUI [1])
Code List
Race
CL Item
White - White/Caucasian/European Heritage (1)
CL Item
White - Arabic/North African Heritage (2)
CL Item
Native Hawaiian or Other Pacific Islander (3)
CL Item
Asian - South East Asian Heritage (4)
CL Item
Asian - Japanese Heritage (5)
CL Item
Asian - East Asian Heritage (6)
CL Item
Asian - Central/South Asian Heritage (7)
CL Item
American Indian or Alaskan Native (8)
CL Item
African American/African Heritage (9)
Item Group
VITAL SIGNS
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Item
Blood pressure Semi-Supine
integer
C0005823 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Code List
Blood pressure Semi-Supine
CL Item
systolic (1)
C0871470 (UMLS CUI-1)
(Comment:en)
CL Item
diastolic (2)
C0428883 (UMLS CUI-1)
(Comment:en)
Item
Blood pressure Standing position
integer
C0005823 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
Code List
Blood pressure Standing position
CL Item
systolic (1)
C0871470 (UMLS CUI-1)
(Comment:en)
CL Item
diastolic (2)
C0428883 (UMLS CUI-1)
(Comment:en)
Heart rate standing position
Item
Heart rate standing position
integer
C0018810 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
Heart rate Semi-Supine
Item
Heart rate Semi-Supine
integer
C0018810 (UMLS CUI [1,1])
C0038846 (UMLS CUI [1,2])
Item Group
RLS DIAGNOSTIC CLINICAL INTERVIEW - WORKSHEET
Item
Final diagnosis
integer
C0011900 (UMLS CUI [1])
Code List
Final diagnosis
CL Item
Definite RLS (1)
C0035258 (UMLS CUI-1)
C0439544 (UMLS CUI-2)
(Comment:en)
CL Item
Probable RLS (2)
C0035258 (UMLS CUI-1)
C0332148 (UMLS CUI-2)
(Comment:en)
CL Item
Possible RLS (3)
C0035258 (UMLS CUI-1)
C2362652 (UMLS CUI-2)
(Comment:en)
CL Item
Not-RLS (4)
C0035258 (UMLS CUI-1)
C0497153 (UMLS CUI-2)
(Comment:en)
CL Item
Secondary Definite (5)
C0035258 (UMLS CUI-1)
C0439544 (UMLS CUI-2)
C0332138 (UMLS CUI-3)
(Comment:en)
CL Item
Secondary Possible (6)
C0035258 (UMLS CUI-1)
C2362652 (UMLS CUI-2)
C0332138 (UMLS CUI-3)
(Comment:en)
CL Item
Diagnosis Unknown (7)
C0011900 (UMLS CUI-1)
C0439673 (UMLS CUI-2)
(Comment:en)
Does subject report growing pains:
Item
Does subject report growing pains:
boolean
C0423693 (UMLS CUI [1])
Have you ever had unpleasant or uncomfortable feelings in your legs that occurred mainly while you were either sitting or lying down?
Item
Have you ever had unpleasant or uncomfortable feelings in your legs that occurred mainly while you were either sitting or lying down?
boolean
C2112857 (UMLS CUI [1])
Are these feelings painful rather than just uncomfortable?
Item
Are these feelings painful rather than just uncomfortable?
boolean
C0030193 (UMLS CUI [1])
C2051418 (UMLS CUI [2])
How would you describe these feelings or sensations?
Item
How would you describe these feelings or sensations?
text
C0036659 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
Have you ever felt the need or urge to move your legs that occurred mainly while you were either sitting or lying down?
Item
Have you ever felt the need or urge to move your legs that occurred mainly while you were either sitting or lying down?
boolean
C4289280 (UMLS CUI [1])
Do these feelings in your legs ever become overwhelming to the point that you cannot resist moving your legs?
Item
Do these feelings in your legs ever become overwhelming to the point that you cannot resist moving your legs?
boolean
C0030193 (UMLS CUI [1])
If you developed these feelings in your legs and you could not move your legs, or if someone were to hold your legs down, how would this effect the feelings in your legs?:
Item
If you developed these feelings in your legs and you could not move your legs, or if someone were to hold your legs down, how would this effect the feelings in your legs?:
boolean
C0560841 (UMLS CUI [1])
Item Group
ALCOHOL INTAKE
ALCOHOL INTAKE
Item
ALCOHOL INTAKE
integer
C0001948 (UMLS CUI [1])
Item Group
CAFFEINE INTAKE INVEST/GA TOR INSTRUCTIONS
CAFFEINE INTAKE
Item
CAFFEINE INTAKE
integer
Item Group
RLS SCREEN HISTORY
What was the subject's age at the onset of RLS?
Item
What was the subject's age at the onset of RLS?
integer
C0206132 (UMLS CUI [1,1])
C0035258 (UMLS CUI [1,2])
Did the subject start any new medication near the time of their first onset of RLS symptoms that may have caused RLS?
Item
Did the subject start any new medication near the time of their first onset of RLS symptoms that may have caused RLS?
boolean
C0035258 (UMLS CUI [1,1])
C0420250 (UMLS CUI [1,2])
Item
If female, did RLS symptoms develop during pregnancy?
integer
C0035258 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
Code List
If female, did RLS symptoms develop during pregnancy?
CL Item
no (1)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
yes (2)
C0035258 (UMLS CUI-1)
(Comment:en)
CL Item
Not applicable (3)
C1272460 (UMLS CUI-1)
(Comment:en)
Has any first degree relative (mother/father, brother/sister, son/daughter) of the subject ever been diagnosed with or had symptoms of RLS?
Item
Has any first degree relative (mother/father, brother/sister, son/daughter) of the subject ever been diagnosed with or had symptoms of RLS?
boolean
C0035258 (UMLS CUI [1,1])
C0080103 (UMLS CUI [1,2])
Has the subject ever had PLMS (Periodic Limb Movements during Sleep)?
Item
Has the subject ever had PLMS (Periodic Limb Movements during Sleep)?
boolean
C1970020 (UMLS CUI [1])
Has any first degree relative (mother/father, brother/sister, son/daughter) of the subject ever been diagnosed with or had symptoms of PLMS?
Item
Has any first degree relative (mother/father, brother/sister, son/daughter) of the subject ever been diagnosed with or had symptoms of PLMS?
boolean
C1970020 (UMLS CUI [1,1])
C0080103 (UMLS CUI [1,2])
Does the subject have any sleep disorder as defined by DSM IV other than qualifying disease state for this study?
Item
Does the subject have any sleep disorder as defined by DSM IV other than qualifying disease state for this study?
boolean
C0851578 (UMLS CUI [1])
Item
When are the subject's current RLS symptoms mainly present?
integer
C0035258 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
Code List
When are the subject's current RLS symptoms mainly present?
CL Item
At nighttime only (1)
C2608290 (UMLS CUI-1)
(Comment:en)
CL Item
In evening and nighttime (2)
C0587117 (UMLS CUI-1)
C0587117 (UMLS CUI-2)
(Comment:en)
CL Item
Daytime, evening and nighttime (3)
C0587117 (UMLS CUI-1)
C0587117 (UMLS CUI-2)
C0332169 (UMLS CUI-3)
(Comment:en)
Item
Have any of the following parts of the subject's body ever been affected by RLS symptoms?
integer
C0035258 (UMLS CUI [1,1])
C0035258 (UMLS CUI [1,2])
Code List
Have any of the following parts of the subject's body ever been affected by RLS symptoms?
CL Item
Right leg (1)
C0230442 (UMLS CUI-1)
(Comment:en)
CL Item
Left leg (2)
C0230443 (UMLS CUI-1)
(Comment:en)
CL Item
Right arm (3)
C0230346 (UMLS CUI-1)
(Comment:en)
CL Item
Left arm (4)
C0230347 (UMLS CUI-1)
(Comment:en)
CL Item
Trunk (5)
C0460005 (UMLS CUI-1)
(Comment:en)
CL Item
Face or neck (6)
C0015450 (UMLS CUI-1)
C0027530 (UMLS CUI-3)
(Comment:en)
Does the subject consume alcohol?
Item
Does the subject consume alcohol?
boolean
C0001948 (UMLS CUI [1])
If Yes, record the average number of units of alcohol' consumed per week
Item
If Yes, record the average number of units of alcohol' consumed per week
text
C0001948 (UMLS CUI [1,1])
C0556331 (UMLS CUI [1,2])
Does the subject consume caffeine (coffee, tea, other caffeinated substances)?
Item
Does the subject consume caffeine (coffee, tea, other caffeinated substances)?
boolean
C0948365 (UMLS CUI [1])
Item Group
INTERNATIONAL RESTLESS LEG SYNDROME STUDY GROUP (IRLSSG) DIAGNOSTIC CRITERIA
An urge to move the legs, usually accompanied or caused by uncomfortable and unpleasant sensations in the legs.
Item
An urge to move the legs, usually accompanied or caused by uncomfortable and unpleasant sensations in the legs.
boolean
C0518561 (UMLS CUI [1,1])
C0035258 (UMLS CUI [1,2])
The urge to move or unpleasant sensations begin or worsen during periods of rest or inactivity such as lying or sitting.
Item
The urge to move or unpleasant sensations begin or worsen during periods of rest or inactivity such as lying or sitting.
boolean
C0035258 (UMLS CUI [1,1])
C3890554 (UMLS CUI [1,2])
The urge to move or unpleasant sensations are partially or totally relieved by movement, such as walking or stretching, at least as long as the activity continues.
Item
The urge to move or unpleasant sensations are partially or totally relieved by movement, such as walking or stretching, at least as long as the activity continues.
integer
C0080331 (UMLS CUI [1,1])
C0600080 (UMLS CUI [1,2])
The urge to move or unpleasant sensations are worse in the evening or night than during the day or only occur in the evening or night.
Item
The urge to move or unpleasant sensations are worse in the evening or night than during the day or only occur in the evening or night.
boolean
C1457887 (UMLS CUI [1,1])
C3845371 (UMLS CUI [1,2])
Item Group
CARDIOVASCULAR MEDICAL HISTORY
Item
Myocardial infarction
integer
C0027051 (UMLS CUI [1])
Code List
Myocardial infarction
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Atherosclerosis
integer
C0004153 (UMLS CUI [1])
Code List
Atherosclerosis
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Cardiac valve disease
integer
C0018824 (UMLS CUI [1])
Code List
Cardiac valve disease
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Peripheral vascular disease
integer
C0085096 (UMLS CUI [1])
Code List
Peripheral vascular disease
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Unspecified cerebrovascular disease
integer
C0007820 (UMLS CUI [1])
Code List
Unspecified cerebrovascular disease
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Transient ischaemic attack
integer
C0007787 (UMLS CUI [1])
Code List
Transient ischaemic attack
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Stroke
integer
C0038454 (UMLS CUI [1])
Code List
Stroke
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Cardiac arrest
integer
C0018790 (UMLS CUI [1])
Code List
Cardiac arrest
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Coronary artery disease
integer
C1956346 (UMLS CUI [1])
Code List
Coronary artery disease
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
ischaemic heart disease
integer
C0151744 (UMLS CUI [1])
Code List
ischaemic heart disease
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
ischaemic heart disease with cardiomyopathy
integer
C0151744 (UMLS CUI [1,1])
C0878544 (UMLS CUI [1,2])
Code List
ischaemic heart disease with cardiomyopathy
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Stable angina pectoris
integer
C0340288 (UMLS CUI [1])
Code List
Stable angina pectoris
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Unstable angina
integer
C0002965 (UMLS CUI [1])
Code List
Unstable angina
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Heart failure
integer
C0018801 (UMLS CUI [1])
Code List
Heart failure
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Arrhythmia
integer
C0003811 (UMLS CUI [1])
Code List
Arrhythmia
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Left ventricular dysfunction
integer
C0242698 (UMLS CUI [1])
Code List
Left ventricular dysfunction
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Pulmonary oedema
integer
C0034063 (UMLS CUI [1])
Code List
Pulmonary oedema
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Hypertension
integer
C0020538 (UMLS CUI [1])
Code List
Hypertension
CL Item
past (1)
C1444637 (UMLS CUI-1)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Oedema
text
C0013604 (UMLS CUI [1])
Code List
Oedema
CL Item
Past (Past)
CL Item
Current (Current)
CL Item
No Medical History (No Medical History)
Item
Left ventricular hypertrophy
integer
C0149721 (UMLS CUI [1])
Code List
Left ventricular hypertrophy
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Cardiomegaly
integer
C0018800 (UMLS CUI [1])
Code List
Cardiomegaly
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Cardiomyopathy
integer
C0878544 (UMLS CUI [1])
Code List
Cardiomyopathy
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Diastolic dysfunction
integer
C0520863 (UMLS CUI [1])
Code List
Diastolic dysfunction
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Coronary artery by-pass
integer
C0010055 (UMLS CUI [1])
Code List
Coronary artery by-pass
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Angioplasty
integer
C0162577 (UMLS CUI [1])
Code List
Angioplasty
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
STENT insertion
integer
C0398087 (UMLS CUI [1])
Code List
STENT insertion
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Cardiac transplantation
integer
C3275052 (UMLS CUI [1])
Code List
Cardiac transplantation
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Amputation
integer
C0002688 (UMLS CUI [1])
Code List
Amputation
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Pacemaker insertion
integer
C0189843 (UMLS CUI [1])
Code List
Pacemaker insertion
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Carotid endarterectomy
integer
C3275052 (UMLS CUI [1])
Code List
Carotid endarterectomy
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)
Item
Vascular bypass graft (other than coronary)
integer
C0863745 (UMLS CUI [1])
Code List
Vascular bypass graft (other than coronary)
CL Item
past (1)
C1444637 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
current (2)
C0521116 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
(Comment:en)
CL Item
no medical history (3)
C0262926 (UMLS CUI-1)
(Comment:en)

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