ID
27421
Description
Short title: TIM-HF II Permission to publish granted by: Prof. Dr. Friedrich Köhler, FESC Charité - Universitätsmedizin Berlin Further study details on: https://www.clinicaltrials.gov/ct2/show/NCT01878630 Screening-Visit (S-Form)
Lien
https://www.clinicaltrials.gov/ct2/show/NCT01878630
Mots-clés
Versions (1)
- 14/11/2017 14/11/2017 -
Détendeur de droits
Prof. Dr. Friedrich Köhler, FESC Charité - Universitätsmedizin Berlin
Téléchargé le
14 novembre 2017
DOI
Pour une demande vous connecter.
Licence
Creative Commons BY-NC 3.0
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Study Title: Telemedical Interventional Management in Heart Failure II (TIM-HF II) NCT01878630
Screening-Visit
- StudyEvent: ODM
Description
Einschlusskriterien
Alias
- UMLS CUI-1
- C1512693
- UMLS CUI-2
- C0008976
- UMLS CUI-3
- C0018801
Description
(alle Kriterien müssen erfüllt sein)
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0264716
- UMLS CUI [1,2]
- C1275491
Description
chronic heart failure NYHA class
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0264716
- UMLS CUI [1,2]
- C1275491
Description
chronic heart failure criteria
Type de données
boolean
Alias
- UMLS CUI [1]
- C0264716
- UMLS CUI [2]
- C0428772
- UMLS CUI [3]
- C0012798
Description
LVEF
Type de données
integer
Unités de mesure
- %
Alias
- UMLS CUI [1]
- C0428772
Description
hospitalization because of cardiac decompensation
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C1961112
- UMLS CUI [1,2]
- C0019993
Description
date of discharge
Type de données
date
Alias
- UMLS CUI [1,1]
- C1961112
- UMLS CUI [1,2]
- C0019993
- UMLS CUI [1,3]
- C2361123
Description
depression
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0011581
- UMLS CUI [1,2]
- C0009488
Description
Ausschlusskriterien
Alias
- UMLS CUI-1
- C0680251
- UMLS CUI-2
- C0008976
- UMLS CUI-3
- C0018801
Description
(kein Kriterium darf erfüllt sein)
Type de données
boolean
Alias
- UMLS CUI [1]
- C0019993
Description
Implantation of Cardiac Assist System
Type de données
boolean
Alias
- UMLS CUI [1]
- C0189879
Description
acute coronary syndrome
Type de données
boolean
Alias
- UMLS CUI [1]
- C0948089
Description
high urgent heart transplantation listing
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0018823
- UMLS CUI [1,2]
- C0422768
- UMLS CUI [1,3]
- C3272275
Description
planned cardiac procedure
Type de données
boolean
Alias
- UMLS CUI [1]
- C0018821
Description
planned cardiac procedure
Type de données
boolean
Alias
- UMLS CUI [1]
- C0018821
Description
drug and or alcohol abuse
Type de données
boolean
Alias
- UMLS CUI [1]
- C0038586
Description
renal failure with dialysis
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0035078
- UMLS CUI [1,2]
- C0011946
Description
Telemonitoring compliance or inability
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C3898905
- UMLS CUI [1,2]
- C1299582
- UMLS CUI [2]
- C1321605
Description
comorbidity with low life expectancy
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0023671
- UMLS CUI [1,2]
- C0009488
Description
patient age
Type de données
boolean
Alias
- UMLS CUI [1]
- C0001779
Description
pregnancy
Type de données
integer
Alias
- UMLS CUI [1]
- C0032961
Description
participation in other trial
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C2348568
- UMLS CUI [1,2]
- C0008976
Description
Screeningvisite Information
Alias
- UMLS CUI-1
- C1710477
- UMLS CUI-2
- C0587453
- UMLS CUI-3
- C0018801
- UMLS CUI-4
- C0183863
- UMLS CUI-5
- C1508263
Description
date of screening
Type de données
date
Alias
- UMLS CUI [1,1]
- C1710477
- UMLS CUI [1,2]
- C0011008
Description
name of screening investigator
Type de données
text
Alias
- UMLS CUI [1,1]
- C2826892
- UMLS CUI [1,2]
- C1710477
Description
investigator signature
Type de données
text
Alias
- UMLS CUI [1,1]
- C2346576
- UMLS CUI [1,2]
- C1710477
Description
telephone number or fax number investigator
Type de données
text
Alias
- UMLS CUI [1]
- C1549619
- UMLS CUI [2]
- C1515258
- UMLS CUI [3,1]
- C2826892
- UMLS CUI [3,2]
- C1710477
Description
appointment date for baseline visit
Type de données
date
Alias
- UMLS CUI [1,1]
- C1512346
- UMLS CUI [1,2]
- C1442488
- UMLS CUI [1,3]
- C0585085
Description
appointment time for baseline visit
Type de données
time
Alias
- UMLS CUI [1,1]
- C1512346
- UMLS CUI [1,2]
- C1442488
- UMLS CUI [1,3]
- C0040223
- UMLS CUI [1,4]
- C0585085
Description
Vom Kardiologen nach der Basisvisite auszufüllen
Alias
- UMLS CUI-1
- C1710477
- UMLS CUI-2
- C0587453
- UMLS CUI-3
- C0018801
- UMLS CUI-4
- C0183863
- UMLS CUI-5
- C1508263
Description
patient inclusion in clinical trial
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C2348568
- UMLS CUI [1,2]
- C0018801
- UMLS CUI [1,3]
- C0183863
Description
patient ID
Type de données
integer
Alias
- UMLS CUI [1]
- C2348585
Description
reason patient was not included in clinical trial
Type de données
text
Alias
- UMLS CUI [1,1]
- C3242266
- UMLS CUI [1,2]
- C0008976
- UMLS CUI [1,3]
- C0392360
Description
date of cardiologist visit
Type de données
date
Alias
- UMLS CUI [1,1]
- C0175906
- UMLS CUI [1,2]
- C1320303
Description
name of cardiologist
Type de données
text
Alias
- UMLS CUI [1,1]
- C0175906
- UMLS CUI [1,2]
- C0027365
Description
signature cardiologist
Type de données
text
Alias
- UMLS CUI [1,1]
- C0175906
- UMLS CUI [1,2]
- C1519316
Description
telephone number or fax number cardiologist
Type de données
text
Alias
- UMLS CUI [1]
- C1549619
- UMLS CUI [2]
- C1515258
- UMLS CUI [3]
- C0175906
Description
Screeningergebnis
Alias
- UMLS CUI-1
- C1710477
- UMLS CUI-2
- C2348568
- UMLS CUI-3
- C0018801
- UMLS CUI-4
- C0183863
- UMLS CUI-5
- C0587453
Description
patient inclusion in TIM-HF II clinical trial
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C2348568
- UMLS CUI [1,2]
- C0018801
- UMLS CUI [1,3]
- C0183863
Description
patient ID
Type de données
text
Alias
- UMLS CUI [1]
- C2348585
Description
appointment date baseline visit
Type de données
date
Alias
- UMLS CUI [1,1]
- C1512346
- UMLS CUI [1,2]
- C1442488
- UMLS CUI [1,3]
- C0585085
Description
appointment date of next clinical trial patient visit
Type de données
date
Alias
- UMLS CUI [1,1]
- C1512346
- UMLS CUI [1,2]
- C0008976
- UMLS CUI [1,3]
- C0585085
Description
reason patient was not included in clinical trial
Type de données
text
Alias
- UMLS CUI [1,1]
- C3242266
- UMLS CUI [1,2]
- C0008976
- UMLS CUI [1,3]
- C0392360
Description
reason patient was not included in clinical trial
Type de données
text
Alias
- UMLS CUI [1,1]
- C3242266
- UMLS CUI [1,2]
- C0008976
- UMLS CUI [1,3]
- C0392360
Description
Comment Screening
Type de données
text
Alias
- UMLS CUI [1,1]
- C1710477
- UMLS CUI [1,2]
- C1512346
- UMLS CUI [1,3]
- C0947611
Similar models
Screening-Visit
- StudyEvent: ODM
C0587453 (UMLS CUI-2)
C0018801 (UMLS CUI-3)
C0183863 (UMLS CUI-4)
C0600091 (UMLS CUI [1,2])
C0008976 (UMLS CUI-2)
C0018801 (UMLS CUI-3)
C1275491 (UMLS CUI [1,2])
C1275491 (UMLS CUI [1,2])
C0428772 (UMLS CUI [2])
C0012798 (UMLS CUI [3])
C0019993 (UMLS CUI [1,2])
C0019993 (UMLS CUI [1,2])
C2361123 (UMLS CUI [1,3])
C0009488 (UMLS CUI [1,2])
C0008976 (UMLS CUI-2)
C0018801 (UMLS CUI-3)
C0422768 (UMLS CUI [1,2])
C3272275 (UMLS CUI [1,3])
C0011946 (UMLS CUI [1,2])
C1299582 (UMLS CUI [1,2])
C1321605 (UMLS CUI [2])
C0009488 (UMLS CUI [1,2])
C0008976 (UMLS CUI [1,2])
C0587453 (UMLS CUI-2)
C0018801 (UMLS CUI-3)
C0183863 (UMLS CUI-4)
C1508263 (UMLS CUI-5)
C0011008 (UMLS CUI [1,2])
C1710477 (UMLS CUI [1,2])
C1710477 (UMLS CUI [1,2])
C1515258 (UMLS CUI [2])
C2826892 (UMLS CUI [3,1])
C1710477 (UMLS CUI [3,2])
C1442488 (UMLS CUI [1,2])
C0585085 (UMLS CUI [1,3])
C1442488 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
C0585085 (UMLS CUI [1,4])
C0587453 (UMLS CUI-2)
C0018801 (UMLS CUI-3)
C0183863 (UMLS CUI-4)
C1508263 (UMLS CUI-5)
C0018801 (UMLS CUI [1,2])
C0183863 (UMLS CUI [1,3])
C0008976 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C1320303 (UMLS CUI [1,2])
C0027365 (UMLS CUI [1,2])
C1519316 (UMLS CUI [1,2])
C1515258 (UMLS CUI [2])
C0175906 (UMLS CUI [3])
C2348568 (UMLS CUI-2)
C0018801 (UMLS CUI-3)
C0183863 (UMLS CUI-4)
C0587453 (UMLS CUI-5)
C0018801 (UMLS CUI [1,2])
C0183863 (UMLS CUI [1,3])
C1442488 (UMLS CUI [1,2])
C0585085 (UMLS CUI [1,3])
C0008976 (UMLS CUI [1,2])
C0585085 (UMLS CUI [1,3])
C0008976 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0008976 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C1512346 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])