ID
27421
Beschrijving
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)
Link
https://www.clinicaltrials.gov/ct2/show/NCT01878630
Trefwoorden
Versies (1)
- 14-11-17 14-11-17 -
Houder van rechten
Prof. Dr. Friedrich Köhler, FESC Charité - Universitätsmedizin Berlin
Geüploaded op
14 november 2017
DOI
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Licentie
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
Beschrijving
Einschlusskriterien
Alias
- UMLS CUI-1
- C1512693
- UMLS CUI-2
- C0008976
- UMLS CUI-3
- C0018801
Beschrijving
(alle Kriterien müssen erfüllt sein)
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0264716
- UMLS CUI [1,2]
- C1275491
Beschrijving
chronic heart failure NYHA class
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0264716
- UMLS CUI [1,2]
- C1275491
Beschrijving
chronic heart failure criteria
Datatype
boolean
Alias
- UMLS CUI [1]
- C0264716
- UMLS CUI [2]
- C0428772
- UMLS CUI [3]
- C0012798
Beschrijving
LVEF
Datatype
integer
Maateenheden
- %
Alias
- UMLS CUI [1]
- C0428772
Beschrijving
hospitalization because of cardiac decompensation
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C1961112
- UMLS CUI [1,2]
- C0019993
Beschrijving
date of discharge
Datatype
date
Alias
- UMLS CUI [1,1]
- C1961112
- UMLS CUI [1,2]
- C0019993
- UMLS CUI [1,3]
- C2361123
Beschrijving
depression
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0011581
- UMLS CUI [1,2]
- C0009488
Beschrijving
Ausschlusskriterien
Alias
- UMLS CUI-1
- C0680251
- UMLS CUI-2
- C0008976
- UMLS CUI-3
- C0018801
Beschrijving
(kein Kriterium darf erfüllt sein)
Datatype
boolean
Alias
- UMLS CUI [1]
- C0019993
Beschrijving
Implantation of Cardiac Assist System
Datatype
boolean
Alias
- UMLS CUI [1]
- C0189879
Beschrijving
acute coronary syndrome
Datatype
boolean
Alias
- UMLS CUI [1]
- C0948089
Beschrijving
high urgent heart transplantation listing
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0018823
- UMLS CUI [1,2]
- C0422768
- UMLS CUI [1,3]
- C3272275
Beschrijving
planned cardiac procedure
Datatype
boolean
Alias
- UMLS CUI [1]
- C0018821
Beschrijving
planned cardiac procedure
Datatype
boolean
Alias
- UMLS CUI [1]
- C0018821
Beschrijving
drug and or alcohol abuse
Datatype
boolean
Alias
- UMLS CUI [1]
- C0038586
Beschrijving
renal failure with dialysis
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0035078
- UMLS CUI [1,2]
- C0011946
Beschrijving
Telemonitoring compliance or inability
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C3898905
- UMLS CUI [1,2]
- C1299582
- UMLS CUI [2]
- C1321605
Beschrijving
comorbidity with low life expectancy
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0023671
- UMLS CUI [1,2]
- C0009488
Beschrijving
patient age
Datatype
boolean
Alias
- UMLS CUI [1]
- C0001779
Beschrijving
pregnancy
Datatype
integer
Alias
- UMLS CUI [1]
- C0032961
Beschrijving
participation in other trial
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C2348568
- UMLS CUI [1,2]
- C0008976
Beschrijving
Screeningvisite Information
Alias
- UMLS CUI-1
- C1710477
- UMLS CUI-2
- C0587453
- UMLS CUI-3
- C0018801
- UMLS CUI-4
- C0183863
- UMLS CUI-5
- C1508263
Beschrijving
date of screening
Datatype
date
Alias
- UMLS CUI [1,1]
- C1710477
- UMLS CUI [1,2]
- C0011008
Beschrijving
name of screening investigator
Datatype
text
Alias
- UMLS CUI [1,1]
- C2826892
- UMLS CUI [1,2]
- C1710477
Beschrijving
investigator signature
Datatype
text
Alias
- UMLS CUI [1,1]
- C2346576
- UMLS CUI [1,2]
- C1710477
Beschrijving
telephone number or fax number investigator
Datatype
text
Alias
- UMLS CUI [1]
- C1549619
- UMLS CUI [2]
- C1515258
- UMLS CUI [3,1]
- C2826892
- UMLS CUI [3,2]
- C1710477
Beschrijving
appointment date for baseline visit
Datatype
date
Alias
- UMLS CUI [1,1]
- C1512346
- UMLS CUI [1,2]
- C1442488
- UMLS CUI [1,3]
- C0585085
Beschrijving
appointment time for baseline visit
Datatype
time
Alias
- UMLS CUI [1,1]
- C1512346
- UMLS CUI [1,2]
- C1442488
- UMLS CUI [1,3]
- C0040223
- UMLS CUI [1,4]
- C0585085
Beschrijving
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
Beschrijving
patient inclusion in clinical trial
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C2348568
- UMLS CUI [1,2]
- C0018801
- UMLS CUI [1,3]
- C0183863
Beschrijving
patient ID
Datatype
integer
Alias
- UMLS CUI [1]
- C2348585
Beschrijving
reason patient was not included in clinical trial
Datatype
text
Alias
- UMLS CUI [1,1]
- C3242266
- UMLS CUI [1,2]
- C0008976
- UMLS CUI [1,3]
- C0392360
Beschrijving
date of cardiologist visit
Datatype
date
Alias
- UMLS CUI [1,1]
- C0175906
- UMLS CUI [1,2]
- C1320303
Beschrijving
name of cardiologist
Datatype
text
Alias
- UMLS CUI [1,1]
- C0175906
- UMLS CUI [1,2]
- C0027365
Beschrijving
signature cardiologist
Datatype
text
Alias
- UMLS CUI [1,1]
- C0175906
- UMLS CUI [1,2]
- C1519316
Beschrijving
telephone number or fax number cardiologist
Datatype
text
Alias
- UMLS CUI [1]
- C1549619
- UMLS CUI [2]
- C1515258
- UMLS CUI [3]
- C0175906
Beschrijving
Screeningergebnis
Alias
- UMLS CUI-1
- C1710477
- UMLS CUI-2
- C2348568
- UMLS CUI-3
- C0018801
- UMLS CUI-4
- C0183863
- UMLS CUI-5
- C0587453
Beschrijving
patient inclusion in TIM-HF II clinical trial
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C2348568
- UMLS CUI [1,2]
- C0018801
- UMLS CUI [1,3]
- C0183863
Beschrijving
patient ID
Datatype
text
Alias
- UMLS CUI [1]
- C2348585
Beschrijving
appointment date baseline visit
Datatype
date
Alias
- UMLS CUI [1,1]
- C1512346
- UMLS CUI [1,2]
- C1442488
- UMLS CUI [1,3]
- C0585085
Beschrijving
appointment date of next clinical trial patient visit
Datatype
date
Alias
- UMLS CUI [1,1]
- C1512346
- UMLS CUI [1,2]
- C0008976
- UMLS CUI [1,3]
- C0585085
Beschrijving
reason patient was not included in clinical trial
Datatype
text
Alias
- UMLS CUI [1,1]
- C3242266
- UMLS CUI [1,2]
- C0008976
- UMLS CUI [1,3]
- C0392360
Beschrijving
reason patient was not included in clinical trial
Datatype
text
Alias
- UMLS CUI [1,1]
- C3242266
- UMLS CUI [1,2]
- C0008976
- UMLS CUI [1,3]
- C0392360
Beschrijving
Comment Screening
Datatype
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])