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