Informationen:
Fehler:
ID
29506
Beschreibung
Micronutrient Supplementation in Patients With Heart Failure; ODM derived from: https://clinicaltrials.gov/show/NCT01005303
Link
https://clinicaltrials.gov/show/NCT01005303
Stichworte
Versionen (1)
- 04.04.18 04.04.18 -
Rechteinhaber
See clinicaltrials.gov
Hochgeladen am
4. April 2018
DOI
Für eine Beantragung loggen Sie sich ein.
Lizenz
Creative Commons BY 4.0
Modell Kommentare :
Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.
Itemgroup Kommentare für :
Item Kommentare für :
Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.
Eligibility Heart Failure NCT01005303
Eligibility Heart Failure NCT01005303
- StudyEvent: Eligibility
Ähnliche Modelle
Eligibility Heart Failure NCT01005303
- StudyEvent: Eligibility
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
New York Heart Association Classification
Item
new york heart association class ii and iii
boolean
C1275491 (UMLS CUI [1])
Therapeutic procedure Known best | Angiotensin-Converting Enzyme Inhibitors | Adrenergic beta-1 Receptor Antagonists
Item
already on or tried on best known medical treatment (ace inhibitor and beta-blocker)
boolean
C0087111 (UMLS CUI [1,1])
C0205309 (UMLS CUI [1,2])
C1522427 (UMLS CUI [1,3])
C0003015 (UMLS CUI [2])
C0304516 (UMLS CUI [3])
C0205309 (UMLS CUI [1,2])
C1522427 (UMLS CUI [1,3])
C0003015 (UMLS CUI [2])
C0304516 (UMLS CUI [3])
Stable status Duration
Item
stable for a period of at least 6 weeks
boolean
C0205360 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
Left ventricular ejection fraction
Item
left ventricular ejection fraction less than or equal to 45%
boolean
C0428772 (UMLS CUI [1])
Alcohol consumption Significant U/week
Item
history of significant alcohol ingestion (more than 40 units per week)
boolean
C0001948 (UMLS CUI [1,1])
C0750502 (UMLS CUI [1,2])
C0560588 (UMLS CUI [1,3])
C0750502 (UMLS CUI [1,2])
C0560588 (UMLS CUI [1,3])
Renal dysfunction Severe | Glomerular Filtration Rate
Item
severe renal dysfunction (gfr less than 30ml/min)
boolean
C3279454 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C0017654 (UMLS CUI [2])
C0205082 (UMLS CUI [1,2])
C0017654 (UMLS CUI [2])
Liver Dysfunction Severe | Liver diseases | Transaminases increased
Item
severe hepatic dysfunction (known liver disease or transaminases greater than 3 times the upper limit of normal)
boolean
C0086565 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C0023895 (UMLS CUI [2])
C0438717 (UMLS CUI [3])
C0205082 (UMLS CUI [1,2])
C0023895 (UMLS CUI [2])
C0438717 (UMLS CUI [3])
Atrial Fibrillation | Artificial cardiac pacemaker Absent
Item
atrial fibrillation (in the absence of a pacemaker)
boolean
C0004238 (UMLS CUI [1])
C0030163 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
C0030163 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
Ventricular ectopics frequent
Item
frequent ventricular ectopics
boolean
C0151636 (UMLS CUI [1,1])
C0332183 (UMLS CUI [1,2])
C0332183 (UMLS CUI [1,2])
Patient on waiting list Heart Transplantation
Item
on waiting list for cardiac transplantation
boolean
C0422768 (UMLS CUI [1,1])
C0018823 (UMLS CUI [1,2])
C0018823 (UMLS CUI [1,2])
Diabetic - poor control
Item
uncontrolled diabetes mellitus
boolean
C0421258 (UMLS CUI [1])
Informed Consent Unable
Item
inability to give informed consent
boolean
C0021430 (UMLS CUI [1,1])
C1299582 (UMLS CUI [1,2])
C1299582 (UMLS CUI [1,2])
Life Expectancy
Item
estimated life span less than 12 months
boolean
C0023671 (UMLS CUI [1])
Multivitamin &or mineral supplement intake
Item
already taking a multivitamin/mineral supplement
boolean
C4263164 (UMLS CUI [1])
Fish Oil Containing Vitamin D
Item
already taking a vitamin-d containing fish oil
boolean
C0016157 (UMLS CUI [1,1])
C0332256 (UMLS CUI [1,2])
C0042866 (UMLS CUI [1,3])
C0332256 (UMLS CUI [1,2])
C0042866 (UMLS CUI [1,3])
Childbearing Potential
Item
woman of child-bearing potential
boolean
C3831118 (UMLS CUI [1])
Kidney Calculi | Hypercalcemia | Sarcoidosis | Hemochromatosis | Lactose Intolerance
Item
history of renal stones, hypercalcaemia, sarcoidosis, haemochromatosis or lactose intolerance
boolean
C0022650 (UMLS CUI [1])
C0020437 (UMLS CUI [2])
C0036202 (UMLS CUI [3])
C0018995 (UMLS CUI [4])
C0022951 (UMLS CUI [5])
C0020437 (UMLS CUI [2])
C0036202 (UMLS CUI [3])
C0018995 (UMLS CUI [4])
C0022951 (UMLS CUI [5])