Country No.
Item
Country No.
integer
C0454664 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Centre No.
Item
Centre No.
integer
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Clinical Trial Subject Unique Identifier
Item
Subject No.
integer
C2348585 (UMLS CUI [1])
Subject Initials
Item
Subject Initials
text
C1997894 (UMLS CUI [1,1])
C2986440 (UMLS CUI [1,2])
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
DVT
Item
DVT
boolean
C0149871 (UMLS CUI [1])
Pulmonary Embolism
Item
PE
boolean
C0034065 (UMLS CUI [1])
Stroke
Item
Stroke
boolean
C0038454 (UMLS CUI [1])
Myocardial Infarction
Item
Myocardial Infarction
boolean
C0027051 (UMLS CUI [1])
Recent major surgery or trauma
Item
Prior major surgery or trauma within the last 12 months
boolean
C0262926 (UMLS CUI [1,1])
C0679637 (UMLS CUI [1,2])
C0332185 (UMLS CUI [1,3])
C0262926 (UMLS CUI [2,1])
C0332677 (UMLS CUI [2,2])
C0332185 (UMLS CUI [2,3])
Neoplastic disease
Item
Neoplastic disease
boolean
C1882062 (UMLS CUI [1])
Neoplastic disease present at study start
Item
Neoplastic disease present at study start
boolean
C1882062 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
C2348558 (UMLS CUI [1,3])
Inflammatory Bowel Disease
Item
Inflammatory Bowel Disease
boolean
C0021390 (UMLS CUI [1])
Inflammatory Bowel Disease present at study start
Item
Inflammatory Bowel Disease present at study start
boolean
C0021390 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
C2348558 (UMLS CUI [1,3])
Chronic Obstructive Pulmonary Disease
Item
Chronic Obstructive Pulmonary Disease
boolean
C0024117 (UMLS CUI [1])
Chronic Obstructive Pulmonary Disease present at study start
Item
Chronic Obstructive Pulmonary Disease present at study start
boolean
C0024117 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
C2348558 (UMLS CUI [1,3])
Immobilization
Item
Immobilization
boolean
C0020944 (UMLS CUI [1])
Immobilization present at study start
Item
Immobilization present at study start
boolean
C0020944 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
C2348558 (UMLS CUI [1,3])
Oral contraceptive use
Item
Oral contraceptive use
boolean
C0009905 (UMLS CUI [1])
Oral contraceptive use present at study start
Item
Oral contraceptive use present at study start
boolean
C0009905 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
C2348558 (UMLS CUI [1,3])
Varicose veins
Item
Varicose veins
boolean
C0042345 (UMLS CUI [1])
Varicose veins present at study start
Item
Varicose veins present at study start
boolean
C0042345 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
C2348558 (UMLS CUI [1,3])
Prothrombotic states
Item
Prothrombotic states
boolean
C0398623 (UMLS CUI [1])
Prothrombotic states present at study start
Item
Prothrombotic states present at study start
boolean
C0398623 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
C2348558 (UMLS CUI [1,3])
Congestive Heart Failure
Item
Congestive Heart Failure
boolean
C0018802 (UMLS CUI [1])
Congestive Heart Failure present at study start
Item
Congestive Heart Failure present at study start
boolean
C0018802 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
C2348558 (UMLS CUI [1,3])
Item
Congestive Heart Failure NYHA Classification
integer
C0018802 (UMLS CUI [1,1])
C1275491 (UMLS CUI [1,2])
Code List
Congestive Heart Failure NYHA Classification
CL Item
No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea (shortness of breath) (1)
CL Item
Slight limitation of physical activity. Comfortable at rest, but ordinary physical activity results in fatigue, palpitation, or dyspnea (shortness of breath) (2)
CL Item
Marked limitation of physical activity. Comfortable at rest, but less than ordinary physical activity causes fatigue, palpitation, or dyspnea (shortness of breath) (3)
CL Item
Unable to carry out any physical activity without discomfort. Symptoms of cardiac insufficiency at rest. If any physical activity is undertaken, discomfort is increased. (4)
Item
Please record past medical or surgical history other than those described on the previous page.
text
C0205394 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0205394 (UMLS CUI [2,1])
C0489540 (UMLS CUI [2,2])
Code List
Please record past medical or surgical history other than those described on the previous page.
Past medical or surgical history
Item
Past medical or surgical history
text
C0262926 (UMLS CUI [1])
C0489540 (UMLS CUI [2])
Item
Persistence of symptoms
text
C0262926 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205322 (UMLS CUI [1,3])
C0489540 (UMLS CUI [2,1])
C1457887 (UMLS CUI [2,2])
C0205322 (UMLS CUI [2,3])
Code List
Persistence of symptoms
CL Item
Not applicable (Not applicable)