Study centre number
Item
Site #
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
patient ID
Item
Patient #
integer
C2348585 (UMLS CUI [1])
visit date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Investigator Name
Item
Investigator Name
text
C2826892 (UMLS CUI [1])
Item
Was telephone contact substituted for visit?
text
C0302186 (UMLS CUI [1,1])
C0559956 (UMLS CUI [1,2])
C0545082 (UMLS CUI [1,3])
Code List
Was telephone contact substituted for visit?
Follow-up visit date
Item
Date of follow-up:
date
C3694716 (UMLS CUI [1])
Follow-up visit time
Item
Time:
time
C0589121 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Blood pressure - systolic
Item
Blood Pressure: Systolic:
integer
C0871470 (UMLS CUI [1])
Blood pressure - diastolic
Item
Blood Pressure: Diastolic:
integer
C0428883 (UMLS CUI [1])
Respiratory rate
Item
Respiration:
integer
C0231832 (UMLS CUI [1])
Heart rate
Item
Heart Rate:
text
C0018810 (UMLS CUI [1])
Body temperature
Item
Temperature:
float
C0005903 (UMLS CUI [1])
Item
Temperature: Unit:
text
C0005903 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Code List
Temperature: Unit:
Item
System Code
integer
C0460002 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
CL Item
General Appearance (1)
CL Item
Head and Neck (3)
CL Item
Other, specify (13)
Description of change in physical examination
Item
Description of Change
text
C0031809 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
C0443172 (UMLS CUI [1,3])
No change in physical examination
Item
No Change
boolean
C0442739 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
No clinical endpoints met
Item
(or None: please check this box)
boolean
C2347784 (UMLS CUI [1,1])
C0549184 (UMLS CUI [1,2])
Item
Venous thrombosis
text
C0042487 (UMLS CUI [1])
Code List
Venous thrombosis
Venous thrombosis - location
Item
Venous thrombosis - specify location:
text
C0042487 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Venous thrombosis - date
Item
Venous thrombosis - Date
date
C0042487 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Pulmonary embolus
text
C0034065 (UMLS CUI [1])
Code List
Pulmonary embolus
Pulmonary embolus - date
Item
Pulmonary embolus - Date
date
C0034065 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Arterial thrombosis
text
C0151942 (UMLS CUI [1])
Code List
Arterial thrombosis
Arterial thrombosis - location
Item
Arterial thrombosis - specify location:
text
C0151942 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Arterial thrombosis - date
Item
Arterial thrombosis - Date
date
C0151942 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Clotting in any external circuit that requires immediate therapeutic intervention
text
C0949072 (UMLS CUI [1])
C1708545 (UMLS CUI [2,1])
C0205253 (UMLS CUI [2,2])
Code List
Clotting in any external circuit that requires immediate therapeutic intervention
Clotting in external circuit that requires immediate intervention - specify circuit location
Item
Clotting in any external circuit that requires immediate therapeutic intervention - specify circuit location:
text
C0949072 (UMLS CUI [1])
C1708545 (UMLS CUI [2,1])
C0205253 (UMLS CUI [2,2])
C2348235 (UMLS CUI [3,1])
C0015354 (UMLS CUI [3,2])
Clotting in external circuit that requires immediate intervention - date
Item
Clotting in any external circuit that requires immediate therapeutic intervention - Date
date
C0949072 (UMLS CUI [1])
C1708545 (UMLS CUI [2,1])
C0205253 (UMLS CUI [2,2])
C0011008 (UMLS CUI [3])
Item
Death due to thromboembolic complication
text
C1705232 (UMLS CUI [1,1])
C0040038 (UMLS CUI [1,2])
C0009566 (UMLS CUI [1,3])
Code List
Death due to thromboembolic complication
Death due to thromboembolic complication - date
Item
Death due to thromboembolic complication - Date
date
C1705232 (UMLS CUI [1,1])
C0040038 (UMLS CUI [1,2])
C0009566 (UMLS CUI [1,3])
C1148348 (UMLS CUI [1,4])
Item
Amputation due to thromboembolic complication
text
C0002688 (UMLS CUI [1,1])
C0040038 (UMLS CUI [1,2])
C0009566 (UMLS CUI [1,3])
Code List
Amputation due to thromboembolic complication
Amputation due to thromboembolic complication - date
Item
Amputation due to thromboembolic complication - Date
date
C0002688 (UMLS CUI [1,1])
C0040038 (UMLS CUI [1,2])
C0009566 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,4])