0 Evaluaciones
ID

43430

Descripción

ODM derived from http://clinicaltrials.gov/show/NCT00729235

Link

http://clinicaltrials.gov/show/NCT00729235

Palabras clave

Versiones (3)
  1. 6/12/13 6/12/13 - Martin Dugas
  2. 16/4/14 16/4/14 - Julian Varghese
  3. 20/9/21 20/9/21 -
Subido en

20 de septiembre de 2021

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY 4.0
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    Eligibility NCT00729235 Biventricular Tachycardias

    Alemán Inglés

    Eligibility

    1 formularios  
    1. StudyEvent: Eligibility
      1. Eligibility
    Einschlusskriterien
    Descripción

    Einschlusskriterien

    Alias
    UMLS CUI 2011AA
    CL425202
    Alter mindestens 18 Jahre
    Descripción

    age at least 18 Years

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C0001779
    SNOMED CT 2011_0131
    397669002
    Biventricular Tachycardias
    Descripción

    Biventricular Tachycardias

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C0042514
    SNOMED CT 2011_0131
    25569003
    MedDRA 14.1
    10047302
    ICD-10-CM Version 2010
    I47.2
    CTCAE 1105E
    E10239
    UMLS CUI 2011AA
    C0011900
    SNOMED CT 2011_0131
    439401001
    LOINC Version 232
    MTHU008876
    Patient has been prescribed the implantation or replacement of a CRT-ICD system accordingly to the relevant currently-approved ACC/AHA15 (August 2005, Appendix § M.10) or ESC 16 (Update 2005, Appendix § M.11) guidelines or any relevant currently-approved local guidelines for the implantation or replacement of CRT-ICD.
    Descripción

    Patient has been prescribed the implantation or replacement of a CRT-ICD system accordingly to the relevant currently-approved ACC/AHA15 (August 2005, Appendix § M.10) or ESC 16 (Update 2005, Appendix § M.11) guidelines or any relevant currently-approved local guidelines for the implantation or replacement of CRT-ICD.

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C0033080
    SNOMED CT 2011_0131
    16076005
    UMLS CUI 2011AA
    C0021107
    SNOMED CT 2011_0131
    71861002
    LOINC Version 232
    MTHU035917
    UMLS CUI 2011AA
    C0559956
    SNOMED CT 2011_0131
    282089006
    UMLS CUI 2011AA
    C2936377
    UMLS CUI 2011AA
    C0162589
    SNOMED CT 2011_0131
    72506001
    UMLS CUI 2011AA
    C0680240
    UMLS CUI 2011AA
    C0205540
    SNOMED CT 2011_0131
    9571008
    UMLS CUI 2011AA
    C0220845
    Patient's Signature on Informed Consent Form
    Descripción

    Patient has signed a consent form after he/she received the appropriate and mandatory information.

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C2348583
    Ausschlusskriterien
    Descripción

    Ausschlusskriterien

    Alias
    UMLS CUI 2011AA
    CL425201
    Clinical history of symptomatic or not symptomatic slow VT
    Descripción

    Clinical history of symptomatic or not symptomatic slow VT

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C0021430
    permanentes Vorhofflimmern
    Descripción

    Permanent Atrial Fibrillation (AF)

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C2586056
    SNOMED CT 2011_0131
    440028005
    MedDRA 14.1
    10071668
    Any contraindication to the implant or replacement of CRT-ICD
    Descripción

    Any contraindication to the implant or replacement of CRT-ICD

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C1301624
    SNOMED CT 2011_0131
    397745006
    UMLS CUI 2011AA
    C0021107
    SNOMED CT 2011_0131
    71861002
    LOINC Version 232
    MTHU035917
    UMLS CUI 2011AA
    C0559956
    SNOMED CT 2011_0131
    282089006
    UMLS CUI 2011AA
    C2936377
    UMLS CUI 2011AA
    C0162589
    SNOMED CT 2011_0131
    72506001
    Pt is unable to attend the scheduled f-up visits at the implanting Centre
    Descripción

    Pt is unable to attend the scheduled f-up visits at the implanting Centre

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C0030705
    SNOMED CT 2011_0131
    116154003
    UMLS CUI 2011AA
    C1299582
    SNOMED CT 2011_0131
    371151008
    UMLS CUI 2011AA
    C1321605
    SNOMED CT 2011_0131
    405078008
    UMLS CUI 2011AA
    C0086960
    UMLS CUI 2011AA
    C0589121
    SNOMED CT 2011_0131
    185389009
    Pt is already included in another ongoing clinical study
    Descripción

    Pt is already included in another ongoing clinical study

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C2348568
    Pt is unable to understand the objectives of the ITAC04 study
    Descripción

    Pt is unable to understand the objectives of the ITAC04 study

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C1299582
    SNOMED CT 2011_0131
    371151008
    UMLS CUI 2011AA
    C0162340
    SNOMED CT 2011_0131
    66216009
    UMLS CUI 2011AA
    C0681832
    Pt refuses to cooperate
    Descripción

    Pt refuses to cooperate

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C0392337
    UMLS CUI 2011AA
    C1705116
    SNOMED CT 2011_0131
    443390004
    Pt is unable or refuses to provide informed consent
    Descripción

    Pt is unable or refuses to provide informed consent

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C1299582
    SNOMED CT 2011_0131
    371151008
    UMLS CUI 2011AA
    C1705116
    SNOMED CT 2011_0131
    443390004
    UMLS CUI 2011AA
    C0184704
    SNOMED CT 2011_0131
    55149002
    Minderjähriger
    Descripción

    Pt is minor (less than 18-year old)

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C0026193
    SNOMED CT 2011_0131
    410599005
    Pt has life expectancy of less than 1 year
    Descripción

    Pt has life expectancy of less than 1 year

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C0021430
    Pt is pregnant.
    Descripción

    Pt is pregnant.

    Tipo de datos

    boolean

    Alias
    UMLS CUI 2011AA
    C0030705
    SNOMED CT 2011_0131
    116154003
    UMLS CUI 2011AA
    C0549206
    MedDRA 14.1
    10036586
    Volver a la parte superior de la página

    Similar models

    Eligibility

    1 formularios
    1. StudyEvent: Eligibility
      1. Eligibility
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de datos
    Alias
    Item Group
    Einschlusskriterien
    CL425202 (UMLS CUI 2011AA)
    age at least 18 Years
    Item
    Alter mindestens 18 Jahre
    boolean
    C0001779 (UMLS CUI 2011AA)
    397669002 (SNOMED CT 2011_0131)
    Biventricular Tachycardias
    Item
    Biventricular Tachycardias
    boolean
    C0042514 (UMLS CUI 2011AA)
    25569003 (SNOMED CT 2011_0131)
    10047302 (MedDRA 14.1)
    I47.2 (ICD-10-CM Version 2010)
    E10239 (CTCAE 1105E)
    C0011900 (UMLS CUI 2011AA)
    439401001 (SNOMED CT 2011_0131)
    MTHU008876 (LOINC Version 232)
    Patient has been prescribed the implantation or replacement of a CRT-ICD system accordingly to the relevant currently-approved ACC/AHA15 (August 2005, Appendix § M.10) or ESC 16 (Update 2005, Appendix § M.11) guidelines or any relevant currently-approved local guidelines for the implantation or replacement of CRT-ICD.
    Item
    Patient has been prescribed the implantation or replacement of a CRT-ICD system accordingly to the relevant currently-approved ACC/AHA15 (August 2005, Appendix § M.10) or ESC 16 (Update 2005, Appendix § M.11) guidelines or any relevant currently-approved local guidelines for the implantation or replacement of CRT-ICD.
    boolean
    C0033080 (UMLS CUI 2011AA)
    16076005 (SNOMED CT 2011_0131)
    C0021107 (UMLS CUI 2011AA)
    71861002 (SNOMED CT 2011_0131)
    MTHU035917 (LOINC Version 232)
    C0559956 (UMLS CUI 2011AA)
    282089006 (SNOMED CT 2011_0131)
    C2936377 (UMLS CUI 2011AA)
    C0162589 (UMLS CUI 2011AA)
    72506001 (SNOMED CT 2011_0131)
    C0680240 (UMLS CUI 2011AA)
    C0205540 (UMLS CUI 2011AA)
    9571008 (SNOMED CT 2011_0131)
    C0220845 (UMLS CUI 2011AA)
    Patient has signed a consent form after he/she received the appropriate and mandatory information.
    Item
    Patient's Signature on Informed Consent Form
    boolean
    C2348583 (UMLS CUI 2011AA)
    Item Group
    Ausschlusskriterien
    CL425201 (UMLS CUI 2011AA)
    Clinical history of symptomatic or not symptomatic slow VT
    Item
    Clinical history of symptomatic or not symptomatic slow VT
    boolean
    C0021430 (UMLS CUI 2011AA)
    Permanent Atrial Fibrillation (AF)
    Item
    permanentes Vorhofflimmern
    boolean
    C2586056 (UMLS CUI 2011AA)
    440028005 (SNOMED CT 2011_0131)
    10071668 (MedDRA 14.1)
    Any contraindication to the implant or replacement of CRT-ICD
    Item
    Any contraindication to the implant or replacement of CRT-ICD
    boolean
    C1301624 (UMLS CUI 2011AA)
    397745006 (SNOMED CT 2011_0131)
    C0021107 (UMLS CUI 2011AA)
    71861002 (SNOMED CT 2011_0131)
    MTHU035917 (LOINC Version 232)
    C0559956 (UMLS CUI 2011AA)
    282089006 (SNOMED CT 2011_0131)
    C2936377 (UMLS CUI 2011AA)
    C0162589 (UMLS CUI 2011AA)
    72506001 (SNOMED CT 2011_0131)
    Pt is unable to attend the scheduled f-up visits at the implanting Centre
    Item
    Pt is unable to attend the scheduled f-up visits at the implanting Centre
    boolean
    C0030705 (UMLS CUI 2011AA)
    116154003 (SNOMED CT 2011_0131)
    C1299582 (UMLS CUI 2011AA)
    371151008 (SNOMED CT 2011_0131)
    C1321605 (UMLS CUI 2011AA)
    405078008 (SNOMED CT 2011_0131)
    C0086960 (UMLS CUI 2011AA)
    C0589121 (UMLS CUI 2011AA)
    185389009 (SNOMED CT 2011_0131)
    Pt is already included in another ongoing clinical study
    Item
    Pt is already included in another ongoing clinical study
    boolean
    C2348568 (UMLS CUI 2011AA)
    Pt is unable to understand the objectives of the ITAC04 study
    Item
    Pt is unable to understand the objectives of the ITAC04 study
    boolean
    C1299582 (UMLS CUI 2011AA)
    371151008 (SNOMED CT 2011_0131)
    C0162340 (UMLS CUI 2011AA)
    66216009 (SNOMED CT 2011_0131)
    C0681832 (UMLS CUI 2011AA)
    Pt refuses to cooperate
    Item
    Pt refuses to cooperate
    boolean
    C0392337 (UMLS CUI 2011AA)
    C1705116 (UMLS CUI 2011AA)
    443390004 (SNOMED CT 2011_0131)
    Pt is unable or refuses to provide informed consent
    Item
    Pt is unable or refuses to provide informed consent
    boolean
    C1299582 (UMLS CUI 2011AA)
    371151008 (SNOMED CT 2011_0131)
    C1705116 (UMLS CUI 2011AA)
    443390004 (SNOMED CT 2011_0131)
    C0184704 (UMLS CUI 2011AA)
    55149002 (SNOMED CT 2011_0131)
    Pt is minor (less than 18-year old)
    Item
    Minderjähriger
    boolean
    C0026193 (UMLS CUI 2011AA)
    410599005 (SNOMED CT 2011_0131)
    Pt has life expectancy of less than 1 year
    Item
    Pt has life expectancy of less than 1 year
    boolean
    C0021430 (UMLS CUI 2011AA)
    Pt is pregnant.
    Item
    Pt is pregnant.
    boolean
    C0030705 (UMLS CUI 2011AA)
    116154003 (SNOMED CT 2011_0131)
    C0549206 (UMLS CUI 2011AA)
    10036586 (MedDRA 14.1)
    Volver a la parte superior de la página 

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