ID
5044
Beschrijving
ODM derived from http://clinicaltrials.gov/show/NCT00919373
Link
http://clinicaltrials.gov/show/NCT00919373
Trefwoorden
Versies (3)
- 09-12-13 09-12-13 - Martin Dugas
- 17-04-14 17-04-14 - Julian Varghese
- 17-04-14 17-04-14 - Julian Varghese
Geüploaded op
17 april 2014
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0 Legacy
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
Eligibility NCT00919373 Ventricular Tachycardia
Eligibility
- StudyEvent: Eligibility
Beschrijving
Ausschlusskriterien
Alias
- UMLS CUI 2011AA
- CL425201
Beschrijving
Age < 18 years or > 80 year
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0001779
- SNOMED CT 2011_0131
- 397669002
Beschrijving
Protruding LV thrombus on pre-ablation echocardiogram
Datatype
boolean
Alias
- UMLS CUI 2011AA
- CL414985
- UMLS CUI 2011AA
- C0587044
- SNOMED CT 2011_0131
- 309519009
- UMLS CUI 2011AA
- C0332152
- SNOMED CT 2011_0131
- 288556008
- UMLS CUI 2011AA
- C0547070
- SNOMED CT 2011_0131
- 257729003
- UMLS CUI 2011AA
- C2243117
Beschrijving
Acute myocardial infarction within the preceding 1 months
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0155626
- SNOMED CT 2011_0131
- 57054005
- MedDRA 14.1
- 10000891
- ICD-10-CM Version 2010
- I21
- ICD-9-CM Version 2011
- 410
Beschrijving
Class IV NYHA heart failure
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C1319796
Beschrijving
Valvular heart disease or mechanical heart valve precluding access to the left ventricle
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0018824
- SNOMED CT 2011_0131
- 368009
- MedDRA 14.1
- 10061406
- UMLS CUI 2011AA
- C0443254
- SNOMED CT 2011_0131
- 261018001
- UMLS CUI 2011AA
- C1305961
- SNOMED CT 2011_0131
- 181285005
- UMLS CUI 2011AA
- CL411789
- UMLS CUI 2011AA
- C0444454
- SNOMED CT 2011_0131
- 260507000
- UMLS CUI 2011AA
- C0225897
- SNOMED CT 2011_0131
- 87878005
- LOINC Version 232
- MTHU001535
Beschrijving
Unstable angina
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0002965
- SNOMED CT 2011_0131
- 4557003
- MedDRA 14.1
- 10002388
- ICD-10-CM Version 2010
- I20.0
- ICD-9-CM Version 2011
- 411.1
Beschrijving
Cardiac surgery involving cardiotomy (not CABG) within the past 2 months
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0524727
- SNOMED CT 2011_0131
- 408466002
- UMLS CUI 2011AA
- C0189758
- SNOMED CT 2011_0131
- 340926007
- ICD-9-CM Version 2011
- 37.11
- UMLS CUI 2011AA
- C1518422
- UMLS CUI 2011AA
- C0010055
- SNOMED CT 2011_0131
- 232717009
- MedDRA 14.1
- 10011077
- ICD-9-CM Version 2011
- 36.10
Beschrijving
Serum creatinine > 220 mmol/L (2.5 mg/dL)
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0201976
- SNOMED CT 2011_0131
- 113075003
- MedDRA 14.1
- 10040230
Beschrijving
Thrombocytopenia or coagulopathy
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0040034
- SNOMED CT 2011_0131
- 302215000
- MedDRA 14.1
- 10043554
- ICD-10-CM Version 2010
- D69.6
- ICD-9-CM Version 2011
- 287.5
- CTCAE 1105E
- E12207
- UMLS CUI 2011AA
- C0005779
- SNOMED CT 2011_0131
- 64779008
- MedDRA 14.1
- 10009802
- ICD-10-CM Version 2010
- D68.9
Beschrijving
Contraindication to heparin
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C1301624
- SNOMED CT 2011_0131
- 397745006
- UMLS CUI 2011AA
- C0019134
- SNOMED CT 2011_0131
- 372877000
- LOINC Version 232
- MTHU003766
Beschrijving
Pregnancy
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0549206
Beschrijving
Acute illness or active systemic infection
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0205178
- SNOMED CT 2011_0131
- 272118002
- UMLS CUI 2011AA
- C0221423
- SNOMED CT 2011_0131
- 39104002
- MedDRA 14.1
- 10040658
- ICD-10-CM Version 2010
- R69
- UMLS CUI 2011AA
- C0205177
- SNOMED CT 2011_0131
- 55561003
- UMLS CUI 2011AA
- C0243026
- SNOMED CT 2011_0131
- 91302008
- MedDRA 14.1
- 10040047
- ICD-9-CM Version 2011
- 995.91
Beschrijving
Other disease process likely to limit survival to <12 months
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0205394
- SNOMED CT 2011_0131
- 74964007
- UMLS CUI 2011AA
- C0242656
- SNOMED CT 2011_0131
- 246453008
- MedDRA 14.1
- 10061818
- UMLS CUI 2011AA
- C0023671
- LOINC Version 232
- LP75025-4
- UMLS CUI 2011AA
- C0439092
- SNOMED CT 2011_0131
- 276139006
- HL7 V3 2006_05
- LT
- UMLS CUI 2011AA
- C0205458
- SNOMED CT 2011_0131
- 82809009
- UMLS CUI 2011AA
- C0439231
- SNOMED CT 2011_0131
- 258706009
- HL7 V3 2006_05
- MO
Beschrijving
Significant medical problem that in the opinion of the principal investigator would preclude enrollment in the study
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C1715372
- LOINC Version 232
- 44100-6
- UMLS CUI 2011AA
- C0332196
- SNOMED CT 2011_0131
- 77765009
- UMLS CUI 2011AA
- C1516879
- UMLS CUI 2011AA
- C0008976
- SNOMED CT 2011_0131
- 110465008
Beschrijving
Participation in another investigational study
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0679823
- HL7 V3 2006_05
- PART
- UMLS CUI 2011AA
- C0205394
- SNOMED CT 2011_0131
- 74964007
- UMLS CUI 2011AA
- C0681814
Beschrijving
Unwillingness to participate or lack of availability for follow-up
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C1522577
Beschrijving
Incessant VT or electrical storm
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C2363809
- MedDRA 14.1
- 10068441
- UMLS CUI 2011AA
- C1963849
- MedDRA 14.1
- 10067339
Beschrijving
Bundle branch reentry tachycardia as the presenting VT
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C2711556
- SNOMED CT 2011_0131
- 442559009
- UMLS CUI 2011AA
- C0449450
- SNOMED CT 2011_0131
- 246105001
- UMLS CUI 2011AA
- C0042514
- SNOMED CT 2011_0131
- 25569003
- MedDRA 14.1
- 10047302
- ICD-10-CM Version 2010
- I47.2
- CTCAE 1105E
- E10239
Beschrijving
Preexisting ICD
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C2347662
- UMLS CUI 2011AA
- C0162589
- SNOMED CT 2011_0131
- 72506001
Similar models
Eligibility
- StudyEvent: Eligibility
397669002 (SNOMED CT 2011_0131)
53741008 (SNOMED CT 2011_0131)
10068617 (MedDRA 14.1)
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
C1704788 (UMLS CUI 2011AA)
C2062905 (UMLS CUI 2011AA)
CL434297 (UMLS CUI 2011AA)
10072048 (MedDRA 14.1)
C1261287 (UMLS CUI 2011AA)
C0226037 (UMLS CUI 2011AA)
57396003 (SNOMED CT 2011_0131)
CL434298 (UMLS CUI 2011AA)
10072049 (MedDRA 14.1)
53741008 (SNOMED CT 2011_0131)
10068617 (MedDRA 14.1)
C1704788 (UMLS CUI 2011AA)
CL421546 (UMLS CUI 2011AA)
392521001 (SNOMED CT 2011_0131)
C0543467 (UMLS CUI 2011AA)
83578000 (SNOMED CT 2011_0131)
10051332 (MedDRA 14.1)
MTHU000079 (LOINC Version 232)
C0522523 (UMLS CUI 2011AA)
103388001 (SNOMED CT 2011_0131)
C0581603 (UMLS CUI 2011AA)
297183000 (SNOMED CT 2011_0131)
C1272703 (UMLS CUI 2011AA)
385669000 (SNOMED CT 2011_0131)
C0520997 (UMLS CUI 2011AA)
51308000 (SNOMED CT 2011_0131)
10043568 (MedDRA 14.1)
C1275835 (UMLS CUI 2011AA)
399211009 (SNOMED CT 2011_0131)
C1305738 (UMLS CUI 2011AA)
24607002 (SNOMED CT 2011_0131)
C0429091 (UMLS CUI 2011AA)
81184002 (SNOMED CT 2011_0131)
C0392756 (UMLS CUI 2011AA)
260400001 (SNOMED CT 2011_0131)
C0002940 (UMLS CUI 2011AA)
432119003 (SNOMED CT 2011_0131)
10002329 (MedDRA 14.1)
I72.9 (ICD-10-CM Version 2010)
442.9 (ICD-9-CM Version 2011)
250908004 (SNOMED CT 2011_0131)
10069170 (MedDRA 14.1)
C0013516 (UMLS CUI 2011AA)
40701008 (SNOMED CT 2011_0131)
10014116 (MedDRA 14.1)
88.72 (ICD-9-CM Version 2011)
C1979874 (UMLS CUI 2011AA)
C0596683 (UMLS CUI 2011AA)
252426003 (SNOMED CT 2011_0131)
10053445 (MedDRA 14.1)
C0332120 (UMLS CUI 2011AA)
18669006 (SNOMED CT 2011_0131)
C0580836 (UMLS CUI 2011AA)
70753007 (SNOMED CT 2011_0131)
C0027051 (UMLS CUI 2011AA)
22298006 (SNOMED CT 2011_0131)
10028596 (MedDRA 14.1)
MTHU035551 (LOINC Version 232)
I21-I22 (ICD-10-CM Version 2010)
410 (ICD-9-CM Version 2011)
E10152 (CTCAE 1105E)
C1623258 (UMLS CUI 2011AA)
46825001 (SNOMED CT 2011_0131)
10014084 (MedDRA 14.1)
C0013516 (UMLS CUI 2011AA)
40701008 (SNOMED CT 2011_0131)
10014116 (MedDRA 14.1)
88.72 (ICD-9-CM Version 2011)
C0596683 (UMLS CUI 2011AA)
252426003 (SNOMED CT 2011_0131)
10053445 (MedDRA 14.1)
272128006 (SNOMED CT 2011_0131)
C1301725 (UMLS CUI 2011AA)
397934002 (SNOMED CT 2011_0131)
C0205360 (UMLS CUI 2011AA)
58158008 (SNOMED CT 2011_0131)
MTHU015276 (LOINC Version 232)
C0205210 (UMLS CUI 2011AA)
58147004 (SNOMED CT 2011_0131)
C0042514 (UMLS CUI 2011AA)
25569003 (SNOMED CT 2011_0131)
10047302 (MedDRA 14.1)
I47.2 (ICD-10-CM Version 2010)
E10239 (CTCAE 1105E)
397669002 (SNOMED CT 2011_0131)
C0587044 (UMLS CUI 2011AA)
309519009 (SNOMED CT 2011_0131)
C0332152 (UMLS CUI 2011AA)
288556008 (SNOMED CT 2011_0131)
C0547070 (UMLS CUI 2011AA)
257729003 (SNOMED CT 2011_0131)
C2243117 (UMLS CUI 2011AA)
57054005 (SNOMED CT 2011_0131)
10000891 (MedDRA 14.1)
I21 (ICD-10-CM Version 2010)
410 (ICD-9-CM Version 2011)
368009 (SNOMED CT 2011_0131)
10061406 (MedDRA 14.1)
C0443254 (UMLS CUI 2011AA)
261018001 (SNOMED CT 2011_0131)
C1305961 (UMLS CUI 2011AA)
181285005 (SNOMED CT 2011_0131)
CL411789 (UMLS CUI 2011AA)
C0444454 (UMLS CUI 2011AA)
260507000 (SNOMED CT 2011_0131)
C0225897 (UMLS CUI 2011AA)
87878005 (SNOMED CT 2011_0131)
MTHU001535 (LOINC Version 232)
4557003 (SNOMED CT 2011_0131)
10002388 (MedDRA 14.1)
I20.0 (ICD-10-CM Version 2010)
411.1 (ICD-9-CM Version 2011)
408466002 (SNOMED CT 2011_0131)
C0189758 (UMLS CUI 2011AA)
340926007 (SNOMED CT 2011_0131)
37.11 (ICD-9-CM Version 2011)
C1518422 (UMLS CUI 2011AA)
C0010055 (UMLS CUI 2011AA)
232717009 (SNOMED CT 2011_0131)
10011077 (MedDRA 14.1)
36.10 (ICD-9-CM Version 2011)
113075003 (SNOMED CT 2011_0131)
10040230 (MedDRA 14.1)
302215000 (SNOMED CT 2011_0131)
10043554 (MedDRA 14.1)
D69.6 (ICD-10-CM Version 2010)
287.5 (ICD-9-CM Version 2011)
E12207 (CTCAE 1105E)
C0005779 (UMLS CUI 2011AA)
64779008 (SNOMED CT 2011_0131)
10009802 (MedDRA 14.1)
D68.9 (ICD-10-CM Version 2010)
397745006 (SNOMED CT 2011_0131)
C0019134 (UMLS CUI 2011AA)
372877000 (SNOMED CT 2011_0131)
MTHU003766 (LOINC Version 232)
272118002 (SNOMED CT 2011_0131)
C0221423 (UMLS CUI 2011AA)
39104002 (SNOMED CT 2011_0131)
10040658 (MedDRA 14.1)
R69 (ICD-10-CM Version 2010)
C0205177 (UMLS CUI 2011AA)
55561003 (SNOMED CT 2011_0131)
C0243026 (UMLS CUI 2011AA)
91302008 (SNOMED CT 2011_0131)
10040047 (MedDRA 14.1)
995.91 (ICD-9-CM Version 2011)
74964007 (SNOMED CT 2011_0131)
C0242656 (UMLS CUI 2011AA)
246453008 (SNOMED CT 2011_0131)
10061818 (MedDRA 14.1)
C0023671 (UMLS CUI 2011AA)
LP75025-4 (LOINC Version 232)
C0439092 (UMLS CUI 2011AA)
276139006 (SNOMED CT 2011_0131)
LT (HL7 V3 2006_05)
C0205458 (UMLS CUI 2011AA)
82809009 (SNOMED CT 2011_0131)
C0439231 (UMLS CUI 2011AA)
258706009 (SNOMED CT 2011_0131)
MO (HL7 V3 2006_05)
44100-6 (LOINC Version 232)
C0332196 (UMLS CUI 2011AA)
77765009 (SNOMED CT 2011_0131)
C1516879 (UMLS CUI 2011AA)
C0008976 (UMLS CUI 2011AA)
110465008 (SNOMED CT 2011_0131)
PART (HL7 V3 2006_05)
C0205394 (UMLS CUI 2011AA)
74964007 (SNOMED CT 2011_0131)
C0681814 (UMLS CUI 2011AA)
10068441 (MedDRA 14.1)
C1963849 (UMLS CUI 2011AA)
10067339 (MedDRA 14.1)
442559009 (SNOMED CT 2011_0131)
C0449450 (UMLS CUI 2011AA)
246105001 (SNOMED CT 2011_0131)
C0042514 (UMLS CUI 2011AA)
25569003 (SNOMED CT 2011_0131)
10047302 (MedDRA 14.1)
I47.2 (ICD-10-CM Version 2010)
E10239 (CTCAE 1105E)
C0162589 (UMLS CUI 2011AA)
72506001 (SNOMED CT 2011_0131)