Eligibility

  1. StudyEvent: Eligibility
    1. Eligibility
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Inclusion Criteria
CL425202 (UMLS CUI 2011AA)
age at least 18 Years
Item
Age at least 18 Years
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
Exclusion Criteria
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
Permanent atrial fibrillation
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)
C2733540 (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)
C2733540 (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
Minor (person)
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)

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