Eligibility

1 forms
  1. StudyEvent: Eligibility
    1. Eligibility
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Inclusion Criteria
age at least 18 Years
Item
age at least 18 Years
boolean
C0001779 (UMLS CUI 2011AA)
397669002 (SNOMED CT 2011_0131)
Approved indication for new ICD implantation for primary prevention of sudden cardiac death
Item
Approved indication for new ICD implantation for primary prevention of sudden cardiac death
boolean
C0205540 (UMLS CUI 2011AA)
9571008 (SNOMED CT 2011_0131)
CL335836 (UMLS CUI 2011AA)
C0205314 (UMLS CUI 2011AA)
7147002 (SNOMED CT 2011_0131)
C0162589 (UMLS CUI 2011AA)
72506001 (SNOMED CT 2011_0131)
C0021107 (UMLS CUI 2011AA)
71861002 (SNOMED CT 2011_0131)
MTHU035917 (LOINC Version 232)
C0033144 (UMLS CUI 2011AA)
315233008 (SNOMED CT 2011_0131)
C0085298 (UMLS CUI 2011AA)
95281009 (SNOMED CT 2011_0131)
10049418 (MedDRA 14.1)
E11171 (CTCAE 1105E)
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
Written informed consent
Item
Written informed consent
boolean
C0021430 (UMLS CUI 2011AA)
WRITTEN (HL7 V3 2006_05)
Item Group
Exclusion Criteria
ICD indication for secondary prevention reasons
Item
ICD indication for secondary prevention reasons
boolean
C0162589 (UMLS CUI 2011AA)
72506001 (SNOMED CT 2011_0131)
CL335836 (UMLS CUI 2011AA)
C0679699 (UMLS CUI 2011AA)
315234002 (SNOMED CT 2011_0131)
10067625 (MedDRA 14.1)
C0392360 (UMLS CUI 2011AA)
410666004 230165009 (SNOMED CT 2011_0131)
MTHU008862 (LOINC Version 232)
ICD indication for electrical disorders (i.e. long/short QT syndrome, Brugada syndrome etc...)
Item
ICD indication for electrical disorders (i.e. long/short QT syndrome, Brugada syndrome etc...)
boolean
C0162589 (UMLS CUI 2011AA)
72506001 (SNOMED CT 2011_0131)
CL335836 (UMLS CUI 2011AA)
C0013790 (UMLS CUI 2011AA)
258096005, 18213006 (SNOMED CT 2011_0131)
C0012634 (UMLS CUI 2011AA)
64572001 (SNOMED CT 2011_0131)
C0023976 (UMLS CUI 2011AA)
9651007 (SNOMED CT 2011_0131)
10024803 (MedDRA 14.1)
I45.81 (ICD-10-CM Version 2010)
426.82 (ICD-9-CM Version 2011)
C2348199 (UMLS CUI 2011AA)
C1142166 (UMLS CUI 2011AA)
418818005 (SNOMED CT 2011_0131)
10059027 (MedDRA 14.1)
ICD change or upgrade
Item
ICD change or upgrade
boolean
C0162589 (UMLS CUI 2011AA)
72506001 (SNOMED CT 2011_0131)
C0392747 (UMLS CUI 2011AA)
243326001 (SNOMED CT 2011_0131)
CL433422 (UMLS CUI 2011AA)
Pregnancy
Item
Pregnancy, Gestation
boolean
C0549206 (UMLS CUI 2011AA)
289908002 (SNOMED CT 2011_0131)
10036556 (MedDRA 14.1)
MTHU035048 (LOINC Version 232)
Nonage
Item
Nonage
boolean
C0026193 (UMLS CUI 2011AA)
410599005 (SNOMED CT 2011_0131)
C0001779 (UMLS CUI 2011AA)
397669002 (SNOMED CT 2011_0131)
Patient is already participating to another study with active therapy arm
Item
Patient is already participating to another study with active therapy arm
boolean
C0679823 (UMLS CUI 2011AA)
PART (HL7 V3 2006_05)
C0205394 (UMLS CUI 2011AA)
74964007 (SNOMED CT 2011_0131)
C0008976 (UMLS CUI 2011AA)
110465008 (SNOMED CT 2011_0131)
C0205177 (UMLS CUI 2011AA)
55561003 (SNOMED CT 2011_0131)
C1522541 (UMLS CUI 2011AA)
Patient will most likely not be able to participate to the routine follow ups in the study center.
Item
Patient will most likely not be able to participate to the routine follow ups in the study center.
boolean
C0332148 (UMLS CUI 2011AA)
2931005 (SNOMED CT 2011_0131)
C1299582 (UMLS CUI 2011AA)
371151008 (SNOMED CT 2011_0131)
C0679823 (UMLS CUI 2011AA)
PART (HL7 V3 2006_05)
C0205547 (UMLS CUI 2011AA)
50811001 (SNOMED CT 2011_0131)
CL433109 (UMLS CUI 2011AA)
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