3.3 Charlson Comorbidity Index (CCI)

ID

16092

Description

Charlson Comorbidity Index (CCI) Part 3.3 Instrumental Activities of Daily Living (IADL) To be completed by: Patient, clinician, nurse or trained coder. Notes: Some domains may not be informative for all people. For example some men (for cultural reasons) may not do the laundry. Therefore each question is preceded by a screening question, to assess relevance. Score: Record total domains which can be scored (i.e. not designated N/A[not applicable]). Record number of domains in which subject is dependent (i.e. scores 0). Source: Charlson et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. 1987. J. Chronic Dis. 40, pp. 373–383.

Keywords

Activities of Daily Living

Comorbidity

6/28/16 6/28/16 -
6/28/16 6/28/16 -

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June 28, 2016

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Creative Commons BY-NC-ND 3.0

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1 forms

StudyEvent: ODM
1. 3.3 Charlson Comorbidity Index (CCI)

Name

Type

Description | Question | Decode (Coded Value)

Data type

Alias

Instrumental Activities of Daily Living (IADL)

Item Group

Instrumental Activities of Daily Living (IADL)

Ability to use telephone

Item

Ability to use telephone

text

C0577446 (UMLS CUI [1])

Ability to use telephone

Code List

Ability to use telephone

CL Item

N/A Has never used the telephone (1)

CL Item

1 Operates telephone on own initiative, looks up and dials numbers, etc. (2)

CL Item

1 Dials a few well known-numbers (3)

CL Item

1 Answers telephone but does not dial (4)

CL Item

1 Does not use telephone at all (5)

Shopping

Item

Shopping

text

C0150768 (UMLS CUI [1])

Shopping

Code List

Shopping

CL Item

N/A Has never done the shopping (1)

CL Item

1 Takes care of all shopping needs independently (2)

CL Item

0 Shops independently for small purchases (3)

CL Item

0 Needs to be accompanied on any shopping trip (4)

CL Item

0 Completely unable to shop (5)

Food preparation

Item

Food preparation

text

C0920297 (UMLS CUI [1])

Food preparation

Code List

Food preparation

CL Item

N/A Has never done the food preparation (1)

CL Item

1 Plans, prepares and serves adequate meals independently (2)

CL Item

1 Prepares adequate meals if supplied with ingredients (3)

CL Item

1 Heats, serves, and prepares meals but does not maintain adequate diet (4)

CL Item

1 Needs to have meals prepared and served (5)

Housekeeping

Item

Housekeeping

text

C0020053 (UMLS CUI [1])

Housekeeping

Code List

Housekeeping

CL Item

N/A Has never done the housekeeping (0)

CL Item

1 Maintains house alone or with occasional assistance (e.g. “heavy work domestic help”) (1)

CL Item

1 Performs light daily tasks such as dish-washing, bed-making (2)

CL Item

1 Performs light daily tasks but cannot maintain acceptable level of cleanliness (3)

CL Item

1 Needs help with all home maintenance tasks (4)

CL Item

0 Does not participate in any housekeeping tasks (5)

Laundry

Item

Laundry

text

C1830412 (UMLS CUI [1])

Laundry

Code List

Laundry

CL Item

N/A Has never done the laundry (0)

CL Item

1 Does personal laundry completely (1)

CL Item

1 Launders small items-rinses socks, stocking, etc. (2)

CL Item

0 All laundry must be done by others (3)

Mode of transportation

Item

Mode of transportation

text

C1550400 (UMLS CUI [1])

Mode of transportation

Code List

Mode of transportation

CL Item

N/A Has never travelled independently (0)

CL Item

1 Travels independently on public transportation or drives own car (1)

CL Item

1 Arranges own travel via taxi, but does not otherwise use public transportation (2)

CL Item

1 Travels on public transportation when accompanied by other (3)

CL Item

0 Travel limited to taxi or automobile with assistance of another (4)

CL Item

0 Does not travel at all (5)

Responsibility for own medication

Item

Responsibility for own medication

text

C0814099 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])

RESPONSIBILITY FOR OWN MEDICATION

Code List

Responsibility for own medication

CL Item

N/A Does not take tablets currently (0)

CL Item

1 Is responsible for taking medication in correct dosages at correct time (1)

CL Item

0 Takes responsibility if medication is prepared in advance in separate dosage (2)

CL Item

0 Is not capable of dispensing own medication (3)

Ability to handle finances

Item

Ability to handle finances

text

C0220830 (UMLS CUI [1])

Ability to handle finances

Code List

Ability to handle finances

CL Item

N/A Never handled the finances (0)

CL Item

1 Manages financial matters independently (budgets, writes checks, pays rent, bills, goes to the bank), collects and keeps track of income (1)

CL Item

1 Manages day to day purchases, but needs help with banking, major purchases, etc. (2)

CL Item

0 Incapable of handling money (3)

Total domains which are assessable

Item

Total domains which are assessable

integer

C0449788 (UMLS CUI [1])

Domains in which patient is dependent

Item

Domains in which patient is dependent

integer

C0686977 (UMLS CUI [1])

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3.3 Charlson Comorbidity Index (CCI)