ID

31091

Description

LOW BACK PAIN DATA COLLECTION REFERENCE GUIDE Version 2.0.3 Revised August 24th, 2017 www.ichom.org Conditions: Lumbar Disc Herniation | Lumbar Stenosis | Lumbar Spondylolisthesis | Degenerative Scoliosis | Adult Idiopathic Scoliosis | Degenerative Disc Disorder | Other Degenerative Lumbar Disorders | Mechanical, Acute, and Chronic Lumbar Back Pain and Back-Related Leg Pain Conditions Not Covered: Individuals < 18 Years of Age | Spinal Infection | Spinal Tumor | Spinal Fractures | Traumatic Dislocation | Congenital Scoliosis Documented as >20 Degrees, Moderate, Large, or Severe Treatment Approaches: Conservative Therapy (e.g. physical therapy, chiropractic, drug therapy, injections, etc.) | Surgical Therapy (e.g. spinal fusion, decompression, or discectomy) This ODM-file contains Treatment Variables, to be assessed during index visit or hospitalization for procedure.

Link

www.ichom.org

Keywords

Versions (4)
  1. 7/20/18 7/20/18 - Sarah Riepenhausen
  2. 8/23/18 8/23/18 - Sarah Riepenhausen
  3. 8/31/18 8/31/18 - Sarah Riepenhausen
  4. 4/30/20 4/30/20 - Sarah Riepenhausen
Copyright Holder

ICHOM

Uploaded on

July 20, 2018

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Creative Commons BY-NC 3.0
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ICHOM Low Back Pain

English

ICHOM Low Back Pain - Treatment Variables

1 forms  
Procedure
Description

Procedure

Alias
UMLS CUI-1
C0741419
UMLS CUI-2
C0184661
Indicate type of current procedural intervention
Description

Decompression: e.g. laminectomy INCLUSION CRITERIA: All patients TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0741419
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0332307
Indicate the level of the current procedural intervention 1 = T12-L1
Description

INCLUSION CRITERIA: If answered 1-5 for PROCEDURETYPE TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0741419
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0037949
UMLS CUI [1,4]
C0446430
UMLS CUI [1,5]
C0446432
Indicate the level of the current procedural intervention 2 = L1-L2
Description

INCLUSION CRITERIA: If answered 1-5 for PROCEDURETYPE TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0741419
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0037949
UMLS CUI [1,4]
C0446432
UMLS CUI [1,5]
C0446433
Indicate the level of the current procedural intervention 3 = L2-L3
Description

INCLUSION CRITERIA: If answered 1-5 for PROCEDURETYPE TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0741419
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0037949
UMLS CUI [1,4]
C0446433
UMLS CUI [1,5]
C0446434
Indicate the level of the current procedural intervention 4 = L3-L4
Description

INCLUSION CRITERIA: If answered 1-5 for PROCEDURETYPE TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0741419
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0037949
UMLS CUI [1,4]
C0446434
UMLS CUI [1,5]
C0446436
Indicate the level of the current procedural intervention 5 = L4-L5
Description

INCLUSION CRITERIA: If answered 1-5 for PROCEDURETYPE TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0741419
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0037949
UMLS CUI [1,4]
C0446436
UMLS CUI [1,5]
C0446435
Indicate the level of the current procedural intervention 6 = L5-S1
Description

INCLUSION CRITERIA: If answered 1-5 for PROCEDURETYPE TIMING: During index visit or hospitalization for procedure REPORTING SOURCE: Clinical TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0741419
UMLS CUI [1,2]
C0184661
UMLS CUI [1,3]
C0037949
UMLS CUI [1,4]
C0446435
UMLS CUI [1,5]
C0446438
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Similar models

ICHOM Low Back Pain - Treatment Variables

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Procedure
C0741419 (UMLS CUI-1)
C0184661 (UMLS CUI-2)
Item
Indicate type of current procedural intervention
integer
C0741419 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
Current procedural intervention: Type
Code List
Indicate type of current procedural intervention
CL Item
Discectomy (1)
CL Item
Decompression (laminectomy) (2)
CL Item
Fusion (3)
CL Item
Other back surgery (4)
CL Item
Injection therapy (5)
CL Item
other non-surgical therapy (6)
Current procedural intervention: Level
Item
Indicate the level of the current procedural intervention 1 = T12-L1
boolean
C0741419 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0037949 (UMLS CUI [1,3])
C0446430 (UMLS CUI [1,4])
C0446432 (UMLS CUI [1,5])
Current procedural intervention: Level
Item
Indicate the level of the current procedural intervention 2 = L1-L2
boolean
C0741419 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0037949 (UMLS CUI [1,3])
C0446432 (UMLS CUI [1,4])
C0446433 (UMLS CUI [1,5])
Current procedural intervention: Level
Item
Indicate the level of the current procedural intervention 3 = L2-L3
boolean
C0741419 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0037949 (UMLS CUI [1,3])
C0446433 (UMLS CUI [1,4])
C0446434 (UMLS CUI [1,5])
Current procedural intervention: Level
Item
Indicate the level of the current procedural intervention 4 = L3-L4
boolean
C0741419 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0037949 (UMLS CUI [1,3])
C0446434 (UMLS CUI [1,4])
C0446436 (UMLS CUI [1,5])
Current procedural intervention: Level
Item
Indicate the level of the current procedural intervention 5 = L4-L5
boolean
C0741419 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0037949 (UMLS CUI [1,3])
C0446436 (UMLS CUI [1,4])
C0446435 (UMLS CUI [1,5])
Current procedural intervention: Level
Item
Indicate the level of the current procedural intervention 6 = L5-S1
boolean
C0741419 (UMLS CUI [1,1])
C0184661 (UMLS CUI [1,2])
C0037949 (UMLS CUI [1,3])
C0446435 (UMLS CUI [1,4])
C0446438 (UMLS CUI [1,5])
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