ID

31455

Description

LOW BACK PAIN DATA COLLECTION Version 2.0.3 Revised August 24th, 2017 www.ichom.org ICHOM received an endorsement of Arthritis Research UK for the development of this standard set. 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 an Adminstrative Form, to be reported within 30 days after index hospitalization. Use of the following Scores: ODI - Oswestry Disability Index Version 2.1a: The ODI is free for all health care organizations, but a license is needed for use (therefore not included in this version of the standard set). Please visit eprovide: https://eprovide.mapi-trust.org/ NPRS - Numerical Pain Rating Scale: The NPRS is free for all health care organizations, and a license is not needed. EQ-5D-3L - EuroQol‐5D descriptive system (EQ-­5D‐3L) and visual analogue scale (EQ-­VAS): The EQ-5D-3L is free for non-profits and academic research, but a license is needed for use (therefore not included in this version of the standard set). https://euroqol.org/support/how-to-obtain-eq-5d/

Link

www.ichom.org

Keywords

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

ICHOM

Uploaded on

August 23, 2018

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License

Creative Commons BY-NC 3.0
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ICHOM Low Back Pain

English

Administrative Form (30 days after index hospitalization)

1 forms  
Patient ID
Description

Patient ID

Alias
UMLS CUI-1
C1269815
Indicate the patient's medical record number.
Description

This number will not be shared with ICHOM. In the case patient-level data is submitted to ICHOM for benchmarking or research purposes, a separate ICHOM Patient Identifier will be created and cross-linking between the ICHOM Patient Identifier and the medical record number will only be known at the treating institution. INCLUSION CRITERIA: All patients TIMING: On all forms REPORTING SOURCE: Administrative or clinical RESPONSE OPTIONS: According to institution

Data type

integer

Alias
UMLS CUI [1]
C1269815
Acute Complications of Treatment
Description

Acute Complications of Treatment

Alias
UMLS CUI-1
C0087111
UMLS CUI-2
C0009566
Indicate if patient died within 30 days following procedure (all-cause mortality)
Description

INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0011065
UMLS CUI [1,2]
C3887296
Indicate date of death
Description

INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Date by DD/MM/YYYY

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C1148348
UMLS CUI [1,2]
C3887296
DD/MM/YYYY
Indicate if the patient was admitted to an acute care facility as an inpatient within 30 days from the date of index intervention for ANY reason
Description

INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0679878
UMLS CUI [1,2]
C0030700
UMLS CUI [1,3]
C3887296
Indicate date of rehospitalization(s)
Description

Do not include admissions to rehabilitation hospital or nursing home INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Date by DD/MM/YYYY

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C0600290
UMLS CUI [1,2]
C3887296
UMLS CUI [1,3]
C0011008
DD/MM/YYYY
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Similar models

Administrative Form (30 days after index hospitalization)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient ID
C1269815 (UMLS CUI-1)
Patient ID
Item
Indicate the patient's medical record number.
integer
C1269815 (UMLS CUI [1])
Item Group
Acute Complications of Treatment
C0087111 (UMLS CUI-1)
C0009566 (UMLS CUI-2)
Item
Indicate if patient died within 30 days following procedure (all-cause mortality)
integer
C0011065 (UMLS CUI [1,1])
C3887296 (UMLS CUI [1,2])
Death within 30 days of procedure
Code List
Indicate if patient died within 30 days following procedure (all-cause mortality)
CL Item
No (0)
CL Item
Yes (1)
Date of death
Item
Indicate date of death
date
C1148348 (UMLS CUI [1,1])
C3887296 (UMLS CUI [1,2])
Item
Indicate if the patient was admitted to an acute care facility as an inpatient within 30 days from the date of index intervention for ANY reason
integer
C0679878 (UMLS CUI [1,1])
C0030700 (UMLS CUI [1,2])
C3887296 (UMLS CUI [1,3])
Readmission to acute care facility within 30 days
Code List
Indicate if the patient was admitted to an acute care facility as an inpatient within 30 days from the date of index intervention for ANY reason
CL Item
No (0)
CL Item
Yes (1)
Date of rehospitalization
Item
Indicate date of rehospitalization(s)
date
C0600290 (UMLS CUI [1,1])
C3887296 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
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