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Clinical Follow-up Form (Disease recurrence)

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 the current surgery is a reoperation at the same level because the prior surgery at the same level did not reach its technical or clinical goals
Description

INCLUSION CRITERIA: Surgically treated patients TIMING: when occurs REPORTING SOURCE: Clinical TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0558347
UMLS CUI [1,2]
C0741419
UMLS CUI [1,3]
C0037949
UMLS CUI [1,4]
C2946261
UMLS CUI [1,5]
C0445247
Indicate the type of reoperation
Description

Hardware removal: removal of implants (For example, screws, rods) Non-union: failure of bony consolidation of bridge/union at minimum 12 months after surgery Neuro-compression: compression of neural structures with or without neurological deficits (select recurrent disc herniation or other neuro- compression) Post-op infection: superficial or deep (subfascial) wound/tissue infection after surgery Implant malposition: incorrect position of the implant Implant failure: problem due to an implant (For example, loosening, breakage) Wrong level: procedure mistakenly performed at wrong vertebral level Sagittal imbalance: sagittal malalignment of the spine (select lumbar flatback deformity or junctional kyphosis) Cerebrospinal fluid leakage: includes CSF fistula, seudomeningocele, etc. Epidural hematoma: collection of blood adjacent to dura, potentially creating compression INCLUSION CRITERIA: Surgically treated patients, If answered 'yes' to having a reoperation (REOP) TIMING: when occurs REPORTING SOURCE: clinical TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0558347
UMLS CUI [1,2]
C0741419
UMLS CUI [1,3]
C0332307
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Similar models

Clinical Follow-up Form (Disease recurrence)

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 the current surgery is a reoperation at the same level because the prior surgery at the same level did not reach its technical or clinical goals
integer
C0558347 (UMLS CUI [1,1])
C0741419 (UMLS CUI [1,2])
C0037949 (UMLS CUI [1,3])
C2946261 (UMLS CUI [1,4])
C0445247 (UMLS CUI [1,5])
Current procedure a reoperation at same level?
Code List
Indicate if the current surgery is a reoperation at the same level because the prior surgery at the same level did not reach its technical or clinical goals
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Item
Indicate the type of reoperation
integer
C0558347 (UMLS CUI [1,1])
C0741419 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
Type of reoperation (if applicable)
Code List
Indicate the type of reoperation
CL Item
Hardware removal (1)
C1096445 (UMLS CUI-1)
(Comment:en)
CL Item
Non-union (2)
C0037935 (UMLS CUI-1)
C1272705 (UMLS CUI-2)
(Comment:en)
CL Item
Neuro-compression (3)
C0576717 (UMLS CUI-1)
(Comment:en)
CL Item
Post-op infection (4)
C0038941 (UMLS CUI-1)
(Comment:en)
CL Item
Implant malposition (5)
C0333042 (UMLS CUI-1)
C0021102 (UMLS CUI-2)
(Comment:en)
CL Item
Implant failure (6)
C0854676 (UMLS CUI-1)
(Comment:en)
CL Item
Wrong level (7)
C2224801 (UMLS CUI-1)
C3845811 (UMLS CUI-2)
(Comment:en)
CL Item
Sagittal imbalance (8)
C1397014 (UMLS CUI-1)
C0205129 (UMLS CUI-2)
(Comment:en)
CL Item
Cerebrospinal fluid leakage (9)
C0023182 (UMLS CUI-1)
(Comment:en)
CL Item
Epidural hematoma (10)
C0877172 (UMLS CUI-1)
(Comment:en)
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