Baseline and annual Clinical Form

Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
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
Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
Description

This Item does not exist in the original standard set, instead it is asked to do the following: Please timestamp all variables. Some Standard Set variables are collected at multiple timepoints, and we will ask you to submit these variables in a concatenated VARIABLEID_TIMESTAMP form for future analyses. For example, VARIABLEID_BASE (baseline); VARIABLEID_6MO (6 month follow-up); VARIABLEID_1YR (1 year follow-up), etc.

Data type

text

Alias
UMLS CUI [1,1]
C0439564
UMLS CUI [1,2]
C1442488
Cognitive and psychiatric functioning
Description

Cognitive and psychiatric functioning

Alias
UMLS CUI-1
C0392335
UMLS CUI-2
C0233402
Non-motor aspects of experiences of daily living (MDS-UPDRS Part 1A) partial Score
Description

This item is a partial score of items of MDS-UPDRS about non-motor functioning (1.1-1.6). Due to the need for a license for use of the original scale, the items are not part of this version of the standard set. In the original standard set the item-IDs are from MDSUPDRS_Q01 to MDSUPDRS_Q06. INCLUSION CRITERIA: All patients TIMING: Baseline and annually REPORTING SOURCE: Clinical TYPE (original questions): Single answer (this version: numerical)

Data type

integer

Alias
UMLS CUI [1,1]
C3639714
UMLS CUI [1,2]
C0728938
UMLS CUI [1,3]
C0449820
UMLS CUI [2,1]
C0001288
UMLS CUI [2,2]
C1457887
UMLS CUI [2,3]
C0332300
UMLS CUI [2,4]
C0426980
UMLS CUI [3]
C0392335
UMLS CUI [4]
C0233402

Similar models

Baseline and annual Clinical Form

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Patient ID
Item
Indicate the patient's medical record number
integer
C1269815 (UMLS CUI [1])
Time Relative to Baseline
Item
Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
text
C0439564 (UMLS CUI [1,1])
C1442488 (UMLS CUI [1,2])
Item Group
Cognitive and psychiatric functioning
C0392335 (UMLS CUI-1)
C0233402 (UMLS CUI-2)
Non-motor aspects of experiences of daily living (MDS-UPDRS Part 1A) partial Score
Item
Non-motor aspects of experiences of daily living (MDS-UPDRS Part 1A) partial Score
integer
C3639714 (UMLS CUI [1,1])
C0728938 (UMLS CUI [1,2])
C0449820 (UMLS CUI [1,3])
C0001288 (UMLS CUI [2,1])
C1457887 (UMLS CUI [2,2])
C0332300 (UMLS CUI [2,3])
C0426980 (UMLS CUI [2,4])
C0392335 (UMLS CUI [3])
C0233402 (UMLS CUI [4])