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Annual Clinical Form: Treatment variables

1 forms  
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
Treatment Variables
Description

Treatment Variables

Alias
UMLS CUI-1
C0087111
Indicate if the patient received medical therapy during the last 12 months
Description

INCLUSION CRITERIA: All patients TIMING: Annually REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0418981
UMLS CUI [1,2]
C4086728
Indicate if the patient received behavioral therapy during the last 12 months
Description

INCLUSION CRITERIA: All patients TIMING: Annually REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0004933
UMLS CUI [1,2]
C4086728
Indicate if the patient received exercise-based therapy during the last 12 months
Description

INCLUSION CRITERIA: All patients TIMING: Annually REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C2243091
UMLS CUI [1,2]
C4086728
Indicate if the patient received deep brain stimulation during the last 12 months
Description

INCLUSION CRITERIA: All patients TIMING: Annually REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0394162
UMLS CUI [1,2]
C4086728
Indicate if the patient received infusion/injection based delivery therapy during the last 12 months
Description

INCLUSION CRITERIA: All patients TIMING: Annually REPORTING SOURCE: Clinical TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0574032
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C4086728
UMLS CUI [2,1]
C1533685
UMLS CUI [2,2]
C0087111
UMLS CUI [2,3]
C4086728
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Similar models

Annual Clinical Form: Treatment variables

1 forms
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
Treatment Variables
C0087111 (UMLS CUI-1)
Item
Indicate if the patient received medical therapy during the last 12 months
integer
C0418981 (UMLS CUI [1,1])
C4086728 (UMLS CUI [1,2])
Treatments received over the last 12 months: Medical therapy
Code List
Indicate if the patient received medical therapy during the last 12 months
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Item
Indicate if the patient received behavioral therapy during the last 12 months
integer
C0004933 (UMLS CUI [1,1])
C4086728 (UMLS CUI [1,2])
Treatments received over the last 12 months: Medical therapy
Code List
Indicate if the patient received behavioral therapy during the last 12 months
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Item
Indicate if the patient received exercise-based therapy during the last 12 months
integer
C2243091 (UMLS CUI [1,1])
C4086728 (UMLS CUI [1,2])
Treatments received over the last 12 months: Medical therapy
Code List
Indicate if the patient received exercise-based therapy during the last 12 months
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Item
Indicate if the patient received deep brain stimulation during the last 12 months
integer
C0394162 (UMLS CUI [1,1])
C4086728 (UMLS CUI [1,2])
Treatments received over the last 12 months: Medical therapy
Code List
Indicate if the patient received deep brain stimulation during the last 12 months
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
Item
Indicate if the patient received infusion/injection based delivery therapy during the last 12 months
integer
C0574032 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C4086728 (UMLS CUI [1,3])
C1533685 (UMLS CUI [2,1])
C0087111 (UMLS CUI [2,2])
C4086728 (UMLS CUI [2,3])
Treatments received over the last 12 months: Medical therapy
Code List
Indicate if the patient received infusion/injection based delivery therapy during the last 12 months
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
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