ID
32847
Descrição
HEART FAILURE DATA COLLECTION Version 1.1.4 Revised October 31st, 2017 www.ichom.org Conditions: Heart Failure Treatment Approaches: Pharmacotherapy | Invasive Therapy | Rehabilitation This ODM-file contains clinician-reported outcome variables. It should be tracked 6-monthly for life, starting 30 days and 6 months post-index event. The collection rhythm has to be reset in case of an acute admission (including complications): It should be collected during the acute admission, 30 days post-discharge, 6 months following last admission and 6 monthly from then on. Use of the following Scores for this standard set: KCCQ-12: Kansas City Cardiomyopathy Questionnaire-Short Version: You can obtain a license to use this instrument at your institution by visiting http://cvoutcomes.org/licenses NYHA – New York Heart Association Functional Classification: The NYHA is free for all health care organizations, and a license is not needed. PROMIS Physical Function Short Form 4a – Patient-Reported Outcome Measurement Information System: PROMIS Physical Function is free for all health care organizations, and a license is not needed. For more information, please visit http://www.healthmeasures.net/explore-measurement-systems/promis/obtain-administer-measures . As http://www.nihpromis.org/ is the official distribution site for PROMIS questionnaires and translations, only the total score will be included in this version of the standard set. Patient Health Questionnaire (PHQ-2): Copyright by Pfizer: "content found on the PHQ Screeners site is free for download and use as stated within the PHQ Screeners site, please visit http://www.phqscreeners.com/ for more information. ICHOM was supported by GIG Cymru NHS Wales, American Heart Association, British Heart Foundation, Heart Failure Association of the ESC and European Society of Cardiology.
Link
Palavras-chave
Versões (2)
- 16/11/2018 16/11/2018 - Sarah Riepenhausen
- 30/04/2020 30/04/2020 - Sarah Riepenhausen
Titular dos direitos
ICHOM
Transferido a
16 de novembro de 2018
DOI
Para um pedido faça login.
Licença
Creative Commons BY-NC 3.0
Comentários do modelo :
Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.
Comentários do grupo de itens para :
Comentários do item para :
Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.
ICHOM Heart Failure
Clinician-reported Outcome
- StudyEvent: ODM
Descrição
Baseline health status
Alias
- UMLS CUI-1
- C1442488
- UMLS CUI-2
- C0449440
Descrição
Height and weight are used to calculate BMI INCLUSION CRITERIA: All patients TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported or administrative RESPONSE OPTIONS: Numeric value of weight in metric or imperial system
Tipo de dados
float
Alias
- UMLS CUI [1]
- C0005910
Descrição
INCLUSION CRITERIA: All patients TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported or administrative TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C0005910
- UMLS CUI [1,2]
- C1519795
Descrição
Item is phrased as a patient reported measure. However, if the patient is unable to answer, this information can be abstracted from the medical records. INCLUSION CRITERIA: All patients TIMING: At index event for HF and if "0 = No" or "999 = Unknown" to AFIB, tracked ongoing REPORTING SOURCE: Clinician-reported, patient-reported, or administrative TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0004238
Descrição
Item is phrased as a patient reported measure. However, if the patient is unable to answer, this information can be abstracted from the medical records. INCLUSION CRITERIA: All patients TIMING: At index event for HF and if "0 = No" or "999 = Unknown" to PRIORMI, tracked ongoing REPORTING SOURCE: Clinician-reported, patient-reported, or administrative TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C1275835
Descrição
Smoking status (of cigarettes or tobacco). Item is phrased as a patient reported measure. However, if the patient is unable to answer, this information can be abstracted from the medical records. INCLUSION CRITERIA: All patients TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported, patient-reported, or administrative TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C1519386
Descrição
One standard alcoholic drink is: 12 ounces of regular beer (about 5 percent alcohol) 5 ounces of wine (about 12 percent alcohol) 1.5 ounces of distilled spirits (about 40 percent alcohol) Item is phrased as a patient reported measure. However, if the patient is unable to answer, this information can be abstracted from the medical records. INCLUSION CRITERIA: All patients TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported, patient-reported, or administrative TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0001948
Descrição
INCLUSION CRITERIA: All patients TIMING: At index event for HF and if "0 = No" or "999 = Unknown" to HYPERTEN, tracked ongoing REPORTING SOURCE: Clinician-reported, patient-reported, or administrative TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0020538
Descrição
Item is phrased as a patient reported measure. However, if the patient is unable to answer, this information can be abstracted from the medical records. INCLUSION CRITERIA: All patients TIMING: At index event for HF and if "0 = No" or "999 = Unknown" to DIAB, tracked ongoing REPORTING SOURCE: Clinician-reported, patient-reported, or administrative TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0011849
Descrição
Including but not limited to COPD and asthma INCLUSION CRITERIA: All patients TIMING: At index event for HF and if "0 = No" or "999 = Unknown" to CHRONLD, tracked ongoing REPORTING SOURCE: Clinician-reported, patient-reported, or administrative TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C1533075
Descrição
Renal dysfunction is the documented history of AKI or Increase in serum creatinine by ≥ 0.3 mg/dl (≥ 26.5 l mol/l) within 48 hours; or increase in serum creatinine to ≥ 1.5 times baseline, which is known or presumed to have occurred within the prior 7 days; or urine volume < 0.5 ml/kg/h for 6 hours; or new requirement for dialysis INCLUSION CRITERIA: All patients TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported, patient-reported, or administrative TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C3279454
Descrição
Treatment variables
Alias
- UMLS CUI-1
- C0087111
Descrição
INCLUSION CRITERIA: All patients TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0018801
Descrição
INCLUSION CRITERIA: If "1 = Yes" to PHARMACOTHERAPY TIMING: At index event for HF and if "0 = No" or "999 = Unknown" to AFIB, tracked ongoing REPORTING SOURCE: Clinician-reported, patient-reported, or administrative TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0003015
Descrição
INCLUSION CRITERIA: If "1 = Yes" to PHARMACOTHERAPY TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0521942
Descrição
INCLUSION CRITERIA: If "1 = Yes" to PHARMACOTHERAPY TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C0521942
- UMLS CUI [1,2]
- C4051513
- UMLS CUI [1,3]
- C0205195
Descrição
INCLUSION CRITERIA: If "1 = Yes" to PHARMACOTHERAPY TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0001645
Descrição
INCLUSION CRITERIA: If "1 = Yes" to PHARMACOTHERAPY TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0006684
Descrição
INCLUSION CRITERIA: If "1 = Yes" to PHARMACOTHERAPY TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0012265
Descrição
INCLUSION CRITERIA: If "1 = Yes" to PHARMACOTHERAPY TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0012798
Descrição
INCLUSION CRITERIA: If "1 = Yes" to PHARMACOTHERAPY TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0020223
- UMLS CUI [2]
- C0022252
Descrição
INCLUSION CRITERIA: If "1 = Yes" to PHARMACOTHERAPY TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0257190
Descrição
INCLUSION CRITERIA: If "1 = Yes" to PHARMACOTHERAPY TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C1579268
Descrição
INCLUSION CRITERIA: If "1 = Yes" to PHARMACOTHERAPY TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0205394
Descrição
INCLUSION CRITERIA: All patients TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C2735362
- UMLS CUI [1,2]
- C0018787
Descrição
ICD = Implantable Cardioverter Defibrillator CRT = Cardiac Resynchronisation Therapy INCLUSION CRITERIA: If "1 = Yes" to DEVPROCEDURE TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C3177146
Descrição
INCLUSION CRITERIA: If "1 = Yes" to DEVPROCEDURE TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Date by DD/MM/YYYY
Tipo de dados
date
Unidades de medida
- DD/MM/YYYY
Alias
- UMLS CUI [1,1]
- C2584899
- UMLS CUI [1,2]
- C2828363
Descrição
INCLUSION CRITERIA: All patients TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0018821
Descrição
CABG = Cardiac surgery for heart failure INCLUSION CRITERIA: if "1 = Yes" to CARDSURG TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C0018821
- UMLS CUI [1,2]
- C0332307
Descrição
INCLUSION CRITERIA: If "1 = Yes" to CARDSURG TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Date by DD/MM/YYYY
Tipo de dados
date
Unidades de medida
- DD/MM/YYYY
Alias
- UMLS CUI [1,1]
- C0018821
- UMLS CUI [1,2]
- C0011008
Descrição
Cardiac rehabilitation is a medically-supervised programme that involves adopting heart-healthy lifestyle changes to address risk factors for cardiovascular disease. This programme includes exercise training, education on heart-healthy living, and counseling to reduce stress and helps patients return to an active life. INCLUSION CRITERIA: All patients TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0700431
Descrição
Degree of Health
Alias
- UMLS CUI-1
- C0018759
Descrição
NYHA - New York Heart Association classification of heart failure (Functional Capacity) INCLUSION CRITERIA: All patients TIMING: Tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C1275491
- UMLS CUI [1,2]
- C1457887
Descrição
NYHA - New York Heart Association classification of heart failure (Objective assessment by clinician) INCLUSION CRITERIA: All patients TIMING: Tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C1275491
- UMLS CUI [1,2]
- C1571702
Descrição
Burden of Care
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C2828008
Descrição
Date used to calculate total length of stay and post-procedure length of stay INCLUSION CRITERIA: All patients TIMING: Tracked ongoing REPORTING SOURCE: Administrative data TYPE: Date by DD/MM/YYYY
Tipo de dados
date
Unidades de medida
- DD/MM/YYYY
Alias
- UMLS CUI [1,1]
- C3263562
- UMLS CUI [1,2]
- C0011008
Descrição
Date used to calculate total length of stay INCLUSION CRITERIA: All patients TIMING: Tracked ongoing REPORTING SOURCE: Administrative data TYPE: Date by DD/MM/YYYY
Tipo de dados
date
Unidades de medida
- DD/MM/YYYY
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0030685
Descrição
INCLUSION CRITERIA: All patients TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C0009566
- UMLS CUI [1,2]
- C2828363
Descrição
INCLUSION CRITERIA: if "1 = Yes" to COMPLDEVICE TIMING: At index event for HF and tracked ongoing REPORTING SOURCE: Clinician-reported TYPE: Date by DD/MM/YYYY RESPONSE OPTIONS: DD/MM/YYYY or 999 = Unknown
Tipo de dados
date
Unidades de medida
- DD/MM/YYYY
Alias
- UMLS CUI [1,1]
- C0009566
- UMLS CUI [1,2]
- C2828363
Descrição
INCLUSION CRITERIA: All patients TIMING: Tracked at index event & acute admissions due to heart failure REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0205721
Descrição
INCLUSION CRITERIA: If "1 = Yes" to COMPLHOSP TIMING: Tracked at index event & acute admissions due to heart failure REPORTING SOURCE: Clinician-reported TYPE: Date by DD/MM/YYYY RESPONSE OPTIONS: DD/MM/YYYY or 999 = Unknown
Tipo de dados
date
Unidades de medida
- DD/MM/YYYY
Alias
- UMLS CUI [1,1]
- C0205721
- UMLS CUI [1,2]
- C0011008
Descrição
A major adverse event is a response to a drug which is noxious and unintended, and which occurs at doses normally used in a person for the prophylaxis, diagnosis, or therapy of disease, or for the modifications of physiological function. INCLUSION CRITERIA: All patients TIMING: Tracked at index event & acute admissions due to heart failure REPORTING SOURCE: Clinician-reported TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C0009566
- UMLS CUI [1,2]
- C0013227
Descrição
INCLUSION CRITERIA: If "1 = Yes" to COMPLMED TIMING: Tracked at index event & acute admissions due to heart failure REPORTING SOURCE: Clinician-reported TYPE: Date by DD/MM/YYYY RESPONSE OPTIONS: DD/MM/YYYY or 999 = Unknown
Tipo de dados
date
Unidades de medida
- DD/MM/YYYY
Alias
- UMLS CUI [1,1]
- C0009566
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0011008
Descrição
This variable is acollected every 12 months from date of entry into the set. INCLUSION CRITERIA: All patients TIMING: Baseline and 12-monthly REPORTING SOURCE: Adminstrative or patient/caregiver reported TYPE: Numerical RESPONSE OPTIONS: Numerical value or 999 = Unknown
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C0184666
- UMLS CUI [1,2]
- C4086728
- UMLS CUI [1,3]
- C0018801
Descrição
This variable is acollected every 12 months from date of entry into the set. INCLUSION CRITERIA: All patients TIMING: Baseline and 12-monthly REPORTING SOURCE: Adminstrative or patient/caregiver reported TYPE: Numerical RESPONSE OPTIONS: Numerical value or 999 = Unknown
Tipo de dados
integer
Alias
- UMLS CUI [1,1]
- C0030675
- UMLS CUI [1,2]
- C4086728
- UMLS CUI [1,3]
- C0018801
Descrição
Mortality
Alias
- UMLS CUI-1
- C0026566
Descrição
INCLUSION CRITERIA: All patients TIMING: Tracked ongoing REPORTING SOURCE: Administrative data TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C0011065
Descrição
Patients who die before during a hospital admission before baseline baseline data have been collected should also be included INCLUSION CRITERIA: If "1 = Yes” to DEATH TIMING: Tracked ongoing REPORTING SOURCE: Administrative data TYPE: Date by DD/MM/YYYY RESPONSE OPTIONS: DD/MM/YYYY or 999 = Unknown
Tipo de dados
date
Unidades de medida
- DD/MM/YYYY
Alias
- UMLS CUI [1]
- C1148348
Descrição
INCLUSION CRITERIA: If "1 = Yes” to DEATH TIMING: Tracked ongoing REPORTING SOURCE: Administrative data TYPE: Single Answer
Tipo de dados
integer
Alias
- UMLS CUI [1]
- C2924451
Similar models
Clinician-reported Outcome
- StudyEvent: ODM
C1442488 (UMLS CUI [1,2])
C0449440 (UMLS CUI-2)
C1519795 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0020538 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0018801 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C4051513 (UMLS CUI [1,2])
C0205195 (UMLS CUI [1,3])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0022252 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0205394 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C0018787 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C2936377 (UMLS CUI-2)
C0205195 (UMLS CUI-3)
(Comment:en)
C0018787 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
(Comment:en)
C0018787 (UMLS CUI-2)
C0439673 (UMLS CUI-3)
(Comment:en)
C2828363 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C0332307 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C1292963 (UMLS CUI-2)
C0205195 (UMLS CUI-3)
(Comment:en)
C0018821 (UMLS CUI-2)
(Comment:en)
C0439673 (UMLS CUI-2)
(Comment:en)
C0011008 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C1457887 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C1571702 (UMLS CUI [1,2])
C3662279 (UMLS CUI-2)
(Comment:en)
C3536548 (UMLS CUI-2)
(Comment:en)
C3532937 (UMLS CUI-2)
(Comment:en)
C3532936 (UMLS CUI-2)
(Comment:en)
C0011008 (UMLS CUI [1,2])
C0030685 (UMLS CUI [1,2])
C2828363 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C2828363 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C0011008 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C0013227 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C4086728 (UMLS CUI [1,2])
C0018801 (UMLS CUI [1,3])
C4086728 (UMLS CUI [1,2])
C0018801 (UMLS CUI [1,3])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)