ID
32960
Beskrivning
CORONARY ARTERY DISEASE DATA COLLECTION Version 2.0.3 Revised: April 5th, 2017 International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ Conditions: Asymptomatic Coronary Artery Disease | Stable Angina | Acute Coronary Syndrome (Includes AMI) Treatment Approaches: Lifestyle Modification | Drug Therapy | Percutaneous Coronary Intervention (PCI) | Coronary Artery Bypass Grafting (CABG) This form contains baseline clinical items. Some of the items may additionally be reported from administrative sources. It may be filled out in an outpatient setting in case of diagnosis of a stable angina or at diagnosis in an inpatient setting. Questionnaires used in this standard set: Rose Dyspnea Scale: The Rose Dyspnea Scale is free for all health care organizations, and a license is not needed. More information may be found at http://www.ahjonline.com/article/S0002-8703(09)00266-X/abstract Patient Health Questionnaire (PHQ-2): The PHQ-2 is free for all health care organizations, and a license is not needed. Copyright Pfizer, more Information on http://www.phqscreeners.com/ Seattle Angina Questionnaire (SAQ-7): Due to the need for a license for use of the SAQ-7 the actual questions of SAQ-7 will not be part of this version of the standard set. Publication: McNamara RL, Spatz ES, Kelley TA, et al. Standardized Outcome Measurement for Patients With Coronary Artery Disease: Consensus From the International Consortium for Health Outcomes Measurement (ICHOM). J Am Heart Assoc. 2015;4(5):e001767. Published 2015 May 19. doi:10.1161/JAHA.115.001767
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Nyckelord
Versioner (7)
- 2017-11-27 2017-11-27 -
- 2017-11-27 2017-11-27 -
- 2017-12-04 2017-12-04 -
- 2017-12-07 2017-12-07 -
- 2017-12-08 2017-12-08 -
- 2018-11-22 2018-11-22 - Sarah Riepenhausen
- 2020-04-30 2020-04-30 - Sarah Riepenhausen
Rättsinnehavare
ICHOM
Uppladdad den
22 november 2018
DOI
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Creative Commons BY-NC 3.0
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ICHOM Coronary Artery Disease
Baseline Clinical Form
- StudyEvent: ODM
Beskrivning
Demographic factors
Alias
- UMLS CUI-1
- C1704791
Beskrivning
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Patient-reported, clinical, or administrative data TYPE: Date by DD/MM/YYYY
Datatyp
date
Måttenheter
- DD/MM/YYYY
Alias
- UMLS CUI [1]
- C0001779
- UMLS CUI [2]
- C0421451
Beskrivning
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Patient-reported, clinical, or administrative data TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C0079399
Beskrivning
Baseline health status
Alias
- UMLS CUI-1
- C1442488
- UMLS CUI-2
- C0449440
Beskrivning
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0027051
Beskrivning
Heart failure is defined as physician documentation or report of any of the following clinical symptoms of heart failure described as unusual dyspnea on light exertion, recurrent dyspnea occurring in the supine position, fluid retention; or the description of rales, jugular venous distension, pulmonary edema on physical exam, or pulmonary edema on chest x-ray presumed to be cardiac dysfunction. A low ejection fraction alone, without clinical evidence of heart failure does not qualify as heart failure INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0018802
Beskrivning
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0020538
Beskrivning
Stroke is defined as any confirmed neurological deficit of abrupt onset caused by a disturbance in blood supply to the brain that did not resolve within 24 hours INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0038454
Beskrivning
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0011849
Beskrivning
INCLUSION CRITERIA: All patients, If answered 'yes' to patient having a documented history of diabetes mellitus (DIAB) TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0011854
Beskrivning
Includes upper and lower extremity, renal, mesenteric, and abdominal aortic systems evidenced by a documented history of 1. Peripheral arterial disease and/or 2. Claudication, either with exertion or at rest, and/or 3. Amputation for arterial vascular insufficiency, and/or 4. Vascular reconstruction, bypass surgery, or percutaneous intervention to the extremities (excluding dialysis fistulas and vein stripping), and/or 5. Documented aortic aneurysm with or without repair. Peripheral arterial disease excludes disease in the carotid or cerebrovascular arteries INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C1881056
Beskrivning
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C0524376
Beskrivning
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Absolute numerical value of baseline creatinine level (include units)
Datatyp
float
Alias
- UMLS CUI [1]
- C0201975
Beskrivning
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0201975
- UMLS CUI [1,2]
- C1519795
Beskrivning
Including but not limited to COPD and asthma INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C1533075
Beskrivning
INCLUSION CRITERIA: All patients, If answered 'yes' to patient having a chronic lung disease (CHRONLD) TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0030054
- UMLS CUI [1,3]
- C0439857
Beskrivning
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0023890
Beskrivning
Including but not limited to, Alzheimer’s disease, vascular dementia, lewy body dementia and frontotemporal dementia INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0497327
Beskrivning
INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical TYPE: Numerical value (Originial Version same question and response options as item PRECREATUNIT)
Datatyp
float
Alias
- UMLS CUI [1]
- C0201976
Beskrivning
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical TYPE: Single Answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C1519795
Similar models
Baseline Clinical Form
- StudyEvent: ODM
C0421451 (UMLS CUI [2])
(Comment:en)
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C0449440 (UMLS CUI-2)
C0027051 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C0018802 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C0020538 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C0038454 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C0011849 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C0011854 (UMLS CUI [1,2])
(Comment:en)
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(Comment:en)
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(Comment:en)
C1519795 (UMLS CUI [1,2])
(Comment:en)
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C0030054 (UMLS CUI [1,2])
C0439857 (UMLS CUI [1,3])
(Comment:en)
(Comment:en)
C0023890 (UMLS CUI [1,2])
(Comment:en)
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C0497327 (UMLS CUI [1,2])
(Comment:en)
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C1519795 (UMLS CUI [1,2])
(Comment:en)
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