ID
36489
Description
Type 1 and Type 2 Diabetes in Adults DATA COLLECTION Version 1.0.0 Revised February 28th, 2019 www.ichom.org International Consortium for Health Outcomes Measurement Conditions: Type 1 Diabetes | Type 2 Diabetes Excluded Conditions: Diabetes mellitus types other than 1 and 2 | Secondary Diabetes | Gestational Diabetes Population: Adults Aged 18 years and Above Excluded Populations: Children and Young persons below 18 years Treatment Approaches: Non-Pharmacological Therapy | Non-Insulin-based Pharmacological Therapy | Insulin-based Pharmacological Therapy This form is for documentation of baseline characteristics to be reported by the patient. Use of the following Scores for this standard set: WHO (Five) Well-Being Index (WHO-5): The WHO-5 is free for all health care organizations, and a license is not needed. There are translations available. The total raw score, ranging from 0 to 25, is multiplied by 4 to give the final score, with 0 representing the worst imaginable well-being and 100 representing the best imaginable well-being. More information (including the WHO-5 Scoring Guide) may be found at www.who-5.org. Problem Areas in Diabetes Questionnaire (PAID): The PAID, authored by Joslin Diabetes Center (http://www.joslin.org), is the copyright of Joslin Diabetes Center (Copyright ©2000, Joslin Diabetes Center). The PAID, provided under license from Joslin Diabetes Center may not be copied, distributed or used in any way without the prior written consent of Joslin Diabetes Center. Contact Susan D. Sjostrom at Joslin Diabetes Center at: susan.sjostrom@joslin.harvard.edu for licensing details and scoring guide. Patient Health Questionnaire (PHQ-9): 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. For this standard set ICHOM was supported by Imperial College London Diabetes Centre and JDRF.
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Keywords
Versions (3)
- 5/17/19 5/17/19 - Sarah Riepenhausen
- 4/30/20 4/30/20 - Sarah Riepenhausen
- 9/20/21 9/20/21 -
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ICHOM
Uploaded on
May 17, 2019
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Creative Commons BY-NC 3.0
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ICHOM Type 1 and Type 2 Diabetes in Adults
Baseline Characteristics, Patient reported Form
- StudyEvent: ODM
Description
Demographic Factors
Alias
- UMLS CUI-1
- C1704791
Description
This definition was based on categories in the International Diabetes Federation (IDF) consensus Worldwide Definition of the Metabolic Syndrome. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient TYPE: Single Answer
Data type
integer
Alias
- UMLS CUI [1]
- C0015031
Description
The categories below map to the International Standard Classification of Education (ISCED) (http://uis.unesco.org/en/topic/international-standard-classification-education-isced) as follows: None= Early childhood education, Primary education Primary= Lower secondary education, Upper secondary education Secondary= Post-secondary non-tertiary education, Short-cycle tertiary education Tertiary= Bachelor's or equivalent level, Master's or equivalent level, Doctoral or equivalent level INCLUSION CRITERIA: All Patients TIMING: Baseline, Every 5 years REPORTING SOURCE: Patient Type: Single Answer
Data type
integer
Alias
- UMLS CUI [1]
- C0013658
Description
Diagnosis Profile
Alias
- UMLS CUI-1
- C0011900
Description
Record the estimated year of diagnosis based on person with diabetes' estimate or clinical records. Used to calculate diabetes duration. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Numerical
Data type
partialDate
Measurement units
- YYYY
Alias
- UMLS CUI [1,1]
- C0439234
- UMLS CUI [1,2]
- C0011900
- UMLS CUI [1,3]
- C0011849
Description
Lifestyle and Social Factors
Alias
- UMLS CUI-1
- C0023676
- UMLS CUI-2
- C0337460
Description
INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C1519384
Description
For international benchmarking work, the amount of alcohol consumed by each patient should be converted by multiplying ALCFREQ x ALCAMT x country- or region-specific number of grams per unit of alcohol INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0001948
- UMLS CUI [1,2]
- C0439603
Description
Patient will be provided with local or country-specific guidance on what constitutes a unit of alcohol For international benchmarking work, the amount of alcohol consumed by each patient should be converted by multiplying ALCFREQ x ALCAMT x country- or region-specific number of grams per unit of alcohol INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Numerical RESPONSE OPTIONS: Average number of units consumed in whole numbers
Data type
float
Measurement units
- units
Alias
- UMLS CUI [1,1]
- C0001948
- UMLS CUI [1,2]
- C1265611
Description
Being active is defined in accordance with the World Health Organization (WHO) guidelines as engaging in at least 150 minutes of moderate physical activity a week or 75 minutes of vigorous activity a week (http://www.who.int/dietphysicalactivity/publications/recommendations18_64yearsold/en/). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C0026606
Description
INCLUSION CRITERIA: If responded "No" to "Are you physically active?" TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C0516981
- UMLS CUI [2]
- C0231170
Description
INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C0037438
- UMLS CUI [2]
- C2184149
Description
Treatment variables
Alias
- UMLS CUI-1
- C0087111
Description
This scale was developed by the Diabetes Working Group and has not yet been validated INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Numerical RESPONSE OPTIONS: Integer response between 1 and 10, 0 = not rated
Data type
integer
Alias
- UMLS CUI [1,1]
- C1321605
- UMLS CUI [1,2]
- C0562216
Description
This scale was developed by the Diabetes Working Group and has not yet been validated INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Numerical RESPONSE OPTIONS: Integer response between 1 and 10, 0 = not rated
Data type
integer
Alias
- UMLS CUI [1,1]
- C1321605
- UMLS CUI [1,2]
- C0375886
Description
This scale was developed by the Diabetes Working Group and has not yet been validated INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Numerical RESPONSE OPTIONS: Integer response between 1 and 10, 0 = not rated
Data type
integer
Alias
- UMLS CUI [1,1]
- C3825243
- UMLS CUI [1,2]
- C1321605
Description
This scale was developed by the Diabetes Working Group and has not yet been validated INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Numerical RESPONSE OPTIONS: Integer response between 1 and 10, 0 = not rated
Data type
integer
Alias
- UMLS CUI [1,1]
- C1321605
- UMLS CUI [1,2]
- C0013216
Description
Clinician Reported Outcomes: Glycemic Control
Alias
- UMLS CUI-1
- C0184788
- UMLS CUI-2
- C0205210
- UMLS CUI-3
- C0700287
- UMLS CUI-4
- C3267174
Description
INCLUSION CRITERIA: Only persons with diabetes on continuous glucose monitoring TIMING: Baseline, Every 6 months REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Numerical RESPONSE OPTIONS: Numerical value of time in range
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1,1]
- C3267174
- UMLS CUI [1,2]
- C0040223
- UMLS CUI [1,3]
- C0086715
Description
Clinician Reported Outcomes: Acute Events
Alias
- UMLS CUI-1
- C0184788
- UMLS CUI-2
- C0205210
- UMLS CUI-3
- C0700287
- UMLS CUI-4
- C0877248
Description
Level 3 hypoglycemia is defined as a hypoglycemic event needing assistance INCLUSION CRITERIA: All patients TIMING: Baseline, Every 6 months REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0020615
- UMLS CUI [1,2]
- C4330815
- UMLS CUI [1,3]
- C0449788
Description
Level 2 hypoglycemia is defined as a measurable glucose concentration <54 mg/dL (3.0 mmol/L) that needs immediate action INCLUSION CRITERIA: All patients TIMING: Baseline, Every 6 months REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Numerical
Data type
integer
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C0020615
- UMLS CUI [1,3]
- C3846732
Description
Level 2 hypoglycemia is defined as a measurable glucose concentration <54 mg/dL (3.0 mmol/L) that needs immediate action INCLUSION CRITERIA: If responded 1 or more to "In the past 6 months, how many episodes of level 2 hypoglycemia (Blood glucose below 54 mg/dl (3.0 mmol/L)) did the person with diabetes experience?" TIMING: Baseline, Every 6 months REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0020615
- UMLS CUI [1,2]
- C3846732
- UMLS CUI [1,3]
- C0342317
Description
Clinician-reported Outcomes: Chronic Complications
Alias
- UMLS CUI-1
- C0184788
- UMLS CUI-2
- C0205210
- UMLS CUI-3
- C0700287
- UMLS CUI-4
- C0342257
- UMLS CUI-5
- C0008679
Description
INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0342257
- UMLS CUI [1,2]
- C0443258
- UMLS CUI [1,3]
- C2609253
- UMLS CUI [2]
- C3665347
Description
INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0342257
- UMLS CUI [1,2]
- C0443258
- UMLS CUI [1,3]
- C2609253
- UMLS CUI [2,1]
- C0031117
- UMLS CUI [2,2]
- C1457887
Description
INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0342257
- UMLS CUI [1,2]
- C0443258
- UMLS CUI [1,3]
- C2609253
- UMLS CUI [2,1]
- C1704436
- UMLS CUI [2,2]
- C1457887
Description
When presenting this question at annual follow-up, phrase as follows: "In the past 12 months, did the person with diabetes experience any erectile dysfunction? INCLUSION CRITERIA: Only male patients TIMING: Baseline, Annually REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0342257
- UMLS CUI [1,2]
- C0443258
- UMLS CUI [1,3]
- C2609253
- UMLS CUI [2]
- C0242350
Description
Patient reported Outcomes: Financial Barriers to Care
Alias
- UMLS CUI-1
- C2987124
- UMLS CUI-2
- C0549106
- UMLS CUI-3
- C0086388
Description
All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0444454
- UMLS CUI [1,2]
- C0086388
- UMLS CUI [2,1]
- C0444454
- UMLS CUI [2,2]
- C1704312
Description
If a person responds "difficulty paying for it" as a reason for having difficulty accessing medicines or supplies, then this will be counted as an outcome. This will only apply to the responses after the baseline response. All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Multiple answer (Here as multiple boolean questions)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0444454
- UMLS CUI [1,2]
- C0332268
- UMLS CUI [1,3]
- C1704312
- UMLS CUI [1,4]
- C0566251
- UMLS CUI [2,1]
- C0033213
- UMLS CUI [2,2]
- C0040756
Description
If a person responds "difficulty paying for it" as a reason for having difficulty accessing medicines or supplies, then this will be counted as an outcome. This will only apply to the responses after the baseline response. All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Multiple answer (Here as multiple boolean questions)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0444454
- UMLS CUI [1,2]
- C0332268
- UMLS CUI [1,3]
- C1704312
- UMLS CUI [1,4]
- C0566251
- UMLS CUI [2]
- C0549106
Description
If a person responds "difficulty paying for it" as a reason for having difficulty accessing medicines or supplies, then this will be counted as an outcome. This will only apply to the responses after the baseline response. All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Multiple answer (Here as multiple boolean questions)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0444454
- UMLS CUI [1,2]
- C0332268
- UMLS CUI [1,3]
- C1704312
- UMLS CUI [1,4]
- C0566251
- UMLS CUI [2,1]
- C1548671
- UMLS CUI [2,2]
- C1704312
Description
If a person responds "difficulty paying for it" as a reason for having difficulty accessing medicines or supplies, then this will be counted as an outcome. This will only apply to the responses after the baseline response. All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Multiple answer (Here as multiple boolean questions)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0444454
- UMLS CUI [1,2]
- C0332268
- UMLS CUI [1,3]
- C1704312
- UMLS CUI [1,4]
- C0566251
- UMLS CUI [2]
- C3840932
Description
If a person responds "difficulty paying for it" as a reason for having difficulty accessing medicines or supplies, then this will be counted as an outcome. This will only apply to the responses after the baseline response. All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Multiple answer (Here as multiple boolean questions)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0444454
- UMLS CUI [1,2]
- C0332268
- UMLS CUI [1,3]
- C1704312
- UMLS CUI [1,4]
- C0566251
- UMLS CUI [1,5]
- C0439673
Description
All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Single answer
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0444454
- UMLS CUI [1,2]
- C0086388
- UMLS CUI [2,1]
- C0444454
- UMLS CUI [2,2]
- C0013227
- UMLS CUI [3,1]
- C0444454
- UMLS CUI [3,2]
- C2065806
Description
If a person responds "difficulty paying for it" as a reason for having difficulty accessing medicines or supplies, then this will be counted as an outcome. This will only apply to the responses after the baseline response. All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Multiple answer (Here as multiple boolean questions)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0332268
- UMLS CUI [1,2]
- C0444454
- UMLS CUI [1,3]
- C0013227
- UMLS CUI [1,4]
- C0566251
- UMLS CUI [2,1]
- C0332268
- UMLS CUI [2,2]
- C0444454
- UMLS CUI [2,3]
- C2065806
- UMLS CUI [2,4]
- C0566251
- UMLS CUI [3,1]
- C0033213
- UMLS CUI [3,2]
- C0040756
Description
If a person responds "difficulty paying for it" as a reason for having difficulty accessing medicines or supplies, then this will be counted as an outcome. This will only apply to the responses after the baseline response. All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Multiple answer (Here as multiple boolean questions)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0332268
- UMLS CUI [1,2]
- C0444454
- UMLS CUI [1,3]
- C0013227
- UMLS CUI [1,4]
- C0566251
- UMLS CUI [2,1]
- C0332268
- UMLS CUI [2,2]
- C0444454
- UMLS CUI [2,3]
- C2065806
- UMLS CUI [2,4]
- C0566251
- UMLS CUI [3]
- C0549106
Description
If a person responds "difficulty paying for it" as a reason for having difficulty accessing medicines or supplies, then this will be counted as an outcome. This will only apply to the responses after the baseline response. All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Multiple answer (Here as multiple boolean questions)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0332268
- UMLS CUI [1,2]
- C0444454
- UMLS CUI [1,3]
- C0013227
- UMLS CUI [1,4]
- C0566251
- UMLS CUI [2,1]
- C0332268
- UMLS CUI [2,2]
- C0444454
- UMLS CUI [2,3]
- C2065806
- UMLS CUI [2,4]
- C0566251
- UMLS CUI [3,1]
- C1548671
- UMLS CUI [3,2]
- C1704312
Description
If a person responds "difficulty paying for it" as a reason for having difficulty accessing medicines or supplies, then this will be counted as an outcome. This will only apply to the responses after the baseline response. All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Multiple answer (Here as multiple boolean questions)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0332268
- UMLS CUI [1,2]
- C0444454
- UMLS CUI [1,3]
- C0013227
- UMLS CUI [1,4]
- C0566251
- UMLS CUI [2,1]
- C0332268
- UMLS CUI [2,2]
- C0444454
- UMLS CUI [2,3]
- C2065806
- UMLS CUI [2,4]
- C0566251
- UMLS CUI [3]
- C3840932
Description
If a person responds "difficulty paying for it" as a reason for having difficulty accessing medicines or supplies, then this will be counted as an outcome. This will only apply to the responses after the baseline response. All responses to the Access to care questions (ACCESPROF, ACCESPROFREAS, ACCESMED, ACCESMEDREAS) should be measured at baseline and included as case-mix variables in the analysis. These questions should be repeated annually and the presence or absence of financial barriers used as an outcome (i.e. whether or not the patient selects “Difficulty paying for it” as a response option to ACCESMEDREAS and ACCESPROFREAS). INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: Multiple answer (Here as multiple boolean questions)
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0332268
- UMLS CUI [1,2]
- C0444454
- UMLS CUI [1,3]
- C0013227
- UMLS CUI [1,4]
- C0566251
- UMLS CUI [1,5]
- C0439673
- UMLS CUI [2,1]
- C0332268
- UMLS CUI [2,2]
- C0444454
- UMLS CUI [2,3]
- C2065806
- UMLS CUI [2,4]
- C0566251
- UMLS CUI [2,5]
- C0439673
Description
Patient reported Outcome: Psychological Well-being
Alias
- UMLS CUI-1
- C2987124
- UMLS CUI-2
- C0424578
Description
Measured using the 5-item WHO (Five) Well-Being Index INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: As per tool developer RESPONSE OPTIONS: The WHO-5 is free for all health care organizations, and a license is not needed. There are translations available. More information may be found at www.who-5.org.
Data type
integer
Alias
- UMLS CUI [1,1]
- C0424578
- UMLS CUI [1,2]
- C0449820
- UMLS CUI [2,1]
- C3813622
- UMLS CUI [2,2]
- C0449820
Description
Patient-Reported Outcomes: Diabetes Distress
Alias
- UMLS CUI-1
- C2987124
- UMLS CUI-2
- C0011849
- UMLS CUI-3
- C0231303
Description
Measured using the 20-item Problem Areas in Diabetes questionnaire INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: As per tool developer RESPONSE OPTIONS: The PAID, authored by Joslin Diabetes Center (http://www.joslin.org), is the copyright of Joslin Diabetes Center (Copyright ©2000, Joslin Diabetes Center). The PAID, provided under license from Joslin Diabetes Center may not be copied, distributed or used in any way without the prior written consent of Joslin Diabetes Center. Contact Susan D. Sjostrom at Joslin Diabetes Center at: susan.sjostrom@joslin.harvard.edu for licensing details.
Data type
text
Alias
- UMLS CUI [1,1]
- C0011849
- UMLS CUI [1,2]
- C0231303
- UMLS CUI [1,3]
- C0449820
Description
Patient-reported outcomes: Depression
Alias
- UMLS CUI-1
- C2987124
- UMLS CUI-2
- C0011581
Description
Measured using the 9-item PHQ-9 questionnaire INCLUSION CRITERIA: All patients TIMING: Baseline, Annually REPORTING SOURCE: Patient TYPE: As per tool developer RESPONSE OPTIONS: The PHQ-9 is free for all health care organizations, and a license is not needed. There are translations available. More information may be found at https://www.phqscreeners.com.
Data type
text
Alias
- UMLS CUI [1,1]
- C0011581
- UMLS CUI [1,2]
- C3828565
Similar models
Baseline Characteristics, Patient reported Form
- StudyEvent: ODM
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C0238914 (UMLS CUI-2)
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C0425365 (UMLS CUI-3)
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C0015031 (UMLS CUI-2)
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C0015031 (UMLS CUI-2)
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C0011900 (UMLS CUI [1,2])
C0011849 (UMLS CUI [1,3])
C0337460 (UMLS CUI-2)
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C1298908 (UMLS CUI-2)
C3843291 (UMLS CUI-3)
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C3843291 (UMLS CUI-2)
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C0439603 (UMLS CUI [1,2])
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C1265611 (UMLS CUI [1,2])
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C0231170 (UMLS CUI [2])
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C2184149 (UMLS CUI [2])
C2184147 (UMLS CUI-2)
C0557130 (UMLS CUI-3)
C0557128 (UMLS CUI-4)
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C0557218 (UMLS CUI-2)
C3640869 (UMLS CUI-3)
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C2184149 (UMLS CUI-2)
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C0439673 (UMLS CUI-2)
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C0562216 (UMLS CUI [1,2])
C0375886 (UMLS CUI [1,2])
C1321605 (UMLS CUI [1,2])
C0013216 (UMLS CUI [1,2])
C0205210 (UMLS CUI-2)
C0700287 (UMLS CUI-3)
C3267174 (UMLS CUI-4)
C0040223 (UMLS CUI [1,2])
C0086715 (UMLS CUI [1,3])
C0205210 (UMLS CUI-2)
C0700287 (UMLS CUI-3)
C0877248 (UMLS CUI-4)
C4330815 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
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C1948050 (UMLS CUI-2)
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C0020615 (UMLS CUI [1,2])
C3846732 (UMLS CUI [1,3])
C3846732 (UMLS CUI [1,2])
C0342317 (UMLS CUI [1,3])
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C0205210 (UMLS CUI-2)
C0700287 (UMLS CUI-3)
C0342257 (UMLS CUI-4)
C0008679 (UMLS CUI-5)
C0443258 (UMLS CUI [1,2])
C2609253 (UMLS CUI [1,3])
C3665347 (UMLS CUI [2])
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C0443258 (UMLS CUI [1,2])
C2609253 (UMLS CUI [1,3])
C0031117 (UMLS CUI [2,1])
C1457887 (UMLS CUI [2,2])
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C1457887 (UMLS CUI-2)
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C0443258 (UMLS CUI [1,2])
C2609253 (UMLS CUI [1,3])
C1704436 (UMLS CUI [2,1])
C1457887 (UMLS CUI [2,2])
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C0443258 (UMLS CUI [1,2])
C2609253 (UMLS CUI [1,3])
C0242350 (UMLS CUI [2])
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C0549106 (UMLS CUI-2)
C0086388 (UMLS CUI-3)
C0086388 (UMLS CUI [1,2])
C0444454 (UMLS CUI [2,1])
C1704312 (UMLS CUI [2,2])
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C0332268 (UMLS CUI [1,2])
C1704312 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C0033213 (UMLS CUI [2,1])
C0040756 (UMLS CUI [2,2])
C0332268 (UMLS CUI [1,2])
C1704312 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C0549106 (UMLS CUI [2])
C0332268 (UMLS CUI [1,2])
C1704312 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C1548671 (UMLS CUI [2,1])
C1704312 (UMLS CUI [2,2])
C0332268 (UMLS CUI [1,2])
C1704312 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C3840932 (UMLS CUI [2])
C0332268 (UMLS CUI [1,2])
C1704312 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C0439673 (UMLS CUI [1,5])
C0086388 (UMLS CUI [1,2])
C0444454 (UMLS CUI [2,1])
C0013227 (UMLS CUI [2,2])
C0444454 (UMLS CUI [3,1])
C2065806 (UMLS CUI [3,2])
C0444454 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C0332268 (UMLS CUI [2,1])
C0444454 (UMLS CUI [2,2])
C2065806 (UMLS CUI [2,3])
C0566251 (UMLS CUI [2,4])
C0033213 (UMLS CUI [3,1])
C0040756 (UMLS CUI [3,2])
C0444454 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C0332268 (UMLS CUI [2,1])
C0444454 (UMLS CUI [2,2])
C2065806 (UMLS CUI [2,3])
C0566251 (UMLS CUI [2,4])
C0549106 (UMLS CUI [3])
C0444454 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C0332268 (UMLS CUI [2,1])
C0444454 (UMLS CUI [2,2])
C2065806 (UMLS CUI [2,3])
C0566251 (UMLS CUI [2,4])
C1548671 (UMLS CUI [3,1])
C1704312 (UMLS CUI [3,2])
C0444454 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C0332268 (UMLS CUI [2,1])
C0444454 (UMLS CUI [2,2])
C2065806 (UMLS CUI [2,3])
C0566251 (UMLS CUI [2,4])
C3840932 (UMLS CUI [3])
C0444454 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
C0439673 (UMLS CUI [1,5])
C0332268 (UMLS CUI [2,1])
C0444454 (UMLS CUI [2,2])
C2065806 (UMLS CUI [2,3])
C0566251 (UMLS CUI [2,4])
C0439673 (UMLS CUI [2,5])
C0424578 (UMLS CUI-2)
C0449820 (UMLS CUI [1,2])
C3813622 (UMLS CUI [2,1])
C0449820 (UMLS CUI [2,2])
C0011849 (UMLS CUI-2)
C0231303 (UMLS CUI-3)
C0231303 (UMLS CUI [1,2])
C0449820 (UMLS CUI [1,3])
C0011581 (UMLS CUI-2)
C3828565 (UMLS CUI [1,2])