ID

36721

Description

ICHOM Hypertension in low- and middle-income countries data collection Version 1.0.0 Revised: November 3rd, 2017 International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ The following condition and treatment approaches (or interventions) are covered by our Standard Set. Condition: Hypertension (ICD-10: I10) Treatment Approaches: Pharmacological and Non-Pharmacological Collecting Patient-Reported Outcome Measures: Survey Used: EuroQol-5D-3L (EQ-5D-3L). As a licence is needed for use of EQ-5D-3L questionnaires, the actual questions are not part of this version of the standard set. For licensing information see: https://euroqol.org/support/how-to-obtain-eq-5d/ This document contains the Baseline - Patient-reported form. It has to be filled in for patient's entry into study. PROMIS Single Question on erectile Dysfunction. Free for use in clinical practice. 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. Beliefs about Medication Questionnaire (BMQ)-Specific: Copyrighted, permission to use the scale can be obtained from Professor Rob Horne’s research team. The scoring guide can be found in the original validation article: Horne et al. (1999) The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology & Health, 14:1. Hill-Bone Compliance to High Blood Pressure Therapy Scale - South Africa Version: Permission to use the scale can be obtained from Estelle V. Lambert’s research team, The scoring guide can be found in the original validation article: Lambert, E.V. et al. (2006) Cross-Cultural Validation of the Hill-Bone Compliance To High Blood Pressure Therapy Scale in a South African, Primary Healthcare Setting. Ethnicity and Disease, 16. WHO STEPS Instrument. Free for use in clinical practice and a license is not required. http://www.who.int/chp/steps/instrument/en/ International Physical Activity Questionnaire(IPAQ)-Short Form: Publically available, open access, and no permissions are required to use it. https://sites.google.com/site/theipaq/ Alternative Quality of Life Surveys: PROMIS Global-10 Free for use in clinical practice. 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. Veteran’s Rand 12-Item Health Survey (VR-12). Free for all health care organizations, license required and can be requested at: http://bit.ly/2ir84sG. As a license is needed, the actual questions are not part of this version of the standard set. 12-Item Short Form Survey (SF-12). As a license is needed for use of SF-12 questionaires, the actual questions are not part of this version of the standard set. For more information see: http://bit.ly/2AcNLrme This Standard set was supported by the Novartis Foundation.

Link

http://www.ichom.org/

Keywords

  1. 5/25/19 5/25/19 -
  2. 6/4/19 6/4/19 -
  3. 6/4/19 6/4/19 - Sarah Riepenhausen
  4. 4/30/20 4/30/20 - Sarah Riepenhausen
  5. 4/30/20 4/30/20 - Sarah Riepenhausen
Copyright Holder

ICHOM

Uploaded on

June 4, 2019

DOI

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License

Creative Commons BY-NC 3.0

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ICHOM Hypertension in low- and middle-income countries

Baseline - Patient-reported

Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Patient ID
Description

Supporting Definition: 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: Administratively-­‐reported or clinician-­‐reported Type: Numerical Response Options: According to institution

Data type

integer

Alias
UMLS CUI [1]
C2348585
Demographic factors
Description

Demographic factors

Alias
UMLS CUI-1
C1704791
Please indicate highest level of schooling completed
Description

Supporting Definition: The level of schooling is defined in each country as per ISCED [International Standard Classification] Inclusion Criteria: All patients Timing: Baseline Reporting Source: Patient-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0013658
Clinical Factors
Description

Clinical Factors

Alias
UMLS CUI-1
C0449440
Do you smoke?
Description

Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Patient-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C1519386
How long ago did you give up smoking?
Description

Inclusion Criteria: If answered 'no' to smoking status (SMOKE) Timing: Baseline and annually Reporting Source: Patient-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0085134
Is there a history of cardiovascular disease in a parent or sibling?
Description

Inclusion Criteria: All patients Timing: Baseline Reporting Source: Patient­‐reported or clinician‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C0007222
The next questions ask about your knowledge, attitudes and behaviour towards dietary salt. Dietary salt includes ordinary table salt, unrefined salt such as sea salt, iodized salt and salty sauces such as soya sauce or fish sauce (see showcard). The following questions are on adding salt to the food right before you eat it, on how food is prepared in your home, on eating processed foods that are high in salt such as [insert country specific examples], and questions on controlling your salt intake. Please answer the questions even if you consider yourself to eat a diet low in salt. How often do you add salt to your food before you eat it or as you are eating it?
Description

Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Patient-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0018762
UMLS CUI [1,2]
C4505065
UMLS CUI [1,3]
C0035648
UMLS CUI [1,4]
C0043237
UMLS CUI [1,5]
C0012155
UMLS CUI [2,1]
C1524062
UMLS CUI [2,2]
C0036140
UMLS CUI [2,3]
C0016452
How often is salt added in cooking or preparing foods in your household?
Description

Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Patient-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0018762
UMLS CUI [1,2]
C4505065
UMLS CUI [1,3]
C0035648
UMLS CUI [1,4]
C0043237
UMLS CUI [1,5]
C0012155
UMLS CUI [2,1]
C1524062
UMLS CUI [2,2]
C0036140
UMLS CUI [2,3]
C1511504
How often do you eat processed food high in salt, such as [add country specific examples]?
Description

Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Patient-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0018762
UMLS CUI [1,2]
C4505065
UMLS CUI [1,3]
C0035648
UMLS CUI [1,4]
C0043237
UMLS CUI [1,5]
C0012155
UMLS CUI [2,1]
C1709694
UMLS CUI [2,2]
C0016452
UMLS CUI [2,3]
C0205250
UMLS CUI [2,4]
C0036140
How much salt do you think you consume?
Description

Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Patient-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0018762
UMLS CUI [1,2]
C4505065
UMLS CUI [1,3]
C0035648
UMLS CUI [1,4]
C0043237
UMLS CUI [1,5]
C0012155
UMLS CUI [2,1]
C0036140
UMLS CUI [2,2]
C0009830
During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling?
Description

Supporting Definition: Please precede the question with the following introduction from the survey: "We are interested in finding out about the kinds of physical activities that people do as part of their everyday lives. The questions will ask you about the time you spent being physically active in the last 7 days. Please answer each question even if you do not consider yourself to be an active person. Please think about the activities you do at work, as part of your house and yard work, to get from place to place, and in your spare time for recreation, exercise or sport. Think about all the vigorous activities that you did in the last 7 days. Vigorous physical activities refer to activities that take hard physical effort and make you breathe much harder than normal. Think only about those physical activities that you did for at least 10 minutes at a time." Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C4319956
UMLS CUI [2,1]
C4060778
UMLS CUI [2,2]
C3843296
How much time did you usually spend doing vigorous physical activities on one of those days?
Description

Inclusion Criteria: If answered '1-7' to vigorous physical activity ('IPAQ_Q01') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Numerical response Response Option: Numerical value between 0 and 7 (use 000 if "don't know" or "unsure")

Data type

integer

Alias
UMLS CUI [1]
C4319956
UMLS CUI [2,1]
C4060778
UMLS CUI [2,2]
C3888388
UMLS CUI [2,3]
C0040223
UMLS CUI [2,4]
C0439505
Indicate units of time
Description

Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C4319956
UMLS CUI [2,1]
C4060778
UMLS CUI [2,2]
C3888388
UMLS CUI [2,3]
C0040223
UMLS CUI [2,4]
C1519795
During the last 7 days, on how many days did you do moderate physical activities like carrying light loads, bicycling at a regular pace, or doubles tennis? Do not include walking.
Description

Supporting definition: Please precede this question with the following text: "Think about all the moderate activities that you did in the last 7 days. Moderate activities refer to activities that take moderate physical effort and make you breathe somewhat harder than normal. Think only about those physical activities that you did for at least 10 minutes at a time." Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C4319956
UMLS CUI [2,1]
C3833417
UMLS CUI [2,2]
C3843296
How much time did you usually spend doing moderate physical activities on one of those days?
Description

Inclusion Criteria: If answered '1-7' to moderate physical activity ('IPAQ_Q04') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Numerical response Response Option: Numerical value (use 000 if "don't know" or "unsure")

Data type

integer

Alias
UMLS CUI [1]
C4319956
UMLS CUI [2,1]
C3833417
UMLS CUI [2,2]
C3888388
UMLS CUI [2,3]
C0040223
UMLS CUI [2,4]
C0439505
Indicate units of time
Description

Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C4319956
UMLS CUI [2,1]
C1513375
UMLS CUI [2,2]
C3888388
UMLS CUI [2,3]
C0040223
UMLS CUI [2,4]
C1519795
During the last 7 days, on how many days did you walk for at least 10 minutes at a time?
Description

Supporting Definition: Please precede this question with the following text: " Think about the time you spent walking in the last 7 days. This includes at work and at home, walking to travel from place to place, and any other walking that you have done solely for recreation, sport, exercise, or leisure." Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C4319956
UMLS CUI [2,1]
C0080331
UMLS CUI [2,2]
C3843296
How much time did you usually spend walking on one of those days?
Description

Inclusion Criteria: If answered '1-7' to walking ('IPAQ_Q05') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Numerical response Response Option: Numerical value (use 000 if "don't know" or "unsure")

Data type

integer

Alias
UMLS CUI [1]
C4319956
UMLS CUI [2,1]
C0080331
UMLS CUI [2,2]
C3888388
UMLS CUI [2,3]
C0040223
UMLS CUI [2,4]
C0439505
Indicate units of time
Description

Inclusion Criteria: If answered '1-7' to walking ('IPAQ_Q05') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C4319956
UMLS CUI [2,1]
C0080331
UMLS CUI [2,2]
C3888388
UMLS CUI [2,3]
C0040223
UMLS CUI [2,4]
C1519795
During the last 7 days, how much time did you spend sitting on a week day?
Description

Supporting Definition: Please precede this question with the following text: "The last question is about the time you spent sitting on weekdays during the last 7 days. Include time spent at work, at home, while doing course work and during leisure time. This may include time spent sitting at a desk, visiting friends, reading, or sitting or lying down to watch television." Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Numerical response Response Option: Numerical value (use 000 if "don't know" or "unsure")

Data type

integer

Alias
UMLS CUI [1]
C4319956
UMLS CUI [2,1]
C0277814
UMLS CUI [2,2]
C0040223
UMLS CUI [2,3]
C3843296
Indicate units of time
Description

Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C4319956
UMLS CUI [2,1]
C0277814
UMLS CUI [2,2]
C3843296
UMLS CUI [2,3]
C0040223
UMLS CUI [2,4]
C1519795
Patient-reported health status
Description

Patient-reported health status

Alias
UMLS CUI-1
C0018759
UMLS CUI-2
C2987124
Please contact license holder for the questionnaire. If you wish to participate in the ICHOM benchmarking program and have secured a licence to use the tool, ICHOM will provide you with the technical specifications on how to collect the data.
Description

Supporting Definition: The Working Group recommends the EQ-­5D, but understands that some organisations may prefer to use alternative tools to assess Health‐Related Quality of Life. The following tools are also acceptable for use: PROMIS Global 10, VR‐12 or SF-­12. Inclusion Criteria: If answered '1 = EQ5D3L' to Health-­‐related Quality of Life ('HRQOL') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient-­reported

Data type

text

Alias
UMLS CUI [1,1]
C1880594
UMLS CUI [1,2]
C0449820
Please contact license holder for the questionnaire. If you wish to participate in the ICHOM benchmarking program and have secured a licence to use the tool, ICHOM will provide you with the technical specifications on how to collect the data.
Description

Supporting Definition: The Working Group recommends the EQ-­5D, but understands that some organisations may prefer to use alternative tools to assess Health-­‐Related Quality of Life. The following tools are also acceptable for use: PROMIS Global 10, VR‐12 or SF‐12. Inclusion Criteria: If answered '2 = SF12' to Health-­‐related Quality of Life ('HRQOL') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient­‐reported

Data type

text

Alias
UMLS CUI [1,1]
C1519135
UMLS CUI [1,2]
C0449820
Please contact license holder for the questionnaire. If you wish to participate in the ICHOM benchmarking program and have secured a licence to use the tool, ICHOM will provide you with the technical specifications on how to collect the data.
Description

Supporting Definition: The Working Group recommends the EQ-­5D, but understands that some organisations may prefer to use alternative tools to assess Health­‐Related Quality of Life. The following tools are also acceptable for use: PROMIS Global 10, VR‐12 or SF-­12. Inclusion Criteria: If answered '3 = VR12' to Health-­‐related Quality of Life ('HRQOL') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported

Data type

text

Alias
UMLS CUI [1,1]
C3655770
UMLS CUI [1,2]
C2964552
Please contact license holder for the questionnaire. If you wish to participate in the ICHOM benchmarking program and have secured a licence to use the tool, ICHOM will provide you with the technical specifications on how to collect the data.
Description

Supporting Definition: The Working Group recommends the EQ-­5D, but understands that some organisations may prefer to use alternative tools to assess Health-­Related Quality of Life. The following tools are also acceptable for use: PROMIS Global 10, VR-­12 or SF-­12. Inclusion Criteria: If answered '4 = PROMIS10' to Health-­‐related Quality of Life ('HRQOL') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported

Data type

text

Alias
UMLS CUI [1,1]
C3836333
UMLS CUI [1,2]
C0449820
PROMIS single question on erectile dysfunction (SFEFN101)
Description

As there is an official distribution site for PROMIS questionnaires and translations, this question is not included in this version of the standard set. Inclusion Criteria: If responded "1=male" to SEX Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer

Data type

text

Alias
UMLS CUI [1,1]
C3693645
UMLS CUI [1,2]
C0242350
How satisfied are you with the care you have received for your hypertension over the past 12 months?
Description

Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0030702
UMLS CUI [1,2]
C0086388
UMLS CUI [1,3]
C0020538

Similar models

Baseline - Patient-reported

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Patient ID
Item
Patient ID
integer
C2348585 (UMLS CUI [1])
Item Group
Demographic factors
C1704791 (UMLS CUI-1)
Item
Please indicate highest level of schooling completed
integer
C0013658 (UMLS CUI [1])
Code List
Please indicate highest level of schooling completed
CL Item
None (0)
C0557286 (UMLS CUI-1)
(Comment:en)
CL Item
Primary (1)
C0013658 (UMLS CUI-1)
C0033145 (UMLS CUI-2)
(Comment:en)
CL Item
Secondary (2)
C0557289 (UMLS CUI-1)
(Comment:en)
CL Item
Tertiary (3)
C0557291 (UMLS CUI-1)
C0041740 (UMLS CUI-2)
C0205163 (UMLS CUI-3)
(Comment:en)
CL Item
Unknown (999)
(Comment:en)
Item Group
Clinical Factors
C0449440 (UMLS CUI-1)
Item
Do you smoke?
integer
C1519386 (UMLS CUI [1])
Code List
Do you smoke?
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Item
How long ago did you give up smoking?
integer
C0085134 (UMLS CUI [1])
Code List
How long ago did you give up smoking?
CL Item
Never smoked (0)
C0425293 (UMLS CUI-1)
(Comment:en)
CL Item
Less than 1 year (1)
C3843089 (UMLS CUI-1)
(Comment:en)
CL Item
1‐5 years (2)
(Comment:en)
CL Item
5­‐10 years (3)
(Comment:en)
CL Item
>10 years (4)
C3844145 (UMLS CUI-1)
(Comment:en)
CL Item
Undisclosed (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Item
Is there a history of cardiovascular disease in a parent or sibling?
integer
C0241889 (UMLS CUI [1,1])
C0007222 (UMLS CUI [1,2])
Code List
Is there a history of cardiovascular disease in a parent or sibling?
CL Item
No (0)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Item
The next questions ask about your knowledge, attitudes and behaviour towards dietary salt. Dietary salt includes ordinary table salt, unrefined salt such as sea salt, iodized salt and salty sauces such as soya sauce or fish sauce (see showcard). The following questions are on adding salt to the food right before you eat it, on how food is prepared in your home, on eating processed foods that are high in salt such as [insert country specific examples], and questions on controlling your salt intake. Please answer the questions even if you consider yourself to eat a diet low in salt. How often do you add salt to your food before you eat it or as you are eating it?
integer
C0018762 (UMLS CUI [1,1])
C4505065 (UMLS CUI [1,2])
C0035648 (UMLS CUI [1,3])
C0043237 (UMLS CUI [1,4])
C0012155 (UMLS CUI [1,5])
C1524062 (UMLS CUI [2,1])
C0036140 (UMLS CUI [2,2])
C0016452 (UMLS CUI [2,3])
Code List
The next questions ask about your knowledge, attitudes and behaviour towards dietary salt. Dietary salt includes ordinary table salt, unrefined salt such as sea salt, iodized salt and salty sauces such as soya sauce or fish sauce (see showcard). The following questions are on adding salt to the food right before you eat it, on how food is prepared in your home, on eating processed foods that are high in salt such as [insert country specific examples], and questions on controlling your salt intake. Please answer the questions even if you consider yourself to eat a diet low in salt. How often do you add salt to your food before you eat it or as you are eating it?
CL Item
Always  (1)
C2003902 (UMLS CUI-1)
(Comment:en)
CL Item
Often  (2)
C0332183 (UMLS CUI-1)
(Comment:en)
CL Item
Sometimes  (3)
C1998882 (UMLS CUI-1)
(Comment:en)
CL Item
Rarely  (4)
C0522498 (UMLS CUI-1)
(Comment:en)
CL Item
Never  (5)
C2003901 (UMLS CUI-1)
(Comment:en)
CL Item
Don't know (999)
C3843613 (UMLS CUI-1)
(Comment:en)
Item
How often is salt added in cooking or preparing foods in your household?
integer
C0018762 (UMLS CUI [1,1])
C4505065 (UMLS CUI [1,2])
C0035648 (UMLS CUI [1,3])
C0043237 (UMLS CUI [1,4])
C0012155 (UMLS CUI [1,5])
C1524062 (UMLS CUI [2,1])
C0036140 (UMLS CUI [2,2])
C1511504 (UMLS CUI [2,3])
Code List
How often is salt added in cooking or preparing foods in your household?
CL Item
Always  (1)
C2003902 (UMLS CUI-1)
(Comment:en)
CL Item
Often  (2)
C0332183 (UMLS CUI-1)
(Comment:en)
CL Item
Sometimes  (3)
C1998882 (UMLS CUI-1)
(Comment:en)
CL Item
Rarely  (4)
C0522498 (UMLS CUI-1)
(Comment:en)
CL Item
Never  (5)
C2003901 (UMLS CUI-1)
(Comment:en)
CL Item
Don't know (999)
C3843613 (UMLS CUI-1)
(Comment:en)
Item
How often do you eat processed food high in salt, such as [add country specific examples]?
integer
C0018762 (UMLS CUI [1,1])
C4505065 (UMLS CUI [1,2])
C0035648 (UMLS CUI [1,3])
C0043237 (UMLS CUI [1,4])
C0012155 (UMLS CUI [1,5])
C1709694 (UMLS CUI [2,1])
C0016452 (UMLS CUI [2,2])
C0205250 (UMLS CUI [2,3])
C0036140 (UMLS CUI [2,4])
Code List
How often do you eat processed food high in salt, such as [add country specific examples]?
CL Item
Always  (1)
C2003902 (UMLS CUI-1)
(Comment:en)
CL Item
Often  (2)
C0332183 (UMLS CUI-1)
(Comment:en)
CL Item
Sometimes  (3)
C1998882 (UMLS CUI-1)
(Comment:en)
CL Item
Rarely  (4)
C0522498 (UMLS CUI-1)
(Comment:en)
CL Item
Never  (5)
C2003901 (UMLS CUI-1)
(Comment:en)
CL Item
Don't know (999)
C3843613 (UMLS CUI-1)
(Comment:en)
Item
How much salt do you think you consume?
integer
C0018762 (UMLS CUI [1,1])
C4505065 (UMLS CUI [1,2])
C0035648 (UMLS CUI [1,3])
C0043237 (UMLS CUI [1,4])
C0012155 (UMLS CUI [1,5])
C0036140 (UMLS CUI [2,1])
C0009830 (UMLS CUI [2,2])
Code List
How much salt do you think you consume?
CL Item
Far too much  (1)
C3843660 (UMLS CUI-1)
C3843213 (UMLS CUI-2)
(Comment:en)
CL Item
Too much  (2)
C3843660 (UMLS CUI-1)
(Comment:en)
CL Item
Just the right amount  (3)
C2349182 (UMLS CUI-1)
C1265611 (UMLS CUI-2)
(Comment:en)
CL Item
Too little  (4)
C2984078 (UMLS CUI-1)
(Comment:en)
CL Item
Far too little  (5)
C2984078 (UMLS CUI-1)
(Comment:en)
CL Item
Don't know (6)
C3843613 (UMLS CUI-1)
(Comment:en)
Item
During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling?
integer
C4319956 (UMLS CUI [1])
C4060778 (UMLS CUI [2,1])
C3843296 (UMLS CUI [2,2])
Code List
During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling?
CL Item
1 (1)
C0205447 (UMLS CUI-1)
(Comment:en)
CL Item
2 (2)
C0205448 (UMLS CUI-1)
(Comment:en)
CL Item
3 (3)
C0205449 (UMLS CUI-1)
(Comment:en)
CL Item
4 (4)
C0205450 (UMLS CUI-1)
(Comment:en)
CL Item
5 (5)
C0205451 (UMLS CUI-1)
(Comment:en)
CL Item
6 (6)
C0205452 (UMLS CUI-1)
(Comment:en)
CL Item
7 (7)
C0205453 (UMLS CUI-1)
(Comment:en)
CL Item
No vigorous physical activities (8)
C1298908 (UMLS CUI-1)
C4060778 (UMLS CUI-2)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Physical activity IPAQ-Short Form: Usually spend time for vigorous physical activities
Item
How much time did you usually spend doing vigorous physical activities on one of those days?
integer
C4319956 (UMLS CUI [1])
C4060778 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C0439505 (UMLS CUI [2,4])
Item
Indicate units of time
integer
C4319956 (UMLS CUI [1])
C4060778 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C1519795 (UMLS CUI [2,4])
CL Item
Hours (1)
C0439227 (UMLS CUI-1)
(Comment:en)
CL Item
Minutes (2)
C0439232 (UMLS CUI-1)
(Comment:en)
Item
During the last 7 days, on how many days did you do moderate physical activities like carrying light loads, bicycling at a regular pace, or doubles tennis? Do not include walking.
integer
C4319956 (UMLS CUI [1])
C3833417 (UMLS CUI [2,1])
C3843296 (UMLS CUI [2,2])
Code List
During the last 7 days, on how many days did you do moderate physical activities like carrying light loads, bicycling at a regular pace, or doubles tennis? Do not include walking.
CL Item
1 (1)
C0205447 (UMLS CUI-1)
(Comment:en)
CL Item
2 (2)
C0205448 (UMLS CUI-1)
(Comment:en)
CL Item
3 (3)
C0205449 (UMLS CUI-1)
(Comment:en)
CL Item
4 (4)
C0205450 (UMLS CUI-1)
(Comment:en)
CL Item
5 (5)
C0205451 (UMLS CUI-1)
(Comment:en)
CL Item
6 (6)
C0205452 (UMLS CUI-1)
(Comment:en)
CL Item
7 (7)
C0205453 (UMLS CUI-1)
(Comment:en)
CL Item
No moderate physical activities (8)
C1298908 (UMLS CUI-1)
C3833417 (UMLS CUI-2)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Physical activity IPAQ-Short Form: Usually spend time for moderate physical activities
Item
How much time did you usually spend doing moderate physical activities on one of those days?
integer
C4319956 (UMLS CUI [1])
C3833417 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C0439505 (UMLS CUI [2,4])
Item
Indicate units of time
integer
C4319956 (UMLS CUI [1])
C1513375 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C1519795 (UMLS CUI [2,4])
CL Item
Hours (1)
C0439227 (UMLS CUI-1)
(Comment:en)
CL Item
Minutes (2)
C0439232 (UMLS CUI-1)
(Comment:en)
Item
During the last 7 days, on how many days did you walk for at least 10 minutes at a time?
integer
C4319956 (UMLS CUI [1])
C0080331 (UMLS CUI [2,1])
C3843296 (UMLS CUI [2,2])
Code List
During the last 7 days, on how many days did you walk for at least 10 minutes at a time?
CL Item
1 (1)
C0205447 (UMLS CUI-1)
(Comment:en)
CL Item
2 (2)
C0205448 (UMLS CUI-1)
(Comment:en)
CL Item
3 (3)
C0205449 (UMLS CUI-1)
(Comment:en)
CL Item
4 (4)
C0205450 (UMLS CUI-1)
(Comment:en)
CL Item
5 (5)
C0205451 (UMLS CUI-1)
(Comment:en)
CL Item
6 (6)
C0205452 (UMLS CUI-1)
(Comment:en)
CL Item
7 (7)
C0205453 (UMLS CUI-1)
(Comment:en)
CL Item
No walking (8)
C1298908 (UMLS CUI-1)
C0080331 (UMLS CUI-2)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Physical activity IPAQ-Short Form: Usually spend time for walking
Item
How much time did you usually spend walking on one of those days?
integer
C4319956 (UMLS CUI [1])
C0080331 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C0439505 (UMLS CUI [2,4])
Item
Indicate units of time
integer
C4319956 (UMLS CUI [1])
C0080331 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C1519795 (UMLS CUI [2,4])
CL Item
Hours (1)
C0439227 (UMLS CUI-1)
(Comment:en)
CL Item
Minutes (2)
C0439232 (UMLS CUI-1)
(Comment:en)
Physical activity IPAQ-Short Form: Sitting in the last 7 days
Item
During the last 7 days, how much time did you spend sitting on a week day?
integer
C4319956 (UMLS CUI [1])
C0277814 (UMLS CUI [2,1])
C0040223 (UMLS CUI [2,2])
C3843296 (UMLS CUI [2,3])
Item
Indicate units of time
integer
C4319956 (UMLS CUI [1])
C0277814 (UMLS CUI [2,1])
C3843296 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C1519795 (UMLS CUI [2,4])
CL Item
Hours (1)
C0439227 (UMLS CUI-1)
(Comment:en)
CL Item
Minutes (2)
C0439232 (UMLS CUI-1)
(Comment:en)
Item Group
Patient-reported health status
C0018759 (UMLS CUI-1)
C2987124 (UMLS CUI-2)
EuroQoL-5D-3L (EQ-5D-3L)
Item
Please contact license holder for the questionnaire. If you wish to participate in the ICHOM benchmarking program and have secured a licence to use the tool, ICHOM will provide you with the technical specifications on how to collect the data.
text
C1880594 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
12-Item Short Form Survey (SF-12)
Item
Please contact license holder for the questionnaire. If you wish to participate in the ICHOM benchmarking program and have secured a licence to use the tool, ICHOM will provide you with the technical specifications on how to collect the data.
text
C1519135 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
Veteran's Rand 12-Item Health Survey (VR-12)
Item
Please contact license holder for the questionnaire. If you wish to participate in the ICHOM benchmarking program and have secured a licence to use the tool, ICHOM will provide you with the technical specifications on how to collect the data.
text
C3655770 (UMLS CUI [1,1])
C2964552 (UMLS CUI [1,2])
PROMIS Global-10
Item
Please contact license holder for the questionnaire. If you wish to participate in the ICHOM benchmarking program and have secured a licence to use the tool, ICHOM will provide you with the technical specifications on how to collect the data.
text
C3836333 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
PROMIS single question on erectile dysfunction (SFEFN101)
Item
PROMIS single question on erectile dysfunction (SFEFN101)
text
C3693645 (UMLS CUI [1,1])
C0242350 (UMLS CUI [1,2])
Item
How satisfied are you with the care you have received for your hypertension over the past 12 months?
integer
C0030702 (UMLS CUI [1,1])
C0086388 (UMLS CUI [1,2])
C0020538 (UMLS CUI [1,3])
Code List
How satisfied are you with the care you have received for your hypertension over the past 12 months?
CL Item
Very satisfied (1)
C3840671 (UMLS CUI-1)
(Comment:en)
CL Item
Satisfied (2)
C4084799 (UMLS CUI-1)
(Comment:en)
CL Item
Neither satisfied nor unsatisfied (3)
C4050008 (UMLS CUI-1)
(Comment:en)
CL Item
Unsatisfied (4)
C4085546 (UMLS CUI-1)
(Comment:en)
CL Item
Very unsatisfied (5)
C2984081 (UMLS CUI-1)
C4085546 (UMLS CUI-2)
(Comment:en)

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