English

Annually - Clinical Form

1 forms  
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
Time relative to baseline
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_AT (After treatment); VARIABLEID_AS (After surgery); VARIABLEID_UPDATE (Update at least annually), etc.

Data type

text

Alias
UMLS CUI [1,1]
C0439564
UMLS CUI [1,2]
C1442488
Clinical Factors
Description

Clinical Factors

Alias
UMLS CUI-1
C0449440
Indicate if the patient has a documented history of diabetes mellitus (regardless of duration of disease or need for anti-diabetic agents). If newly diagnosed, the diagnosis should meet the following criteria: Fasting plasma glucose >= 7.0mmol/L (126 mg/dL) or 2-hour plasma glucose >= 11.1 mmol/L (200mg/dL) [2 hours post 75g glucose load]
Description

Inclusion Criteria: All patients Timing: Baseline and annually until positive diagnosis of diabetes Reporting Source: Clinician-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0011849
UMLS CUI [2,1]
C0011849
UMLS CUI [2,2]
C1518321
For newly diagnosed diabetics indicate fasting plasma glucose if available
Description

Supporting Definition: Fasting plasma glucose value in mg/dL or mmol/L Inclusion Criteria: Optional Timing: Baseline and annually Reporting Source: Clinician­‐reported Type: Numerical Response Options: N/A

Data type

float

Alias
UMLS CUI [1]
C0583513
Units of fasting plasma glucose
Description

Inclusion Criteria: If fasting plasma glucose value is provided Timing: Baseline and annually Reporting Source: Clinician-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0583513
UMLS CUI [1,2]
C1519795
Indicate the patient's weight in kilograms or pounds
Description

Supporting Definition: Height and weight are used to calculate BMI Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-­reported Type: Numerical Response Options: Numerical value

Data type

float

Alias
UMLS CUI [1]
C0005910
Indicate units of weight
Description

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

Data type

integer

Alias
UMLS CUI [1,1]
C0005910
UMLS CUI [1,2]
C1519795
Indicate if the patient is on lipid lowering therapy
Description

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

Data type

integer

Alias
UMLS CUI [1]
C0585943
Specify lipid lowering therapy
Description

Inclusion Criteria: If answered 1 to LIPIDLOW Timing: Baseline and annually Reporting Source: Clinician-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0585943
UMLS CUI [1,2]
C2348235
Has the patient had a creatinine test?
Description

Inclusion Criteria: Optional Timing: Baseline and annually Reporting Source: Clinician-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0201976
Provide the patient's serum creatinine reading
Description

Supporting Definition: Please provide the most recent value Inclusion Criteria: If responded "yes" to CREADONE Timing: Baseline and annually Reporting Source: Clinician­‐reported Type: Numerical, enter "000" if unknown Response Options: Numerical value

Data type

float

Alias
UMLS CUI [1,1]
C0201976
UMLS CUI [1,2]
C1274040
What are the units of creatinine?
Description

Inclusion Criteria: If value for creatinine is provided Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0201976
UMLS CUI [1,2]
C1519795
Was the creatinine reader calibrated to IDMS (isotope dilution mass spectrometry)
Description

Inclusion Criteria: If value for creatinine is provided Timing: Baseline and annually Reporting Source: Clinician-­reported/administratively­‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0201976
UMLS CUI [1,2]
C0006751
UMLS CUI [1,3]
C3274766
Treatment variables
Description

Treatment variables

Alias
UMLS CUI-1
C0087111
What is the management approach?
Description

Supporting Definition: Non‐pharmacological management includes lifestyle interventions, exercise, diet and other non-­pharmacological approaches. Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0449445
Is patient on any of the following drug classes? 1 = ACEi/ARB
Description

Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician­‐reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0003364
UMLS CUI [1,2]
C0596463
UMLS CUI [2]
C0003015
UMLS CUI [3]
C0521942
Is patient on any of the following drug classes? 2 = Alpha‐blocker
Description

Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician­‐reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0003364
UMLS CUI [1,2]
C0596463
UMLS CUI [2]
C0001641
Is patient on any of the following drug classes? 3 = Beta-blocker
Description

Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician­‐reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0003364
UMLS CUI [1,2]
C0596463
UMLS CUI [2]
C0001645
Is patient on any of the following drug classes? 4 = Loop Diuretics
Description

Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician­‐reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0003364
UMLS CUI [1,2]
C0596463
UMLS CUI [2]
C0354100
Is patient on any of the following drug classes? 5 = Thiazides
Description

Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician­‐reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0003364
UMLS CUI [1,2]
C0596463
UMLS CUI [2]
C0012802
Is patient on any of the following drug classes? 6 = Calcium channel blocker
Description

Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician­‐reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0003364
UMLS CUI [1,2]
C0596463
UMLS CUI [2]
C0006684
Is patient on any of the following drug classes? 7 = Other
Description

Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician­‐reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0003364
UMLS CUI [1,2]
C0596463
UMLS CUI [2]
C0205394
Is patient on any of the following drug classes? 999 = Unknown
Description

Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician­‐reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0003364
UMLS CUI [1,2]
C0596463
UMLS CUI [2]
C0439673
Survival, disease control and cardiovascular complications
Description

Survival, disease control and cardiovascular complications

Alias
UMLS CUI-1
C1148433
UMLS CUI-2
C0012634
UMLS CUI-3
C0243148
UMLS CUI-4
C0007226
UMLS CUI-5
C0009566
Patient systolic blood pressure reading in mmHg
Description

Inclusion Criteria: All patients Timing: Minimum annually Reporting Source: Clinician‐reported Type: Numerical Response Options: Numerical value

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Patient diastolic blood pressure reading in mmHg
Description

Inclusion Criteria: All patients Timing: Minimum annually Reporting Source: Clinician‐reported Type: Numerical Response Options: Numerical value

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Has the patient died, regardless of cause?
Description

Inclusion Criteria: All patients Timing: At time of death Reporting Source: Clinician-­reported/administratively‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0011065
If yes, indicate date of death
Description

Inclusion Criteria: If answered 'yes' to overall survival (OVERALLSURV) Timing: At time of death Reporting Source: Clinician-­reported/administratively‐reported Type: Date by DD/MM/YYYY or by MM/YYYY (in case exact day is unknown) Response Options: DD/MM/YYYY or MM/YYYY

Data type

date

Alias
UMLS CUI [1]
C1148348
If yes, indicate cause of death, if known
Description

Inclusion Criteria: If answered 'yes' to overall survival (OVERALLSURV) Timing: At time of death Reporting Source: Clinician-­reported/administratively‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0007465
Has the patient experienced any adverse events or unwanted side effects of medication?
Description

Inclusion Criteria: All patients Timing: Annually and 4-­‐6 weeks after initiation or change of treatment Reporting Source: Clinician‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0392325
UMLS CUI [2]
C0877248
If yes, please specify by selecting all that apply. 1 = Falls
Description

Supporting Definition: Hypotension and clinical manifestations of hypotension Inclusion Criteria: If answered 'yes' to medication side effects ('MEDEFFECTS') Timing: Annually and 4-­6 weeks after initiation or change of treatment Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0392325
UMLS CUI [2]
C0085639
If yes, please specify by selecting all that apply. 2 = Acute kidney injury
Description

Supporting Definition: Hypotension and clinical manifestations of hypotension Inclusion Criteria: If answered 'yes' to medication side effects ('MEDEFFECTS') Timing: Annually and 4-­6 weeks after initiation or change of treatment Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0392325
UMLS CUI [2]
C2609414
If yes, please specify by selecting all that apply. 3 = Peripheral oedema
Description

Supporting Definition: Hypotension and clinical manifestations of hypotension Inclusion Criteria: If answered 'yes' to medication side effects ('MEDEFFECTS') Timing: Annually and 4-­6 weeks after initiation or change of treatment Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0392325
UMLS CUI [2]
C0085649
If yes, please specify by selecting all that apply. 4 = Fatigue or unusual tiredness
Description

Supporting Definition: Hypotension and clinical manifestations of hypotension Inclusion Criteria: If answered 'yes' to medication side effects ('MEDEFFECTS') Timing: Annually and 4-­6 weeks after initiation or change of treatment Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0392325
UMLS CUI [2]
C0015672
UMLS CUI [3,1]
C2700116
UMLS CUI [3,2]
C0848717
If yes, please specify by selecting all that apply. 5 = Electrolyte abnormalities
Description

Supporting Definition: Hypotension and clinical manifestations of hypotension Inclusion Criteria: If answered 'yes' to medication side effects ('MEDEFFECTS') Timing: Annually and 4-­6 weeks after initiation or change of treatment Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0392325
UMLS CUI [2]
C0151613
If yes, please specify by selecting all that apply. 6 = Hypokalaemia
Description

Supporting Definition: Hypotension and clinical manifestations of hypotension Inclusion Criteria: If answered 'yes' to medication side effects ('MEDEFFECTS') Timing: Annually and 4-­6 weeks after initiation or change of treatment Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0392325
UMLS CUI [2]
C0020621
If yes, please specify by selecting all that apply. 7 = Cough
Description

Supporting Definition: Hypotension and clinical manifestations of hypotension Inclusion Criteria: If answered 'yes' to medication side effects ('MEDEFFECTS') Timing: Annually and 4-­6 weeks after initiation or change of treatment Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0392325
UMLS CUI [2]
C0010200
If yes, please specify by selecting all that apply. 8 = Erectile dysfunction
Description

Supporting Definition: Hypotension and clinical manifestations of hypotension Inclusion Criteria: If answered 'yes' to medication side effects ('MEDEFFECTS') Timing: Annually and 4-­6 weeks after initiation or change of treatment Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0392325
UMLS CUI [2]
C0242350
If yes, please specify by selecting all that apply. 9 = Urinary frequency
Description

Supporting Definition: Hypotension and clinical manifestations of hypotension Inclusion Criteria: If answered 'yes' to medication side effects ('MEDEFFECTS') Timing: Annually and 4-­6 weeks after initiation or change of treatment Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0392325
UMLS CUI [2]
C0042023
If yes, please specify by selecting all that apply. 10 = Other
Description

Supporting Definition: Hypotension and clinical manifestations of hypotension Inclusion Criteria: If answered 'yes' to medication side effects ('MEDEFFECTS') Timing: Annually and 4-­6 weeks after initiation or change of treatment Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0392325
UMLS CUI [2]
C0205394
Does the patient have ischaemic heart disease?
Description

Supporting Definition: Myocardial infarction (ICD10: I21) or angina (ICD10: I20) diagnosed by a clinician Inclusion Criteria: All patients Timing: Annually Reporting Source: Clinician-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C1869045
Does the patient have cerebrovascular disease?
Description

Supporting Definition: Cerebrovascular accident (ICD10: I60 ‐ Subarachnoid haemorrhage, I61 – Intracerebral haemorrhage, I62 – other non-­‐traumatic intracranial haemorrhage, I63 – cerebral infarction, I64 -­‐ Stroke, not specified as haemorrhage or infarction) or transient ischaemic attack (ICD10: G45 ­‐ Transient cerebral ischaemic attacks and related syndromes) diagnosed by a clinician Inclusion Criteria: All patients Timing: Annually Reporting Source: Clinician‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0007820
Does the patient have atrial fibrillation?
Description

Supporting Definition: Atrial fibrillation (ICD10: I48.0 paroxysmal atrial fibrillation, I48.1 – persistent atrial fibrillation, I48.2 Chronic atrial fibrillation) diagnosed by a clinician Inclusion Criteria: All patients Timing: Annually Reporting Source: Clinician-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0004238
Does the patient have heart failure?
Description

Supporting Definition: Heart failure (ICD10: I50 ‐ Heart failure, ICD:10 I11.0 – hypertensive heart disease with (congestive) heart failure) diagnosed by a clinician Inclusion Criteria: All patients Timing: Annually Reporting Source: Clinician-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0018801
If yes, what is the underlying cause?
Description

Inclusion Criteria: If answered 'yes' to heart failure ('HF') Timing: Annually Reporting Source: Clinician-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0085978
UMLS CUI [1,2]
C0018801
Does the patient have peripheral artery disease?
Description

Supporting Definition: Peripheral artery disease (ICD:10 I70.2 -­‐ Atherosclerosis of arteries of extremities) diagnosed by clinician Inclusion Criteria: All patients Timing: Annually Reporting Source: Clinician-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C1704436
Does the patient have chronic kidney disease as evidenced by proteinuria?
Description

Supporting Definition: Renal disease (ICD10: I12 Hypertensive renal disease incl. any condition in N00-­‐ N07, N18.-­‐, N19 or N26 due to hypertension) (Please ensure that other causes of proteinuria, such as urinary tract infection, have been ruled out) Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C1561643
UMLS CUI [2]
C0033687
How was proteinuria detected?
Description

Inclusion Criteria: If "yes" to CKD Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0033687
UMLS CUI [1,2]
C3887511
Proteinuria as provided by electronically read urine dipstick
Description

Inclusion Criteria: If responded "1" or "2" to PROTEINEVID Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single response

Data type

integer

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C1160927
Evidence of proteinuria as evidenced by urinary ACR
Description

Inclusion Criteria: If responded "3" to PROTEINEVID Timing: Baseline and annually Reporting Source: Clinician-­reported Type: Numerical Response Options: Numerical value

Data type

float

Alias
UMLS CUI [1,1]
C0455271
UMLS CUI [1,2]
C2826772
Units of urinary ACR
Description

Inclusion Criteria: If ACR value provided Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0455271
UMLS CUI [1,2]
C1519795
Has the patient had a blood pressure reading above 180/120 mmHg in the past 12 months?
Description

Supporting Definition: Hypertensive urgency is an acute rise in BP >180/120 mmHg with no evidence of acute end-­organ damage. Hypertensive emergency is an acute rise in BP > 180/120 with evidence of acute end organ damage. Inclusion Criteria: All patients Timing: Annually Reporting Source: Clinician­‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C0745138
UMLS CUI [2]
C0745136
If yes, does the patient have evidence of acute end-organ damage?
Description

Inclusion Criteria: If answered 'yes' to hypertensive urgency/ hypertensive emergency ('HYPTENEMERG') Timing: Annually Reporting Source: Clinician‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0205178
UMLS CUI [1,2]
C0743496
If yes, please specify the type of acute end-organ damage: 1 = Ophthalmological
Description

Inclusion Criteria: If answered 'yes' to acute end-­‐organ damage ('HYPTENENDORG') Timing: Annually Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0205178
UMLS CUI [1,3]
C0743496
UMLS CUI [2]
C0015397
If yes, please specify the type of acute end-organ damage: 2 = Renal
Description

Inclusion Criteria: If answered 'yes' to acute end-­‐organ damage ('HYPTENENDORG') Timing: Annually Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0205178
UMLS CUI [1,3]
C0743496
UMLS CUI [2]
C0022646
If yes, please specify the type of acute end-organ damage: 3 = Cardiac
Description

Inclusion Criteria: If answered 'yes' to acute end-­‐organ damage ('HYPTENENDORG') Timing: Annually Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0205178
UMLS CUI [1,3]
C0743496
UMLS CUI [2]
C1522601
If yes, please specify the type of acute end-organ damage: 4 = Cerebrovascular
Description

Inclusion Criteria: If answered 'yes' to acute end-­‐organ damage ('HYPTENENDORG') Timing: Annually Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0205178
UMLS CUI [1,3]
C0743496
UMLS CUI [2]
C1880018
If yes, please specify the type of acute end-organ damage: 999 = Unknown
Description

Inclusion Criteria: If answered 'yes' to acute end-­‐organ damage ('HYPTENENDORG') Timing: Annually Reporting Source: Clinician-­reported Type: Multiple answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0205178
UMLS CUI [1,3]
C0743496
UMLS CUI [2]
C0439673
Health status
Description

Health status

Alias
UMLS CUI-1
C0018759
What Health-related Quality of Life tool are you using?
Description

Inclusion Criteria: All patients Timing: Annually Reporting Source: Clinician-reported/administratively-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C4279947
UMLS CUI [1,2]
C0449820
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Similar models

Annually - Clinical Form

1 forms
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])
Time relative to baseline
Item
Time relative to baseline
text
C0439564 (UMLS CUI [1,1])
C1442488 (UMLS CUI [1,2])
Item Group
Clinical Factors
C0449440 (UMLS CUI-1)
Item
Indicate if the patient has a documented history of diabetes mellitus (regardless of duration of disease or need for anti-diabetic agents). If newly diagnosed, the diagnosis should meet the following criteria: Fasting plasma glucose >= 7.0mmol/L (126 mg/dL) or 2-hour plasma glucose >= 11.1 mmol/L (200mg/dL) [2 hours post 75g glucose load]
integer
C0262926 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
C0011849 (UMLS CUI [2,1])
C1518321 (UMLS CUI [2,2])
Past medical history: Diabetes
Code List
Indicate if the patient has a documented history of diabetes mellitus (regardless of duration of disease or need for anti-diabetic agents). If newly diagnosed, the diagnosis should meet the following criteria: Fasting plasma glucose >= 7.0mmol/L (126 mg/dL) or 2-hour plasma glucose >= 11.1 mmol/L (200mg/dL) [2 hours post 75g glucose load]
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)
Fasting plasma glucose
Item
For newly diagnosed diabetics indicate fasting plasma glucose if available
float
C0583513 (UMLS CUI [1])
Item
Units of fasting plasma glucose
integer
C0583513 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Units of fasting plasma glucose
Code List
Units of fasting plasma glucose
CL Item
mg/dL (1)
C0439269 (UMLS CUI-1)
(Comment:en)
CL Item
mmol/L (2)
C1532563 (UMLS CUI-1)
(Comment:en)
Weight
Item
Indicate the patient's weight in kilograms or pounds
float
C0005910 (UMLS CUI [1])
Item
Indicate units of weight
integer
C0005910 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Weight units
Code List
Indicate units of weight
CL Item
Kilograms (1)
C0439209 (UMLS CUI-1)
(Comment:en)
CL Item
Pounds (2)
C0439219 (UMLS CUI-1)
(Comment:en)
Item
Indicate if the patient is on lipid lowering therapy
integer
C0585943 (UMLS CUI [1])
Lipid lowering therapy
Code List
Indicate if the patient is on lipid lowering therapy
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
Specify lipid lowering therapy
integer
C0585943 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Lipid lowering medication
Code List
Specify lipid lowering therapy
CL Item
Statin (1)
C0360714 (UMLS CUI-1)
(Comment:en)
CL Item
Ezetimibe (2)
C1142985 (UMLS CUI-1)
(Comment:en)
CL Item
Fibrates (3)
C1449704 (UMLS CUI-1)
(Comment:en)
CL Item
Other (4)
C0205394 (UMLS CUI-1)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Item
Has the patient had a creatinine test?
integer
C0201976 (UMLS CUI [1])
Past medical history: Diabetes
Code List
Has the patient had a creatinine test?
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)
Creatinine
Item
Provide the patient's serum creatinine reading
float
C0201976 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Item
What are the units of creatinine?
integer
C0201976 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Units of fasting plasma glucose
Code List
What are the units of creatinine?
CL Item
mg/dL (1)
C0439269 (UMLS CUI-1)
(Comment:en)
CL Item
mmol/L (2)
C1532563 (UMLS CUI-1)
(Comment:en)
Item
Was the creatinine reader calibrated to IDMS (isotope dilution mass spectrometry)
integer
C0201976 (UMLS CUI [1,1])
C0006751 (UMLS CUI [1,2])
C3274766 (UMLS CUI [1,3])
Creatinine calibration
Code List
Was the creatinine reader calibrated to IDMS (isotope dilution mass spectrometry)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
Item Group
Treatment variables
C0087111 (UMLS CUI-1)
Item
What is the management approach?
integer
C0087111 (UMLS CUI [1,1])
C0449445 (UMLS CUI [1,2])
Treatment approach
Code List
What is the management approach?
CL Item
Non­‐pharmacological management only (0)
C1518422 (UMLS CUI-1)
C0013216 (UMLS CUI-2)
(Comment:en)
CL Item
Pharmacological management (with or without non‐pharmacological treatment) (1)
C0013216 (UMLS CUI-1)
(Comment:en)
Antihypertensive drug class: ACEi/ARB
Item
Is patient on any of the following drug classes? 1 = ACEi/ARB
boolean
C0003364 (UMLS CUI [1,1])
C0596463 (UMLS CUI [1,2])
C0003015 (UMLS CUI [2])
C0521942 (UMLS CUI [3])
Antihypertensive drug class: Alpha‐blocker
Item
Is patient on any of the following drug classes? 2 = Alpha‐blocker
boolean
C0003364 (UMLS CUI [1,1])
C0596463 (UMLS CUI [1,2])
C0001641 (UMLS CUI [2])
Antihypertensive drug class: Beta-blocker
Item
Is patient on any of the following drug classes? 3 = Beta-blocker
boolean
C0003364 (UMLS CUI [1,1])
C0596463 (UMLS CUI [1,2])
C0001645 (UMLS CUI [2])
Antihypertensive drug class: Loop Diuretics
Item
Is patient on any of the following drug classes? 4 = Loop Diuretics
boolean
C0003364 (UMLS CUI [1,1])
C0596463 (UMLS CUI [1,2])
C0354100 (UMLS CUI [2])
Antihypertensive drug class: Thiazides
Item
Is patient on any of the following drug classes? 5 = Thiazides
boolean
C0003364 (UMLS CUI [1,1])
C0596463 (UMLS CUI [1,2])
C0012802 (UMLS CUI [2])
Antihypertensive drug class: Calcium channel blocker
Item
Is patient on any of the following drug classes? 6 = Calcium channel blocker
boolean
C0003364 (UMLS CUI [1,1])
C0596463 (UMLS CUI [1,2])
C0006684 (UMLS CUI [2])
Antihypertensive drug class: Other
Item
Is patient on any of the following drug classes? 7 = Other
boolean
C0003364 (UMLS CUI [1,1])
C0596463 (UMLS CUI [1,2])
C0205394 (UMLS CUI [2])
Antihypertensive drug class: Unknown
Item
Is patient on any of the following drug classes? 999 = Unknown
boolean
C0003364 (UMLS CUI [1,1])
C0596463 (UMLS CUI [1,2])
C0439673 (UMLS CUI [2])
Item Group
Survival, disease control and cardiovascular complications
C1148433 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
C0243148 (UMLS CUI-3)
C0007226 (UMLS CUI-4)
C0009566 (UMLS CUI-5)
Systolic blood pressure
Item
Patient systolic blood pressure reading in mmHg
integer
C0871470 (UMLS CUI [1])
Diastolic blood pressure
Item
Patient diastolic blood pressure reading in mmHg
integer
C0428883 (UMLS CUI [1])
Item
Has the patient died, regardless of cause?
integer
C0011065 (UMLS CUI [1])
Has the patient died?
Code List
Has the patient died, regardless of cause?
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)
Date of death
Item
If yes, indicate date of death
date
C1148348 (UMLS CUI [1])
Item
If yes, indicate cause of death, if known
integer
C0007465 (UMLS CUI [1])
Cause of death
Code List
If yes, indicate cause of death, if known
CL Item
Acute myocardial infarction (1)
C0155626 (UMLS CUI-1)
(Comment:en)
CL Item
Sudden cardiac death (2)
C0085298 (UMLS CUI-1)
(Comment:en)
CL Item
Heart failure (3)
C0018801 (UMLS CUI-1)
(Comment:en)
CL Item
Stroke (4)
C0038454 (UMLS CUI-1)
(Comment:en)
CL Item
Cardiovascular procedures (5)
C0007222 (UMLS CUI-1)
C0430022 (UMLS CUI-2)
(Comment:en)
CL Item
Cardiovascular haemorrhage (6)
C0007222 (UMLS CUI-1)
C0019080 (UMLS CUI-2)
(Comment:en)
CL Item
Other cardiovascular causes (7)
C0205394 (UMLS CUI-1)
C0007222 (UMLS CUI-2)
(Comment:en)
CL Item
Non‐cardiovascular causes (8)
C0007222 (UMLS CUI-1)
C1298908 (UMLS CUI-2)
C0007465 (UMLS CUI-3)
(Comment:en)
CL Item
Cause unknown (9)
C0439673 (UMLS CUI-1)
(Comment:en)
Item
Has the patient experienced any adverse events or unwanted side effects of medication?
integer
C0392325 (UMLS CUI [1])
C0877248 (UMLS CUI [2])
Medication side effects and adverse events
Code List
Has the patient experienced any adverse events or unwanted side effects of medication?
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)
Type of medication side effects: Falls
Item
If yes, please specify by selecting all that apply. 1 = Falls
boolean
C0332307 (UMLS CUI [1,1])
C0392325 (UMLS CUI [1,2])
C0085639 (UMLS CUI [2])
Type of medication side effects: Acute kidney injury
Item
If yes, please specify by selecting all that apply. 2 = Acute kidney injury
boolean
C0332307 (UMLS CUI [1,1])
C0392325 (UMLS CUI [1,2])
C2609414 (UMLS CUI [2])
Type of medication side effects: Peripheral oedema
Item
If yes, please specify by selecting all that apply. 3 = Peripheral oedema
boolean
C0332307 (UMLS CUI [1,1])
C0392325 (UMLS CUI [1,2])
C0085649 (UMLS CUI [2])
Type of medication side effects: Fatigue or unusual tiredness
Item
If yes, please specify by selecting all that apply. 4 = Fatigue or unusual tiredness
boolean
C0332307 (UMLS CUI [1,1])
C0392325 (UMLS CUI [1,2])
C0015672 (UMLS CUI [2])
C2700116 (UMLS CUI [3,1])
C0848717 (UMLS CUI [3,2])
Type of medication side effects: Electrolyte abnormalities
Item
If yes, please specify by selecting all that apply. 5 = Electrolyte abnormalities
boolean
C0332307 (UMLS CUI [1,1])
C0392325 (UMLS CUI [1,2])
C0151613 (UMLS CUI [2])
Type of medication side effects: Hypokalaemia
Item
If yes, please specify by selecting all that apply. 6 = Hypokalaemia
boolean
C0332307 (UMLS CUI [1,1])
C0392325 (UMLS CUI [1,2])
C0020621 (UMLS CUI [2])
Type of medication side effects: Cough
Item
If yes, please specify by selecting all that apply. 7 = Cough
boolean
C0332307 (UMLS CUI [1,1])
C0392325 (UMLS CUI [1,2])
C0010200 (UMLS CUI [2])
Type of medication side effects: Erectile dysfunction
Item
If yes, please specify by selecting all that apply. 8 = Erectile dysfunction
boolean
C0332307 (UMLS CUI [1,1])
C0392325 (UMLS CUI [1,2])
C0242350 (UMLS CUI [2])
Type of medication side effects: Urinary frequency
Item
If yes, please specify by selecting all that apply. 9 = Urinary frequency
boolean
C0332307 (UMLS CUI [1,1])
C0392325 (UMLS CUI [1,2])
C0042023 (UMLS CUI [2])
Type of medication side effects: Other
Item
If yes, please specify by selecting all that apply. 10 = Other
boolean
C0332307 (UMLS CUI [1,1])
C0392325 (UMLS CUI [1,2])
C0205394 (UMLS CUI [2])
Item
Does the patient have ischaemic heart disease?
integer
C1869045 (UMLS CUI [1])
Past medical history: Diabetes
Code List
Does the patient have ischaemic heart disease?
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
Does the patient have cerebrovascular disease?
integer
C0007820 (UMLS CUI [1])
Past medical history: Diabetes
Code List
Does the patient have cerebrovascular disease?
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
Does the patient have atrial fibrillation?
integer
C0004238 (UMLS CUI [1])
Past medical history: Diabetes
Code List
Does the patient have atrial fibrillation?
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
Does the patient have heart failure?
integer
C0018801 (UMLS CUI [1])
Past medical history: Diabetes
Code List
Does the patient have heart failure?
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
If yes, what is the underlying cause?
integer
C0085978 (UMLS CUI [1,1])
C0018801 (UMLS CUI [1,2])
Past medical history: Diabetes
Code List
If yes, what is the underlying cause?
CL Item
Valvular disease (1)
C0018824 (UMLS CUI-1)
(Comment:en)
CL Item
Hypertension (2)
C0020538 (UMLS CUI-1)
(Comment:en)
CL Item
Cardiomyopathy (3)
C0878544 (UMLS CUI-1)
(Comment:en)
CL Item
Ischaemic heart disease (4)
C1869045 (UMLS CUI-1)
(Comment:en)
CL Item
Other (5)
C0205394 (UMLS CUI-1)
(Comment:en)
CL Item
Unknown (6)
C0439673 (UMLS CUI-1)
(Comment:en)
Item
Does the patient have peripheral artery disease?
integer
C1704436 (UMLS CUI [1])
Past medical history: Diabetes
Code List
Does the patient have peripheral artery disease?
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
Does the patient have chronic kidney disease as evidenced by proteinuria?
integer
C1561643 (UMLS CUI [1])
C0033687 (UMLS CUI [2])
Chronic renal disease
Code List
Does the patient have chronic kidney disease as evidenced by proteinuria?
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 was proteinuria detected?
integer
C0033687 (UMLS CUI [1,1])
C3887511 (UMLS CUI [1,2])
Evidence of proteinuria
Code List
How was proteinuria detected?
CL Item
Manually read urine dipstick (1)
C0430370 (UMLS CUI-1)
C2911685 (UMLS CUI-2)
C0175674 (UMLS CUI-3)
(Comment:en)
CL Item
Electronically read urine dipstick (2)
C0430370 (UMLS CUI-1)
C2911685 (UMLS CUI-2)
C0022885 (UMLS CUI-3)
(Comment:en)
CL Item
Urinary albumin/creatinine ratio (3)
C0455271 (UMLS CUI-1)
(Comment:en)
Item
Proteinuria as provided by electronically read urine dipstick
integer
C1274040 (UMLS CUI [1,1])
C1160927 (UMLS CUI [1,2])
Results of urine dip
Code List
Proteinuria as provided by electronically read urine dipstick
CL Item
+ (1)
(Comment:en)
CL Item
++ (2)
(Comment:en)
CL Item
+++ (3)
(Comment:en)
CL Item
Unknown/results unavailable (4)
C0439673 (UMLS CUI-1)
C1254595 (UMLS CUI-2)
(Comment:en)
Results of urine ACR if done in place of urine dip
Item
Evidence of proteinuria as evidenced by urinary ACR
float
C0455271 (UMLS CUI [1,1])
C2826772 (UMLS CUI [1,2])
Item
Units of urinary ACR
integer
C0455271 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Units of urinary ACR
Code List
Units of urinary ACR
CL Item
mg/g (1)
C1300563 (UMLS CUI-1)
(Comment:en)
CL Item
mg/mmol (2)
C0567349 (UMLS CUI-1)
(Comment:en)
Item
Has the patient had a blood pressure reading above 180/120 mmHg in the past 12 months?
integer
C0745138 (UMLS CUI [1])
C0745136 (UMLS CUI [2])
Past medical history: Diabetes
Code List
Has the patient had a blood pressure reading above 180/120 mmHg in the past 12 months?
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
If yes, does the patient have evidence of acute end-organ damage?
integer
C0205178 (UMLS CUI [1,1])
C0743496 (UMLS CUI [1,2])
Past medical history: Diabetes
Code List
If yes, does the patient have evidence of acute end-organ damage?
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)
Type of acute end-organ damage: Ophthalmological
Item
If yes, please specify the type of acute end-organ damage: 1 = Ophthalmological
boolean
C0332307 (UMLS CUI [1,1])
C0205178 (UMLS CUI [1,2])
C0743496 (UMLS CUI [1,3])
C0015397 (UMLS CUI [2])
Type of acute end-organ damage: Renal
Item
If yes, please specify the type of acute end-organ damage: 2 = Renal
boolean
C0332307 (UMLS CUI [1,1])
C0205178 (UMLS CUI [1,2])
C0743496 (UMLS CUI [1,3])
C0022646 (UMLS CUI [2])
Type of acute end-organ damage: Cardiac
Item
If yes, please specify the type of acute end-organ damage: 3 = Cardiac
boolean
C0332307 (UMLS CUI [1,1])
C0205178 (UMLS CUI [1,2])
C0743496 (UMLS CUI [1,3])
C1522601 (UMLS CUI [2])
Type of acute end-organ damage: Cerebrovascular
Item
If yes, please specify the type of acute end-organ damage: 4 = Cerebrovascular
boolean
C0332307 (UMLS CUI [1,1])
C0205178 (UMLS CUI [1,2])
C0743496 (UMLS CUI [1,3])
C1880018 (UMLS CUI [2])
Type of acute end-organ damage: Unknown
Item
If yes, please specify the type of acute end-organ damage: 999 = Unknown
boolean
C0332307 (UMLS CUI [1,1])
C0205178 (UMLS CUI [1,2])
C0743496 (UMLS CUI [1,3])
C0439673 (UMLS CUI [2])
Item Group
Health status
C0018759 (UMLS CUI-1)
Item
What Health-related Quality of Life tool are you using?
integer
C4279947 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
Health-related Quality of Life
Code List
What Health-related Quality of Life tool are you using?
CL Item
EQ5D3L (1)
C1880594 (UMLS CUI-1)
(Comment:en)
CL Item
SF­‐12 (2)
C1519135 (UMLS CUI-1)
(Comment:en)
CL Item
VR‐12 (3)
C3655770 (UMLS CUI-1)
(Comment:en)
CL Item
PROMIS‐10 (4)
C3836333 (UMLS CUI-1)
(Comment:en)
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