ID
36886
Beschrijving
ICHOM Depression and Anxiety data collection Version 2.3.2 Revised: August 10th, 2018 International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ For Depression and Anxiety, the following conditions and treatment approaches (or interventions) are covered by our Standard Set. This document contains the Ongoing - Patient-Reported Form. It has to be filled in between Baseline and Annually form. The ongoing periode includes e.g.: Active treatment stage; Measure essential PROs ongoing with treatment (potentially at every visit) Condition: Depression: Major Depressive Disorder | Dysthymia | Depressive Adaptive/Adjustment Disorder | Depressive Disorder - NOS Anxiety: Generalized Anxiety Disorder | Phobic Disorder | Agoraphobia | Post-Traumatic Stress Disorder | Panic Disorder | Obsessive-Compulsive Disorder Treatment Approaches : Psychopharmacotherapy | Psychotherapy | Lifestyle Interventions | Self-Guided Help | Other Forms of Therapy Collecting Clinician and Patient-Reported Outcome Measures: PHQ-9 (Patient Health Questionnaire). https://www.phqscreeners.com/ Pfizer: All PHQ, GAD-7 screeners and translations are downloadable from this website and no permission is required to reproduce, translate, display or distribute them. GAD-7 (Generalized Anxiety Disorder). https://www.phqscreeners.com/ Pfizer: All PHQ, GAD-7 screeners and translations are downloadable from this website and no permission is required to reproduce, translate, display or distribute them. Pfizer owner, authors: Drs. Spitzer, Williams and Kroenke SPIN (Social Phobia Inventory ), MIA (Mobility Inventory for Agoraphobia), IES-R (Impact of Event Scale - Revised for Post-traumatic Stress Disorder), PDSS-SR (Panic Disorder Severity Scale), OCI-R (Obsessive-Compulsive Inventory). As permission for use has to be obtained for all of these questionnaires from the copyright holder, only the total score will be included in this version of the standard set. WHODAS 2.0 (World Health Organization Disability Assessment Schedule 2.0). As there is a license needed for use of this questionnaire, only the total score will be included in this version oft he standard set. MOS-SSS (Medical Outcomes Study: Social Support Survey). There is no license or permission needed for use. https://www.rand.org/health-care/surveys_tools/mos/social-support.html ICHOM's Standard set was supported by the Douglas Institut universitaire en santé mentale and mental health university institute, Charité Universitätsmedizin Berlin, Stichting benchmark GGC.
Link
Trefwoorden
Versies (4)
- 17-06-19 17-06-19 -
- 18-06-19 18-06-19 - Sarah Riepenhausen
- 30-04-20 30-04-20 - Sarah Riepenhausen
- 20-09-21 20-09-21 -
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ICHOM
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18 juni 2019
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Creative Commons BY-NC 3.0
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ICHOM Depression and Anxiety
Ongoing - Patient-Reported Form
- StudyEvent: ODM
Beschrijving
Prior Treatment
Alias
- UMLS CUI-1
- C1514463
Beschrijving
Inclusion Criteria: All patients If answered 'yes' to taking medication (TXMED) Timing: Ongoing Reporting Source: Patient‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1321605
- UMLS CUI [1,2]
- C0013216
Beschrijving
Treatment Variables
Alias
- UMLS CUI-1
- C0087111
Beschrijving
Supporting Definition: Specific conditions include: Depression Generalized anxiety disorder Social phobia Agoraphobia Post-traumatic stress disorder Panic disorder Obsessive-compulsive disorder Inclusion criteria: All patients Timing: Ongoing Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0013227
Beschrijving
Inclusion criteria: All patients Timing: Ongoing Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0033968
Beschrijving
Inclusion criteria: All patients Timing: Ongoing Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0205394
Beschrijving
Supporting definition: Specific conditions include: Depression Generalized anxiety disorder Social phobia Agoraphobia Post-traumatic stress disorder Panic disorder Obsessive-compulsive disorder Inclusion criteria: All patients If answered 'yes' to taking medication (DEPTXMEDON) Timing: Ongoing Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1321605
- UMLS CUI [1,2]
- C0013216
Beschrijving
Symptom Burden
Alias
- UMLS CUI-1
- C1457887
- UMLS CUI-2
- C2828008
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C4083201
- UMLS CUI [2,1]
- C2984078
- UMLS CUI [2,2]
- C0543488
- UMLS CUI [3,1]
- C0679105
- UMLS CUI [3,2]
- C3668946
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C4083201
- UMLS CUI [2]
- C2924103
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C4083201
- UMLS CUI [2]
- C0150079
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C4083201
- UMLS CUI [2]
- C0557875
- UMLS CUI [3]
- C0015672
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C4083201
- UMLS CUI [2]
- C0003621
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C4083201
- UMLS CUI [2]
- C0854366
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C4083201
- UMLS CUI [2]
- C0424099
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C4083201
- UMLS CUI [2]
- C0424114
- UMLS CUI [3]
- C0237280
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C4083201
- UMLS CUI [2]
- C0178360
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C4083201
- UMLS CUI [2,1]
- C0001288
- UMLS CUI [2,2]
- C0033213
Beschrijving
Inclusion Criteria: Patients with generalized anxiety disorder Timing: Baseline, Ongoing, Annually Reporting Source: Patient‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C3641330
- UMLS CUI [2]
- C0849963
- UMLS CUI [3]
- C0003467
Beschrijving
Inclusion Criteria: Patients with generalized anxiety disorder Timing: Baseline, Ongoing, Annually Reporting Source: Patient‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C3641330
- UMLS CUI [2,1]
- C1298908
- UMLS CUI [2,2]
- C0243148
- UMLS CUI [2,3]
- C0233481
Beschrijving
Inclusion Criteria: Patients with generalized anxiety disorder Timing: Baseline, Ongoing, Annually Reporting Source: Patient‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C3641330
- UMLS CUI [2]
- C0233481
Beschrijving
Inclusion Criteria: Patients with generalized anxiety disorder Timing: Baseline, Ongoing, Annually Reporting Source: Patient‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C3641330
- UMLS CUI [2]
- C3827766
Beschrijving
Inclusion Criteria: Patients with generalized anxiety disorder Timing: Baseline, Ongoing, Annually Reporting Source: Patient‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C3641330
- UMLS CUI [2]
- C3887611
Beschrijving
Inclusion Criteria: Patients with generalized anxiety disorder Timing: Baseline, Ongoing, Annually Reporting Source: Patient‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C3641330
- UMLS CUI [2]
- C3831378
Beschrijving
Inclusion Criteria: Patients with generalized anxiety disorder Timing: Baseline, Ongoing, Annually Reporting Source: Patient‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C3641330
- UMLS CUI [2]
- C3830159
Beschrijving
Inclusion Criteria: Patients with generalized anxiety disorder Timing: Baseline, Ongoing, Annually Reporting Source: Patient‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C3641330
- UMLS CUI [2,1]
- C0001288
- UMLS CUI [2,2]
- C0033213
Beschrijving
As permission has to be obtained, the actual 17 questions of the SPIN questionnaire are not included in this version of the standard set. The ICHOM ID's are SPIN_Q01 to SPIN_Q17 Inclusion Criteria: Patients with social phobia Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C2919383
- UMLS CUI [1,2]
- C2964552
Beschrijving
As permission has to be obtained, the actual 4 questions of the MI questionnaire are not included in this version of the standard set. The ICHOM ID's are MI_Q01, MI_Q01HIGH, MI_Q01OTHER, MI_Q02, MI_Q03a, MI_Q03b, MI_Q04a, MI_Q04b Supporting Definition: Each item corresponds to a separate VaraibleID. Inclusion Criteria: Patients with agoraphobia Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C3472508
- UMLS CUI [1,2]
- C2964552
Beschrijving
As permission has to be obtained, the actual 22 questions of the IESR questionnaire are not included in this version of the standard set. The ICHOM ID's are IESR_Q01 to IESR_Q22 Inclusion Criteria: Patients with post-traumatic stress disorder Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0034394
- UMLS CUI [1,2]
- C0038436
- UMLS CUI [1,3]
- C2964552
Beschrijving
As permission has to be obtained, the actual 7 questions of the PDSSSR questionnaire are not included in this version of the standard set. The ICHOM ID's are PDSSSR_Q01 to PDSSSR_Q07 Inclusion Criteria: Patients with panic disorder Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C3472191
Beschrijving
As permission has to be obtained, the actual 42 questions of the OCI questionnaire are not included in this version of the standard set. The ICHOM ID's are OCI_Q01 to OCI_Q42 Inclusion Criteria: Patients with obsessive-compulsive disorder Timing: Baseline, Ongoing, Annually Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C3472189
Beschrijving
Other
Alias
- UMLS CUI-1
- C0205394
Beschrijving
Inclusion Criteria: All patients Timing: Ongoing Reporting Source: Patient-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0392325
Beschrijving
Inclusion Criteria: All patients If answered 'yes' on medication side-effects (MEDSE_Q01ON) Timing: Ongoing Reporting Source: Patient-reported Type: Multiple answer Select all that apply In the case that more than one side‐effect is selected, split each response with a ‘;’
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0332307
- UMLS CUI [1,2]
- C0392325
- UMLS CUI [2]
- C0043094
Beschrijving
Inclusion Criteria: All patients If answered 'yes' on medication side-effects (MEDSE_Q01ON) Timing: Ongoing Reporting Source: Patient-reported Type: Multiple answer Select all that apply In the case that more than one side‐effect is selected, split each response with a ‘;’
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0332307
- UMLS CUI [1,2]
- C0392325
- UMLS CUI [2]
- C0549622
Beschrijving
Inclusion Criteria: All patients If answered 'yes' on medication side-effects (MEDSE_Q01ON) Timing: Ongoing Reporting Source: Patient-reported Type: Multiple answer Select all that apply In the case that more than one side‐effect is selected, split each response with a ‘;’
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0332307
- UMLS CUI [1,2]
- C0392325
- UMLS CUI [2]
- C0037317
Beschrijving
Inclusion Criteria: All patients If answered 'yes' on medication side-effects (MEDSE_Q01ON) Timing: Ongoing Reporting Source: Patient-reported Type: Multiple answer Select all that apply In the case that more than one side‐effect is selected, split each response with a ‘;’
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0332307
- UMLS CUI [1,2]
- C0392325
- UMLS CUI [2]
- C0043352
Beschrijving
Inclusion Criteria: All patients If answered 'yes' on medication side-effects (MEDSE_Q01ON) Timing: Ongoing Reporting Source: Patient-reported Type: Multiple answer Select all that apply In the case that more than one side‐effect is selected, split each response with a ‘;’
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0332307
- UMLS CUI [1,2]
- C0392325
- UMLS CUI [2]
- C0013144
- UMLS CUI [3]
- C3179159
Beschrijving
Inclusion Criteria: All patients If answered 'yes' on medication side-effects (MEDSE_Q01ON) Timing: Ongoing Reporting Source: Patient-reported Type: Multiple answer Select all that apply In the case that more than one side‐effect is selected, split each response with a ‘;’
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0332307
- UMLS CUI [1,2]
- C0392325
- UMLS CUI [2]
- C0007226
- UMLS CUI [3]
- C0030252
Beschrijving
Inclusion Criteria: All patients If answered 'yes' on medication side-effects (MEDSE_Q01ON) Timing: Ongoing Reporting Source: Patient-reported Type: Multiple answer Select all that apply In the case that more than one side‐effect is selected, split each response with a ‘;’
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0332307
- UMLS CUI [1,2]
- C0392325
- UMLS CUI [2]
- C0012240
- UMLS CUI [3]
- C0011991
- UMLS CUI [4]
- C0027497
- UMLS CUI [5]
- C0042963
Beschrijving
Inclusion Criteria: All patients If answered 'yes' on medication side-effects (MEDSE_Q01ON) Timing: Ongoing Reporting Source: Patient-reported Type: Multiple answer Select all that apply In the case that more than one side‐effect is selected, split each response with a ‘;’
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0332307
- UMLS CUI [1,2]
- C0392325
- UMLS CUI [2]
- C0205394
Beschrijving
Inclusion Criteria: All patients If answered 'Other' on type of medication side-effects (MEDSE_Q02ON888) Timing: Ongoing Reporting Source: Patient‐reported Type: Free text Response Options: Medication side-effect
Datatype
text
Alias
- UMLS CUI [1,1]
- C0205394
- UMLS CUI [1,2]
- C0392325
Similar models
Ongoing - Patient-Reported Form
- StudyEvent: ODM
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C0849963 (UMLS CUI [2])
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C1298908 (UMLS CUI [2,1])
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C0233481 (UMLS CUI [2])
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C3887611 (UMLS CUI [2])
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C3831378 (UMLS CUI [2])
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C3830159 (UMLS CUI [2])
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C0001288 (UMLS CUI [2,1])
C0033213 (UMLS CUI [2,2])
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C0043352 (UMLS CUI [2])
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C0013144 (UMLS CUI [2])
C3179159 (UMLS CUI [3])
C0392325 (UMLS CUI [1,2])
C0007226 (UMLS CUI [2])
C0030252 (UMLS CUI [3])
C0392325 (UMLS CUI [1,2])
C0012240 (UMLS CUI [2])
C0011991 (UMLS CUI [3])
C0027497 (UMLS CUI [4])
C0042963 (UMLS CUI [5])
C0392325 (UMLS CUI [1,2])
C0205394 (UMLS CUI [2])
C0392325 (UMLS CUI [1,2])