English

Treatment Factors (Clinican reported)

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Indicate the patient's medical record number
Description

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: Administrative or clinical RESPONSE OPTIONS: According to institution

Data type

integer

Alias
UMLS CUI [1]
C1269815
Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
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_BASE (baseline); VARIABLEID_6MO (6 month follow-up); VARIABLEID_1YR (1 year follow-up), etc.

Data type

text

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

Treatment Factors

Alias
UMLS CUI-1
C0679853
Indicate if the patient has had any IBD-related surgeries 0=No IBD-related surgery
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and Annually REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0549184
UMLS CUI [1,2]
C0543467
UMLS CUI [1,3]
C0021390
Indicate if the patient has had any IBD-related surgeries 1=Small bowel resection
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and Annually REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0021390
UMLS CUI [2]
C0192601
Indicate if the patient has had any IBD-related surgeries 2=Strictureplasty
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and Annually REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0021390
UMLS CUI [2]
C3665868
Indicate if the patient has had any IBD-related surgeries 3=Segmental colectomy (with or without stoma)
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and Annually REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0021390
UMLS CUI [2]
C0149750
Indicate if the patient has had any IBD-related surgeries 4=Total colectomy and ileostomy (this operation usually is for acute UC)
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and Annually REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0021390
UMLS CUI [2]
C0192871
Indicate if the patient has had any IBD-related surgeries 5=Creation of ileorectal anastomosis
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and Annually REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0021390
UMLS CUI [2]
C0192754
Indicate if the patient has had any IBD-related surgeries 6=Total proctocolectomy and ileostomy
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and Annually REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0021390
UMLS CUI [2]
C0843044
Indicate if the patient has had any IBD-related surgeries 7=Ileocecal resection
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and Annually REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0021390
UMLS CUI [2]
C2409568
Indicate if the patient has had any IBD-related surgeries 888=other
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and Annually REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0021390
UMLS CUI [1,3]
C0205394
If the patient has received IBD-related surgery indicate the method of surgical procedure 0 = single-port laparoscopic surgery
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Multiple Answers, separate multiple answers with (;) (here: multiple boolean items)

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0543467
UMLS CUI [1,3]
C0332307
UMLS CUI [2,1]
C0751429
UMLS CUI [2,2]
C4087354
If the patient has received IBD-related surgery indicate the method of surgical procedure 1 = multiport laparoscopic surgery
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Text

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0543467
UMLS CUI [1,3]
C0332307
UMLS CUI [2,1]
C0751429
UMLS CUI [2,2]
C3880635
If the patient has received IBD-related surgery indicate the method of surgical procedure 2 = conventional open surgery
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Text

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0543467
UMLS CUI [1,3]
C0332307
UMLS CUI [2,1]
C0543467
UMLS CUI [2,2]
C0348025
Please indicate the date of surgery
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Numerical

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C1624150
DD/MM/YYYY
Indicate whether the patient currently has a stoma in situ at this point in time
Description

INCLUSION CRITERIA: All patients who have had colectomy surgery TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C0521116
What type of medication for IBD does the patient currently take (regardless of when started)? 0=no IBD medication currently taken
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0746467
UMLS CUI [1,3]
C1298908
What type of medication for IBD does the patient currently take (regardless of when started)? 1=Steroids
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0746467
UMLS CUI [2]
C0038317
What type of medication for IBD does the patient currently take (regardless of when started)? 2=biologics – Anti-TNF Agents ( e.g. Adalimumab, Certolizumab pegol, Golimumab, Infliximab, Infliximab-dyyb)
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0746467
UMLS CUI [2]
C0281481
What type of medication for IBD does the patient currently take (regardless of when started)? 3=biologics - Integrin receptor antagonists (e.g. Natalizumab, Vedolizumab)
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0746467
UMLS CUI [2]
C2917367
What type of medication for IBD does the patient currently take (regardless of when started)? 4=biologics - interleukin-antagonists (e.g. ustekinumab)
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0746467
UMLS CUI [2]
C3653320
What type of medication for IBD does the patient currently take (regardless of when started)? 5=mesalamine (or mesalazine)
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0746467
UMLS CUI [2]
C0127615
What type of medication for IBD does the patient currently take (regardless of when started)? 6=thiopurines (e.g. azathioprine, 6-mercaptopurine) or methotrexate
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0746467
UMLS CUI [2]
C0597573
UMLS CUI [3]
C0025677
What type of medication for IBD does the patient currently take (regardless of when started)? 7=other immunomodulators (e.g. mycophenylate, cyclosporine, tacrolimus)
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0746467
UMLS CUI [2,1]
C1527392
UMLS CUI [2,2]
C0205394
What type of medication for IBD does the patient currently take (regardless of when started)? 888=others (including probiotics, cellular therapy, nutritional, symptom control)
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: Multiple Answer

Data type

boolean

Alias
UMLS CUI [1,1]
C0021390
UMLS CUI [1,2]
C0746467
UMLS CUI [1,3]
C0205394
Was the patient in a colorectal cancer surveillance programme prior to their diagnosis of colorectal cancer?
Description

INCLUSION CRITERIA: All patients who have been diagnosed with colorectal cancer TIMING: Baseline and follow-up REPORTING SOURCE: Clinician reported TYPE: SIngle Answer

Data type

integer

Alias
UMLS CUI [1]
C4316665
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Similar models

Treatment Factors (Clinican reported)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Patient ID
Item
Indicate the patient's medical record number
integer
C1269815 (UMLS CUI [1])
Time Relative to Baseline
Item
Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
text
C0439564 (UMLS CUI [1,1])
C1442488 (UMLS CUI [1,2])
Item Group
Treatment Factors
C0679853 (UMLS CUI-1)
IBD-related surgeries: None
Item
Indicate if the patient has had any IBD-related surgeries 0=No IBD-related surgery
boolean
C0549184 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
C0021390 (UMLS CUI [1,3])
IBD-related surgeries: Small Bowel Resection
Item
Indicate if the patient has had any IBD-related surgeries 1=Small bowel resection
boolean
C0543467 (UMLS CUI [1,1])
C0021390 (UMLS CUI [1,2])
C0192601 (UMLS CUI [2])
IBD-related surgeries: Strictureplasty
Item
Indicate if the patient has had any IBD-related surgeries 2=Strictureplasty
boolean
C0543467 (UMLS CUI [1,1])
C0021390 (UMLS CUI [1,2])
C3665868 (UMLS CUI [2])
IBD-related surgeries: Segmental colectomy
Item
Indicate if the patient has had any IBD-related surgeries 3=Segmental colectomy (with or without stoma)
boolean
C0543467 (UMLS CUI [1,1])
C0021390 (UMLS CUI [1,2])
C0149750 (UMLS CUI [2])
IBD-related surgeries: Total Colectomy
Item
Indicate if the patient has had any IBD-related surgeries 4=Total colectomy and ileostomy (this operation usually is for acute UC)
boolean
C0543467 (UMLS CUI [1,1])
C0021390 (UMLS CUI [1,2])
C0192871 (UMLS CUI [2])
IBD-related surgeries: Ileorectal anastomosis
Item
Indicate if the patient has had any IBD-related surgeries 5=Creation of ileorectal anastomosis
boolean
C0543467 (UMLS CUI [1,1])
C0021390 (UMLS CUI [1,2])
C0192754 (UMLS CUI [2])
IBD-related surgeries: Total proctocolectomy and ileostomy
Item
Indicate if the patient has had any IBD-related surgeries 6=Total proctocolectomy and ileostomy
boolean
C0543467 (UMLS CUI [1,1])
C0021390 (UMLS CUI [1,2])
C0843044 (UMLS CUI [2])
IBD-related surgeries: Ileocecal resection
Item
Indicate if the patient has had any IBD-related surgeries 7=Ileocecal resection
boolean
C0543467 (UMLS CUI [1,1])
C0021390 (UMLS CUI [1,2])
C2409568 (UMLS CUI [2])
IBD-related surgeries: Other
Item
Indicate if the patient has had any IBD-related surgeries 888=other
boolean
C0543467 (UMLS CUI [1,1])
C0021390 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Method of IBD-related surgery: single-port laparoscopic surgery
Item
If the patient has received IBD-related surgery indicate the method of surgical procedure 0 = single-port laparoscopic surgery
boolean
C0021390 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0751429 (UMLS CUI [2,1])
C4087354 (UMLS CUI [2,2])
Method of IBD-related surgery: multiport laparoscopic surgery
Item
If the patient has received IBD-related surgery indicate the method of surgical procedure 1 = multiport laparoscopic surgery
boolean
C0021390 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0751429 (UMLS CUI [2,1])
C3880635 (UMLS CUI [2,2])
Method of IBD-related surgery
Item
If the patient has received IBD-related surgery indicate the method of surgical procedure 2 = conventional open surgery
boolean
C0021390 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
C0543467 (UMLS CUI [2,1])
C0348025 (UMLS CUI [2,2])
Date of IBD-related surgery
Item
Please indicate the date of surgery
date
C0021390 (UMLS CUI [1,1])
C1624150 (UMLS CUI [1,2])
Item
Indicate whether the patient currently has a stoma in situ at this point in time
integer
C1955856 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
Colectomy
Code List
Indicate whether the patient currently has a stoma in situ at this point in time
CL Item
Patient has not had colectomy (0)
C0009274 (UMLS CUI-1)
C1298908 (UMLS CUI-2)
(Comment:en)
CL Item
No stoma in situ (1)
C1955856 (UMLS CUI-1)
C1298908 (UMLS CUI-2)
(Comment:en)
CL Item
Yes, stoma in situ (2)
C1955856 (UMLS CUI-1)
(Comment:en)
Current medication for IBD: No
Item
What type of medication for IBD does the patient currently take (regardless of when started)? 0=no IBD medication currently taken
boolean
C0021390 (UMLS CUI [1,1])
C0746467 (UMLS CUI [1,2])
C1298908 (UMLS CUI [1,3])
Current medication for IBD: Steroids
Item
What type of medication for IBD does the patient currently take (regardless of when started)? 1=Steroids
boolean
C0021390 (UMLS CUI [1,1])
C0746467 (UMLS CUI [1,2])
C0038317 (UMLS CUI [2])
Current medication for IBD: Anti-TNF Agents
Item
What type of medication for IBD does the patient currently take (regardless of when started)? 2=biologics – Anti-TNF Agents ( e.g. Adalimumab, Certolizumab pegol, Golimumab, Infliximab, Infliximab-dyyb)
boolean
C0021390 (UMLS CUI [1,1])
C0746467 (UMLS CUI [1,2])
C0281481 (UMLS CUI [2])
Current medication for IBD: Integrin Receptor Antagonists
Item
What type of medication for IBD does the patient currently take (regardless of when started)? 3=biologics - Integrin receptor antagonists (e.g. Natalizumab, Vedolizumab)
boolean
C0021390 (UMLS CUI [1,1])
C0746467 (UMLS CUI [1,2])
C2917367 (UMLS CUI [2])
Current medication for IBD: Interleukin-antagonists
Item
What type of medication for IBD does the patient currently take (regardless of when started)? 4=biologics - interleukin-antagonists (e.g. ustekinumab)
boolean
C0021390 (UMLS CUI [1,1])
C0746467 (UMLS CUI [1,2])
C3653320 (UMLS CUI [2])
Current medication: Mesalamine
Item
What type of medication for IBD does the patient currently take (regardless of when started)? 5=mesalamine (or mesalazine)
boolean
C0021390 (UMLS CUI [1,1])
C0746467 (UMLS CUI [1,2])
C0127615 (UMLS CUI [2])
Current medication: Thiopurines or Methotrexate
Item
What type of medication for IBD does the patient currently take (regardless of when started)? 6=thiopurines (e.g. azathioprine, 6-mercaptopurine) or methotrexate
boolean
C0021390 (UMLS CUI [1,1])
C0746467 (UMLS CUI [1,2])
C0597573 (UMLS CUI [2])
C0025677 (UMLS CUI [3])
Current medication: other immunomodulators
Item
What type of medication for IBD does the patient currently take (regardless of when started)? 7=other immunomodulators (e.g. mycophenylate, cyclosporine, tacrolimus)
boolean
C0021390 (UMLS CUI [1,1])
C0746467 (UMLS CUI [1,2])
C1527392 (UMLS CUI [2,1])
C0205394 (UMLS CUI [2,2])
Current medication: other
Item
What type of medication for IBD does the patient currently take (regardless of when started)? 888=others (including probiotics, cellular therapy, nutritional, symptom control)
boolean
C0021390 (UMLS CUI [1,1])
C0746467 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item
Was the patient in a colorectal cancer surveillance programme prior to their diagnosis of colorectal cancer?
integer
C4316665 (UMLS CUI [1])
Colorectal cancer surveillance programme
Code List
Was the patient in a colorectal cancer surveillance programme prior to their diagnosis of colorectal cancer?
CL Item
Yes (0)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (programme is available) (1)
C1298908 (UMLS CUI-1)
C0470187 (UMLS CUI-2)
C4316665 (UMLS CUI-3)
(Comment:en)
CL Item
No (no surveillance programme available) (2)
C1298908 (UMLS CUI-1)
C0332197 (UMLS CUI-2)
C4316665 (UMLS CUI-3)
(Comment:en)
CL Item
Unknown (999)
C0439673 (UMLS CUI-1)
(Comment:en)
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