ID
37759
Beschrijving
ICHOM Atrial Fibrillation data collection Version 1.0.0 Published: 3rd April 2019 International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ The following conditions and treatment approaches (or interventions) are covered by our Standard Set. Conditions: Atrial Fibrillation Population: An adult (≥ 18 years) diagnosed with atrial fibrillation (including symptomatic patients) Treatment approaches: Management of cardiovascular risk factors and institution of preventive therapy | Pharmacological management| Non-Pharmacological management Excluded populations: Children and Young persons below 18 years Excluded conditions: Patients diagnosed with cardiotoxic acute atrial fibrillation This document contains the Annual – Clinical Form. It has to be filled in annually after index event. Collecting Patient-Reported Outcome Measure: PROMIS Global Health. As there is an official distribution site, the questions of this questionnaire will not be included in this version of the standard set. For more information see: https://bit.ly/29aOZu9 Montreal Cognitive Assessment Test. For more information see: https://www.mocatest.org/ The Standard set of ICHOM was supported by the BigData@Heart organization.
Link
Trefwoorden
Versies (2)
- 22-08-19 22-08-19 -
- 30-04-20 30-04-20 - Sarah Riepenhausen
Houder van rechten
ICHOM
Geüploaded op
22 augustus 2019
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
ICHOM Atrial Fibrillation
Annual – Clinical Form
- StudyEvent: ODM
Beschrijving
Lifestyle interventions measured at annually
Alias
- UMLS CUI-1
- C0023676
- UMLS CUI-2
- C0184661
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinical/Admin Type: Numerical value Response Options: Numerical value of weight in kilograms or pounds
Datatype
float
Alias
- UMLS CUI [1]
- C0005910
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinical/Admin Type: Numerical value
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0005910
- UMLS CUI [1,2]
- C1519795
Beschrijving
Supporting Definition: Height and weight are used to calculate BMI Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinical/Admin Type: Numerical value Response Options: Numerical value of height in metric or imperial system
Datatype
float
Alias
- UMLS CUI [1]
- C0005890
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinical/Admin Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0005890
- UMLS CUI [1,2]
- C1519795
Beschrijving
Supporting Definition: BMI = kg/m2 or BMI = 0.45x weight in pounds / (0.025x height in inches)2 Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinical/Admin Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1305855
- UMLS CUI [1,2]
- C0683312
Beschrijving
Supporting Definition: Average minutes per week of moderate intensity physical activity performed by patient Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1513375
- UMLS CUI [1,2]
- C0556975
Beschrijving
Health status measured at annually
Alias
- UMLS CUI-1
- C0018759
- UMLS CUI-2
- C0449440
Beschrijving
Supporting Definition: The MoCA assesses several cognitive domains. The test is a one-page 30-point test administered in approximately 10 minutes. The test and administration instructions are available for clinicians online. Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer Response Options: Value out of 30
Datatype
integer
Alias
- UMLS CUI [1]
- C3496286
Beschrijving
Supporting Definition: - Paroxysmal (episode of AF that terminates spontaneously or with intervention in less than seven days) - Persistent (AF that lasts for more than seven days and requires intervention in order for cardioversion to occur) - Long-standing persistent (episodes of AF extending greater than 12 months) - Permanent (AF that will not be cardioverted or has failed cardioversion) Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0004238
- UMLS CUI [1,2]
- C0332307
Beschrijving
Supporting Definition: - Recent (less than a year) date unknown - Diagnosed at DD/MM/ YYYY - Unknown Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer Response Options: 0 = Recent, data unknown 999 = Unknown Date of diagnosis (DD/MM/YYYY)
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0004238
- UMLS CUI [1,2]
- C0872146
Beschrijving
Note: This item does not exist in the original standard set. Please fill in if you know when atrial fibrillation was diagnosed. Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer Response Options: Date by DD/MM/YYYY
Datatype
date
Maateenheden
- DD/MM/YYYY
Alias
- UMLS CUI [1,1]
- C0004238
- UMLS CUI [1,2]
- C2316983
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0004238
Beschrijving
Inclusion Criteria: If “1 = Yes” to PHARMACOTHERAPY Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0004238
- UMLS CUI [2]
- C0085826
Beschrijving
Inclusion Criteria: If “1 = Yes” to PHARMACOTHERAPY Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0004238
- UMLS CUI [2]
- C0003280
Beschrijving
Inclusion Criteria: If “1 = Yes” to PHARMATYPE2 Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0004238
- UMLS CUI [2]
- C3653316
- UMLS CUI [3]
- C0043031
Beschrijving
Inclusion Criteria: If “1 = Yes” to PHARMATYPE2 Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0004238
- UMLS CUI [2,1]
- C1947931
- UMLS CUI [2,2]
- C0354604
- UMLS CUI [3]
- C2348066
- UMLS CUI [4]
- C1739768
- UMLS CUI [5]
- C1831808
- UMLS CUI [6]
- C2975435
Beschrijving
Inclusion Criteria: If “1 = Yes” to PHARMACOTHERAPY Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0004238
- UMLS CUI [2]
- C0304516
- UMLS CUI [3]
- C0053799
Beschrijving
Inclusion Criteria: If “1 = Yes” to PHARMACOTHERAPY Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0004238
- UMLS CUI [2]
- C0006684
- UMLS CUI [3]
- C0012373
Beschrijving
Inclusion Criteria: If “1 = Yes” to PHARMACOTHERAPY Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0004238
- UMLS CUI [2]
- C0007158
- UMLS CUI [3]
- C0012265
Beschrijving
Inclusion Criteria: If “1 = Yes” to PHARMACOTHERAPY Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0004238
- UMLS CUI [2]
- C0872271
- UMLS CUI [3]
- C0016229
- UMLS CUI [4]
- C0034414
Beschrijving
Inclusion Criteria: If “1 = Yes” to PHARMACOTHERAPY Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0004238
- UMLS CUI [2]
- C0872245
- UMLS CUI [3]
- C0037707
- UMLS CUI [4]
- C0114771
Beschrijving
Inclusion Criteria: If “1 = Yes” to PHARMACOTHERAPY Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0013227
- UMLS CUI [1,3]
- C0004238
- UMLS CUI [2,1]
- C0439064
- UMLS CUI [2,2]
- C0872051
- UMLS CUI [3]
- C0002598
- UMLS CUI [4]
- C0766326
Beschrijving
Inclusion Criteria: If “1 = Yes” to PHARMACOTHERAPY Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0521116
- UMLS CUI [1,2]
- C0205394
- UMLS CUI [1,3]
- C0013227
- UMLS CUI [1,4]
- C0004238
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C2702800
Beschrijving
Inclusion Criteria: If “1 = Yes” to PROCEDURETYPE1 Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C2702800
- UMLS CUI [2]
- C3544330
Beschrijving
Inclusion Criteria: If “1 = Yes” to PROCEDURETYPE1 Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C2702800
- UMLS CUI [1,2]
- C0443246
Beschrijving
Inclusion Criteria: If “1 = Yes” to PROCEDURETYPE1 Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C2702800
- UMLS CUI [2]
- C3275044
Beschrijving
Inclusion Criteria: If “1 = Yes” to PROCEDURETYPE1 Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C2702800
- UMLS CUI [2]
- C2702801
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0004238
- UMLS CUI [2,1]
- C0547070
- UMLS CUI [2,2]
- C0543467
- UMLS CUI [2,3]
- C0397414
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0004238
- UMLS CUI [2,1]
- C0009429
- UMLS CUI [2,2]
- C0547070
- UMLS CUI [2,3]
- C0543467
- UMLS CUI [2,4]
- C0397414
- UMLS CUI [2,5]
- C2702800
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0004238
- UMLS CUI [2,1]
- C4523927
- UMLS CUI [2,2]
- C0205091
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0004238
- UMLS CUI [2,1]
- C0225860
- UMLS CUI [2,2]
- C0598782
- UMLS CUI [2,3]
- C0023690
- UMLS CUI [2,4]
- C0543467
- UMLS CUI [3,1]
- C0225860
- UMLS CUI [3,2]
- C0598782
- UMLS CUI [3,3]
- C0728940
- UMLS CUI [3,4]
- C0543467
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0004238
- UMLS CUI [2]
- C0013778
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0004238
- UMLS CUI [2]
- C1963873
Beschrijving
Inclusion Criteria: All patients Timing: Baseline, Annually Data Source: Clinician Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0004238
- UMLS CUI [2]
- C0189842
Beschrijving
Complications of treatment
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C0009566
Similar models
Annual – Clinical Form
- StudyEvent: ODM
C1442488 (UMLS CUI [1,2])
C0184661 (UMLS CUI-2)
C1519795 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C1519795 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0556975 (UMLS CUI [1,2])
C0439232 (UMLS CUI-2)
(Comment:en)
C0439232 (UMLS CUI-2)
C0547043 (UMLS CUI-3)
C4321486 (UMLS CUI-4)
C0439232 (UMLS CUI-5)
(Comment:en)
C4321486 (UMLS CUI-2)
C0439232 (UMLS CUI-3)
(Comment:en)
C0449440 (UMLS CUI-2)
C0332307 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0872146 (UMLS CUI [1,2])
C1511726 (UMLS CUI-2)
C0439673 (UMLS CUI-3)
(Comment:en)
(Comment:en)
C2316983 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C0004238 (UMLS CUI [1,3])
(Comment:en)
(Comment:en)
(Comment:en)
C0013227 (UMLS CUI [1,2])
C0004238 (UMLS CUI [1,3])
C0085826 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
C0013227 (UMLS CUI [1,2])
C0004238 (UMLS CUI [1,3])
C0003280 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
C0013227 (UMLS CUI [1,2])
C0004238 (UMLS CUI [1,3])
C3653316 (UMLS CUI [2])
C0043031 (UMLS CUI [3])
(Comment:en)
(Comment:en)
(Comment:en)
C0013227 (UMLS CUI [1,2])
C0004238 (UMLS CUI [1,3])
C1947931 (UMLS CUI [2,1])
C0354604 (UMLS CUI [2,2])
C2348066 (UMLS CUI [3])
C1739768 (UMLS CUI [4])
C1831808 (UMLS CUI [5])
C2975435 (UMLS CUI [6])
(Comment:en)
(Comment:en)
(Comment:en)
C0013227 (UMLS CUI [1,2])
C0004238 (UMLS CUI [1,3])
C0304516 (UMLS CUI [2])
C0053799 (UMLS CUI [3])
(Comment:en)
(Comment:en)
(Comment:en)
C0013227 (UMLS CUI [1,2])
C0004238 (UMLS CUI [1,3])
C0006684 (UMLS CUI [2])
C0012373 (UMLS CUI [3])
(Comment:en)
(Comment:en)
(Comment:en)
C0013227 (UMLS CUI [1,2])
C0004238 (UMLS CUI [1,3])
C0007158 (UMLS CUI [2])
C0012265 (UMLS CUI [3])
(Comment:en)
(Comment:en)
(Comment:en)
C0013227 (UMLS CUI [1,2])
C0004238 (UMLS CUI [1,3])
C0872271 (UMLS CUI [2])
C0016229 (UMLS CUI [3])
C0034414 (UMLS CUI [4])
(Comment:en)
(Comment:en)
(Comment:en)
C0013227 (UMLS CUI [1,2])
C0004238 (UMLS CUI [1,3])
C0872245 (UMLS CUI [2])
C0037707 (UMLS CUI [3])
C0114771 (UMLS CUI [4])
(Comment:en)
(Comment:en)
(Comment:en)
C0013227 (UMLS CUI [1,2])
C0004238 (UMLS CUI [1,3])
C0439064 (UMLS CUI [2,1])
C0872051 (UMLS CUI [2,2])
C0002598 (UMLS CUI [3])
C0766326 (UMLS CUI [4])
(Comment:en)
(Comment:en)
(Comment:en)
C0205394 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0004238 (UMLS CUI [1,4])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C3544330 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
C0443246 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C3275044 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
C2702801 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
C0547070 (UMLS CUI [2,1])
C0543467 (UMLS CUI [2,2])
C0397414 (UMLS CUI [2,3])
(Comment:en)
(Comment:en)
(Comment:en)
C0009429 (UMLS CUI [2,1])
C0547070 (UMLS CUI [2,2])
C0543467 (UMLS CUI [2,3])
C0397414 (UMLS CUI [2,4])
C2702800 (UMLS CUI [2,5])
(Comment:en)
(Comment:en)
(Comment:en)
C4523927 (UMLS CUI [2,1])
C0205091 (UMLS CUI [2,2])
(Comment:en)
(Comment:en)
(Comment:en)
C0225860 (UMLS CUI [2,1])
C0598782 (UMLS CUI [2,2])
C0023690 (UMLS CUI [2,3])
C0543467 (UMLS CUI [2,4])
C0225860 (UMLS CUI [3,1])
C0598782 (UMLS CUI [3,2])
C0728940 (UMLS CUI [3,3])
C0543467 (UMLS CUI [3,4])
(Comment:en)
(Comment:en)
(Comment:en)
C0013778 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
C1963873 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
C0189842 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
C0009566 (UMLS CUI-2)
(Comment:en)
(Comment:en)