Hospitalization | Heart failure
Item
hospitalized with admitting diagnosis of heart failure in prior 8 weeks
boolean
C0019993 (UMLS CUI [1])
C0018801 (UMLS CUI [2])
African American
Item
self-identified as african american
boolean
C0085756 (UMLS CUI [1])
Community Dwelling
Item
community-dwelling (i.e., not in a long-term care facility)
boolean
C4045975 (UMLS CUI [1])
Residence Nearby
Item
residence within a predefined radius in baltimore city
boolean
C0237096 (UMLS CUI [1,1])
C1706276 (UMLS CUI [1,2])
Working Telephone At home
Item
working telephone in their home
boolean
C0043227 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
C4534363 (UMLS CUI [1,3])
Informed Consent
Item
provide signed informed consent
boolean
C0021430 (UMLS CUI [1])
Lacking Able to speak English Language | Comprehension English Language Unable
Item
cannot speak or understand english
boolean
C0332268 (UMLS CUI [1,1])
C0564215 (UMLS CUI [1,2])
C0376245 (UMLS CUI [1,3])
C0233733 (UMLS CUI [2,1])
C0376245 (UMLS CUI [2,2])
C1299582 (UMLS CUI [2,3])
Renal Insufficiency Severe | Requirement Dialysis
Item
severe renal insufficiency requiring dialysis
boolean
C1565489 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
C1514873 (UMLS CUI [2,1])
C0011946 (UMLS CUI [2,2])
Myocardial Infarction
Item
acute myocardial infarction within preceding 30 days
boolean
C0027051 (UMLS CUI [1])
Home Care Services Heart failure | Status post Discharge
Item
receiving home care services for hf post discharge
boolean
C0019855 (UMLS CUI [1,1])
C0018801 (UMLS CUI [1,2])
C0231290 (UMLS CUI [2,1])
C0030685 (UMLS CUI [2,2])
Legally blind | Hearing Loss Major
Item
legally blind or have major hearing loss
boolean
C0682151 (UMLS CUI [1])
C3887873 (UMLS CUI [2,1])
C0205164 (UMLS CUI [2,2])
Impaired cognition Mini-Cog
Item
screen positive for cognitive impairment on the mini-cog at baseline
boolean
C0338656 (UMLS CUI [1,1])
C3496553 (UMLS CUI [1,2])
Lacking Ability to stand Scale weight
Item
unable to stand independently on a weight scale (limited ability to participate in hat system)
boolean
C0332268 (UMLS CUI [1,1])
C0560788 (UMLS CUI [1,2])
C3878937 (UMLS CUI [1,3])
Body Weight
Item
weigh more than 325 pounds (exceed scale capacity)
boolean
C0005910 (UMLS CUI [1])
Condition Serious | Patient condition is terminal | Psychotic Disorders | Malignant Neoplasms | Chemotherapy | Therapeutic radiology procedure
Item
serious or terminal condition such as psychosis or cancer (actively receiving chemo or radiation)
boolean
C0348080 (UMLS CUI [1,1])
C0205404 (UMLS CUI [1,2])
C2051439 (UMLS CUI [2])
C0033975 (UMLS CUI [3])
C0006826 (UMLS CUI [4])
C0392920 (UMLS CUI [5])
C1522449 (UMLS CUI [6])
Pregnancy
Item
pregnant
boolean
C0032961 (UMLS CUI [1])