ID
40565
Beschrijving
CORONARY ARTERY DISEASE DATA COLLECTION Version 2.0.3 Revised: April 5th, 2017 International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ Notice: This work was conducted using resources from ICHOM, the International Consortium for Health Outcomes Measurement (www.ICHOM.org). The content is solely the responsibility of the authors and does not necessarily represent the official views of ICHOM. Conditions: Asymptomatic Coronary Artery Disease | Stable Angina | Acute Coronary Syndrome (Includes AMI) Treatment Approaches: Lifestyle Modification | Drug Therapy | Percutaneous Coronary Intervention (PCI) | Coronary Artery Bypass Grafting (CABG) This form contains baseline clinical items. Some of the items may additionally be reported from administrative sources. It may be filled out in an outpatient setting in case of diagnosis of a stable angina or at diagnosis in an inpatient setting. Questionnaires used in this standard set: Rose Dyspnea Scale: The Rose Dyspnea Scale is free for all health care organizations, and a license is not needed. More information may be found at http://www.ahjonline.com/article/S0002-8703(09)00266-X/abstract Patient Health Questionnaire (PHQ-2): The PHQ-2 is free for all health care organizations, and a license is not needed. Copyright Pfizer, more Information on http://www.phqscreeners.com/ Seattle Angina Questionnaire (SAQ-7): Due to the need for a license for use of the SAQ-7 the actual questions of SAQ-7 will not be part of this version of the standard set. Publication: McNamara RL, Spatz ES, Kelley TA, et al. Standardized Outcome Measurement for Patients With Coronary Artery Disease: Consensus From the International Consortium for Health Outcomes Measurement (ICHOM). J Am Heart Assoc. 2015;4(5):e001767. Published 2015 May 19. doi:10.1161/JAHA.115.001767 For this version of the standard set, semantic annotation with UMLS CUIs has been added.
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Versies (7)
- 27-11-17 27-11-17 -
- 27-11-17 27-11-17 -
- 04-12-17 04-12-17 -
- 07-12-17 07-12-17 -
- 08-12-17 08-12-17 -
- 22-11-18 22-11-18 - Sarah Riepenhausen
- 30-04-20 30-04-20 - Sarah Riepenhausen
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ICHOM
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30 april 2020
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Creative Commons BY-NC 4.0
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ICHOM Coronary Artery Disease
Baseline Clinical Form
- StudyEvent: ODM
Beschrijving
Demographic factors
Alias
- UMLS CUI-1
- C1704791
Beschrijving
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Patient-reported, clinical, or administrative data TYPE: Date by DD/MM/YYYY
Datatype
date
Maateenheden
- DD/MM/YYYY
Alias
- UMLS CUI [1]
- C0001779
- UMLS CUI [2]
- C0421451
Beschrijving
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Patient-reported, clinical, or administrative data TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0079399
Beschrijving
Baseline health status
Alias
- UMLS CUI-1
- C1442488
- UMLS CUI-2
- C0449440
Beschrijving
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0027051
Beschrijving
Heart failure is defined as physician documentation or report of any of the following clinical symptoms of heart failure described as unusual dyspnea on light exertion, recurrent dyspnea occurring in the supine position, fluid retention; or the description of rales, jugular venous distension, pulmonary edema on physical exam, or pulmonary edema on chest x-ray presumed to be cardiac dysfunction. A low ejection fraction alone, without clinical evidence of heart failure does not qualify as heart failure INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0018802
Beschrijving
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0020538
Beschrijving
Stroke is defined as any confirmed neurological deficit of abrupt onset caused by a disturbance in blood supply to the brain that did not resolve within 24 hours INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0038454
Beschrijving
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0011849
Beschrijving
INCLUSION CRITERIA: All patients, If answered 'yes' to patient having a documented history of diabetes mellitus (DIAB) TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0011854
Beschrijving
Includes upper and lower extremity, renal, mesenteric, and abdominal aortic systems evidenced by a documented history of 1. Peripheral arterial disease and/or 2. Claudication, either with exertion or at rest, and/or 3. Amputation for arterial vascular insufficiency, and/or 4. Vascular reconstruction, bypass surgery, or percutaneous intervention to the extremities (excluding dialysis fistulas and vein stripping), and/or 5. Documented aortic aneurysm with or without repair. Peripheral arterial disease excludes disease in the carotid or cerebrovascular arteries INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C1881056
Beschrijving
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0524376
Beschrijving
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical TYPE: Numerical value RESPONSE OPTIONS: Absolute numerical value of baseline creatinine level (include units)
Datatype
float
Alias
- UMLS CUI [1]
- C0201975
Beschrijving
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0201975
- UMLS CUI [1,2]
- C1519795
Beschrijving
Including but not limited to COPD and asthma INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C1533075
Beschrijving
INCLUSION CRITERIA: All patients, If answered 'yes' to patient having a chronic lung disease (CHRONLD) TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0030054
- UMLS CUI [1,3]
- C0439857
Beschrijving
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0023890
Beschrijving
Including but not limited to, Alzheimer’s disease, vascular dementia, lewy body dementia and frontotemporal dementia INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical (Where possible, we also recommend the collection of comorbidities via administrative data to allow for comparisons in coverage and validity.) TYPE: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0497327
Beschrijving
INCLUSION CRITERIA: ACS patients, PCI and CABG patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical TYPE: Numerical value (Originial Version same question and response options as item PRECREATUNIT)
Datatype
float
Alias
- UMLS CUI [1]
- C0201976
Beschrijving
INCLUSION CRITERIA: All patients TIMING: At time of diagnosis REPORTING SOURCE: Clinical TYPE: Single Answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C1519795
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