ID
40600
Beskrivning
ICHOM Hypertension in low- and middle-income countries data collection Version 1.0.0 Revised: November 3rd, 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. The following condition and treatment approaches (or interventions) are covered by our Standard Set. Condition: Hypertension (ICD-10: I10) Treatment Approaches: Pharmacological and Non-Pharmacological Collecting Patient-Reported Outcome Measures: Survey Used: EuroQol-5D-3L (EQ-5D-3L). As a licence is needed for use of EQ-5D-3L questionnaires, the actual questions are not part of this version of the standard set. For licensing information see: https://euroqol.org/support/how-to-obtain-eq-5d/ This document contains the Baseline - Clinical Form. It has to be filled in for patient's entry into study. PROMIS Single Question on erectile Dysfunction. Free for use in clinical practice. As http://www.nihpromis.org/ is the official distribution site for PROMIS questionnaires and translations, only the total score will be included in this version of the standard set. Beliefs about Medication Questionnaire (BMQ)-Specific: Copyrighted, permission to use the scale can be obtained from Professor Rob Horne’s research team. The scoring guide can be found in the original validation article: Horne et al. (1999) The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology & Health, 14:1. Hill-Bone Compliance to High Blood Pressure Therapy Scale - South Africa Version: Permission to use the scale can be obtained from Estelle V. Lambert’s research team, The scoring guide can be found in the original validation article: Lambert, E.V. et al. (2006) Cross-Cultural Validation of the Hill-Bone Compliance To High Blood Pressure Therapy Scale in a South African, Primary Healthcare Setting. Ethnicity and Disease, 16. WHO STEPS Instrument. Free for use in clinical practice and a license is not required. http://www.who.int/chp/steps/instrument/en/ International Physical Activity Questionnaire(IPAQ)-Short Form: Publically available, open access, and no permissions are required to use it. https://sites.google.com/site/theipaq/ Alternative Quality of Life Surveys: PROMIS Global-10 Free for use in clinical practice. As http://www.nihpromis.org/ is the official distribution site for PROMIS questionnaires and translations, only the total score will be included in this version of the standard set. Veteran’s Rand 12-Item Health Survey (VR-12). Free for all health care organizations, license required and can be requested at: http://bit.ly/2ir84sG. As a license is needed, the actual questions are not part of this version of the standard set. 12-Item Short Form Survey (SF-12). As a license is needed for use of SF-12 questionaires, the actual questions are not part of this version of the standard set. For more information see: http://bit.ly/2AcNLrme This Standard set was supported by the Novartis Foundation. Publication: Zack R, Okunade O, Olson E, et al. Improving Hypertension Outcome Measurement in Low- and Middle-Income Countries. Hypertension. 2019;73:990–997. doi: 10.1161/HYPERTENSIONAHA.118.11916 For this version of the standard set, semantic annotation with UMLS CUIs has been added.
Länk
Nyckelord
Versioner (2)
- 2019-06-04 2019-06-04 -
- 2020-04-30 2020-04-30 - Sarah Riepenhausen
Rättsinnehavare
ICHOM
Uppladdad den
30 april 2020
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 4.0
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
ICHOM Hypertension in low- and middle-income countries
Baseline - Clinical Form
- StudyEvent: ODM
Beskrivning
Demographic factors
Beskrivning
Inclusion Criteria: All patients Timing: Baseline Reporting Source: Administratively‐reported or clinician-reported Type: Date by DD/MM/YYYY Response Options: DD/MM/YYYY
Datatyp
date
Måttenheter
- DD/MM/YYYY
Alias
- UMLS CUI [1]
- C0001779
- UMLS CUI [2]
- C0421451
Beskrivning
Inclusion Criteria: All patients Timing: Baseline Reporting Source: Administratively-reported or clinician-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C0079399
Beskrivning
Clinical Factors
Beskrivning
Inclusion Criteria: All patients Timing: Baseline and annually until positive diagnosis of diabetes Reporting Source: Clinician-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0011849
- UMLS CUI [2,1]
- C0011849
- UMLS CUI [2,2]
- C1518321
Beskrivning
Supporting Definition: Fasting plasma glucose value in mg/dL or mmol/L Inclusion Criteria: Optional Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Numerical Response Options: N/A
Datatyp
float
Alias
- UMLS CUI [1]
- C0583513
Beskrivning
Inclusion Criteria: If fasting plasma glucose value is provided Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0583513
- UMLS CUI [1,2]
- C1519795
Beskrivning
Supporting Definition: Height and weight are used to calculate BMI Inclusion Criteria: All patients Timing: Baseline Reporting Source: Clinician‐reported Type: Numerical Response Options: Numerical value
Datatyp
float
Alias
- UMLS CUI [1]
- C0005890
Beskrivning
Inclusion Criteria: All patients Timing: Baseline Reporting Source: Clinician‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0005890
- UMLS CUI [1,2]
- C1519795
Beskrivning
Supporting Definition: Height and weight are used to calculate BMI Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-reported Type: Numerical Response Options: Numerical value
Datatyp
float
Alias
- UMLS CUI [1]
- C0005910
Beskrivning
Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0005910
- UMLS CUI [1,2]
- C1519795
Beskrivning
Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C0585943
Beskrivning
Inclusion Criteria: If answered 1 to LIPIDLOW Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0585943
- UMLS CUI [1,2]
- C2348235
Beskrivning
Inclusion Criteria: Optional Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C0201976
Beskrivning
Supporting Definition: Please provide the most recent value Inclusion Criteria: If responded "yes" to CREADONE Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Numerical, enter "000" if unknown Response Options: Numerical value
Datatyp
float
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C1274040
Beskrivning
Inclusion Criteria: If value for creatinine is provided Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C1519795
Beskrivning
Inclusion Criteria: If value for creatinine is provided Timing: Baseline and annually Reporting Source: Clinician-reported/administratively‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C0006751
- UMLS CUI [1,3]
- C3274766
Beskrivning
Treatment variables
Alias
- UMLS CUI-1
- C0087111
Beskrivning
Supporting Definition: Non‐pharmacological management includes lifestyle interventions, exercise, diet and other non-pharmacological approaches. Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0449445
Beskrivning
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0003015
- UMLS CUI [3]
- C0521942
Beskrivning
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0001641
Beskrivning
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0001645
Beskrivning
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0354100
Beskrivning
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0012802
Beskrivning
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0006684
Beskrivning
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0205394
Beskrivning
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0439673
Beskrivning
Survival, disease control and cardiovascular complications
Alias
- UMLS CUI-1
- C1148433
- UMLS CUI-2
- C0012634
- UMLS CUI-3
- C0243148
- UMLS CUI-4
- C0007226
- UMLS CUI-5
- C0009566
Beskrivning
Inclusion Criteria: All patients Timing: Minimum annually (included here as it is a factor of disease control (due to the timeline information in the reference guide obtainable from ICHOM.org)) Reporting Source: Clinician‐reported Type: Numerical Response Options: Numerical value
Datatyp
integer
Måttenheter
- mmHg
Alias
- UMLS CUI [1]
- C0871470
Beskrivning
Inclusion Criteria: All patients Timing: Minimum annually (included here as it is a factor of disease control (due to the timeline information in the reference guide obtainable from ICHOM.org)) Reporting Source: Clinician‐reported Type: Numerical Response Options: Numerical value
Datatyp
integer
Måttenheter
- mmHg
Alias
- UMLS CUI [1]
- C0428883
Beskrivning
Supporting Definition: Renal disease (ICD10: I12 Hypertensive renal disease incl. any condition in N00-‐ N07, N18.-‐, N19 or N26 due to hypertension) (Please ensure that other causes of proteinuria, such as urinary tract infection, have been ruled out) Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C1561643
- UMLS CUI [2]
- C0033687
Beskrivning
Inclusion Criteria: If "yes" to CKD Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0033687
- UMLS CUI [1,2]
- C3887511
Beskrivning
Inclusion Criteria: If responded "1" or "2" to PROTEINEVID Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single response
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1274040
- UMLS CUI [1,2]
- C1160927
Beskrivning
Inclusion Criteria: If responded "3" to PROTEINEVID Timing: Baseline and annually Reporting Source: Clinician-reported Type: Numerical Response Options: Numerical value
Datatyp
float
Alias
- UMLS CUI [1,1]
- C0455271
- UMLS CUI [1,2]
- C2826772
Beskrivning
Inclusion Criteria: If ACR value provided Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0455271
- UMLS CUI [1,2]
- C1519795
Similar models
Baseline - Clinical Form
- StudyEvent: ODM
C0421451 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
C0011849 (UMLS CUI [1,2])
C0011849 (UMLS CUI [2,1])
C1518321 (UMLS CUI [2,2])
(Comment:en)
(Comment:en)
(Comment:en)
C1519795 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C1519795 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C1519795 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C2348235 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C1274040 (UMLS CUI [1,2])
C1519795 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C0006751 (UMLS CUI [1,2])
C3274766 (UMLS CUI [1,3])
(Comment:en)
(Comment:en)
(Comment:en)
C0449445 (UMLS CUI [1,2])
C0013216 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0596463 (UMLS CUI [1,2])
C0003015 (UMLS CUI [2])
C0521942 (UMLS CUI [3])
C0596463 (UMLS CUI [1,2])
C0001641 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0001645 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0354100 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0012802 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0006684 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0205394 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0439673 (UMLS CUI [2])
C0012634 (UMLS CUI-2)
C0243148 (UMLS CUI-3)
C0007226 (UMLS CUI-4)
C0009566 (UMLS CUI-5)
C0033687 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
C3887511 (UMLS CUI [1,2])
C2911685 (UMLS CUI-2)
C0175674 (UMLS CUI-3)
(Comment:en)
C2911685 (UMLS CUI-2)
C0022885 (UMLS CUI-3)
(Comment:en)
(Comment:en)
C1160927 (UMLS CUI [1,2])
C1446409 (UMLS CUI-2)
C0205447 (UMLS CUI-3)
(Comment:en)
C1446409 (UMLS CUI-2)
C0205448 (UMLS CUI-3)
(Comment:en)
C1446409 (UMLS CUI-2)
C0205449 (UMLS CUI-3)
(Comment:en)
C1254595 (UMLS CUI-2)
(Comment:en)
C2826772 (UMLS CUI [1,2])
C1519795 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)