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Baseline - Administrative-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
Demographic factors
Description

Demographic factors

Alias
UMLS CUI-1
C1704791
Indicate the patient's age at first encounter with team
Description

SUPPORTING DEFINITION: Recorded in months at 24 months and younger. Recorded in years if older than 24 months INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Administrative data TYPE: Numerical value

Data type

integer

Alias
UMLS CUI [1,1]
C0001779
UMLS CUI [1,2]
C1514821
Unit of Age
Description

Note: This Item does not exist in the original standard set. It can be filled in additionally to the item "FIRSTENC". SUPPORTING DEFINITION: Recorded in months at 24 months and younger. Recorded in years if older than 24 months INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Administrative data TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0001779
UMLS CUI [1,2]
C1519795
Geographic location where the patient resides, specified by country and country specific postal code.
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and ongoing REPORTING SOURCE: Administrative data TYPE: Alphanumeric value

Data type

text

Alias
UMLS CUI [1]
C0237096
Other
Description

Other

Alias
UMLS CUI-1
C0205394
Indicate the patient’s insurance status
Description

INCLUSION CRITERIA: All patients TIMING: Baseline and ongoing REPORTING SOURCE: Administrative data TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C1548070
Specify the distance in km from treatment team
Description

SUPPORTING DEFINITION: Calculated from residence and hospital location INCLUSION CRITERIA: All patients TIMING: Baseline and ongoing REPORTING SOURCE: Administrative data TYPE: Numerical value RESPONSE OPTIONS: Numerical value of distance in km

Data type

integer

Measurement units
  • km
Alias
UMLS CUI [1,1]
C0012751
UMLS CUI [1,2]
C0019994
UMLS CUI [1,3]
C0237096
km
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Similar models

Baseline - Administrative-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])
Item Group
Demographic factors
C1704791 (UMLS CUI-1)
Age at first encounter with team
Item
Indicate the patient's age at first encounter with team
integer
C0001779 (UMLS CUI [1,1])
C1514821 (UMLS CUI [1,2])
Item
Unit of Age
integer
C0001779 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
Unit of Age
Code List
Unit of Age
CL Item
month (1)
C0439231 (UMLS CUI-1)
(Comment:en)
CL Item
year (2)
C0439234 (UMLS CUI-1)
(Comment:en)
Residence
Item
Geographic location where the patient resides, specified by country and country specific postal code.
text
C0237096 (UMLS CUI [1])
Item Group
Other
C0205394 (UMLS CUI-1)
Item
Indicate the patient’s insurance status
integer
C1548070 (UMLS CUI [1])
Lost to follow-up (perioperative)
Code List
Indicate the patient’s insurance status
CL Item
Uninsured (0)
C0087134 (UMLS CUI-1)
(Comment:en)
CL Item
Private insurance (1)
C3845555 (UMLS CUI-1)
(Comment:en)
CL Item
Governmental insurance (2)
C0021682 (UMLS CUI-1)
(Comment:en)
Distance from treatment team
Item
Specify the distance in km from treatment team
integer
C0012751 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
C0237096 (UMLS CUI [1,3])
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