ID
40656
Description
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/ 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 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 6-month - Clinical/Provider Form. It has to be filled in at the 6 month timepoints between the annually form. 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 Alternatively Optum SF-12, AFEQT, AFSS or WPAI:GH may be used. Montreal Cognitive Assessment Test. For more information see: https://www.mocatest.org/ The Standard set of ICHOM was supported by the BigData@Heart organization. Publication: Seligman WH, Das-Gupta Z, Jobi-Odeneye AO, Arbelo E, Banerjee A, Bollmann A, et al. Development of an international standard set of outcome measures for patients with atrial fibrillation: a report of the International Consortium for Health Outcomes Measurement (ICHOM) atrial fibrillation working group. Eur Heart J. 2020 Jan 29; 10.1093/eurheartj/ehz871 For this version of the standard set, semantic annotation with UMLS CUIs has been added.
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Keywords
Versions (3)
- 8/21/19 8/21/19 -
- 8/21/19 8/21/19 -
- 4/30/20 4/30/20 - Sarah Riepenhausen
Copyright Holder
ICHOM
Uploaded on
April 30, 2020
DOI
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License
Creative Commons BY-NC 4.0
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ICHOM Atrial Fibrillation
6-month - Clinical/Provider Form
- StudyEvent: ODM
Description
Long-term consequences of disease
Alias
- UMLS CUI-1
- C0443252
- UMLS CUI-2
- C0686907
- UMLS CUI-3
- C0012634
Description
Inclusion Criteria: If ‘1 = Yes’ to ANTICOAG Timing: 6 months Data Source: Clinical Type: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C1522577
- UMLS CUI [1,2]
- C0003281
- UMLS CUI [1,3]
- C0443172
Description
Inclusion Criteria: If ‘1 = Yes’ to ANTICOAGCHANGE Timing: 6-months Data Source: Clinical Type: Single answer Response Options: DD/MM/YYY
Data type
date
Measurement units
- DD/MM/YYY
Alias
- UMLS CUI [1,1]
- C1522577
- UMLS CUI [1,2]
- C0003281
- UMLS CUI [1,3]
- C0808070
Description
Inclusion Criteria: If ‘2 = Yes, the patient stopped taking the therapy’ to ANTICOAGCHANGE Timing: 6 months Data Source: Clinical Type: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C1522577
- UMLS CUI [1,2]
- C1298908
- UMLS CUI [1,3]
- C0003281
Description
Note: This item does not exist in the original standard set. It can be filled in if you tick "Other" in the item "NOANTICOAGFU" Inclusion Criteria: If Other reason for no anticoagulation therapy Timing: 6 months Data Source: Clinical Type: Single answer
Data type
text
Alias
- UMLS CUI [1,1]
- C3840932
- UMLS CUI [1,2]
- C1298908
- UMLS CUI [1,3]
- C0003281
- UMLS CUI [1,4]
- C2348235
Description
Complications of treatment
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C0009566
Description
Inclusion Criteria: If ‘1 = Yes’ to MEDSEDISCONT Timing: Baseline, 6 monthly Data Source: Clinical Type: Multiple answer
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0558681
- UMLS CUI [1,2]
- C1704311
Description
Inclusion Criteria: If ‘1 = Yes’ to MEDSEDISCONT Timing: Baseline, 6 monthly Data Source: Clinical Type: Multiple answer
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0558681
- UMLS CUI [1,2]
- C0003281
Description
Inclusion Criteria: If ‘1 = Yes’ to MEDSEDISCONT Timing: Baseline, 6 monthly Data Source: Clinical Type: Multiple answer
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0558681
- UMLS CUI [1,2]
- C1096021
Description
Inclusion Criteria: If ‘1 = Yes’ to MEDSEDISCONT Timing: Baseline, 6 monthly Data Source: Clinical Type: Multiple answer
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0558681
- UMLS CUI [1,2]
- C0871269
- UMLS CUI [1,3]
- C2587213
Description
Inclusion Criteria: If ‘1 = Yes’ to MEDSEDISCONT Timing: Baseline, 6 monthly Data Source: Clinical Type: Multiple answer
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0558681
- UMLS CUI [1,2]
- C0018810
- UMLS CUI [1,3]
- C2587213
Description
Inclusion Criteria: If ‘1 = Yes’ to MEDSEDISCONT Timing: Baseline, 6 monthly Data Source: Clinical Type: Multiple answer
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0558681
- UMLS CUI [1,2]
- C0205394
Description
Inclusion Criteria: If ‘1 = Yes’ to MEDSEDISCONT Timing: Baseline, 6 monthly Data Source: Clinical Type: Multiple answer
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0558681
- UMLS CUI [1,2]
- C0439673
Description
Note: This item does not exist in the original standard set. It can be filled in if you tick "MEDCLASS_6". Inclusion Criteria: If you tick "MEDCLASS_6" Timing: Baseline, 6 monthly Data Source: Clinical Type: Free text
Data type
text
Alias
- UMLS CUI [1,1]
- C0558681
- UMLS CUI [1,2]
- C0205394
- UMLS CUI [1,3]
- C2348235
Similar models
6-month - Clinical/Provider Form
- StudyEvent: ODM
C1442488 (UMLS CUI [1,2])
C0686907 (UMLS CUI-2)
C0012634 (UMLS CUI-3)
C0003281 (UMLS CUI [1,2])
C0443172 (UMLS CUI [1,3])
(Comment:en)
C0087111 (UMLS CUI-2)
C0439659 (UMLS CUI-3)
(Comment:en)
C0087111 (UMLS CUI-2)
C2746065 (UMLS CUI-3)
(Comment:en)
C0003281 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
C1298908 (UMLS CUI [1,2])
C0003281 (UMLS CUI [1,3])
C1548788 (UMLS CUI-2)
C0003280 (UMLS CUI-3)
C0086387 (UMLS CUI-4)
(Comment:en)
C1548788 (UMLS CUI-2)
C0003280 (UMLS CUI-3)
C0035647 (UMLS CUI-4)
(Comment:en)
(Comment:en)
C1522577 (UMLS CUI-2)
C0686905 (UMLS CUI-3)
C0030695 (UMLS CUI-4)
C1522577 (UMLS CUI-5)
C0686905 (UMLS CUI-6)
(Comment:en)
(Comment:en)
C1806781 (UMLS CUI-2)
(Comment:en)
C0021682 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C1298908 (UMLS CUI [1,2])
C0003281 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
C0009566 (UMLS CUI-2)
C1704311 (UMLS CUI [1,2])
C0003281 (UMLS CUI [1,2])
C1096021 (UMLS CUI [1,2])
C0871269 (UMLS CUI [1,2])
C2587213 (UMLS CUI [1,3])
C0018810 (UMLS CUI [1,2])
C2587213 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])