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Baseline and Annual Clinical/Provider form

1 forms  
Administrative documentation
Description

Administrative documentation

Alias
UMLS CUI-1
C1320722
Patient ID
Description

Patient ID

Data type

text

Alias
UMLS CUI [1]
C2348585
Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
Description

This Item does not exist in the original standard set, instead it is asked to do the following: Please timestamp all variables. Some Standard Set variables are collected at multiple timepoints, and we will ask you to submit these variables in a concatenated VARIABLEID_TIMESTAMP form for future analyses. For example, VARIABLEID_BASE (baseline); VARIABLEID_6MO (6 month follow-up); VARIABLEID_1YR (1 year follow-up), etc.

Data type

text

Alias
UMLS CUI [1,1]
C0439564
UMLS CUI [1,2]
C1442488
Clinical Factors
Description

Clinical Factors

Alias
UMLS CUI-1
C0449440
What is the patient’s most recent systolic blood pressure from the past 12 months?
Description

Inclusion: All patients Timing: Health individuals: Baseline/Annually Patients with comorbid conditions: Align timepoints with timepoints in condition Standard set Reporting Source: Clinician/Admin Type: Numerical In order to allow the input of multiple variables this item was split up. The original OID of this item was BLOODPRESSURE.

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1,1]
C1513491
UMLS CUI [1,2]
C0871470
UMLS CUI [1,3]
C4086728
mmHg
What are the patients most recent diastolic blood pressure from the past 12 months?
Description

Inclusion: All patients Timing: Health individuals: Baseline/Annually Patients with comorbid conditions: Align timepoints with timepoints in condition Standard set Reporting Source: Clinician/Admin Type: Numerical In order to allow the input of multiple variables this item was split up. The original OID of this item was BLOODPRESSURE.

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1,1]
C1513491
UMLS CUI [1,2]
C0428883
UMLS CUI [1,3]
C4086728
mmHg
Body mass index ranges
Description

Supporting definition: BMI = kg/m2 or BMI = 0.45x weight in pounds / (0.025x height in inches)2 Inclusion: All patients Timing: Health individuals: Baseline/Annually Patients with comorbid conditions: Align timepoints with timepoints in condition Standard set Reporting Source: Clinician/Admin Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C1305855
Sex, age, smoking status, blood pressure cholesterol, diabetes status: Total Cholesterol
Description

Inclusion: All patients Timing: Health individuals: Baseline/Annually Patients with comorbid conditions: Align timepoints with timepoints in condition Standard set Reporting Source: Clinician/Admin Type: Numerical value In order to allow the input of multiple variables this item was split into the following: Total Cholesterol, HDL, Diabetes status, sex, age and smoking status. The original OID of this item was CARDIOVASCULAR.

Data type

float

Alias
UMLS CUI [1]
C1445957
Sex, age, smoking status, blood pressure cholesterol, diabetes status: HDL
Description

Inclusion: All patients Timing: Health individuals: Baseline/Annually Patients with comorbid conditions: Align timepoints with timepoints in condition Standard set Reporting Source: Clinician/Admin Type: Numerical value In order to allow the input of multiple variables this item was split into the following: Total Cholesterol, HDL, Diabetes status, sex, age and smoking status. The original OID of this item was CARDIOVASCULAR.

Data type

float

Alias
UMLS CUI [1]
C0428472
Sex, age, smoking status, blood pressure cholesterol, diabetes status: Diabetes status
Description

Inclusion: All patients Timing: Health individuals: Baseline/Annually Patients with comorbid conditions: Align timepoints with timepoints in condition Standard set Reporting Source: Clinician/Admin Type: Numerical value In order to allow the input of multiple variables this item was split into the following: Total Cholesterol, HDL, Diabetes status, sex, age and smoking status. The original OID of this item was CARDIOVASCULAR.

Data type

text

Alias
UMLS CUI [1]
C0011849
Sex, age, smoking status, blood pressure, cholesterol, diabetes status: Sex
Description

Inclusion: All patients Timing: Health individuals: Baseline/Annually Patients with comorbid conditions: Align timepoints with timepoints in condition Standard set Reporting Source: Clinician/Admin Type: Numerical value In order to allow the input of multiple variables this item was split into the following: Total Cholesterol, HDL, Diabetes status, sex, age and smoking status. The original OID of this item was CARDIOVASCULAR.

Data type

text

Alias
UMLS CUI [1]
C0079399
Sex, age, smoking status, blood pressure cholesterol, diabetes status: Age
Description

Inclusion: All patients Timing: Health individuals: Baseline/Annually Patients with comorbid conditions: Align timepoints with timepoints in condition Standard set Reporting Source: Clinician/Admin Type: Numerical value In order to allow the input of multiple variables this item was split into the following: Total Cholesterol, HDL, Diabetes status, sex, age and smoking status. The original OID of this item was CARDIOVASCULAR.

Data type

integer

Alias
UMLS CUI [1]
C0001779
Sex, age, smoking status, blood pressure cholesterol, diabetes status: Smoking status
Description

Inclusion: All patients Timing: Health individuals: Baseline/Annually Patients with comorbid conditions: Align timepoints with timepoints in condition Standard set Reporting Source: Clinician/Admin Type: Numerical value In order to allow the input of multiple variables this item was split into the following: Total Cholesterol, HDL, Diabetes status, sex, age and smoking status. The original OID of this item was CARDIOVASCULAR.

Data type

text

Alias
UMLS CUI [1]
C1519386
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Similar models

Baseline and Annual Clinical/Provider form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative documentation
C1320722 (UMLS CUI-1)
Patient ID
Item
Patient ID
text
C2348585 (UMLS CUI [1])
Time Relative to Baseline
Item
Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
text
C0439564 (UMLS CUI [1,1])
C1442488 (UMLS CUI [1,2])
Item Group
Clinical Factors
C0449440 (UMLS CUI-1)
Blood Pressure - systolic
Item
What is the patient’s most recent systolic blood pressure from the past 12 months?
integer
C1513491 (UMLS CUI [1,1])
C0871470 (UMLS CUI [1,2])
C4086728 (UMLS CUI [1,3])
Blood Pressure - diastolic
Item
What are the patients most recent diastolic blood pressure from the past 12 months?
integer
C1513491 (UMLS CUI [1,1])
C0428883 (UMLS CUI [1,2])
C4086728 (UMLS CUI [1,3])
Item
Body mass index ranges
integer
C1305855 (UMLS CUI [1])
BMI
Code List
Body mass index ranges
CL Item
<18.5 Underweight  (1)
C0041667 (UMLS CUI-1)
C1305855 (UMLS CUI-2)
(Comment:en)
CL Item
18.5 – 24.9 Normal weight  (2)
C2712185 (UMLS CUI-1)
C1305855 (UMLS CUI-2)
(Comment:en)
CL Item
25-29.9 Pre-obesity  (3)
C1305855 (UMLS CUI-1)
C0028754 (UMLS CUI-2)
(Comment:en)
CL Item
>30.0 Obesity (4)
C0028754 (UMLS CUI-1)
C1305855 (UMLS CUI-2)
(Comment:en)
Cholesterol
Item
Sex, age, smoking status, blood pressure cholesterol, diabetes status: Total Cholesterol
float
C1445957 (UMLS CUI [1])
HDL
Item
Sex, age, smoking status, blood pressure cholesterol, diabetes status: HDL
float
C0428472 (UMLS CUI [1])
Diabetes Status
Item
Sex, age, smoking status, blood pressure cholesterol, diabetes status: Diabetes status
text
C0011849 (UMLS CUI [1])
Sex
Item
Sex, age, smoking status, blood pressure, cholesterol, diabetes status: Sex
text
C0079399 (UMLS CUI [1])
Age
Item
Sex, age, smoking status, blood pressure cholesterol, diabetes status: Age
integer
C0001779 (UMLS CUI [1])
Smoking status
Item
Sex, age, smoking status, blood pressure cholesterol, diabetes status: Smoking status
text
C1519386 (UMLS CUI [1])
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