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41361

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ICHOM Overall Adult Health data collection Version 1.0.0 Date (downloaded on 1st April 2020) 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. For Overall Adult Health, the following conditions and treatment approaches (or interventions) are covered by our Standard Set. Population: An adult (≥ 18 years) who is healthy, has well-controlled disease, or has poorly-controlled disease Excluded populations: Pediatrics (< 18 years) This document contains the Baseline and Annual Clinical/Provider form. Collecting Patient-Reported Outcome Measures: WHO (Five) Wellbeing Index (WHO5). The WHO-5 is free of charge and does not require permission to use. The scoring guide is only available upon a license agreement being made. PROMIS Scale V1.2 Global Health: As there is an official distribution site, this questionnaire will not be included in this version of the standard set. For more information see: http://www.healthmeasures.net/exploremeasurement-systems/promis/obtain-administer-measures WHO Disability Assessment Schedule 2.0 (WHO-DAS 12): As there is a license needed for use of this questionnaire, only the total score will be included in this version of the standard set. For more information see: https://www.who.int/classifications/icf/whodasii/en/ ICHOM was supported for this standard set by NSW Agency for Clinical Innovation, HCF Research Foundation, Providence St. Joseph Health and NHS Wales. For this version of the standard set, semantic annotation with UMLS CUIs has been added.

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http://www.ichom.org/

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Versioner (2)
  1. 2020-09-09 2020-09-09 -
  2. 2020-12-04 2020-12-04 - Sarah Riepenhausen
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ICHOM

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9 september 2020

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    ICHOM Overall Adult Health Data Collection

    Engelsk

    Baseline and Annual Clinical/Provider form

    1 Formulär  
    Administrative documentation
    Beskrivning

    Administrative documentation

    Alias
    UMLS CUI-1
    C1320722 (Administrative documentation)
    SNOMED
    405624007
    Patient ID
    Beskrivning

    Patient ID

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C2348585 (Clinical Trial Subject Unique Identifier)
    Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
    Beskrivning

    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.

    Datatyp

    text

    Alias
    UMLS CUI [1,1]
    C0439564 (Relative time)
    SNOMED
    118578006
    LOINC
    LP21276-8
    UMLS CUI [1,2]
    C1442488 (Baseline)
    LOINC
    LA16758-7
    Clinical Factors
    Beskrivning

    Clinical Factors

    Alias
    UMLS CUI-1
    C0449440 (Clinical status)
    SNOMED
    263493007
    What is the patient’s most recent systolic blood pressure from the past 12 months?
    Beskrivning

    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.

    Datatyp

    integer

    Måttenheter
    • mmHg
    Alias
    UMLS CUI [1,1]
    C1513491 (Most Recent)
    UMLS CUI [1,2]
    C0871470 (Systolic Pressure)
    SNOMED
    271649006
    UMLS CUI [1,3]
    C4086728 (Past Year)
    mmHg
    What are the patients most recent diastolic blood pressure from the past 12 months?
    Beskrivning

    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.

    Datatyp

    integer

    Måttenheter
    • mmHg
    Alias
    UMLS CUI [1,1]
    C1513491 (Most Recent)
    UMLS CUI [1,2]
    C0428883 (Diastolic blood pressure)
    SNOMED
    271650006
    UMLS CUI [1,3]
    C4086728 (Past Year)
    mmHg
    Body mass index ranges
    Beskrivning

    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

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C1305855 (Body mass index)
    SNOMED
    60621009
    LOINC
    LP35925-4
    Sex, age, smoking status, blood pressure cholesterol, diabetes status: Total Cholesterol
    Beskrivning

    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.

    Datatyp

    float

    Alias
    UMLS CUI [1]
    C1445957 (Serum total cholesterol measurement)
    SNOMED
    121868005
    Sex, age, smoking status, blood pressure cholesterol, diabetes status: HDL
    Beskrivning

    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.

    Datatyp

    float

    Alias
    UMLS CUI [1]
    C0428472 (Serum HDL cholesterol measurement)
    SNOMED
    166832000
    Sex, age, smoking status, blood pressure cholesterol, diabetes status: Diabetes status
    Beskrivning

    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.

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0011849 (Diabetes Mellitus)
    SNOMED
    73211009
    Sex, age, smoking status, blood pressure, cholesterol, diabetes status: Sex
    Beskrivning

    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.

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0079399 (Gender)
    SNOMED
    263495000
    LOINC
    LP61312-2
    Sex, age, smoking status, blood pressure cholesterol, diabetes status: Age
    Beskrivning

    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.

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0001779 (Age)
    SNOMED
    424144002
    LOINC
    LP28815-6
    Sex, age, smoking status, blood pressure cholesterol, diabetes status: Smoking status
    Beskrivning

    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.

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C1519386 (Smoking Status)
    Tillbaka till toppen

    Similar models

    Baseline and Annual Clinical/Provider form

    1 Formulär
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    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])
    Tillbaka till toppen 

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