English

Post-Operative - Clinical Form

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
Time Relative to Baseline
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_AT (After treatment); VARIABLEID_AS (After surgery); VARIABLEID_UPDATE (Update at least annually), etc.

Data type

text

Alias
UMLS CUI [1,1]
C0439564
UMLS CUI [1,2]
C1442488
Burden of treatment and complications
Description

Burden of treatment and complications

Alias
UMLS CUI-1
C0087111
UMLS CUI-2
C0009566
Record the type of operation being performed
Description

INCLUSION CRITERIA: All patients TIMING: Time of operation REPORTING SOURCE: Clinical TYPE: Free text

Data type

text

Alias
UMLS CUI [1]
C0543467
Indicate if the patient experienced any of the following complications 1 = Bleeding requiring return to OR
Description

SUPPORTING DEFINITION: - Bleeding requiring return to OR: bleeding requiring operative re-exploration to establish hemostasis; or a hematoma of sufficient size to require evacuation and washout in the operating room INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";""

Data type

boolean

Alias
UMLS CUI [1,1]
C0241311
UMLS CUI [1,2]
C0009566
UMLS CUI [2,1]
C0019080
UMLS CUI [2,2]
C0332156
UMLS CUI [2,3]
C0029064
Indicate if the patient experienced any of the following complications 2 = Bleeding requiring transfusion
Description

SUPPORTING DEFINITION: - Bleeding requiring transfusion: bleeding sufficient to cause hemodynamic stress or appreciable drop in Hgb/Hct, requiring transfusion of blood for treatment INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";""

Data type

boolean

Alias
UMLS CUI [1,1]
C0241311
UMLS CUI [1,2]
C0009566
UMLS CUI [2,1]
C0019080
UMLS CUI [2,2]
C0005841
UMLS CUI [2,3]
C1514873
Indicate if the patient experienced any of the following complications 3 = Infection requiring return to OR
Description

SUPPORTING DEFINITION: - Infection requiring return to OR: cellulitis, abscess, or fasciitis requiring incision and drainage and/or irrigation and debridement; or hardware infection requiring removal or exchange; either case performed in the OR INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";""

Data type

boolean

Alias
UMLS CUI [1,1]
C0241311
UMLS CUI [1,2]
C0009566
UMLS CUI [2,1]
C3714514
UMLS CUI [2,2]
C0332156
UMLS CUI [2,3]
C0029064
Indicate if the patient experienced any of the following complications 4 = Infection or exposure of graft material requiring return to OR for removal or replacement
Description

SUPPORTING DEFINITION: - Infection or exposure of graft material requiring return to OR for removal or replacement: exposure of any autologous graft (e.g., cartilage or bone), cadaveric allograft, or other implanted biologic material. Treatment requires return to the OR for removal and/or replacement of graft INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";""

Data type

boolean

Alias
UMLS CUI [1,1]
C0241311
UMLS CUI [1,2]
C0009566
UMLS CUI [2,1]
C0332157
UMLS CUI [2,2]
C0181074
UMLS CUI [2,3]
C0332156
UMLS CUI [2,4]
C0029064
UMLS CUI [3,1]
C3714514
UMLS CUI [3,2]
C0181074
UMLS CUI [3,3]
C0332156
UMLS CUI [3,4]
C0029064
Indicate if the patient experienced any of the following complications 5 = Wound: complete dehiscence
Description

SUPPORTING DEFINITION: - Wound: complete dehiscence: wound-healing problem affecting the entire wound, such as abruption of the suture line due to postoperative trauma. Requires surgical repair. INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";""

Data type

boolean

Alias
UMLS CUI [1,1]
C0241311
UMLS CUI [1,2]
C0009566
UMLS CUI [2,1]
C0259768
UMLS CUI [2,2]
C0205197
Indicate if the patient experienced any of the following complications 6 = Wound: palatal dehiscence requiring return to OR
Description

SUPPORTING DEFINITION: - Wound: palatal dehiscence requiring return to OR: necrosis and loss of the mucoperiosteal flaps during palatoplasty or the musculomucosal flaps during pharyngoplasty or sphincteroplasty INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";""

Data type

boolean

Alias
UMLS CUI [1,1]
C0241311
UMLS CUI [1,2]
C0009566
UMLS CUI [2,1]
C0259768
UMLS CUI [2,2]
C0700374
UMLS CUI [2,3]
C0332156
UMLS CUI [2,4]
C0029064
Indicate if the patient experienced any of the following complications 7 = Wound: oronasal fistula
Description

SUPPORTING DEFINITION: - Wound: oronasal fistula: permanent (mucosalized) connection between the oropharynx and nasopharynx following palatal repair. INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";""

Data type

boolean

Alias
UMLS CUI [1,1]
C0241311
UMLS CUI [1,2]
C0009566
UMLS CUI [2]
C1299894
Indicate if the patient experienced any of the following complications 8 = Palatal flap necrosis
Description

SUPPORTING DEFINITION: - Palatal flap necrosis: ischemic injury to one or both mucoperiosteal flaps following palatoplasty that result in partial or complete necrosis. INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";""

Data type

boolean

Alias
UMLS CUI [1,1]
C0241311
UMLS CUI [1,2]
C0009566
UMLS CUI [2,1]
C0700374
UMLS CUI [2,2]
C4075512
Indicate if the patient experienced any of the following complications 9 = Respiratory distress: requires mechanical ventilation (major)
Description

SUPPORTING DEFINITION: - Respiratory distress: requires mechanical ventilation (major): labored breathing, tachypnea, hypopnea/apnea, or hypoxia that requires CPAP, BiPAP, or mechanical ventilation INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";""

Data type

boolean

Alias
UMLS CUI [1,1]
C0241311
UMLS CUI [1,2]
C0009566
UMLS CUI [2,1]
C0476273
UMLS CUI [2,2]
C1514873
UMLS CUI [2,3]
C0199470
Indicate the characterization of the oronasal fistula via Pittsburgh scale 1 = Type I: Bifid uvula
Description

INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";"" RESPONSE OPTION: Characterization of oronasal fistula via Pittsburgh scale

Data type

boolean

Alias
UMLS CUI [1,1]
C1299894
UMLS CUI [1,2]
C0008902
UMLS CUI [2]
C4551488
Indicate the characterization of the oronasal fistula via Pittsburgh scale 2 = Type II: Soft palate
Description

INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";"" RESPONSE OPTION: Characterization of oronasal fistula via Pittsburgh scale

Data type

boolean

Alias
UMLS CUI [1,1]
C1299894
UMLS CUI [1,2]
C0008902
UMLS CUI [2]
C0030219
Indicate the characterization of the oronasal fistula via Pittsburgh scale 3 = Type III: Junction of the soft and hard palate
Description

INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";"" RESPONSE OPTION: Characterization of oronasal fistula via Pittsburgh scale

Data type

boolean

Alias
UMLS CUI [1,1]
C1299894
UMLS CUI [1,2]
C0008902
UMLS CUI [2]
C0447423
Indicate the characterization of the oronasal fistula via Pittsburgh scale 4 = Type IV: Hard palate
Description

INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";"" RESPONSE OPTION: Characterization of oronasal fistula via Pittsburgh scale

Data type

boolean

Alias
UMLS CUI [1,1]
C1299894
UMLS CUI [1,2]
C0008902
UMLS CUI [2]
C0447423
Indicate the characterization of the oronasal fistula via Pittsburgh scale 5 = Type V: Junction of the primary and secondary palates (for Veau IV clefts)
Description

INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";"" RESPONSE OPTION: Characterization of oronasal fistula via Pittsburgh scale

Data type

boolean

Alias
UMLS CUI [1,1]
C1299894
UMLS CUI [1,2]
C0008902
UMLS CUI [2,1]
C1268540
UMLS CUI [2,2]
C0205144
UMLS CUI [2,3]
C1519217
Indicate the characterization of the oronasal fistula via Pittsburgh scale 6 = Type VI: Lingual alveolar
Description

INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";"" RESPONSE OPTION: Characterization of oronasal fistula via Pittsburgh scale

Data type

boolean

Alias
UMLS CUI [1,1]
C1299894
UMLS CUI [1,2]
C0008902
UMLS CUI [2,1]
C2349948
UMLS CUI [2,2]
C0447411
Indicate the characterization of the oronasal fistula via Pittsburgh scale 7 = Type VII: Labial alveolar
Description

INCLUSION CRITERIA: All patients TIMING: Post-operatively REPORTING SOURCE: Clinical TYPE: Multiple answer, Separate multiple entries with "";"" RESPONSE OPTION: Characterization of oronasal fistula via Pittsburgh scale

Data type

boolean

Alias
UMLS CUI [1,1]
C1299894
UMLS CUI [1,2]
C0008902
UMLS CUI [2,1]
C0023759
UMLS CUI [2,2]
C0447411
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Similar models

Post-Operative - Clinical Form

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])
Time Relative to Baseline
Item
Time Relative to Baseline
text
C0439564 (UMLS CUI [1,1])
C1442488 (UMLS CUI [1,2])
Item Group
Burden of treatment and complications
C0087111 (UMLS CUI-1)
C0009566 (UMLS CUI-2)
Operation
Item
Record the type of operation being performed
text
C0543467 (UMLS CUI [1])
Post-operative complications: Bleeding requiring return to OR
Item
Indicate if the patient experienced any of the following complications 1 = Bleeding requiring return to OR
boolean
C0241311 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
C0019080 (UMLS CUI [2,1])
C0332156 (UMLS CUI [2,2])
C0029064 (UMLS CUI [2,3])
Post-operative complications: Bleeding requiring transfusion
Item
Indicate if the patient experienced any of the following complications 2 = Bleeding requiring transfusion
boolean
C0241311 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
C0019080 (UMLS CUI [2,1])
C0005841 (UMLS CUI [2,2])
C1514873 (UMLS CUI [2,3])
Post-operative complications: Infection requiring return to OR
Item
Indicate if the patient experienced any of the following complications 3 = Infection requiring return to OR
boolean
C0241311 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
C3714514 (UMLS CUI [2,1])
C0332156 (UMLS CUI [2,2])
C0029064 (UMLS CUI [2,3])
Post-operative complications: Infection or exposure of graft material requiring return to OR for removal or replacement
Item
Indicate if the patient experienced any of the following complications 4 = Infection or exposure of graft material requiring return to OR for removal or replacement
boolean
C0241311 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
C0332157 (UMLS CUI [2,1])
C0181074 (UMLS CUI [2,2])
C0332156 (UMLS CUI [2,3])
C0029064 (UMLS CUI [2,4])
C3714514 (UMLS CUI [3,1])
C0181074 (UMLS CUI [3,2])
C0332156 (UMLS CUI [3,3])
C0029064 (UMLS CUI [3,4])
Post-operative complications: Wound: complete dehiscence
Item
Indicate if the patient experienced any of the following complications 5 = Wound: complete dehiscence
boolean
C0241311 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
C0259768 (UMLS CUI [2,1])
C0205197 (UMLS CUI [2,2])
Post-operative complications: Wound: palatal dehiscence requiring return to OR
Item
Indicate if the patient experienced any of the following complications 6 = Wound: palatal dehiscence requiring return to OR
boolean
C0241311 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
C0259768 (UMLS CUI [2,1])
C0700374 (UMLS CUI [2,2])
C0332156 (UMLS CUI [2,3])
C0029064 (UMLS CUI [2,4])
Post-operative complications: Wound: oronasal fistula
Item
Indicate if the patient experienced any of the following complications 7 = Wound: oronasal fistula
boolean
C0241311 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
C1299894 (UMLS CUI [2])
Post-operative complications: Palatal flap necrosis
Item
Indicate if the patient experienced any of the following complications 8 = Palatal flap necrosis
boolean
C0241311 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
C0700374 (UMLS CUI [2,1])
C4075512 (UMLS CUI [2,2])
Post-operative complications: Respiratory distress: requires mechanical ventilation (major)
Item
Indicate if the patient experienced any of the following complications 9 = Respiratory distress: requires mechanical ventilation (major)
boolean
C0241311 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
C0476273 (UMLS CUI [2,1])
C1514873 (UMLS CUI [2,2])
C0199470 (UMLS CUI [2,3])
Characterization of oronasal fistula via Pittsburgh scale: Bifid uvula
Item
Indicate the characterization of the oronasal fistula via Pittsburgh scale 1 = Type I: Bifid uvula
boolean
C1299894 (UMLS CUI [1,1])
C0008902 (UMLS CUI [1,2])
C4551488 (UMLS CUI [2])
Characterization of oronasal fistula via Pittsburgh scale: Soft palate
Item
Indicate the characterization of the oronasal fistula via Pittsburgh scale 2 = Type II: Soft palate
boolean
C1299894 (UMLS CUI [1,1])
C0008902 (UMLS CUI [1,2])
C0030219 (UMLS CUI [2])
Characterization of oronasal fistula via Pittsburgh scale: Junction of the soft and hard palate
Item
Indicate the characterization of the oronasal fistula via Pittsburgh scale 3 = Type III: Junction of the soft and hard palate
boolean
C1299894 (UMLS CUI [1,1])
C0008902 (UMLS CUI [1,2])
C0447423 (UMLS CUI [2])
Characterization of oronasal fistula via Pittsburgh scale: Hard palate
Item
Indicate the characterization of the oronasal fistula via Pittsburgh scale 4 = Type IV: Hard palate
boolean
C1299894 (UMLS CUI [1,1])
C0008902 (UMLS CUI [1,2])
C0447423 (UMLS CUI [2])
Characterization of oronasal fistula via Pittsburgh scale: Junction of the primary and secondary palates
Item
Indicate the characterization of the oronasal fistula via Pittsburgh scale 5 = Type V: Junction of the primary and secondary palates (for Veau IV clefts)
boolean
C1299894 (UMLS CUI [1,1])
C0008902 (UMLS CUI [1,2])
C1268540 (UMLS CUI [2,1])
C0205144 (UMLS CUI [2,2])
C1519217 (UMLS CUI [2,3])
Characterization of oronasal fistula via Pittsburgh scale: Lingual alveolar
Item
Indicate the characterization of the oronasal fistula via Pittsburgh scale 6 = Type VI: Lingual alveolar
boolean
C1299894 (UMLS CUI [1,1])
C0008902 (UMLS CUI [1,2])
C2349948 (UMLS CUI [2,1])
C0447411 (UMLS CUI [2,2])
Characterization of oronasal fistula via Pittsburgh scale: Labial alveolar
Item
Indicate the characterization of the oronasal fistula via Pittsburgh scale 7 = Type VII: Labial alveolar
boolean
C1299894 (UMLS CUI [1,1])
C0008902 (UMLS CUI [1,2])
C0023759 (UMLS CUI [2,1])
C0447411 (UMLS CUI [2,2])
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