Informationen:
Fehler:
ID
42793
Beschreibung
Provided by Prof. Keil Source: Kotseva K, Wood D, De Backer G, De Bacquer D, Pyörälä K, Keil U; EUROASPIRE Study Group. Cardiovascular prevention guidelines in daily practice: a comparison of EUROASPIRE I, II, and III surveys in eight European countries. Lancet. 2009 Mar 14;373(9667):929-40. doi: 10.1016/S0140-6736(09)60330-5. PubMed PMID: 19286092
Stichworte
Versionen (2)
- 05.08.16 05.08.16 -
- 17.09.21 17.09.21 -
Hochgeladen am
17. September 2021
DOI
Für eine Beantragung loggen Sie sich ein.
Lizenz
Creative Commons BY-NC 3.0
Modell Kommentare :
Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.
Itemgroup Kommentare für :
Item Kommentare für :
Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.
EUROASPIRE III- Coronary heart disease HRI Record Questionnaire
HRI Record Questionnaire
- StudyEvent: ODM
Ähnliche Modelle
HRI Record Questionnaire
- StudyEvent: ODM
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Medication
Item
Has the patient been on one or more of the following medication? Antihypertensive drug therapy, Lipid-lowering drug therapy, Diabetes therapy (drug therapy or diet alone)
boolean
C0013227 (UMLS CUI [1])
Treatment duration
Item
Has at least six months and at most three years elapsed since the patient started his/her treatment?
boolean
C0449238 (UMLS CUI [1,1])
C0013216 (UMLS CUI [1,2])
C0013216 (UMLS CUI [1,2])
Coronary heart disease or atherosclerotic disease
Item
Is the patient free of CHD or other atherosclerotic disease?
boolean
C0010068 (UMLS CUI [1])
C0004153 (UMLS CUI [2])
C0004153 (UMLS CUI [2])
Confirmation
Item
If the answer to all these questions is yes,please complete this Data Form from the information recorded in the patient's notes.
boolean
C0750484 (UMLS CUI [1])
Patient ID
Item
Patient ID
text
C1269815 (UMLS CUI [1])
CL Item
Mr (1)
CL Item
Miss (2)
CL Item
Ms (3)
CL Item
Mrs (4)
Forename
Item
Forename(s)
text
C1443235 (UMLS CUI [1])
Surname
Item
Surname
text
C0421448 (UMLS CUI [1])
Patient Address
Item
Address
text
C0421449 (UMLS CUI [1])
Telephone number
Item
Telephone number
integer
C1515258 (UMLS CUI [1])
General practitioner number
Item
National GP number
integer
C0017319 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
C1300638 (UMLS CUI [1,2])
General practitioner name
Item
General practitioner name
text
C0017319 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
C0027365 (UMLS CUI [1,2])
General practitoner address
Item
General practitoner address
text
C0017319 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,2])
Telephone number
Item
Telephone number
integer
C1515258 (UMLS CUI [1])
Date of completion
Item
Date of completion of this form
date
C0011008 (UMLS CUI [1])
Birth date
Item
Date of birth of High Risk Individual (HRI)
date
C0421451 (UMLS CUI [1])
CL Item
male (1)
CL Item
female (2)
Item
What was the drug treatment which triggered the identification of patient?
integer
C0552502 (UMLS CUI [1])
Code List
What was the drug treatment which triggered the identification of patient?
CL Item
Antihypertensive therapy (1)
CL Item
Lipid-lowering therapy (2)
CL Item
Diabetes therapy (diet and/or oral hypoglycaemics and/or insulin) (3)
Item
History of hypertension
integer
C0035648 (UMLS CUI [1,1])
C0455527 (UMLS CUI [1,2])
C0455527 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
History of hypertension
Item
History of hypertension:if yes, Duration in months
integer
C0455527 (UMLS CUI [1])
Item
History of hyperlipidaemia/ dyslipidaemia
integer
C0035648 (UMLS CUI [1,1])
C0020473 (UMLS CUI [1,2])
C0242339 (UMLS CUI [2])
C0020473 (UMLS CUI [1,2])
C0242339 (UMLS CUI [2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
History of hyperlipidaemia/ dyslipidaemia
Item
History of hyperlipidaemia/ dyslipidaemia: If yes, duration in months
integer
C0262926 (UMLS CUI [1,1])
C0020473 (UMLS CUI [1,2])
C0242339 (UMLS CUI [2])
C0020473 (UMLS CUI [1,2])
C0242339 (UMLS CUI [2])
Item
History of diabetes
integer
C0035648 (UMLS CUI [1,1])
C0011847 (UMLS CUI [1,2])
C0011847 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
History of diabetes
Item
History of diabetes: If yes, duration in months
integer
C0455488 (UMLS CUI [1])
CL Item
Non smoker (1)
CL Item
Is a current non smoker (but previous smoking history unknown) (2)
CL Item
Has stopped smoking (3)
CL Item
Current smoker (4)
Height
Item
Body height
float
C0005890 (UMLS CUI [1])
Weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
BMI
Item
Body Mass Index
float
C1305855 (UMLS CUI [1])
Waist circumference
Item
Waist circumference
float
C0455829 (UMLS CUI [1])
Systolic blood pressure
Item
Systolic blood pressure
integer
C0871470 (UMLS CUI [1])
Diastolic blood pressure
Item
Diastolic blood pressure
integer
C0428883 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Total cholesterol
Item
Total cholesterol
integer
C1445957 (UMLS CUI [1])
LDL cholesterol
Item
LDL cholesterol
integer
C0202117 (UMLS CUI [1])
HDL cholesterol
Item
HDL cholesterol
integer
C0428472 (UMLS CUI [1])
Triglycerides
Item
Triglycerides
integer
C0202236 (UMLS CUI [1])
Blood glucose level
Item
Blood glucose level
integer
C0392201 (UMLS CUI [1])
HbA1C
Item
HbA1C level (in diabetics)
float
C0202054 (UMLS CUI [1])
Item
Over the last 3 years, was the patient taking any of the following medications listed below?
integer
C0013227 (UMLS CUI [1])
Code List
Over the last 3 years, was the patient taking any of the following medications listed below?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unsure (3)
CL Item
Not recorded (4)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Aspirin or other anti-platelet drugs: Generic name
text
C0592502 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
Aspirin: Total daily dose
Item
Aspirin or other anti-platelet drugs: Total daily dose
integer
C0004057 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Aspirin or other anti-platelet drugs: Generic name
text
C0592502 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
Aspirin: Total daily dose
Item
Aspirin or other anti-platelet drugs: Total daily dose
integer
C0004057 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Beta blockers:Generic name
text
C0304516 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Beta Blockers: Total daily dose
Item
Beta Blockers Total daily dose
integer
C0304516 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
ACE inhibitors: Generic name
text
C0003015 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
ACE inhibitors : Total daily dose
Item
ACE inhibitors : Total daily dose
integer
C0003015 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
Item
Angiotensin II receptor antagonists
integer
C0521942 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Angiotensin II receptor antagonists: Generic name
text
C0521942 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Angiotensin II receptor antagonists: Total daily dose
Item
Angiotensin II receptor antagonists: Total daily dose
integer
C0521942 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Calcium antagonists: Generic name
text
C0006684 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Calcium antagonists :Total daily dose
Item
Calcium antagonists: Total daily dose
integer
C0006684 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
If inhibitors: Generic name
text
C0257190 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
If inhibitors : Total daily dose
Item
If inhibitors: Total daily dose
integer
C0257190 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Nitrates: Generic name
text
C0017887 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Nitrates: Total daily dose
Item
Nitrates: Total daily dose
integer
C0017887 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Diuretics: Generic name
text
C0012798 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Diuretics: Total daily dose
Item
Diuretics: Total daily dose
integer
C0012798 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Diuretics: Generic name
text
C0012798 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Diuretics: Total daily dose
Item
Diuretics: Total daily dose
integer
C0012798 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Other Anti-hypertensive drugs: Generic name
text
C0003364 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Anti-hypertensive drugs: Total daily dose
Item
Other Anti-hypertensive drugs: Total daily dose
integer
C0003364 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Digitalis glycosides: Generic name
text
C0012253 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Digitalis glycosides: Total daily dose
Item
Digitalis glycosides: Total daily dose
integer
C0012253 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Antiarrhythmics: Generic name
text
C0003195 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Antiarrhythmics: Total daily dose
Item
Antiarrhythmics: Total daily dose
integer
C0003195 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Lipid lowering drugs (Statins): Generic name
text
C0086440 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Lipid lowering drugs (Statins): Total daily dose
Item
Lipid lowering drugs (Statins): Total daily dose
integer
C0086440 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Lipid lowering drugs (Fibrates): Generic name
text
C0086440 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Lipid lowering drugs (Fibrates): Total daily dose
Item
Lipid lowering drugs (Fibrates): Total daily dose
integer
C0086440 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
Item
Lipid lowering drugs: Nicotinic acid group
integer
C0086440 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Lipid lowering drugs (Nicotinic acid group): Generic name
text
C0086440 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Lipid lowering drugs (Nicotinic acid group): Total daily dose
Item
Lipid lowering drugs (Nicotinic acid group): Total daily dose
integer
C0086440 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
Item
Lipid lowering drugs: Cholesterol absorption inhibitors
integer
C0086440 (UMLS CUI [1])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Lipid lowering drugs (Cholesterol absorption inhibitors): Generic name
text
C0086440 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Lipid lowering drugs (Cholesterol absorption inhibitors): Total daily dose
Item
Lipid lowering drugs (Cholesterol absorption inhibitors): Total daily dose
integer
C0086440 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Lipid lowering drugs (Resins): Generic name
text
C0086440 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Lipid lowering drugs (Resins): Total daily dose
Item
Lipid lowering drugs (Resins): Total daily dose
integer
C0086440 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Lipid lowering drugs (Other): Generic name
text
C0086440 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Lipid lowering drugs (Other): Total daily dose
Item
Lipid lowering drugs (Other): Total daily dose
integer
C0086440 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Insulin: Generic name
text
C0021641 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Insulin: Total daily dose
Item
Insulin: Total daily dose
integer
C0021641 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Insulin: Generic name
text
C0021641 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Insulin: Total daily dose
Item
Insulin: Total daily dose
integer
C0021641 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Oral Antidiabetics: Generic name
text
C0935929 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Oral Antidiabetics: Total daily dose
Item
Oral Antidiabetics: Total daily dose
integer
C0935929 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Oral Antidiabetics: Generic name
text
C0935929 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Oral Antidiabetics: Total daily dose
Item
Oral Antidiabetics: Total daily dose
integer
C0935929 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Anti-coagulants: Generic name
text
C0003280 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Anti-coagulants: Total daily dose
Item
Anti-coagulants: Total daily dose
integer
C0003280 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Oral contraceptive pill: Generic name
text
C0009905 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Oral contraceptives: Total daily dose
Item
Oral contraceptive pill: Total daily dose
text
C0009905 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Hormone replacement therapy: Generic name
text
C0282402 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Hormone replacement therapy: Total daily dose
Item
Hormone replacement therapy: Total daily dose
text
C0282402 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
Item
Appetite suppressants or other antiobesity
integer
C0003620 (UMLS CUI [1])
C0376607 (UMLS CUI [2])
C0376607 (UMLS CUI [2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Appetite suppressants/other antiobesity: Generic name
text
C0003620 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0376607 (UMLS CUI [2,1])
C0592502 (UMLS CUI [2,2])
C0592502 (UMLS CUI [1,2])
C0376607 (UMLS CUI [2,1])
C0592502 (UMLS CUI [2,2])
Appetite suppressants or other antiobesity: Total daily dose
Item
Appetite suppressants or other antiobesity: Total daily dose
integer
C0003620 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C0376607 (UMLS CUI [2,1])
C2348070 (UMLS CUI [2,2])
C2348070 (UMLS CUI [1,2])
C0376607 (UMLS CUI [2,1])
C2348070 (UMLS CUI [2,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Nicotine replacement therapy: Generic name
text
C1278444 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Nicotine replacement therapy: Total daily dose
Item
Nicotine replacement therapy: Total daily dose
integer
C1278444 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
CL Item
Chewing Gum (1)
CL Item
Nasal spray (2)
CL Item
Inhalator (3)
CL Item
Patches (4)
CL Item
Losenges (5)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Bupropion: Generic name
text
C0085208 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Bupropion: Total daily dose
Item
Bupropion: Total daily dose
integer
C0085208 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not recorded (3)
Generic name
Item
Other medications: Generic name
text
C0013227 (UMLS CUI [1,1])
C0592502 (UMLS CUI [1,2])
C0592502 (UMLS CUI [1,2])
Other medications: Total daily dose
Item
Other medications: Total daily dose
integer
C0013227 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C2348070 (UMLS CUI [1,2])
Item
Is any of the medication prescribed a combination of 2 drugs in one tablet?
integer
C0013227 (UMLS CUI [1])
Code List
Is any of the medication prescribed a combination of 2 drugs in one tablet?
CL Item
Yes (1)
CL Item
No (2)
CL Item
Don´t know/Unsure (3)
Pharmaceutical preparations
Item
If yes, please specify
text
C0013227 (UMLS CUI [1])
Completion
Item
High Risk Individual Record Form completed
boolean
C0805732 (UMLS CUI [1])