Annually - Clinical Form

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
C2348585 (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
Associated clinical history
C0262926 (UMLS CUI-1)
Ocular comorbidities: Retinal vascular disease
Item
Indicate ocular comorbidities 1 = Retinal vascular disease (presence of any retinal vascular disease such as diabetic retinopathy, retinal vein occlusion, retinal artery occlusion)
boolean
C0009488 (UMLS CUI [1,1])
C1299003 (UMLS CUI [1,2])
C0154833 (UMLS CUI [1,3])
C0011884 (UMLS CUI [2])
C0035328 (UMLS CUI [3])
C0035302 (UMLS CUI [4])
Ocular comorbidities: Other macular pathology
Item
Indicate ocular comorbidities 2 = Other macular pathology (presence of any other macular pathology such as , diabetic macular edema, epiretinal membrane, macular hole, macular dystrophy etc.)
boolean
C0009488 (UMLS CUI [1,1])
C1299003 (UMLS CUI [1,2])
C0730362 (UMLS CUI [1,3])
C1518912 (UMLS CUI [1,4])
C0730285 (UMLS CUI [2])
C0339543 (UMLS CUI [3])
C0024441 (UMLS CUI [4])
C0026850 (UMLS CUI [5])
Ocular comorbidities: Glaucoma or other optic neuropathy
Item
Indicate ocular comorbidities 3 = Glaucoma or other optic neuropathy (confirmed diagnosis of glaucoma or other optic neuropathy has been made)
boolean
C0009488 (UMLS CUI [1,1])
C1299003 (UMLS CUI [1,2])
C0017601 (UMLS CUI [2])
C3887709 (UMLS CUI [3,1])
C0205394 (UMLS CUI [3,2])
Ocular comorbidities: Amblyopia
Item
Indicate ocular comorbidities 4 = Amblyopia (presence of amblyopia)
boolean
C0009488 (UMLS CUI [1,1])
C1299003 (UMLS CUI [1,2])
C0002418 (UMLS CUI [2])
Ocular comorbidities: Media opacity
Item
Indicate ocular comorbidities 5 = Media opacity (presence of media opacity from cataract or corneal pathology etc.)
boolean
C0009488 (UMLS CUI [1,1])
C1299003 (UMLS CUI [1,2])
C0086543 (UMLS CUI [2])
C0010038 (UMLS CUI [3])
Ocular comorbidities: Other
Item
Indicate ocular comorbidities 888 = Other
boolean
C0009488 (UMLS CUI [1,1])
C1299003 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])

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