ID

16491

Beschreibung

Medical history form, Study hospital, Medical Faculty Münster derived from Medical history form by Dr. Schusdziarra

Stichworte

Versionen (2)
  1. 18.07.16 18.07.16 -
  2. 19.07.16 19.07.16 -
Hochgeladen am

19. Juli 2016

DOI

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Medical History Form, Study Hospital of Medical Faculty Münster

Deutsch Englisch

Medical History Form

1 Formulare  
  1. StudyEvent: ODM
    1. Medical History Form
Demographics
Beschreibung

Demographics

Patient Name
Beschreibung

Patient Name

Datentyp

text

Alias
UMLS CUI [1]
C1299487
Patient date of birth
Beschreibung

Date of Birth

Datentyp

date

Alias
UMLS CUI [1]
C0421451
Physical Examination Date
Beschreibung

Physical Examination Date

Datentyp

date

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0011008
Treating Physician
Beschreibung

Physician

Datentyp

text

Alias
UMLS CUI [1]
C1710470
Current medical complaints
Beschreibung

Current medical complaints

Type of symptoms
Beschreibung

Symptoms

Datentyp

text

Alias
UMLS CUI [1]
C1457887
Localization of symptoms
Beschreibung

Localization

Datentyp

text

Alias
UMLS CUI [1]
C0475264
First onset of symptoms
Beschreibung

Onset of symptoms

Datentyp

text

Alias
UMLS CUI [1]
C0277793
Are your symptoms permanent or intermittent?
Beschreibung

Occurence of symptoms

Datentyp

integer

Alias
UMLS CUI [1,1]
C2745955
UMLS CUI [1,2]
C0037088
Duration of symptoms and symptom free interval
Beschreibung

Minutes,Hours,Days,Weeks

Datentyp

text

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0037088
UMLS CUI [1,3]
C1272706
Intensity and character of symptoms/complaints
Beschreibung

Intensity and character

Datentyp

text

Alias
UMLS CUI [1,1]
C0518690
UMLS CUI [1,2]
C0221563
Dependency of symptoms
Beschreibung

Deterioration/Improvement by change of position, activity, food consumption, day-/nighttime, temperature, breathing...

Datentyp

text

Alias
UMLS CUI [1]
C1701901
Intensity of impairment of patients general health by described symptoms
Beschreibung

Impairment of general health

Datentyp

text

Alias
UMLS CUI [1,1]
C0231171
UMLS CUI [1,2]
C0516984
What other diagnostic procedures so far?
Beschreibung

Diagnostic procedures

Datentyp

text

Alias
UMLS CUI [1]
C0430022
Medical history
Beschreibung

Medical history

Childhood diseases
Beschreibung

Measles, Rubella, Mumps, Pertussis,...

Datentyp

text

Alias
UMLS CUI [1]
C0489532
Diseases in adulthood
Beschreibung

Diseases in adulthood

Datentyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0700597
Hospitalizations?
Beschreibung

Hospitalization

Datentyp

text

Alias
UMLS CUI [1]
C0019993
Surgery
Beschreibung

Surgery

Datentyp

text

Alias
UMLS CUI [1]
C0543467
Injuries
Beschreibung

Injuries

Datentyp

text

Alias
UMLS CUI [1]
C3263723
Psychiatric disorder
Beschreibung

Mental disorders

Datentyp

text

Alias
UMLS CUI [1]
C0004936
Active and passive Immunizations
Beschreibung

Immunization

Datentyp

text

Alias
UMLS CUI [1]
C0020971
Did the patient expericence any other relevant medical conditions
Beschreibung

Explicitly ask for problems with heart, lungs, stomach, bowels, genitourinary system, high blood pressure, diabetes and other endocrinologic diseases.

Datentyp

text

Alias
UMLS CUI [1]
C3843040
Medication history
Beschreibung

Medication history

Type of medication
Beschreibung

Tradename

Datentyp

text

Alias
UMLS CUI [1]
C0013227
Dosage
Beschreibung

Dosage

Datentyp

text

Alias
UMLS CUI [1]
C0178602
How long does the patient take this medication?
Beschreibung

Duration

Datentyp

text

Alias
UMLS CUI [1]
C0449238
Previously taken medication
Beschreibung

Explicitly ask for medications taken previously (i.e some time ago)

Datentyp

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205156
Over the counter medication
Beschreibung

Explicitly ask for OTC medication, especially sleeping pills or laxatives

Datentyp

text

Alias
UMLS CUI [1,1]
C2347852
UMLS CUI [1,2]
C0013231
Hypersensitivity to Pharmaceutical Preparations
Beschreibung

Antibiotics,...

Datentyp

text

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0013227
Patient social and occupation history
Beschreibung

Patient social and occupation history

Learned occupation
Beschreibung

Learned occupation

Datentyp

text

Alias
UMLS CUI [1]
C0421456
Current occupation
Beschreibung

Current occupation

Datentyp

text

Alias
UMLS CUI [1]
C0421456
Occupational stressors
Beschreibung

Occupational stressors

Datentyp

text

Alias
UMLS CUI [1]
C0597127
Occupational exposure to toxic agents
Beschreibung

Occupational exposure

Datentyp

text

Alias
UMLS CUI [1]
C0853965
Occupational satisfaction
Beschreibung

Occupational satisfaction

Datentyp

text

Alias
UMLS CUI [1]
C0683792
Reliability of employment
Beschreibung

Reliability of employment

Datentyp

text

Alias
UMLS CUI [1,1]
C0242271
UMLS CUI [1,2]
C2347947
Family situation
Beschreibung

i.e Marriage, Children, Relatives, living circumstances like living alone or with family, home can be reached barrier free, by staircase or elevator...

Datentyp

text

Alias
UMLS CUI [1]
C0015576
Family medical history
Beschreibung

Family medical history

Frequent diseases in family
Beschreibung

Frequent diseases in family

Datentyp

text

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0439660
Diabetes mellitus
Beschreibung

Diabetes mellitus

Datentyp

text

Alias
UMLS CUI [1]
C0011849
Hypertensive disease
Beschreibung

Hypertension

Datentyp

text

Alias
UMLS CUI [1]
C0020538
Blood coagulation disorders
Beschreibung

Blood coagulation disorders

Datentyp

text

Alias
UMLS CUI [1]
C0005779
Neoplasms
Beschreibung

Neoplasms

Datentyp

text

Alias
UMLS CUI [1]
C0027651
Dyslipidemia
Beschreibung

Dyslipidemia

Datentyp

text

Alias
UMLS CUI [1]
C0242339
Arteriosclerosis
Beschreibung

Arteriosclerosis

Datentyp

text

Alias
UMLS CUI [1]
C0003850
Autonomic function history
Beschreibung

Autonomic function history

Symptoms of hypersensitivity
Beschreibung

Symptoms of hypersensitivity

Datentyp

text

Alias
UMLS CUI [1]
C0020517
Allergy testing
Beschreibung

Allergy testing

Datentyp

text

Alias
UMLS CUI [1]
C0199747
Hypersensitivity to contrast agents
Beschreibung

Hypersensitivity to contrast agents

Datentyp

text

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0009924
Hypersensitivity to Pharmaceutical Preparations
Beschreibung

Antibiotics,...

Datentyp

text

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0013227
Appetite
Beschreibung

Appetite

Datentyp

integer

Alias
UMLS CUI [1]
C0003618
Food consumption
Beschreibung

Food consumption

Datentyp

integer

Alias
UMLS CUI [1]
C2983605
Cravings for certain food or fluids
Beschreibung

Cravings

Datentyp

text

Alias
UMLS CUI [1]
C0870371
Amount of fluid intake
Beschreibung

Fluid intake

Datentyp

text

Alias
UMLS CUI [1]
C0429791
Type of fluids
Beschreibung

What does the patient preferrably drink? (i.e: sugery drinks, water, tea,coffee,...)

Datentyp

text

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C2013463
Vomiting
Beschreibung

Vomiting

Datentyp

boolean

Alias
UMLS CUI [1]
C0042963
Vomiting conditional to food consumption or type of food?
Beschreibung

Vomiting

Datentyp

text

Alias
UMLS CUI [1]
C0042963
Appearance and taste of vomit
Beschreibung

i.e bile, sour, colour,...

Datentyp

text

Alias
UMLS CUI [1]
C0042963
Dieting
Beschreibung

Dieting

Datentyp

boolean

Alias
UMLS CUI [1]
C2945766
Type of diet
Beschreibung

Type of diet

Datentyp

text

Alias
UMLS CUI [1]
C1550392
Reason for diet
Beschreibung

Reason for diet

Datentyp

text

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C2945766
Micturition frequency
Beschreibung

Micturition

Datentyp

text

Alias
UMLS CUI [1]
C2584336
Urine colour
Beschreibung

Urine colour

Datentyp

text

Alias
UMLS CUI [1]
C0278030
Micturition disorders
Beschreibung

Micturition disorders

Datentyp

text

Alias
UMLS CUI [1]
C0042035
Urine amount
Beschreibung

Urine amount

Datentyp

text

Alias
UMLS CUI [1]
C1822256
Nocturia frequency
Beschreibung

Nocturia frequency

Datentyp

text

Alias
UMLS CUI [1]
C0028734
Bowel movement frequency
Beschreibung

Bowel movement frequency

Datentyp

text

Alias
UMLS CUI [1]
C0426642
Amount of stool
Beschreibung

Amount of stool

Datentyp

text

Alias
UMLS CUI [1]
C4069675
Consistency of stool
Beschreibung

Consistency of stool

Datentyp

text

Alias
UMLS CUI [1]
C0426740
Stool colour
Beschreibung

Stool colour

Datentyp

text

Alias
UMLS CUI [1]
C0578538
Appearance of stool
Beschreibung

Appearance of stool

Datentyp

text

Alias
UMLS CUI [1]
C1286372
Irregular stool contents
Beschreibung

i.e mucus, blood, ...

Datentyp

text

Alias
UMLS CUI [1,1]
C0426744
UMLS CUI [1,2]
C0205271
First menstrual period
Beschreibung

First menstrual period

Datentyp

text

Alias
UMLS CUI [1]
C0025274
Menstrual period: regular cycle?
Beschreibung

Menstrual period

Datentyp

boolean

Alias
UMLS CUI [1]
C0025329
Oral contraception?
Beschreibung

Contraception

Datentyp

boolean

Alias
UMLS CUI [1]
C0700589
Menopausal
Beschreibung

Menopausal

Datentyp

boolean

Alias
UMLS CUI [1]
C0455962
Parity
Beschreibung

Parity

Datentyp

integer

Alias
UMLS CUI [1]
C0030563
Pregnancy complications?
Beschreibung

Pregnancy complications

Datentyp

text

Alias
UMLS CUI [1]
C0032962
Abortion or miscarriage
Beschreibung

Abortion or miscarriage

Datentyp

text

Alias
UMLS CUI [1]
C0429914
Last preventive medical examination
Beschreibung

Preventive medical examination

Datentyp

text

Alias
UMLS CUI [1]
C0033144
Weight
Beschreibung

Patient Weight

Datentyp

float

Alias
UMLS CUI [1]
C0005910
Height
Beschreibung

Height

Datentyp

float

Alias
UMLS CUI [1]
C0005890
Weight gain amount and duration
Beschreibung

Weight gain

Datentyp

text

Alias
UMLS CUI [1]
C0043094
Weight gain unintentional or intentional
Beschreibung

Weight gain unintentional or intentional

Datentyp

integer

Alias
UMLS CUI [1,1]
C2367670
UMLS CUI [1,2]
C3714343
Dietary treatment
Beschreibung

Dietary treatment

Datentyp

text

Alias
UMLS CUI [1]
C1258068
Weight loss amount and duration
Beschreibung

Weight loss

Datentyp

text

Alias
UMLS CUI [1]
C1262477
Weight loss unintentional or intentional
Beschreibung

Weight loss unintentional or intentional

Datentyp

integer

Alias
UMLS CUI [1,1]
C2169614
UMLS CUI [1,2]
C2363736
Reducing diet
Beschreibung

Reducing diet

Datentyp

text

Alias
UMLS CUI [1]
C0012167
General endurance
Beschreibung

General endurance

Datentyp

text

Alias
UMLS CUI [1]
C0518031
Sleeping disorders
Beschreibung

i.e: problems to sleep through, or difficulties falling asleep

Datentyp

text

Alias
UMLS CUI [1]
C0037317
Duration of sleep
Beschreibung

Duration of sleep

Datentyp

text

Alias
UMLS CUI [1]
C0424574
At what time does the patient go to sleep?
Beschreibung

Sleeping behavior

Datentyp

text

Alias
UMLS CUI [1]
C0474396
Duration of coughing
Beschreibung

Cough

Datentyp

text

Alias
UMLS CUI [1]
C0010200
At what time occurs the coughing?
Beschreibung

Cough

Datentyp

text

Alias
UMLS CUI [1]
C0010200
Colour of Sputum
Beschreibung

Sputum

Datentyp

text

Alias
UMLS CUI [1]
C0038056
Consistency of sputum
Beschreibung

Sputum

Datentyp

text

Alias
UMLS CUI [1]
C0425519
Expectoration:Time of day
Beschreibung

Expectoration

Datentyp

text

Alias
UMLS CUI [1]
C0038056
Bloody sputum
Beschreibung

Bloody sputum

Datentyp

boolean

Alias
UMLS CUI [1]
C0748941
Productive cough frequency
Beschreibung

Productive cough frequency

Datentyp

text

Alias
UMLS CUI [1,1]
C0239134
UMLS CUI [1,2]
C0422341
Productive cough duration
Beschreibung

Productive cough duration

Datentyp

text

Alias
UMLS CUI [1,1]
C0239134
UMLS CUI [1,2]
C0449238
Fever duration
Beschreibung

Fever duration

Datentyp

text

Alias
UMLS CUI [1,1]
C0015967
UMLS CUI [1,2]
C0449238
Fever course
Beschreibung

Fever course

Datentyp

text

Alias
UMLS CUI [1,1]
C0015967
UMLS CUI [1,2]
C1292729
Nightly perspiration
Beschreibung

Perspiration

Datentyp

boolean

Alias
UMLS CUI [1]
C0038990
Perspiration dependent on activity
Beschreibung

Perspiration

Datentyp

boolean

Alias
UMLS CUI [1]
C0038990
Dyspnea at rest
Beschreibung

Dyspnea at rest

Datentyp

boolean

Alias
UMLS CUI [1]
C0743330
Dyspnea on exertion
Beschreibung

Dyspnea on exertion

Datentyp

boolean

Alias
UMLS CUI [1]
C0231807
Nighttime dyspnea
Beschreibung

Nighttime dyspnea

Datentyp

text

Alias
UMLS CUI [1]
C2127200
Itching,why?
Beschreibung

Pruritus

Datentyp

text

Alias
UMLS CUI [1]
C0033774
Itching conditional with clothes or food?
Beschreibung

Pruritus

Datentyp

text

Alias
UMLS CUI [1]
C0033774
Convulsion
Beschreibung

Seizures

Datentyp

text

Alias
UMLS CUI [1]
C0036572
Sexually Transmitted Diseases: Risk groups, HIV-Testing
Beschreibung

Sexually Transmitted Diseases

Datentyp

text

Alias
UMLS CUI [1]
C0036916
Daily/Weekly alcohol consumption
Beschreibung

Ask for type and amount of alcoholic beverages consumed and calculate daily/weekly consumption

Datentyp

text

Alias
UMLS CUI [1]
C0001948
Nicotine use
Beschreibung

Ask for amount and duration of nicotine use. Cigarettes, Cigars, Pipe, chewing tobacco

Datentyp

text

Alias
UMLS CUI [1]
C0038586
Invalidity
Beschreibung

Invalidity

Datentyp

text

Alias
UMLS CUI [1]
C0012605
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Ähnliche Modelle

Medical History Form

1 Formulare
  1. StudyEvent: ODM
    1. Medical History Form
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Demographics
Patient Name
Item
Patient Name
text
C1299487 (UMLS CUI [1])
Date of Birth
Item
Patient date of birth
date
C0421451 (UMLS CUI [1])
Physical Examination Date
Item
Physical Examination Date
date
C0031809 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Physician
Item
Treating Physician
text
C1710470 (UMLS CUI [1])
Item Group
Current medical complaints
Symptoms
Item
Type of symptoms
text
C1457887 (UMLS CUI [1])
Localization
Item
Localization of symptoms
text
C0475264 (UMLS CUI [1])
Onset of symptoms
Item
First onset of symptoms
text
C0277793 (UMLS CUI [1])
Item
Are your symptoms permanent or intermittent?
integer
C2745955 (UMLS CUI [1,1])
C0037088 (UMLS CUI [1,2])
Occurence of symptoms
Code List
Are your symptoms permanent or intermittent?
CL Item
Permanent (1)
CL Item
Intermittent (2)
Duration of symptoms and symptom free interval
Item
Duration of symptoms and symptom free interval
text
C0449238 (UMLS CUI [1,1])
C0037088 (UMLS CUI [1,2])
C1272706 (UMLS CUI [1,3])
Intensity and character
Item
Intensity and character of symptoms/complaints
text
C0518690 (UMLS CUI [1,1])
C0221563 (UMLS CUI [1,2])
Dependency of symptoms
Item
Dependency of symptoms
text
C1701901 (UMLS CUI [1])
Impairment of general health
Item
Intensity of impairment of patients general health by described symptoms
text
C0231171 (UMLS CUI [1,1])
C0516984 (UMLS CUI [1,2])
Diagnostic procedures
Item
What other diagnostic procedures so far?
text
C0430022 (UMLS CUI [1])
Item Group
Medical history
Childhood diseases
Item
Childhood diseases
text
C0489532 (UMLS CUI [1])
Diseases in adulthood
Item
Diseases in adulthood
text
C0012634 (UMLS CUI [1,1])
C0700597 (UMLS CUI [1,2])
Hospitalization
Item
Hospitalizations?
text
C0019993 (UMLS CUI [1])
Surgery
Item
Surgery
text
C0543467 (UMLS CUI [1])
Injuries
Item
Injuries
text
C3263723 (UMLS CUI [1])
Mental disorders
Item
Psychiatric disorder
text
C0004936 (UMLS CUI [1])
Immunization
Item
Active and passive Immunizations
text
C0020971 (UMLS CUI [1])
Other medical conditions
Item
Did the patient expericence any other relevant medical conditions
text
C3843040 (UMLS CUI [1])
Item Group
Medication history
Type of medication
Item
Type of medication
text
C0013227 (UMLS CUI [1])
Dosage
Item
Dosage
text
C0178602 (UMLS CUI [1])
Duration
Item
How long does the patient take this medication?
text
C0449238 (UMLS CUI [1])
Previously taken medication
Item
Previously taken medication
text
C0013227 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
Over the counter medication
Item
Over the counter medication
text
C2347852 (UMLS CUI [1,1])
C0013231 (UMLS CUI [1,2])
Hypersensitivity to Pharmaceutical Preparations
Item
Hypersensitivity to Pharmaceutical Preparations
text
C0020517 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Item Group
Patient social and occupation history
Learned occupation
Item
Learned occupation
text
C0421456 (UMLS CUI [1])
Current occupation
Item
Current occupation
text
C0421456 (UMLS CUI [1])
Occupational stressors
Item
Occupational stressors
text
C0597127 (UMLS CUI [1])
Occupational exposure
Item
Occupational exposure to toxic agents
text
C0853965 (UMLS CUI [1])
Occupational satisfaction
Item
Occupational satisfaction
text
C0683792 (UMLS CUI [1])
Reliability of employment
Item
Reliability of employment
text
C0242271 (UMLS CUI [1,1])
C2347947 (UMLS CUI [1,2])
Family situation
Item
Family situation
text
C0015576 (UMLS CUI [1])
Item Group
Family medical history
Frequent diseases in family
Item
Frequent diseases in family
text
C0012634 (UMLS CUI [1,1])
C0439660 (UMLS CUI [1,2])
Diabetes mellitus
Item
Diabetes mellitus
text
C0011849 (UMLS CUI [1])
Hypertension
Item
Hypertensive disease
text
C0020538 (UMLS CUI [1])
Blood coagulation disorders
Item
Blood coagulation disorders
text
C0005779 (UMLS CUI [1])
Neoplasms
Item
Neoplasms
text
C0027651 (UMLS CUI [1])
Dyslipidemia
Item
Dyslipidemia
text
C0242339 (UMLS CUI [1])
Arteriosclerosis
Item
Arteriosclerosis
text
C0003850 (UMLS CUI [1])
Item Group
Autonomic function history
Symptoms of hypersensitivity
Item
Symptoms of hypersensitivity
text
C0020517 (UMLS CUI [1])
Allergy testing
Item
Allergy testing
text
C0199747 (UMLS CUI [1])
Hypersensitivity to contrast agents
Item
Hypersensitivity to contrast agents
text
C0020517 (UMLS CUI [1,1])
C0009924 (UMLS CUI [1,2])
Hypersensitivity to Pharmaceutical Preparations
Item
Hypersensitivity to Pharmaceutical Preparations
text
C0020517 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Item
Appetite
integer
C0003618 (UMLS CUI [1])
Appetite
Code List
Appetite
CL Item
Appetite normal (1)
CL Item
Decrease in appetite (2)
Item
Food consumption
integer
C2983605 (UMLS CUI [1])
Food consumption
Code List
Food consumption
CL Item
Normal (1)
CL Item
Increased (2)
CL Item
Decreased (3)
Cravings
Item
Cravings for certain food or fluids
text
C0870371 (UMLS CUI [1])
Fluid intake
Item
Amount of fluid intake
text
C0429791 (UMLS CUI [1])
Type of fluids
Item
Type of fluids
text
C0332307 (UMLS CUI [1,1])
C2013463 (UMLS CUI [1,2])
Vomiting
Item
Vomiting
boolean
C0042963 (UMLS CUI [1])
Vomiting
Item
Vomiting conditional to food consumption or type of food?
text
C0042963 (UMLS CUI [1])
Vomiting
Item
Appearance and taste of vomit
text
C0042963 (UMLS CUI [1])
Dieting
Item
Dieting
boolean
C2945766 (UMLS CUI [1])
Type of diet
Item
Type of diet
text
C1550392 (UMLS CUI [1])
Reason for diet
Item
Reason for diet
text
C0566251 (UMLS CUI [1,1])
C2945766 (UMLS CUI [1,2])
Micturition
Item
Micturition frequency
text
C2584336 (UMLS CUI [1])
Urine colour
Item
Urine colour
text
C0278030 (UMLS CUI [1])
Micturition disorders
Item
Micturition disorders
text
C0042035 (UMLS CUI [1])
Urine amount
Item
Urine amount
text
C1822256 (UMLS CUI [1])
Nocturia frequency
Item
Nocturia frequency
text
C0028734 (UMLS CUI [1])
Bowel movement frequency
Item
Bowel movement frequency
text
C0426642 (UMLS CUI [1])
Amount of stool
Item
Amount of stool
text
C4069675 (UMLS CUI [1])
Consistency of stool
Item
Consistency of stool
text
C0426740 (UMLS CUI [1])
Stool colour
Item
Stool colour
text
C0578538 (UMLS CUI [1])
Appearance of stool
Item
Appearance of stool
text
C1286372 (UMLS CUI [1])
Irregular stool contents
Item
Irregular stool contents
text
C0426744 (UMLS CUI [1,1])
C0205271 (UMLS CUI [1,2])
First menstrual period
Item
First menstrual period
text
C0025274 (UMLS CUI [1])
Menstrual period
Item
Menstrual period: regular cycle?
boolean
C0025329 (UMLS CUI [1])
Contraception
Item
Oral contraception?
boolean
C0700589 (UMLS CUI [1])
Menopausal
Item
Menopausal
boolean
C0455962 (UMLS CUI [1])
Parity
Item
Parity
integer
C0030563 (UMLS CUI [1])
Pregnancy complications
Item
Pregnancy complications?
text
C0032962 (UMLS CUI [1])
Abortion or miscarriage
Item
Abortion or miscarriage
text
C0429914 (UMLS CUI [1])
Preventive medical examination
Item
Last preventive medical examination
text
C0033144 (UMLS CUI [1])
Patient Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Height
Item
Height
float
C0005890 (UMLS CUI [1])
Weight gain
Item
Weight gain amount and duration
text
C0043094 (UMLS CUI [1])
Item
Weight gain unintentional or intentional
integer
C2367670 (UMLS CUI [1,1])
C3714343 (UMLS CUI [1,2])
Weight gain unintentional or intentional
Code List
Weight gain unintentional or intentional
CL Item
intentional (1)
CL Item
unintentional (2)
Dietary treatment
Item
Dietary treatment
text
C1258068 (UMLS CUI [1])
Weight loss
Item
Weight loss amount and duration
text
C1262477 (UMLS CUI [1])
Item
Weight loss unintentional or intentional
integer
C2169614 (UMLS CUI [1,1])
C2363736 (UMLS CUI [1,2])
Weight gain unintentional or intentional
Code List
Weight loss unintentional or intentional
CL Item
intentional (1)
CL Item
unintentional (2)
Reducing diet
Item
Reducing diet
text
C0012167 (UMLS CUI [1])
General endurance
Item
General endurance
text
C0518031 (UMLS CUI [1])
Sleeping disorders
Item
Sleeping disorders
text
C0037317 (UMLS CUI [1])
Duration of sleep
Item
Duration of sleep
text
C0424574 (UMLS CUI [1])
Sleeping behavior
Item
At what time does the patient go to sleep?
text
C0474396 (UMLS CUI [1])
Cough
Item
Duration of coughing
text
C0010200 (UMLS CUI [1])
Cough
Item
At what time occurs the coughing?
text
C0010200 (UMLS CUI [1])
Sputum
Item
Colour of Sputum
text
C0038056 (UMLS CUI [1])
Sputum
Item
Consistency of sputum
text
C0425519 (UMLS CUI [1])
Expectoration
Item
Expectoration:Time of day
text
C0038056 (UMLS CUI [1])
Bloody sputum
Item
Bloody sputum
boolean
C0748941 (UMLS CUI [1])
Productive cough frequency
Item
Productive cough frequency
text
C0239134 (UMLS CUI [1,1])
C0422341 (UMLS CUI [1,2])
Productive cough duration
Item
Productive cough duration
text
C0239134 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Fever duration
Item
Fever duration
text
C0015967 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Fever course
Item
Fever course
text
C0015967 (UMLS CUI [1,1])
C1292729 (UMLS CUI [1,2])
Perspiration
Item
Nightly perspiration
boolean
C0038990 (UMLS CUI [1])
Perspiration
Item
Perspiration dependent on activity
boolean
C0038990 (UMLS CUI [1])
Dyspnea at rest
Item
Dyspnea at rest
boolean
C0743330 (UMLS CUI [1])
Dyspnea on exertion
Item
Dyspnea on exertion
boolean
C0231807 (UMLS CUI [1])
Nighttime dyspnea
Item
Nighttime dyspnea
text
C2127200 (UMLS CUI [1])
Pruritus
Item
Itching,why?
text
C0033774 (UMLS CUI [1])
Pruritus
Item
Itching conditional with clothes or food?
text
C0033774 (UMLS CUI [1])
Seizures
Item
Convulsion
text
C0036572 (UMLS CUI [1])
Sexually Transmitted Diseases
Item
Sexually Transmitted Diseases: Risk groups, HIV-Testing
text
C0036916 (UMLS CUI [1])
Alcohol consumption
Item
Daily/Weekly alcohol consumption
text
C0001948 (UMLS CUI [1])
Substance use
Item
Nicotine use
text
C0038586 (UMLS CUI [1])
Invalidity
Item
Invalidity
text
C0012605 (UMLS CUI [1])
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