ID

22403

Beschrijving

Chest questionnaire form converted to ODM format. Routine documentation of University Hospital of Münster.

Trefwoorden

Versies (3)
  1. 28-12-16 28-12-16 -
  2. 01-06-17 01-06-17 -
  3. 20-09-21 20-09-21 -
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UKM

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1 juni 2017

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Creative Commons BY-NC 3.0
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Chest questionnaire Pediatric surgery UKM

Duits Engels

Chest questionnaire

1 Formulieren  
  1. StudyEvent: ODM
    1. Chest questionnaire
Patient demographics
Beschrijving

Patient demographics

Alias
UMLS CUI-1
C1955348
Gender
Beschrijving

Gender

Datatype

integer

Alias
UMLS CUI [1]
C0079399
Height
Beschrijving

Height

Datatype

integer

Alias
UMLS CUI [1]
C0005890
Age
Beschrijving

Age

Datatype

integer

Alias
UMLS CUI [1]
C0001779
Weight
Beschrijving

Weight

Datatype

integer

Congenital breast deformities
Beschrijving

Congenital breast deformities

Alias
UMLS CUI-1
C0567474
Funnel chest
Beschrijving

Please indicate the degree of deformity

Datatype

integer

Alias
UMLS CUI [1]
C0016842
Chicken breast
Beschrijving

Please indicate the degree of deformity

Datatype

integer

Alias
UMLS CUI [1]
C0158731
Asymmetric form of breast
Beschrijving

Please indicate the degree of deformity

Datatype

integer

Alias
UMLS CUI [1,1]
C0332514
UMLS CUI [1,2]
C1286083
Impaired health due to chest deformity
Beschrijving

Impaired health due to chest deformity

Alias
UMLS CUI-1
C0684336
Respiratory problems
Beschrijving

Do you think that your Impaired health is caused by your chest deformity? If any, please indicate the degree of impairment

Datatype

integer

Alias
UMLS CUI [1]
C1659989
Heart problem
Beschrijving

Do you think that your Impaired health is caused by your chest deformity? If any, please indicate the degree of impairment

Datatype

integer

Alias
UMLS CUI [1]
C0795691
Scoliosis
Beschrijving

Scoliosis

Datatype

integer

Alias
UMLS CUI [1]
C0036439
Kyphosis deformity
Beschrijving

Kyphosis deformity

Datatype

integer

Alias
UMLS CUI [1]
C0022821
Standing position improvements
Beschrijving

Standing position improvements

Physiotherapy
Beschrijving

Physiotherapy

Datatype

boolean

Alias
UMLS CUI [1]
C0949766
Breathing therapy
Beschrijving

Breathing therapy

Datatype

boolean

Alias
UMLS CUI [1]
C1406915
Increase in muscle size
Beschrijving

Increase in muscle size

Datatype

boolean

Alias
UMLS CUI [1]
C2048810
Hobbies
Beschrijving

How do you spend your free-time? Please note only non sport activities

Datatype

integer

Alias
UMLS CUI [1]
C0019826
What sports do you play?
Beschrijving

What sports do you play?

Datatype

integer

Alias
UMLS CUI [1]
C0038039
Reason to play sports
Beschrijving

Reason to play sports

General health
Beschrijving

General health

Datatype

integer

Alias
UMLS CUI [1]
C0516984
Meeting friends
Beschrijving

Meetin friends

Datatype

integer

Alias
UMLS CUI [1]
C1969313
Fun
Beschrijving

Fun

Datatype

integer

Alias
UMLS CUI [1]
C2984052
Competition
Beschrijving

Competition

Datatype

integer

Alias
UMLS CUI [1]
C0679932
Balance
Beschrijving

Balance

Datatype

integer

Alias
UMLS CUI [1]
C0560184
for the sake of others
Beschrijving

for the sake of others

Datatype

integer

Appearance
Beschrijving

Appearance

Datatype

integer

Alias
UMLS CUI [1]
C0700364
Group game
Beschrijving

Do you avoid any sports even though you would like to do it?

Datatype

integer

Alias
UMLS CUI [1]
C0150593
Swimming
Beschrijving

Swimming

Datatype

integer

Alias
UMLS CUI [1]
C0039003
What do you dislike about physical education?
Beschrijving

What do you dislike about physical education?

Teacher
Beschrijving

Teacher

Datatype

integer

Alias
UMLS CUI [1]
C0221457
Exercise
Beschrijving

Exercise

Datatype

integer

Alias
UMLS CUI [1]
C0015259
Group games
Beschrijving

Group games

Datatype

integer

Alias
UMLS CUI [1]
C0454422
Swimming lesson
Beschrijving

Swimming lesson

Datatype

integer

Alias
UMLS CUI [1]
C0039003
Gymnastics
Beschrijving

Gymnastics

Datatype

integer

Alias
UMLS CUI [1]
C0018409
How much does your chest from interferes with your ability to engage in exercises?
Beschrijving

How much does your chest from interferes with your ability to engage in exercises?

Datatype

integer

Alias
UMLS CUI [1,1]
C0426786
UMLS CUI [1,2]
C0221099
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Similar models

Chest questionnaire

1 Formulieren
  1. StudyEvent: ODM
    1. Chest questionnaire
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Patient demographics
C1955348 (UMLS CUI-1)
Item
Gender
integer
C0079399 (UMLS CUI [1])
Gender
Code List
Gender
CL Item
m (1)
C0086582 (UMLS CUI-1)
CL Item
f (2)
C0015780 (UMLS CUI-1)
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Weight
Item
Weight
integer
Item Group
Congenital breast deformities
C0567474 (UMLS CUI-1)
Item
Funnel chest
integer
C0016842 (UMLS CUI [1])
Funnel chest
Code List
Funnel chest
CL Item
Extrem (1)
CL Item
Very strong (2)
CL Item
Strong (3)
CL Item
Somewaht (4)
CL Item
Minor (5)
CL Item
No deformity (6)
Item
Chicken breast
integer
C0158731 (UMLS CUI [1])
Chicken breast
Code List
Chicken breast
CL Item
Extrem (1)
CL Item
Very strong (2)
CL Item
Strong (3)
CL Item
Somewaht (4)
CL Item
Minor (5)
CL Item
No deformity (6)
Item
Asymmetric form of breast
integer
C0332514 (UMLS CUI [1,1])
C1286083 (UMLS CUI [1,2])
Asymmetric form of breast
Code List
Asymmetric form of breast
CL Item
Extrem (1)
CL Item
Very strong (2)
CL Item
Strong (3)
CL Item
Somewaht (4)
CL Item
Minor (5)
CL Item
No deformity (6)
Item Group
Impaired health due to chest deformity
C0684336 (UMLS CUI-1)
Item
Respiratory problems
integer
C1659989 (UMLS CUI [1])
Respiratory problems
Code List
Respiratory problems
CL Item
Extrem (1)
CL Item
Very strong (2)
CL Item
Strong (3)
CL Item
Somewaht (4)
CL Item
Minor (5)
CL Item
No impairment (6)
Item
Heart problem
integer
C0795691 (UMLS CUI [1])
Heart problem
Code List
Heart problem
CL Item
Extrem (1)
CL Item
Very strong (2)
CL Item
Strong (3)
CL Item
Somewaht (4)
CL Item
Minor (5)
CL Item
No impairment (6)
Item
Scoliosis
integer
C0036439 (UMLS CUI [1])
Scoliosis
Code List
Scoliosis
CL Item
Extrem (1)
CL Item
Very strong (2)
CL Item
Strong (3)
CL Item
Somewaht (4)
CL Item
Minor (5)
CL Item
No impairment (6)
Item
Kyphosis deformity
integer
C0022821 (UMLS CUI [1])
Kyphosis deformity
Code List
Kyphosis deformity
CL Item
Extrem (1)
CL Item
Very strong (2)
CL Item
Strong (3)
CL Item
Somewaht (4)
CL Item
Minor (5)
CL Item
No impairment (6)
Item Group
Standing position improvements
Physiotherapy
Item
Physiotherapy
boolean
C0949766 (UMLS CUI [1])
Breathing therapy
Item
Breathing therapy
boolean
C1406915 (UMLS CUI [1])
Increase in muscle size
Item
Increase in muscle size
boolean
C2048810 (UMLS CUI [1])
Item
Hobbies
integer
C0019826 (UMLS CUI [1])
Hobbies
Code List
Hobbies
CL Item
Hobby (1)
C0019826 (UMLS CUI-1)
CL Item
Time (2)
C0040223 (UMLS CUI-1)
CL Item
Sets per week (3)
CL Item
Time per set (4)
CL Item
By your self or with friends? (5)
C0679994 (UMLS CUI-1)
Item
What sports do you play?
integer
C0038039 (UMLS CUI [1])
What sports do you play?
Code List
What sports do you play?
CL Item
Sport (1)
C0038039 (UMLS CUI-1)
CL Item
Time (2)
C0040223 (UMLS CUI-1)
CL Item
Sets per week (3)
CL Item
Time per set (4)
CL Item
Club membership (5)
C2136034 (UMLS CUI-1)
Item Group
Reason to play sports
Item
General health
integer
C0516984 (UMLS CUI [1])
General health
Code List
General health
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
CL Item
 (6)
Item
Meeting friends
integer
C1969313 (UMLS CUI [1])
Meetin friends
Code List
Meeting friends
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
CL Item
 (6)
Item
Fun
integer
C2984052 (UMLS CUI [1])
Fun
Code List
Fun
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item
Competition
integer
C0679932 (UMLS CUI [1])
Competition
Code List
Competition
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item
Balance
integer
C0560184 (UMLS CUI [1])
Balance
Code List
Balance
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item
for the sake of others
integer
for the sake of others
Code List
for the sake of others
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item
Appearance
integer
C0700364 (UMLS CUI [1])
Appearance
Code List
Appearance
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item
Group game
integer
C0150593 (UMLS CUI [1])
Group game
Code List
Group game
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item
Swimming
integer
C0039003 (UMLS CUI [1])
Swimming
Code List
Swimming
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item Group
What do you dislike about physical education?
Item
Teacher
integer
C0221457 (UMLS CUI [1])
Teacher
Code List
Teacher
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item
Exercise
integer
C0015259 (UMLS CUI [1])
Teacher
Code List
Exercise
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item
Group games
integer
C0454422 (UMLS CUI [1])
Teacher
Code List
Group games
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item
Swimming lesson
integer
C0039003 (UMLS CUI [1])
Swimming lesson
Code List
Swimming lesson
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item
Gymnastics
integer
C0018409 (UMLS CUI [1])
Swimming lesson
Code List
Gymnastics
CL Item
Strongly Agree  (1)
C3642483 (UMLS CUI-1)
CL Item
Agree  (2)
C3641827 (UMLS CUI-1)
CL Item
Indifferent (3)
C0332238 (UMLS CUI-1)
CL Item
Disagree (4)
C3641828 (UMLS CUI-1)
CL Item
Strongly Disagree (5)
C3641826 (UMLS CUI-1)
Item
How much does your chest from interferes with your ability to engage in exercises?
integer
C0426786 (UMLS CUI [1,1])
C0221099 (UMLS CUI [1,2])
How much does your chest from interferes with your ability to engage in exercises?
Code List
How much does your chest from interferes with your ability to engage in exercises?
CL Item
Extrem (1)
CL Item
Very strong (2)
CL Item
Strong (3)
CL Item
Somewaht (4)
CL Item
Minor (5)
CL Item
No deformity (6)
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