ID

10410

Description

EADV PruNet http://klinikum.uni-muenster.de/index.php?id=8955

Link

http://klinikum.uni-muenster.de/index.php?id=8955

Keywords

Versions (1)
  1. 5/29/15 5/29/15 - Martin Dugas
Copyright Holder

Copyright Center for Chronic Pruritus, University Hospital Münster

Uploaded on

May 29, 2015

DOI

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License

Creative Commons BY-NC-ND 3.0
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EADV PruNet QoL

German ( localization.languageCode.DE ) English English ( localization.languageCode.GB ) Spanish ( localization.languageCode.ES ) French ( localization.languageCode.FR ) Italian ( localization.languageCode.IT ) Polish ( localization.languageCode.PL ) Turkish ( localization.languageCode.TR )

Quality of Life Questionnaire EADV PruNet

1 forms  
This questionnaire concerns the LAST 7 DAYS. Only ONE answer can be selected per question
Description

This questionnaire concerns the LAST 7 DAYS. Only ONE answer can be selected per question

Alias
UMLS CUI-1
C0034380
UMLS CUI-2
C2987125
1. How often have you experienced an itching, burning, stinging, tingling sensation or pain on your skin?
Description

1. How often have you experienced an itching, burning, stinging, tingling sensation or pain on your skin?

Data type

text

Alias
UMLS CUI-1
C0033774
UMLS CUI-2
C0439603
2. To what extent has the itching negatively affected you in your everyday life (e.g. if you must wear specific clothing), in your leisure time and/or at work?
Description

2. To what extent has the itching negatively affected you in your everyday life (e.g. if you must wear specific clothing), in your leisure time and/or at work?

Data type

text

Alias
UMLS CUI-1
C0001288
3. To what extent does the itching make you feel impaired when dealing with other people (e.g. embarrassed, insecure)?
Description

3. To what extent does the itching make you feel impaired when dealing with other people (e.g. embarrassed, insecure)?

Data type

text

Alias
UMLS CUI-1
C3274930
4. To what extent does the itching have a negative impact on your sleep?
Description

4. To what extent does the itching have a negative impact on your sleep?

Data type

text

Alias
UMLS CUI-1
C3830426
5. To what extent has the itching influenced your enjoyment of life and your mood?
Description

5. To what extent has the itching influenced your enjoyment of life and your mood?

Data type

text

Alias
UMLS CUI-1
C0026516
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Similar models

Quality of Life Questionnaire EADV PruNet

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
This questionnaire concerns the LAST 7 DAYS. Only ONE answer can be selected per question
C0034380 (UMLS CUI-1)
C2987125 (UMLS CUI-2)
Item
1. How often have you experienced an itching, burning, stinging, tingling sensation or pain on your skin?
text
C0033774 (UMLS CUI-1)
C0439603 (UMLS CUI-2)
Pruritus frequency
Code List
1. How often have you experienced an itching, burning, stinging, tingling sensation or pain on your skin?
CL Item
never (0)
C2003901 (UMLS CUI-1)
CL Item
rarely (1)
C0522498 (UMLS CUI-1)
CL Item
sometimes (2)
C1998882 (UMLS CUI-1)
CL Item
often (3)
C0332183 (UMLS CUI-1)
CL Item
always (4)
C2984081 (UMLS CUI-1)
Item
2. To what extent has the itching negatively affected you in your everyday life (e.g. if you must wear specific clothing), in your leisure time and/or at work?
text
C0001288 (UMLS CUI-1)
Impact on everyday life
Code List
2. To what extent has the itching negatively affected you in your everyday life (e.g. if you must wear specific clothing), in your leisure time and/or at work?
CL Item
not at all (0)
C2984077 (UMLS CUI-1)
CL Item
a little bit (1)
C2984078 (UMLS CUI-1)
CL Item
somewhat (2)
C2984079 (UMLS CUI-1)
CL Item
rather (3)
C2984080 (UMLS CUI-1)
CL Item
very (4)
C2984081 (UMLS CUI-1)
Item
3. To what extent does the itching make you feel impaired when dealing with other people (e.g. embarrassed, insecure)?
text
C3274930 (UMLS CUI-1)
Impact on everyday life
Code List
3. To what extent does the itching make you feel impaired when dealing with other people (e.g. embarrassed, insecure)?
CL Item
not at all (0)
C2984077 (UMLS CUI-1)
CL Item
a little bit (1)
C2984078 (UMLS CUI-1)
CL Item
somewhat (2)
C2984079 (UMLS CUI-1)
CL Item
rather (3)
C2984080 (UMLS CUI-1)
CL Item
very (4)
C2984081 (UMLS CUI-1)
Item
4. To what extent does the itching have a negative impact on your sleep?
text
C3830426 (UMLS CUI-1)
Impact on everyday life
Code List
4. To what extent does the itching have a negative impact on your sleep?
CL Item
not at all (0)
C2984077 (UMLS CUI-1)
CL Item
a little bit (1)
C2984078 (UMLS CUI-1)
CL Item
somewhat (2)
C2984079 (UMLS CUI-1)
CL Item
rather (3)
C2984080 (UMLS CUI-1)
CL Item
very (4)
C2984081 (UMLS CUI-1)
Item
5. To what extent has the itching influenced your enjoyment of life and your mood?
text
C0026516 (UMLS CUI-1)
Impact on everyday life
Code List
5. To what extent has the itching influenced your enjoyment of life and your mood?
CL Item
not at all (0)
C2984077 (UMLS CUI-1)
CL Item
a little bit (1)
C2984078 (UMLS CUI-1)
CL Item
somewhat (2)
C2984079 (UMLS CUI-1)
CL Item
rather (3)
C2984080 (UMLS CUI-1)
CL Item
very (4)
C2984081 (UMLS CUI-1)
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