ID

10410

Descrição

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

Link

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

Palavras-chave

Versões (1)
  1. 29/05/2015 29/05/2015 - Martin Dugas
Titular dos direitos

Copyright Center for Chronic Pruritus, University Hospital Münster

Transferido a

29 de maio de 2015

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC-ND 3.0
Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Voltar para os comentários do modelo
Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

EADV PruNet QoL

Alemão ( localization.languageCode.DE ) Inglês Inglês ( localization.languageCode.GB ) Espanhol ( localization.languageCode.ES ) Francês ( localization.languageCode.FR ) Italiano ( localization.languageCode.IT ) Polonês ( localization.languageCode.PL ) Turco ( localization.languageCode.TR )

Quality of Life Questionnaire EADV PruNet

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

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?
Descrição

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

Tipo de dados

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?
Descrição

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?

Tipo de dados

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)?
Descrição

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

Tipo de dados

text

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

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

Tipo de dados

text

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

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

Tipo de dados

text

Alias
UMLS CUI-1
C0026516
Voltar ao início da página

Similar models

Quality of Life Questionnaire EADV PruNet

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
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)
Voltar ao início da página 

Contacto

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Ajuda

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial