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12730

Beschrijving

Form from HIS OpenVistA

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  1. 15-12-15 15-12-15 -
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15 december 2015

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Creative Commons BY-NC 3.0

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    Family history

    1. StudyEvent: HIS
      1. HIS
    Maternal Family History
    Beschrijving

    Maternal Family History

    Mutter lebt
    Beschrijving

    Mother living

    Datatype

    boolean

    Hypertonie
    Beschrijving

    Hypertension

    Datatype

    boolean

    Alias
    UMLS CUI
    C0020538
    SNOMED CT 2010_0731
    38341003
    MedDRA 13.1
    10020772
    LOINC Version 232
    MTHU020789
    ICD-10-CM Version 2010
    I10
    ICD-9-CM Version 2011
    997.91
    CTCAE Version 4.03
    E13785
    Diabetes mellitus
    Beschrijving

    Diabetes mellitus

    Datatype

    boolean

    Alias
    UMLS CUI
    C0011849
    SNOMED CT 2010_0731
    191044006
    Schlaganfall
    Beschrijving

    Stroke

    Datatype

    boolean

    Alias
    UMLS CUI
    C0038454
    SNOMED CT 2010_0731
    230690007
    MedDRA 13.1
    10042244
    ICD-10-CM Version 2010
    I63.9
    CTCAE Version 4.03
    E12826
    Herzinfarkt
    Beschrijving

    Myocardial Infarction (MI)

    Datatype

    boolean

    Alias
    UMLS CUI
    C0027051
    SNOMED CT 2010_0731
    22298006
    MedDRA 13.1
    10028596
    LOINC Version 232
    MTHU035551
    ICD-10-CM Version 2010
    I21-I22
    ICD-9-CM Version 2011
    410
    CTCAE Version 4.03
    E10152
    Early Coronary Vascular Disease
    Beschrijving

    Early Coronary Vascular Disease

    Datatype

    boolean

    Brustkrebs
    Beschrijving

    Breast Cancer

    Datatype

    boolean

    Alias
    UMLS CUI
    C0678222
    SNOMED CT 2010_0731
    254838004
    MedDRA 13.1
    10006204
    Darmkrebs
    Beschrijving

    Colon Cancer

    Datatype

    boolean

    Alias
    UMLS CUI
    C0699790
    SNOMED CT 2010_0731
    269533000
    MedDRA 13.1
    10009957
    Other
    Beschrijving

    Other

    Datatype

    text

    FH: Age at death
    Beschrijving

    Mother's age of death

    Datatype

    integer

    Alias
    UMLS CUI
    C1720406
    Todesursache (Mutter)
    Beschrijving

    Mother's cause of death

    Datatype

    text

    Alias
    UMLS CUI
    C0007465
    SNOMED CT 2010_0731
    184305005
    LOINC Version 232
    MTHU010441
    Kommentar
    Beschrijving

    comment

    Datatype

    text

    Paternal Family History
    Beschrijving

    Paternal Family History

    Vater lebt
    Beschrijving

    Father living

    Datatype

    boolean

    Hypertonie
    Beschrijving

    Hypertension

    Datatype

    boolean

    Alias
    UMLS CUI
    C0020538
    SNOMED CT 2010_0731
    38341003
    MedDRA 13.1
    10020772
    LOINC Version 232
    MTHU020789
    ICD-10-CM Version 2010
    I10
    ICD-9-CM Version 2011
    997.91
    CTCAE Version 4.03
    E13785
    Diabetes mellitus
    Beschrijving

    Diabetes mellitus

    Datatype

    boolean

    Alias
    UMLS CUI
    C0011849
    SNOMED CT 2010_0731
    191044006
    Schlaganfall
    Beschrijving

    Stroke

    Datatype

    boolean

    Alias
    UMLS CUI
    C0038454
    SNOMED CT 2010_0731
    230690007
    MedDRA 13.1
    10042244
    ICD-10-CM Version 2010
    I63.9
    CTCAE Version 4.03
    E12826
    Herzinfarkt
    Beschrijving

    Myocardial Infarction (MI)

    Datatype

    boolean

    Alias
    UMLS CUI
    C0027051
    SNOMED CT 2010_0731
    22298006
    MedDRA 13.1
    10028596
    LOINC Version 232
    MTHU035551
    ICD-10-CM Version 2010
    I21-I22
    ICD-9-CM Version 2011
    410
    CTCAE Version 4.03
    E10152
    Early Coronary Vascular Disease
    Beschrijving

    Early Coronary Vascular Disease

    Datatype

    boolean

    Prostatakrebs
    Beschrijving

    Prostate Cancer

    Datatype

    boolean

    Alias
    UMLS CUI
    C0600139
    SNOMED CT 2010_0731
    254900004
    MedDRA 13.1
    10036921
    Darmkrebs
    Beschrijving

    Colon Cancer

    Datatype

    boolean

    Alias
    UMLS CUI
    C0699790
    SNOMED CT 2010_0731
    269533000
    MedDRA 13.1
    10009957
    Other
    Beschrijving

    Other

    Datatype

    text

    FH: Age at death
    Beschrijving

    Father's age of death

    Datatype

    integer

    Alias
    UMLS CUI
    C1720406
    Todesursache (Vater)
    Beschrijving

    Father's cause of death

    Datatype

    text

    Alias
    UMLS CUI
    C0007465
    SNOMED CT 2010_0731
    184305005
    LOINC Version 232
    MTHU010441
    Kommentar
    Beschrijving

    comment

    Datatype

    text

    Siblings Family History
    Beschrijving

    Siblings Family History

    Geschwister ohne signifikante Erkrankung
    Beschrijving

    Siblings without significant disease

    Datatype

    text

    Geschwister mit signifikanter Erkrankung
    Beschrijving

    Siblings with significant disease

    Datatype

    boolean

    Hypertonie
    Beschrijving

    Hypertension

    Datatype

    boolean

    Alias
    UMLS CUI
    C0020538
    SNOMED CT 2010_0731
    38341003
    MedDRA 13.1
    10020772
    LOINC Version 232
    MTHU020789
    ICD-10-CM Version 2010
    I10
    ICD-9-CM Version 2011
    997.91
    CTCAE Version 4.03
    E13785
    Schlaganfall
    Beschrijving

    Stroke

    Datatype

    boolean

    Alias
    UMLS CUI
    C0038454
    SNOMED CT 2010_0731
    230690007
    MedDRA 13.1
    10042244
    ICD-10-CM Version 2010
    I63.9
    CTCAE Version 4.03
    E12826
    Herzinfarkt
    Beschrijving

    Myocardial Infarction (MI)

    Datatype

    boolean

    Alias
    UMLS CUI
    C0027051
    SNOMED CT 2010_0731
    22298006
    MedDRA 13.1
    10028596
    LOINC Version 232
    MTHU035551
    ICD-10-CM Version 2010
    I21-I22
    ICD-9-CM Version 2011
    410
    CTCAE Version 4.03
    E10152
    Diabetes mellitus
    Beschrijving

    Diabetes mellitus

    Datatype

    boolean

    Alias
    UMLS CUI
    C0011849
    SNOMED CT 2010_0731
    191044006
    Early Coronary Vascular Disease
    Beschrijving

    Early Coronary Vascular Disease

    Datatype

    boolean

    Darmkrebs
    Beschrijving

    Colon Cancer

    Datatype

    boolean

    Alias
    UMLS CUI
    C0699790
    SNOMED CT 2010_0731
    269533000
    MedDRA 13.1
    10009957
    Other
    Beschrijving

    Other

    Datatype

    text

    Similar models

    1. StudyEvent: HIS
      1. HIS
    Name
    Type
    Description | Question | Decode (Coded Value)
    Datatype
    Alias
    Mother living
    Item
    Mutter lebt
    boolean
    Hypertension
    Item
    Hypertonie
    boolean
    C0020538 (UMLS CUI)
    38341003 (SNOMED CT 2010_0731)
    10020772 (MedDRA 13.1)
    MTHU020789 (LOINC Version 232)
    I10 (ICD-10-CM Version 2010)
    997.91 (ICD-9-CM Version 2011)
    E13785 (CTCAE Version 4.03)
    Diabetes mellitus
    Item
    Diabetes mellitus
    boolean
    C0011849 (UMLS CUI)
    191044006 (SNOMED CT 2010_0731)
    Stroke
    Item
    Schlaganfall
    boolean
    C0038454 (UMLS CUI)
    230690007 (SNOMED CT 2010_0731)
    10042244 (MedDRA 13.1)
    I63.9 (ICD-10-CM Version 2010)
    E12826 (CTCAE Version 4.03)
    Myocardial Infarction (MI)
    Item
    Herzinfarkt
    boolean
    C0027051 (UMLS CUI)
    22298006 (SNOMED CT 2010_0731)
    10028596 (MedDRA 13.1)
    MTHU035551 (LOINC Version 232)
    I21-I22 (ICD-10-CM Version 2010)
    410 (ICD-9-CM Version 2011)
    E10152 (CTCAE Version 4.03)
    Early Coronary Vascular Disease
    Item
    Early Coronary Vascular Disease
    boolean
    Breast Cancer
    Item
    Brustkrebs
    boolean
    C0678222 (UMLS CUI)
    254838004 (SNOMED CT 2010_0731)
    10006204 (MedDRA 13.1)
    Colon Cancer
    Item
    Darmkrebs
    boolean
    C0699790 (UMLS CUI)
    269533000 (SNOMED CT 2010_0731)
    10009957 (MedDRA 13.1)
    Other
    Item
    Other
    text
    Mother's age of death
    Item
    FH: Age at death
    integer
    C1720406 (UMLS CUI)
    Mother's cause of death
    Item
    Todesursache (Mutter)
    text
    C0007465 (UMLS CUI)
    184305005 (SNOMED CT 2010_0731)
    MTHU010441 (LOINC Version 232)
    comment
    Item
    Kommentar
    text
    Father living
    Item
    Vater lebt
    boolean
    Hypertension
    Item
    Hypertonie
    boolean
    C0020538 (UMLS CUI)
    38341003 (SNOMED CT 2010_0731)
    10020772 (MedDRA 13.1)
    MTHU020789 (LOINC Version 232)
    I10 (ICD-10-CM Version 2010)
    997.91 (ICD-9-CM Version 2011)
    E13785 (CTCAE Version 4.03)
    Diabetes mellitus
    Item
    Diabetes mellitus
    boolean
    C0011849 (UMLS CUI)
    191044006 (SNOMED CT 2010_0731)
    Stroke
    Item
    Schlaganfall
    boolean
    C0038454 (UMLS CUI)
    230690007 (SNOMED CT 2010_0731)
    10042244 (MedDRA 13.1)
    I63.9 (ICD-10-CM Version 2010)
    E12826 (CTCAE Version 4.03)
    Myocardial Infarction (MI)
    Item
    Herzinfarkt
    boolean
    C0027051 (UMLS CUI)
    22298006 (SNOMED CT 2010_0731)
    10028596 (MedDRA 13.1)
    MTHU035551 (LOINC Version 232)
    I21-I22 (ICD-10-CM Version 2010)
    410 (ICD-9-CM Version 2011)
    E10152 (CTCAE Version 4.03)
    Early Coronary Vascular Disease
    Item
    Early Coronary Vascular Disease
    boolean
    Prostate Cancer
    Item
    Prostatakrebs
    boolean
    C0600139 (UMLS CUI)
    254900004 (SNOMED CT 2010_0731)
    10036921 (MedDRA 13.1)
    Colon Cancer
    Item
    Darmkrebs
    boolean
    C0699790 (UMLS CUI)
    269533000 (SNOMED CT 2010_0731)
    10009957 (MedDRA 13.1)
    Other
    Item
    Other
    text
    Father's age of death
    Item
    FH: Age at death
    integer
    C1720406 (UMLS CUI)
    Father's cause of death
    Item
    Todesursache (Vater)
    text
    C0007465 (UMLS CUI)
    184305005 (SNOMED CT 2010_0731)
    MTHU010441 (LOINC Version 232)
    comment
    Item
    Kommentar
    text
    Siblings without significant disease
    Item
    Geschwister ohne signifikante Erkrankung
    text
    Siblings with significant disease
    Item
    Geschwister mit signifikanter Erkrankung
    boolean
    Hypertension
    Item
    Hypertonie
    boolean
    C0020538 (UMLS CUI)
    38341003 (SNOMED CT 2010_0731)
    10020772 (MedDRA 13.1)
    MTHU020789 (LOINC Version 232)
    I10 (ICD-10-CM Version 2010)
    997.91 (ICD-9-CM Version 2011)
    E13785 (CTCAE Version 4.03)
    Stroke
    Item
    Schlaganfall
    boolean
    C0038454 (UMLS CUI)
    230690007 (SNOMED CT 2010_0731)
    10042244 (MedDRA 13.1)
    I63.9 (ICD-10-CM Version 2010)
    E12826 (CTCAE Version 4.03)
    Myocardial Infarction (MI)
    Item
    Herzinfarkt
    boolean
    C0027051 (UMLS CUI)
    22298006 (SNOMED CT 2010_0731)
    10028596 (MedDRA 13.1)
    MTHU035551 (LOINC Version 232)
    I21-I22 (ICD-10-CM Version 2010)
    410 (ICD-9-CM Version 2011)
    E10152 (CTCAE Version 4.03)
    Diabetes mellitus
    Item
    Diabetes mellitus
    boolean
    C0011849 (UMLS CUI)
    191044006 (SNOMED CT 2010_0731)
    Early Coronary Vascular Disease
    Item
    Early Coronary Vascular Disease
    boolean
    Colon Cancer
    Item
    Darmkrebs
    boolean
    C0699790 (UMLS CUI)
    269533000 (SNOMED CT 2010_0731)
    10009957 (MedDRA 13.1)
    Other
    Item
    Other
    text

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