ID

13583

Beschrijving

http://www.medizinisch-berufliche-orientierung.de/bausteine/diagnostische_instrumente/#simbo German Federal Pension Insurance Department of Rehabilitation Coordination and Development of Medical and Vocational Rehabilitation Hohenzollerndamm 47 D-10704 Berlin ( +49(0)30 865-81591 (phone) 7 +49(0)30 865-82122 (fax) mailto: dr.marco.streibelt@drv-bund.de

Link

http://www.medizinisch-berufliche-orientierung.de/bausteine/diagnostische_instrumente/#simbo

Trefwoorden

Versies (4)
  1. 17-02-16 17-02-16 -
  2. 19-02-16 19-02-16 - Julian Varghese
  3. 19-02-16 19-02-16 - Julian Varghese
  4. 24-02-16 24-02-16 -
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17 februari 2016

DOI

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Licentie

Creative Commons BY-NC 3.0
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Screening instrument to evaluate the need for medical-vocational rehabilitation (SIMBO-C)

Engels

SIMBO-C Questionnaire

1 Formulieren  
  1. StudyEvent: ODM
    1. SIMBO-C Questionnaire
SIMBO-C Questionnaire
Beschrijving

SIMBO-C Questionnaire

Please give your social security number
Beschrijving

Social security number

Datatype

integer

Alias
UMLS CUI [1]
C1301821
Age
Beschrijving

Age

Datatype

integer

Maateenheden
  • years
Alias
UMLS CUI [1]
C0001779
years
Gender
Beschrijving

Gender

Datatype

integer

Alias
UMLS CUI [1]
C0079399
What is your current employment situation?
Beschrijving

Employment situation

Datatype

text

Alias
UMLS CUI [1]
C3261398
Did your physician declare you currently unfit for work?
Beschrijving

Unfit for work

Datatype

boolean

Alias
UMLS CUI [1]
C0425098
Have you been declared unfit for work within the last 12 month?
Beschrijving

Unfit to work

Datatype

boolean

Alias
UMLS CUI [1]
C0425098
If you have been declared unfit to work within the last 12 month, how long was that in total?
Beschrijving

Unfit to work

Datatype

text

Alias
UMLS CUI [1]
C0425098
How severe would you rate your impairment at work through your health issues?
Beschrijving

0 being no impairment at all, 10 being completely impaired

Datatype

text

Alias
UMLS CUI [1]
C3842836
How would you see your occupational future? Would you think you
Beschrijving

Vocational assessment

Datatype

text

Alias
UMLS CUI [1]
C0204115
What do you expect from your medical-vocational rehabilitation? Do you hope that somebody will have time for you at last
Beschrijving

Expectations

Datatype

text

Alias
UMLS CUI [1]
C0679138
What do you expect from your medical-vocational rehabilitation? Do you hope that you will find relief of strain through psychological counseling?
Beschrijving

Expectations

Datatype

text

Alias
UMLS CUI [1]
C0679138
What do you expect from your medical-vocational rehabilitation? Do you hope that the rehabilitation will help settle or better your occupational situation?
Beschrijving

Expectations

Datatype

text

Alias
UMLS CUI [1]
C0679138
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Similar models

SIMBO-C Questionnaire

1 Formulieren
  1. StudyEvent: ODM
    1. SIMBO-C Questionnaire
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
SIMBO-C Questionnaire
Social security number
Item
Please give your social security number
integer
C1301821 (UMLS CUI [1])
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Item
Gender
integer
C0079399 (UMLS CUI [1])
Gender
Code List
Gender
CL Item
male (1)
CL Item
female (2)
Item
What is your current employment situation?
text
C3261398 (UMLS CUI [1])
Employment situation
Code List
What is your current employment situation?
CL Item
fulltime employment (1)
CL Item
halftime employment (2)
CL Item
part time employment (3)
CL Item
homemaker (4)
CL Item
unemployed (5)
CL Item
on disability pension (6)
CL Item
retiree (7)
CL Item
not working due to other reasons (8)
Unfit for work
Item
Did your physician declare you currently unfit for work?
boolean
C0425098 (UMLS CUI [1])
Unfit to work
Item
Have you been declared unfit for work within the last 12 month?
boolean
C0425098 (UMLS CUI [1])
Item
If you have been declared unfit to work within the last 12 month, how long was that in total?
text
C0425098 (UMLS CUI [1])
Unfit to work
Code List
If you have been declared unfit to work within the last 12 month, how long was that in total?
CL Item
less than a week (1)
CL Item
1-6 weeks (2)
CL Item
7-12 weeks (3)
CL Item
13-26 weeks (4)
CL Item
longer than 26 weeks (5)
Item
How severe would you rate your impairment at work through your health issues?
text
C3842836 (UMLS CUI [1])
Impairment at work
Code List
How severe would you rate your impairment at work through your health issues?
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
CL Item
10 (10)
Item
How would you see your occupational future? Would you think you
text
C0204115 (UMLS CUI [1])
Vocational assessment
Code List
How would you see your occupational future? Would you think you
CL Item
can work in my profession in the future (1)
CL Item
cannot work in my profession in the future (2)
CL Item
will search for another employment (3)
CL Item
will be unable to work at all (4)
CL Item
will apply for a pension/will receive a pension (5)
CL Item
will be unemployed (6)
CL Item
will be declared unfit for work (7)
CL Item
don´t know it yet (8)
Item
What do you expect from your medical-vocational rehabilitation? Do you hope that somebody will have time for you at last
text
C0679138 (UMLS CUI [1])
Expectations
Code List
What do you expect from your medical-vocational rehabilitation? Do you hope that somebody will have time for you at last
CL Item
not at all (1)
CL Item
a little (2)
CL Item
moderately (3)
CL Item
pretty much (4)
CL Item
very much (5)
Item
What do you expect from your medical-vocational rehabilitation? Do you hope that you will find relief of strain through psychological counseling?
text
C0679138 (UMLS CUI [1])
Expectations
Code List
What do you expect from your medical-vocational rehabilitation? Do you hope that you will find relief of strain through psychological counseling?
CL Item
not at all (1)
CL Item
a little (2)
CL Item
moderately (3)
CL Item
pretty much (4)
CL Item
very much (5)
Item
What do you expect from your medical-vocational rehabilitation? Do you hope that the rehabilitation will help settle or better your occupational situation?
text
C0679138 (UMLS CUI [1])
Expectations
Code List
What do you expect from your medical-vocational rehabilitation? Do you hope that the rehabilitation will help settle or better your occupational situation?
CL Item
not at all (1)
CL Item
a little (2)
CL Item
moderately (3)
CL Item
pretty much (4)
CL Item
very much (5)
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