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ID
13607
Description
Source: 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
Keywords
Versions (4)
- 2/17/16 2/17/16 -
- 2/19/16 2/19/16 - Julian Varghese
- 2/19/16 2/19/16 - Julian Varghese
- 2/24/16 2/24/16 -
Uploaded on
February 19, 2016
DOI
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License
Creative Commons BY-NC 3.0
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Screening instrument to evaluate the need for medical-vocational rehabilitation (SIMBO-C)
Similar models
SIMBO-C Questionnaire
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Social security number
Item
Please give your social security number
integer
C1301821 (UMLS CUI [1])
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
CL Item
male (1)
CL Item
female (2)
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])
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])
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])
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])
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])
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])
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)