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Palliative and Hospice Care MIDOS

1 forms  
Patient information
Description

Patient information

Alias
UMLS CUI-1
C1955348
Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Please report, how bad your medical conditions are today
Description

Please report, how bad your medical conditions are today

Alias
UMLS CUI-1
C0205476
UMLS CUI-2
C0348080
Pain
Description

Pain

Data type

integer

Alias
UMLS CUI [1]
C0030193
Nausea
Description

Nausea

Data type

integer

Alias
UMLS CUI [1]
C0027497
Emesis
Description

Emesis

Data type

integer

Alias
UMLS CUI [1]
C0042963
Dyspnea
Description

Dyspnea

Data type

integer

Alias
UMLS CUI [1]
C0013404
Constipation
Description

Constipation

Data type

integer

Alias
UMLS CUI [1]
C0009806
Weakness
Description

Weakness

Data type

integer

Alias
UMLS CUI [1]
C3714552
Loss of appetite
Description

Loss of appetite

Data type

integer

Alias
UMLS CUI [1,1]
C0003618
UMLS CUI [1,2]
C0332268
Fatigue
Description

Fatigue

Data type

integer

Alias
UMLS CUI [1]
C0015672
Depressed mood
Description

Depressed mood

Data type

integer

Alias
UMLS CUI [1]
C0344315
Anxiety
Description

Anxiety

Data type

integer

Alias
UMLS CUI [1]
C0003467
Other
Description

Other

Data type

integer

Alias
UMLS CUI [1]
C0205394
Other
Description

Other

Data type

integer

Alias
UMLS CUI [1]
C0205394
Please report how you feel today
Description

Health status

Data type

integer

Alias
UMLS CUI [1]
C0018759
Comments
Description

Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
Self-report not possible because of
Description

Self-report not possible

Data type

integer

Alias
UMLS CUI [1]
C2700446
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Similar models

Palliative and Hospice Care MIDOS

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient information
C1955348 (UMLS CUI-1)
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Item Group
Please report, how bad your medical conditions are today
C0205476 (UMLS CUI-1)
C0348080 (UMLS CUI-2)
Item
Pain
integer
C0030193 (UMLS CUI [1])
Pain
Code List
Pain
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Nausea
integer
C0027497 (UMLS CUI [1])
undefined item
Code List
Nausea
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Emesis
integer
C0042963 (UMLS CUI [1])
undefined item
Code List
Emesis
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Dyspnea
integer
C0013404 (UMLS CUI [1])
undefined item
Code List
Dyspnea
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Constipation
integer
C0009806 (UMLS CUI [1])
undefined item
Code List
Constipation
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Weakness
integer
C3714552 (UMLS CUI [1])
undefined item
Code List
Weakness
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Loss of appetite
integer
C0003618 (UMLS CUI [1,1])
C0332268 (UMLS CUI [1,2])
undefined item
Code List
Loss of appetite
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Fatigue
integer
C0015672 (UMLS CUI [1])
undefined item
Code List
Fatigue
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Depressed mood
integer
C0344315 (UMLS CUI [1])
undefined item
Code List
Depressed mood
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Anxiety
integer
C0003467 (UMLS CUI [1])
undefined item
Code List
Anxiety
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Other
integer
C0205394 (UMLS CUI [1])
undefined item
Code List
Other
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Other
integer
C0205394 (UMLS CUI [1])
undefined item
Code List
Other
CL Item
none (1)
CL Item
mild (2)
CL Item
medium (3)
CL Item
severe (4)
Item
Please report how you feel today
integer
C0018759 (UMLS CUI [1])
Health status
Code List
Please report how you feel today
CL Item
very bad (1)
CL Item
bad (2)
CL Item
medium (3)
CL Item
good (4)
CL Item
very good (5)
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
Item
Self-report not possible because of
integer
C2700446 (UMLS CUI [1])
Self-report not possible
Code List
Self-report not possible because of
CL Item
Language difficulties (1)
CL Item
Weakness (2)
CL Item
Cognitive dysfunction (3)
CL Item
patient refuses (4)
CL Item
no time (5)
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