ID

14710

Beschreibung

This screening protocol includes 10 self-administered questions from the Centers for Disease Control and Prevention (CDC) Screening Questionnaire for Adult Immunization. Respondents are asked to respond to yes-or-no questions. ODM derived from: https://cde.nlm.nih.gov Primary source: https://www.phenxtoolkit.org/ Recent publication: Hendershot, T., Pan, H., Haines, J., Harlan, W.R., Marazita, M.L., McCarty, C.A., Ramos, E.M., and Hamilton, C.M. (2015) Using the PhenX toolkit to add standard measures to a study. Curr. Protoc. Hum. Genet. 86:1.21.1-1.21.17. doi: 10.1002/0471142905.hg0121s86 Permission to publish granted by Carol M. Hamilton.

Link

https://cde.nlm.nih.gov

Stichworte

Versionen (1)
  1. 26.04.16 26.04.16 -
Hochgeladen am

26. April 2016

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Conditions Relevant to Immune Response - Screener, Adult PhenX Toolkit

Englisch

Conditions Relevant to Immune Response - Screener, Adult PhenX Toolkit

1 Formulare  
PhenX - conditions relevant to immune response - screener - adult protocol
Beschreibung

PhenX - conditions relevant to immune response - screener - adult protocol

Alias
UMLS CUI-1
C3171885
Are you sick today?
Beschreibung

sick today

Datentyp

integer

Alias
UMLS CUI [1]
C3259215
Do you have allergies to medications, food, or any vaccine?
Beschreibung

allergies

Datentyp

integer

Alias
UMLS CUI [1]
C0020517
Have you ever had a serious reaction after receiving a vaccination?
Beschreibung

vaccine reaction

Datentyp

integer

Alias
UMLS CUI [1]
C0413534
Do you have a long-term health problem with heart disease, lung disease, asthma, kidney disease, metabolic disease (e.g., diabetes), anemia, or other blood disorder?
Beschreibung

long-term health problem

Datentyp

integer

Alias
UMLS CUI [1]
C0018799
UMLS CUI [2]
C0024115
UMLS CUI [3]
C0004096
UMLS CUI [4]
C0022658
UMLS CUI [5]
C0025517
UMLS CUI [6]
C0002871
UMLS CUI [7]
C0018939
Do you have cancer, leukemia, AIDS, or any other immune system problem?
Beschreibung

immune system problem

Datentyp

integer

Alias
UMLS CUI [1]
C0006826
UMLS CUI [2]
C0023418
UMLS CUI [3]
C0001175
UMLS CUI [4]
C0021053
Do you take cortisone, prednisone, other steroids, or anticancer drugs, or have you had radiation treatments?
Beschreibung

steroids anti-CA drugs radiation

Datentyp

integer

Alias
UMLS CUI [1]
C0010137
UMLS CUI [2]
C0032952
UMLS CUI [3]
C0038317
UMLS CUI [4]
C1548818
UMLS CUI [5]
C1522449
Have you had a seizure, brain, or other nervous system problem?
Beschreibung

nervous system problem

Datentyp

integer

Alias
UMLS CUI [1]
C0036572
UMLS CUI [2]
C0006111
UMLS CUI [3]
C0221571
During the past year, have you received a transfusion of blood or blood products, or have you been given immune (gamma) globulin or an antiviral drug?
Beschreibung

transfusion immune globulin antiviral

Datentyp

integer

Alias
UMLS CUI [1]
C0005841
UMLS CUI [2]
C0020852
UMLS CUI [3]
C0003451
For women: Are you pregnant, or is there a chance you could become pregnant during the next month?
Beschreibung

pregnant or child-bearing potential

Datentyp

integer

Alias
UMLS CUI [1]
C0549206
UMLS CUI [2]
C1960468
Have you received any vaccinations in the past 4 weeks?
Beschreibung

vaccination last 4 weeks

Datentyp

integer

Alias
UMLS CUI [1]
C3259224
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Conditions Relevant to Immune Response - Screener, Adult PhenX Toolkit

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
PhenX - conditions relevant to immune response - screener - adult protocol
C3171885 (UMLS CUI-1)
Item
Are you sick today?
integer
C3259215 (UMLS CUI [1])
child sick today
Code List
Are you sick today?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Do you have allergies to medications, food, or any vaccine?
integer
C0020517 (UMLS CUI [1])
child sick today
Code List
Do you have allergies to medications, food, or any vaccine?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Have you ever had a serious reaction after receiving a vaccination?
integer
C0413534 (UMLS CUI [1])
child sick today
Code List
Have you ever had a serious reaction after receiving a vaccination?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Do you have a long-term health problem with heart disease, lung disease, asthma, kidney disease, metabolic disease (e.g., diabetes), anemia, or other blood disorder?
integer
C0018799 (UMLS CUI [1])
C0024115 (UMLS CUI [2])
C0004096 (UMLS CUI [3])
C0022658 (UMLS CUI [4])
C0025517 (UMLS CUI [5])
C0002871 (UMLS CUI [6])
C0018939 (UMLS CUI [7])
child sick today
Code List
Do you have a long-term health problem with heart disease, lung disease, asthma, kidney disease, metabolic disease (e.g., diabetes), anemia, or other blood disorder?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Do you have cancer, leukemia, AIDS, or any other immune system problem?
integer
C0006826 (UMLS CUI [1])
C0023418 (UMLS CUI [2])
C0001175 (UMLS CUI [3])
C0021053 (UMLS CUI [4])
child sick today
Code List
Do you have cancer, leukemia, AIDS, or any other immune system problem?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Do you take cortisone, prednisone, other steroids, or anticancer drugs, or have you had radiation treatments?
integer
C0010137 (UMLS CUI [1])
C0032952 (UMLS CUI [2])
C0038317 (UMLS CUI [3])
C1548818 (UMLS CUI [4])
C1522449 (UMLS CUI [5])
child sick today
Code List
Do you take cortisone, prednisone, other steroids, or anticancer drugs, or have you had radiation treatments?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Have you had a seizure, brain, or other nervous system problem?
integer
C0036572 (UMLS CUI [1])
C0006111 (UMLS CUI [2])
C0221571 (UMLS CUI [3])
child sick today
Code List
Have you had a seizure, brain, or other nervous system problem?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
During the past year, have you received a transfusion of blood or blood products, or have you been given immune (gamma) globulin or an antiviral drug?
integer
C0005841 (UMLS CUI [1])
C0020852 (UMLS CUI [2])
C0003451 (UMLS CUI [3])
child sick today
Code List
During the past year, have you received a transfusion of blood or blood products, or have you been given immune (gamma) globulin or an antiviral drug?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
For women: Are you pregnant, or is there a chance you could become pregnant during the next month?
integer
C0549206 (UMLS CUI [1])
C1960468 (UMLS CUI [2])
child sick today
Code List
For women: Are you pregnant, or is there a chance you could become pregnant during the next month?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Item
Have you received any vaccinations in the past 4 weeks?
integer
C3259224 (UMLS CUI [1])
child sick today
Code List
Have you received any vaccinations in the past 4 weeks?
CL Item
No (1)
C1298908 (UMLS CUI-1)
CL Item
Yes (2)
C1705108 (UMLS CUI-1)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
Zum Seitenanfang zurückkehren 

Kontakt

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video