ID

162

Beskrivning

Form from HIS OpenVistA

Nyckelord

Versioner (2)
  1. 2012-02-09 2012-02-09 -
  2. 2017-06-04 2017-06-04 - Martin Dugas
Uppladdad den

9 februari 2012

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Creative Commons BY-NC 3.0
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HIS Family Hx

Tysk Engelsk

HIS

1 Formulär  
  1. StudyEvent: HIS
    1. HIS
Maternal Family History
Beskrivning

Maternal Family History

Mutter lebt
Beskrivning

Mother living

Datatyp

boolean

Hypertonie
Beskrivning

Hypertension

Datatyp

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
Beskrivning

Diabetes mellitus

Datatyp

boolean

Alias
UMLS CUI
C0011849
SNOMED CT 2010_0731
191044006
Schlaganfall
Beskrivning

Stroke

Datatyp

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
Beskrivning

Myocardial Infarction (MI)

Datatyp

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
Beskrivning

Early Coronary Vascular Disease

Datatyp

boolean

Brustkrebs
Beskrivning

Breast Cancer

Datatyp

boolean

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

Colon Cancer

Datatyp

boolean

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

Other

Datatyp

text

FH: Age at death
Beskrivning

Mother's age of death

Datatyp

integer

Alias
UMLS CUI
C1720406
Todesursache (Mutter)
Beskrivning

Mother's cause of death

Datatyp

text

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

comment

Datatyp

text

Paternal Family History
Beskrivning

Paternal Family History

Vater lebt
Beskrivning

Father living

Datatyp

boolean

Hypertonie
Beskrivning

Hypertension

Datatyp

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
Beskrivning

Diabetes mellitus

Datatyp

boolean

Alias
UMLS CUI
C0011849
SNOMED CT 2010_0731
191044006
Schlaganfall
Beskrivning

Stroke

Datatyp

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
Beskrivning

Myocardial Infarction (MI)

Datatyp

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
Beskrivning

Early Coronary Vascular Disease

Datatyp

boolean

Prostatakrebs
Beskrivning

Prostate Cancer

Datatyp

boolean

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

Colon Cancer

Datatyp

boolean

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

Other

Datatyp

text

FH: Age at death
Beskrivning

Father's age of death

Datatyp

integer

Alias
UMLS CUI
C1720406
Todesursache (Vater)
Beskrivning

Father's cause of death

Datatyp

text

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

comment

Datatyp

text

Siblings Family History
Beskrivning

Siblings Family History

Geschwister ohne signifikante Erkrankung
Beskrivning

Siblings without significant disease

Datatyp

text

Geschwister mit signifikanter Erkrankung
Beskrivning

Siblings with significant disease

Datatyp

boolean

Hypertonie
Beskrivning

Hypertension

Datatyp

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
Beskrivning

Stroke

Datatyp

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
Beskrivning

Myocardial Infarction (MI)

Datatyp

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
Beskrivning

Diabetes mellitus

Datatyp

boolean

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

Early Coronary Vascular Disease

Datatyp

boolean

Darmkrebs
Beskrivning

Colon Cancer

Datatyp

boolean

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

Other

Datatyp

text

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Similar models

HIS

1 Formulär
  1. StudyEvent: HIS
    1. HIS
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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