ID
18568
Description
Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: EORTC QLQ-C30 MS. German description: EORTC QLQ-C30 (version 3.0) Wir sind an einigen Angaben interessiert, die Sie und Ihre Gesundheit betreffen. Bitte beantworten Sie die folgenden Fragen selbst, indem Sie die Zahl ankreuzen, die am besten auf Sie zutrifft. Es gibt keine "richtigen" oder "falschen" Antworten. Ihre Angaben werden streng vertraulich behandelt.
Keywords
Versions (5)
- 9/30/16 9/30/16 -
- 10/11/16 10/11/16 -
- 11/11/16 11/11/16 -
- 11/2/17 11/2/17 -
- 11/7/17 11/7/17 -
Uploaded on
November 11, 2016
DOI
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License
Creative Commons BY-NC 3.0
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EORTC QLQ_C30 MS University Hospital Muenster (UKM)
EORTC QLQ_C30 MS University Hospital Muenster (UKM)
- StudyEvent: ODM
Description
Im Alltag
Alias
- UMLS CUI-1
- C0451149
Description
1. Trouble doing strenuous activities
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0026606
Description
2. Trouble taking a long walk
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C3641743
Description
3. Trouble taking a short walk
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C3641744
Description
4. Need to stay in bed or a chair during the day
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0026606
Description
5. Help necessary with eating, dressing, washing, using the toilet
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0026606
Description
Während der letzten Woche
Alias
- UMLS CUI-1
- C0451149
Description
6. Limitation in work or other daily activities
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0026606
Description
7. Limitation in pursuing hobbies or other leisure time activities
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0026606
Description
8. Shortness of breath
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0013404
Description
9. Pain
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0030193
Description
10. Need to rest
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C3641751
Description
11. Sleep disturbances
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0037317
Description
12. Feelings of weakness
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C3714552
Description
13. Lack of appetite
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C3641753
Description
14. Nausea
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0027497
Description
15. Vomiting
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0042963
Description
16. Constipation
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0009806
Description
17. Diarrhea
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0011991
Description
18. Fatigue
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0015672
Description
19. Interference of pain with daily activities
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0030193
Description
v20. Difficulty in concentrating
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0086045
Description
21. Tenseness
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0235108
Description
22. Worries
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0233481
Description
23. Irritability
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0022107
Description
24. Depression
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0011570
Description
25. Difficulty remembering things
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0376366
Description
26. Interference with family life
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0015608
Description
27. Interference with social activities
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0815198
Description
28. Financial difficulties
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0549106
Description
Bitte kreuzen Sie bei den folgenden Fragen die Zahl zwischen 1 und 7 an, die am besten auf Sie zutrifft.
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0018684
Description
Bitte kreuzen Sie bei den folgenden Fragen die Zahl zwischen 1 und 7 an, die am besten auf Sie zutrifft.
Data type
integer
Alias
- UMLS CUI [1]
- C0451149
- UMLS CUI [2]
- C0034380
Similar models
EORTC QLQ_C30 MS University Hospital Muenster (UKM)
- StudyEvent: ODM
C4055104 (UMLS CUI [1,2])
C0026606 (UMLS CUI [2])
C3641743 (UMLS CUI [2])
C3641744 (UMLS CUI [2])
C0026606 (UMLS CUI [2])
C0026606 (UMLS CUI [2])
C0026606 (UMLS CUI [2])
C0026606 (UMLS CUI [2])
C0013404 (UMLS CUI [2])
C3641751 (UMLS CUI [2])
C0037317 (UMLS CUI [2])
C3714552 (UMLS CUI [2])
C3641753 (UMLS CUI [2])
C0009806 (UMLS CUI [2])
C0030193 (UMLS CUI [2])
C0086045 (UMLS CUI [2])
C0235108 (UMLS CUI [2])
C0233481 (UMLS CUI [2])
C0022107 (UMLS CUI [2])
C0011570 (UMLS CUI [2])
C0376366 (UMLS CUI [2])
C0015608 (UMLS CUI [2])
C0815198 (UMLS CUI [2])
C0549106 (UMLS CUI [2])
C0018684 (UMLS CUI [2])
C0034380 (UMLS CUI [2])