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ID

27662

Beskrivning

The occupational health check provides information about possibly unhealthy or hazardous working conditions. In this way it can aid in the improvement of work places, the reduction of risks as well as in the early detection and prevention of work-related health problems. The aim is to ensure employability and occupational health protection. https://www.medituev.de/de/arbeitsmedizin/vorsorge/ TÜV Nord MEDITUEV. Provided by Dr. med. Rudolf Richter.

Länk

https://www.medituev.de/de/arbeitsmedizin/vorsorge/

Nyckelord

  1. 25/11/17 25/11/17 -
  2. 27/11/17 27/11/17 -
Rättsinnehavare

TÜV Nord MEDITUEV

Uppladdad den

25 novembre 2017

DOI

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Licens

Creative Commons BY-NC 3.0

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    MEDITUEV Occupational health check

    MEDITUEV Occupational health check

    Personal data
    Beskrivning

    Personal data

    Name
    Beskrivning

    Name

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0027365
    First Name
    Beskrivning

    First Name

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C1443235
    Date of birth
    Beskrivning

    Date of birth

    Datatyp

    date

    Alias
    UMLS CUI [1]
    C0421451
    Birth name
    Beskrivning

    birth name

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C1549652
    Street address (street/number)
    Beskrivning

    street address

    Datatyp

    text

    Alias
    UMLS CUI [1,1]
    C1301826
    UMLS CUI [1,2]
    C0421449
    Postal code code/place of residence
    Beskrivning

    postal code code and place of residence

    Datatyp

    text

    Telephone number
    Beskrivning

    telephone number

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C1515258
    Sex
    Beskrivning

    sex

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0150831
    Date of employment (month/year)
    Beskrivning

    Date of employment

    Datatyp

    text

    Nationality
    Beskrivning

    Nationality

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0027473
    Employer
    Beskrivning

    Employer

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C1274022
    Health insurance
    Beskrivning

    Health insurance

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0021682
    General practitioner
    Beskrivning

    General practitioner

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0017319
    Work history
    Beskrivning

    Work history

    1. Profession you were trained in?
    Beskrivning

    Professional training

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C2698884
    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0947611
    Former occupations
    Beskrivning

    Former occupations

    2. Please state any former occupations (incl. military service) that you pursued for more than one year.
    Beskrivning

    Previous occupations

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0028811
    2. Beginning (year)
    Beskrivning

    Beginning year

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0439659
    2. End (year)
    Beskrivning

    End year

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0806020
    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Alias
    UMLS CUI [1,1]
    C0947611
    UMLS CUI [1,2]
    C0031831
    Current occupation
    Beskrivning

    Current occupation

    3. Which occupation/function are you supposed to take up?
    Beskrivning

    Current occupation

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0421456
    3. Since when? (year)
    Beskrivning

    Beginning year

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0439659
    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0947611
    Working conditions
    Beskrivning

    Working conditions

    4. What is your usual work place (e.g. office, workshop, warehouse, vehicle fleet, forge, foundry)?
    Beskrivning

    Workplace

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0162579
    5. Which kind of materials do you work with regularly? (e.g. metal, cement, paint, thinner, gases or other)
    Beskrivning

    Working material

    Datatyp

    text

    Alias
    UMLS CUI [1,1]
    C0520510
    UMLS CUI [1,2]
    C0520510
    6. Which work equipment do you use? (e.g. tools, screen, vehicle or other)
    Beskrivning

    Work equipment

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0220824
    7. Which means of protection do you use (e.g. protective helmet, ear protection, safety shoes, protective clothing)?
    Beskrivning

    Protection

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0262668
    8. Working hours
    Beskrivning

    Working hours

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C2135639
    9. Do you do shift work?
    Beskrivning

    shift work

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C1658633
    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0947611
    Working capacity
    Beskrivning

    Working capacity

    10. Have you ever been incapable to work for more than 14 consecutive days within the last 12 months?
    Beskrivning

    Incapacity to work

    Datatyp

    boolean

    Alias
    UMLS CUI [1]
    C2984044
    11. Do you receive a pension?
    Beskrivning

    Pension

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0425022
    14. Do you have a certificate of disability?
    Beskrivning

    certificate of disability

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0018576
    14. If yes, what is your degree of disability?
    Beskrivning

    degree of disability

    Datatyp

    integer

    Måttenheter
    • %
    Alias
    UMLS CUI [1]
    C0231170
    %
    15. Did you change your workplace due to health-related reasons?
    Beskrivning

    health-related change of workplace

    Datatyp

    boolean

    Alias
    UMLS CUI [1]
    C0162579
    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0947611
    Medical examinations
    Beskrivning

    Medical examinations

    16. Did you ever undergo an occupational health check?
    Beskrivning

    Occupational health check

    Datatyp

    boolean

    Alias
    UMLS CUI [1]
    C2973270
    16. If yes, where?
    Beskrivning

    place of occupational health check

    Datatyp

    text

    Alias
    UMLS CUI [1,1]
    C2973270
    UMLS CUI [1,2]
    C2986042
    17. Have you been X-rayed in recent years?
    Beskrivning

    X-ray

    Datatyp

    boolean

    Alias
    UMLS CUI [1]
    C0043309
    17. If yes, which body parts?
    Beskrivning

    X-ray body part

    Datatyp

    text

    Alias
    UMLS CUI [1,1]
    C0043309
    UMLS CUI [1,2]
    C0229962
    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0947611
    18. Which stress factors are/were you exposed to?
    Beskrivning

    18. Which stress factors are/were you exposed to?

    1 Heat
    Beskrivning

    heat

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0018837
    2 Cold, wetness, moisture
    Beskrivning

    cold, wetness, moisture

    Datatyp

    text

    Alias
    UMLS CUI [1]
    C0009264
    UMLS CUI [2]
    C1830752
    UMLS CUI [3]
    C0868994
    3 Gas, fumes, dust, smell
    Beskrivning

    gas, fumes, dust, smell

    Datatyp

    text

    4 Noise [more than 85 dB(A)]
    Beskrivning

    noise

    Datatyp

    text

    5 Solvent
    Beskrivning

    solvent

    Datatyp

    text

    6 Cooling lubricant
    Beskrivning

    cooling lubricant

    Datatyp

    text

    8 Pressure of time
    Beskrivning

    pressure of time

    Datatyp

    text

    9 Bad posture
    Beskrivning

    bad posture

    Datatyp

    text

    10 Hard work
    Beskrivning

    hard work

    Datatyp

    text

    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Work-related sources of irritation
    Beskrivning

    Work-related sources of irritation

    19 Are there factors that irritate you at your workplace?
    Beskrivning

    source of irritation

    Datatyp

    text

    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Please answer the following questions about your personal living conditions
    Beskrivning

    Please answer the following questions about your personal living conditions

    20. Do you live together with other people?
    Beskrivning

    living with other people

    Datatyp

    integer

    21. How many children do you have that live with you?
    Beskrivning

    Number of children

    Datatyp

    integer

    21. Age (years)
    Beskrivning

    Please state the age of each child.

    Datatyp

    text

    22. Do you smoke?
    Beskrivning

    Smoking

    Datatyp

    integer

    23. Do you consume alcohol?
    Beskrivning

    Alcohol consumption

    Datatyp

    integer

    24. Do you do sports?
    Beskrivning

    sports

    Datatyp

    integer

    25. What do you do to benefit your health?
    Beskrivning

    actions to benefit health

    Datatyp

    text

    26. Do you go to cancer screenings?
    Beskrivning

    cancer screening

    Datatyp

    integer

    26. When was the last time?
    Beskrivning

    year

    Datatyp

    integer

    27.Have you ever undergone a treatment at a health resort?
    Beskrivning

    Treatment at a health resort

    Datatyp

    integer

    27. When was the last time?
    Beskrivning

    year

    Datatyp

    integer

    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Are/were there any diseases in your family?
    Beskrivning

    Are/were there any diseases in your family?

    Diabetes
    Beskrivning

    Diabetes

    Datatyp

    boolean

    Hypertension
    Beskrivning

    Hypertension

    Datatyp

    boolean

    Stroke
    Beskrivning

    Stroke

    Datatyp

    boolean

    Alias
    UMLS CUI [1]
    C0038454
    Myocardial infarction
    Beskrivning

    Myocardial infarction

    Datatyp

    boolean

    Allergies/Hypersensitivity to substances, food, etc.
    Beskrivning

    Allergies

    Datatyp

    boolean

    Respiratory diseases
    Beskrivning

    Respiratory diseases

    Datatyp

    boolean

    Gout
    Beskrivning

    Gout

    Datatyp

    boolean

    Deformities
    Beskrivning

    Deformities

    Datatyp

    boolean

    Cancer
    Beskrivning

    cancer

    Datatyp

    boolean

    Other diseases
    Beskrivning

    Other disease

    Datatyp

    boolean

    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Please answer the following questions about your diseases and health problems
    Beskrivning

    Please answer the following questions about your diseases and health problems

    1 Do you suffer from headaches frequently?
    Beskrivning

    heachaches

    Datatyp

    boolean

    2 Do you suffer from lack of appetite?
    Beskrivning

    Lack of appetite

    Datatyp

    boolean

    3 Do you suffer from increased thirst?
    Beskrivning

    thirst

    Datatyp

    boolean

    4 Do you have sleep disturbances?
    Beskrivning

    sleep disturbances

    Datatyp

    boolean

    4 If yes, do you have difficulties falling asleep?
    Beskrivning

    difficulty falling asleep

    Datatyp

    boolean

    4 If yes, do you wake during the night?
    Beskrivning

    waking during the night

    Datatyp

    boolean

    5 Do you have irregular bowel movements?
    Beskrivning

    irregular bowel movements

    Datatyp

    boolean

    6 Do you wear glasses/contact lenses?
    Beskrivning

    glasses/contact lenses

    Datatyp

    boolean

    7 Do you have an eye complaint?
    Beskrivning

    Eye complaint

    Datatyp

    boolean

    8 Is your hearing impaired?
    Beskrivning

    impaired hearing

    Datatyp

    boolean

    9 Do you have ear problems?
    Beskrivning

    Ear problems

    Datatyp

    boolean

    12 Are you prone to diseases of the frontal sinus and the maxillary sinus of the throat?
    Beskrivning

    diseases of frontal sinus and maxillary sinus, throat

    Datatyp

    boolean

    13 Do/did you have a common cold multiple times a year?
    Beskrivning

    common cold

    Datatyp

    boolean

    14 Do you cough frequently (regularly every day)?
    Beskrivning

    Cough

    Datatyp

    boolean

    15 Are you prone to bronchial asthma/bronchitis?
    Beskrivning

    bronchial asthma/bronchitis

    Datatyp

    boolean

    17 Did you ever have pneumonia/pleurisy/tuberculosis?
    Beskrivning

    pneumonia, pleurisy, tuberculosis

    Datatyp

    boolean

    18 Have you ever been diagnosed with hypertension?
    Beskrivning

    Hypertension

    Datatyp

    boolean

    19 Do you suffer from dyspnea?
    Beskrivning

    dyspnea

    Datatyp

    boolean

    20 Do you feel a tightness in the chest (chest pain) during physical stress?
    Beskrivning

    Chest tightness

    Datatyp

    boolean

    21 Did you ever have a myocardial infarction?
    Beskrivning

    myocardial infarction

    Datatyp

    boolean

    22 Do you have other cardiovascular problems?
    Beskrivning

    other cardiovascular problems

    Datatyp

    boolean

    23 Are you prone to dizziness/disturbed balance?
    Beskrivning

    dizziness, disturbed balance

    Datatyp

    boolean

    24 Have you been diagnosed with diabetes?
    Beskrivning

    Diabetes

    Datatyp

    boolean

    25 Were your blood lipid levels ever found to be elevated?
    Beskrivning

    elevated blood lipid levels

    Datatyp

    boolean

    26 Were your uric acid levels ever found to be elevated (gout)?
    Beskrivning

    elevated uric acid levels

    Datatyp

    boolean

    27 Have you ever been diagnosed with a thyroid disease?
    Beskrivning

    thyroid disease

    Datatyp

    boolean

    28 Do you have gastro-intestinal problems/heartburn?
    Beskrivning

    gastro-intestinal problems, heartburn

    Datatyp

    boolean

    30 Do you have bilious complaints?
    Beskrivning

    Bilious complaints

    Datatyp

    boolean

    31 Did you ever have jaundice?
    Beskrivning

    jaundice

    Datatyp

    boolean

    32 Have you been diagnosed with a liver disease?
    Beskrivning

    liver disease

    Datatyp

    boolean

    33 Are you prone to uropathies (kidney, bladder)?
    Beskrivning

    uropathy

    Datatyp

    boolean

    34 Do you have problems when urinating?
    Beskrivning

    problems when urinating

    Datatyp

    boolean

    35 Do you have hemorrhoids?
    Beskrivning

    hemorrhoids

    Datatyp

    boolean

    36 Dou you have varices?
    Beskrivning

    varices

    Datatyp

    boolean

    37 Do you have back pain?
    Beskrivning

    back pain

    Datatyp

    boolean

    37 If yes, where? - 1 cervical spine/neck
    Beskrivning

    cervical spine or neck pain

    Datatyp

    text

    37 If yes, where? - 2 thoracic spine
    Beskrivning

    thoracic spine pain

    Datatyp

    text

    37 If yes, where? - 3 lumbar spine/lower back
    Beskrivning

    lumbar spine or lower back pain

    Datatyp

    text

    38 Do you suffer from lumbago (sciatica)?
    Beskrivning

    lumbago

    Datatyp

    boolean

    39 Did you have a herniated disk?
    Beskrivning

    herniated disk

    Datatyp

    boolean

    40 Do you have pain in any joints or limbs?
    Beskrivning

    joint pain/limb pain

    Datatyp

    boolean

    41 Do you have a seizure disorder?
    Beskrivning

    seizure disorder

    Datatyp

    boolean

    42 Do you have a neurological/psychiatric disease?
    Beskrivning

    neurological/psychiatric disease

    Datatyp

    boolean

    43 Are you prone to dermatoses?
    Beskrivning

    dermatosis

    Datatyp

    boolean

    44 Do you suffer from allergies?
    Beskrivning

    Allergies

    Datatyp

    boolean

    45 Do you have hay fever?
    Beskrivning

    hay fever

    Datatyp

    boolean

    46 Did you have any bone fractures?
    Beskrivning

    bone fractures

    Datatyp

    boolean

    47 Did you have an accident that led to any permanent damage?
    Beskrivning

    permanent damage due to accident

    Datatyp

    boolean

    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Surgeries
    Beskrivning

    Surgeries

    48. Did you ever undergo surgery?
    Beskrivning

    Surgery

    Datatyp

    boolean

    1 Heart
    Beskrivning

    Heart surgery

    Datatyp

    boolean

    2 Kidney
    Beskrivning

    Kidney surgery

    Datatyp

    boolean

    3 Gallbladder
    Beskrivning

    Gallbladder surgery

    Datatyp

    boolean

    4 Hernia
    Beskrivning

    hernia surgery

    Datatyp

    boolean

    5 Stomach
    Beskrivning

    stomach surgery

    Datatyp

    boolean

    7 Bone
    Beskrivning

    bone surgery

    Datatyp

    boolean

    8 Other surgery
    Beskrivning

    other surgery

    Datatyp

    boolean

    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Dental/medical treatment
    Beskrivning

    Dental/medical treatment

    49. Are you currently under dental/medical treatment?
    Beskrivning

    dental/medical treatment

    Datatyp

    boolean

    49. If yes, why?
    Beskrivning

    dental/medical treatment reason

    Datatyp

    text

    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Vaccination
    Beskrivning

    Vaccination

    50. Are you vaccinated against tetanus?
    Beskrivning

    tetanus vaccination

    Datatyp

    boolean

    50. When?
    Beskrivning

    year

    Datatyp

    integer

    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Current medication
    Beskrivning

    Current medication

    51. Are you taking any medication of at least one of the following types (mutiple selections possible)?
    Beskrivning

    Current medication

    Datatyp

    boolean

    1 Medication for headache
    Beskrivning

    medication for headache

    Datatyp

    boolean

    2 Pain medication
    Beskrivning

    pain medication

    Datatyp

    boolean

    3 Cardiovascular agents
    Beskrivning

    Cardiovascular agents

    Datatyp

    boolean

    4 Laxatives
    Beskrivning

    laxatives

    Datatyp

    boolean

    5 Tranquilizer
    Beskrivning

    Tranquilizer

    Datatyp

    boolean

    6 Sleeping pills
    Beskrivning

    sleeping pills

    Datatyp

    boolean

    7 Stomachic
    Beskrivning

    stomachic

    Datatyp

    boolean

    8 Bronchial medication
    Beskrivning

    Bronchial medication

    Datatyp

    boolean

    9 Other medication
    Beskrivning

    other medication

    Datatyp

    boolean

    9 Which other medication?
    Beskrivning

    other medicaton specification

    Datatyp

    text

    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    Miscellaneous
    Beskrivning

    Miscellaneous

    52. Other complaints
    Beskrivning

    Other complaints

    Datatyp

    text

    53. Are you pregnant?
    Beskrivning

    Pregnancy

    Datatyp

    integer

    54. Do you undergo gynecological screenings regularly?
    Beskrivning

    Gynecological screening

    Datatyp

    integer

    Comments of physician
    Beskrivning

    Comments of physician

    Datatyp

    text

    General comments
    Beskrivning

    General comments

    Datatyp

    text

    Similar models

    MEDITUEV Occupational health check

    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    Alias
    Item Group
    Personal data
    Name
    Item
    Name
    text
    C0027365 (UMLS CUI [1])
    First Name
    Item
    First Name
    text
    C1443235 (UMLS CUI [1])
    Date of birth
    Item
    Date of birth
    date
    C0421451 (UMLS CUI [1])
    birth name
    Item
    Birth name
    text
    C1549652 (UMLS CUI [1])
    street address
    Item
    Street address (street/number)
    text
    C1301826 (UMLS CUI [1,1])
    C0421449 (UMLS CUI [1,2])
    postal code code and place of residence
    Item
    Postal code code/place of residence
    text
    telephone number
    Item
    Telephone number
    text
    C1515258 (UMLS CUI [1])
    Item
    Sex
    text
    C0150831 (UMLS CUI [1])
    Code List
    Sex
    CL Item
    female (female)
    (Comment:en)
    CL Item
    male (male)
    (Comment:en)
    Date of employment
    Item
    Date of employment (month/year)
    text
    Nationality
    Item
    Nationality
    text
    C0027473 (UMLS CUI [1])
    Employer
    Item
    Employer
    text
    C1274022 (UMLS CUI [1])
    Health insurance
    Item
    Health insurance
    text
    C0021682 (UMLS CUI [1])
    General practitioner
    Item
    General practitioner
    text
    C0017319 (UMLS CUI [1])
    Item Group
    Work history
    Professional training
    Item
    1. Profession you were trained in?
    text
    C2698884 (UMLS CUI [1])
    Comments of physician
    Item
    Comments of physician
    text
    C0947611 (UMLS CUI [1])
    Item Group
    Former occupations
    Previous occupations
    Item
    2. Please state any former occupations (incl. military service) that you pursued for more than one year.
    text
    C0028811 (UMLS CUI [1])
    Beginning year
    Item
    2. Beginning (year)
    integer
    C0439659 (UMLS CUI [1])
    End year
    Item
    2. End (year)
    integer
    C0806020 (UMLS CUI [1])
    Comments of physician
    Item
    Comments of physician
    text
    C0947611 (UMLS CUI [1,1])
    C0031831 (UMLS CUI [1,2])
    Item Group
    Current occupation
    Current occupation
    Item
    3. Which occupation/function are you supposed to take up?
    text
    C0421456 (UMLS CUI [1])
    Beginning year
    Item
    3. Since when? (year)
    integer
    C0439659 (UMLS CUI [1])
    Comments of physician
    Item
    Comments of physician
    text
    C0947611 (UMLS CUI [1])
    Item Group
    Working conditions
    Workplace
    Item
    4. What is your usual work place (e.g. office, workshop, warehouse, vehicle fleet, forge, foundry)?
    text
    C0162579 (UMLS CUI [1])
    Working material
    Item
    5. Which kind of materials do you work with regularly? (e.g. metal, cement, paint, thinner, gases or other)
    text
    C0520510 (UMLS CUI [1,1])
    C0520510 (UMLS CUI [1,2])
    Work equipment
    Item
    6. Which work equipment do you use? (e.g. tools, screen, vehicle or other)
    text
    C0220824 (UMLS CUI [1])
    Protection
    Item
    7. Which means of protection do you use (e.g. protective helmet, ear protection, safety shoes, protective clothing)?
    text
    C0262668 (UMLS CUI [1])
    Item
    8. Working hours
    integer
    C2135639 (UMLS CUI [1])
    Code List
    8. Working hours
    CL Item
    normal (1)
    CL Item
    part-time (2)
    CL Item
    often overtime (3)
    CL Item
    hours per week (4)
    Item
    9. Do you do shift work?
    integer
    C1658633 (UMLS CUI [1])
    Code List
    9. Do you do shift work?
    CL Item
    no (1)
    C1298908 (UMLS CUI-1)
    (Comment:de)
    CL Item
    early shift and late shift (2)
    C0425104 (UMLS CUI-1)
    (Comment:de)
    CL Item
    alternate shift incl. night shift (3)
    C1660631 (UMLS CUI-1)
    (Comment:de)
    CL Item
    night shift only (4)
    C1660631 (UMLS CUI-1)
    (Comment:de)
    Comments of physician
    Item
    Comments of physician
    text
    C0947611 (UMLS CUI [1])
    Item Group
    Working capacity
    Incapacity to work
    Item
    10. Have you ever been incapable to work for more than 14 consecutive days within the last 12 months?
    boolean
    C2984044 (UMLS CUI [1])
    Item
    11. Do you receive a pension?
    integer
    C0425022 (UMLS CUI [1])
    Code List
    11. Do you receive a pension?
    CL Item
    no (1)
    CL Item
    yes (2)
    CL Item
    requested (3)
    Item
    14. Do you have a certificate of disability?
    integer
    C0018576 (UMLS CUI [1])
    Code List
    14. Do you have a certificate of disability?
    CL Item
    no (1)
    CL Item
    yes (2)
    CL Item
    requested (3)
    degree of disability
    Item
    14. If yes, what is your degree of disability?
    integer
    C0231170 (UMLS CUI [1])
    health-related change of workplace
    Item
    15. Did you change your workplace due to health-related reasons?
    boolean
    C0162579 (UMLS CUI [1])
    Comments of physician
    Item
    Comments of physician
    text
    C0947611 (UMLS CUI [1])
    Item Group
    Medical examinations
    Occupational health check
    Item
    16. Did you ever undergo an occupational health check?
    boolean
    C2973270 (UMLS CUI [1])
    place of occupational health check
    Item
    16. If yes, where?
    text
    C2973270 (UMLS CUI [1,1])
    C2986042 (UMLS CUI [1,2])
    X-ray
    Item
    17. Have you been X-rayed in recent years?
    boolean
    C0043309 (UMLS CUI [1])
    X-ray body part
    Item
    17. If yes, which body parts?
    text
    C0043309 (UMLS CUI [1,1])
    C0229962 (UMLS CUI [1,2])
    Comments of physician
    Item
    Comments of physician
    text
    C0947611 (UMLS CUI [1])
    Item Group
    18. Which stress factors are/were you exposed to?
    Item
    1 Heat
    text
    C0018837 (UMLS CUI [1])
    Code List
    1 Heat
    CL Item
    no (no)
    CL Item
    sometimes (sometimes)
    CL Item
    constantly (constantly)
    Item
    2 Cold, wetness, moisture
    text
    C0009264 (UMLS CUI [1])
    C1830752 (UMLS CUI [2])
    C0868994 (UMLS CUI [3])
    Code List
    2 Cold, wetness, moisture
    CL Item
    no (no)
    CL Item
    sometimes (sometimes)
    CL Item
    constantly (constantly)
    Item
    3 Gas, fumes, dust, smell
    text
    Code List
    3 Gas, fumes, dust, smell
    CL Item
    no (no)
    CL Item
    sometimes (sometimes)
    CL Item
    constantly (constantly)
    Item
    4 Noise [more than 85 dB(A)]
    text
    Code List
    4 Noise [more than 85 dB(A)]
    CL Item
    no (no)
    CL Item
    sometimes (sometimes)
    CL Item
    constantly (constantly)
    Item
    5 Solvent
    text
    Code List
    5 Solvent
    CL Item
    no (no)
    CL Item
    sometimes (sometimes)
    CL Item
    constantly (constantly)
    Item
    6 Cooling lubricant
    text
    Code List
    6 Cooling lubricant
    CL Item
    no (no)
    CL Item
    sometimes (sometimes)
    CL Item
    constantly (constantly)
    Item
    8 Pressure of time
    text
    Code List
    8 Pressure of time
    CL Item
    no (no)
    CL Item
    sometimes (sometimes)
    CL Item
    constantly (constantly)
    Item
    9 Bad posture
    text
    Code List
    9 Bad posture
    CL Item
    no (no)
    CL Item
    sometimes (sometimes)
    CL Item
    constantly (constantly)
    Item
    10 Hard work
    text
    Code List
    10 Hard work
    CL Item
    no (no)
    CL Item
    sometimes (sometimes)
    CL Item
    constantly (constantly)
    Comments of physician
    Item
    Comments of physician
    text
    Item Group
    Work-related sources of irritation
    source of irritation
    Item
    19 Are there factors that irritate you at your workplace?
    text
    Comments of physician
    Item
    text
    Item Group
    Please answer the following questions about your personal living conditions
    Item
    20. Do you live together with other people?
    integer
    Code List
    20. Do you live together with other people?
    CL Item
    living in a familiy/community (1)
    CL Item
    living alone (2)
    CL Item
    Answer refused (3)
    Number of children
    Item
    21. How many children do you have that live with you?
    integer
    Age of children
    Item
    21. Age (years)
    text
    Item
    22. Do you smoke?
    integer
    Code List
    22. Do you smoke?
    CL Item
    no (1)
    CL Item
    yes (2)
    CL Item
    not anymore (3)
    Item
    23. Do you consume alcohol?
    integer
    Code List
    23. Do you consume alcohol?
    CL Item
    no (1)
    CL Item
    yes (2)
    CL Item
    sometimes (3)
    CL Item
    daily (4)
    Item
    24. Do you do sports?
    integer
    Code List
    24. Do you do sports?
    CL Item
    no (1)
    CL Item
    regularly (2)
    CL Item
    irregularly (3)
    actions to benefit health
    Item
    25. What do you do to benefit your health?
    text
    Item
    26. Do you go to cancer screenings?
    integer
    Code List
    26. Do you go to cancer screenings?
    CL Item
    no (1)
    CL Item
    yes (2)
    latest cancer screening
    Item
    26. When was the last time?
    integer
    Item
    27.Have you ever undergone a treatment at a health resort?
    integer
    Code List
    27.Have you ever undergone a treatment at a health resort?
    CL Item
    no (1)
    CL Item
    yes (2)
    latest treatment at a health resort
    Item
    27. When was the last time?
    integer
    Comments of physician
    Item
    Comments of physician
    text
    Item Group
    Are/were there any diseases in your family?
    Diabetes
    Item
    Diabetes
    boolean
    Hypertension
    Item
    Hypertension
    boolean
    Stroke
    Item
    Stroke
    boolean
    C0038454 (UMLS CUI [1])
    Myocardial infarction
    Item
    Myocardial infarction
    boolean
    Allergies
    Item
    Allergies/Hypersensitivity to substances, food, etc.
    boolean
    Respiratory diseases
    Item
    Respiratory diseases
    boolean
    Gout
    Item
    Gout
    boolean
    Deformities
    Item
    Deformities
    boolean
    cancer
    Item
    Cancer
    boolean
    Other disease
    Item
    Other diseases
    boolean
    Comments of physician
    Item
    Comments of physician
    text
    Item Group
    Please answer the following questions about your diseases and health problems
    heachaches
    Item
    1 Do you suffer from headaches frequently?
    boolean
    Lack of appetite
    Item
    2 Do you suffer from lack of appetite?
    boolean
    thirst
    Item
    3 Do you suffer from increased thirst?
    boolean
    sleep disturbances
    Item
    4 Do you have sleep disturbances?
    boolean
    difficulty falling asleep
    Item
    4 If yes, do you have difficulties falling asleep?
    boolean
    waking during the night
    Item
    4 If yes, do you wake during the night?
    boolean
    irregular bowel movements
    Item
    5 Do you have irregular bowel movements?
    boolean
    glasses/contact lenses
    Item
    6 Do you wear glasses/contact lenses?
    boolean
    Eye complaint
    Item
    7 Do you have an eye complaint?
    boolean
    impaired hearing
    Item
    8 Is your hearing impaired?
    boolean
    Ear problems
    Item
    9 Do you have ear problems?
    boolean
    diseases of frontal sinus and maxillary sinus, throat
    Item
    12 Are you prone to diseases of the frontal sinus and the maxillary sinus of the throat?
    boolean
    common cold
    Item
    13 Do/did you have a common cold multiple times a year?
    boolean
    Cough
    Item
    14 Do you cough frequently (regularly every day)?
    boolean
    bronchial asthma/bronchitis
    Item
    15 Are you prone to bronchial asthma/bronchitis?
    boolean
    pneumonia, pleurisy, tuberculosis
    Item
    17 Did you ever have pneumonia/pleurisy/tuberculosis?
    boolean
    Hypertension
    Item
    18 Have you ever been diagnosed with hypertension?
    boolean
    dyspnea
    Item
    19 Do you suffer from dyspnea?
    boolean
    Chest tightness
    Item
    20 Do you feel a tightness in the chest (chest pain) during physical stress?
    boolean
    myocardial infarction
    Item
    21 Did you ever have a myocardial infarction?
    boolean
    other cardiovascular problems
    Item
    22 Do you have other cardiovascular problems?
    boolean
    dizziness, disturbed balance
    Item
    23 Are you prone to dizziness/disturbed balance?
    boolean
    Diabetes
    Item
    24 Have you been diagnosed with diabetes?
    boolean
    elevated blood lipid levels
    Item
    25 Were your blood lipid levels ever found to be elevated?
    boolean
    elevated uric acid levels
    Item
    26 Were your uric acid levels ever found to be elevated (gout)?
    boolean
    thyroid disease
    Item
    27 Have you ever been diagnosed with a thyroid disease?
    boolean
    gastro-intestinal problems, heartburn
    Item
    28 Do you have gastro-intestinal problems/heartburn?
    boolean
    Bilious complaints
    Item
    30 Do you have bilious complaints?
    boolean
    jaundice
    Item
    31 Did you ever have jaundice?
    boolean
    liver disease
    Item
    32 Have you been diagnosed with a liver disease?
    boolean
    uropathy
    Item
    33 Are you prone to uropathies (kidney, bladder)?
    boolean
    problems when urinating
    Item
    34 Do you have problems when urinating?
    boolean
    hemorrhoids
    Item
    35 Do you have hemorrhoids?
    boolean
    varices
    Item
    36 Dou you have varices?
    boolean
    back pain
    Item
    37 Do you have back pain?
    boolean
    Item
    37 If yes, where? - 1 cervical spine/neck
    text
    Code List
    37 If yes, where? - 1 cervical spine/neck
    CL Item
    sometimes  (sometimes)
    CL Item
    frequently  (frequently)
    CL Item
    daily  (daily)
    Item
    37 If yes, where? - 2 thoracic spine
    text
    Code List
    37 If yes, where? - 2 thoracic spine
    CL Item
    sometimes  (sometimes)
    CL Item
    frequently  (frequently)
    CL Item
    daily  (daily)
    Item
    37 If yes, where? - 3 lumbar spine/lower back
    text
    Code List
    37 If yes, where? - 3 lumbar spine/lower back
    CL Item
    sometimes  (sometimes)
    CL Item
    frequently  (frequently)
    CL Item
    daily  (daily)
    lumbago
    Item
    38 Do you suffer from lumbago (sciatica)?
    boolean
    herniated disk
    Item
    39 Did you have a herniated disk?
    boolean
    joint pain/limb pain
    Item
    40 Do you have pain in any joints or limbs?
    boolean
    seizure disorder
    Item
    41 Do you have a seizure disorder?
    boolean
    neurological/psychiatric disease
    Item
    42 Do you have a neurological/psychiatric disease?
    boolean
    dermatosis
    Item
    43 Are you prone to dermatoses?
    boolean
    Allergies
    Item
    44 Do you suffer from allergies?
    boolean
    hay fever
    Item
    45 Do you have hay fever?
    boolean
    bone fractures
    Item
    46 Did you have any bone fractures?
    boolean
    permanent damage due to accident
    Item
    47 Did you have an accident that led to any permanent damage?
    boolean
    Comments of physician
    Item
    Comments of physician
    text
    Item Group
    Surgeries
    Surgery
    Item
    48. Did you ever undergo surgery?
    boolean
    Heart surgery
    Item
    1 Heart
    boolean
    Kidney surgery
    Item
    2 Kidney
    boolean
    Gallbladder surgery
    Item
    3 Gallbladder
    boolean
    hernia surgery
    Item
    4 Hernia
    boolean
    stomach surgery
    Item
    5 Stomach
    boolean
    bone surgery
    Item
    7 Bone
    boolean
    other surgery
    Item
    8 Other surgery
    boolean
    Comments of physician
    Item
    Comments of physician
    text
    Item Group
    Dental/medical treatment
    dental/medical treatment
    Item
    49. Are you currently under dental/medical treatment?
    boolean
    dental/medical treatment reason
    Item
    49. If yes, why?
    text
    Comments of physician
    Item
    Comments of physician
    text
    Item Group
    Vaccination
    tetanus vaccination
    Item
    50. Are you vaccinated against tetanus?
    boolean
    time of tetanus vaccination
    Item
    50. When?
    integer
    Comments of physician
    Item
    Comments of physician
    text
    Item Group
    Current medication
    Current medication
    Item
    51. Are you taking any medication of at least one of the following types (mutiple selections possible)?
    boolean
    medication for headache
    Item
    1 Medication for headache
    boolean
    pain medication
    Item
    2 Pain medication
    boolean
    Cardiovascular agents
    Item
    3 Cardiovascular agents
    boolean
    laxatives
    Item
    4 Laxatives
    boolean
    Tranquilizer
    Item
    5 Tranquilizer
    boolean
    sleeping pills
    Item
    6 Sleeping pills
    boolean
    stomachic
    Item
    7 Stomachic
    boolean
    Bronchial medication
    Item
    8 Bronchial medication
    boolean
    other medication
    Item
    9 Other medication
    boolean
    other medicaton specification
    Item
    9 Which other medication?
    text
    Comments of physician
    Item
    Comments of physician
    text
    Item Group
    Miscellaneous
    Other complaints
    Item
    52. Other complaints
    text
    Item
    53. Are you pregnant?
    integer
    Code List
    53. Are you pregnant?
    CL Item
    yes (1)
    CL Item
    no (2)
    Item
    54. Do you undergo gynecological screenings regularly?
    integer
    Code List
    54. Do you undergo gynecological screenings regularly?
    CL Item
    yes (1)
    CL Item
    no (2)
    Comments of physician
    Item
    Comments of physician
    text
    General comments
    Item
    General comments
    text

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