Informações: Esta não é a versão mais recente do modelo de dados. Uma visão geral da versão pode ser encontrada à esquerda em Versões. Para a versão mais recente, clique aqui.
Informações:
Falhas:
ID
27662
Descrição
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.
Link
https://www.medituev.de/de/arbeitsmedizin/vorsorge/
Palavras-chave
Versões (2)
- 25/11/2017 25/11/2017 -
- 27/11/2017 27/11/2017 -
Titular dos direitos
TÜV Nord MEDITUEV
Transferido a
25 de novembro de 2017
DOI
Para um pedido faça login.
Licença
Creative Commons BY-NC 3.0
Comentários do modelo :
Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.
Comentários do grupo de itens para :
Comentários do item para :
Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.
MEDITUEV Occupational health check
MEDITUEV Occupational health check
- StudyEvent: ODM
Similar models
MEDITUEV Occupational health check
- StudyEvent: ODM
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
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])
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])
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])
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])
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])
C0031831 (UMLS CUI [1,2])
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])
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])
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])
CL Item
normal (1)
CL Item
part-time (2)
CL Item
often overtime (3)
CL Item
hours per week (4)
CL Item
no (1)
C1298908 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
early shift and late shift (2)
C0425104 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
alternate shift incl. night shift (3)
C1660631 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
night shift only (4)
C1660631 (UMLS CUI-1)
(Comment:de)
(Comment:de)
Comments of physician
Item
Comments of physician
text
C0947611 (UMLS CUI [1])
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])
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])
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])
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])
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])
C0229962 (UMLS CUI [1,2])
Comments of physician
Item
Comments of physician
text
C0947611 (UMLS CUI [1])
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])
C1830752 (UMLS CUI [2])
C0868994 (UMLS CUI [3])
CL Item
no (no)
CL Item
sometimes (sometimes)
CL Item
constantly (constantly)
CL Item
no (no)
CL Item
sometimes (sometimes)
CL Item
constantly (constantly)
CL Item
no (no)
CL Item
sometimes (sometimes)
CL Item
constantly (constantly)
CL Item
no (no)
CL Item
sometimes (sometimes)
CL Item
constantly (constantly)
CL Item
no (no)
CL Item
sometimes (sometimes)
CL Item
constantly (constantly)
CL Item
no (no)
CL Item
sometimes (sometimes)
CL Item
constantly (constantly)
CL Item
no (no)
CL Item
sometimes (sometimes)
CL Item
constantly (constantly)
CL Item
no (no)
CL Item
sometimes (sometimes)
CL Item
constantly (constantly)
Comments of physician
Item
Comments of physician
text
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
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
CL Item
no (1)
CL Item
yes (2)
CL Item
not anymore (3)
CL Item
no (1)
CL Item
yes (2)
CL Item
sometimes (3)
CL Item
daily (4)
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
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
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
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
CL Item
sometimes (sometimes)
CL Item
frequently (frequently)
CL Item
daily (daily)
CL Item
sometimes (sometimes)
CL Item
frequently (frequently)
CL Item
daily (daily)
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
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
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
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
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
Other complaints
Item
52. Other complaints
text
CL Item
yes (1)
CL Item
no (2)
CL Item
yes (1)
CL Item
no (2)
Comments of physician
Item
Comments of physician
text
General comments
Item
General comments
text