ID

27662

Descripción

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/

Palabras clave

  1. 11/25/17 11/25/17 -
  2. 11/27/17 11/27/17 -
Titular de derechos de autor

TÜV Nord MEDITUEV

Subido en

November 25, 2017

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0

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MEDITUEV Occupational health check

MEDITUEV Occupational health check

Personal data
Descripción

Personal data

Name
Descripción

Name

Tipo de datos

text

Alias
UMLS CUI [1]
C0027365
First Name
Descripción

First Name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
Date of birth
Descripción

Date of birth

Tipo de datos

date

Alias
UMLS CUI [1]
C0421451
Birth name
Descripción

birth name

Tipo de datos

text

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

street address

Tipo de datos

text

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

postal code code and place of residence

Tipo de datos

text

Telephone number
Descripción

telephone number

Tipo de datos

text

Alias
UMLS CUI [1]
C1515258
Sex
Descripción

sex

Tipo de datos

text

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

Date of employment

Tipo de datos

text

Nationality
Descripción

Nationality

Tipo de datos

text

Alias
UMLS CUI [1]
C0027473
Employer
Descripción

Employer

Tipo de datos

text

Alias
UMLS CUI [1]
C1274022
Health insurance
Descripción

Health insurance

Tipo de datos

text

Alias
UMLS CUI [1]
C0021682
General practitioner
Descripción

General practitioner

Tipo de datos

text

Alias
UMLS CUI [1]
C0017319
Work history
Descripción

Work history

1. Profession you were trained in?
Descripción

Professional training

Tipo de datos

text

Alias
UMLS CUI [1]
C2698884
Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Former occupations
Descripción

Former occupations

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

Previous occupations

Tipo de datos

text

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

Beginning year

Tipo de datos

integer

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

End year

Tipo de datos

integer

Alias
UMLS CUI [1]
C0806020
Comments of physician
Descripción

Comments of physician

Tipo de datos

text

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

Current occupation

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

Current occupation

Tipo de datos

text

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

Beginning year

Tipo de datos

integer

Alias
UMLS CUI [1]
C0439659
Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Working conditions
Descripción

Working conditions

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

Workplace

Tipo de datos

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)
Descripción

Working material

Tipo de datos

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)
Descripción

Work equipment

Tipo de datos

text

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

Protection

Tipo de datos

text

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

Working hours

Tipo de datos

integer

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

shift work

Tipo de datos

integer

Alias
UMLS CUI [1]
C1658633
Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Working capacity
Descripción

Working capacity

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

Incapacity to work

Tipo de datos

boolean

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

Pension

Tipo de datos

integer

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

certificate of disability

Tipo de datos

integer

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

degree of disability

Tipo de datos

integer

Unidades de medida
  • %
Alias
UMLS CUI [1]
C0231170
%
15. Did you change your workplace due to health-related reasons?
Descripción

health-related change of workplace

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0162579
Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Medical examinations
Descripción

Medical examinations

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

Occupational health check

Tipo de datos

boolean

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

place of occupational health check

Tipo de datos

text

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

X-ray

Tipo de datos

boolean

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

X-ray body part

Tipo de datos

text

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

Comments of physician

Tipo de datos

text

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

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

1 Heat
Descripción

heat

Tipo de datos

text

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

cold, wetness, moisture

Tipo de datos

text

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

gas, fumes, dust, smell

Tipo de datos

text

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

noise

Tipo de datos

text

5 Solvent
Descripción

solvent

Tipo de datos

text

6 Cooling lubricant
Descripción

cooling lubricant

Tipo de datos

text

8 Pressure of time
Descripción

pressure of time

Tipo de datos

text

9 Bad posture
Descripción

bad posture

Tipo de datos

text

10 Hard work
Descripción

hard work

Tipo de datos

text

Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Work-related sources of irritation
Descripción

Work-related sources of irritation

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

source of irritation

Tipo de datos

text

Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Please answer the following questions about your personal living conditions
Descripción

Please answer the following questions about your personal living conditions

20. Do you live together with other people?
Descripción

living with other people

Tipo de datos

integer

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

Number of children

Tipo de datos

integer

21. Age (years)
Descripción

Please state the age of each child.

Tipo de datos

text

22. Do you smoke?
Descripción

Smoking

Tipo de datos

integer

23. Do you consume alcohol?
Descripción

Alcohol consumption

Tipo de datos

integer

24. Do you do sports?
Descripción

sports

Tipo de datos

integer

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

actions to benefit health

Tipo de datos

text

26. Do you go to cancer screenings?
Descripción

cancer screening

Tipo de datos

integer

26. When was the last time?
Descripción

year

Tipo de datos

integer

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

Treatment at a health resort

Tipo de datos

integer

27. When was the last time?
Descripción

year

Tipo de datos

integer

Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Are/were there any diseases in your family?
Descripción

Are/were there any diseases in your family?

Diabetes
Descripción

Diabetes

Tipo de datos

boolean

Hypertension
Descripción

Hypertension

Tipo de datos

boolean

Stroke
Descripción

Stroke

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0038454
Myocardial infarction
Descripción

Myocardial infarction

Tipo de datos

boolean

Allergies/Hypersensitivity to substances, food, etc.
Descripción

Allergies

Tipo de datos

boolean

Respiratory diseases
Descripción

Respiratory diseases

Tipo de datos

boolean

Gout
Descripción

Gout

Tipo de datos

boolean

Deformities
Descripción

Deformities

Tipo de datos

boolean

Cancer
Descripción

cancer

Tipo de datos

boolean

Other diseases
Descripción

Other disease

Tipo de datos

boolean

Comments of physician
Descripción

Comments of physician

Tipo de datos

text

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

Please answer the following questions about your diseases and health problems

1 Do you suffer from headaches frequently?
Descripción

heachaches

Tipo de datos

boolean

2 Do you suffer from lack of appetite?
Descripción

Lack of appetite

Tipo de datos

boolean

3 Do you suffer from increased thirst?
Descripción

thirst

Tipo de datos

boolean

4 Do you have sleep disturbances?
Descripción

sleep disturbances

Tipo de datos

boolean

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

difficulty falling asleep

Tipo de datos

boolean

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

waking during the night

Tipo de datos

boolean

5 Do you have irregular bowel movements?
Descripción

irregular bowel movements

Tipo de datos

boolean

6 Do you wear glasses/contact lenses?
Descripción

glasses/contact lenses

Tipo de datos

boolean

7 Do you have an eye complaint?
Descripción

Eye complaint

Tipo de datos

boolean

8 Is your hearing impaired?
Descripción

impaired hearing

Tipo de datos

boolean

9 Do you have ear problems?
Descripción

Ear problems

Tipo de datos

boolean

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

diseases of frontal sinus and maxillary sinus, throat

Tipo de datos

boolean

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

common cold

Tipo de datos

boolean

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

Cough

Tipo de datos

boolean

15 Are you prone to bronchial asthma/bronchitis?
Descripción

bronchial asthma/bronchitis

Tipo de datos

boolean

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

pneumonia, pleurisy, tuberculosis

Tipo de datos

boolean

18 Have you ever been diagnosed with hypertension?
Descripción

Hypertension

Tipo de datos

boolean

19 Do you suffer from dyspnea?
Descripción

dyspnea

Tipo de datos

boolean

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

Chest tightness

Tipo de datos

boolean

21 Did you ever have a myocardial infarction?
Descripción

myocardial infarction

Tipo de datos

boolean

22 Do you have other cardiovascular problems?
Descripción

other cardiovascular problems

Tipo de datos

boolean

23 Are you prone to dizziness/disturbed balance?
Descripción

dizziness, disturbed balance

Tipo de datos

boolean

24 Have you been diagnosed with diabetes?
Descripción

Diabetes

Tipo de datos

boolean

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

elevated blood lipid levels

Tipo de datos

boolean

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

elevated uric acid levels

Tipo de datos

boolean

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

thyroid disease

Tipo de datos

boolean

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

gastro-intestinal problems, heartburn

Tipo de datos

boolean

30 Do you have bilious complaints?
Descripción

Bilious complaints

Tipo de datos

boolean

31 Did you ever have jaundice?
Descripción

jaundice

Tipo de datos

boolean

32 Have you been diagnosed with a liver disease?
Descripción

liver disease

Tipo de datos

boolean

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

uropathy

Tipo de datos

boolean

34 Do you have problems when urinating?
Descripción

problems when urinating

Tipo de datos

boolean

35 Do you have hemorrhoids?
Descripción

hemorrhoids

Tipo de datos

boolean

36 Dou you have varices?
Descripción

varices

Tipo de datos

boolean

37 Do you have back pain?
Descripción

back pain

Tipo de datos

boolean

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

cervical spine or neck pain

Tipo de datos

text

37 If yes, where? - 2 thoracic spine
Descripción

thoracic spine pain

Tipo de datos

text

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

lumbar spine or lower back pain

Tipo de datos

text

38 Do you suffer from lumbago (sciatica)?
Descripción

lumbago

Tipo de datos

boolean

39 Did you have a herniated disk?
Descripción

herniated disk

Tipo de datos

boolean

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

joint pain/limb pain

Tipo de datos

boolean

41 Do you have a seizure disorder?
Descripción

seizure disorder

Tipo de datos

boolean

42 Do you have a neurological/psychiatric disease?
Descripción

neurological/psychiatric disease

Tipo de datos

boolean

43 Are you prone to dermatoses?
Descripción

dermatosis

Tipo de datos

boolean

44 Do you suffer from allergies?
Descripción

Allergies

Tipo de datos

boolean

45 Do you have hay fever?
Descripción

hay fever

Tipo de datos

boolean

46 Did you have any bone fractures?
Descripción

bone fractures

Tipo de datos

boolean

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

permanent damage due to accident

Tipo de datos

boolean

Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Surgeries
Descripción

Surgeries

48. Did you ever undergo surgery?
Descripción

Surgery

Tipo de datos

boolean

1 Heart
Descripción

Heart surgery

Tipo de datos

boolean

2 Kidney
Descripción

Kidney surgery

Tipo de datos

boolean

3 Gallbladder
Descripción

Gallbladder surgery

Tipo de datos

boolean

4 Hernia
Descripción

hernia surgery

Tipo de datos

boolean

5 Stomach
Descripción

stomach surgery

Tipo de datos

boolean

7 Bone
Descripción

bone surgery

Tipo de datos

boolean

8 Other surgery
Descripción

other surgery

Tipo de datos

boolean

Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Dental/medical treatment
Descripción

Dental/medical treatment

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

dental/medical treatment

Tipo de datos

boolean

49. If yes, why?
Descripción

dental/medical treatment reason

Tipo de datos

text

Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Vaccination
Descripción

Vaccination

50. Are you vaccinated against tetanus?
Descripción

tetanus vaccination

Tipo de datos

boolean

50. When?
Descripción

year

Tipo de datos

integer

Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Current medication
Descripción

Current medication

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

Current medication

Tipo de datos

boolean

1 Medication for headache
Descripción

medication for headache

Tipo de datos

boolean

2 Pain medication
Descripción

pain medication

Tipo de datos

boolean

3 Cardiovascular agents
Descripción

Cardiovascular agents

Tipo de datos

boolean

4 Laxatives
Descripción

laxatives

Tipo de datos

boolean

5 Tranquilizer
Descripción

Tranquilizer

Tipo de datos

boolean

6 Sleeping pills
Descripción

sleeping pills

Tipo de datos

boolean

7 Stomachic
Descripción

stomachic

Tipo de datos

boolean

8 Bronchial medication
Descripción

Bronchial medication

Tipo de datos

boolean

9 Other medication
Descripción

other medication

Tipo de datos

boolean

9 Which other medication?
Descripción

other medicaton specification

Tipo de datos

text

Comments of physician
Descripción

Comments of physician

Tipo de datos

text

Miscellaneous
Descripción

Miscellaneous

52. Other complaints
Descripción

Other complaints

Tipo de datos

text

53. Are you pregnant?
Descripción

Pregnancy

Tipo de datos

integer

54. Do you undergo gynecological screenings regularly?
Descripción

Gynecological screening

Tipo de datos

integer

Comments of physician
Descripción

Comments of physician

Tipo de datos

text

General comments
Descripción

General comments

Tipo de datos

text

Similar models

MEDITUEV Occupational health check

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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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