German English

Follow Up Pregnancy Part 1

9 forms  
Patient's Data
Description

Patient's Data

Alias
UMLS CUI-1
C2707520
Date of notification
Description

Meldedatum

Data type

date

Alias
UMLS CUI [1]
C1302584
Age in years
Description

Alter in Jahren

Data type

float

Alias
UMLS CUI-1
C0001779
Size
Description

Größe

Data type

integer

Alias
UMLS CUI-1
C0005890
Weight
Description

Gewicht

Data type

float

Alias
UMLS CUI-1
C0005910
Pregnancy
Description

Pregnancy

Alias
UMLS CUI-1
C0032961
Date of last menstrual period
Description

Regelblutung

Data type

date

Alias
UMLS CUI-1
C0425932
Calculated date of birth
Description

Geburtstermin

Data type

date

Alias
UMLS CUI-1
C1287845
Number of previous pregnancies
Description

früherer Schwangerschaften

Data type

integer

Alias
UMLS CUI-1
C0422807
If > 1, indicate date of last birth
Description

letzten Entbindung

Data type

date

Alias
UMLS CUI-1
C2053594
Outcome of the last pregnancy
Description

Schwangerschaftsausgang

Data type

integer

Alias
UMLS CUI [1]
C0032972
Medical history
Description

Medical history

Alias
UMLS CUI-1
C0262926
Relevant history
Description

Relevant in der Anamnese

Data type

text

Alias
UMLS CUI [1]
C0262926
consisting of from: month/year
Description

Please select a day of the respective month. It is applied to only the month and year

Data type

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C0009488
MS Medication
Description

MS Medication

Alias
UMLS CUI-1
C2827774
Medication
Description

Medikament

Data type

text

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0026769
Other:
Description

Anderes Medikament

Data type

text

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0026769
Dose
Description

Dosis

Data type

float

Alias
UMLS CUI [1,1]
C0001555
UMLS CUI [1,2]
C2827774
UMLS CUI [1,3]
C0026769
Unit
Description

Einheit

Data type

integer

Alias
UMLS CUI [1]
C1519795
Start: Month/year
Description

Please select a day of the respective month. It is applied to only the month and year

Data type

date

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C2827774
UMLS CUI [1,3]
C0026769
continued
Description

fortgesetzt

Data type

integer

Alias
UMLS CUI [1,1]
C3494713
UMLS CUI [1,2]
C2827774
UMLS CUI [1,3]
C0026769
End: Month/year
Description

Please select a day of the respective month. It is applied to only the month and year

Data type

date

Alias
UMLS CUI [1,1]
C1531784
UMLS CUI [1,2]
C2827774
UMLS CUI [1,3]
C0026769
Other Medication before/during pregnancy
Description

Other Medication before/during pregnancy

Alias
UMLS CUI-1
C2347852
Concomitant Medication (trade name)
Description

Begleitmedikation

Data type

text

Alias
UMLS CUI [1]
C2347852
Dose
Description

Dosis

Data type

float

Alias
UMLS CUI [1,1]
C0001555
UMLS CUI [1,2]
C2347852
Unit
Description

Einheit

Data type

integer

Alias
UMLS CUI [1]
C1519795
Start: Month/year
Description

Please select a day of the respective month. It is applied to only the month and year

Data type

date

Alias
UMLS CUI [1,1]
C1531783
UMLS CUI [1,2]
C2347852
End: Month/year
Description

Please select a day of the respective month. It is applied to only the month and year

Data type

date

Alias
UMLS CUI [1,1]
C1531784
UMLS CUI [1,2]
C2347852
Indication
Description

Indikation

Data type

text

Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C2347852
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Similar models

Follow Up Pregnancy Part 1

9 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient's Data
C2707520 (UMLS CUI-1)
Meldedatum
Item
Date of notification
date
C1302584 (UMLS CUI [1])
Alter in Jahren
Item
Age in years
float
C0001779 (UMLS CUI-1)
Größe
Item
Size
integer
C0005890 (UMLS CUI-1)
Gewicht
Item
Weight
float
C0005910 (UMLS CUI-1)
Item Group
Pregnancy
C0032961 (UMLS CUI-1)
Regelblutung
Item
Date of last menstrual period
date
C0425932 (UMLS CUI-1)
Geburtstermin
Item
Calculated date of birth
date
C1287845 (UMLS CUI-1)
früherer Schwangerschaften
Item
Number of previous pregnancies
integer
C0422807 (UMLS CUI-1)
letzten Entbindung
Item
If > 1, indicate date of last birth
date
C2053594 (UMLS CUI-1)
Item
Outcome of the last pregnancy
integer
C0032972 (UMLS CUI [1])
regebout
Code List
Outcome of the last pregnancy
CL Item
Live birth without abnormality (1)
C0497449 (UMLS CUI-1)
CL Item
Ectopic pregnancy (2)
C0032987 (UMLS CUI-1)
CL Item
Spontaneous abortion (3)
C0000786 (UMLS CUI-1)
CL Item
Termination of pregnancy (4)
C0392535 (UMLS CUI-1)
CL Item
Live birth with abnormality (5)
C0497451 (UMLS CUI-1)
CL Item
Premature birth (6)
C0151526 (UMLS CUI-1)
CL Item
Stillbirth (7)
C0595939 (UMLS CUI-1)
Relevant in der Anamnese
Item
Relevant history
text
C0262926 (UMLS CUI [1])
bestehend seit Monat/Jahr
Item
consisting of from: month/year
date
C0808070 (UMLS CUI [1,1])
C0009488 (UMLS CUI [1,2])
Item Group
MS Medication
C2827774 (UMLS CUI-1)
Item
Medication
text
C2827774 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
curth1
Code List
Medication
CL Item
Alemtuzumab (Lemtrada) (22)
C0383429 (UMLS CUI-1)
CL Item
Azathioprine (2)
C0004482 (UMLS CUI-1)
CL Item
Cyclophosphamide (4)
C0010583 (UMLS CUI-1)
CL Item
Fingolimod (Gilenya) (18)
C1699926 (UMLS CUI-1)
CL Item
Fumarate (BG-12; Tecfidera) (24)
C0058218 (UMLS CUI-1)
CL Item
COPAXONE (Copaxone) (6)
C0289884 (UMLS CUI-1)
CL Item
Immune Globulins (7)
C0021027 (UMLS CUI-1)
CL Item
Interferon ß-1A (Avonex) (19)
C0254119 (UMLS CUI-1)
C0021492 (UMLS CUI-2)
CL Item
Interferon ß-1A SC (Rebif 22 µg, Rebif 44 µg) (20)
C0254119 (UMLS CUI-1)
CL Item
Interferon ß 1SC (Betaseron, Extavia) (21)
C0244713 (UMLS CUI-1)
CL Item
* Medication from a MS study (8)
C0013175 (UMLS CUI-1)
C0013227 (UMLS CUI-2)
CL Item
Methotrexate (9)
C0025677 (UMLS CUI-1)
CL Item
Mitoxantrone (10)
C0026259 (UMLS CUI-1)
CL Item
Natalizumab (Tysabri) (11)
C1172734 (UMLS CUI-1)
CL Item
Rituximab (14)
C0393022 (UMLS CUI-1)
CL Item
Teriflunomide (Aubagio) (23)
C1718383 (UMLS CUI-1)
CL Item
Cortisone (25)
C0010137 (UMLS CUI-1)
CL Item
Others... (99)
C1115771 (UMLS CUI-1)
Anderes Medikament
Item
Other:
text
C2827774 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Dosis
Item
Dose
float
C0001555 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Item
Unit
integer
C1519795 (UMLS CUI [1])
tydosu
Code List
Unit
CL Item
mg (2)
CL Item
µg (4)
Therapiebeginn
Item
Start: Month/year
date
C3173309 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Item
continued
integer
C3494713 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Yes / No
Code List
continued
CL Item
Yes (1)
CL Item
No (0)
Therapie beendet am
Item
End: Month/year
date
C1531784 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Item Group
Other Medication before/during pregnancy
C2347852 (UMLS CUI-1)
Begleitmedikation
Item
Concomitant Medication (trade name)
text
C2347852 (UMLS CUI [1])
Dosis
Item
Dose
float
C0001555 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
Item
Unit
integer
C1519795 (UMLS CUI [1])
tydosu
Code List
Unit
CL Item
mg (2)
CL Item
µg (4)
Therapiebeginn
Item
Start: Month/year
date
C1531783 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
Therapieende
Item
End: Month/year
date
C1531784 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
Indikation
Item
Indication
text
C3146298 (UMLS CUI [1,1])
C2347852 (UMLS CUI [1,2])
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