ID

27974

Beschreibung

REGIMS is a registry of the administration, adverse events and benefit of immunotherapeutic agents in patients with Multiple Sclerosis. REGIMS is a project from the Institute of Epidemiology and Social Medicine of the University of Muenster, publication granted by Prof. Dr. Berger. For further information (in German), please view http://campus.uni-muenster.de/index.php?id=6075 or http://www.kompetenznetz-multiplesklerose.de/aktuelle-studien/regims. REGIMS ist ein Immuntherapieregister zur Verbesserung der Arzneimittelsicherheit in der Multiple Sklerose Therapie innerhalb des krankheitsbezogenen Kompetenznetzes MS. Das primäre Ziel von REGIMS ist die Erfassung der Häufigkeit, Charakteristika und Auswirkungen von Nebenwirkungen aktueller und neuer Immuntherapien in der klinischen Routinebehandlung der MS. Sekundäre Ziele sind die Auswertung von Faktoren, die a) mit Nebenwirkungen und b) mit guter Therapie-Adhärenz assoziiert sind. Optional können bei Zustimmung der Patienten Blutproben für die Biobank des KKNMS gesammelt werden. Patienten mit Multipler Sklerose (MS) weisen trotz des chronischen Verlaufs eine große Heterogenität klinischer Symptome, in Befunden der Bildgebung sowie pathophysiologischen Prozessen auf. Faktoren, die zur individuellen Krankheitsprognose beitragen sind kaum bekannt, jedoch hat die Einführung neuer Substanzen die Therapiemöglichkeiten der MS in den letzten Jahren deutlich erweitert. Die Anwendung sogenannter Immuntherapeutika (inklusive der neuen Substanzklasse der Biologika) bietet in der MS-Therapie eine Reihe von Chancen, birgt aber auch Risiken.

Link

http://campus.uni-muenster.de/index.php?id=6075

Stichworte

Versionen (10)
  1. 07.07.16 07.07.16 -
  2. 07.07.16 07.07.16 -
  3. 07.07.16 07.07.16 -
  4. 11.07.16 11.07.16 -
  5. 11.07.16 11.07.16 -
  6. 12.07.16 12.07.16 -
  7. 03.08.16 03.08.16 -
  8. 07.12.17 07.12.17 -
  9. 15.03.21 15.03.21 - Dr. rer. medic Philipp Neuhaus
  10. 20.09.21 20.09.21 -
Rechteinhaber

Institute of Epidemiology and Social Medicine UKM

Hochgeladen am

7. Dezember 2017

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

REGIMS Multiple Sclerosis Immunotherapy Registry Version 2016

Deutsch Englisch

Baseline Main Sheet

9 Formulare  
Inclusion-/Exclusion Criteria
Beschreibung

Inclusion-/Exclusion Criteria

Alias
UMLS CUI-1
C1516637
Visit date
Beschreibung

Visitendatum

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Patient meets the criteria for inclusion
Beschreibung

Kriterien erfüllt

Datentyp

integer

Alias
UMLS CUI [1]
C1512693
Written informed consent obtained?
Beschreibung

Einverständnis

Datentyp

integer

Alias
UMLS CUI [1]
C0021430
Patient's Data
Beschreibung

Patient's Data

Alias
UMLS CUI-1
C2707520
Sex
Beschreibung

sex

Datentyp

integer

Alias
UMLS CUI [1]
C0079399
Year of birth
Beschreibung

Geburtsjahr

Datentyp

integer

Alias
UMLS CUI [1]
C2826771
Size (cm)
Beschreibung

geoesse

Datentyp

integer

Maßeinheiten
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Body weight (kg)
Beschreibung

Gewicht

Datentyp

float

Alias
UMLS CUI [1]
C0005910
Multiple Sclerosis specific information
Beschreibung

Multiple Sclerosis specific information

Alias
UMLS CUI-1
C0026769
Date of first symptoms of MS: month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0574845
UMLS CUI [1,2]
C0026769
Unknown
Beschreibung

Unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0574845
UMLS CUI [1,2]
C0026769
UMLS CUI [1,3]
C0439673
MS diagnosis date: month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C2316983
UMLS CUI [1,2]
C0026769
Unknown
Beschreibung

Unbekannt MS-Diag

Datentyp

integer

Alias
UMLS CUI [1,1]
C2316983
UMLS CUI [1,2]
C0439673
UMLS CUI [1,3]
C0026769
Clinical Course of multiple sclerosis
Beschreibung

mslauf

Datentyp

integer

Alias
UMLS CUI [1,1]
C0449259
UMLS CUI [1,2]
C0026769
Other clinical course?
Beschreibung

Andere Verlaufsform

Datentyp

text

Alias
UMLS CUI [1,1]
C0449259
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0026769
Number of flares in the last 24 months
Beschreibung

Schübe anzahl

Datentyp

integer

Alias
UMLS CUI [1,1]
C0035020
UMLS CUI [1,2]
C3846158
Current flare?
Beschreibung

Schub

Datentyp

integer

Alias
UMLS CUI [1]
C0856120
UMLS CUI [2]
C0035020
EDSS-Score 12 month ago
Beschreibung

EDSS-Score 12 month ago

Alias
UMLS CUI-1
C3830336
UMLS CUI-2
C3898100
EDSS score
Beschreibung

Please specify the score between 0 and 10 months ago.

Datentyp

float

Alias
UMLS CUI [1,1]
C3830336
UMLS CUI [1,2]
C3898100
Unknown
Beschreibung

Unbekannt EDSSv12

Datentyp

integer

Alias
UMLS CUI [1,1]
C3830336
UMLS CUI [1,2]
C3898100
UMLS CUI [1,3]
C0439673
Today's scores for functional systems
Beschreibung

Today's scores for functional systems

Alias
UMLS CUI-1
C3830336
Today's EDSS
Beschreibung

Please specify a value between 0 and 10.

Datentyp

float

Alias
UMLS CUI [1]
C3830336
Unknown / not obtained
Beschreibung

Unbekannt EDSS

Datentyp

integer

Alias
UMLS CUI [1,1]
C3830336
UMLS CUI [1,2]
C0439673
Pyramidal
Beschreibung

Pyramidal

Datentyp

integer

Alias
UMLS CUI [1]
C3829393
Sensitivity
Beschreibung

Sensibilität

Datentyp

integer

Alias
UMLS CUI [1]
C3829391
Cerebral
Beschreibung

Zerebral

Datentyp

integer

Alias
UMLS CUI [1]
C3829397
Cerebellum
Beschreibung

Kleinhirn

Datentyp

integer

Alias
UMLS CUI [1]
C3829398
Bowel and Bladder Functions
Beschreibung

BlaseMastdarm

Datentyp

integer

Alias
UMLS CUI [1]
C3829400
Ability to walk
Beschreibung

Gehfähigkeit

Datentyp

integer

Alias
UMLS CUI [1,1]
C3829396
UMLS CUI [1,2]
C0559964
Brain stem
Beschreibung

Hirnstamm

Datentyp

integer

Alias
UMLS CUI [1]
C3829399
Visual
Beschreibung

Visuell

Datentyp

integer

Alias
UMLS CUI [1]
C3827261
Sum
Beschreibung

Score

Datentyp

float

Alias
UMLS CUI [1]
C3830336
Previous disease-modifying MS-Medication
Beschreibung

Previous disease-modifying MS-Medication

Alias
UMLS CUI-1
C2114510
Was a disease-modifying MS therapy previously conducted?
Beschreibung

mentryr

Datentyp

integer

Alias
UMLS CUI [1,1]
C2114510
UMLS CUI [1,2]
C0026769
Active ingredient
Beschreibung

Wirkstoff

Datentyp

text

Alias
UMLS CUI [1,1]
C2114510
UMLS CUI [1,2]
C0026769
other active ingredient
Beschreibung

Wirkstoff anderer

Datentyp

text

Alias
UMLS CUI [1,1]
C2114510
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0026769
Start: Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C2114510
UMLS CUI [1,3]
C0026769
End: Month
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C1531784
UMLS CUI [1,2]
C2114510
UMLS CUI [1,3]
C0026769
Main reason for stopping the therapy
Beschreibung

HauptgrundTherapieende

Datentyp

integer

Alias
UMLS CUI [1,1]
C0850893
UMLS CUI [1,2]
C0566251
UMLS CUI [1,3]
C0026769
If other, please indicate the reason
Beschreibung

Text Anderer Grund

Datentyp

text

Alias
UMLS CUI [1,1]
C3840932
UMLS CUI [1,2]
C0850893
UMLS CUI [1,3]
C0026769
Current MS therapy
Beschreibung

Current MS therapy

Alias
UMLS CUI-1
C2827774
Active ingredient
Beschreibung

Wirkstoff

Datentyp

text

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0026769
other active ingredient
Beschreibung

curth1a

Datentyp

text

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0026769
Start: Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C3173309
UMLS CUI [1,2]
C2827774
UMLS CUI [1,3]
C0026769
Regimen
Beschreibung

Therapieschema

Datentyp

integer

Alias
UMLS CUI [1,1]
C1276413
UMLS CUI [1,2]
C2827774
UMLS CUI [1,3]
C0026769
Please specify the dose and type of administration
Beschreibung

andere

Datentyp

text

Alias
UMLS CUI [1,1]
C0001555
UMLS CUI [1,2]
C2827774
UMLS CUI [1,3]
C0026769
Other diagnoses
Beschreibung

Other diagnoses

Alias
UMLS CUI-1
C0332138
Has any other of the following diagnoses been diagnosed?
Beschreibung

WeitereErkr

Datentyp

boolean

Alias
UMLS CUI [1]
C0332138
Heart / cardiovascular disease
Beschreibung

Heart / cardiovascular disease

Alias
UMLS CUI-1
C0007222
Heart / cardiovascular disease
Beschreibung

Gruppe Kreislauferkrankungen

Datentyp

integer

Alias
UMLS CUI [1]
C0007222
Which disease has been diagnosed?
Beschreibung

Kreislauferkrankungen

Datentyp

integer

Alias
UMLS CUI [1,1]
C0007222
UMLS CUI [1,2]
C0457464
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0007222
UMLS CUI [1,2]
C0011008
Date unknown
Beschreibung

Datum unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0007222
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0007222
UMLS CUI [1,2]
C2827774
Metabolic diseases
Beschreibung

Metabolic diseases

Alias
UMLS CUI-1
C0025517
Metabolic diseases
Beschreibung

Gruppe Stoffwechsel

Datentyp

integer

Alias
UMLS CUI [1]
C0025517
Which disease has been diagnosed?
Beschreibung

Stoffwechsel

Datentyp

integer

Alias
UMLS CUI [1,1]
C0025517
UMLS CUI [1,2]
C0457464
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0025517
UMLS CUI [1,2]
C0011008
Date unknown
Beschreibung

Datum unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0025517
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0025517
UMLS CUI [1,2]
C2827774
Infectious diseases
Beschreibung

Infectious diseases

Alias
UMLS CUI-1
C0009450
Infectious diseases
Beschreibung

Gruppe Infektionserkrankungen

Datentyp

integer

Alias
UMLS CUI [1]
C0009450
Which disease has been diagnosed?
Beschreibung

Infekt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C0457464
If Yes, what opportunistic infection
Beschreibung

Welche opportunistische Infektion

Datentyp

text

Alias
UMLS CUI [1]
C0029118
Site of infection
Beschreibung

Ort der Herpes-Infektion

Datentyp

text

Alias
UMLS CUI [1,1]
C0019372
UMLS CUI [1,2]
C0475264
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C0011008
Date unknown
Beschreibung

Datum unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C2827774
Gastrointestinal diseases
Beschreibung

Gastrointestinal diseases

Alias
UMLS CUI-1
C0017178
Gastrointestinal diseases
Beschreibung

Gruppe Gastrointestinale Erkrankungen

Datentyp

integer

Alias
UMLS CUI [1]
C0017178
Which disease has been diagnosed?
Beschreibung

Gastro

Datentyp

integer

Alias
UMLS CUI [1,1]
C0017178
UMLS CUI [1,2]
C0457464
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0017178
UMLS CUI [1,2]
C0011008
Date unknown
Beschreibung

Datum unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0017178
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0017178
UMLS CUI [1,2]
C2827774
Neurological / psychiatric disorders
Beschreibung

Neurological / psychiatric disorders

Alias
UMLS CUI-1
C0027765
UMLS CUI-3
C0004936
Neurological / psychiatric disorders
Beschreibung

Gruppe Neurologische Erkrankungen

Datentyp

integer

Alias
UMLS CUI [1]
C0027765
UMLS CUI [2]
C0004936
Which disease has been diagnosed?
Beschreibung

Neurologische / Psychiatrische Erkrankungen

Datentyp

integer

Alias
UMLS CUI [1,1]
C0027765
UMLS CUI [1,2]
C0457464
UMLS CUI [2,1]
C0004936
UMLS CUI [2,2]
C0457464
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0027765
UMLS CUI [1,2]
C0011008
UMLS CUI [2,1]
C0004936
UMLS CUI [2,2]
C0011008
Date unknown
Beschreibung

Datum unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0027765
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439673
UMLS CUI [2,1]
C0004936
UMLS CUI [2,2]
C0011008
UMLS CUI [2,3]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0027765
UMLS CUI [1,2]
C2827774
UMLS CUI [2,1]
C0004936
UMLS CUI [2,2]
C2827774
Allergies
Beschreibung

Allergies

Alias
UMLS CUI-1
C0020517
Allergies
Beschreibung

Gruppe Allergien

Datentyp

integer

Alias
UMLS CUI [1]
C0020517
Which disease has been diagnosed?
Beschreibung

Allergien

Datentyp

integer

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0457464
Which drug?
Beschreibung

Medikamentenallergien

Datentyp

text

Alias
UMLS CUI [1,1]
C0013182
UMLS CUI [1,2]
C2360065
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0011008
Date unknown
Beschreibung

Datum unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C2827774
Genitourinary Disorders
Beschreibung

Genitourinary Disorders

Alias
UMLS CUI-1
C0080276
Genitourinary Disorders
Beschreibung

Gruppe Urogenitale Erkrankungen

Datentyp

integer

Alias
UMLS CUI [1]
C0080276
Which disease has been diagnosed?
Beschreibung

Uro

Datentyp

integer

Alias
UMLS CUI [1,1]
C0080276
UMLS CUI [1,2]
C0457464
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0080276
UMLS CUI [1,2]
C0011008
Date unknown
Beschreibung

Datum unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0080276
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0080276
UMLS CUI [1,2]
C2827774
Auto-immune diseases
Beschreibung

Auto-immune diseases

Alias
UMLS CUI-1
C0004364
Auto-immune diseases
Beschreibung

Gruppe Autoimmunerkrankungen

Datentyp

integer

Alias
UMLS CUI [1]
C0004364
Which disease has been diagnosed?
Beschreibung

Autoimmunerkrankungen

Datentyp

integer

Alias
UMLS CUI [1,1]
C0004364
UMLS CUI [1,2]
C0457464
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0004364
UMLS CUI [1,2]
C0011008
Date unknown
Beschreibung

Datum unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0004364
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0004364
UMLS CUI [1,2]
C2827774
Blood Count / laboratory
Beschreibung

Blood Count / laboratory

Alias
UMLS CUI-1
C0018939
Blood Count / laboratory
Beschreibung

Gruppe Blutbild / Labor

Datentyp

integer

Alias
UMLS CUI [1]
C0018939
Which disease has been diagnosed?
Beschreibung

BlutLabVer

Datentyp

integer

Alias
UMLS CUI [1,1]
C0018939
UMLS CUI [1,2]
C0457464
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0018939
UMLS CUI [1,2]
C0011008
Date unknown
Beschreibung

Datum unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0018939
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0018939
UMLS CUI [1,2]
C2827774
General Symptoms
Beschreibung

General Symptoms

Alias
UMLS CUI-1
C0159028
General symptoms
Beschreibung

Gruppe AllgemSympt

Datentyp

integer

Alias
UMLS CUI [1]
C0159028
Which symptom was diagnosed?
Beschreibung

AllgemSympt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0159028
UMLS CUI [1,2]
C0457464
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0159028
UMLS CUI [1,2]
C0011008
Date unknown
Beschreibung

Datum unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0159028
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0159028
UMLS CUI [1,2]
C2827774
Operation
Beschreibung

Operation

Alias
UMLS CUI-1
C0543467
Operation
Beschreibung

Gruppe Operation

Datentyp

integer

Alias
UMLS CUI [1]
C0543467
Which operations?
Beschreibung

Operation

Datentyp

text

Alias
UMLS CUI [1]
C0679638
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0011008
Date unknown
Beschreibung

Datum unbekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C2827774
Cancer
Beschreibung

Cancer

Alias
UMLS CUI-1
C0006826
Cancer
Beschreibung

Gruppe Krebs

Datentyp

integer

Alias
UMLS CUI [1]
C0006826
What kind of cancer
Beschreibung

Art von Krebs

Datentyp

text

Alias
UMLS CUI [1,1]
C0006826
UMLS CUI [1,2]
C0457464
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0006826
UMLS CUI [1,2]
C0011008
Cancer Treatment?
Beschreibung

Cancer Treatment?

Alias
UMLS CUI-1
C0920425
Operation
Beschreibung

Operation

Datentyp

integer

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0920425
Radiation
Beschreibung

Bestrahlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C1522449
UMLS CUI [1,2]
C0920425
Chemotherapy
Beschreibung

Chemotherapie

Datentyp

integer

Alias
UMLS CUI [1,1]
C3665472
UMLS CUI [1,2]
C0920425
If yes, please specify substances chemotherapy
Beschreibung

Substanzen

Datentyp

text

Alias
UMLS CUI [1,1]
C0729502
UMLS CUI [1,2]
C0920425
not known
Beschreibung

nicht bekannt

Datentyp

integer

Alias
UMLS CUI [1,1]
C0729502
UMLS CUI [1,2]
C0439673
UMLS CUI [1,3]
C0920425
Other diseases?
Beschreibung

Other diseases?

Alias
UMLS CUI-1
C0332138
UMLS CUI-2
C0205394
Other diseases
Beschreibung

Gruppe Andere

Datentyp

integer

Alias
UMLS CUI [1,1]
C0332138
UMLS CUI [1,2]
C0205394
What other disease?
Beschreibung

Andere

Datentyp

text

Alias
UMLS CUI [1,1]
C0332138
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0457464
Month/year
Beschreibung

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

Datentyp

date

Alias
UMLS CUI [1,1]
C0332138
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0011008
Date unknown
Beschreibung

ubk

Datentyp

integer

Alias
UMLS CUI [1,1]
C0332138
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0011008
UMLS CUI [1,4]
C0439673
Current drug treatment
Beschreibung

MediBehandlung

Datentyp

integer

Alias
UMLS CUI [1,1]
C0332138
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2827774
None of the mentioned secondary diagnoses known
Beschreibung

None of the mentioned secondary diagnoses known

Applicable
Beschreibung

Keine

Datentyp

integer

Alias
UMLS CUI [1]
C0549184
Pregnancy
Beschreibung

Pregnancy

Alias
UMLS CUI-1
C0032961
Currently pregnant?
Beschreibung

Schwangerschaft

Datentyp

integer

Alias
UMLS CUI [1]
C0549206
Biologic Material (for example blood)
Beschreibung

Biologic Material (for example blood)

Alias
UMLS CUI-1
C0370003
Sample No.
Beschreibung

Probennummer

Datentyp

text

Alias
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1300638
Additional (currently disabled)
Beschreibung

Zusatz

Datentyp

text

Alias
UMLS CUI [1]
C0947611
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Baseline Main Sheet

9 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Inclusion-/Exclusion Criteria
C1516637 (UMLS CUI-1)
Visitendatum
Item
Visit date
date
C1320303 (UMLS CUI [1])
Item
Patient meets the criteria for inclusion
integer
C1512693 (UMLS CUI [1])
Yes / No
Code List
Patient meets the criteria for inclusion
CL Item
Yes (1)
CL Item
No (0)
Item
Written informed consent obtained?
integer
C0021430 (UMLS CUI [1])
Yes / No
Code List
Written informed consent obtained?
CL Item
Yes (1)
CL Item
No (0)
Item Group
Patient's Data
C2707520 (UMLS CUI-1)
Item
Sex
integer
C0079399 (UMLS CUI [1])
sex
Code List
Sex
CL Item
male (1)
CL Item
female (2)
Geburtsjahr
Item
Year of birth
integer
C2826771 (UMLS CUI [1])
geoesse
Item
Size (cm)
integer
C0005890 (UMLS CUI [1])
Gewicht
Item
Body weight (kg)
float
C0005910 (UMLS CUI [1])
Item Group
Multiple Sclerosis specific information
C0026769 (UMLS CUI-1)
Datum MS-Symptomatik
Item
Date of first symptoms of MS: month/year
date
C0574845 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
Item
Unknown
integer
C0574845 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Unknown
CL Item
Yes (1)
diagdat
Item
MS diagnosis date: month/year
date
C2316983 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
Item
Unknown
integer
C2316983 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Unknown
CL Item
Yes (1)
Item
Clinical Course of multiple sclerosis
integer
C0449259 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
mslauf
Code List
Clinical Course of multiple sclerosis
CL Item
not clearly attributable (-1)
(Comment:en)
CL Item
Clinically isolated syndrome (CIS) (1)
C2350037 (UMLS CUI-1)
(Comment:en)
CL Item
Relapsing-remitting MS (RRMS) (2)
C0751967 (UMLS CUI-1)
(Comment:en)
CL Item
Secondary progressive MS (SPMS) (3)
C0751965 (UMLS CUI-1)
(Comment:en)
CL Item
Primary progressive MS (PPMS) (4)
C0751964 (UMLS CUI-1)
(Comment:en)
CL Item
Others (5)
C0026769 (UMLS CUI-1)
C0449259 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
(Comment:en)
Andere Verlaufsform
Item
Other clinical course?
text
C0449259 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Item
Number of flares in the last 24 months
integer
C0035020 (UMLS CUI [1,1])
C3846158 (UMLS CUI [1,2])
Anzahl Schübe
Code List
Number of flares in the last 24 months
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
CL Item
10 (10)
CL Item
> 10 (11)
Item
Current flare?
integer
C0856120 (UMLS CUI [1])
C0035020 (UMLS CUI [2])
Yes / No
Code List
Current flare?
CL Item
Yes (1)
CL Item
No (0)
Item Group
EDSS-Score 12 month ago
C3830336 (UMLS CUI-1)
C3898100 (UMLS CUI-2)
EDSS vor 12
Item
EDSS score
float
C3830336 (UMLS CUI [1,1])
C3898100 (UMLS CUI [1,2])
Item
Unknown
integer
C3830336 (UMLS CUI [1,1])
C3898100 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Unknown
CL Item
Yes (1)
Item Group
Today's scores for functional systems
C3830336 (UMLS CUI-1)
Heutiger EDSS
Item
Today's EDSS
float
C3830336 (UMLS CUI [1])
Item
Unknown / not obtained
integer
C3830336 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
Unbekannt Ja
Code List
Unknown / not obtained
CL Item
Yes (1)
Pyramidal
Item
Pyramidal
integer
C3829393 (UMLS CUI [1])
Sensibilität
Item
Sensitivity
integer
C3829391 (UMLS CUI [1])
Zerebral
Item
Cerebral
integer
C3829397 (UMLS CUI [1])
Kleinhirn
Item
Cerebellum
integer
C3829398 (UMLS CUI [1])
BlaseMastdarm
Item
Bowel and Bladder Functions
integer
C3829400 (UMLS CUI [1])
Gehfähigkeit
Item
Ability to walk
integer
C3829396 (UMLS CUI [1,1])
C0559964 (UMLS CUI [1,2])
Hirnstamm
Item
Brain stem
integer
C3829399 (UMLS CUI [1])
Visuell
Item
Visual
integer
C3827261 (UMLS CUI [1])
Score
Item
Sum
float
C3830336 (UMLS CUI [1])
Item Group
Previous disease-modifying MS-Medication
C2114510 (UMLS CUI-1)
Item
Was a disease-modifying MS therapy previously conducted?
integer
C2114510 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
YESdenovo
Code List
Was a disease-modifying MS therapy previously conducted?
CL Item
Yes (1)
CL Item
No, de novo therapy (please go to next field) (99)
Item
Active ingredient
text
C2114510 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
curth1
Code List
Active ingredient
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)
Wirkstoff anderer
Item
other active ingredient
text
C2114510 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Wirkstoff Beginn
Item
Start: Month/year
date
C3173309 (UMLS CUI [1,1])
C2114510 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Wirkstoff Ende
Item
End: Month
date
C1531784 (UMLS CUI [1,1])
C2114510 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Item
Main reason for stopping the therapy
integer
C0850893 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Therapieende
Code List
Main reason for stopping the therapy
CL Item
Side effects (1)
C0559546 (UMLS CUI-1)
(Comment:en)
CL Item
Lack effectiveness (2)
C0235828 (UMLS CUI-1)
(Comment:en)
CL Item
Another reason (99)
C3840932 (UMLS CUI-1)
C0850893 (UMLS CUI-2)
(Comment:en)
Text Anderer Grund
Item
If other, please indicate the reason
text
C3840932 (UMLS CUI [1,1])
C0850893 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Item Group
Current MS therapy
C2827774 (UMLS CUI-1)
Item
Active ingredient
text
C2827774 (UMLS CUI [1,1])
C0026769 (UMLS CUI [1,2])
curth1
Code List
Active ingredient
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)
curth1a
Item
other active ingredient
text
C2827774 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
curth1ab
Item
Start: Month/year
date
C3173309 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Item
Regimen
integer
C1276413 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
TherapieSchema
Code List
Regimen
CL Item
Standard (1)
CL Item
Others (99)
andere
Item
Please specify the dose and type of administration
text
C0001555 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C0026769 (UMLS CUI [1,3])
Item Group
Other diagnoses
C0332138 (UMLS CUI-1)
WeitereErkr
Item
Has any other of the following diagnoses been diagnosed?
boolean
C0332138 (UMLS CUI [1])
Item Group
Heart / cardiovascular disease
C0007222 (UMLS CUI-1)
Item
Heart / cardiovascular disease
integer
C0007222 (UMLS CUI [1])
Unbekannt Ja ohne Überschrift
Code List
Heart / cardiovascular disease
CL Item
NA (1)
Item
Which disease has been diagnosed?
integer
C0007222 (UMLS CUI [1,1])
C0457464 (UMLS CUI [1,2])
Kreislauferkrankungen
Code List
Which disease has been diagnosed?
CL Item
High blood pressure (02)
C0020538 (UMLS CUI-1)
CL Item
Heart failure/insufficiency (03)
C0392173 (UMLS CUI-1)
CL Item
Heart rhythm disorder (04)
C0003811 (UMLS CUI-1)
CL Item
Heart attack (05)
C0027051 (UMLS CUI-1)
CL Item
CHD / Angina Pectoris (06)
C0010068 (UMLS CUI-1)
CL Item
Vein thrombosis (07)
C0587220 (UMLS CUI-1)
CL Item
Pulmonary embolism (08)
C0034065 (UMLS CUI-1)
Kreislauferkrankungen: Monat/Jahr
Item
Month/year
date
C0007222 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0007222 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0007222 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
Metabolic diseases
C0025517 (UMLS CUI-1)
Item
Metabolic diseases
integer
C0025517 (UMLS CUI [1])
Unbekannt Ja ohne Überschrift
Code List
Metabolic diseases
CL Item
NA (1)
Item
Which disease has been diagnosed?
integer
C0025517 (UMLS CUI [1,1])
C0457464 (UMLS CUI [1,2])
Stoffwechsel
Code List
Which disease has been diagnosed?
CL Item
Diabetes mellitus (11)
C0011849 (UMLS CUI-1)
CL Item
Thyroid under or overactive (12)
C0040128 (UMLS CUI-1)
Stoffwechsel: Monat/Jahr
Item
Month/year
date
C0025517 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0025517 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0025517 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
Infectious diseases
C0009450 (UMLS CUI-1)
Item
Infectious diseases
integer
C0009450 (UMLS CUI [1])
Unbekannt Ja ohne Überschrift
Code List
Infectious diseases
CL Item
NA (1)
Item
Which disease has been diagnosed?
integer
C0009450 (UMLS CUI [1,1])
C0457464 (UMLS CUI [1,2])
Infekt
Code List
Which disease has been diagnosed?
CL Item
Hepatitis B or C (21)
C0019163 (UMLS CUI-1)
C0019196 (UMLS CUI-3)
CL Item
HIV infection (22)
C0019693 (UMLS CUI-1)
CL Item
Tuberculosis (23)
C0041296 (UMLS CUI-1)
CL Item
Opportunistic infections (24)
C0029118 (UMLS CUI-1)
CL Item
Herpes infection (25)
C0019372 (UMLS CUI-1)
CL Item
PML (26)
C0023524 (UMLS CUI-1)
CL Item
Lung inflammation (27)
C0032285 (UMLS CUI-1)
Welche opportunistische Infektion
Item
If Yes, what opportunistic infection
text
C0029118 (UMLS CUI [1])
Ort der Herpes-Infektion
Item
Site of infection
text
C0019372 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
Infektion: Monat/Jahr
Item
Month/year
date
C0009450 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0009450 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0009450 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
Gastrointestinal diseases
C0017178 (UMLS CUI-1)
Item
Gastrointestinal diseases
integer
C0017178 (UMLS CUI [1])
Unbekannt Ja ohne Überschrift
Code List
Gastrointestinal diseases
CL Item
NA (1)
Item
Which disease has been diagnosed?
integer
C0017178 (UMLS CUI [1,1])
C0457464 (UMLS CUI [1,2])
Gastro
Code List
Which disease has been diagnosed?
CL Item
Inflammation of the pancreas (31)
C3889003 (UMLS CUI-1)
CL Item
Cirrhosis of the liver (32)
C0023890 (UMLS CUI-1)
CL Item
Crohn's disease (33)
C0010346 (UMLS CUI-1)
CL Item
Ulcerative colitis (34)
C0009324 (UMLS CUI-1)
Gastro: Monat/Jahr
Item
Month/year
date
C0017178 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0017178 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0017178 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
Neurological / psychiatric disorders
C0027765 (UMLS CUI-1)
C0004936 (UMLS CUI-3)
Item
Neurological / psychiatric disorders
integer
C0027765 (UMLS CUI [1])
C0004936 (UMLS CUI [2])
Unbekannt Ja ohne Überschrift
Code List
Neurological / psychiatric disorders
CL Item
NA (1)
Item
Which disease has been diagnosed?
integer
C0027765 (UMLS CUI [1,1])
C0457464 (UMLS CUI [1,2])
C0004936 (UMLS CUI [2,1])
C0457464 (UMLS CUI [2,2])
Neuro
Code List
Which disease has been diagnosed?
CL Item
Epileptic seizures (41)
C0036572 (UMLS CUI-1)
CL Item
Depression (42)
C0011581 (UMLS CUI-1)
CL Item
Angsstörungen, panic attacks (43)
C0497330 (UMLS CUI-1)
CL Item
Migraine / headache (44)
C0149931 (UMLS CUI-1)
CL Item
Anorexia (45)
C0003123 (UMLS CUI-1)
Neuro: Monat/Jahr
Item
Month/year
date
C0027765 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0004936 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
Item
Date unknown
integer
C0027765 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
C0004936 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
C0439673 (UMLS CUI [2,3])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0027765 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C0004936 (UMLS CUI [2,1])
C2827774 (UMLS CUI [2,2])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
Allergies
C0020517 (UMLS CUI-1)
Item
Allergies
integer
C0020517 (UMLS CUI [1])
Unbekannt Ja ohne Überschrift
Code List
Allergies
CL Item
NA (1)
Item
Which disease has been diagnosed?
integer
C0020517 (UMLS CUI [1,1])
C0457464 (UMLS CUI [1,2])
Allergien
Code List
Which disease has been diagnosed?
CL Item
Drug allergy (51)
C0013182 (UMLS CUI-1)
CL Item
House dust / pollen (52)
C0339808 (UMLS CUI-1)
C1548336 (UMLS CUI-3)
CL Item
Food (53)
C0016470 (UMLS CUI-1)
CL Item
Nickel / fragrances (54)
C1690547 (UMLS CUI-1)
C0577618 (UMLS CUI-3)
CL Item
Insect bites (55)
C0854051 (UMLS CUI-1)
Medikamentenallergien
Item
Which drug?
text
C0013182 (UMLS CUI [1,1])
C2360065 (UMLS CUI [1,2])
Allergien: Monat/Jahr
Item
Month/year
date
C0020517 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0020517 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0020517 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
Genitourinary Disorders
C0080276 (UMLS CUI-1)
Item
Genitourinary Disorders
integer
C0080276 (UMLS CUI [1])
Unbekannt Ja ohne Überschrift
Code List
Genitourinary Disorders
CL Item
NA (1)
Item
Which disease has been diagnosed?
integer
C0080276 (UMLS CUI [1,1])
C0457464 (UMLS CUI [1,2])
AndereUro
Code List
Which disease has been diagnosed?
CL Item
Recurrent urinary tract infections (61)
C0262655 (UMLS CUI-1)
CL Item
Renal impairment (62)
C0151746 (UMLS CUI-1)
CL Item
Other urological diseases (63)
C0080276 (UMLS CUI-1)
Uro: Monat/Jahr
Item
Month/year
date
C0080276 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0080276 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0080276 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
Auto-immune diseases
C0004364 (UMLS CUI-1)
Item
Auto-immune diseases
integer
C0004364 (UMLS CUI [1])
Unbekannt Ja ohne Überschrift
Code List
Auto-immune diseases
CL Item
NA (1)
Item
Which disease has been diagnosed?
integer
C0004364 (UMLS CUI [1,1])
C0457464 (UMLS CUI [1,2])
Autoimmun
Code List
Which disease has been diagnosed?
CL Item
Myasthenia gravis (71)
C0026896 (UMLS CUI-1)
CL Item
Autoimmune thyroid disease (72)
C0178468 (UMLS CUI-1)
CL Item
Systemic Lupus Erythematosus (73)
C0024141 (UMLS CUI-1)
CL Item
Psoriasis (74)
C0033860 (UMLS CUI-1)
Autoimmun: Monat/Jahr
Item
Month/year
date
C0004364 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0004364 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0004364 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
Blood Count / laboratory
C0018939 (UMLS CUI-1)
Item
Blood Count / laboratory
integer
C0018939 (UMLS CUI [1])
Unbekannt Ja ohne Überschrift
Code List
Blood Count / laboratory
CL Item
NA (1)
Item
Which disease has been diagnosed?
integer
C0018939 (UMLS CUI [1,1])
C0457464 (UMLS CUI [1,2])
BlutLabVer
Code List
Which disease has been diagnosed?
CL Item
Anemia (81)
C0002871 (UMLS CUI-1)
CL Item
Lymphopenia (82)
C0024312 (UMLS CUI-1)
CL Item
Leukopenia (83)
C0023530 (UMLS CUI-1)
CL Item
Neutropenia (84)
C0027947 (UMLS CUI-1)
CL Item
Coagulation disorders (85)
C0005779 (UMLS CUI-1)
CL Item
Myelodysplastic syndrome (86)
C3463824 (UMLS CUI-1)
CL Item
Saliency in Lebertest(s) (87)
C0438237 (UMLS CUI-1)
CL Item
Saliency in Nierentest(s) (88)
C0236151 (UMLS CUI-1)
BlutLab: Monat/Jahr
Item
Month/year
date
C0018939 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0018939 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0018939 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
General Symptoms
C0159028 (UMLS CUI-1)
Item
General symptoms
integer
C0159028 (UMLS CUI [1])
Unbekannt Ja ohne Überschrift
Code List
General symptoms
CL Item
NA (1)
Item
Which symptom was diagnosed?
integer
C0159028 (UMLS CUI [1,1])
C0457464 (UMLS CUI [1,2])
AllgemSympt
Code List
Which symptom was diagnosed?
CL Item
Hair loss (91)
C0002170 (UMLS CUI-1)
CL Item
Skin rash (92)
C0015230 (UMLS CUI-1)
CL Item
local symptoms with medications (93)
C0853813 (UMLS CUI-1)
C0877248 (UMLS CUI-2)
CL Item
Retinopathy, macular edema (94)
C0035309 (UMLS CUI-1)
C0271051 (UMLS CUI-3)
CL Item
Joint pain (95)
C0003862 (UMLS CUI-1)
CL Item
Weight loss or gain (96)
C0005911 (UMLS CUI-1)
AllgemSympt: Monat/Jahr
Item
Month/year
date
C0159028 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0159028 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0159028 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
Operation
C0543467 (UMLS CUI-1)
Item
Operation
integer
C0543467 (UMLS CUI [1])
Unbekannt Ja ohne Überschrift
Code List
Operation
CL Item
NA (1)
Operation
Item
Which operations?
text
C0679638 (UMLS CUI [1])
Operation: Monat/Jahr
Item
Month/year
date
C0543467 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Date unknown
integer
C0543467 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0439673 (UMLS CUI [1,3])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0543467 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
Cancer
C0006826 (UMLS CUI-1)
Item
Cancer
integer
C0006826 (UMLS CUI [1])
Unbekannt Ja ohne Überschrift
Code List
Cancer
CL Item
NA (1)
Art von Krebs
Item
What kind of cancer
text
C0006826 (UMLS CUI [1,1])
C0457464 (UMLS CUI [1,2])
Krebs: Monat/Jahr
Item
Month/year
date
C0006826 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Cancer Treatment?
C0920425 (UMLS CUI-1)
Item
Operation
integer
C0543467 (UMLS CUI [1,1])
C0920425 (UMLS CUI [1,2])
Yes / No
Code List
Operation
CL Item
Yes (1)
CL Item
No (0)
Item
Radiation
integer
C1522449 (UMLS CUI [1,1])
C0920425 (UMLS CUI [1,2])
Yes / No
Code List
Radiation
CL Item
Yes (1)
CL Item
No (0)
Item
Chemotherapy
integer
C3665472 (UMLS CUI [1,1])
C0920425 (UMLS CUI [1,2])
Yes / No
Code List
Chemotherapy
CL Item
Yes (1)
CL Item
No (0)
Substanzen
Item
If yes, please specify substances chemotherapy
text
C0729502 (UMLS CUI [1,1])
C0920425 (UMLS CUI [1,2])
Item
not known
integer
C0729502 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
C0920425 (UMLS CUI [1,3])
Unbekannt Ja
Code List
not known
CL Item
Yes (1)
Item Group
Other diseases?
C0332138 (UMLS CUI-1)
C0205394 (UMLS CUI-2)
Item
Other diseases
integer
C0332138 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Unbekannt Ja ohne Überschrift
Code List
Other diseases
CL Item
NA (1)
Andere
Item
What other disease?
text
C0332138 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0457464 (UMLS CUI [1,3])
Andere: Monat/Jahr
Item
Month/year
date
C0332138 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Date unknown
integer
C0332138 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0439673 (UMLS CUI [1,4])
Unbekannt Ja
Code List
Date unknown
CL Item
Yes (1)
Item
Current drug treatment
integer
C0332138 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,3])
Yes / No
Code List
Current drug treatment
CL Item
Yes (1)
CL Item
No (0)
Item Group
None of the mentioned secondary diagnoses known
Item
Applicable
integer
C0549184 (UMLS CUI [1])
Unbekannt Ja
Code List
Applicable
CL Item
Yes (1)
Item Group
Pregnancy
C0032961 (UMLS CUI-1)
Item
Currently pregnant?
integer
C0549206 (UMLS CUI [1])
No Yes
Code List
Currently pregnant?
CL Item
No (0)
CL Item
Yes (1)
Item Group
Biologic Material (for example blood)
C0370003 (UMLS CUI-1)
Probennummer
Item
Sample No.
text
C0370003 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Zusatz
Item
Additional (currently disabled)
text
C0947611 (UMLS CUI [1])
Zum Seitenanfang zurückkehren 

Kontakt

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video