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Diagnosis and Examination

4 forms  
Diagnosis and Examination
Description

Diagnosis and Examination

Alias
UMLS CUI-1
C0262926
UMLS CUI-3
C0031809
1. Date of visit
Description

Date of visit

Data type

date

Alias
UMLS CUI [1]
C1320303
2. Diagnosis
Description

Diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0262926
3. Date of diagnosis
Description

Date of diagnosis

Data type

date

Alias
UMLS CUI [1]
C2316983
4a. If you chose AMD, classification or Stage of AMD:
Description

Classification or Stage of disease AMD

Data type

integer

Alias
UMLS CUI [1,1]
C0683326
UMLS CUI [1,2]
C0242383
4b. If you chose DR, classification or Stage of DR:
Description

Classification or Stage of disease DR

Data type

integer

Alias
UMLS CUI [1,1]
C0683326
UMLS CUI [1,2]
C0011884
4c. If you chose RVO, classification or Stage of RVO:
Description

Classification or Stage of disease RVO

Data type

integer

Alias
UMLS CUI [1,1]
C0683326
UMLS CUI [1,2]
C0035328
5. Eye
Description

Eye

Data type

integer

Alias
UMLS CUI [1]
C0015392
6. Complications due to the underlying disease
Description

Disease complications

Data type

integer

Alias
UMLS CUI [1]
C0544688
7. HBA1c
Description

HBA1c

Data type

text

Alias
UMLS CUI [1]
C0019018
8. Blood Pressure
Description

Blood Pressure

Data type

text

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
9. Date of Follow-up visit
Description

Date of Follow-up visit

Data type

date

Alias
UMLS CUI [1]
C0589121
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Similar models

Diagnosis and Examination

4 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Diagnosis and Examination
C0262926 (UMLS CUI-1)
C0031809 (UMLS CUI-3)
Date of visit
Item
1. Date of visit
date
C1320303 (UMLS CUI [1])
Item
2. Diagnosis
integer
C0262926 (UMLS CUI [1])
Diagnosis
Code List
2. Diagnosis
CL Item
Age related macular degeneration (AMD) (1)
(Comment:de)
C0242383 (UMLS CUI-1)
(Comment:en)
CL Item
Diabetic Retinopathy (DR) (2)
(Comment:de)
C0011884 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal Vein Occlusion (RVO) (3)
(Comment:de)
C0035328 (UMLS CUI-1)
(Comment:en)
Date of diagnosis
Item
3. Date of diagnosis
date
C2316983 (UMLS CUI [1])
Item
4a. If you chose AMD, classification or Stage of AMD:
integer
C0683326 (UMLS CUI [1,1])
C0242383 (UMLS CUI [1,2])
Classification or Stage of disease AMD
Code List
4a. If you chose AMD, classification or Stage of AMD:
CL Item
Dry age-related macular degeneration (1)
(Comment:de)
C3888461 (UMLS CUI-1)
(Comment:en)
CL Item
Wet age-related macular degeneration (2)
(Comment:de)
C3888896 (UMLS CUI-1)
(Comment:en)
Item
4b. If you chose DR, classification or Stage of DR:
integer
C0683326 (UMLS CUI [1,1])
C0011884 (UMLS CUI [1,2])
Classification or Stage of disease DR
Code List
4b. If you chose DR, classification or Stage of DR:
CL Item
Nonproliferative diabetic retinopathy NPDR (1)
(Comment:de)
C0004606 (UMLS CUI-1)
(Comment:en)
CL Item
Mild non-proliferative diabetic retinopathy (2)
(Comment:de)
C0730276 (UMLS CUI-1)
(Comment:en)
CL Item
Severe nonproliferative diabetic retinopathy (3)
(Comment:de)
C0730278 (UMLS CUI-1)
(Comment:en)
CL Item
Proliferative diabetic retinopathy PDR (4)
(Comment:de)
C0154830 (UMLS CUI-1)
(Comment:en)
CL Item
Diabetic maculopathy (5)
(Comment:de)
C0339471 (UMLS CUI-1)
(Comment:en)
CL Item
Moderate nonproliferative diabetic retinopathy (6)
(Comment:de)
C0730277 (UMLS CUI-1)
(Comment:en)
Item
4c. If you chose RVO, classification or Stage of RVO:
integer
C0683326 (UMLS CUI [1,1])
C0035328 (UMLS CUI [1,2])
Classification or Stage of disease RVO
Code List
4c. If you chose RVO, classification or Stage of RVO:
CL Item
Central retinal vein occlusion CRVO (1)
(Comment:de)
C0154841 (UMLS CUI-1)
(Comment:en)
CL Item
Branch retinal vein occlusion BRVO (2)
(Comment:de)
C0339505 (UMLS CUI-1)
(Comment:en)
Item
5. Eye
integer
C0015392 (UMLS CUI [1])
Eye
Code List
5. Eye
CL Item
Right eye (1)
(Comment:de)
C0229089 (UMLS CUI-1)
(Comment:en)
CL Item
Left Eye (2)
(Comment:de)
C0229090 (UMLS CUI-1)
(Comment:en)
CL Item
Both Eyes (3)
(Comment:de)
C0229118 (UMLS CUI-1)
(Comment:en)
Item
6. Complications due to the underlying disease
integer
C0544688 (UMLS CUI [1])
Disease complications
Code List
6. Complications due to the underlying disease
CL Item
Retinal Pigment Epithelial Detachment (1)
(Comment:de)
C0339546 (UMLS CUI-1)
(Comment:en)
CL Item
Subretinal hemorrhage (2)
(Comment:de)
C0271049 (UMLS CUI-1)
(Comment:en)
CL Item
Macular pigment epithelial detachment (3)
(Comment:de)
C0344272 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal Hemorrhage (4)
(Comment:de)
C0035317 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal Perforations (5)
(Comment:de)
C0035321 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal Drusen (6)
(Comment:de)
C0035312 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal Neovascularization (7)
(Comment:de)
C0035320 (UMLS CUI-1)
(Comment:en)
CL Item
Choroidal retinal neovascularization (8)
(Comment:de)
C0271066 (UMLS CUI-1)
(Comment:en)
CL Item
Rubeosis iridis (9)
(Comment:de)
C0154916 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal scar (10)
(Comment:de)
C0271036 (UMLS CUI-1)
(Comment:en)
CL Item
Atrophic retina (11)
(Comment:de)
C0521694 (UMLS CUI-1)
(Comment:en)
CL Item
Macular degeneration (12)
(Comment:de)
C0024437 (UMLS CUI-1)
(Comment:en)
CL Item
Cotton wool spots (13)
(Comment:de)
C0271053 (UMLS CUI-1)
(Comment:en)
CL Item
Disc neovascularization (14)
(Comment:de)
C1112634 (UMLS CUI-1)
(Comment:en)
CL Item
multiple macular cysts (15)
(Comment:de)
C2174726 (UMLS CUI-1)
(Comment:en)
CL Item
Macular exudation (16)
(Comment:de)
C4072984 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal hyperpigmentation (17)
(Comment:de)
C3671851 (UMLS CUI-1)
(Comment:en)
CL Item
Maculopathy (18)
(Comment:de)
C0730362 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal dot hemorrhage (19)
(Comment:de)
C0474358 (UMLS CUI-1)
(Comment:en)
CL Item
Geographic Atrophy (20)
(Comment:de)
C1536085 (UMLS CUI-1)
(Comment:en)
CL Item
Metamorphopsia (21)
(Comment:de)
C0271185 (UMLS CUI-1)
(Comment:en)
CL Item
Blindness (22)
(Comment:de)
C0456909 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal cyst (23)
(Comment:de)
C2064514 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal depigmentation (24)
(Comment:de)
C0151891 (UMLS CUI-1)
(Comment:en)
CL Item
Vitreomacular adhesion (25)
(Comment:de)
C2748203 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal lipid deposits (26)
(Comment:de)
C0423410 (UMLS CUI-1)
(Comment:en)
CL Item
Diabetic retinal microaneurysm (27)
(Comment:de)
C0271064 (UMLS CUI-1)
(Comment:en)
CL Item
Macular edema (28)
(Comment:de)
C1403471 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal Edema (29)
(Comment:de)
C0242420 (UMLS CUI-1)
(Comment:en)
CL Item
Subretinal edema (30)
(Comment:de)
C2721564 (UMLS CUI-1)
(Comment:en)
CL Item
Vitreous Detachment (31)
(Comment:de)
C0042907 (UMLS CUI-1)
(Comment:en)
CL Item
Vitreous Hemorrhage (32)
(Comment:de)
C0042909 (UMLS CUI-1)
(Comment:en)
CL Item
Visual Impairment (33)
(Comment:de)
C3665347 (UMLS CUI-1)
(Comment:en)
CL Item
Advanced diabetic retinal disease (34)
(Comment:de)
C0589354 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal ischemia (35)
(Comment:de)
C0162291 (UMLS CUI-1)
(Comment:en)
CL Item
Retinal Detachment (36)
(Comment:de)
C0035305 (UMLS CUI-1)
(Comment:en)
HBA1c
Item
7. HBA1c
text
C0019018 (UMLS CUI [1])
Blood Pressure
Item
8. Blood Pressure
text
C0005823 (UMLS CUI [1])
Date of Follow-up visit
Item
9. Date of Follow-up visit
date
C0589121 (UMLS CUI [1])
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