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Follow-Up Visit und Unscheduled Visit Form

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Visit Date
Description

Visit Date

Data type

date

Alias
UMLS CUI [1]
C1320303
Subject Identifier
Description

Subject Identifier

Data type

text

Alias
UMLS CUI [1]
C2348585
Visit Type
Description

Visit Type

Data type

integer

Alias
UMLS CUI [1]
C3641100
Vital Signs
Description

Vital Signs

Alias
UMLS CUI-1
C0518766
Blood pressure (Systolic)
Description

Sitting

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Blood pressure (Diastolic)
Description

Sitting

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Heart rate
Description

Sitting

Data type

integer

Measurement units
  • beats/minute
Alias
UMLS CUI [1]
C0018810
beats/minute
Physical Examination
Description

Physical Examination

Alias
UMLS CUI-1
C0031809
Hair and skin
Description

Hair and skin

Data type

integer

Alias
UMLS CUI [1,1]
C0018494
UMLS CUI [1,2]
C0558035
Hair and Skin: If Abnormal, please specify
Description

Hair and Skin

Data type

text

Alias
UMLS CUI [1,1]
C0018494
UMLS CUI [1,2]
C0558035
Lymph nodes
Description

Lymph nodes

Data type

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0024204
Lymph nodes: If Abnormal, please specify
Description

Lymph nodes

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0024204
Eyes
Description

Eyes

Data type

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0200149
Eyes: If Abnormal, please specify
Description

Eyes

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0200149
Ears, Nose and Throat
Description

Ears, Nose and Throat

Data type

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0278350
Ears, Nose and Throat: If Abnormal, please specify
Description

Ears, Nose and Throat

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0278350
Breasts
Description

Breasts

Data type

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0199850
Breasts: If Abnormal or not done, please specify
Description

Breasts

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0199850
Respiratory
Description

Respiratory

Data type

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0599324
Respiratory: If Abnormal, please specify
Description

Respiratory

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0599324
Cardiovascular
Description

Cardiovascular

Data type

integer

Alias
UMLS CUI [1]
C3854344
Cardiovascular: If Abnormal, please specify
Description

Cardiovascular

Data type

text

Alias
UMLS CUI [1]
C3854344
Abdomen
Description

Abdomen

Data type

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0000726
Abdomen: If Abnormal, please specify
Description

Abdomen

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0000726
Urogenital
Description

Urogenital

Data type

integer

Alias
UMLS CUI [1]
C1828035
Urogenital: If abnormal or not done, please specify
Description

Urogenital

Data type

text

Alias
UMLS CUI [1]
C1828035
Pelvic
Description

Pelvic

Data type

integer

Alias
UMLS CUI [1]
C0200045
Pelvic: If Abnormal or not done, please specify
Description

Pelvic

Data type

text

Alias
UMLS CUI [1]
C0200045
Rectal
Description

Rectal

Data type

integer

Alias
UMLS CUI [1]
C0199900
Rectal: If abnormal or not done, please specify
Description

Rectal

Data type

text

Alias
UMLS CUI [1]
C0199900
Musculoskeletal
Description

Musculoskeletal

Data type

integer

Alias
UMLS CUI [1]
C0475091
Musculoskeletal: If Abnormal, please specify
Description

Musculoskeletal

Data type

text

Alias
UMLS CUI [1]
C0475091
Neurological
Description

Neurological

Data type

integer

Alias
UMLS CUI [1]
C0027853
Neurological: If Abnormal, please specify
Description

Neurological

Data type

text

Alias
UMLS CUI [1]
C0027853
Mental status
Description

Mental status

Data type

integer

Alias
UMLS CUI [1]
C3260990
Mental Status: If Abnormal, please specify
Description

Mental Status

Data type

text

Alias
UMLS CUI [1]
C3260990
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Similar models

Follow-Up Visit und Unscheduled Visit Form

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Subject Identifier
Item
Subject Identifier
text
C2348585 (UMLS CUI [1])
Item
Visit Type
integer
C3641100 (UMLS CUI [1])
Visit Type
Code List
Visit Type
CL Item
Follow-Up Visit (1)
CL Item
Unscheduled Visit (2)
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Systolic blood pressure
Item
Blood pressure (Systolic)
integer
C0871470 (UMLS CUI [1])
Diastolic blood pressure
Item
Blood pressure (Diastolic)
integer
C0428883 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Item Group
Physical Examination
C0031809 (UMLS CUI-1)
Item
Hair and skin
integer
C0018494 (UMLS CUI [1,1])
C0558035 (UMLS CUI [1,2])
Hair and skin
Code List
Hair and skin
CL Item
Normal (1)
CL Item
Abnormal (2)
Hair and Skin
Item
Hair and Skin: If Abnormal, please specify
text
C0018494 (UMLS CUI [1,1])
C0558035 (UMLS CUI [1,2])
Item
Lymph nodes
integer
C0031809 (UMLS CUI [1,1])
C0024204 (UMLS CUI [1,2])
Lymph nodes
Code List
Lymph nodes
CL Item
Normal (1)
CL Item
Abnormal (2)
Lymph nodes
Item
Lymph nodes: If Abnormal, please specify
text
C0031809 (UMLS CUI [1,1])
C0024204 (UMLS CUI [1,2])
Item
Eyes
integer
C0031809 (UMLS CUI [1,1])
C0200149 (UMLS CUI [1,2])
Eyes
Code List
Eyes
CL Item
Normal (1)
CL Item
Abnormal (2)
Eyes
Item
Eyes: If Abnormal, please specify
text
C0031809 (UMLS CUI [1,1])
C0200149 (UMLS CUI [1,2])
Item
Ears, Nose and Throat
integer
C0031809 (UMLS CUI [1,1])
C0278350 (UMLS CUI [1,2])
Ears, Nose and Throat
Code List
Ears, Nose and Throat
CL Item
Normal (1)
CL Item
Abnormal (2)
Ears, Nose and Throat
Item
Ears, Nose and Throat: If Abnormal, please specify
text
C0031809 (UMLS CUI [1,1])
C0278350 (UMLS CUI [1,2])
Item
Breasts
integer
C0031809 (UMLS CUI [1,1])
C0199850 (UMLS CUI [1,2])
Breasts
Code List
Breasts
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Breasts
Item
Breasts: If Abnormal or not done, please specify
text
C0031809 (UMLS CUI [1,1])
C0199850 (UMLS CUI [1,2])
Item
Respiratory
integer
C0031809 (UMLS CUI [1,1])
C0599324 (UMLS CUI [1,2])
Respiratory
Code List
Respiratory
CL Item
Normal (1)
CL Item
Abnormal (2)
Respiratory
Item
Respiratory: If Abnormal, please specify
text
C0031809 (UMLS CUI [1,1])
C0599324 (UMLS CUI [1,2])
Item
Cardiovascular
integer
C3854344 (UMLS CUI [1])
Cardiovascular
Code List
Cardiovascular
CL Item
Normal (1)
CL Item
Abnormal (2)
Cardiovascular
Item
Cardiovascular: If Abnormal, please specify
text
C3854344 (UMLS CUI [1])
Item
Abdomen
integer
C0031809 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
Abdomen
Code List
Abdomen
CL Item
normal (1)
CL Item
abnormal (2)
Abdomen
Item
Abdomen: If Abnormal, please specify
text
C0031809 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
Item
Urogenital
integer
C1828035 (UMLS CUI [1])
Urogenital
Code List
Urogenital
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Urogenital
Item
Urogenital: If abnormal or not done, please specify
text
C1828035 (UMLS CUI [1])
Item
Pelvic
integer
C0200045 (UMLS CUI [1])
Pelvic
Code List
Pelvic
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Pelvic
Item
Pelvic: If Abnormal or not done, please specify
text
C0200045 (UMLS CUI [1])
Item
Rectal
integer
C0199900 (UMLS CUI [1])
Rectal
Code List
Rectal
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Rectal
Item
Rectal: If abnormal or not done, please specify
text
C0199900 (UMLS CUI [1])
Item
Musculoskeletal
integer
C0475091 (UMLS CUI [1])
Musculoskeletal
Code List
Musculoskeletal
CL Item
Normal (1)
CL Item
Abnormal (2)
Musculoskeletal
Item
Musculoskeletal: If Abnormal, please specify
text
C0475091 (UMLS CUI [1])
Item
Neurological
integer
C0027853 (UMLS CUI [1])
Neurological
Code List
Neurological
CL Item
Normal (1)
CL Item
Abnormal (2)
Neurological
Item
Neurological: If Abnormal, please specify
text
C0027853 (UMLS CUI [1])
Item
Mental status
integer
C3260990 (UMLS CUI [1])
Mental status
Code List
Mental status
CL Item
Normal (1)
CL Item
Abnormal (2)
Mental Status
Item
Mental Status: If Abnormal, please specify
text
C3260990 (UMLS CUI [1])
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