Surname
Item
Surname
text
C0421448 (UMLS CUI [1])
First name
Item
First name
text
C1443235 (UMLS CUI [1])
Health insurance
Item
Health insurance
text
C0021682 (UMLS CUI [1])
Adress
Item
Adress
text
C0421449 (UMLS CUI [1])
Telephone number
Item
Telephone number
integer
C1515258 (UMLS CUI [1])
Mobile phone number
Item
Mobile phone number
integer
C3273868 (UMLS CUI [1])
E-Mail adress
Item
E-Mail adress
text
C1705961 (UMLS CUI [1])
Date of visit
Item
Date
date
C1320303 (UMLS CUI [1])
Occupation
Item
Occupation
text
C0421456 (UMLS CUI [1])
General practitioner name
Item
General practitioner name
text
C0017319 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
General practitioner adress
Item
General practitioner adress
text
C0017319 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
Do the complaints occur in the morning?
Item
Do the complaints occur in the morning?
boolean
C0871764 (UMLS CUI [1,1])
C2745955 (UMLS CUI [1,2])
C0332170 (UMLS CUI [1,3])
Do the complaints occur during daytime?
Item
Do the complaints occur during daytime?
boolean
C0871764 (UMLS CUI [1,1])
C2745955 (UMLS CUI [1,2])
C0332169 (UMLS CUI [1,3])
Do the complaints occur at night?
Item
Do the complaints occur at night?
boolean
C0871764 (UMLS CUI [1,1])
C2745955 (UMLS CUI [1,2])
C0240526 (UMLS CUI [1,3])
Are the complaints increasing in certain places?
Item
Are the complaints increasing in certain places?
boolean
C0871764 (UMLS CUI [1,1])
C0442808 (UMLS CUI [1,2])
C0014406 (UMLS CUI [1,3])
Specify, in which places complaints are increasing
Item
Specify, in which places complaints are increasing
text
C0871764 (UMLS CUI [1,1])
C0442808 (UMLS CUI [1,2])
C0014406 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
Complaints in contact with animals
Item
Do you experience complaints when in contact with animals?
boolean
C0871764 (UMLS CUI [1,1])
C0332158 (UMLS CUI [1,2])
C0003062 (UMLS CUI [1,3])
Specify: in contact with which animals do complaints occur?
Item
Specify: in contact with which animals do complaints occur?
text
C0871764 (UMLS CUI [1,1])
C0332158 (UMLS CUI [1,2])
C0003062 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
Have food intolerances been observed or known?
Item
Have food intolerances been observed or known?
boolean
C0020517 (UMLS CUI [1,1])
C0016452 (UMLS CUI [1,2])
Specify, which food intolerances have been observed or known.
Item
Specify, which food intolerances have been observed or known.
text
C0020517 (UMLS CUI [1,1])
C0016452 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Complaints during certain activities (e.g. sports, dusting)
Item
Do complaints arise during certain activities (e.g. sports, dusting)?
boolean
C0871764 (UMLS CUI [1,1])
C0026606 (UMLS CUI [1,2])
C0038039 (UMLS CUI [2])
C0563970 (UMLS CUI [3])
Specify, during which activity complaints arise.
Item
Specify, during which activity complaints arise.
text
C0871764 (UMLS CUI [1,1])
C0026606 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Increased swellings/rednesses/ persistent pruritus or other reactions to insect bites
Item
Were there any increased swellings/rednesses/ persistent itching or other reactions to insect bites? (mosquito, bee, wasp etc.)
boolean
C0021564 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0021564 (UMLS CUI [2,1])
C0332575 (UMLS CUI [2,2])
C0021564 (UMLS CUI [3,1])
C0033774 (UMLS CUI [3,2])
C0205322 (UMLS CUI [3,3])
Specify reaction to insect bites
Item
Specify reaction to insect bites
text
C0021564 (UMLS CUI [1,1])
C0871764 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Regular contact with hay
Item
Do you have regular contact with hay?
boolean
C0332158 (UMLS CUI [1,1])
C1440666 (UMLS CUI [1,2])
Regular contact with flour
Item
Do you have regular contact with flour?
boolean
C0332158 (UMLS CUI [1,1])
C0016260 (UMLS CUI [1,2])
Regular contact with dust
Item
Do you have regular contact with dust?
boolean
C0332158 (UMLS CUI [1,1])
C0013330 (UMLS CUI [1,2])
Regular contact with cosmetics
Item
Do you have regular contact with cosmetics?
boolean
C0332158 (UMLS CUI [1,1])
C0010164 (UMLS CUI [1,2])
Regular contact with drugs
Item
Do you have regular contact with drugs?
boolean
C0332158 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Item
Do you live in an old-building flat/house or new building flat/house?
integer
C0457933 (UMLS CUI [1,1])
C0580836 (UMLS CUI [1,2])
C0457933 (UMLS CUI [2,1])
C0205314 (UMLS CUI [2,2])
Code List
Do you live in an old-building flat/house or new building flat/house?
CL Item
old-building flat/house (1)
CL Item
new-building flat/house (2)
Hyposensitization
Item
Have you ever had a hyposensitization?
boolean
C0178702 (UMLS CUI [1])
Specify the allergy to which the hyposensitization occurred and when it took place
Item
Specify the allergy to which the hyposensitization occurred and when it took place
text
C0178702 (UMLS CUI [1])
C0178702 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
Drugs, including analgesics
Item
Which drugs (including analgesics) do you take regulary?
text
C0013227 (UMLS CUI [1,1])
C0002771 (UMLS CUI [1,2])
C0205272 (UMLS CUI [1,3])
Smoking
Item
Do you smoke?
boolean
C0543414 (UMLS CUI [1])
Smoking number of cigarettes per day
Item
Number of cigarettes per day
integer
C0543414 (UMLS CUI [1,1])
C3694146 (UMLS CUI [1,2])
Regularly sports
Item
Do you do sports regularly?
boolean
C0679823 (UMLS CUI [1,1])
C0038039 (UMLS CUI [1,2])
C0449581 (UMLS CUI [1,3])
Information about findings per e-mail or SMS
Item
Do you agree that we inform you about findings by e-mail or SMS?
boolean
C1955348 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0013849 (UMLS CUI [1,3])
C3178909 (UMLS CUI [1,4])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Town
Item
Town
text
C1555315 (UMLS CUI [1])
Signature of patient
Item
Signature
text
C1519316 (UMLS CUI [1])