ID
34509
Beschreibung
This form is used for routine documentation. It originates from a medical practice for internal medicine in Cologne-Lindenthal (medical practice Astrid Schareina and Dr. Christina Lind-Weiland, Lindenthalgürtel 36, 50935 Cologne). Published with permission by A. Schareina and Dr. C. Lind-Weiland. Explanation for patients: Your symptoms (or those of your child) may be allergic, i.e. they may be due to certain substances in your environment (or that of your child). To find the allergy triggers, please answer the following questions. Ihre Beschwerden (oder die Ihres Kindes) können allergischen Ursprungs sein, d. h. sie können auf bestimmte Stoffe in Ihrer Umgebung (oder der Ihres Kindes) zurückzuführen sein. Um die Allergieauslöser zu finden, beantworten Sie bitte folgende Fragen:
Stichworte
Versionen (1)
- 18.01.19 18.01.19 -
Rechteinhaber
A. Schareina, Dr. C. Lind-Weiland
Hochgeladen am
18. Januar 2019
DOI
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Lizenz
Creative Commons BY-NC 3.0
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Allergy Medical History
Allergy Medical History (Allergieanamnese)
- StudyEvent: ODM
Beschreibung
Jetzige Beschwerden
Alias
- UMLS CUI-1
- C0871764
- UMLS CUI-2
- C0521116
Beschreibung
Symptom
Datentyp
integer
Alias
- UMLS CUI [1]
- C1457887
Beschreibung
Temporal occurrence
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C2745955
- UMLS CUI [1,2]
- C0040223
Beschreibung
Anamnese
Alias
- UMLS CUI-1
- C0262926
Beschreibung
Do the complaints occur in the morning?
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0871764
- UMLS CUI [1,2]
- C2745955
- UMLS CUI [1,3]
- C0332170
Beschreibung
Do the complaints occur during daytime?
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0871764
- UMLS CUI [1,2]
- C2745955
- UMLS CUI [1,3]
- C0332169
Beschreibung
Do the complaints occur at night?
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0871764
- UMLS CUI [1,2]
- C2745955
- UMLS CUI [1,3]
- C0240526
Beschreibung
Are the complaints increasing in certain places?
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0871764
- UMLS CUI [1,2]
- C0442808
- UMLS CUI [1,3]
- C0014406
Beschreibung
Specify, in which places complaints are increasing
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0871764
- UMLS CUI [1,2]
- C0442808
- UMLS CUI [1,3]
- C0014406
- UMLS CUI [1,4]
- C1521902
Beschreibung
Complaints in contact with animals
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0871764
- UMLS CUI [1,2]
- C0332158
- UMLS CUI [1,3]
- C0003062
Beschreibung
Specify: in contact with which animals do complaints occur?
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0871764
- UMLS CUI [1,2]
- C0332158
- UMLS CUI [1,3]
- C0003062
- UMLS CUI [1,4]
- C1521902
Beschreibung
Have food intolerances been observed or known?
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0020517
- UMLS CUI [1,2]
- C0016452
Beschreibung
Specify, which food intolerances have been observed or known.
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0020517
- UMLS CUI [1,2]
- C0016452
- UMLS CUI [1,3]
- C1521902
Beschreibung
Complaints during certain activities (e.g. sports, dusting)
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0871764
- UMLS CUI [1,2]
- C0026606
- UMLS CUI [2]
- C0038039
- UMLS CUI [3]
- C0563970
Beschreibung
Specify, during which activity complaints arise.
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0871764
- UMLS CUI [1,2]
- C0026606
- UMLS CUI [1,3]
- C1521902
Beschreibung
Increased swellings/rednesses/ persistent pruritus or other reactions to insect bites
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0021564
- UMLS CUI [1,2]
- C0038999
- UMLS CUI [2,1]
- C0021564
- UMLS CUI [2,2]
- C0332575
- UMLS CUI [3,1]
- C0021564
- UMLS CUI [3,2]
- C0033774
- UMLS CUI [3,3]
- C0205322
Beschreibung
Specify reaction to insect bites
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0021564
- UMLS CUI [1,2]
- C0871764
- UMLS CUI [1,3]
- C1521902
Beschreibung
Regular contact with hay
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0332158
- UMLS CUI [1,2]
- C1440666
Beschreibung
Regular contact with flour
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0332158
- UMLS CUI [1,2]
- C0016260
Beschreibung
Regular contact with dust
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0332158
- UMLS CUI [1,2]
- C0013330
Beschreibung
Regular contact with cosmetics
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0332158
- UMLS CUI [1,2]
- C0010164
Beschreibung
Regular contact with drugs
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0332158
- UMLS CUI [1,2]
- C0013227
Beschreibung
Old-building flat/house or new building flat/house
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0457933
- UMLS CUI [1,2]
- C0580836
- UMLS CUI [2,1]
- C0457933
- UMLS CUI [2,2]
- C0205314
Beschreibung
Hyposensitization
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0178702
Beschreibung
Specify the allergy to which the hyposensitization occurred and when it took place
Datentyp
text
Alias
- UMLS CUI [1]
- C0178702
- UMLS CUI [2,1]
- C0178702
- UMLS CUI [2,2]
- C0011008
Beschreibung
Drugs, including analgesics
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C0002771
- UMLS CUI [1,3]
- C0205272
Beschreibung
Smoking
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0543414
Beschreibung
Smoking number of cigarettes per day
Datentyp
integer
Alias
- UMLS CUI [1,1]
- C0543414
- UMLS CUI [1,2]
- C3694146
Beschreibung
Regularly sports
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C0679823
- UMLS CUI [1,2]
- C0038039
- UMLS CUI [1,3]
- C0449581
Beschreibung
Information über Untersuchungsergebnisse
Alias
- UMLS CUI-1
- C1880174
Beschreibung
Information about findings per e-mail or SMS
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C1955348
- UMLS CUI [1,2]
- C0243095
- UMLS CUI [1,3]
- C0013849
- UMLS CUI [1,4]
- C3178909
Beschreibung
Date
Datentyp
date
Alias
- UMLS CUI [1]
- C0011008
Beschreibung
Town
Datentyp
text
Alias
- UMLS CUI [1]
- C1555315
Beschreibung
Signature of patient
Datentyp
text
Alias
- UMLS CUI [1]
- C1519316
Ähnliche Modelle
Allergy Medical History (Allergieanamnese)
- StudyEvent: ODM
C0027365 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,2])
C2745955 (UMLS CUI [1,2])
C0332170 (UMLS CUI [1,3])
C2745955 (UMLS CUI [1,2])
C0332169 (UMLS CUI [1,3])
C2745955 (UMLS CUI [1,2])
C0240526 (UMLS CUI [1,3])
C0442808 (UMLS CUI [1,2])
C0014406 (UMLS CUI [1,3])
C0442808 (UMLS CUI [1,2])
C0014406 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
C0332158 (UMLS CUI [1,2])
C0003062 (UMLS CUI [1,3])
C0332158 (UMLS CUI [1,2])
C0003062 (UMLS CUI [1,3])
C1521902 (UMLS CUI [1,4])
C0016452 (UMLS CUI [1,2])
C0016452 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C0026606 (UMLS CUI [1,2])
C0038039 (UMLS CUI [2])
C0563970 (UMLS CUI [3])
C0026606 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
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])
C0871764 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
C1440666 (UMLS CUI [1,2])
C0016260 (UMLS CUI [1,2])
C0013330 (UMLS CUI [1,2])
C0010164 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
C0580836 (UMLS CUI [1,2])
C0457933 (UMLS CUI [2,1])
C0205314 (UMLS CUI [2,2])
C0178702 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
C0002771 (UMLS CUI [1,2])
C0205272 (UMLS CUI [1,3])
C3694146 (UMLS CUI [1,2])
C0038039 (UMLS CUI [1,2])
C0449581 (UMLS CUI [1,3])
C0243095 (UMLS CUI [1,2])
C0013849 (UMLS CUI [1,3])
C3178909 (UMLS CUI [1,4])