Englisch

Ocular history

1 Formulare  
  1. StudyEvent: ODM
    1. Ocular history
Administrative Data
Beschreibung

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject number
Beschreibung

Subject number

Datentyp

integer

Alias
UMLS CUI [1]
C2348585
Date of Visit
Beschreibung

day month year

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Visit type
Beschreibung

Please note for which visit you'll fill in this document.

Datentyp

integer

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C0332307
Ocular history and risk factors
Beschreibung

Ocular history and risk factors

Alias
UMLS CUI-1
C1299003
UMLS CUI-2
C0262926
UMLS CUI-3
C1299003
UMLS CUI-4
C0035648
Actual Date of Assessment
Beschreibung

day month year

Datentyp

date

Alias
UMLS CUI [1]
C2985720
Subject has visually significant cataracts
Beschreibung

Visually significant cataracts

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C3665347
Subject has the following cataract risk factors
Beschreibung

Subject has the following cataract risk factors

Alias
UMLS CUI-1
C0086543
UMLS CUI-2
C0035648
Cataract risk factors: Chronic steroid use
Beschreibung

Cataract risk factors: Chronic steroid use

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0281991
UMLS CUI [2,2]
C0205191
Cataract risk factors: Family history of cataract at a young (<60 yo) age
Beschreibung

Cataract risk factors: Family history of cataract

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0241889
UMLS CUI [2,2]
C0086543
UMLS CUI [2,3]
C1833334
Cataract risk factors: History of radiation treatment to the head or orbit
Beschreibung

Cataract risk factors: History of radiation treatment to the head or orbit

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0262926
UMLS CUI [2,2]
C1522449
UMLS CUI [2,3]
C0018670
UMLS CUI [3,1]
C0262926
UMLS CUI [3,2]
C1522449
UMLS CUI [3,3]
C0029180
Cataract risk factors: Diabetes mellitus
Beschreibung

Cataract risk factors: Diabetes mellitus

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2]
C0011849
Cataract risk factors: History of intraocular surgery
Beschreibung

Cataract risk factors: History of intraocular surgery

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0262926
UMLS CUI [2,2]
C0543467
UMLS CUI [2,3]
C3282905
Cataract risk factors: History of ocular disease requiring medical treatment
Beschreibung

Cataract risk factors: History of ocular disease requiring medical treatment

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0262926
UMLS CUI [2,2]
C0015397
UMLS CUI [2,3]
C1514873
UMLS CUI [2,4]
C0087111
Cataract risk factors: Serious eye trauma
Beschreibung

Cataract risk factors: Serious eye trauma

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0205404
UMLS CUI [2,2]
C0015408
Cataract risk factors: Chronic exposure to UV light
Beschreibung

Cataract risk factors: Chronic exposure to UV light

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2,1]
C0205191
UMLS CUI [2,2]
C0332157
UMLS CUI [2,3]
C0041625
Cataract risk factors: Gout
Beschreibung

Cataract risk factors: Gout

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2]
C0018099
Cataract risk factors: Cigarette use
Beschreibung

Cataract risk factors: Cigarette use

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2]
C0694535
Cataract risk factors: Alcohol abuse
Beschreibung

Cataract risk factors: Alcohol abuse

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [2]
C0085762
Cataract risk factors: Other
Beschreibung

Cataract risk factors: Other

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [1,3]
C0205394
If other cataract risk factors, please specify
Beschreibung

Other cataract risk factors, specification

Datentyp

text

Alias
UMLS CUI [1,1]
C0086543
UMLS CUI [1,2]
C0035648
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C2348235
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Ähnliche Modelle

Ocular history

1 Formulare
  1. StudyEvent: ODM
    1. Ocular history
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
integer
C2348585 (UMLS CUI [1])
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Item
Visit type
integer
C0545082 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Visit type
Code List
Visit type
CL Item
Screening (1)
CL Item
Day 1 (2)
Item Group
Ocular history and risk factors
C1299003 (UMLS CUI-1)
C0262926 (UMLS CUI-2)
C1299003 (UMLS CUI-3)
C0035648 (UMLS CUI-4)
Actual Date of Assessment
Item
Actual Date of Assessment
date
C2985720 (UMLS CUI [1])
Item
Subject has visually significant cataracts
text
C0086543 (UMLS CUI [1,1])
C3665347 (UMLS CUI [1,2])
Visually significant cataracts
Code List
Subject has visually significant cataracts
CL Item
No (N)
CL Item
OD (Right Eye) (OD)
CL Item
OS (Left Eye) (OS)
CL Item
OU (Both Eyes) (OU)
Item Group
Subject has the following cataract risk factors
C0086543 (UMLS CUI-1)
C0035648 (UMLS CUI-2)
Item
Cataract risk factors: Chronic steroid use
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0281991 (UMLS CUI [2,1])
C0205191 (UMLS CUI [2,2])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: Chronic steroid use
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Family history of cataract at a young (<60 yo) age
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0241889 (UMLS CUI [2,1])
C0086543 (UMLS CUI [2,2])
C1833334 (UMLS CUI [2,3])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: Family history of cataract at a young (<60 yo) age
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: History of radiation treatment to the head or orbit
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0262926 (UMLS CUI [2,1])
C1522449 (UMLS CUI [2,2])
C0018670 (UMLS CUI [2,3])
C0262926 (UMLS CUI [3,1])
C1522449 (UMLS CUI [3,2])
C0029180 (UMLS CUI [3,3])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: History of radiation treatment to the head or orbit
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Diabetes mellitus
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0011849 (UMLS CUI [2])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: Diabetes mellitus
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: History of intraocular surgery
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0262926 (UMLS CUI [2,1])
C0543467 (UMLS CUI [2,2])
C3282905 (UMLS CUI [2,3])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: History of intraocular surgery
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: History of ocular disease requiring medical treatment
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0262926 (UMLS CUI [2,1])
C0015397 (UMLS CUI [2,2])
C1514873 (UMLS CUI [2,3])
C0087111 (UMLS CUI [2,4])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: History of ocular disease requiring medical treatment
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Serious eye trauma
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0205404 (UMLS CUI [2,1])
C0015408 (UMLS CUI [2,2])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: Serious eye trauma
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Chronic exposure to UV light
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0205191 (UMLS CUI [2,1])
C0332157 (UMLS CUI [2,2])
C0041625 (UMLS CUI [2,3])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: Chronic exposure to UV light
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Gout
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0018099 (UMLS CUI [2])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: Gout
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Cigarette use
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0694535 (UMLS CUI [2])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: Cigarette use
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Alcohol abuse
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: Alcohol abuse
CL Item
Yes (Y)
CL Item
No (N)
Item
Cataract risk factors: Other
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Cataract risk factors: Chronic steroid use
Code List
Cataract risk factors: Other
CL Item
Yes (Y)
CL Item
No (N)
Other cataract risk factors, specification
Item
If other cataract risk factors, please specify
text
C0086543 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
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