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Patient Complaints and Physical examination

32 forms  
PATIENT COMPLAINTS AND PHYSICAL EXAMINATION
Description

PATIENT COMPLAINTS AND PHYSICAL EXAMINATION

Date of visit
Description

visit_date

Data type

date

Patient Complaints and Physical examination
Description

Patient Complaints and Physical examination

Kind of visit
Description

visit_kind

Data type

text

Reason for irregular follow-up visit
Description

visit_irregular_reason

Data type

text

Respiratory tract infection since last visit?
Description

visit_infect

Data type

integer

Bacterial infection
Description

visit_infect_bact

Data type

integer

Medical treatment with antibiotics
Description

visit_antibiot

Data type

integer

Viral infection
Description

visit_infect_viral

Data type

integer

Influenza virus
Description

visit_influenza

Data type

integer

Corona virus
Description

visit_covid

Data type

integer

Has the breathlessness changed?
Description

visit_sobchange

Data type

text

How did the breathlessness get worse?
Description

visit_worserate

Data type

text

Did the patient experience an improvement of symptoms in response to steroid or immunosuppressant treatment?
Description

visit_steroidimprovement

Data type

integer

Physical examination, anthropometric data and scores
Description

Physical examination, anthropometric data and scores

Complaints and abnormalities (based on medical examination on lungs)
Description

visit_abn

Data type

integer

Patient Complaints and Physical examination
Description

Patient Complaints and Physical examination

Dyspnea
Description

visit_abn_dyspnea

Data type

integer

Cough
Description

visit_abn_cough

Data type

integer

Purulent sputum
Description

visit_abn_sputumpurul

Data type

integer

Haemoptysis
Description

visit_abn_hemoptysis

Data type

integer

Wheezing
Description

visit_abn_wheezing

Data type

integer

Gastro-esophageal reflux, clinically relevant
Description

visit_abn_gerd

Data type

integer

Recurrent aspirations
Description

visit_abn_aspiratrecur

Data type

integer

Recurrent otitis or sinusitis
Description

visit_abn_otitisrecur

Data type

integer

(Fine) Crackles (Velcro rales)
Description

visit_abn_crackles

Data type

integer

Inspiratory squawks
Description

visit_abn_inspirsquawk

Data type

integer

Digital clubbing
Description

visit_abn_digitclubbing

Data type

integer

Rales
Description

visit_abn_rales

Data type

integer

Weight
Description

visit_weight

Data type

float

Height
Description

visit_height

Data type

float

BMI calculated
Description

visit_bmi

Data type

float

Clinical Frailty Scale
Description

visit_cfs

Data type

text

MRC breathlessness score
Description

visit_mrcscore

Data type

text

Cough visual analogue score  (0-100 with 0 = 'no cough' and 100 = 'the worst cough severity' as of TODAY) Mark the point on the scale to indicate how your health is TODAY.
Description

visit_coughvas

Data type

text

Description

visit_scaleslider

Data type

integer

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Similar models

Patient Complaints and Physical examination

32 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
visit_date
Item
Date of visit
date
Item
Kind of visit
text
visit_kind
Code List
Kind of visit
CL Item
Baseline visit (baseline)
CL Item
Regular follow-up visit (regular)
CL Item
Irregular follow-up visit (irregular)
Item
Reason for irregular follow-up visit
text
visit_irregular_reason
Code List
Reason for irregular follow-up visit
CL Item
Due to worsening of dyspnea (worsening)
CL Item
ILD exacerbation (exacerbation)
CL Item
Upon contact by site investigator (investigator)
Item
Respiratory tract infection since last visit?
integer
visit_infect
Code List
Respiratory tract infection since last visit?
CL Item
Yes (1)
CL Item
No (0)
Item
Bacterial infection
integer
visit_infect_bact
Code List
Bacterial infection
CL Item
Yes (1)
CL Item
No (0)
Item
Medical treatment with antibiotics
integer
visit_antibiot
Code List
Medical treatment with antibiotics
CL Item
Yes (1)
CL Item
No (0)
Item
Viral infection
integer
visit_infect_viral
Code List
Viral infection
CL Item
Yes (1)
CL Item
No (0)
Item
Influenza virus
integer
visit_influenza
Code List
Influenza virus
CL Item
Yes (1)
CL Item
No (0)
Item
Corona virus
integer
visit_covid
Code List
Corona virus
CL Item
Yes (1)
CL Item
No (0)
Item
Has the breathlessness changed?
text
visit_sobchange
Code List
Has the breathlessness changed?
CL Item
Worsened (worsend)
CL Item
Stable (stable)
CL Item
Improved (improved)
Item
How did the breathlessness get worse?
text
visit_worserate
Code List
How did the breathlessness get worse?
CL Item
Rapidly (rapid)
CL Item
Gradually (gradually)
Item
Did the patient experience an improvement of symptoms in response to steroid or immunosuppressant treatment?
integer
visit_steroidimprovement
Code List
Did the patient experience an improvement of symptoms in response to steroid or immunosuppressant treatment?
CL Item
Yes (1)
CL Item
No (0)
Item
Complaints and abnormalities (based on medical examination on lungs)
integer
visit_abn
Code List
Complaints and abnormalities (based on medical examination on lungs)
CL Item
Yes (1)
CL Item
No (0)
Item
Dyspnea
integer
visit_abn_dyspnea
Code List
Dyspnea
CL Item
Yes (1)
CL Item
No (0)
Item
Cough
integer
visit_abn_cough
Code List
Cough
CL Item
Yes (1)
CL Item
No (0)
Item
Purulent sputum
integer
visit_abn_sputumpurul
Code List
Purulent sputum
CL Item
Yes (1)
CL Item
No (0)
Item
Haemoptysis
integer
visit_abn_hemoptysis
Code List
Haemoptysis
CL Item
Yes (1)
CL Item
No (0)
Item
Wheezing
integer
visit_abn_wheezing
Code List
Wheezing
CL Item
Yes (1)
CL Item
No (0)
Item
Gastro-esophageal reflux, clinically relevant
integer
visit_abn_gerd
Code List
Gastro-esophageal reflux, clinically relevant
CL Item
Yes (1)
CL Item
No (0)
Item
Recurrent aspirations
integer
visit_abn_aspiratrecur
Code List
Recurrent aspirations
CL Item
Yes (1)
CL Item
No (0)
Item
Recurrent otitis or sinusitis
integer
visit_abn_otitisrecur
Code List
Recurrent otitis or sinusitis
CL Item
Yes (1)
CL Item
No (0)
Item
(Fine) Crackles (Velcro rales)
integer
visit_abn_crackles
Code List
(Fine) Crackles (Velcro rales)
CL Item
Yes (1)
CL Item
No (0)
Item
Inspiratory squawks
integer
visit_abn_inspirsquawk
Code List
Inspiratory squawks
CL Item
Yes (1)
CL Item
No (0)
Item
Digital clubbing
integer
visit_abn_digitclubbing
Code List
Digital clubbing
CL Item
Yes (1)
CL Item
No (0)
Item
Rales
integer
visit_abn_rales
Code List
Rales
CL Item
Yes (1)
CL Item
No (0)
visit_weight
Item
Weight
float
visit_height
Item
Height
float
visit_bmi
Item
BMI calculated
float
Item
Clinical Frailty Scale
text
visit_cfs
Code List
Clinical Frailty Scale
CL Item
1. Very Fit (very_fit)
CL Item
2. Well (well)
CL Item
3. Managing Well (managing_well)
CL Item
4. Vulnerable (vulnerable)
CL Item
5. Mildly Frail (mildly_frail)
CL Item
6. Moderatly Frail (moderatly_frail)
CL Item
7. Severely Frail (severely_frail)
CL Item
8. Very Severely Frail (very_severely_frail)
CL Item
9. Terminally III (terminally)
Item
MRC breathlessness score
text
visit_mrcscore
Code List
MRC breathlessness score
CL Item
No breathlessness (0)
CL Item
1 - Not troubled by breathless, except on strenous exercise (1)
CL Item
2 - Short of breath when hurrying on a level or when walking up a slight hill (2)
CL Item
3 - Walks slower than most people on the level, stops after a mile or so, or stops after 15 min walking at own pace (3)
CL Item
4 - Stops for breath after walking 100 yards, or after a few minutes on level ground (4)
CL Item
5 - Too breathless to leave the house, or breathless when dressing/undressing (5)
visit_coughvas
Item
Cough visual analogue score  (0-100 with 0 = 'no cough' and 100 = 'the worst cough severity' as of TODAY) Mark the point on the scale to indicate how your health is TODAY.
text
visit_scaleslider
Item
integer
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