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Family history

32 Formulieren  
FAMILY HISTORY
Beschrijving

FAMILY HISTORY

Occurance of certain lung diseases in the immediate family?
Beschrijving

ldfam_occurance

Datatype

integer

Family history
Beschrijving

Family history

Bronchial asthma
Beschrijving

ldfam_asthmabronchiale

Datatype

integer

Chronic Obstructive Pulmonary Disease (COPD)
Beschrijving

ldfam_copd

Datatype

integer

Sarcoidosis
Beschrijving

ldfam_sarcoidosis

Datatype

integer

Hypersensitivity pneumonitis
Beschrijving

ldfam_eaa

Datatype

integer

Lung fibrosis
Beschrijving

ldfam_lungfibrosis

Datatype

integer

Allergies
Beschrijving

ldfam_allergy

Datatype

integer

Early greying, dyskeratosis congenita, liver diseases, myeloproliferative diseases (jumping from one generation to the other)
Beschrijving

ldfam_telomer

Datatype

integer

Lung cancer
Beschrijving

ldfam_lc

Datatype

integer

Oculocutaneous albinism, bleeding disorder, colitis-like disease
Beschrijving

ldfam_hps

Datatype

integer

Collagen diseases, vascular diseases, rheumatism
Beschrijving

ldfam_collagvascrheum

Datatype

integer

Familial disposition - evidence level:
Beschrijving

Familial disposition - evidence level:

1st line relative lives or died because of a lung disease no further specified
Beschrijving

ldfam_diedld

Datatype

text

Family history
Beschrijving

Family history

1st line relative lives with or died from ILD
Beschrijving

ldfam_dieddpld

Datatype

text

1st line relative lives with or died from NSIP/IPF
Beschrijving

ldfam_diednsipipf

Datatype

text

Familial disposition - family tree
Beschrijving

Familial disposition - family tree

Family tree
Beschrijving

ldfam_familytree

Datatype

text

Family history
Beschrijving

Family history

Other
Beschrijving

ldfam_familytree_other

Datatype

text

Index patient
Beschrijving

ldfam_familytree_index

Datatype

text

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Similar models

Family history

32 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Item
Occurance of certain lung diseases in the immediate family?
integer
ldfam_occurance
Code List
Occurance of certain lung diseases in the immediate family?
CL Item
Yes (1)
CL Item
No (0)
Item Group
Item
Bronchial asthma
integer
ldfam_asthmabronchiale
Code List
Bronchial asthma
CL Item
Yes (1)
CL Item
No (0)
Item
Chronic Obstructive Pulmonary Disease (COPD)
integer
ldfam_copd
Code List
Chronic Obstructive Pulmonary Disease (COPD)
CL Item
Yes (1)
CL Item
No (0)
Item
Sarcoidosis
integer
ldfam_sarcoidosis
Code List
Sarcoidosis
CL Item
Yes (1)
CL Item
No (0)
Item
Hypersensitivity pneumonitis
integer
ldfam_eaa
Code List
Hypersensitivity pneumonitis
CL Item
Yes (1)
CL Item
No (0)
Item
Lung fibrosis
integer
ldfam_lungfibrosis
Code List
Lung fibrosis
CL Item
Yes (1)
CL Item
No (0)
Item
Allergies
integer
ldfam_allergy
Code List
Allergies
CL Item
Yes (1)
CL Item
No (0)
Item
Early greying, dyskeratosis congenita, liver diseases, myeloproliferative diseases (jumping from one generation to the other)
integer
ldfam_telomer
Code List
Early greying, dyskeratosis congenita, liver diseases, myeloproliferative diseases (jumping from one generation to the other)
CL Item
Yes (1)
CL Item
No (0)
Item
Lung cancer
integer
ldfam_lc
Code List
Lung cancer
CL Item
Yes (1)
CL Item
No (0)
Item
Oculocutaneous albinism, bleeding disorder, colitis-like disease
integer
ldfam_hps
Code List
Oculocutaneous albinism, bleeding disorder, colitis-like disease
CL Item
Yes (1)
CL Item
No (0)
Item
Collagen diseases, vascular diseases, rheumatism
integer
ldfam_collagvascrheum
Code List
Collagen diseases, vascular diseases, rheumatism
CL Item
Yes (1)
CL Item
No (0)
Item
1st line relative lives or died because of a lung disease no further specified
text
ldfam_diedld
Code List
1st line relative lives or died because of a lung disease no further specified
CL Item
Yes (yes)
CL Item
No (no)
CL Item
Unknown (unknown)
Item Group
Item
1st line relative lives with or died from ILD
text
ldfam_dieddpld
Code List
1st line relative lives with or died from ILD
CL Item
Yes (yes)
CL Item
No (no)
CL Item
Unknown (unknown)
Item
1st line relative lives with or died from NSIP/IPF
text
ldfam_diednsipipf
Code List
1st line relative lives with or died from NSIP/IPF
CL Item
Yes (yes)
CL Item
No (no)
CL Item
Unknown (unknown)
Item
Family tree
text
ldfam_familytree
Code List
Family tree
CL Item
Index patient (index)
CL Item
Sibling (sibling)
CL Item
Parent (parent)
CL Item
Children (children)
CL Item
Grandparent (grandparent)
CL Item
Grandchild (grandchild)
CL Item
Cousin (cousin)
CL Item
Other (other)
Item Group
ldfam_familytree_other
Item
Other
text
ldfam_familytree_index
Item
Index patient
text
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