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ILD-related drugs and medical measures

32 forms  
CONCOMITANT MEDICAL THERAPY AT TIME OF DISEASE ONSET
Description

CONCOMITANT MEDICAL THERAPY AT TIME OF DISEASE ONSET

Is there any hint for an induction of the disease by medical treatment or measures?
Description

medth_inducttreatmeas

Data type

integer

ILD-related drugs and medical measures
Description

ILD-related drugs and medical measures

Induction of disease by drugs possible according to Pneumotox?
Description

medth_inductionbydrug

Data type

integer

Please provide information about the therapy (name of drug, start date, end date, daily dosis):
Description

medth_inductionbydrugnote

Data type

text

Causing medication  (ATC code)
Description

medth_inductionbydrug1

Data type

text

Start of therapy
Description

medth_atc1start

Data type

date

End of therapy
Description

medth_atc1end

Data type

date

Daily dosis
Description

medth_atc1dosis

Data type

float

Unit
Description

medth_atc1unit

Data type

text

Route of administration
Description

medth_atc1route

Data type

text

Causing medication (ATC code)
Description

medth_inductionbydrug2

Data type

text

Start of therapy
Description

medth_atc2start

Data type

date

End of therapy
Description

medth_atc2end

Data type

date

Daily dosis
Description

medth_atc2dosis

Data type

float

Unit
Description

medth_atc2unit

Data type

text

Route of administration
Description

medth_atc2route

Data type

text

Causing medication (ATC code)
Description

medth_inductionbydrug3

Data type

text

Start of therapy
Description

medth_atc3start

Data type

date

End of therapy
Description

medth_atc3end

Data type

date

Daily dosis
Description

medth_atc3dosis

Data type

float

Unit
Description

medth_atc3unit

Data type

text

Route of administration
Description

medth_atc3route

Data type

text

Causing medication (ATC code)
Description

medth_inductionbydrug4

Data type

text

Start of therapy
Description

medth_atc4start

Data type

date

End of therapy
Description

medth_atc4end

Data type

date

Daily dosis
Description

medth_atc4dosis

Data type

float

Unit
Description

medth_atc4unit

Data type

text

Route of administration
Description

medth_atc4route

Data type

text

Causing medication (ATC code)
Description

medth_inductionbydrug5

Data type

text

Start of therapy
Description

medth_atc5start

Data type

date

End of therapy
Description

medth_atc5end

Data type

date

Daily dosis
Description

medth_atc5dosis

Data type

float

Unit
Description

medth_atc5unit

Data type

text

Route of administration
Description

medth_atc5route

Data type

text

Thoracic radiation
Description

medth_crx

Data type

integer

Start radiation therapy
Description

medth_crxstart

Data type

date

End of radiation therapy
Description

medth_crxend

Data type

date

Total dose of radiation
Description

medth_crxtotaldose

Data type

integer

Number of fractions
Description

medth_crxnrfraction

Data type

integer

V20 (=% of lung volume receiving >20 Gy)
Description

medth_crxv20

Data type

float

Stereotactic radiation
Description

medth_crxsrs

Data type

integer

Radiation due to:
Description

medth_crxdueto

Data type

text

Previous ALI/ARDS with mechanical ventilation
Description

medth_ards

Data type

integer

Start mechanical ventilation
Description

medth_ardsventstart

Data type

date

End mechanical ventilation
Description

medth_ardsventend

Data type

date

ECMO
Description

medth_ardsecmo

Data type

integer

ECLA
Description

medth_ardsecla

Data type

integer

Parapneumonic ARDS
Description

medth_ardsparapards

Data type

integer

Bacterial ARDS
Description

medth_ardsparapardsbact

Data type

integer

Viral ARDS
Description

medth_ardsparapardsviral

Data type

integer

Influenza virus
Description

medth_ardsparapardsinfl

Data type

text

Corona virus
Description

medth_ardsparapardscovid

Data type

text

Extra-pulmonary trigger (i.e. sepsis, mass transfusion, pancreatitis)
Description

medth_ardspulmonarytrigg

Data type

integer

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ILD-related drugs and medical measures

32 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item
Is there any hint for an induction of the disease by medical treatment or measures?
integer
medth_inducttreatmeas
Code List
Is there any hint for an induction of the disease by medical treatment or measures?
CL Item
Yes (1)
CL Item
No (0)
Item
Induction of disease by drugs possible according to Pneumotox?
integer
medth_inductionbydrug
Code List
Induction of disease by drugs possible according to Pneumotox?
CL Item
Yes (1)
CL Item
No (0)
medth_inductionbydrugnote
Item
Please provide information about the therapy (name of drug, start date, end date, daily dosis):
text
medth_inductionbydrug1
Item
Causing medication  (ATC code)
text
medth_atc1start
Item
Start of therapy
date
medth_atc1end
Item
End of therapy
date
medth_atc1dosis
Item
Daily dosis
float
Item
Unit
text
medth_atc1unit
Code List
Unit
CL Item
mg (mg)
CL Item
µg (ug)
CL Item
ng (ng)
CL Item
U (U)
Item
Route of administration
text
medth_atc1route
Code List
Route of administration
CL Item
oral (oral)
CL Item
subcutan (sc)
CL Item
inhalative (inhal)
CL Item
intravenous (iv)
CL Item
transcutaneous (tc)
medth_inductionbydrug2
Item
Causing medication (ATC code)
text
medth_atc2start
Item
Start of therapy
date
medth_atc2end
Item
End of therapy
date
medth_atc2dosis
Item
Daily dosis
float
Item
Unit
text
medth_atc2unit
Code List
Unit
CL Item
mg (mg)
CL Item
µg (ug)
CL Item
ng (ng)
CL Item
U (U)
Item
Route of administration
text
medth_atc2route
Code List
Route of administration
CL Item
oral (oral)
CL Item
subcutan (sc)
CL Item
inhalative (inhal)
CL Item
intravenous (iv)
CL Item
transcutaneous (tc)
medth_inductionbydrug3
Item
Causing medication (ATC code)
text
medth_atc3start
Item
Start of therapy
date
medth_atc3end
Item
End of therapy
date
medth_atc3dosis
Item
Daily dosis
float
Item
Unit
text
medth_atc3unit
Code List
Unit
CL Item
mg (mg)
CL Item
µg (ug)
CL Item
ng (ng)
CL Item
U (U)
Item
Route of administration
text
medth_atc3route
Code List
Route of administration
CL Item
oral (oral)
CL Item
subcutan (sc)
CL Item
inhalative (inhal)
CL Item
intravenous (iv)
CL Item
transcutaneous (tc)
medth_inductionbydrug4
Item
Causing medication (ATC code)
text
medth_atc4start
Item
Start of therapy
date
medth_atc4end
Item
End of therapy
date
medth_atc4dosis
Item
Daily dosis
float
Item
Unit
text
medth_atc4unit
Code List
Unit
CL Item
mg (mg)
CL Item
µg (ug)
CL Item
ng (ng)
CL Item
U (U)
Item
Route of administration
text
medth_atc4route
Code List
Route of administration
CL Item
oral (oral)
CL Item
subcutan (sc)
CL Item
inhalative (inhal)
CL Item
intravenous (iv)
CL Item
transcutaneous (tc)
medth_inductionbydrug5
Item
Causing medication (ATC code)
text
medth_atc5start
Item
Start of therapy
date
medth_atc5end
Item
End of therapy
date
medth_atc5dosis
Item
Daily dosis
float
Item
Unit
text
medth_atc5unit
Code List
Unit
CL Item
mg (mg)
CL Item
µg (ug)
CL Item
ng (ng)
CL Item
U (U)
Item
Route of administration
text
medth_atc5route
Code List
Route of administration
CL Item
oral (oral)
CL Item
subcutan (sc)
CL Item
inhalative (inhal)
CL Item
intravenous (iv)
CL Item
transcutaneous (tc)
Item
Thoracic radiation
integer
medth_crx
Code List
Thoracic radiation
CL Item
Yes (1)
CL Item
No (0)
medth_crxstart
Item
Start radiation therapy
date
medth_crxend
Item
End of radiation therapy
date
medth_crxtotaldose
Item
Total dose of radiation
integer
medth_crxnrfraction
Item
Number of fractions
integer
medth_crxv20
Item
V20 (=% of lung volume receiving >20 Gy)
float
Item
Stereotactic radiation
integer
medth_crxsrs
Code List
Stereotactic radiation
CL Item
Yes (1)
CL Item
No (0)
Item
Radiation due to:
text
medth_crxdueto
Code List
Radiation due to:
CL Item
Lung cancer (lung_cancer)
CL Item
Breast cancer (breast_cancer)
CL Item
Lymphoma (lymphoma)
CL Item
Mediastinal tumor (Mediastinal_tumor)
Item
Previous ALI/ARDS with mechanical ventilation
integer
medth_ards
Code List
Previous ALI/ARDS with mechanical ventilation
CL Item
Yes (1)
CL Item
No (0)
medth_ardsventstart
Item
Start mechanical ventilation
date
medth_ardsventend
Item
End mechanical ventilation
date
Item
ECMO
integer
medth_ardsecmo
Code List
ECMO
CL Item
Yes (1)
CL Item
No (0)
Item
ECLA
integer
medth_ardsecla
Code List
ECLA
CL Item
Yes (1)
CL Item
No (0)
Item
Parapneumonic ARDS
integer
medth_ardsparapards
Code List
Parapneumonic ARDS
CL Item
Yes (1)
CL Item
No (0)
Item
Bacterial ARDS
integer
medth_ardsparapardsbact
Code List
Bacterial ARDS
CL Item
Yes (1)
CL Item
No (0)
Item
Viral ARDS
integer
medth_ardsparapardsviral
Code List
Viral ARDS
CL Item
Yes (1)
CL Item
No (0)
Item
Influenza virus
text
medth_ardsparapardsinfl
Code List
Influenza virus
CL Item
 (1)
Item
Corona virus
text
medth_ardsparapardscovid
Code List
Corona virus
CL Item
 (1)
Item
Extra-pulmonary trigger (i.e. sepsis, mass transfusion, pancreatitis)
integer
medth_ardspulmonarytrigg
Code List
Extra-pulmonary trigger (i.e. sepsis, mass transfusion, pancreatitis)
CL Item
Yes (1)
CL Item
No (0)
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