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Multiple Sclerosis - Base Sheet (REGIMS)

1 forms  
Default Itemgroup
Description

Default Itemgroup

Alias
UMLS CUI-1
C1508263
Patient id
Description

Default item

Data type

text

Alias
UMLS CUI-1
C1549740
Visit date
Data type

date

Measurement units
  • tt.mm.jjjj
Alias
UMLS CUI-1
C1320303
tt.mm.jjjj
Visit number
Data type

text

Alias
UMLS CUI-1
C1549755
Written consent
Data type

boolean

Alias
UMLS CUI-1
C0021430
Registration date
Data type

date

Measurement units
  • tt.mm.jjjj
Alias
UMLS CUI-1
C2985881
tt.mm.jjjj
Medical center
Data type

integer

Alias
UMLS CUI-1
C0565990
Gender
Data type

integer

Alias
UMLS CUI-1
C0079399
Birth Year
Data type

partialDate

Measurement units
  • mm.jjjj
Alias
UMLS CUI-1
C2826771
mm.jjjj
Health insurance
Data type

integer

Alias
UMLS CUI-1
C0021682
Disease-specific information
Description

Disease-specific information

Alias
UMLS CUI-1
C1820919
Disease onset
Data type

partialDate

Measurement units
  • mm.jjjj
Alias
UMLS CUI-1
C0277793
mm.jjjj
Diagnosis date Multiple Sclerosis
Data type

partialDate

Measurement units
  • mm.jjjj
Alias
UMLS CUI-1
C2316983
UMLS CUI-2
C0026769
mm.jjjj
Clinical course
Data type

integer

Alias
UMLS CUI-1
C0449259
Relapse date
Data type

partialDate

Measurement units
  • mm.jjjj
Alias
UMLS CUI-1
C0035020
UMLS CUI-2
C0011008
mm.jjjj
Relapse, current
Data type

boolean

Alias
UMLS CUI-1
C0035020
UMLS CUI-2
C0521116
Relapse count within 24 months
Data type

integer

Alias
UMLS CUI-1
C0035020
UMLS CUI-2
C0449788
Relapse count within 12 months
Data type

integer

Alias
UMLS CUI-1
C0035020
UMLS CUI-2
C0449788
EDSS
Data type

float

Alias
UMLS CUI-1
C0451246
EDSS Pyramidal system
Data type

float

Alias
UMLS CUI-1
C0451246
UMLS CUI-2
C0228060
EDSS cerebellum
Data type

float

Alias
UMLS CUI-1
C0451246
UMLS CUI-2
C0007765
EDSS brainstem
Data type

float

Alias
UMLS CUI-1
C0451246
UMLS CUI-2
C0006121
EDSS sensitivity
Data type

float

Alias
UMLS CUI-1
C0451246
UMLS CUI-2
C2959501
EDSS recto-vesical
Data type

float

Alias
UMLS CUI-1
C0451246
UMLS CUI-2
C0545865
EDSS visual
Data type

float

Alias
UMLS CUI-1
C0451246
UMLS CUI-2
C0234621
EDSS cerebral
Data type

float

Alias
UMLS CUI-1
C0451246
UMLS CUI-2
C0006104
JC antibody test
Data type

integer

Alias
UMLS CUI-1
C3511565
JCV status
Data type

integer

Alias
UMLS CUI-1
C3511565
UMLS CUI-2
C0741132
JCV Test Date
Data type

partialDate

Measurement units
  • mm.jjjj
Alias
UMLS CUI-1
C3511565
UMLS CUI-2
C2826247
mm.jjjj
JCV test multiple
Data type

boolean

Alias
UMLS CUI-1
C3511565
UMLS CUI-2
C0439064
JCV conversion
Data type

boolean

Alias
UMLS CUI-1
C3511565
UMLS CUI-2
C0439836
Aktueller Karnofsky-Index
Description

Karnofsky index

Data type

integer

Measurement units
  • %
Alias
UMLS CUI-1
C0206065
%
Disease history
Description

Disease history

Alias
UMLS CUI-1
C0683519
Diagnosis
Description

Diagnosis

Data type

integer

Alias
UMLS CUI-1
C0011900
Diagnosis date
Description

Diagnosis date

Data type

partialDate

Measurement units
  • mm.jjjj
Alias
UMLS CUI-1
C2316983
mm.jjjj
Diagnosis details
Description

Diagnosis details

Data type

text

Pharmacotherapy
Description

Pharmacotherapy

Data type

boolean

Alias
UMLS CUI-1
C0013216
Pharmacotherapy details
Description

Pharmacotherapy details

Data type

text

Cancer treatment
Description

Cancer treatment

Data type

integer

Alias
UMLS CUI-1
C0920425
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Similar models

Multiple Sclerosis - Base Sheet (REGIMS)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Default Itemgroup
C1508263 (UMLS CUI-1)
Patient id
Item
text
C1549740 (UMLS CUI-1)
Visit date
Item
date
C1320303 (UMLS CUI-1)
Visit number
Item
text
C1549755 (UMLS CUI-1)
Written consent
Item
boolean
C0021430 (UMLS CUI-1)
Registration date
Item
date
C2985881 (UMLS CUI-1)
Medical center
Item
integer
C0565990 (UMLS CUI-1)
Item
integer
C0079399 (UMLS CUI-1)
Gender
Code List
Gender
CL Item
 (1)
CL Item
 (2)
Birth Year
Item
partialDate
C2826771 (UMLS CUI-1)
Item
integer
C0021682 (UMLS CUI-1)
Health insurance
Code List
Health insurance
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item Group
C1820919 (UMLS CUI-1)
Disease onset
Item
partialDate
C0277793 (UMLS CUI-1)
Diagnosis date Multiple Sclerosis
Item
partialDate
C2316983 (UMLS CUI-1)
C0026769 (UMLS CUI-2)
Item
integer
C0449259 (UMLS CUI-1)
Clinical course
Code List
Clinical course
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
CL Item
 (5)
Relapse date
Item
partialDate
C0035020 (UMLS CUI-1)
C0011008 (UMLS CUI-2)
Relapse, current
Item
boolean
C0035020 (UMLS CUI-1)
C0521116 (UMLS CUI-2)
Relapse count within 24 months
Item
integer
C0035020 (UMLS CUI-1)
C0449788 (UMLS CUI-2)
Relapse count within 12 months
Item
integer
C0035020 (UMLS CUI-1)
C0449788 (UMLS CUI-2)
EDSS
Item
float
C0451246 (UMLS CUI-1)
EDSS Pyramidal system
Item
float
C0451246 (UMLS CUI-1)
C0228060 (UMLS CUI-2)
EDSS cerebellum
Item
float
C0451246 (UMLS CUI-1)
C0007765 (UMLS CUI-2)
EDSS brainstem
Item
float
C0451246 (UMLS CUI-1)
C0006121 (UMLS CUI-2)
EDSS sensitivity
Item
float
C0451246 (UMLS CUI-1)
C2959501 (UMLS CUI-2)
EDSS recto-vesical
Item
float
C0451246 (UMLS CUI-1)
C0545865 (UMLS CUI-2)
EDSS visual
Item
float
C0451246 (UMLS CUI-1)
C0234621 (UMLS CUI-2)
EDSS cerebral
Item
float
C0451246 (UMLS CUI-1)
C0006104 (UMLS CUI-2)
Item
integer
C3511565 (UMLS CUI-1)
JC antibody test
Code List
JC antibody test
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Item
integer
C3511565 (UMLS CUI-1)
C0741132 (UMLS CUI-2)
JCV status
Code List
JCV status
CL Item
 (1)
CL Item
 (2)
JCV Test Date
Item
partialDate
C3511565 (UMLS CUI-1)
C2826247 (UMLS CUI-2)
JCV test multiple
Item
boolean
C3511565 (UMLS CUI-1)
C0439064 (UMLS CUI-2)
JCV conversion
Item
boolean
C3511565 (UMLS CUI-1)
C0439836 (UMLS CUI-2)
Karnofsky index
Item
Aktueller Karnofsky-Index
integer
C0206065 (UMLS CUI-1)
Item Group
Disease history
C0683519 (UMLS CUI-1)
Item
Diagnosis
integer
C0011900 (UMLS CUI-1)
Diagnosis
Code List
Diagnosis
CL Item
Diabetes mellitus (1)
CL Item
Hypertension (2)
CL Item
Heart failure (3)
CL Item
Arrhythmia (4)
CL Item
Depression (5)
CL Item
Hyperthyroidism or hypothyroidism  (6)
CL Item
Renal disease (7)
CL Item
Pancreatitis (8)
CL Item
Liver cirrhosis (9)
CL Item
Hepatitis B or C (10)
CL Item
Herpes infection (11)
CL Item
Drug allergies (12)
CL Item
Other allergies (13)
CL Item
Autoimmune diseases (e.g. Goodpasture syndrome) (14)
CL Item
HIV-Infection (15)
CL Item
PML (progressive multifocal leukencephalopathia) (16)
CL Item
Pneumonia (17)
CL Item
Recurring urinary infections (>3/3 years) (18)
CL Item
Fungal infections (e.g. esophagus, lung) (19)
CL Item
Other opportunistic infections (e.g. toxoplasmosis) (20)
CL Item
Alopecia (21)
CL Item
Tuberculosis (22)
CL Item
Retinopathia, macular edema or diplopia (23)
CL Item
Skin symptoms regarding s.c. or i.v. drugs (e.g. inflammations, necrosis at injection site) (24)
CL Item
Blood changes (e.g. anemia, thrombopenia, lymphopenia) (25)
CL Item
Migraine and/or tension headache (26)
CL Item
Diarrhoea(>3 days diarrhoea) (27)
CL Item
Arthralgia, spasticity (28)
CL Item
Weight loss or gain (>5 kg) (29)
CL Item
Cancer diseases (30)
CL Item
Other concomitant disease (31)
Diagnosis date
Item
Diagnosis date
partialDate
C2316983 (UMLS CUI-1)
Diagnosis details
Item
Diagnosis details
text
Pharmacotherapy
Item
Pharmacotherapy
boolean
C0013216 (UMLS CUI-1)
Pharmacotherapy details
Item
Pharmacotherapy details
text
Item
Cancer treatment
integer
C0920425 (UMLS CUI-1)
Cancer treatment
Code List
Cancer treatment
CL Item
Operation (1)
CL Item
Bestrahlung (2)
CL Item
Chemotherapie (3)
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