Corona Anamnese

1 forms
  1. StudyEvent: ODM
    1. Corona Anamnese
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Symptoms
C1457887 (UMLS CUI [1])
Item
Do you have a cough?
text
C0010200 (UMLS CUI [1])
Husten
Code List
Do you have a cough?
CL Item
yes (ja)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Item
Have you got the sniffles?
text
C0475767 (UMLS CUI [1])
Husten
Code List
Have you got the sniffles?
CL Item
yes (ja)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Item
Do you have hoarseness?
text
C0019825 (UMLS CUI [1])
Husten
Code List
Do you have hoarseness?
CL Item
yes (ja)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Item
Do you have a fever or increased body temperature?
text
C0015967 (UMLS CUI [1])
Fieber
Code List
Do you have a fever or increased body temperature?
CL Item
yes (ja)
show(1) (display)
(Comment:de)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
hide(1) (display)
(Comment:de)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Temperatur
Item
What body temperature have you currently measured?
text
C0039476 (UMLS CUI [1])
hidden (display)
Item Group
Contact
C3812666 (UMLS CUI [1])
Item
Did you have contact to people with corona infection in the past 14 days?
text
C0332158 (UMLS CUI [1,1])
C5203670 (UMLS CUI [1,2])
Kontakt Infizierte
Code List
Did you have contact to people with corona infection in the past 14 days?
CL Item
yes (ja)
show(1) (display)
(Comment:de)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
hide(1) (display)
(Comment:de)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Kontaktperson
Item
Contact person
text
C0337611 (UMLS CUI [1])
hidden (display)
Item
Do you live/reside/work in a health care facility (nursing home/hospital) where respiratory diseases have frequently occurred?
text
C0332157 (UMLS CUI [1,1])
C0035204 (UMLS CUI [1,2])
Husten
Code List
Do you live/reside/work in a health care facility (nursing home/hospital) where respiratory diseases have frequently occurred?
CL Item
yes (ja)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Item Group
Risk area
C0681784 (UMLS CUI [1,1])
C1444641 (UMLS CUI [1,2])
Item
Have you been in a risk area for corona infection during the past 14 days or have you had contact with people who have been there? (see ecdc.europa.eu for the current list of risk areas)
text
C0681784 (UMLS CUI [1,1])
C1444641 (UMLS CUI [1,2])
Risikogebiet
Code List
Have you been in a risk area for corona infection during the past 14 days or have you had contact with people who have been there? (see ecdc.europa.eu for the current list of risk areas)
CL Item
ja (ja)
show(1) (display)
(Comment:de)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
nein (nein)
hide(1) (display)
(Comment:de)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Ort
Item
Where were you or your contacts?
text
C0450429 (UMLS CUI [1])
hidden (display)
Item Group
General information
C1508263 (UMLS CUI [1])
Item
Do you have other current diseases?
text
C0012634 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
aktuelle Erkrankungen
Code List
Do you have other current diseases?
CL Item
yes (ja)
show(1) (display)
(Comment:de)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
hide(1) (display)
(Comment:de)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Erkrankung aktuell
Item
Which current diseases?
text
C0012634 (UMLS CUI [1,1])
C0521116 (UMLS CUI [1,2])
hidden (display)
Item
Do you have chronic diseases?
text
C0008679 (UMLS CUI [1])
chronische Erkrankungen
Code List
Do you have chronic diseases?
CL Item
yes (ja)
show(1) (display)
(Comment:de)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
hide(1) (display)
(Comment:de)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Erkrankung chronisch
Item
Which chronic diseases?
text
C0008679 (UMLS CUI [1])
hidden (display)
Item
Are you taking any medication?
text
C0013227 (UMLS CUI [1])
Medikation
Code List
Are you taking any medication?
CL Item
yes (ja)
show(1) (display)
(Comment:de)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
hide(1) (display)
(Comment:de)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Medikamente
Item
What medications are you taking?
text
C0013227 (UMLS CUI [1])
hidden (display)
Name
Item
Last Name
text
C1301584 (UMLS CUI [1])
Vorname
Item
First name
text
C1443235 (UMLS CUI [1])
Geburtsdatum
Item
Birth date
text
C0421451 (UMLS CUI [1])
Telefon
Item
Phone number
text
C1515258 (UMLS CUI [1])
Item
Do you agree to be contacted by the doctor/clinic at a later date?
text
C1522577 (UMLS CUI [1,1])
C0521104 (UMLS CUI [1,2])
Husten
Code List
Do you agree to be contacted by the doctor/clinic at a later date?
CL Item
yes (ja)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Kommentar
Item
Additional information
text
C0947611 (UMLS CUI [1])
Item Group
Addenda
C0947611 (UMLS CUI [1])
Item
Do You have a disturbed sense of smell?
text
C0235287 (UMLS CUI [1])
Husten
Code List
Do You have a disturbed sense of smell?
CL Item
yes (ja)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Item
Do you have a disturbed sense of taste?
text
C0013378 (UMLS CUI [1])
Husten
Code List
Do you have a disturbed sense of taste?
CL Item
yes (ja)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
Item
Do You have diarrhea?
text
C0011991 (UMLS CUI [1])
Husten
Code List
Do You have diarrhea?
CL Item
yes (ja)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
CL Item
no (nein)
(Comment:en)
(Comment:es)
(Comment:pt)
(Comment:nl)
(Comment:it)
(Comment:fr)
(Comment:tr)
(Comment:bg)
(Comment:ro)
(Comment:pl)
(Comment:hu)
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