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When? |
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Where? |
(IP) |
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Questionnaire |
Geriatric Examination pp. 32, 33 |
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SIR Data bank |
Medici rec/table 12 (I1DRUG) |
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Literature: Linden, Gilberg, Horgas, & Steinhagen-Thiessen (1996; 1999); Steinhagen-Thiessen & Borchelt (1996; 1999).
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Time 1 |
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1. |
ST ID |
Participant ID |
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2. |
Alter |
Age |
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3. |
Anz. Medikamente |
Number of drugs |
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4. |
Lfd. Medikament Nr. 0 = keinerlei Angaben |
Serial no. of drug 0 = no information |
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5. |
Erstes Medikament je ST 0 = nein |
First drug per participant 0 = no |
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6. |
Medikament gesehen 0 = keine Medikamente |
Drug package or label shown 0 = no drug |
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7. |
Nr. laut ROTE LISTE 1990(R) |
Code according to ROTE LISTE 1990 (R) |
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8. |
Applikationsform 0 = keine Medikamente |
Application form 0 = no drugs |
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9. |
Einnahmebeginn Monat 0 = keine Medikamente |
Start of drug use month 0 = no drugs |
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10. |
Einnahmebeginn Jahr |
Start of drug use year |
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11. |
Einnahmefrequenz |
Frequency of drug use |
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12. |
Dosis |
Dosage |
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13. |
Dosiseinheit 0 = keine Medikamente |
Unit of dosage 0 = no drugs used |
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14. |
Letzter Record pro ST |
Last record per participant |
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15. |
Nr. in Rote Liste 90 |
Code in ROTE LISTE 90 |
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16. |
Verordner 1 = Arzt |
Prescriber 1 = physician |
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17. |
Anzahl Inhaltsstoffe |
Number of substances contained in the drug |
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18. |
Dosierung 1 = unterdosiert |
Dosage 1 = underdosed |
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19. |
Indikationsstufe 1 = abs. kontraindiziert |
Indication level 1 = absolutely contraindicated |
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