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When? |
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Where? |
(IP) |
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(IP) |
(IP) |
(EE) |
(EE) |
(EE) |
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Questionnaire |
Geriatric Examination pp. 70, 78, 79, 84 |
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Geriatric Examination pp. 32, 39, 42 |
Geriatric Examination pp. 32, 39, 42 |
Intake Assessment pp. 1, 13, 14 |
Intake Assessment pp. 23-25 |
Intake Assessment pp. 23-25 |
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SIR Data bank |
Medici rec/table 7 (I1FKD1) |
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Medici rec/table 207 (I3FKD1) |
Medici rec/table 307 (I4FKD1) |
ZPK rec/table 410 (z5ee) |
ZKP rec/table 510 (z6ee) |
ZKP rec/table 610 (z7ee) |
Literature: Borchelt, Gilberg, Horgas, & Geiselmann (1996; 1999); Lindenberger & Reischies (1999); Marsiske, Delius, Maas, Lindenberger, Scherer, & Tesch-Römer (1996; 1999); Reischies & Lindenberger (1996); Steinhagen-Thiessen & Borchelt (1996; 1999).
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Times 1 |
Time 3 |
Time 4 |
Time 5 |
Time 6 |
Time 7 |
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ST ID |
Participant ID |
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Alter |
Age |
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Untersucher-ID |
Physician ID |
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Datum der Untersuchung (Tag) |
Date of examination (day) |
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Datum der Untersuchung (Monat) 1 = Januar |
Date of examination (month) 1 = January |
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Datum der Untersuchung (Jahr) |
Date of examination (year) |
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Beginn Untersuchung (Std.) |
Beginning of examination (hour) |
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Beginn Untersuchung (Min.) |
Beginning of examination (minute) |
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Ende Untersuchung (Std.) |
End of examination (hour) |
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Ende Untersuchung (Min.) |
End of examination (minute) |
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SPIRO VC (l) |
SPIRO VC (l) |
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SPIRO VC soll (l) |
SPIRO VC ref (l) |
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SPIRO ERV (l) |
SPIRO ERV (l) |
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SPIRO IRV (l) |
SPIRO IRV (l) |
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SPIRO FVC (l) |
SPIRO FVC (l) |
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SPIRO FVC soll (l) |
SPIRO FVC ref (l) |
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SPIRO FEV 0.5 (l) |
SPIRO FEV 0.5 (l) |
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SPIRO FEV 1.0 (l) |
SPIRO FEV 1.0 (l) |
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SPIRO FEV 1.0 soll (l) |
SPIRO FEV 1.0 ref (l) |
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SPIRO FEF 25-75 (l/s) |
SPIRO FEF 25-75 (l/s) |
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SPIRO FEF 25-75 soll (l/s) |
SPIRO FEF 25-75 ref (l/s) |
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SPIRO FEF 75-85 (l/s) |
SPIRO FEF 75-85 (l/s) |
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SPIRO PEF (l/s) |
SPIRO PEF (l/s) |
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SPIRO PEF soll (l/s) |
SPIRO PEF ref (l/s) |
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SPIRO MEF 75% (l/s) |
SPIRO MEF 75% (l/s) |
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SPIRO MEF 75% soll (l/s) |
SPIRO MEF 75% ref (l/s) |
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SPIRO MEF 50% (l/s) |
SPIRO MEF 50% (l/s) |
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SPIRO MEF 50% soll (l/s) |
SPIRO MEF 50% ref (l/s) |
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SPIRO MEF 25% (l/s) |
SPIRO MEF 25% (l/s) |
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SPIRO MEF 25% soll (l/s) |
SPIRO MEF 25% ref (l/s) |
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SPIRO-Diagnose 1 = normal |
SPIRO diagnosis 1 = normal |
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SPIRO MV (l/min) |
SPIRO MV (l/min) |
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SPIRO RR (/min) |
SPIRO RR (/min) |
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SPIRO TV (l) |
SPIRO TV (l) |
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SPIRO Mitarbeit des ST 1 = gut |
SPIRO cooperation of participant 1 = good |
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2. |
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AUDIO re. 0.25 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT right 0.25 kHz pure tone hearing threshold (dB) |
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AUDIO re. 0.50 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT right 0.50 kHz pure tone hearing threshold (dB) |
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AUDIO re. 1.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT right 1.00 kHz pure tone hearing threshold (dB) |
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AUDIO re. 2.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT right 2.00 kHz pure tone hearing threshold (dB) |
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AUDIO re. 3.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT right 3.00 kHz pure tone hearing threshold (dB) |
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AUDIO re. 4.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT right 4.00 kHz pure tone hearing threshold (dB) |
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AUDIO re. 6.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT right 6.00 kHz pure tone hearing threshold (dB) |
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AUDIO re. 8.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT right 8.00 kHz pure tone hearing threshold (dB) |
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AUDIO li. 0.25 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT left 0.25 kHz pure tone hearing threshold (dB) |
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AUDIO li. 0.50 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT left 0.50 kHz pure tone hearing threshold (dB) |
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AUDIO li. 1.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT left 1.00 kHz pure tone hearing threshold (dB) |
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AUDIO li. 2.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT left 2.00 kHz pure tone hearing threshold (dB) |
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AUDIO li. 3.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT left 3.00 kHz pure tone hearing threshold (dB) |
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AUDIO li. 4.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT left 4.00 kHz pure tone hearing threshold (dB) |
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AUDIO li. 6.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT left 6.00 kHz pure tone hearing threshold (dB) |
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AUDIO li. 8.00 kHz Hörschwelle (dB) |
HEARING ASSESSEMENT left 8.00 kHz pure tone hearing threshold (dB) |
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AUDIO Mitarbeit des ST 1 = gut |
HEARING ASSESSEMENT cooperation of participant 1 = good |
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3. |
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NAHVISUS ohne Brille re. |
VISUAL ACUITY AT NEAR, without glasses, right |
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NAHVISUS ohne Brille li. |
VISUAL ACUITY AT NEAR, without glasses, left |
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NAHVISUS mit Brille re. |
VISUAL ACUITY AT NEAR, with glasses, right |
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NAHVISUS mit Brille li. |
VISUAL ACUITY AT NEAR, with glasses, left |
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