1271 lines
41 KiB
JSON
1271 lines
41 KiB
JSON
{
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"name": "SOMS7T",
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"units": [
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{
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"type": "Survey",
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"description": "SOMS-7T",
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"position": 10,
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"special": null,
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"survey_data": {
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"name": "soms7t",
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"items": [
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{
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"type": "note",
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"choice_list": null,
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"type_options": null,
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"name": "soms7t_intro",
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"label": "Im Folgenden finden Sie eine Liste von körperlichen Beschwerden. Bitte geben Sie an, ob und wie sehr Sie im Laufe der vergangenen 7 Tage unter diesen Beschwerden gelitten haben. Geben Sie nur solche Beschwerden an, für die von Ärzten keine genauen Ursachen gefunden wurden und die Ihr Wohlbefinden stark beeinträchtigt haben.",
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"label_parsed": "Im Folgenden finden Sie eine Liste von körperlichen Beschwerden. Bitte geben Sie an, ob und wie sehr Sie im Laufe der vergangenen 7 Tage unter diesen Beschwerden gelitten haben. Geben Sie nur solche Beschwerden an, für die von Ärzten keine genauen Ursachen gefunden wurden und die Ihr Wohlbefinden stark beeinträchtigt haben.",
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"optional": 1,
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"class": "",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 1
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},
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{
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"type": "mc",
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"choice_list": "soms7t_kontrolle",
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"type_options": null,
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"name": "soms7t_kontrolle",
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"label": "Ich habe die Instruktion gelesen.",
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"label_parsed": "Ich habe die Instruktion gelesen.",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 2,
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"choices": {
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"1": "ja",
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"2": "nein"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_geschlecht",
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"type_options": null,
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"name": "soms7t_geschlecht",
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"label": "Geschlecht",
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"label_parsed": "Geschlecht",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 3,
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"choices": {
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"1": "weiblich",
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"2": "männlich"
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}
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},
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{
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"type": "note",
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"choice_list": null,
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"type_options": null,
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"name": "soms7t_kopf",
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"label": "Ich habe **in den vergangenen 7 Tagen** unter folgenden Beschwerden gelitten: (Ausmaß der Beeinträchtigung)",
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"label_parsed": "Ich habe <strong>in den vergangenen 7 Tagen<\/strong> unter folgenden Beschwerden gelitten: (Ausmaß der Beeinträchtigung)",
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"optional": 1,
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"class": "",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 4
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},
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{
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"type": "mc",
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"choice_list": "soms7t_01",
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"type_options": null,
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"name": "soms7t_01",
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"label": "1\\. Kopf- oder Gesichtsschmerzen",
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"label_parsed": "1. Kopf- oder Gesichtsschmerzen",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 5,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_02",
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"type_options": null,
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"name": "soms7t_02",
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"label": "2\\. Schmerzen im Bauch oder in der Magengegend",
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"label_parsed": "2. Schmerzen im Bauch oder in der Magengegend",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 6,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_03",
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"type_options": null,
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"name": "soms7t_03",
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"label": "3\\. Rückenschmerzen",
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"label_parsed": "3. Rückenschmerzen",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 7,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_04",
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"type_options": null,
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"name": "soms7t_04",
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"label": "4\\. Gelenkschmerzen",
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"label_parsed": "4. Gelenkschmerzen",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 8,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_05",
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"type_options": null,
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"name": "soms7t_05",
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"label": "5\\. Schmerzen in den Armen oder Beinen",
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"label_parsed": "5. Schmerzen in den Armen oder Beinen",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 9,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_06",
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"type_options": null,
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"name": "soms7t_06",
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"label": "6\\. Brustschmerzen",
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"label_parsed": "6. Brustschmerzen",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 10,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_07",
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"type_options": null,
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"name": "soms7t_07",
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"label": "7\\. Schmerzen im Enddarm",
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"label_parsed": "7. Schmerzen im Enddarm",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 11,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_08",
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"type_options": null,
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"name": "soms7t_08",
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"label": "8\\. Schmerzen beim Geschlechtsverkehr",
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"label_parsed": "8. Schmerzen beim Geschlechtsverkehr",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 12,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_09",
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"type_options": null,
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"name": "soms7t_09",
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"label": "9\\. Schmerzen beim Wasserlassen",
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"label_parsed": "9. Schmerzen beim Wasserlassen",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 13,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_10",
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"type_options": null,
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"name": "soms7t_10",
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"label": "10\\. Übelkeit",
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"label_parsed": "10. Übelkeit",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 14,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_11",
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"type_options": null,
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"name": "soms7t_11",
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"label": "11\\. Völlegefühl (sich aufgebläht fühlen)",
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"label_parsed": "11. Völlegefühl (sich aufgebläht fühlen)",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 15,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_12",
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"type_options": null,
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"name": "soms7t_12",
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"label": "12\\. Druckgefühl, Kribbeln oder Unruhe im Bauch",
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"label_parsed": "12. Druckgefühl, Kribbeln oder Unruhe im Bauch",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 16,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_13",
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"type_options": null,
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"name": "soms7t_13",
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"label": "13\\. Erbrechen (außerhalb einer Schwangerschaft)",
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"label_parsed": "13. Erbrechen (außerhalb einer Schwangerschaft)",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 17,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_14",
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"type_options": null,
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"name": "soms7t_14",
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"label": "14\\. Vermehrtes Aufstoßen (in der Speiseröhre)",
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"label_parsed": "14. Vermehrtes Aufstoßen (in der Speiseröhre)",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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"showif": "",
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"value": null,
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"block_order": null,
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"item_order": 18,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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{
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"type": "mc",
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"choice_list": "soms7t_15",
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"type_options": null,
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"name": "soms7t_15",
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"label": "15\\. Luftschlucken, Schluckauf oder Brennen im Brust- oder Magenbereich",
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"label_parsed": "15. Luftschlucken, Schluckauf oder Brennen im Brust- oder Magenbereich",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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|
"showif": "",
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|
"value": null,
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"block_order": null,
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"item_order": 19,
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"choices": {
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"1": "gar nicht",
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"2": "leicht",
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"3": "mittelmäßig",
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"4": "stark",
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"5": "sehr stark"
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}
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},
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|
{
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|
"type": "mc",
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|
"choice_list": "soms7t_16",
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"type_options": null,
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"name": "soms7t_16",
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"label": "16\\. Unverträglichkeit von verschiedenen Speisen",
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"label_parsed": "16. Unverträglichkeit von verschiedenen Speisen",
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"optional": 0,
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"class": "mc_vertical left400 label_align_left",
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|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
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|
"item_order": 20,
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|
"choices": {
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|
"1": "gar nicht",
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|
"2": "leicht",
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|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
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|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_17",
|
|
"type_options": null,
|
|
"name": "soms7t_17",
|
|
"label": "17\\. Appetitverlust",
|
|
"label_parsed": "17. Appetitverlust",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 21,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_18",
|
|
"type_options": null,
|
|
"name": "soms7t_18",
|
|
"label": "18\\. Schlechter Geschmack im Mund oder stark belegte Zunge",
|
|
"label_parsed": "18. Schlechter Geschmack im Mund oder stark belegte Zunge",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 22,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_19",
|
|
"type_options": null,
|
|
"name": "soms7t_19",
|
|
"label": "19\\. Mundtrockenheit",
|
|
"label_parsed": "19. Mundtrockenheit",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 23,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_20",
|
|
"type_options": null,
|
|
"name": "soms7t_20",
|
|
"label": "20\\. Häufiger Durchfall",
|
|
"label_parsed": "20. Häufiger Durchfall",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 24,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_21",
|
|
"type_options": null,
|
|
"name": "soms7t_21",
|
|
"label": "21\\. Flüssigkeitsaustritt aus dem Darm",
|
|
"label_parsed": "21. Flüssigkeitsaustritt aus dem Darm",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 25,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_22",
|
|
"type_options": null,
|
|
"name": "soms7t_22",
|
|
"label": "22\\. Häufiges Wasserlassen",
|
|
"label_parsed": "22. Häufiges Wasserlassen",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 26,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_23",
|
|
"type_options": null,
|
|
"name": "soms7t_23",
|
|
"label": "23\\. Häufiger Stuhldrang",
|
|
"label_parsed": "23. Häufiger Stuhldrang",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 27,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_24",
|
|
"type_options": null,
|
|
"name": "soms7t_24",
|
|
"label": "24\\. Herzrasen oder Herzstolpern",
|
|
"label_parsed": "24. Herzrasen oder Herzstolpern",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 28,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_25",
|
|
"type_options": null,
|
|
"name": "soms7t_25",
|
|
"label": "25\\. Druckgefühl in der Herzgegend",
|
|
"label_parsed": "25. Druckgefühl in der Herzgegend",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 29,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_26",
|
|
"type_options": null,
|
|
"name": "soms7t_26",
|
|
"label": "26\\. Schweißausbrüche (heiß oder kalt)",
|
|
"label_parsed": "26. Schweißausbrüche (heiß oder kalt)",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 30,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_27",
|
|
"type_options": null,
|
|
"name": "soms7t_27",
|
|
"label": "27\\. Hitzewallungen oder Erröten",
|
|
"label_parsed": "27. Hitzewallungen oder Erröten",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 31,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_28",
|
|
"type_options": null,
|
|
"name": "soms7t_28",
|
|
"label": "28\\. Atemnot (außer bei Anstrengung)",
|
|
"label_parsed": "28. Atemnot (außer bei Anstrengung)",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 32,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_29",
|
|
"type_options": null,
|
|
"name": "soms7t_29",
|
|
"label": "29\\. Übermäßig schnelles Ein- und Ausatmen",
|
|
"label_parsed": "29. Übermäßig schnelles Ein- und Ausatmen",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 33,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_30",
|
|
"type_options": null,
|
|
"name": "soms7t_30",
|
|
"label": "30\\. Außergewöhnliche Müdigkeit bei leichter Anstrengung",
|
|
"label_parsed": "30. Außergewöhnliche Müdigkeit bei leichter Anstrengung",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 34,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_31",
|
|
"type_options": null,
|
|
"name": "soms7t_31",
|
|
"label": "31\\. Flecken oder Farbänderungen der Haut",
|
|
"label_parsed": "31. Flecken oder Farbänderungen der Haut",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 35,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_32",
|
|
"type_options": null,
|
|
"name": "soms7t_32",
|
|
"label": "32\\. Sexuelle Gleichgültigkeit",
|
|
"label_parsed": "32. Sexuelle Gleichgültigkeit",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 36,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_33",
|
|
"type_options": null,
|
|
"name": "soms7t_33",
|
|
"label": "33\\. Unangenehme Empfindungen im oder am Genitalbereich",
|
|
"label_parsed": "33. Unangenehme Empfindungen im oder am Genitalbereich",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 37,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_34",
|
|
"type_options": null,
|
|
"name": "soms7t_34",
|
|
"label": "34\\. Koordinations- oder Gleichgewichtsstörungen",
|
|
"label_parsed": "34. Koordinations- oder Gleichgewichtsstörungen",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 38,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_35",
|
|
"type_options": null,
|
|
"name": "soms7t_35",
|
|
"label": "35\\. Lähmung oder Muskelschwäche",
|
|
"label_parsed": "35. Lähmung oder Muskelschwäche",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 39,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_36",
|
|
"type_options": null,
|
|
"name": "soms7t_36",
|
|
"label": "36\\. Schwierigkeiten beim Schlucken oder Kloßgefühl",
|
|
"label_parsed": "36. Schwierigkeiten beim Schlucken oder Kloßgefühl",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 40,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_37",
|
|
"type_options": null,
|
|
"name": "soms7t_37",
|
|
"label": "37\\. Flüsterstimme oder Stimmverlust",
|
|
"label_parsed": "37. Flüsterstimme oder Stimmverlust",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 41,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_38",
|
|
"type_options": null,
|
|
"name": "soms7t_38",
|
|
"label": "38\\. Harnverhaltung oder Schwierigkeiten beim Wasserlassen",
|
|
"label_parsed": "38. Harnverhaltung oder Schwierigkeiten beim Wasserlassen",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 42,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_39",
|
|
"type_options": null,
|
|
"name": "soms7t_39",
|
|
"label": "39\\. Sinnestäuschungen",
|
|
"label_parsed": "39. Sinnestäuschungen",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 43,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_40",
|
|
"type_options": null,
|
|
"name": "soms7t_40",
|
|
"label": "40\\. Verlust von Berührungs- oder Schmerzempfindungen",
|
|
"label_parsed": "40. Verlust von Berührungs- oder Schmerzempfindungen",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 44,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_41",
|
|
"type_options": null,
|
|
"name": "soms7t_41",
|
|
"label": "41\\. Unangenehme Kribbelempfindungen",
|
|
"label_parsed": "41. Unangenehme Kribbelempfindungen",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 45,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_42",
|
|
"type_options": null,
|
|
"name": "soms7t_42",
|
|
"label": "42\\. Sehen von Doppelbildern",
|
|
"label_parsed": "42. Sehen von Doppelbildern",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 46,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_43",
|
|
"type_options": null,
|
|
"name": "soms7t_43",
|
|
"label": "43\\. Blindheit",
|
|
"label_parsed": "43. Blindheit",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 47,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_44",
|
|
"type_options": null,
|
|
"name": "soms7t_44",
|
|
"label": "44\\. Verlust des Hörvermögens",
|
|
"label_parsed": "44. Verlust des Hörvermögens",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
|
|
"showif": "",
|
|
"value": null,
|
|
"block_order": null,
|
|
"item_order": 48,
|
|
"choices": {
|
|
"1": "gar nicht",
|
|
"2": "leicht",
|
|
"3": "mittelmäßig",
|
|
"4": "stark",
|
|
"5": "sehr stark"
|
|
}
|
|
},
|
|
{
|
|
"type": "mc",
|
|
"choice_list": "soms7t_45",
|
|
"type_options": null,
|
|
"name": "soms7t_45",
|
|
"label": "45\\. Krampfanfälle",
|
|
"label_parsed": "45. Krampfanfälle",
|
|
"optional": 0,
|
|
"class": "mc_vertical left400 label_align_left",
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