Information:
Error:
ID
10221
Description
EHR General findings from University Hospital of Münster, Germany
Keywords
Versions (2)
- 9/25/14 9/25/14 - Martin Dugas
- 5/17/15 5/17/15 - Martin Dugas
Uploaded on
May 17, 2015
DOI
To request one please log in.
License
Creative Commons BY-NC 3.0 Legacy
Model comments :
You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.
Itemgroup comments for :
Item comments for :
In order to download data models you must be logged in. Please log in or register for free.
EHR General findings
General findings
- StudyEvent: Allgemeiner Befund
Similar models
General findings
- StudyEvent: Allgemeiner Befund
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Procedure performed
Item
Durchgeführte Untersuchung
text
C2985643 (UMLS CUI-1)
Reporting physician
Item
Befunder
text
Date of finding
Item
Befundungsdatum
date
Type of finding
Item
Art des Befundes
text
Finding status
Item
Befund Status
text
Finding
Item
Befund
text
C0243095 (UMLS CUI-1)
Cave
Item
Cave
text
C0871599 (UMLS CUI-1)
Diagnosis summary
Item
Diagnosen Zusammenfassung
text
C0011900 (UMLS CUI-1)
Laboratory test findings
Item
Laborwerte textuell
text
C0587081 (UMLS CUI-1)
Findings (previous)
Item
Vorbefunde
text
C0243095 (UMLS CUI-1)
C0205156 (UMLS CUI-2)
C0205156 (UMLS CUI-2)
Evaluation
Item
Beurteilung
text
Recommendation
Item
Empfehlung
text
C0034866 (UMLS CUI-1)
Order ID
Item
Auftragsnummer
text
Priority
Item
Dringlichkeit
text
C0549179 (UMLS CUI-1)
Type of order
Item
Art der Anforderung
text
Requested date
Item
Wunschtermin
date
Healthcare facility
Item
Einrichtung
text
C0018704 (UMLS CUI-1)
Requesting department
Item
Anfordernde Fachabteilung
text
Requesting unit
Item
Anfordernde Stelle
text
Requesting user
Item
Anfordernder Benutzer
text
External requesting user
Item
Externer Anforderer
boolean
Procedure requested
Item
Gewünschte Untersuchung
text
C0586146 (UMLS CUI-1)
Requested additional procedures
Item
Gewünschte Zusatzuntersuchungen
text
Number of requested procedures
Item
Gewuenschte Untersuchung Anzahl
integer
Requested date
Item
Wunschdatum
date
Requested time
Item
Wunschzeit
time
Rejecting user
Item
Rückweiser
text
Reason for rejection
Item
Rueckweisungsgrund
text
Mobility
Item
Mobilität
text
C0425245 (UMLS CUI-1)
Appointment
Item
Termin
text
Performing department
Item
Leistende Fachabteilung
text
Performing unit
Item
Leistende Stelle
text
Receiving physician
Item
Zielbenutzer Arzt
text
Additional receiver
Item
Zusatzempfänger Stelle
text
Additional receiving department
Item
Zusatzempfänger Fachabteilung
text
Accounting area
Item
Buchungskreis
text
Receiving cost center
Item
Empfangende Kostenstelle
text
Modality
Item
Modalität
text
C0695347 (UMLS CUI-1)
Demonstration list
Item
Demoliste
text
Permission for photo documentation
Item
FOTO erlaubt
boolean
Documentation date
Item
Erfassungsdatum
text
signed
Item
Status signiert
boolean
C1561610 (UMLS CUI-1)
Signature (middle)
Item
Mittig Unterschreibender
text
Signature (left)
Item
Links Unterschreibender
text