ID

15212

Beschreibung

Routine documentation in German hospitals. Source file name: AU010103_Aufnahmebogen/ Patientendeckblatt.009 Examplary forms provided by DMI (http://www.dmi.de/)

Link

http://www.dmi.de/

Stichworte

  1. 22.05.16 22.05.16 -
Hochgeladen am

22. Mai 2016

DOI

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Lizenz

Creative Commons BY-NC 3.0

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Patient information cover page first contact Admission sheet Routine documentation in German hospitals DMI

Patient information cover page first contact Admission sheet

Patient information cover page
Beschreibung

Patient information cover page

Case number
Beschreibung

Case number

Datentyp

integer

Alias
UMLS CUI [1,1]
C0872057
UMLS CUI [1,2]
C1300638
Patient firstname
Beschreibung

Patient firstname

Datentyp

text

Alias
UMLS CUI [1]
C0421447
Patient surname
Beschreibung

Patient surname

Datentyp

text

Alias
UMLS CUI [1]
C0421448
Date of birth
Beschreibung

Date of birth

Datentyp

date

Alias
UMLS CUI [1]
C0421451
Telephone
Beschreibung

Telephone

Datentyp

integer

Alias
UMLS CUI [1]
C1515258
Referring physician
Beschreibung

referring physician

Datentyp

text

Alias
UMLS CUI [1]
C1709880
BF
Beschreibung

BF

Datentyp

boolean

PAP
Beschreibung

PAP

Datentyp

boolean

ROE'S
Beschreibung

ROES

Datentyp

boolean

Referral
Beschreibung

Referral

Datentyp

boolean

Alias
UMLS CUI [1]
C0034927
Health insurance
Beschreibung

Health insurance

Datentyp

text

Alias
UMLS CUI [1]
C0021682
Diagnosis
Beschreibung

Diagnosis

Datentyp

text

Alias
UMLS CUI [1]
C0011900
Planned surgery date
Beschreibung

Surgery date

Datentyp

date

Alias
UMLS CUI [1]
C1628561
New surgery date
Beschreibung

Surgery date

Datentyp

date

Alias
UMLS CUI [1]
C1628561
Note
Beschreibung

Note

Datentyp

text

Alias
UMLS CUI [1]
C1317574
Did you previously hear about the clinic or doctor before the referring physician informed you?
Beschreibung

clinic; physician

Datentyp

boolean

Alias
UMLS CUI [1]
C0442592
UMLS CUI [2]
C0031831
If yes, through:
Beschreibung

Information

Datentyp

text

Copy of surgery information handed out?
Beschreibung

clarification surgery

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2986669
UMLS CUI [1,2]
C0038894
Copy of anesthesia information handed out?
Beschreibung

clarification anesthesia

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2986669
UMLS CUI [1,2]
C0002903
Copy of contract of admission and treatment handed out?
Beschreibung

contract Patient Admission

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0332522
UMLS CUI [1,2]
C0030673
Date of admission
Beschreibung

Admission date

Datentyp

date

Alias
UMLS CUI [1]
C1302393

Ähnliche Modelle

Patient information cover page first contact Admission sheet

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Patient information cover page
Case number
Item
Case number
integer
C0872057 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Patient firstname
Item
Patient firstname
text
C0421447 (UMLS CUI [1])
Patient surname
Item
Patient surname
text
C0421448 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Telephone
Item
Telephone
integer
C1515258 (UMLS CUI [1])
referring physician
Item
Referring physician
text
C1709880 (UMLS CUI [1])
BF
Item
BF
boolean
PAP
Item
PAP
boolean
ROES
Item
ROE'S
boolean
Referral
Item
Referral
boolean
C0034927 (UMLS CUI [1])
Item
Health insurance
text
C0021682 (UMLS CUI [1])
Code List
Health insurance
CL Item
statutory insurance (1)
CL Item
no insurance (2)
CL Item
private general (3)
CL Item
private Single bed room (4)
CL Item
private double bed room (5)
CL Item
private doctor of choise (6)
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Surgery date
Item
Planned surgery date
date
C1628561 (UMLS CUI [1])
Surgery date
Item
New surgery date
date
C1628561 (UMLS CUI [1])
Note
Item
Note
text
C1317574 (UMLS CUI [1])
clinic; physician
Item
Did you previously hear about the clinic or doctor before the referring physician informed you?
boolean
C0442592 (UMLS CUI [1])
C0031831 (UMLS CUI [2])
Item
If yes, through:
text
Code List
If yes, through:
CL Item
recommendation (1)
CL Item
internet (2)
CL Item
advertisement in paper (3)
CL Item
radio (4)
CL Item
TV (5)
clarification surgery
Item
Copy of surgery information handed out?
boolean
C2986669 (UMLS CUI [1,1])
C0038894 (UMLS CUI [1,2])
clarification anesthesia
Item
Copy of anesthesia information handed out?
boolean
C2986669 (UMLS CUI [1,1])
C0002903 (UMLS CUI [1,2])
contract Patient Admission
Item
Copy of contract of admission and treatment handed out?
boolean
C0332522 (UMLS CUI [1,1])
C0030673 (UMLS CUI [1,2])
Admission date
Item
Date of admission
date
C1302393 (UMLS CUI [1])

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