Informations:
Erreur:
ID
15212
Description
Routine documentation in German hospitals. Source file name: AU010103_Aufnahmebogen/ Patientendeckblatt.009 Examplary forms provided by DMI (http://www.dmi.de/)
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Versions (1)
- 22/05/2016 22/05/2016 -
Téléchargé le
22 mai 2016
DOI
Pour une demande vous connecter.
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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
- StudyEvent: ODM
Similar models
Patient information cover page first contact Admission sheet
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Case number
Item
Case number
integer
C0872057 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
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])
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])
C0031831 (UMLS CUI [2])
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])
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])
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])
C0030673 (UMLS CUI [1,2])
Admission date
Item
Date of admission
date
C1302393 (UMLS CUI [1])