ID

15212

Beschrijving

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/

Trefwoorden

  1. 22-05-16 22-05-16 -
Geüploaded op

22 mei 2016

DOI

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Licentie

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
Beschrijving

Patient information cover page

Case number
Beschrijving

Case number

Datatype

integer

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

Patient firstname

Datatype

text

Alias
UMLS CUI [1]
C0421447
Patient surname
Beschrijving

Patient surname

Datatype

text

Alias
UMLS CUI [1]
C0421448
Date of birth
Beschrijving

Date of birth

Datatype

date

Alias
UMLS CUI [1]
C0421451
Telephone
Beschrijving

Telephone

Datatype

integer

Alias
UMLS CUI [1]
C1515258
Referring physician
Beschrijving

referring physician

Datatype

text

Alias
UMLS CUI [1]
C1709880
BF
Beschrijving

BF

Datatype

boolean

PAP
Beschrijving

PAP

Datatype

boolean

ROE'S
Beschrijving

ROES

Datatype

boolean

Referral
Beschrijving

Referral

Datatype

boolean

Alias
UMLS CUI [1]
C0034927
Health insurance
Beschrijving

Health insurance

Datatype

text

Alias
UMLS CUI [1]
C0021682
Diagnosis
Beschrijving

Diagnosis

Datatype

text

Alias
UMLS CUI [1]
C0011900
Planned surgery date
Beschrijving

Surgery date

Datatype

date

Alias
UMLS CUI [1]
C1628561
New surgery date
Beschrijving

Surgery date

Datatype

date

Alias
UMLS CUI [1]
C1628561
Note
Beschrijving

Note

Datatype

text

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

clinic; physician

Datatype

boolean

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

Information

Datatype

text

Copy of surgery information handed out?
Beschrijving

clarification surgery

Datatype

boolean

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

clarification anesthesia

Datatype

boolean

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

contract Patient Admission

Datatype

boolean

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

Admission date

Datatype

date

Alias
UMLS CUI [1]
C1302393

Similar models

Patient information cover page first contact Admission sheet

Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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