ID

15242

Beskrivning

Routine documentation in German hospitals. Source file name: AU010104_Checkliste Aufnahme/ Ablaufplan stationäre Aufnahme.045 Examplary forms provided by DMI (http://www.dmi.de/)

Länk

http://www.dmi.de/

Nyckelord

Versioner (2)
  1. 2016-05-23 2016-05-23 -
  2. 2021-09-20 2021-09-20 -
Uppladdad den

23 maj 2016

DOI

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Licens

Creative Commons BY-NC 3.0
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Flowchart inpatient admission Checklist Admission Routine documentation in German hospitals DMI

Engelsk

Flowchart inpatient admission Checklist Admission

1 Formulär  
Flowchart inpatient admission
Beskrivning

Flowchart inpatient admission

Alias
UMLS CUI-1
C1299501
UMLS CUI-2
C0184666
UMLS CUI-3
C0021562
Admission date and time
Beskrivning

Admission date and time

Datatyp

datetime

Alias
UMLS CUI [1]
C0488561
Ward
Beskrivning

Ward

Datatyp

integer

Alias
UMLS CUI [1]
C1305702
Expected patient discharge date
Beskrivning

Patient Discharge date

Datatyp

date

Alias
UMLS CUI [1]
C4037773
Surgery date
Beskrivning

Surgery date

Datatyp

date

Alias
UMLS CUI [1]
C1628561
Blood collection (CA- Standard: BB, Sodium, Potassium, Creatinine, Urea, CA 19-9, CEA, Coagulation, TSH
Beskrivning

blood collection

Datatyp

boolean

Alias
UMLS CUI [1]
C0005834
Other blood collection
Beskrivning

Other blood collection

Datatyp

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0005834
X- ray
Beskrivning

X- ray

Alias
UMLS CUI-1
C0034571
Chest X- ray
Beskrivning

Chest X- ray

Datatyp

text

Alias
UMLS CUI [1]
C0039985
Date and time of Chest X- ray
Beskrivning

Date and time Chest X- ray

Datatyp

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0039985
CT abdomen
Beskrivning

CT abdomen

Datatyp

text

Alias
UMLS CUI [1]
C0412620
CT abdomen Date and time
Beskrivning

Date and time CT abdomen

Datatyp

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0412620
MRI
Beskrivning

MRI

Datatyp

text

Alias
UMLS CUI [1]
C0024485
MRI Date and time
Beskrivning

Date and time MRI

Datatyp

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0024485
Other
Beskrivning

Other

Datatyp

text

Alias
UMLS CUI [1]
C0205394
Date and time Other
Beskrivning

Date and time Other

Datatyp

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0205394
Ultrasonography/ Endoscopy
Beskrivning

Ultrasonography/ Endoscopy

Alias
UMLS CUI-1
C0041618
UMLS CUI-3
C0014245
Ultrasonography of liver
Beskrivning

Ultrasonography Liver

Datatyp

text

Alias
UMLS CUI [1]
C0412534
Date and time of Ultrasonography of liver
Beskrivning

Date and time Ultrasonography of liver

Datatyp

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0412534
Colonoscopy
Beskrivning

Colonoscopy

Datatyp

text

Alias
UMLS CUI [1]
C0009378
Date and time of Colonoscopy
Beskrivning

Date and time Colonoscopy

Datatyp

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0009378
Gastroscopy
Beskrivning

Gastroscopy

Datatyp

text

Alias
UMLS CUI [1]
C0017195
Date and time of Gastroscopy
Beskrivning

Date and time Gastroscopy

Datatyp

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0017195
Endosonography
Beskrivning

Endosonography

Datatyp

text

Alias
UMLS CUI [1]
C0376443
Date and time of Endosonography
Beskrivning

Date and time Endosonography

Datatyp

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0376443
Other
Beskrivning

Other

Datatyp

text

Alias
UMLS CUI [1]
C0205394
Date and time of Other
Beskrivning

Date and time Other

Datatyp

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0205394
Other Examinations
Beskrivning

Other Examinations

Alias
UMLS CUI-1
C0086141
UMLS CUI-2
C0205394
Other Examinations
Beskrivning

Examinations Other

Datatyp

text

Alias
UMLS CUI [1,1]
C0086141
UMLS CUI [1,2]
C0205394
Other Examinations
Beskrivning

Examinations Other

Datatyp

text

Alias
UMLS CUI [1,1]
C0086141
UMLS CUI [1,2]
C0205394
Date and time of Other Examinations
Beskrivning

Date and time Other Examinations

Datatyp

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0086141
UMLS CUI [1,3]
C0205394
Tillbaka till toppen

Similar models

Flowchart inpatient admission Checklist Admission

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Flowchart inpatient admission
C1299501 (UMLS CUI-1)
C0184666 (UMLS CUI-2)
C0021562 (UMLS CUI-3)
Admission date and time
Item
Admission date and time
datetime
C0488561 (UMLS CUI [1])
Ward
Item
Ward
integer
C1305702 (UMLS CUI [1])
Patient Discharge date
Item
Expected patient discharge date
date
C4037773 (UMLS CUI [1])
Surgery date
Item
Surgery date
date
C1628561 (UMLS CUI [1])
blood collection
Item
Blood collection (CA- Standard: BB, Sodium, Potassium, Creatinine, Urea, CA 19-9, CEA, Coagulation, TSH
boolean
C0005834 (UMLS CUI [1])
Other blood collection
Item
Other blood collection
text
C0205394 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
Item Group
X- ray
C0034571 (UMLS CUI-1)
Item
Chest X- ray
text
C0039985 (UMLS CUI [1])
Chest X- ray
Code List
Chest X- ray
CL Item
yes, registered (1)
CL Item
yes, referral already by the X- ray department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Chest X- ray
Item
Date and time of Chest X- ray
datetime
C1717740 (UMLS CUI [1,1])
C0039985 (UMLS CUI [1,2])
Item
CT abdomen
text
C0412620 (UMLS CUI [1])
Chest X- ray
Code List
CT abdomen
CL Item
yes, registered (1)
CL Item
yes, referral already by the X- ray department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time CT abdomen
Item
CT abdomen Date and time
datetime
C1717740 (UMLS CUI [1,1])
C0412620 (UMLS CUI [1,2])
Item
MRI
text
C0024485 (UMLS CUI [1])
Chest X- ray
Code List
MRI
CL Item
yes, registered (1)
CL Item
yes, referral already by the X- ray department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time MRI
Item
MRI Date and time
datetime
C1717740 (UMLS CUI [1,1])
C0024485 (UMLS CUI [1,2])
Item
Other
text
C0205394 (UMLS CUI [1])
Chest X- ray
Code List
Other
CL Item
yes, registered (1)
CL Item
yes, referral already by the X- ray department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Other
Item
Date and time Other
datetime
C1717740 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Ultrasonography/ Endoscopy
C0041618 (UMLS CUI-1)
C0014245 (UMLS CUI-3)
Item
Ultrasonography of liver
text
C0412534 (UMLS CUI [1])
Ultrasonography Liver
Code List
Ultrasonography of liver
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Ultrasonography of liver
Item
Date and time of Ultrasonography of liver
datetime
C1717740 (UMLS CUI [1,1])
C0412534 (UMLS CUI [1,2])
Item
Colonoscopy
text
C0009378 (UMLS CUI [1])
Ultrasonography Liver
Code List
Colonoscopy
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Colonoscopy
Item
Date and time of Colonoscopy
datetime
C1717740 (UMLS CUI [1,1])
C0009378 (UMLS CUI [1,2])
Item
Gastroscopy
text
C0017195 (UMLS CUI [1])
Ultrasonography Liver
Code List
Gastroscopy
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Gastroscopy
Item
Date and time of Gastroscopy
datetime
C1717740 (UMLS CUI [1,1])
C0017195 (UMLS CUI [1,2])
Item
Endosonography
text
C0376443 (UMLS CUI [1])
Endosonography
Code List
Endosonography
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
yes, appointment in LC/ Outpatient department (4)
CL Item
no (5)
Date and time Endosonography
Item
Date and time of Endosonography
datetime
C1717740 (UMLS CUI [1,1])
C0376443 (UMLS CUI [1,2])
Item
Other
text
C0205394 (UMLS CUI [1])
Ultrasonography Liver
Code List
Other
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Other
Item
Date and time of Other
datetime
C1717740 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Other Examinations
C0086141 (UMLS CUI-1)
C0205394 (UMLS CUI-2)
Examinations Other
Item
Other Examinations
text
C0086141 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Other Examinations
text
C0086141 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Ultrasonography Liver
Code List
Other Examinations
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Other Examinations
Item
Date and time of Other Examinations
datetime
C1717740 (UMLS CUI [1,1])
C0086141 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Tillbaka till toppen 

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