ID

16163

Descripción

Report/Protocol collecting patient and treatment information like the circumstances of the accident and initial ER treatment. http://klinikum.uni-muenster.de/

Link

http://klinikum.uni-muenster.de/

Palabras clave

Versiones (3)
  1. 17/6/16 17/6/16 -
  2. 18/6/16 18/6/16 -
  3. 3/7/16 3/7/16 -
Subido en

3 de julio de 2016

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0
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Emergency Room Point B in Time Part 2: Emergency Room Report UKM

Alemán Inglés

Emergency Room Point B in Time Part 2: Emergency Room Report UKM

1 formularios  
Patient information
Descripción

Patient information

Alias
UMLS CUI-1
C1955348
Nachname
Descripción

Last name

Tipo de datos

text

Alias
UMLS CUI [1]
C0421448
Vorname
Descripción

First name

Tipo de datos

text

Alias
UMLS CUI [1]
C1443235
Geburtsdatum
Descripción

Date of birth

Tipo de datos

date

Alias
UMLS CUI [1]
C0421451
Index
Descripción

Index

Tipo de datos

text

Alias
UMLS CUI [1]
C1300638
Untersuchungsbefund
Descripción

Untersuchungsbefund

ATLS
Descripción

ATLS

Alias
UMLS CUI-1
C3494237
A-Problem (Airway)
Descripción

A-Problem (Airway)

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0458827
UMLS CUI [1,2]
C0033213
B-Problem (Breathing)
Descripción

B-Problem (Breathing)

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0035203
UMLS CUI [1,2]
C0033213
C-Problem (Circulation)
Descripción

C-Problem (Circulation)

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0005775
UMLS CUI [1,2]
C0033213
D-Problem (Disability)
Descripción

D-Problem (Disability)

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0231170
UMLS CUI [1,2]
C0033213
E-Problem (Hypothermie)
Descripción

E-Problem (Hypothermia)

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0020672
UMLS CUI [1,2]
C0033213
Peripherer Neurologischer Status
Descripción

Peripherer Neurologischer Status

Alias
UMLS CUI-1
C0027853
Motorik
Descripción

motor function

Tipo de datos

integer

Alias
UMLS CUI [1]
C0234130
Sesibilität
Descripción

sensitivity

Tipo de datos

integer

Alias
UMLS CUI [1]
C1522640
Reflexe
Descripción

reflexes

Tipo de datos

integer

Alias
UMLS CUI [1]
C0436145
Babinski
Descripción

Babinski Reflex

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0034935
Sphinktertonus
Descripción

sphincter tone

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0426763
Sonstiges
Descripción

other neurological finding

Tipo de datos

text

Alias
UMLS CUI [1]
C0438194
Gefäßstatus
Descripción

Gefäßstatus

Alias
UMLS CUI-1
C0005847
UMLS CUI-2
C0438105
rechte A. carotis tastbar
Descripción

right A. carotis palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0226086
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226086
linke A. carotis tastbar
Descripción

left A. carotis palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0226087
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226087
rechte A. radialis tastbar
Descripción

right A. radialis palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0232142
UMLS CUI [1,2]
C0444532
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226438
linke A. radialis tastbar
Descripción

left A. radialis palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0232142
UMLS CUI [1,2]
C0443246
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226439
rechte A. femoralis tastbar
Descripción

right A. femoralis palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0226447
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226447
linke A. femoralis tastbar
Descripción

left A. femoralis palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0226448
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226448
rechte A. poplitea tastbar
Descripción

right A. poplitea palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0232151
UMLS CUI [1,2]
C0444532
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226462
linke A. poplitea tastbar
Descripción

left A. poplitea palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0232151
UMLS CUI [1,2]
C0443246
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226463
rechte A. dors. ped. tastbar
Descripción

right A. dors. ped. palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0834665
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0834665
linke A. dors. ped. tastbar
Descripción

left A. dors. ped. palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0834666
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0834666
rechte A. tib. post. tastbar
Descripción

right A. tib. post. palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0226474
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226474
linke A. tib. post. tastbar
Descripción

left A. tib. post. palpable

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0226475
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226475
Kopf/Hals
Descripción

Kopf/Hals

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0460004
o.B.
Descripción

without finding

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0332288
UMLS CUI [1,2]
C0243095
Hämatom
Descripción

hematoma

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0018944
Orbitalhämatom
Descripción

hematoma of orbita

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0520723
Gehörgangsblutung
Descripción

bleeding of auditory canal

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0019080
UMLS CUI [1,2]
C0013444
Liquorrhoe
Descripción

liquorrhea

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0860578
Platzwunde
Descripción

laceration

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0856548
Mittelgesichtsinstabilität
Descripción

facial instabilty

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0435321
Unterkieferfraktur
Descripción

fracture of mandibula

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0024692
Augenverletzung
Descripción

injury of eye

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0015408
Sonstige:
Descripción

ohter injuries of head

Tipo de datos

text

Alias
UMLS CUI [1]
C0178671
Thorax
Descripción

Thorax

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0817096
o.B.
Descripción

without finding

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0332288
UMLS CUI [1,2]
C0243095
Prellmarken
Descripción

contusion of chest

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0160925
Hämatom
Descripción

hematoma

Tipo de datos

boolean

Alias
UMLS CUI [1]
C4049192
Hautemphysem
Descripción

skin emphysema

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0038536
Instabilität
Descripción

thoracal instability

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0231433
UMLS CUI [1,2]
C0817096
atemabh. Schmerz
Descripción

chest pain on breathing

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0423729
Kompressionsschmerz
Descripción

chest pain on compression

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0728907
offene Verletzung
Descripción

open wound

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0478235
Halsvenenstauung
Descripción

jugular vein congestion

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0700148
UMLS CUI [1,2]
C0022427
path. Auskultationsbefund
Descripción

pathological auscultation of chest

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0577960
Thoraxdrainage
Descripción

chest tube

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0008034
Sonstige:
Descripción

other chest pain

Tipo de datos

text

Alias
UMLS CUI [1]
C0039980
Abdomen und Urogenitaltrakt
Descripción

Abdomen und Urogenitaltrakt

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0000726
UMLS CUI-3
C0042066
o.B.
Descripción

without finding

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0332288
UMLS CUI [1,2]
C0243095
Prellmarken
Descripción

contusion

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1439271
UMLS CUI [2]
C1389458
Hämatom
Descripción

Hematoma

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0018944
aufgetrieben
Descripción

Abdomen distended

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0000731
Druckschmerz
Descripción

pressure pain

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3647129
Abwehrspannung
Descripción

muscular guarding

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0238547
offene Verletzung
Descripción

open injury

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0559870
Verletzung Anogenitaltrakt
Descripción

anogenital injury

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C3263723
UMLS CUI [1,2]
C0031066
path. rekt. digit. Befund
Descripción

pathological digital examination of the rectum

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1384593
Sonstige:
Descripción

other injury of abdomen

Tipo de datos

text

Alias
UMLS CUI [1]
C1260446
Becken
Descripción

Becken

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0030797
o.B.
Descripción

without finding

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0332288
UMLS CUI [1,2]
C0243095
instabil
Descripción

instability of pelvis

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1389477
offene Verletzung
Descripción

open wound

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0559870
UMLS CUI [1,2]
C0030797
Sonstige:
Descripción

other injury of pelvis

Tipo de datos

text

Alias
UMLS CUI [1]
C0560636
Obere/Untere Extremität
Descripción

Obere/Untere Extremität

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0015385
Untere Extremität
Descripción

Lower limb

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0023216
drohendes Kompartmentsyndrom
Descripción

compartment syndrome lower limb

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0009492
UMLS CUI [1,2]
C0031809
Obere Extremität
Descripción

Upper limb

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C1140618
drohendes Kompartmentsyndrom
Descripción

compartment syndrome of upper limb

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0009492
UMLS CUI [1,2]
C1140618
Diagnoses
Descripción

Diagnoses

Diagnose
Descripción

Diagnosis

Tipo de datos

text

Alias
UMLS CUI [1]
C0011900
Übergabeprotokoll / Anordnungen
Descripción

Übergabeprotokoll / Anordnungen

Alias
UMLS CUI-1
C3494290
UMLS CUI-3
C0586001
Thromboseprophylaxe
Descripción

thrombosis prophylaxis

Tipo de datos

text

Alias
UMLS CUI [1]
C0199242
Antibiotikatherapie
Descripción

Antibiotics

Tipo de datos

text

Alias
UMLS CUI [1]
C0003232
Analgetika
Descripción

analgesics

Tipo de datos

text

Alias
UMLS CUI [1]
C0002771
Kost
Descripción

food

Tipo de datos

text

Alias
UMLS CUI [1]
C0016452
Infusionen
Descripción

infusion

Tipo de datos

text

Alias
UMLS CUI [1]
C1289919
Medikamente
Descripción

medication

Tipo de datos

text

Alias
UMLS CUI [1]
C0013227
Lagerunshilfen
Descripción

positioning aids

Tipo de datos

text

Alias
UMLS CUI [1]
C0182347
Kontroll Sono Abdomen
Descripción

control sono abdomen

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0041618
UMLS CUI [1,2]
C0000726
Zeitpunkt Kontroll Sono Abdomen
Descripción

time of control sono abdomen

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0041618
UMLS CUI [1,2]
C0000726
UMLS CUI [1,3]
C1547403
Kontroll CCT
Descripción

control CCT

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3515744
Zeitpunkt Kontroll CCT
Descripción

time of control CCT

Tipo de datos

time

Alias
UMLS CUI [1,1]
C3515744
UMLS CUI [1,2]
C1547403
Kontroll CT
Descripción

control CT

Tipo de datos

integer

Alias
UMLS CUI [1]
C0040405
Zeitpunkt Kontroll CT
Descripción

time of control CT

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0040405
UMLS CUI [1,2]
C1547403
Labor
Descripción

hematologic tests

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0018941
Zeitpunkt Labor
Descripción

time of hematologic tests

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0018941
UMLS CUI [1,2]
C1547403
Sonstiges
Descripción

other arrangements

Tipo de datos

text

Alias
UMLS CUI [1]
C0586001
Bei Arbeitsunfällen (BG)
Descripción

Bei Arbeitsunfällen (BG)

Alias
UMLS CUI-1
C0586557
Berufsgenossenschaft
Descripción

confraternity

Tipo de datos

text

Alias
UMLS CUI [1]
C3841800
Ort
Descripción

city

Tipo de datos

text

Alias
UMLS CUI [1]
C2316883
Beschäftigt als
Descripción

profession

Tipo de datos

text

Alias
UMLS CUI [1]
C0028811
seit
Descripción

engaged since

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0028811
UMLS CUI [1,2]
C0439659
Beginn der Arbeit
Descripción

beginning of workday

Tipo de datos

time

Alias
UMLS CUI [1,1]
C0680192
UMLS CUI [1,2]
C0439659
Betrieb
Descripción

Employer

Tipo de datos

text

Alias
UMLS CUI [1]
C1274022
Verhalten nach Unfall
Descripción

posttraumatic behaviour

Tipo de datos

text

Erstbehandlung durch
Descripción

initial treatment

Tipo de datos

text

Alias
UMLS CUI [1]
C2065349
Unfallunabhängige Krankheiten
Descripción

Comorbidity

Tipo de datos

text

Alias
UMLS CUI [1]
C0009488
Sprechen Hergang und Befund gegen eine AU
Descripción

do accident circumstances fit employers insurance requirements

Tipo de datos

integer

Alias
UMLS CUI [1]
C0586557
Weitere Behandlung
Descripción

Further treatment

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1517331
arbeitsfähig ab
Descripción

fit for work

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0578795
UMLS CUI [1,2]
C0011008
AU - Bescheinigung ausgestellt
Descripción

sick leave certificate

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0007836
UMLS CUI [1,2]
C0242807
AU <3 Tage
Descripción

sick leave duration less than 3 days

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0007836
UMLS CUI [1,2]
C0439092
UMLS CUI [1,3]
C1442459
AU Dauer ca.
Descripción

sick leave duration

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0007836
UMLS CUI [1,2]
C0449238
allg. Behandlung durch
Descripción

[] durch mich [] durch ...

Tipo de datos

integer

Alias
UMLS CUI [1]
C1710470
allg. Behandlung durch (bitte spezifizieren)
Descripción

specify treating physician

Tipo de datos

text

Alias
UMLS CUI [1]
C1710470
bes. Behandlung
Descripción

special treatment

Tipo de datos

integer

bes. Behandlung durch
Descripción

treating physician special treatment

Tipo de datos

integer

bes. Behandlung durch (bitte spezifizieren)
Descripción

treating physician special treatment

Tipo de datos

text

BG-Ergänzungsbogen ausgefüllt (SHT, Verbrennung, Hand, Finger, Knie)
Descripción

employers insurance questionnaire

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C3841800
UMLS CUI [1,2]
C0034394
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Similar models

Emergency Room Point B in Time Part 2: Emergency Room Report UKM

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
C1955348 (UMLS CUI-1)
Last name
Item
Nachname
text
C0421448 (UMLS CUI [1])
First name
Item
Vorname
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Index
Item
Index
text
C1300638 (UMLS CUI [1])
Item Group
Untersuchungsbefund
Item Group
ATLS
C3494237 (UMLS CUI-1)
A-Problem (Airway)
Item
A-Problem (Airway)
boolean
C0458827 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
B-Problem (Breathing)
Item
B-Problem (Breathing)
boolean
C0035203 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
C-Problem (Circulation)
Item
C-Problem (Circulation)
boolean
C0005775 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
D-Problem (Disability)
Item
D-Problem (Disability)
boolean
C0231170 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
E-Problem (Hypothermia)
Item
E-Problem (Hypothermie)
boolean
C0020672 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
Item Group
Peripherer Neurologischer Status
C0027853 (UMLS CUI-1)
Item
Motorik
integer
C0234130 (UMLS CUI [1])
motor function
Code List
Motorik
CL Item
spontan (1)
CL Item
seitengleich (2)
CL Item
abgeschwächt (3)
CL Item
keine (4)
Item
Sesibilität
integer
C1522640 (UMLS CUI [1])
sensitivity
Code List
Sesibilität
CL Item
o.B. (1)
CL Item
gestört (2)
CL Item
nicht eurierbar (3)
Item
Reflexe
integer
C0436145 (UMLS CUI [1])
reflexes
Code List
Reflexe
CL Item
o.B. (1)
CL Item
path. (2)
Babinski Reflex
Item
Babinski
boolean
C0034935 (UMLS CUI [1])
sphincter tone
Item
Sphinktertonus
boolean
C0426763 (UMLS CUI [1])
other neurological finding
Item
Sonstiges
text
C0438194 (UMLS CUI [1])
Item Group
Gefäßstatus
C0005847 (UMLS CUI-1)
C0438105 (UMLS CUI-2)
right A. carotis palpable
Item
rechte A. carotis tastbar
boolean
C0517385 (UMLS CUI [1,1])
C0226086 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0226086 (UMLS CUI [2,2])
left A. carotis palpable
Item
linke A. carotis tastbar
boolean
C0517385 (UMLS CUI [1,1])
C0226087 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0226087 (UMLS CUI [2,2])
right A. radialis palpable
Item
rechte A. radialis tastbar
boolean
C0232142 (UMLS CUI [1,1])
C0444532 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0226438 (UMLS CUI [2,2])
left A. radialis palpable
Item
linke A. radialis tastbar
boolean
C0232142 (UMLS CUI [1,1])
C0443246 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0226439 (UMLS CUI [2,2])
right A. femoralis palpable
Item
rechte A. femoralis tastbar
boolean
C0517385 (UMLS CUI [1,1])
C0226447 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0226447 (UMLS CUI [2,2])
left A. femoralis palpable
Item
linke A. femoralis tastbar
boolean
C0517385 (UMLS CUI [1,1])
C0226448 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0226448 (UMLS CUI [2,2])
right A. poplitea palpable
Item
rechte A. poplitea tastbar
boolean
C0232151 (UMLS CUI [1,1])
C0444532 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0226462 (UMLS CUI [2,2])
left A. poplitea palpable
Item
linke A. poplitea tastbar
boolean
C0232151 (UMLS CUI [1,1])
C0443246 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0226463 (UMLS CUI [2,2])
right A. dors. ped. palpable
Item
rechte A. dors. ped. tastbar
boolean
C0517385 (UMLS CUI [1,1])
C0834665 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0834665 (UMLS CUI [2,2])
left A. dors. ped. palpable
Item
linke A. dors. ped. tastbar
boolean
C0517385 (UMLS CUI [1,1])
C0834666 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0834666 (UMLS CUI [2,2])
right A. tib. post. palpable
Item
rechte A. tib. post. tastbar
boolean
C0517385 (UMLS CUI [1,1])
C0226474 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0226474 (UMLS CUI [2,2])
left A. tib. post. palpable
Item
linke A. tib. post. tastbar
boolean
C0517385 (UMLS CUI [1,1])
C0226475 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0226475 (UMLS CUI [2,2])
Item Group
Kopf/Hals
C0031809 (UMLS CUI-1)
C0460004 (UMLS CUI-2)
without finding
Item
o.B.
boolean
C0332288 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
hematoma
Item
Hämatom
boolean
C0018944 (UMLS CUI [1])
hematoma of orbita
Item
Orbitalhämatom
boolean
C0520723 (UMLS CUI [1])
bleeding of auditory canal
Item
Gehörgangsblutung
boolean
C0019080 (UMLS CUI [1,1])
C0013444 (UMLS CUI [1,2])
liquorrhea
Item
Liquorrhoe
boolean
C0860578 (UMLS CUI [1])
laceration
Item
Platzwunde
boolean
C0856548 (UMLS CUI [1])
facial instabilty
Item
Mittelgesichtsinstabilität
boolean
C0435321 (UMLS CUI [1])
fracture of mandibula
Item
Unterkieferfraktur
boolean
C0024692 (UMLS CUI [1])
injury of eye
Item
Augenverletzung
boolean
C0015408 (UMLS CUI [1])
ohter injuries of head
Item
Sonstige:
text
C0178671 (UMLS CUI [1])
Item Group
Thorax
C0031809 (UMLS CUI-1)
C0817096 (UMLS CUI-2)
without finding
Item
o.B.
boolean
C0332288 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
contusion of chest
Item
Prellmarken
boolean
C0160925 (UMLS CUI [1])
hematoma
Item
Hämatom
boolean
C4049192 (UMLS CUI [1])
skin emphysema
Item
Hautemphysem
boolean
C0038536 (UMLS CUI [1])
thoracal instability
Item
Instabilität
boolean
C0231433 (UMLS CUI [1,1])
C0817096 (UMLS CUI [1,2])
chest pain on breathing
Item
atemabh. Schmerz
boolean
C0423729 (UMLS CUI [1])
chest pain on compression
Item
Kompressionsschmerz
boolean
C0008031 (UMLS CUI [1,1])
C0728907 (UMLS CUI [1,2])
open wound
Item
offene Verletzung
boolean
C0478235 (UMLS CUI [1])
jugular vein congestion
Item
Halsvenenstauung
boolean
C0700148 (UMLS CUI [1,1])
C0022427 (UMLS CUI [1,2])
pathological auscultation of chest
Item
path. Auskultationsbefund
boolean
C0577960 (UMLS CUI [1])
chest tube
Item
Thoraxdrainage
boolean
C0008034 (UMLS CUI [1])
other chest pain
Item
Sonstige:
text
C0039980 (UMLS CUI [1])
Item Group
Abdomen und Urogenitaltrakt
C0031809 (UMLS CUI-1)
C0000726 (UMLS CUI-2)
C0042066 (UMLS CUI-3)
without finding
Item
o.B.
boolean
C0332288 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
contusion
Item
Prellmarken
boolean
C1439271 (UMLS CUI [1])
C1389458 (UMLS CUI [2])
Hematoma
Item
Hämatom
boolean
C0018944 (UMLS CUI [1])
Abdomen distended
Item
aufgetrieben
boolean
C0000731 (UMLS CUI [1])
pressure pain
Item
Druckschmerz
boolean
C3647129 (UMLS CUI [1])
muscular guarding
Item
Abwehrspannung
boolean
C0238547 (UMLS CUI [1])
open injury
Item
offene Verletzung
boolean
C0559870 (UMLS CUI [1])
anogenital injury
Item
Verletzung Anogenitaltrakt
boolean
C3263723 (UMLS CUI [1,1])
C0031066 (UMLS CUI [1,2])
pathological digital examination of the rectum
Item
path. rekt. digit. Befund
boolean
C1384593 (UMLS CUI [1])
other injury of abdomen
Item
Sonstige:
text
C1260446 (UMLS CUI [1])
Item Group
Becken
C0031809 (UMLS CUI-1)
C0030797 (UMLS CUI-2)
without finding
Item
o.B.
boolean
C0332288 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
instability of pelvis
Item
instabil
boolean
C1389477 (UMLS CUI [1])
open wound
Item
offene Verletzung
boolean
C0559870 (UMLS CUI [1,1])
C0030797 (UMLS CUI [1,2])
other injury of pelvis
Item
Sonstige:
text
C0560636 (UMLS CUI [1])
Item Group
Obere/Untere Extremität
C0031809 (UMLS CUI-1)
C0015385 (UMLS CUI-2)
Lower limb
Item
Untere Extremität
text
C0031809 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0023216 (UMLS CUI [1,3])
compartment syndrome lower limb
Item
drohendes Kompartmentsyndrom
boolean
C0009492 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Upper limb
Item
Obere Extremität
text
C0031809 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C1140618 (UMLS CUI [1,3])
compartment syndrome of upper limb
Item
drohendes Kompartmentsyndrom
boolean
C0009492 (UMLS CUI [1,1])
C1140618 (UMLS CUI [1,2])
Item Group
Diagnoses
Diagnosis
Item
Diagnose
text
C0011900 (UMLS CUI [1])
Item Group
Übergabeprotokoll / Anordnungen
C3494290 (UMLS CUI-1)
C0586001 (UMLS CUI-3)
thrombosis prophylaxis
Item
Thromboseprophylaxe
text
C0199242 (UMLS CUI [1])
Antibiotics
Item
Antibiotikatherapie
text
C0003232 (UMLS CUI [1])
analgesics
Item
Analgetika
text
C0002771 (UMLS CUI [1])
food
Item
Kost
text
C0016452 (UMLS CUI [1])
infusion
Item
Infusionen
text
C1289919 (UMLS CUI [1])
medication
Item
Medikamente
text
C0013227 (UMLS CUI [1])
positioning aids
Item
Lagerunshilfen
text
C0182347 (UMLS CUI [1])
control sono abdomen
Item
Kontroll Sono Abdomen
boolean
C0041618 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
time of control sono abdomen
Item
Zeitpunkt Kontroll Sono Abdomen
time
C0041618 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
C1547403 (UMLS CUI [1,3])
control CCT
Item
Kontroll CCT
boolean
C3515744 (UMLS CUI [1])
time of control CCT
Item
Zeitpunkt Kontroll CCT
time
C3515744 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
Item
Kontroll CT
integer
C0040405 (UMLS CUI [1])
control CT
Code List
Kontroll CT
CL Item
Thorax (1)
CL Item
Abdomen (2)
time of control CT
Item
Zeitpunkt Kontroll CT
time
C0040405 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
hematologic tests
Item
Labor
boolean
C0018941 (UMLS CUI [1])
time of hematologic tests
Item
Zeitpunkt Labor
time
C0018941 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
other arrangements
Item
Sonstiges
text
C0586001 (UMLS CUI [1])
Item Group
Bei Arbeitsunfällen (BG)
C0586557 (UMLS CUI-1)
confraternity
Item
Berufsgenossenschaft
text
C3841800 (UMLS CUI [1])
city
Item
Ort
text
C2316883 (UMLS CUI [1])
profession
Item
Beschäftigt als
text
C0028811 (UMLS CUI [1])
engaged since
Item
seit
date
C0028811 (UMLS CUI [1,1])
C0439659 (UMLS CUI [1,2])
beginning of workday
Item
Beginn der Arbeit
time
C0680192 (UMLS CUI [1,1])
C0439659 (UMLS CUI [1,2])
Employer
Item
Betrieb
text
C1274022 (UMLS CUI [1])
posttraumatic behaviour
Item
Verhalten nach Unfall
text
initial treatment
Item
Erstbehandlung durch
text
C2065349 (UMLS CUI [1])
Comorbidity
Item
Unfallunabhängige Krankheiten
text
C0009488 (UMLS CUI [1])
Item
Sprechen Hergang und Befund gegen eine AU
integer
C0586557 (UMLS CUI [1])
do accident circumstances fit employers insurance requirements
Code List
Sprechen Hergang und Befund gegen eine AU
CL Item
nein (1)
CL Item
ja (2)
CL Item
muss BG klären (3)
Further treatment
Item
Weitere Behandlung
boolean
C0087111 (UMLS CUI [1,1])
C1517331 (UMLS CUI [1,2])
fit for work
Item
arbeitsfähig ab
date
C0578795 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
sick leave certificate
Item
AU - Bescheinigung ausgestellt
boolean
C0007836 (UMLS CUI [1,1])
C0242807 (UMLS CUI [1,2])
sick leave duration less than 3 days
Item
AU <3 Tage
boolean
C0007836 (UMLS CUI [1,1])
C0439092 (UMLS CUI [1,2])
C1442459 (UMLS CUI [1,3])
sick leave duration
Item
AU Dauer ca.
text
C0007836 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
allg. Behandlung durch
integer
C1710470 (UMLS CUI [1])
general treatment by
Code List
allg. Behandlung durch
CL Item
durch:_____ (1)
CL Item
durch mich (2)
specify treating physician
Item
allg. Behandlung durch (bitte spezifizieren)
text
C1710470 (UMLS CUI [1])
Item
bes. Behandlung
integer
special treatment
Code List
bes. Behandlung
CL Item
stationär (1)
CL Item
ambulant (2)
Item
bes. Behandlung durch
integer
special treatment
Code List
bes. Behandlung durch
CL Item
durch:______ (1)
CL Item
durch uns (2)
treating physician special treatment
Item
bes. Behandlung durch (bitte spezifizieren)
text
employers insurance questionnaire
Item
BG-Ergänzungsbogen ausgefüllt (SHT, Verbrennung, Hand, Finger, Knie)
boolean
C3841800 (UMLS CUI [1,1])
C0034394 (UMLS CUI [1,2])
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