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UKM-Pediatric Hematology and Oncology, Clinic for childrens and adolescent medicine- Physicians documentation

1 forms  
Demographie
Description

Demographie

Patienten ID
Description

Patient ID

Data type

integer

Alias
UMLS CUI [1]
C1269815
Patientenname
Description

Patient Name

Data type

text

Alias
UMLS CUI [1]
C1299487
Blatt-Nr
Description

Page number

Data type

integer

Alias
UMLS CUI [1]
C1704732
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Zustand
Description

Zustand

Allgemeinzustand
Description

General condition

Data type

integer

Alias
UMLS CUI [1]
C1142435
Übelkeit
Description

Nausea

Data type

integer

Alias
UMLS CUI [1]
C0027497
Erbrechen
Description

Vomiting

Data type

integer

Alias
UMLS CUI [1]
C0042963
Diarrhoe
Description

Diarrhea

Data type

integer

Alias
UMLS CUI [1]
C0011991
Fieber
Description

Fever

Data type

integer

Alias
UMLS CUI [1]
C0015967
Infektion
Description

Infection

Data type

integer

Alias
UMLS CUI [1]
C0009450
Stomatitis
Description

Stomatitis

Data type

integer

Alias
UMLS CUI [1]
C0038362
Haut
Description

Skin status

Data type

integer

Alias
UMLS CUI [1]
C1123023
Herz
Description

Heart

Data type

integer

Alias
UMLS CUI [1]
C0562319
Gehör
Description

Hearing

Data type

integer

Alias
UMLS CUI [1]
C0018767
Neuro zentral
Description

Central nervous system

Data type

integer

Alias
UMLS CUI [1]
C0683212
Neuro peripher
Description

Peripheral nervous system function

Data type

integer

Alias
UMLS CUI [1]
C0683211
Schmerz
Description

Pain

Data type

integer

Alias
UMLS CUI [1]
C0030193
Andere
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394
Andere
Description

Other

Data type

integer

Alias
UMLS CUI [1]
C0205394
Lmyphknoten
Description

Lymph nodes

Data type

integer

Alias
UMLS CUI [1]
C0024204
Lunge
Description

Lung

Data type

integer

Alias
UMLS CUI [1]
C0024109
Abdomen
Description

Abdomen

Data type

integer

Alias
UMLS CUI [1]
C0000726
Leber (cm>RB)
Description

Liver

Data type

text

Alias
UMLS CUI [1]
C0023884
Milz (cm>RB)
Description

Spleen

Data type

text

Alias
UMLS CUI [1]
C0037993
Genitale
Description

Genitalia

Data type

integer

Alias
UMLS CUI [1]
C0017420
Lansky/Karnofsky
Description

Lansky/Karnofsky

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C1522275
UMLS CUI [2]
C0206065
%
Zwischenanamnese und Klinischer Befund
Description

Zwischenanamnese und Klinischer Befund

Zwischenanamnese und Klinischer Befund
Description

Bitte spezifizieren Sie die zuvor gemachten Angaben

Data type

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0460113
Zwischendiagnosen
Description

Interim diagnosis

Data type

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C2827738
Durchgeführte Diagnostik
Description

Diagnostic procedures

Data type

text

Alias
UMLS CUI [1]
C0430022
Weitere Planung
Description

Further treatment plan

Data type

text

Alias
UMLS CUI [1]
C0599880
Termine
Description

Appointment

Data type

text

Alias
UMLS CUI [1]
C0585085
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UKM-Pediatric Hematology and Oncology, Clinic for childrens and adolescent medicine- Physicians documentation

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Demographie
Patient ID
Item
Patienten ID
integer
C1269815 (UMLS CUI [1])
Patient Name
Item
Patientenname
text
C1299487 (UMLS CUI [1])
Page number
Item
Blatt-Nr
integer
C1704732 (UMLS CUI [1])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Item Group
Zustand
Item
Allgemeinzustand
integer
C1142435 (UMLS CUI [1])
General condition
Code List
Allgemeinzustand
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Übelkeit
integer
C0027497 (UMLS CUI [1])
General condition
Code List
Übelkeit
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Erbrechen
integer
C0042963 (UMLS CUI [1])
General condition
Code List
Erbrechen
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Diarrhoe
integer
C0011991 (UMLS CUI [1])
General condition
Code List
Diarrhoe
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Fieber
integer
C0015967 (UMLS CUI [1])
General condition
Code List
Fieber
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Infektion
integer
C0009450 (UMLS CUI [1])
General condition
Code List
Infektion
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Stomatitis
integer
C0038362 (UMLS CUI [1])
General condition
Code List
Stomatitis
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Haut
integer
C1123023 (UMLS CUI [1])
General condition
Code List
Haut
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Herz
integer
C0562319 (UMLS CUI [1])
General condition
Code List
Herz
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Gehör
integer
C0018767 (UMLS CUI [1])
General condition
Code List
Gehör
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Neuro zentral
integer
C0683212 (UMLS CUI [1])
General condition
Code List
Neuro zentral
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Neuro peripher
integer
C0683211 (UMLS CUI [1])
General condition
Code List
Neuro peripher
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Schmerz
integer
C0030193 (UMLS CUI [1])
General condition
Code List
Schmerz
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Other
Item
Andere
text
C0205394 (UMLS CUI [1])
Item
Andere
integer
C0205394 (UMLS CUI [1])
General condition
Code List
Andere
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
? (5)
Item
Lmyphknoten
integer
C0024204 (UMLS CUI [1])
Lymph nodes
Code List
Lmyphknoten
CL Item
ohne Befund (1)
CL Item
pathologisch (2)
Item
Lunge
integer
C0024109 (UMLS CUI [1])
Lymph nodes
Code List
Lunge
CL Item
ohne Befund (1)
CL Item
pathologisch (2)
Item
Abdomen
integer
C0000726 (UMLS CUI [1])
Lymph nodes
Code List
Abdomen
CL Item
ohne Befund (1)
CL Item
pathologisch (2)
Liver
Item
Leber (cm>RB)
text
C0023884 (UMLS CUI [1])
Spleen
Item
Milz (cm>RB)
text
C0037993 (UMLS CUI [1])
Item
Genitale
integer
C0017420 (UMLS CUI [1])
Lymph nodes
Code List
Genitale
CL Item
ohne Befund (1)
CL Item
pathologisch (2)
Lansky/Karnofsky
Item
Lansky/Karnofsky
integer
C1522275 (UMLS CUI [1])
C0206065 (UMLS CUI [2])
Item Group
Zwischenanamnese und Klinischer Befund
Interim medical history and clinical findings
Item
Zwischenanamnese und Klinischer Befund
text
C0262926 (UMLS CUI [1,1])
C0460113 (UMLS CUI [1,2])
Interim diagnosis
Item
Zwischendiagnosen
text
C0011900 (UMLS CUI [1,1])
C2827738 (UMLS CUI [1,2])
Diagnostic procedures
Item
Durchgeführte Diagnostik
text
C0430022 (UMLS CUI [1])
Further treatment plan
Item
Weitere Planung
text
C0599880 (UMLS CUI [1])
Appointment
Item
Termine
text
C0585085 (UMLS CUI [1])
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