Medical history

  1. StudyEvent: ODM
    1. Medical history
Patientendaten
Description

Patientendaten

Name des Patienten
Description

Patient name

Data type

integer

Alias
UMLS CUI [1]
C1299487
Diagnose
Description

Diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011900
Geburtstag Patient
Description

Patient date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Familienanamnese
Description

Familienanamnese

Neoplasien
Description

Neoplasia

Data type

integer

Alias
UMLS CUI [1]
C1882062
Spalten
Description

Cleft Palate

Data type

integer

Alias
UMLS CUI [1]
C0008925
Sonst. Erkrankungen
Description

Other disease

Data type

integer

Alias
UMLS CUI [1]
C2359476
Allgemeine Anamnese
Description

Allgemeine Anamnese

Allgemeine Anamnese
Description

Medical history

Data type

integer

Alias
UMLS CUI [1]
C0262926
Beruf
Description

Occupation

Data type

integer

Alias
UMLS CUI [1]
C0028811
Medikamente z. Zt.
Description

Medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
Spezielle Anamnese
Description

Spezielle Anamnese

Medical history
Description

Medical history

Data type

integer

Alias
UMLS CUI [1]
C1704706
Allgemeiner Befund
Description

Allgemeiner Befund

Allgemeinzustand
Description

General condition

Data type

integer

Alias
UMLS CUI [1]
C1142435
Haut
Description

Skin

Data type

integer

Alias
UMLS CUI [1]
C1123023
Lymphknoten
Description

Lymph nodes

Data type

integer

Alias
UMLS CUI [1]
C0024204
Gewicht
Description

Weight

Data type

integer

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Diabetes
Description

Diabetes

Data type

integer

Alias
UMLS CUI [1]
C0011849
Blutungsneigung
Description

Bleeding tendency

Data type

integer

Alias
UMLS CUI [1]
C1458140
Thrombose
Description

Thrombosis

Data type

integer

Alias
UMLS CUI [1]
C0040053
Allergie
Description

Allergies

Data type

integer

Alias
UMLS CUI [1]
C0020517
Dyspnoe
Description

Dyspnoe

Data type

integer

Alias
UMLS CUI [1]
C0013404
Zyanose
Description

Cyanosis

Data type

integer

Alias
UMLS CUI [1]
C0010520
Ödeme
Description

Edema

Data type

integer

Alias
UMLS CUI [1]
C0013604
Nykturie
Description

Nocturia

Data type

integer

Alias
UMLS CUI [1]
C0028734
Abusus
Description

Substance abuse

Data type

integer

Alias
UMLS CUI [1]
C0038586
Alkohol
Description

Alcohol

Data type

integer

Alias
UMLS CUI [1]
C0001948
Nikotin
Description

Nicotin

Data type

integer

Alias
UMLS CUI [1]
C0028040
Thorax
Description

Thorax

Alias
UMLS CUI-1
C0817096
Lungen: Grenzen
Description

Margin of lung

Data type

integer

Alias
UMLS CUI [1]
C1282028
Klopfschall Lunge
Description

Ppercussion of lung

Data type

integer

Alias
UMLS CUI [1]
C1291006
Atemgeräusch
Description

Respiratory Sounds

Data type

integer

Alias
UMLS CUI [1]
C0035234
Herz: Töne
Description

Heart sounds

Data type

integer

Alias
UMLS CUI [1]
C0018820
Herzaktion
Description

Heartbeat

Data type

integer

Alias
UMLS CUI [1]
C0425583
RR
Description

RR

Data type

integer

Alias
UMLS CUI [1]
C0005823
Periphere Pulse
Description

Pulse

Data type

integer

Alias
UMLS CUI [1]
C0232117
Mammae
Description

Mammae

Data type

integer

Alias
UMLS CUI [1]
C0006141
Abdomen
Description

Abdomen

Alias
UMLS CUI-1
C0000726
Leber
Description

Liver

Data type

integer

Alias
UMLS CUI [1]
C0023884
Milz
Description

Spleen

Data type

integer

Alias
UMLS CUI [1]
C0037993
Druckschmerz
Description

Pain pressure

Data type

integer

Alias
UMLS CUI [1]
C3647129
Bruchpforten
Description

Hernia

Data type

integer

Alias
UMLS CUI [1]
C0019270
Narben
Description

Scar Tissue

Data type

integer

Alias
UMLS CUI [1]
C0241158
Extremitäten
Description

Extremitäten

Extremitäten
Description

Extremities

Data type

integer

Alias
UMLS CUI [1]
C0015385
Nervensystem
Description

Nervensystem

Nervensystem
Description

Nervous system

Data type

integer

Alias
UMLS CUI [1]
C0027763
Wirbelsäule
Description

Wirbelsäule

Wirbelsäule
Description

Entire vertebral column

Data type

integer

Alias
UMLS CUI [1]
C1267072
Spezieller Befund
Description

Spezieller Befund

Extraoral
Description

Extraoral

Data type

integer

Alias
UMLS CUI [1]
C0442089
Motilität der Augen
Description

Ocular motility observations

Data type

integer

Alias
UMLS CUI [1]
C0549100
Doppelbilder
Description

Diplopia

Data type

integer

Alias
UMLS CUI [1]
C0012569
N. V
Description

Trigeminal nerve structure

Data type

integer

Alias
UMLS CUI [1]
C0040996
N. VII
Description

Facial nerve structure

Data type

integer

Alias
UMLS CUI [1]
C0015462
Lymphknoten
Description

Lymph nodes

Data type

integer

Alias
UMLS CUI [1]
C0024204
SKD:
Description

Mouth opening

Data type

integer

Measurement units
  • mm
Alias
UMLS CUI [1]
C0226895
mm
Palpation: Schmerz
Description

Pain in head

Data type

integer

Alias
UMLS CUI [1]
C2370967
Schleimhaut
Description

Mucosa

Data type

integer

Alias
UMLS CUI [1]
C0026724
Zunge
Description

Tongue

Data type

integer

Alias
UMLS CUI [1]
C0040408
Rachenring
Description

Waldeyer's ring

Data type

integer

Alias
UMLS CUI [1]
C0459892
Zahnstein
Description

Dental Calculus

Data type

integer

Alias
UMLS CUI [1]
C0011330
Parodontopathien
Description

Periodontal Diseases

Data type

integer

Alias
UMLS CUI [1]
C0031090
Röntgenbefund
Description

Röntgenbefund

Röntgenbefund
Description

X-rays results

Data type

integer

Alias
UMLS CUI [1]
C0850567
Footer module
Description

Footer module

Datum
Description

Date

Data type

integer

Alias
UMLS CUI [1]
C0011008
Unterschrift
Description

Signature

Data type

integer

Alias
UMLS CUI [1]
C1519316

Similar models

Medical history

  1. StudyEvent: ODM
    1. Medical history
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patientendaten
Patient name
Item
Name des Patienten
integer
C1299487 (UMLS CUI [1])
Diagnosis
Item
Diagnose
integer
C0011900 (UMLS CUI [1])
Patient date of birth
Item
Geburtstag Patient
date
C0421451 (UMLS CUI [1])
Item Group
Familienanamnese
Neoplasia
Item
Neoplasien
integer
C1882062 (UMLS CUI [1])
Cleft Palate
Item
Spalten
integer
C0008925 (UMLS CUI [1])
Other disease
Item
Sonst. Erkrankungen
integer
C2359476 (UMLS CUI [1])
Item Group
Allgemeine Anamnese
Medical history
Item
Allgemeine Anamnese
integer
C0262926 (UMLS CUI [1])
Occupation
Item
Beruf
integer
C0028811 (UMLS CUI [1])
Medication
Item
Medikamente z. Zt.
integer
C0013227 (UMLS CUI [1])
Item Group
Spezielle Anamnese
Medical history
Item
integer
C1704706 (UMLS CUI [1])
Item Group
Allgemeiner Befund
General condition
Item
Allgemeinzustand
integer
C1142435 (UMLS CUI [1])
Skin
Item
Haut
integer
C1123023 (UMLS CUI [1])
Lymph nodes
Item
Lymphknoten
integer
C0024204 (UMLS CUI [1])
Weight
Item
Gewicht
integer
C0005910 (UMLS CUI [1])
Diabetes
Item
Diabetes
integer
C0011849 (UMLS CUI [1])
Bleeding tendency
Item
Blutungsneigung
integer
C1458140 (UMLS CUI [1])
Thrombosis
Item
Thrombose
integer
C0040053 (UMLS CUI [1])
Allergies
Item
Allergie
integer
C0020517 (UMLS CUI [1])
Dyspnoe
Item
Dyspnoe
integer
C0013404 (UMLS CUI [1])
Cyanosis
Item
Zyanose
integer
C0010520 (UMLS CUI [1])
Edema
Item
Ödeme
integer
C0013604 (UMLS CUI [1])
Nocturia
Item
Nykturie
integer
C0028734 (UMLS CUI [1])
Substance abuse
Item
Abusus
integer
C0038586 (UMLS CUI [1])
Alcohol
Item
Alkohol
integer
C0001948 (UMLS CUI [1])
Nicotin
Item
Nikotin
integer
C0028040 (UMLS CUI [1])
Item Group
Thorax
C0817096 (UMLS CUI-1)
Margin of lung
Item
Lungen: Grenzen
integer
C1282028 (UMLS CUI [1])
Ppercussion of lung
Item
Klopfschall Lunge
integer
C1291006 (UMLS CUI [1])
Respiratory Sounds
Item
Atemgeräusch
integer
C0035234 (UMLS CUI [1])
Heart sounds
Item
Herz: Töne
integer
C0018820 (UMLS CUI [1])
Heartbeat
Item
Herzaktion
integer
C0425583 (UMLS CUI [1])
RR
Item
RR
integer
C0005823 (UMLS CUI [1])
Pulse
Item
Periphere Pulse
integer
C0232117 (UMLS CUI [1])
Mammae
Item
Mammae
integer
C0006141 (UMLS CUI [1])
Item Group
Abdomen
C0000726 (UMLS CUI-1)
Liver
Item
Leber
integer
C0023884 (UMLS CUI [1])
Spleen
Item
Milz
integer
C0037993 (UMLS CUI [1])
Pain pressure
Item
Druckschmerz
integer
C3647129 (UMLS CUI [1])
Hernia
Item
Bruchpforten
integer
C0019270 (UMLS CUI [1])
Scar Tissue
Item
Narben
integer
C0241158 (UMLS CUI [1])
Item Group
Extremitäten
Extremities
Item
Extremitäten
integer
C0015385 (UMLS CUI [1])
Item Group
Nervensystem
Nervous system
Item
Nervensystem
integer
C0027763 (UMLS CUI [1])
Item Group
Wirbelsäule
Entire vertebral column
Item
Wirbelsäule
integer
C1267072 (UMLS CUI [1])
Item Group
Spezieller Befund
Extraoral
Item
Extraoral
integer
C0442089 (UMLS CUI [1])
Ocular motility observations
Item
Motilität der Augen
integer
C0549100 (UMLS CUI [1])
Diplopia
Item
Doppelbilder
integer
C0012569 (UMLS CUI [1])
Trigeminal nerve structure
Item
N. V
integer
C0040996 (UMLS CUI [1])
Facial nerve structure
Item
N. VII
integer
C0015462 (UMLS CUI [1])
Lymph nodes
Item
Lymphknoten
integer
C0024204 (UMLS CUI [1])
Mouth opening
Item
SKD:
integer
C0226895 (UMLS CUI [1])
Item
Palpation: Schmerz
integer
C2370967 (UMLS CUI [1])
Code List
Palpation: Schmerz
CL Item
Temporomandibular joint lateral (1)
C0039493 (UMLS CUI-1)
CL Item
Temporomandibular joint posterior (2)
C0039493 (UMLS CUI-1)
CL Item
Temporalis muscle (3)
C0039487 (UMLS CUI-1)
CL Item
Masseter muscle  (4)
C0024876 (UMLS CUI-1)
CL Item
Suboccipital muscle (5)
C0448352 (UMLS CUI-1)
CL Item
Sternocleidomastoid muscle (6)
C0224153 (UMLS CUI-1)
CL Item
M. digastricus (7)
C0224155 (UMLS CUI-1)
CL Item
M. pterygoideus med. (8)
C0224146 (UMLS CUI-1)
CL Item
M. pterygoideus lat. (9)
C0224145 (UMLS CUI-1)
Mucosa
Item
Schleimhaut
integer
C0026724 (UMLS CUI [1])
Tongue
Item
Zunge
integer
C0040408 (UMLS CUI [1])
Waldeyer's ring
Item
Rachenring
integer
C0459892 (UMLS CUI [1])
Dental Calculus
Item
Zahnstein
integer
C0011330 (UMLS CUI [1])
Periodontal Diseases
Item
Parodontopathien
integer
C0031090 (UMLS CUI [1])
Item Group
Röntgenbefund
X-rays results
Item
Röntgenbefund
integer
C0850567 (UMLS CUI [1])
Item Group
Footer module
Date
Item
Datum
integer
C0011008 (UMLS CUI [1])
Signature
Item
Unterschrift
integer
C1519316 (UMLS CUI [1])