Information:
Fel:
ID
20136
Beskrivning
Medical History Form converted to ODM format. Routine documentation of university hospital muenster. Publication granted by Prof. Dr. Dr. Kleinheinz
Nyckelord
Versioner (2)
- 2016-11-30 2016-11-30 -
- 2017-02-08 2017-02-08 -
Uppladdad den
8 februari 2017
DOI
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Licens
Creative Commons BY-NC 3.0
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Oral and maxillofacial surgery medical history form UKM
Similar models
Medical history
- StudyEvent: ODM
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
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])
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])
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])
Medical history
Item
integer
C1704706 (UMLS CUI [1])
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])
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])
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])
Extremities
Item
Extremitäten
integer
C0015385 (UMLS CUI [1])
Nervous system
Item
Nervensystem
integer
C0027763 (UMLS CUI [1])
Entire vertebral column
Item
Wirbelsäule
integer
C1267072 (UMLS CUI [1])
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])
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])
X-rays results
Item
Röntgenbefund
integer
C0850567 (UMLS CUI [1])
Date
Item
Datum
integer
C0011008 (UMLS CUI [1])
Signature
Item
Unterschrift
integer
C1519316 (UMLS CUI [1])