ID

20143

Beschrijving

Admission report converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Univ.-Prof. Dr. med. Volker Arolt

Trefwoorden

  1. 08-01-17 08-01-17 -
  2. 10-01-17 10-01-17 -
  3. 08-02-17 08-02-17 -
Geüploaded op

8 februari 2017

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Psychiatry UKM Admission report

Admission report

  1. StudyEvent: ODM
    1. Admission report
Rest / Sleep
Beschrijving

Rest / Sleep

Siesta
Beschrijving

Siesta

Datatype

integer

Alias
UMLS CUI [1]
C0037313
Sleep disturbances
Beschrijving

Sleep disturbances

Datatype

boolean

Alias
UMLS CUI [1]
C0037317
Sleep medication
Beschrijving

Sleep medication

Datatype

boolean

Alias
UMLS CUI [1]
C2054158
Therapeutic Intervention
Beschrijving

Therapeutic Intervention

Datatype

integer

Alias
UMLS CUI [1]
C0808232
Mobilization
Beschrijving

Mobilization

Alias
UMLS CUI-1
C0185112
Permission
Beschrijving

Permission to go out

Datatype

integer

Alias
UMLS CUI [1]
C0521104
Endurance test
Beschrijving

Endurance test

Datatype

integer

Alias
UMLS CUI [1]
C0871179
Motor function
Beschrijving

Motor function

Datatype

integer

Alias
UMLS CUI [1]
C0234130
Personal hygiene
Beschrijving

Personal hygiene

Alias
UMLS CUI-1
C0564673
Degree of personal cleanliness
Beschrijving

Degree of personal cleanliness

Datatype

integer

Alias
UMLS CUI [1]
C0424465
Personal appearance
Beschrijving

Personal appearance

Datatype

integer

Alias
UMLS CUI [1]
C0233426
Skin
Beschrijving

Skin

Datatype

integer

Alias
UMLS CUI [1]
C0437750
Hypersensitivity care products
Beschrijving

Hypersensitivity care products

Datatype

boolean

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C3897599
Get Dressed With Help
Beschrijving

Get Dressed With Help

Datatype

boolean

Alias
UMLS CUI [1]
C3639741
Patient's ability to dress self
Beschrijving

Patient's ability to dress self

Datatype

integer

Alias
UMLS CUI [1]
C0513617
Clothing
Beschrijving

Clothing

Datatype

integer

Alias
UMLS CUI [1]
C0009072
Eating / Drinking
Beschrijving

Eating / Drinking

Nutritional status
Beschrijving

Nutritional status

Datatype

integer

Alias
UMLS CUI [1]
C0392209
Height
Beschrijving

Height

Datatype

float

Alias
UMLS CUI [1]
C0005890
Weight
Beschrijving

Weight

Datatype

integer

Alias
UMLS CUI [1]
C0005910
Diet
Beschrijving

Diet

Datatype

text

Alias
UMLS CUI [1]
C0012155
Food intake
Beschrijving

Food intake

Datatype

integer

Alias
UMLS CUI [1]
C0086311
Eating disorder
Beschrijving

Eating disorder

Datatype

boolean

Alias
UMLS CUI [1]
C0013473
Diet
Beschrijving

Diet

Datatype

boolean

Alias
UMLS CUI [1]
C0012155
Feeding tube
Beschrijving

Feeding tube

Datatype

boolean

Alias
UMLS CUI [1]
C0041281
Excretion
Beschrijving

Excretion

Ability to use toilet
Beschrijving

Ability to use toilet

Datatype

boolean

Alias
UMLS CUI [1]
C0562816
Defecation
Beschrijving

Defecation

Datatype

boolean

Alias
UMLS CUI [1]
C0011135
Encopresis
Beschrijving

Encopresis

Datatype

integer

Alias
UMLS CUI [1]
C2945606
Menstruation
Beschrijving

Menstruation

Datatype

integer

Alias
UMLS CUI [1]
C0025344
Enuresis
Beschrijving

Enuresis

Datatype

integer

Alias
UMLS CUI [1]
C0014394
Respiration
Beschrijving

Respiration

Alias
UMLS CUI-1
C0035203
Respiration
Beschrijving

Respiration

Datatype

boolean

Alias
UMLS CUI [1]
C0035203
Smoker
Beschrijving

Smoker

Datatype

boolean

Alias
UMLS CUI [1]
C0543414
Cigarettes per day
Beschrijving

Cigarettes per day

Datatype

integer

Alias
UMLS CUI [1]
C3694146
Alcohol
Beschrijving

Alcohol

Datatype

boolean

Alias
UMLS CUI [1]
C0001948
Substance abuse
Beschrijving

Substance abuse

Datatype

boolean

Alias
UMLS CUI [1]
C0038586
Occupation
Beschrijving

Occupation

Alias
UMLS CUI-1
C0028811
Daily structure
Beschrijving

Daily structure

Datatype

integer

Alias
UMLS CUI [1]
C4274625
Child and adolescent psychiatry department
Beschrijving

Child and adolescent psychiatry department

Datatype

date

Alias
UMLS CUI [1]
C0587495
School
Beschrijving

School

Datatype

boolean

Alias
UMLS CUI [1]
C0036375
Group therapy
Beschrijving

Group therapy

Datatype

integer

Alias
UMLS CUI [1]
C0033971
Communication
Beschrijving

Communication

Alias
UMLS CUI-1
C0009452
Language
Beschrijving

Language

Datatype

integer

Alias
UMLS CUI [1]
C1145677
Ability to read
Beschrijving

Ability to read

Datatype

boolean

Alias
UMLS CUI [1]
C0586740
Ability to read
Beschrijving

Ability to write

Datatype

boolean

Alias
UMLS CUI [1]
C0584992
Gestures
Beschrijving

Gestures

Datatype

integer

Alias
UMLS CUI [1]
C0017510
Learning ability
Beschrijving

Learning ability

Datatype

integer

Alias
UMLS CUI [1]
C0233832
Introversion
Beschrijving

Introversion

Datatype

integer

Alias
UMLS CUI [1]
C0021924
Mental Processes
Beschrijving

Mental Processes

Datatype

integer

Alias
UMLS CUI [1]
C0025361
Perception
Beschrijving

Perception

Datatype

integer

Alias
UMLS CUI [1]
C0030971
Contact
Beschrijving

Contact

Datatype

integer

Alias
UMLS CUI [1]
C3812666
Ability to take criticism
Beschrijving

Ability to take criticism

Datatype

integer

Alias
UMLS CUI [1]
C0870379
Physiologic tolerance
Beschrijving

Physiologic tolerance

Datatype

integer

Alias
UMLS CUI [1]
C0231197
Social Distance
Beschrijving

Social Distance

Datatype

integer

Alias
UMLS CUI [1]
C0037412
Relegion / Belief
Beschrijving

Relegion / Belief

Insight into illness
Beschrijving

Insight into illness

Datatype

boolean

Alias
UMLS CUI [1]
C3176579
Mood
Beschrijving

Mood

Datatype

integer

Alias
UMLS CUI [1]
C0026516
Beleifs
Beschrijving

Beliefs

Datatype

integer

Alias
UMLS CUI [1]
C0004951
Anxiety
Beschrijving

Anxiety

Datatype

integer

Alias
UMLS CUI [1]
C0003467
Mood swings
Beschrijving

Mood swings

Datatype

integer

Alias
UMLS CUI [1]
C0085633
Sexuality
Beschrijving

Sexuality

Contraception
Beschrijving

Contraception

Datatype

integer

Alias
UMLS CUI [1]
C0700589
Shame
Beschrijving

Shame

Datatype

integer

Alias
UMLS CUI [1,1]
C0036938
UMLS CUI [1,2]
C0237676
Treatment of own children
Beschrijving

Treatment of own body

Datatype

integer

Alias
UMLS CUI [1]
C1522326
Security
Beschrijving

Security

Alias
UMLS CUI-1
C0036547
Orientation
Beschrijving

Orientation

Datatype

integer

Alias
UMLS CUI [1]
C0029266
Pressure ulcer
Beschrijving

Pressure ulcer

Datatype

boolean

Alias
UMLS CUI [1]
C0558030
Pain
Beschrijving

Pain

Datatype

boolean

Alias
UMLS CUI [1]
C0030193
At risk for falls
Beschrijving

See reverse side for more info if yes

Datatype

boolean

Alias
UMLS CUI [1]
C1268740
Risk of falling
Beschrijving

Risk of falling

Risk of falling
Beschrijving

Risk of falling

Datatype

boolean

Alias
UMLS CUI [1]
C1268740
Orientation
Beschrijving

Orientation

Datatype

integer

Alias
UMLS CUI [1]
C0029266
Excretion
Beschrijving

Excretion

Datatype

integer

Alias
UMLS CUI [1]
C0504085
History of falls
Beschrijving

History of falls

Datatype

integer

Alias
UMLS CUI [1]
C0085639
Mobility
Beschrijving

Mobility

Datatype

integer

Alias
UMLS CUI [1]
C0449580
Visual impairment
Beschrijving

Visual impairment

Datatype

integer

Alias
UMLS CUI [1]
C3665347
Medicaton
Beschrijving

Medication

Datatype

integer

Alias
UMLS CUI [1]
C0013227

Similar models

Admission report

  1. StudyEvent: ODM
    1. Admission report
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Rest / Sleep
Item
Siesta
integer
C0037313 (UMLS CUI [1])
Code List
Siesta
CL Item
yes (1)
C1705108 (UMLS CUI-1)
CL Item
no (2)
C1298908 (UMLS CUI-1)
CL Item
Time, if yes: (3)
C0040223 (UMLS CUI-1)
Sleep disturbances
Item
Sleep disturbances
boolean
C0037317 (UMLS CUI [1])
Sleep medication
Item
Sleep medication
boolean
C2054158 (UMLS CUI [1])
Therapeutic Intervention
Item
Therapeutic Intervention
integer
C0808232 (UMLS CUI [1])
Item Group
Mobilization
C0185112 (UMLS CUI-1)
Item
Permission
integer
C0521104 (UMLS CUI [1])
Code List
Permission
CL Item
no permission (1)
C3242263 (UMLS CUI-1)
CL Item
alone (2)
C0679994 (UMLS CUI-1)
CL Item
person accompanying patient (3)
C2079578 (UMLS CUI-1)
Item
Endurance test
integer
C0871179 (UMLS CUI [1])
Code List
Endurance test
CL Item
Time of arrival (1)
C3263562 (UMLS CUI-1)
CL Item
Time of departure  (2)
C4067737 (UMLS CUI-1)
CL Item
Pick-up (3)
Item
Motor function
integer
C0234130 (UMLS CUI [1])
Code List
Motor function
CL Item
Swimmer (1)
C0450068 (UMLS CUI-1)
CL Item
Non swimmer (2)
C0450068 (UMLS CUI-1)
CL Item
Sports (3)
C0038039 (UMLS CUI-1)
CL Item
Hobby (4)
C0019826 (UMLS CUI-1)
Item Group
Personal hygiene
C0564673 (UMLS CUI-1)
Item
Degree of personal cleanliness
integer
C0424465 (UMLS CUI [1])
Code List
Degree of personal cleanliness
CL Item
requires assistance  (1)
C2732873 (UMLS CUI-1)
CL Item
requires request (2)
C1272683 (UMLS CUI-1)
Personal appearance
Item
Personal appearance
integer
C0233426 (UMLS CUI [1])
Skin
Item
Skin
integer
C0437750 (UMLS CUI [1])
Hypersensitivity care products
Item
Hypersensitivity care products
boolean
C0020517 (UMLS CUI [1,1])
C3897599 (UMLS CUI [1,2])
Get Dressed With Help
Item
Get Dressed With Help
boolean
C3639741 (UMLS CUI [1])
Item
Patient's ability to dress self
integer
C0513617 (UMLS CUI [1])
Code List
Patient's ability to dress self
CL Item
requires assistance (1)
C2732873 (UMLS CUI-1)
CL Item
requires request (2)
C1272683 (UMLS CUI-1)
Clothing
Item
Clothing
integer
C0009072 (UMLS CUI [1])
Item Group
Eating / Drinking
Nutritional status
Item
Nutritional status
integer
C0392209 (UMLS CUI [1])
Height
Item
Height
float
C0005890 (UMLS CUI [1])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Diet
Item
Diet
text
C0012155 (UMLS CUI [1])
Food intake
Item
Food intake
integer
C0086311 (UMLS CUI [1])
Eating disorder
Item
boolean
C0013473 (UMLS CUI [1])
Diet
Item
boolean
C0012155 (UMLS CUI [1])
Feeding tube
Item
boolean
C0041281 (UMLS CUI [1])
Item Group
Excretion
Ability to use toilet
Item
Ability to use toilet
boolean
C0562816 (UMLS CUI [1])
Defecation
Item
Defecation
boolean
C0011135 (UMLS CUI [1])
Encopresis
Item
Encopresis
integer
C2945606 (UMLS CUI [1])
Menstruation
Item
Menstruation
integer
C0025344 (UMLS CUI [1])
Enuresis
Item
Enuresis
integer
C0014394 (UMLS CUI [1])
Item Group
Respiration
C0035203 (UMLS CUI-1)
Respiration
Item
Respiration
boolean
C0035203 (UMLS CUI [1])
Smoker
Item
Smoker
boolean
C0543414 (UMLS CUI [1])
Cigarettes per day
Item
Cigarettes per day
integer
C3694146 (UMLS CUI [1])
Alcohol
Item
Alcohol
boolean
C0001948 (UMLS CUI [1])
Substance abuse
Item
Substance abuse
boolean
C0038586 (UMLS CUI [1])
Item Group
Occupation
C0028811 (UMLS CUI-1)
Daily structure
Item
Daily structure
integer
C4274625 (UMLS CUI [1])
Child and adolescent psychiatry department
Item
Child and adolescent psychiatry department
date
C0587495 (UMLS CUI [1])
School
Item
School
boolean
C0036375 (UMLS CUI [1])
Group therapy
Item
Group therapy
integer
C0033971 (UMLS CUI [1])
Item Group
Communication
C0009452 (UMLS CUI-1)
Language
Item
Language
integer
C1145677 (UMLS CUI [1])
Ability to read
Item
Ability to read
boolean
C0586740 (UMLS CUI [1])
Ability to write
Item
Ability to read
boolean
C0584992 (UMLS CUI [1])
Gestures
Item
Gestures
integer
C0017510 (UMLS CUI [1])
Learning ability
Item
Learning ability
integer
C0233832 (UMLS CUI [1])
Introversion
Item
Introversion
integer
C0021924 (UMLS CUI [1])
Mental Processes
Item
Mental Processes
integer
C0025361 (UMLS CUI [1])
Perception
Item
Perception
integer
C0030971 (UMLS CUI [1])
Contact
Item
Contact
integer
C3812666 (UMLS CUI [1])
Ability to take criticism
Item
Ability to take criticism
integer
C0870379 (UMLS CUI [1])
Physiologic tolerance
Item
Physiologic tolerance
integer
C0231197 (UMLS CUI [1])
Social Distance
Item
Social Distance
integer
C0037412 (UMLS CUI [1])
Item Group
Relegion / Belief
Insight into illness
Item
Insight into illness
boolean
C3176579 (UMLS CUI [1])
Mood
Item
Mood
integer
C0026516 (UMLS CUI [1])
Beliefs
Item
Beleifs
integer
C0004951 (UMLS CUI [1])
Anxiety
Item
Anxiety
integer
C0003467 (UMLS CUI [1])
Mood swings
Item
Mood swings
integer
C0085633 (UMLS CUI [1])
Item Group
Sexuality
Contraception
Item
Contraception
integer
C0700589 (UMLS CUI [1])
Shame
Item
Shame
integer
C0036938 (UMLS CUI [1,1])
C0237676 (UMLS CUI [1,2])
Treatment of own body
Item
Treatment of own children
integer
C1522326 (UMLS CUI [1])
Item Group
Security
C0036547 (UMLS CUI-1)
Item
Orientation
integer
C0029266 (UMLS CUI [1])
Code List
Orientation
CL Item
complete (1)
CL Item
partly (2)
CL Item
no (3)
Pressure ulcer
Item
Pressure ulcer
boolean
C0558030 (UMLS CUI [1])
Pain
Item
Pain
boolean
C0030193 (UMLS CUI [1])
At risk for falls
Item
At risk for falls
boolean
C1268740 (UMLS CUI [1])
Item Group
Risk of falling
Risk of falling
Item
Risk of falling
boolean
C1268740 (UMLS CUI [1])
Item
Orientation
integer
C0029266 (UMLS CUI [1])
Code List
Orientation
CL Item
aid to orientation (1)
CL Item
bell (2)
C1706917 (UMLS CUI-1)
Item
Excretion
integer
C0504085 (UMLS CUI [1])
Code List
Excretion
CL Item
Stool (1)
C0015733 (UMLS CUI-1)
CL Item
medical device (2)
C3177146 (UMLS CUI-1)
CL Item
Bell (3)
C1706917 (UMLS CUI-1)
CL Item
toilet (4)
C1718402 (UMLS CUI-1)
Item
History of falls
integer
C0085639 (UMLS CUI [1])
Code List
History of falls
CL Item
Patient is informed about risk of falls (1)
C1268740 (UMLS CUI-1)
CL Item
Information leaflet handed out to patient (2)
C3697770 (UMLS CUI-1)
Item
Mobility
integer
C0449580 (UMLS CUI [1])
Code List
Mobility
CL Item
Company (1)
C0587717 (UMLS CUI-1)
CL Item
bedridden  (2)
C0425251 (UMLS CUI-1)
C0449580 (UMLS CUI-2)
CL Item
wheel chair (3)
C0043143 (UMLS CUI-1)
CL Item
assistance (4)
C1521721 (UMLS CUI-1)
CL Item
Informed about medical devices (5)
C0025080 (UMLS CUI-1)
Item
Visual impairment
integer
C3665347 (UMLS CUI [1])
Code List
Visual impairment
CL Item
glasses (1)
C0015421 (UMLS CUI-1)
CL Item
access to toilet (2)
C0512933 (UMLS CUI-1)
CL Item
lights on (3)
C0023693 (UMLS CUI-1)
Item
Medicaton
integer
C0013227 (UMLS CUI [1])
Code List
Medicaton
CL Item
Psychotropic Drugs (1)
C0033978 (UMLS CUI-1)
CL Item
Hypnotics and Sedatives (2)
C0020592 (UMLS CUI-1)
CL Item
Antiarrhythmika (3)
C0003195 (UMLS CUI-1)
CL Item
Diuretics (4)
C0012798 (UMLS CUI-1)

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial