ID

20469

Description

Pediatric admission assessment form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Prof. Dr. Omran.

Keywords

  1. 2/23/17 2/23/17 -
Uploaded on

February 23, 2017

DOI

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License

Creative Commons BY-NC 3.0

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Pediatrics UKM admission assessment

Pediatric admission assessment

Patientendaten
Description

Patientendaten

Name
Description

Patient name

Data type

integer

Alias
UMLS CUI [1]
C1299487
Anschrift:
Description

Address

Data type

integer

Alias
UMLS CUI [1]
C0421449
Arbeitgeber:
Description

Employer

Data type

integer

Alias
UMLS CUI [1]
C1274022
KV
Description

Health insurance

Data type

integer

Alias
UMLS CUI [1]
C0021682
Angehörige:
Description

Relatives

Data type

integer

Alias
UMLS CUI [1]
C0080103
Kostenträger:
Description

Insurance underwriter

Data type

integer

Alias
UMLS CUI [1]
C1609430
Einweiser
Description

Referring physician

Data type

integer

Alias
UMLS CUI [1]
C1709880
Schutzimpfungen
Description

Schutzimpfungen

BCG
Description

BCG

Data type

integer

Alias
UMLS CUI [1]
C0004886
Pertussis
Description

Pertussis

Data type

integer

Alias
UMLS CUI [1]
C0043167
HIB
Description

HIB

Data type

integer

Alias
UMLS CUI [1]
C3653328
Masern:
Description

Measles

Data type

integer

Alias
UMLS CUI [1]
C0025010
Hepatitis B
Description

Hepatitis B

Data type

integer

Alias
UMLS CUI [1]
C0474232
Tuberkulinteste:
Description

Tuberculin

Data type

integer

Alias
UMLS CUI [1]
C0041289
Diphtherie:
Description

Diphtherie

Data type

integer

Alias
UMLS CUI [1]
C0058773
Tetanus
Description

Tetanus

Data type

integer

Alias
UMLS CUI [1]
C0199807
Polio
Description

Polio

Data type

integer

Alias
UMLS CUI [1]
C0199809
Röteln:
Description

Rubella virus vaccine

Data type

integer

Alias
UMLS CUI [1]
C0035920
Andere Impfungen
Description

Vaccination

Data type

integer

Alias
UMLS CUI [1]
C0042196
Vorgeschichte
Description

Vorgeschichte

Vater, geb
Description

Father date of birth

Data type

integer

Alias
UMLS CUI [1,1]
C0015671
UMLS CUI [1,2]
C0421451
Mutter geb
Description

Mother date of birth

Data type

integer

Alias
UMLS CUI [1,1]
C0421451
UMLS CUI [1,2]
C0026591
Geschwister:
Description

Siblings

Data type

integer

Alias
UMLS CUI [1]
C0037047
Erbliche Erkrankungen
Description

Familial disease

Data type

integer

Alias
UMLS CUI [1]
C0277558
Fehlgeburten:
Description

Miscarriage

Data type

integer

Alias
UMLS CUI [1]
C0000786
Krankheiten während der Schwangerschaft
Description

Pregnancy Complications

Data type

integer

Alias
UMLS CUI [1]
C0032962
Geburt
Description

Childbirth

Data type

integer

Alias
UMLS CUI [1]
C1148523
Neugeborenenperiode:
Description

Neonatal period

Data type

integer

Alias
UMLS CUI [1]
C0935562
Entwicklung:
Description

Child development

Data type

integer

Alias
UMLS CUI [1]
C0008071
Krankheiten
Description

Pediatric disease

Data type

integer

Alias
UMLS CUI [1]
C0679381
Ansteckende Krankheiten in der Umgebung
Description

Infectious disease

Data type

integer

Alias
UMLS CUI [1]
C0009450
Medikamente
Description

Medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
Aufnahmebefund
Description

Aufnahmebefund

Alias
UMLS CUI-1
C1828114
Allgemeiner Eindruck
Description

General observation

Data type

integer

Alias
UMLS CUI [1]
C0588388
Verhalten
Description

Behavior

Data type

integer

Alias
UMLS CUI [1]
C0004927
Fettpolster
Description

Fat pad

Data type

integer

Alias
UMLS CUI [1]
C0935625
Knochengerüst
Description

Skeleton

Data type

integer

Alias
UMLS CUI [1]
C0816871
Körperlänge
Description

Body Length

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Gewicht
Description

Weight

Data type

integer

Alias
UMLS CUI [1]
C0005910
Kopfumfang
Description

Head circumference

Data type

integer

Alias
UMLS CUI [1]
C0262499
Haut
Description

Skin

Data type

integer

Alias
UMLS CUI [1]
C1123023
Mundhöhle
Description

Oral cavity

Data type

integer

Alias
UMLS CUI [1]
C0226896
Zähne
Description

Teeth

Data type

integer

Alias
UMLS CUI [1]
C0040426
Rachen
Description

Pharynx

Data type

integer

Alias
UMLS CUI [1]
C0031354
Ohren
Description

Ears

Data type

integer

Alias
UMLS CUI [1]
C0013443
Lymphknoten
Description

Lymph nodes

Data type

integer

Alias
UMLS CUI [1]
C0024204
Hals
Description

Neck

Data type

integer

Alias
UMLS CUI [1]
C0027530
Atmungsorgane
Description

Respiratory organs

Data type

integer

Alias
UMLS CUI [1]
C0446624
periphere Pulse
Description

Pulse

Data type

integer

Alias
UMLS CUI [1]
C0232117
RR: Arm re
Description

blood pressure in right arm

Data type

integer

Alias
UMLS CUI [1]
C2221330
RR: Arm links
Description

blood pressure in left arm

Data type

integer

Alias
UMLS CUI [1]
C2230140
Bein re.:
Description

blood pressure in right leg

Data type

integer

Alias
UMLS CUI [1]
C2221328
Bein li.:
Description

blood pressure in left leg

Data type

integer

Alias
UMLS CUI [1]
C2221329
Abdomen
Description

Abdomen

Data type

integer

Alias
UMLS CUI [1]
C0000726
Geschlechtsorgane:
Description

Sexual organs

Data type

integer

Alias
UMLS CUI [1]
C0017420
Tannerstadien:
Description

Tanner scale

Data type

integer

Alias
UMLS CUI [1]
C2826146
Hoden
Description

Testis

Data type

integer

Measurement units
  • ml
Alias
UMLS CUI [1]
C0039597
ml
Nervensystem
Description

Nervous system

Data type

integer

Alias
UMLS CUI [1]
C0027763
Muskulatur
Description

Musculature

Data type

integer

Alias
UMLS CUI [1]
C1995013
Sinnesorgane
Description

Sensory organ

Data type

integer

Alias
UMLS CUI [1]
C2339537
Vorläufige Diagnose
Description

Preliminary diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0332134
Therapy
Description

Therapy

Data type

integer

Alias
UMLS CUI [1]
C0087111
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Name des Arztes
Description

Physician name

Data type

text

Alias
UMLS CUI [1]
C2361125

Similar models

Pediatric admission assessment

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patientendaten
Patient name
Item
Name
integer
C1299487 (UMLS CUI [1])
Address
Item
Anschrift:
integer
C0421449 (UMLS CUI [1])
Employer
Item
Arbeitgeber:
integer
C1274022 (UMLS CUI [1])
Health insurance
Item
KV
integer
C0021682 (UMLS CUI [1])
Relatives
Item
Angehörige:
integer
C0080103 (UMLS CUI [1])
Insurance underwriter
Item
Kostenträger:
integer
C1609430 (UMLS CUI [1])
Referring physician
Item
Einweiser
integer
C1709880 (UMLS CUI [1])
Item Group
Schutzimpfungen
BCG
Item
BCG
integer
C0004886 (UMLS CUI [1])
Pertussis
Item
Pertussis
integer
C0043167 (UMLS CUI [1])
HIB
Item
HIB
integer
C3653328 (UMLS CUI [1])
Measles
Item
Masern:
integer
C0025010 (UMLS CUI [1])
Hepatitis B
Item
Hepatitis B
integer
C0474232 (UMLS CUI [1])
Tuberculin
Item
Tuberkulinteste:
integer
C0041289 (UMLS CUI [1])
Diphtherie
Item
Diphtherie:
integer
C0058773 (UMLS CUI [1])
Tetanus
Item
Tetanus
integer
C0199807 (UMLS CUI [1])
Polio
Item
Polio
integer
C0199809 (UMLS CUI [1])
Rubella virus vaccine
Item
Röteln:
integer
C0035920 (UMLS CUI [1])
Vaccination
Item
Andere Impfungen
integer
C0042196 (UMLS CUI [1])
Item Group
Vorgeschichte
Father date of birth
Item
Vater, geb
integer
C0015671 (UMLS CUI [1,1])
C0421451 (UMLS CUI [1,2])
Mother date of birth
Item
Mutter geb
integer
C0421451 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
Item
Geschwister:
integer
C0037047 (UMLS CUI [1])
Code List
Geschwister:
CL Item
Geb.-Dat. (1)
C0421451 (UMLS CUI-1)
CL Item
Krankheiten (2)
C0012634 (UMLS CUI-1)
Familial disease
Item
Erbliche Erkrankungen
integer
C0277558 (UMLS CUI [1])
Miscarriage
Item
Fehlgeburten:
integer
C0000786 (UMLS CUI [1])
Item
Krankheiten während der Schwangerschaft
integer
C0032962 (UMLS CUI [1])
Code List
Krankheiten während der Schwangerschaft
CL Item
Medikamente (1)
C0013227 (UMLS CUI-1)
CL Item
Alkohol (2)
C0001948 (UMLS CUI-1)
CL Item
Nikotin (3)
C0028040 (UMLS CUI-1)
Item
Geburt
integer
C1148523 (UMLS CUI [1])
Code List
Geburt
CL Item
SSW (1)
C1135241 (UMLS CUI-1)
CL Item
APGAR (2)
C0003533 (UMLS CUI-1)
CL Item
Gewicht: (3)
C0005910 (UMLS CUI-1)
CL Item
Länge: (4)
C1444754 (UMLS CUI-1)
CL Item
Kopfumfang: (5)
C0262499 (UMLS CUI-1)
CL Item
Nabelart.-pH: (6)
C4067152 (UMLS CUI-1)
Item
Neugeborenenperiode:
integer
C0935562 (UMLS CUI [1])
Code List
Neugeborenenperiode:
CL Item
Vitamin-D (1)
C0042866 (UMLS CUI-1)
C0199176 (UMLS CUI-2)
CL Item
Ernährung (2)
C0392209 (UMLS CUI-1)
Item
Entwicklung:
integer
C0008071 (UMLS CUI [1])
Code List
Entwicklung:
CL Item
Fixieren (1)
C0185023 (UMLS CUI-1)
CL Item
Lachen (2)
C0023133 (UMLS CUI-1)
CL Item
Greifen (3)
C0234175 (UMLS CUI-1)
CL Item
Sitzen (4)
C0277814 (UMLS CUI-1)
CL Item
1. Zahn (5)
C0932487 (UMLS CUI-1)
CL Item
Laufen (6)
C0035953 (UMLS CUI-1)
CL Item
Sprechen (7)
C0234856 (UMLS CUI-1)
CL Item
Sauberkeit (8)
C0424465 (UMLS CUI-1)
CL Item
Kindergarten (9)
C0681405 (UMLS CUI-1)
CL Item
Schulleistungen (10)
C0036373 (UMLS CUI-1)
Item
Krankheiten
integer
C0679381 (UMLS CUI [1])
Code List
Krankheiten
CL Item
Mumps (1)
C0026780 (UMLS CUI-1)
CL Item
Masern (2)
C0025007 (UMLS CUI-1)
CL Item
Röteln (3)
C0035920 (UMLS CUI-1)
CL Item
Scharlach (4)
C0036285 (UMLS CUI-1)
CL Item
Keuchhusten (5)
C0043167 (UMLS CUI-1)
CL Item
Sonstige Erkrankungen (6)
C0205394 (UMLS CUI-1)
Infectious disease
Item
Ansteckende Krankheiten in der Umgebung
integer
C0009450 (UMLS CUI [1])
Medication
Item
Medikamente
integer
C0013227 (UMLS CUI [1])
Item Group
Aufnahmebefund
C1828114 (UMLS CUI-1)
General observation
Item
Allgemeiner Eindruck
integer
C0588388 (UMLS CUI [1])
Behavior
Item
Verhalten
integer
C0004927 (UMLS CUI [1])
Fat pad
Item
Fettpolster
integer
C0935625 (UMLS CUI [1])
Skeleton
Item
Knochengerüst
integer
C0816871 (UMLS CUI [1])
Body Length
Item
Körperlänge
integer
C0005890 (UMLS CUI [1])
Weight
Item
Gewicht
integer
C0005910 (UMLS CUI [1])
Head circumference
Item
Kopfumfang
integer
C0262499 (UMLS CUI [1])
Skin
Item
Haut
integer
C1123023 (UMLS CUI [1])
Oral cavity
Item
Mundhöhle
integer
C0226896 (UMLS CUI [1])
Teeth
Item
Zähne
integer
C0040426 (UMLS CUI [1])
Pharynx
Item
Rachen
integer
C0031354 (UMLS CUI [1])
Ears
Item
Ohren
integer
C0013443 (UMLS CUI [1])
Lymph nodes
Item
Lymphknoten
integer
C0024204 (UMLS CUI [1])
Neck
Item
Hals
integer
C0027530 (UMLS CUI [1])
Respiratory organs
Item
Atmungsorgane
integer
C0446624 (UMLS CUI [1])
Pulse
Item
periphere Pulse
integer
C0232117 (UMLS CUI [1])
blood pressure in right arm
Item
RR: Arm re
integer
C2221330 (UMLS CUI [1])
blood pressure in left arm
Item
RR: Arm links
integer
C2230140 (UMLS CUI [1])
blood pressure in right leg
Item
Bein re.:
integer
C2221328 (UMLS CUI [1])
blood pressure in left leg
Item
Bein li.:
integer
C2221329 (UMLS CUI [1])
Abdomen
Item
Abdomen
integer
C0000726 (UMLS CUI [1])
Sexual organs
Item
Geschlechtsorgane:
integer
C0017420 (UMLS CUI [1])
Item
Tannerstadien:
integer
C2826146 (UMLS CUI [1])
Code List
Tannerstadien:
CL Item
G (1)
C4086890 (UMLS CUI-1)
CL Item
B (2)
C4086893 (UMLS CUI-1)
CL Item
PH (3)
C4086891 (UMLS CUI-1)
Testis
Item
Hoden
integer
C0039597 (UMLS CUI [1])
Nervous system
Item
Nervensystem
integer
C0027763 (UMLS CUI [1])
Musculature
Item
Muskulatur
integer
C1995013 (UMLS CUI [1])
Sensory organ
Item
Sinnesorgane
integer
C2339537 (UMLS CUI [1])
Preliminary diagnosis
Item
Vorläufige Diagnose
integer
C0332134 (UMLS CUI [1])
Therapy
Item
Therapy
integer
C0087111 (UMLS CUI [1])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Physician name
Item
Name des Arztes
text
C2361125 (UMLS CUI [1])

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