ID

21036

Descripción

Hospital Routine Documentation Subform at the University Hospital Cologne Original Form name: HCH.pdf

Palabras clave

Versiones (1)
  1. 4/4/17 4/4/17 -
Subido en

4 de abril de 2017

DOI

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Licencia

Creative Commons BY-NC 3.0
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Cardiac Surgery, University Hospital Cologne

Alemán

Cardiac Surgery, University Hospital Cologne

1 formularios  
Patientendaten
Descripción

Patientendaten

Alias
UMLS CUI-1
C1955348
Patientenname
Descripción

Patient Name

Tipo de datos

text

Alias
UMLS CUI [1]
C1299487
Adresse des Patienten
Descripción

Patient address

Tipo de datos

text

Alias
UMLS CUI [1]
C0421449
Geburtsdatum
Descripción

Patient Birth Date

Tipo de datos

date

Unidades de medida
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C0421451
dd.mm.yyyy
Fallnummer
Descripción

Case ID

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C0085971
Tel. Patient
Descripción

Patient telephone number

Tipo de datos

integer

Alias
UMLS CUI [1]
C0421455
Mobil
Descripción

Patient mobile phone number

Tipo de datos

integer

Alias
UMLS CUI [1]
C3273868
Größe
Descripción

Body height

Tipo de datos

float

Unidades de medida
  • m
Alias
UMLS CUI [1]
C0005890
m
Gewicht
Descripción

Body weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Case Management
Descripción

Case Management

Alias
UMLS CUI-1
C0085971
Vorstellungsdatum
Descripción

Date of first contact

Tipo de datos

date

Unidades de medida
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0205435
UMLS CUI [1,2]
C3812666
UMLS CUI [1,3]
C0011008
dd.mm.yyyy
Vorgesehener Aufnahmetermin
Descripción

Planned admission date

Tipo de datos

date

Unidades de medida
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1302393
UMLS CUI [1,2]
C1301732
dd.mm.yyyy
Vorgesehener vorstationärer Termin
Descripción

Planned appointment before hospital admission

Tipo de datos

date

Unidades de medida
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0332152
UMLS CUI [1,3]
C0184666
dd.mm.yyyy
Einweisung extern [Text]
Descripción

External admission to hospital

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2215402
UMLS CUI [1,2]
C1527021
Versichertenstatus
Descripción

Health insurance type

Tipo de datos

integer

Alias
UMLS CUI [1]
C0680873
Isolierung
Descripción

Isolation

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0205409
Begleitperson
Descripción

Person accompanying patient

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2079578
Facharzt
Descripción

Consultant

Tipo de datos

text

Unidades de medida
  • Name
Alias
UMLS CUI [1]
C0009817
Name
Station
Descripción

Hospital department

Tipo de datos

text

Alias
UMLS CUI [1]
C0019961
Aufnahmetermin
Descripción

Admission date

Tipo de datos

integer

Alias
UMLS CUI [1]
C1302393
Wunschaufnahmetermin
Descripción

Wanted admission date

Tipo de datos

date

Unidades de medida
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1444647
UMLS CUI [1,2]
C1302393
dd.mm.yyyy
Einweisungsdiagnose
Descripción

Admission diagnosis

Tipo de datos

text

Alias
UMLS CUI [1]
C1628992
OP Indikation gestellt durch
Descripción

Indication for operation provided by

Tipo de datos

text

Unidades de medida
  • Name
Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C0543467
Name
Gewünschter OP-Termin
Descripción

Wanted date of surgery

Tipo de datos

date

Unidades de medida
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1444647
UMLS CUI [1,2]
C1628561
dd.mm.yyyy
Geplanter OP-Termin
Descripción

Planned date of surgery

Tipo de datos

date

Unidades de medida
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1301732
UMLS CUI [1,2]
C1628561
dd.mm.yyyy
Geplante OP
Descripción

Planned surgical procedure

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1301732
UMLS CUI [1,2]
C0543467
UMLS CUI [1,3]
C0332307
Infektionen
Descripción

Infektionen

Alias
UMLS CUI-1
C0009450
MRSA
Descripción

MRSA

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0343401
ESBL
Descripción

ESBL

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1444096
Wundinfektionen
Descripción

Wound infections

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0043241
Hepatitis B
Descripción

Hepatitis B

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0019163
Hepatitis C
Descripción

Hepatitis C

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0019196
HIV
Descripción

HIV

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0019682
Gerinnung
Descripción

Gerinnung

Alias
UMLS CUI-1
C0005778
Bestehende Antikoagulation
Descripción

Use of anticoagulant agents

Tipo de datos

integer

Alias
UMLS CUI [1]
C0449867
Besteht eine medizinische Indikation für eine antikoagulative Therapie?
Descripción

Is there a medical indication for an anticoagulant therapy?

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C0150457
Medikation
Descripción

Medikation

Alias
UMLS CUI-1
C0013227
Antidiabetika
Descripción

Antidiabetics

Tipo de datos

integer

Alias
UMLS CUI [1]
C0935929
Diagnostik
Descripción

Diagnostik

Alias
UMLS CUI-1
C0430022
Diagnostik
Descripción

Diagnostics

Tipo de datos

integer

Alias
UMLS CUI [1]
C0430022
Vorhandene Diagnostik
Descripción

Performed diagnostic procedures

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0430022
UMLS CUI [1,2]
C1272695
Geplante Diagnostik
Descripción

Planned

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1301732
UMLS CUI [1,2]
C0430022
Bemerkung
Descripción

Note

Tipo de datos

text

Alias
UMLS CUI [1]
C1317574
Operation
Descripción

Operation

Alias
UMLS CUI-1
C0543467
Aufnahme erfolgt
Descripción

Patient admission

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0030673
Geplanter OP Termin
Descripción

Planned date of surgery

Tipo de datos

date

Unidades de medida
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1301732
UMLS CUI [1,2]
C1628561
dd.mm.yyyy
OP Indikation durch
Descripción

Indication for operation provided by

Tipo de datos

text

Unidades de medida
  • Name
Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C0543467
Name
Eingriff
Descripción

Surgical intervention

Tipo de datos

text

Alias
UMLS CUI [1]
C0549433
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Similar models

Cardiac Surgery, University Hospital Cologne

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Patientendaten
C1955348 (UMLS CUI-1)
Patient Name
Item
Patientenname
text
C1299487 (UMLS CUI [1])
Patient address
Item
Adresse des Patienten
text
C0421449 (UMLS CUI [1])
Patient Birth Date
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Case ID
Item
Fallnummer
integer
C1300638 (UMLS CUI [1,1])
C0085971 (UMLS CUI [1,2])
Patient telephone number
Item
Tel. Patient
integer
C0421455 (UMLS CUI [1])
Patient mobile phone number
Item
Mobil
integer
C3273868 (UMLS CUI [1])
Body height
Item
Größe
float
C0005890 (UMLS CUI [1])
Body weight
Item
Gewicht
float
C0005910 (UMLS CUI [1])
Item Group
Case Management
C0085971 (UMLS CUI-1)
Date of first contact
Item
Vorstellungsdatum
date
C0205435 (UMLS CUI [1,1])
C3812666 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Planned admission date
Item
Vorgesehener Aufnahmetermin
date
C1302393 (UMLS CUI [1,1])
C1301732 (UMLS CUI [1,2])
Planned appointment before hospital admission
Item
Vorgesehener vorstationärer Termin
date
C0585085 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C0184666 (UMLS CUI [1,3])
External admission to hospital
Item
Einweisung extern [Text]
text
C2215402 (UMLS CUI [1,1])
C1527021 (UMLS CUI [1,2])
Item
Versichertenstatus
integer
C0680873 (UMLS CUI [1])
Health insurance type
Code List
Versichertenstatus
CL Item
Privat (1)
CL Item
Allgemein (2)
Isolation
Item
Isolierung
boolean
C0205409 (UMLS CUI [1])
Person accompanying patient
Item
Begleitperson
boolean
C2079578 (UMLS CUI [1])
Consultant
Item
Facharzt
text
C0009817 (UMLS CUI [1])
Hospital department
Item
Station
text
C0019961 (UMLS CUI [1])
Item
Aufnahmetermin
integer
C1302393 (UMLS CUI [1])
Admission date
Code List
Aufnahmetermin
CL Item
innerhalb von 3 Tagen (1)
CL Item
innerhalb von 2 Wochen (2)
CL Item
innerhalb von 6 Wochen (3)
CL Item
Notfall/sofort (4)
CL Item
Wunschtermin (bitte spezifizieren) (5)
Wanted admission date
Item
Wunschaufnahmetermin
date
C1444647 (UMLS CUI [1,1])
C1302393 (UMLS CUI [1,2])
Admission diagnosis
Item
Einweisungsdiagnose
text
C1628992 (UMLS CUI [1])
Indication for operation provided by
Item
OP Indikation gestellt durch
text
C3146298 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Wanted date of surgery
Item
Gewünschter OP-Termin
date
C1444647 (UMLS CUI [1,1])
C1628561 (UMLS CUI [1,2])
Planned date of surgery
Item
Geplanter OP-Termin
date
C1301732 (UMLS CUI [1,1])
C1628561 (UMLS CUI [1,2])
Planned surgical procedure
Item
Geplante OP
text
C1301732 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
Item Group
Infektionen
C0009450 (UMLS CUI-1)
MRSA
Item
MRSA
boolean
C0343401 (UMLS CUI [1])
ESBL
Item
ESBL
boolean
C1444096 (UMLS CUI [1])
Wound infections
Item
Wundinfektionen
boolean
C0043241 (UMLS CUI [1])
Hepatitis B
Item
Hepatitis B
boolean
C0019163 (UMLS CUI [1])
Hepatitis C
Item
Hepatitis C
boolean
C0019196 (UMLS CUI [1])
HIV
Item
HIV
boolean
C0019682 (UMLS CUI [1])
Item Group
Gerinnung
C0005778 (UMLS CUI-1)
Item
Bestehende Antikoagulation
integer
C0449867 (UMLS CUI [1])
Use of anticoagulative agents
Code List
Bestehende Antikoagulation
CL Item
nein (1)
CL Item
ja, ASS (2)
CL Item
ja, Marcumar (3)
CL Item
ja, anderes blutverdünnendes Medikament (4)
Is there a medical indication for an anticoagulant therapy?
Item
Besteht eine medizinische Indikation für eine antikoagulative Therapie?
boolean
C3146298 (UMLS CUI [1,1])
C0150457 (UMLS CUI [1,2])
Item Group
Medikation
C0013227 (UMLS CUI-1)
Item
Antidiabetika
integer
C0935929 (UMLS CUI [1])
Antidiabetics
Code List
Antidiabetika
CL Item
nein (1)
CL Item
ja, Metformin (2)
CL Item
ja, anderes orales Antidiabetikum (3)
Item Group
Diagnostik
C0430022 (UMLS CUI-1)
Item
Diagnostik
integer
C0430022 (UMLS CUI [1])
Diagnostics
Code List
Diagnostik
CL Item
vorstationäre Diagnostik (1)
CL Item
stationäre Diagnostik (2)
Performed diagnostic procedures
Item
Vorhandene Diagnostik
text
C0430022 (UMLS CUI [1,1])
C1272695 (UMLS CUI [1,2])
Planned
Item
Geplante Diagnostik
text
C1301732 (UMLS CUI [1,1])
C0430022 (UMLS CUI [1,2])
Note
Item
Bemerkung
text
C1317574 (UMLS CUI [1])
Item Group
Operation
C0543467 (UMLS CUI-1)
Patient admission
Item
Aufnahme erfolgt
boolean
C0030673 (UMLS CUI [1])
Planned date of surgery
Item
Geplanter OP Termin
date
C1301732 (UMLS CUI [1,1])
C1628561 (UMLS CUI [1,2])
Indication for operation provided by
Item
OP Indikation durch
text
C3146298 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Surgical intervention
Item
Eingriff
text
C0549433 (UMLS CUI [1])
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