ID

21036

Beschrijving

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

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Versies (1)
  1. 04-04-17 04-04-17 -
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4 april 2017

DOI

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

Duits

Cardiac Surgery, University Hospital Cologne

1 Formulieren  
Patientendaten
Beschrijving

Patientendaten

Alias
UMLS CUI-1
C1955348
Patientenname
Beschrijving

Patient Name

Datatype

text

Alias
UMLS CUI [1]
C1299487
Adresse des Patienten
Beschrijving

Patient address

Datatype

text

Alias
UMLS CUI [1]
C0421449
Geburtsdatum
Beschrijving

Patient Birth Date

Datatype

date

Maateenheden
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C0421451
dd.mm.yyyy
Fallnummer
Beschrijving

Case ID

Datatype

integer

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

Patient telephone number

Datatype

integer

Alias
UMLS CUI [1]
C0421455
Mobil
Beschrijving

Patient mobile phone number

Datatype

integer

Alias
UMLS CUI [1]
C3273868
Größe
Beschrijving

Body height

Datatype

float

Maateenheden
  • m
Alias
UMLS CUI [1]
C0005890
m
Gewicht
Beschrijving

Body weight

Datatype

float

Maateenheden
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Case Management
Beschrijving

Case Management

Alias
UMLS CUI-1
C0085971
Vorstellungsdatum
Beschrijving

Date of first contact

Datatype

date

Maateenheden
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0205435
UMLS CUI [1,2]
C3812666
UMLS CUI [1,3]
C0011008
dd.mm.yyyy
Vorgesehener Aufnahmetermin
Beschrijving

Planned admission date

Datatype

date

Maateenheden
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1302393
UMLS CUI [1,2]
C1301732
dd.mm.yyyy
Vorgesehener vorstationärer Termin
Beschrijving

Planned appointment before hospital admission

Datatype

date

Maateenheden
  • 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]
Beschrijving

External admission to hospital

Datatype

text

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

Health insurance type

Datatype

integer

Alias
UMLS CUI [1]
C0680873
Isolierung
Beschrijving

Isolation

Datatype

boolean

Alias
UMLS CUI [1]
C0205409
Begleitperson
Beschrijving

Person accompanying patient

Datatype

boolean

Alias
UMLS CUI [1]
C2079578
Facharzt
Beschrijving

Consultant

Datatype

text

Maateenheden
  • Name
Alias
UMLS CUI [1]
C0009817
Name
Station
Beschrijving

Hospital department

Datatype

text

Alias
UMLS CUI [1]
C0019961
Aufnahmetermin
Beschrijving

Admission date

Datatype

integer

Alias
UMLS CUI [1]
C1302393
Wunschaufnahmetermin
Beschrijving

Wanted admission date

Datatype

date

Maateenheden
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1444647
UMLS CUI [1,2]
C1302393
dd.mm.yyyy
Einweisungsdiagnose
Beschrijving

Admission diagnosis

Datatype

text

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

Indication for operation provided by

Datatype

text

Maateenheden
  • Name
Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C0543467
Name
Gewünschter OP-Termin
Beschrijving

Wanted date of surgery

Datatype

date

Maateenheden
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1444647
UMLS CUI [1,2]
C1628561
dd.mm.yyyy
Geplanter OP-Termin
Beschrijving

Planned date of surgery

Datatype

date

Maateenheden
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1301732
UMLS CUI [1,2]
C1628561
dd.mm.yyyy
Geplante OP
Beschrijving

Planned surgical procedure

Datatype

text

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

Infektionen

Alias
UMLS CUI-1
C0009450
MRSA
Beschrijving

MRSA

Datatype

boolean

Alias
UMLS CUI [1]
C0343401
ESBL
Beschrijving

ESBL

Datatype

boolean

Alias
UMLS CUI [1]
C1444096
Wundinfektionen
Beschrijving

Wound infections

Datatype

boolean

Alias
UMLS CUI [1]
C0043241
Hepatitis B
Beschrijving

Hepatitis B

Datatype

boolean

Alias
UMLS CUI [1]
C0019163
Hepatitis C
Beschrijving

Hepatitis C

Datatype

boolean

Alias
UMLS CUI [1]
C0019196
HIV
Beschrijving

HIV

Datatype

boolean

Alias
UMLS CUI [1]
C0019682
Gerinnung
Beschrijving

Gerinnung

Alias
UMLS CUI-1
C0005778
Bestehende Antikoagulation
Beschrijving

Use of anticoagulant agents

Datatype

integer

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

Is there a medical indication for an anticoagulant therapy?

Datatype

boolean

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

Medikation

Alias
UMLS CUI-1
C0013227
Antidiabetika
Beschrijving

Antidiabetics

Datatype

integer

Alias
UMLS CUI [1]
C0935929
Diagnostik
Beschrijving

Diagnostik

Alias
UMLS CUI-1
C0430022
Diagnostik
Beschrijving

Diagnostics

Datatype

integer

Alias
UMLS CUI [1]
C0430022
Vorhandene Diagnostik
Beschrijving

Performed diagnostic procedures

Datatype

text

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

Planned

Datatype

text

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

Note

Datatype

text

Alias
UMLS CUI [1]
C1317574
Operation
Beschrijving

Operation

Alias
UMLS CUI-1
C0543467
Aufnahme erfolgt
Beschrijving

Patient admission

Datatype

boolean

Alias
UMLS CUI [1]
C0030673
Geplanter OP Termin
Beschrijving

Planned date of surgery

Datatype

date

Maateenheden
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1301732
UMLS CUI [1,2]
C1628561
dd.mm.yyyy
OP Indikation durch
Beschrijving

Indication for operation provided by

Datatype

text

Maateenheden
  • Name
Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C0543467
Name
Eingriff
Beschrijving

Surgical intervention

Datatype

text

Alias
UMLS CUI [1]
C0549433
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Similar models

Cardiac Surgery, University Hospital Cologne

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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