General request form, University Hospital Cologne

Allgemeine Anforderung
Description

Allgemeine Anforderung

Alias
UMLS CUI-1
C1272683
Patient
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Gewünschte Leistung
Description

Gewünschte Leistung

Alias
UMLS CUI-1
C1272683
UMLS CUI-2
C0557854
Art der Anforderung
Description

Type of request

Data type

text

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C2348235
UMLS CUI [1,3]
C0332307
Leistung
Description

Service

Data type

text

Alias
UMLS CUI [1]
C0199168
Anzahl der gewünschten Leistungen
Description

Quantity of requested services

Data type

integer

Alias
UMLS CUI [1,1]
C1265611
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0199168
Auftragsdaten
Description

Auftragsdaten

Alias
UMLS CUI-1
C1272683
UMLS CUI-2
C1511726
Auftragsnummer
Description

Request identification number

Data type

integer

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C1272683
Auftragsstatus
Description

Order status

Data type

text

Alias
UMLS CUI [1]
C1550341
Dringlichkeit
Description

Urgency

Data type

text

Alias
UMLS CUI [1]
C4049774
Auftragsdatum
Description

Date of order

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1549499
UMLS CUI [1,2]
C0011008
dd.mm.yyyy
Auftragszeit
Description

Time of order

Data type

time

Measurement units
  • hh:mm
Alias
UMLS CUI [1,1]
C1549499
UMLS CUI [1,2]
C0040223
hh:mm
Leistungserbringer
Description

Leistungserbringer

Alias
UMLS CUI-1
C0557854
UMLS CUI-2
C1550369
UMLS CUI-3
C0019961
Leistungserbringer
Description

Department performing service

Data type

text

Alias
UMLS CUI [1]
C0019961
Leistungsanforderer
Description

Leistungsanforderer

Alias
UMLS CUI-1
C1272683
UMLS CUI-2
C1550369
UMLS CUI-3
C0019961
Orgaeinheit
Description

Department

Data type

text

Alias
UMLS CUI [1]
C0019961
Anforderer
Description

Name of requesting physician

Data type

text

Measurement units
  • Name
Alias
UMLS CUI [1]
C0686901
Name
Weitere Daten
Description

Weitere Daten

Alias
UMLS CUI-1
C1533716
Terminwunsch Datum
Description

Wanted date of appointment

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1444647
UMLS CUI [1,2]
C0011008
dd.mm.yyyy
Terminwunsch Uhrzeit
Description

Wanted time of appointment

Data type

time

Measurement units
  • hh:mm
Alias
UMLS CUI [1,1]
C1444647
UMLS CUI [1,2]
C0040223
hh:mm
Kommentar
Description

Comment

Data type

text

Alias
UMLS CUI [1]
C0947611
Mobilität
Description

Mobility

Data type

text

Alias
UMLS CUI [1]
C0449580
Vorbefunde
Description

Previous finding

Data type

text

Alias
UMLS CUI [1,1]
C0243095
UMLS CUI [1,2]
C0205156

Similar models

General request form, University Hospital Cologne

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Allgemeine Anforderung
C1272683 (UMLS CUI-1)
Patient name
Item
Patient
text
C1299487 (UMLS CUI [1])
Item Group
Gewünschte Leistung
C1272683 (UMLS CUI-1)
C0557854 (UMLS CUI-2)
Type of request
Item
Art der Anforderung
text
C1272683 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
Service
Item
Leistung
text
C0199168 (UMLS CUI [1])
Quantity of requested services
Item
Anzahl der gewünschten Leistungen
integer
C1265611 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0199168 (UMLS CUI [1,3])
Item Group
Auftragsdaten
C1272683 (UMLS CUI-1)
C1511726 (UMLS CUI-2)
Request identification number
Item
Auftragsnummer
integer
C1300638 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
Order status
Item
Auftragsstatus
text
C1550341 (UMLS CUI [1])
Urgency
Item
Dringlichkeit
text
C4049774 (UMLS CUI [1])
Date of order
Item
Auftragsdatum
date
C1549499 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of order
Item
Auftragszeit
time
C1549499 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Item Group
Leistungserbringer
C0557854 (UMLS CUI-1)
C1550369 (UMLS CUI-2)
C0019961 (UMLS CUI-3)
Department performing service
Item
Leistungserbringer
text
C0019961 (UMLS CUI [1])
Item Group
Leistungsanforderer
C1272683 (UMLS CUI-1)
C1550369 (UMLS CUI-2)
C0019961 (UMLS CUI-3)
Department
Item
Orgaeinheit
text
C0019961 (UMLS CUI [1])
Name of requesting physician
Item
Anforderer
text
C0686901 (UMLS CUI [1])
Item Group
Weitere Daten
C1533716 (UMLS CUI-1)
Wanted date of appointment
Item
Terminwunsch Datum
date
C1444647 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Wanted time of appointment
Item
Terminwunsch Uhrzeit
time
C1444647 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Comment
Item
Kommentar
text
C0947611 (UMLS CUI [1])
Mobility
Item
Mobilität
text
C0449580 (UMLS CUI [1])
Previous finding
Item
Vorbefunde
text
C0243095 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])