Information:
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ID
21795
Description
Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: Arztbrief_Ortho
Keywords
Versions (2)
- 4/28/17 4/28/17 -
- 5/1/17 5/1/17 -
Uploaded on
May 1, 2017
DOI
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License
Creative Commons BY-NC 3.0
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Medical report, Orthopedics and trauma surgery, University Hospital Cologne
Medical report, Orthopedics and trauma surgery, University Hospital Cologne
Similar models
Medical report, Orthopedics and trauma surgery, University Hospital Cologne
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Arztbrief Orthopädie und Unfallchirurgie
C0684224 (UMLS CUI-1)
C0029355 (UMLS CUI-2)
C0587530 (UMLS CUI-3)
C0029355 (UMLS CUI-2)
C0587530 (UMLS CUI-3)
Patient name
Item
Patient
text
C1299487 (UMLS CUI [1])
Birth Date
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Patient address
Item
Adresse des Patienten
text
C0421449 (UMLS CUI [1])
General practitioner
Item
Hausarzt
text
C0017319 (UMLS CUI [1])
General practitioner address
Item
Hausarzt Adresse
text
C0017319 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,2])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Diagnosis
Item
Diagnose(n)
text
C0011900 (UMLS CUI [1,1])
C1136256 (UMLS CUI [1,2])
C1136256 (UMLS CUI [1,2])
Surgical procedures
Item
Operation(en)
text
C0543467 (UMLS CUI [1,1])
C1550373 (UMLS CUI [1,2])
C1550373 (UMLS CUI [1,2])
Study subject participation status
Item
Studienteilnahme
boolean
C2348568 (UMLS CUI [1])
Study subject participation status
Item
Falls Studienteilnahme: Spezifikation der Studie
text
C2348568 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
Medical history
Item
Anamnese
text
C0262926 (UMLS CUI [1])
Physical examination
Item
Klinische Untersuchung
text
C0031809 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0243095 (UMLS CUI [1,2])
CL Item
ORT Poliklinik (1)
CL Item
UCH Poliklinik (2)
CL Item
CIO - Tumorboard Sarkome und Knochentumoren (3)
Finding
Item
Apparative Befunde/Untersuchung
text
C0243095 (UMLS CUI [1,1])
C0034601 (UMLS CUI [1,2])
C0034601 (UMLS CUI [1,2])
Evaluation
Item
Beurteilung
text
C0220825 (UMLS CUI [1,1])
C0034601 (UMLS CUI [1,2])
C0034601 (UMLS CUI [1,2])
Therapy and clinical course
Item
Therapie und Verlauf
text
C0087111 (UMLS CUI [1])
C0449259 (UMLS CUI [2])
C0449259 (UMLS CUI [2])
Follow up
Item
Procedere
text
C0001758 (UMLS CUI [1])
Discharge medication
Item
Letzte Medikation
text
C1553894 (UMLS CUI [1])
Follo up visit
Item
Wiedervorstellung
text
C0589121 (UMLS CUI [1])
Signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])