ID

21795

Beschrijving

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

Trefwoorden

  1. 28-04-17 28-04-17 -
  2. 01-05-17 01-05-17 -
Geüploaded op

1 mei 2017

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Medical report, Orthopedics and trauma surgery, University Hospital Cologne

Medical report, Orthopedics and trauma surgery, University Hospital Cologne

Arztbrief Orthopädie und Unfallchirurgie
Beschrijving

Arztbrief Orthopädie und Unfallchirurgie

Alias
UMLS CUI-1
C0684224
UMLS CUI-2
C0029355
UMLS CUI-3
C0587530
Patient
Beschrijving

Patient name

Datatype

text

Alias
UMLS CUI [1]
C1299487
Geburtsdatum
Beschrijving

Birth Date

Datatype

date

Maateenheden
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C0421451
dd.mm.yyyy
Adresse des Patienten
Beschrijving

Patient address

Datatype

text

Alias
UMLS CUI [1]
C0421449
Hausarzt
Beschrijving

General practitioner

Datatype

text

Alias
UMLS CUI [1]
C0017319
Hausarzt Adresse
Beschrijving

General practitioner address

Datatype

text

Alias
UMLS CUI [1,1]
C0017319
UMLS CUI [1,2]
C1442065
Datum
Beschrijving

Date

Datatype

date

Alias
UMLS CUI [1]
C0011008
Diagnose(n)
Beschrijving

Diagnosis

Datatype

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C1136256
Operation(en)
Beschrijving

Surgical procedures

Datatype

text

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C1550373
Studienteilnahme
Beschrijving

Study subject participation status

Datatype

boolean

Alias
UMLS CUI [1]
C2348568
Falls Studienteilnahme: Spezifikation der Studie
Beschrijving

Study subject participation status

Datatype

text

Alias
UMLS CUI [1,1]
C2348568
UMLS CUI [1,2]
C2348235
Anamnese
Beschrijving

Medical history

Datatype

text

Alias
UMLS CUI [1]
C0262926
Klinische Untersuchung
Beschrijving

Physical examination

Datatype

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0243095
Befundart
Beschrijving

Finding type

Datatype

integer

Alias
UMLS CUI [1,1]
C0243095
UMLS CUI [1,2]
C0332307
Apparative Befunde/Untersuchung
Beschrijving

Finding

Datatype

text

Alias
UMLS CUI [1,1]
C0243095
UMLS CUI [1,2]
C0034601
Beurteilung
Beschrijving

Evaluation

Datatype

text

Alias
UMLS CUI [1,1]
C0220825
UMLS CUI [1,2]
C0034601
Therapie und Verlauf
Beschrijving

Therapy and clinical course

Datatype

text

Alias
UMLS CUI [1]
C0087111
UMLS CUI [2]
C0449259
Procedere
Beschrijving

Follow up

Datatype

text

Alias
UMLS CUI [1]
C0001758
Letzte Medikation
Beschrijving

Discharge medication

Datatype

text

Alias
UMLS CUI [1]
C1553894
Wiedervorstellung
Beschrijving

Follo up visit

Datatype

text

Alias
UMLS CUI [1]
C0589121
Unterschrift
Beschrijving

Signature

Datatype

text

Alias
UMLS CUI [1]
C1519316

Similar models

Medical report, Orthopedics and trauma surgery, University Hospital Cologne

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Arztbrief Orthopädie und Unfallchirurgie
C0684224 (UMLS CUI-1)
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])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Diagnosis
Item
Diagnose(n)
text
C0011900 (UMLS CUI [1,1])
C1136256 (UMLS CUI [1,2])
Surgical procedures
Item
Operation(en)
text
C0543467 (UMLS CUI [1,1])
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])
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])
Item
Befundart
integer
C0243095 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Befundart
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])
Evaluation
Item
Beurteilung
text
C0220825 (UMLS CUI [1,1])
C0034601 (UMLS CUI [1,2])
Therapy and clinical course
Item
Therapie und Verlauf
text
C0087111 (UMLS CUI [1])
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])

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial