ID

21821

Description

Baseline Medical Examination form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Prof. Dr. med. Ludwig Kiesel

Keywords

Versions (3)
  1. 4/25/17 4/25/17 -
  2. 4/25/17 4/25/17 -
  3. 5/2/17 5/2/17 -
Copyright Holder

UKM

Uploaded on

May 2, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Baseline Medical Examination Gynaecology UKM

German English

Baseline Medical Examination

1 forms  
Patientendaten
Description

Patientendaten

Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Geburtsdatum
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Addresse
Description

Address

Data type

text

Alias
UMLS CUI [1]
C0421449
Geb.-Zeit
Description

Birth time

Data type

time

Alias
UMLS CUI [1]
C2736116
Blutgruppe der Mutter
Description

Blood group

Data type

integer

Alias
UMLS CUI [1]
C0005810
Antikörper
Description

Health insurance

Data type

integer

Alias
UMLS CUI [1]
C0021682
Hebamme
Description

Address

Data type

text

Alias
UMLS CUI [1]
C0421449
Arzt
Description

Physician

Data type

text

Alias
UMLS CUI [1]
C2826892
Jahrgang
Description

Age group

Data type

integer

Alias
UMLS CUI [1]
C0001779
Dauermed.:
Description

Medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
Allergien:
Description

Allergies

Data type

integer

Alias
UMLS CUI [1]
C0020517
Risiken:
Description

Risk

Data type

integer

Alias
UMLS CUI [1]
C0035647
Diagnose
Description

Diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011900
Therapie
Description

Therapy

Data type

integer

Alias
UMLS CUI [1]
C0087111
Untersuchung
Description

Untersuchung

Kopfschmerzen/neurolog.
Description

Headache

Data type

boolean

Alias
UMLS CUI [1]
C0018681
Schilddrüsenerkrankung
Description

Thyroid gland diseases

Data type

boolean

Alias
UMLS CUI [1]
C0040128
cardiale Krankheiten/RR
Description

Heart Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0018799
Lungenkrankheiten
Description

Lung disease

Data type

boolean

Alias
UMLS CUI [1]
C0024115
Brusterkrankungen
Description

Breast Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0006145
Leber-Galle-Krankheiten
Description

Liver disease

Data type

boolean

Alias
UMLS CUI [1]
C0023895
Magen-Darm-Erkrankung
Description

Stomach Diseases | Intestinal Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0038354
UMLS CUI [2]
C0021831
Nieren-Blasen-Erkrankung
Description

Kidney Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0022658
Blutkrankheiten
Description

Hematological Disease

Data type

boolean

Alias
UMLS CUI [1]
C0018939
Bluttransfusionen
Description

Blood transfusion

Data type

boolean

Alias
UMLS CUI [1]
C0005841
Diabetes
Description

Diabetes

Data type

boolean

Alias
UMLS CUI [1]
C0011849
Krebserkrankungen
Description

Cancer

Data type

boolean

Alias
UMLS CUI [1]
C0006826
Erbleiden
Description

Hereditary Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0019247
Operationen
Description

Operation

Data type

boolean

Alias
UMLS CUI [1]
C0543467
gynäkologische Anamnese
Description

gynäkologische Anamnese

Alias
UMLS CUI-1
C0474455
Menarche:
Description

Menarche

Data type

integer

Alias
UMLS CUI [1]
C0025274
Menopause:
Description

Menopause

Data type

integer

Alias
UMLS CUI [1]
C0025320
Antikonzeption:
Description

Contraception

Data type

integer

Alias
UMLS CUI [1]
C0700589
Blutungsstörungen:
Description

Bleeding disorder

Data type

boolean

Alias
UMLS CUI [1]
C0005779
gyn. Operationen:
Description

Gynecological operation

Data type

boolean

Alias
UMLS CUI [1]
C0580732
geburtshilfliche Anamnese
Description

geburtshilfliche Anamnese

Geburtshilfe
Description

Midwifery

Data type

integer

Alias
UMLS CUI [1]
C0026082
Geburtsdatum
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Geburtsgewicht
Description

Birth weight

Data type

integer

Alias
UMLS CUI [1]
C0005612
Grav-Woch.
Description

Week of gestation

Data type

integer

Alias
UMLS CUI [1]
C1135241
Entbindung
Description

Delivery

Data type

date

Alias
UMLS CUI [1,1]
C1301668
UMLS CUI [1,2]
C2053594
Erstuntersuchung
Description

Erstuntersuchung

äuß. Gen.
Description

Genital

Data type

integer

Alias
UMLS CUI [1]
C0017420
Vagina
Description

Vagina

Data type

integer

Alias
UMLS CUI [1]
C0042232
Cervix
Description

Cervix

Data type

integer

Alias
UMLS CUI [1]
C0007874
Uterus
Description

Uterus

Data type

integer

Alias
UMLS CUI [1]
C0007874
Adnexe
Description

Uterine adnexae structure

Data type

integer

Alias
UMLS CUI [1]
C0001575
Rektum
Description

Rectum

Data type

integer

Alias
UMLS CUI [1]
C0001575
Mamma
Description

Mamma

Data type

integer

Alias
UMLS CUI [1]
C1268990
Haut
Description

Skin

Data type

integer

Alias
UMLS CUI [1]
C1268990
Kopf
Description

Head

Data type

integer

Alias
UMLS CUI [1]
C1268990
Thorax
Description

Chest

Data type

integer

Alias
UMLS CUI [1]
C0817096
Herz
Description

Heart

Data type

integer

Alias
UMLS CUI [1]
C0018787
Lunge
Description

Lungs

Data type

integer

Alias
UMLS CUI [1]
C2228454
Abdomen
Description

Abdomen

Data type

integer

Alias
UMLS CUI [1]
C0000726
Nieren
Description

Kidney

Data type

integer

Alias
UMLS CUI [1]
C0022646
Extrem.
Description

Limbs

Data type

integer

Alias
UMLS CUI [1]
C0015385
Nerven
Description

Nerv

Data type

integer

Alias
UMLS CUI [1]
C0027763
PAP
Description

Pap smear

Data type

integer

Alias
UMLS CUI [1]
C0079104
Unterschrift
Description

Unterschrift

Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Unterschrift
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316
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Similar models

Baseline Medical Examination

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patientendaten
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Date of birth
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Address
Item
Addresse
text
C0421449 (UMLS CUI [1])
Birth time
Item
Geb.-Zeit
time
C2736116 (UMLS CUI [1])
Blood group
Item
Blutgruppe der Mutter
integer
C0005810 (UMLS CUI [1])
Health insurance
Item
Antikörper
integer
C0021682 (UMLS CUI [1])
Address
Item
Hebamme
text
C0421449 (UMLS CUI [1])
Physician
Item
Arzt
text
C2826892 (UMLS CUI [1])
Age group
Item
Jahrgang
integer
C0001779 (UMLS CUI [1])
Medication
Item
Dauermed.:
integer
C0013227 (UMLS CUI [1])
Allergies
Item
Allergien:
integer
C0020517 (UMLS CUI [1])
Risk
Item
Risiken:
integer
C0035647 (UMLS CUI [1])
Diagnosis
Item
Diagnose
integer
C0011900 (UMLS CUI [1])
Therapy
Item
Therapie
integer
C0087111 (UMLS CUI [1])
Item Group
Untersuchung
Headache
Item
Kopfschmerzen/neurolog.
boolean
C0018681 (UMLS CUI [1])
Thyroid gland diseases
Item
Schilddrüsenerkrankung
boolean
C0040128 (UMLS CUI [1])
Heart Diseases
Item
cardiale Krankheiten/RR
boolean
C0018799 (UMLS CUI [1])
Lung disease
Item
Lungenkrankheiten
boolean
C0024115 (UMLS CUI [1])
Breast Diseases
Item
Brusterkrankungen
boolean
C0006145 (UMLS CUI [1])
Liver disease
Item
Leber-Galle-Krankheiten
boolean
C0023895 (UMLS CUI [1])
Stomach Diseases | Intestinal Diseases
Item
Magen-Darm-Erkrankung
boolean
C0038354 (UMLS CUI [1])
C0021831 (UMLS CUI [2])
Kidney Diseases
Item
Nieren-Blasen-Erkrankung
boolean
C0022658 (UMLS CUI [1])
Hematological Disease
Item
Blutkrankheiten
boolean
C0018939 (UMLS CUI [1])
Blood transfusion
Item
Bluttransfusionen
boolean
C0005841 (UMLS CUI [1])
Diabetes
Item
Diabetes
boolean
C0011849 (UMLS CUI [1])
Cancer
Item
Krebserkrankungen
boolean
C0006826 (UMLS CUI [1])
Hereditary Diseases
Item
Erbleiden
boolean
C0019247 (UMLS CUI [1])
Operation
Item
Operationen
boolean
C0543467 (UMLS CUI [1])
Item Group
gynäkologische Anamnese
C0474455 (UMLS CUI-1)
Menarche
Item
Menarche:
integer
C0025274 (UMLS CUI [1])
Menopause
Item
Menopause:
integer
C0025320 (UMLS CUI [1])
Contraception
Item
Antikonzeption:
integer
C0700589 (UMLS CUI [1])
Bleeding disorder
Item
Blutungsstörungen:
boolean
C0005779 (UMLS CUI [1])
Gynecological operation
Item
gyn. Operationen:
boolean
C0580732 (UMLS CUI [1])
Item Group
geburtshilfliche Anamnese
Midwifery
Item
Geburtshilfe
integer
C0026082 (UMLS CUI [1])
Date of birth
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Birth weight
Item
Geburtsgewicht
integer
C0005612 (UMLS CUI [1])
Week of gestation
Item
Grav-Woch.
integer
C1135241 (UMLS CUI [1])
Delivery
Item
Entbindung
date
C1301668 (UMLS CUI [1,1])
C2053594 (UMLS CUI [1,2])
Item Group
Erstuntersuchung
Item
äuß. Gen.
integer
C0017420 (UMLS CUI [1])
Genital
Code List
äuß. Gen.
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Vagina
integer
C0042232 (UMLS CUI [1])
Genital
Code List
Vagina
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Cervix
integer
C0007874 (UMLS CUI [1])
Genital
Code List
Cervix
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Uterus
integer
C0007874 (UMLS CUI [1])
Genital
Code List
Uterus
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Adnexe
integer
C0001575 (UMLS CUI [1])
Genital
Code List
Adnexe
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Rektum
integer
C0001575 (UMLS CUI [1])
Genital
Code List
Rektum
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Mamma
integer
C1268990 (UMLS CUI [1])
Genital
Code List
Mamma
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Haut
integer
C1268990 (UMLS CUI [1])
Genital
Code List
Haut
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Kopf
integer
C1268990 (UMLS CUI [1])
Genital
Code List
Kopf
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Thorax
integer
C0817096 (UMLS CUI [1])
Genital
Code List
Thorax
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Herz
integer
C0018787 (UMLS CUI [1])
Genital
Code List
Herz
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Lunge
integer
C2228454 (UMLS CUI [1])
Genital
Code List
Lunge
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Abdomen
integer
C0000726 (UMLS CUI [1])
Genital
Code List
Abdomen
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Nieren
integer
C0022646 (UMLS CUI [1])
Genital
Code List
Nieren
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Extrem.
integer
C0015385 (UMLS CUI [1])
Genital
Code List
Extrem.
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Nerven
integer
C0027763 (UMLS CUI [1])
Genital
Code List
Nerven
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Pap smear
Item
PAP
integer
C0079104 (UMLS CUI [1])
Item Group
Unterschrift
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])
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