ID

21821

Beskrivning

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

Nyckelord

Versioner (3)
  1. 2017-04-25 2017-04-25 -
  2. 2017-04-25 2017-04-25 -
  3. 2017-05-02 2017-05-02 -
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UKM

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2 maj 2017

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Baseline Medical Examination Gynaecology UKM

Tysk Engelsk

Baseline Medical Examination

1 Formulär  
Patient demographics
Beskrivning

Patient demographics

Name
Beskrivning

Name

Datatyp

text

Alias
UMLS CUI [1]
C0027365
Date of birth
Beskrivning

Date of birth

Datatyp

date

Alias
UMLS CUI [1]
C0421451
Address
Beskrivning

Address

Datatyp

text

Alias
UMLS CUI [1]
C0421449
Birth time
Beskrivning

Birth time

Datatyp

time

Alias
UMLS CUI [1]
C2736116
Blood group
Beskrivning

Blood group

Datatyp

integer

Alias
UMLS CUI [1]
C0005810
Health insurance
Beskrivning

Health insurance

Datatyp

integer

Alias
UMLS CUI [1]
C0021682
Address
Beskrivning

Address

Datatyp

text

Alias
UMLS CUI [1]
C0421449
Physician
Beskrivning

Physician

Datatyp

text

Alias
UMLS CUI [1]
C2826892
Age group
Beskrivning

Age group

Datatyp

integer

Alias
UMLS CUI [1]
C0001779
Medication
Beskrivning

Medication

Datatyp

integer

Alias
UMLS CUI [1]
C0013227
Allergies
Beskrivning

Allergies

Datatyp

integer

Alias
UMLS CUI [1]
C0020517
Risk
Beskrivning

Risk

Datatyp

integer

Alias
UMLS CUI [1]
C0035647
Diagnosis
Beskrivning

Diagnosis

Datatyp

integer

Alias
UMLS CUI [1]
C0011900
Therapy
Beskrivning

Therapy

Datatyp

integer

Alias
UMLS CUI [1]
C0087111
Assessment
Beskrivning

Assessment

Headache
Beskrivning

Headache

Datatyp

boolean

Alias
UMLS CUI [1]
C0018681
Thyroid gland diseases
Beskrivning

Thyroid gland diseases

Datatyp

boolean

Alias
UMLS CUI [1]
C0040128
Heart Diseases
Beskrivning

Heart Diseases

Datatyp

boolean

Alias
UMLS CUI [1]
C0018799
Lung disease
Beskrivning

Lung disease

Datatyp

boolean

Alias
UMLS CUI [1]
C0024115
Breast Diseases
Beskrivning

Breast Diseases

Datatyp

boolean

Alias
UMLS CUI [1]
C0006145
Liver disease
Beskrivning

Liver disease

Datatyp

boolean

Alias
UMLS CUI [1]
C0023895
Stomach Diseases | Intestinal Diseases
Beskrivning

Stomach Diseases | Intestinal Diseases

Datatyp

boolean

Alias
UMLS CUI [1]
C0038354
UMLS CUI [2]
C0021831
Kidney Diseases
Beskrivning

Kidney Diseases

Datatyp

boolean

Alias
UMLS CUI [1]
C0022658
Hematological Disease
Beskrivning

Hematological Disease

Datatyp

boolean

Alias
UMLS CUI [1]
C0018939
Blood transfusion
Beskrivning

Blood transfusion

Datatyp

boolean

Alias
UMLS CUI [1]
C0005841
Diabetes
Beskrivning

Diabetes

Datatyp

boolean

Alias
UMLS CUI [1]
C0011849
Cancer
Beskrivning

Cancer

Datatyp

boolean

Alias
UMLS CUI [1]
C0006826
Hereditary Diseases
Beskrivning

Hereditary Diseases

Datatyp

boolean

Alias
UMLS CUI [1]
C0019247
Operation
Beskrivning

Operation

Datatyp

boolean

Alias
UMLS CUI [1]
C0543467
Gynecological history
Beskrivning

Gynecological history

Alias
UMLS CUI-1
C0474455
Menarche
Beskrivning

Menarche

Datatyp

integer

Alias
UMLS CUI [1]
C0025274
Menopause
Beskrivning

Menopause

Datatyp

integer

Alias
UMLS CUI [1]
C0025320
Contraception
Beskrivning

Contraception

Datatyp

integer

Alias
UMLS CUI [1]
C0700589
Bleeding disorder
Beskrivning

Bleeding disorder

Datatyp

boolean

Alias
UMLS CUI [1]
C0005779
Gynecological operation
Beskrivning

Gynecological operation

Datatyp

boolean

Alias
UMLS CUI [1]
C0580732
Midwifery history
Beskrivning

Midwifery history

Midwifery
Beskrivning

Midwifery

Datatyp

integer

Alias
UMLS CUI [1]
C0026082
Date of birth
Beskrivning

Date of birth

Datatyp

date

Alias
UMLS CUI [1]
C0421451
Birth weight
Beskrivning

Birth weight

Datatyp

integer

Alias
UMLS CUI [1]
C0005612
Week of gestation
Beskrivning

Week of gestation

Datatyp

integer

Alias
UMLS CUI [1]
C1135241
Delivery
Beskrivning

Delivery

Datatyp

date

Alias
UMLS CUI [1,1]
C1301668
UMLS CUI [1,2]
C2053594
Examination
Beskrivning

Examination

Genital
Beskrivning

Genital

Datatyp

integer

Alias
UMLS CUI [1]
C0017420
Vagina
Beskrivning

Vagina

Datatyp

integer

Alias
UMLS CUI [1]
C0042232
Cervix
Beskrivning

Cervix

Datatyp

integer

Alias
UMLS CUI [1]
C0007874
Uterus
Beskrivning

Uterus

Datatyp

integer

Alias
UMLS CUI [1]
C0007874
Uterine adnexae structure
Beskrivning

Uterine adnexae structure

Datatyp

integer

Alias
UMLS CUI [1]
C0001575
Rectum
Beskrivning

Rectum

Datatyp

integer

Alias
UMLS CUI [1]
C0001575
Mamma
Beskrivning

Mamma

Datatyp

integer

Alias
UMLS CUI [1]
C1268990
Skin
Beskrivning

Skin

Datatyp

integer

Alias
UMLS CUI [1]
C1268990
Head
Beskrivning

Head

Datatyp

integer

Alias
UMLS CUI [1]
C1268990
Chest
Beskrivning

Chest

Datatyp

integer

Alias
UMLS CUI [1]
C0817096
Heart
Beskrivning

Heart

Datatyp

integer

Alias
UMLS CUI [1]
C0018787
Lungs
Beskrivning

Lungs

Datatyp

integer

Alias
UMLS CUI [1]
C2228454
Abdomen
Beskrivning

Abdomen

Datatyp

integer

Alias
UMLS CUI [1]
C0000726
Kindey
Beskrivning

Kidney

Datatyp

integer

Alias
UMLS CUI [1]
C0022646
Limbs
Beskrivning

Limbs

Datatyp

integer

Alias
UMLS CUI [1]
C0015385
Nerv
Beskrivning

Nerv

Datatyp

integer

Alias
UMLS CUI [1]
C0027763
Pap smear
Beskrivning

Pap smear

Datatyp

integer

Alias
UMLS CUI [1]
C0079104
Footer module
Beskrivning

Footer module

Date
Beskrivning

Date

Datatyp

date

Alias
UMLS CUI [1]
C0011008
Signature
Beskrivning

Signature

Datatyp

text

Alias
UMLS CUI [1]
C1519316
Tillbaka till toppen

Similar models

Baseline Medical Examination

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Patient demographics
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Address
Item
Address
text
C0421449 (UMLS CUI [1])
Birth time
Item
Birth time
time
C2736116 (UMLS CUI [1])
Blood group
Item
Blood group
integer
C0005810 (UMLS CUI [1])
Health insurance
Item
Health insurance
integer
C0021682 (UMLS CUI [1])
Address
Item
Address
text
C0421449 (UMLS CUI [1])
Physician
Item
Physician
text
C2826892 (UMLS CUI [1])
Age group
Item
Age group
integer
C0001779 (UMLS CUI [1])
Medication
Item
Medication
integer
C0013227 (UMLS CUI [1])
Allergies
Item
Allergies
integer
C0020517 (UMLS CUI [1])
Risk
Item
Risk
integer
C0035647 (UMLS CUI [1])
Diagnosis
Item
Diagnosis
integer
C0011900 (UMLS CUI [1])
Therapy
Item
Therapy
integer
C0087111 (UMLS CUI [1])
Item Group
Assessment
Headache
Item
Headache
boolean
C0018681 (UMLS CUI [1])
Thyroid gland diseases
Item
Thyroid gland diseases
boolean
C0040128 (UMLS CUI [1])
Heart Diseases
Item
Heart Diseases
boolean
C0018799 (UMLS CUI [1])
Lung disease
Item
Lung disease
boolean
C0024115 (UMLS CUI [1])
Breast Diseases
Item
Breast Diseases
boolean
C0006145 (UMLS CUI [1])
Liver disease
Item
Liver disease
boolean
C0023895 (UMLS CUI [1])
Stomach Diseases | Intestinal Diseases
Item
Stomach Diseases | Intestinal Diseases
boolean
C0038354 (UMLS CUI [1])
C0021831 (UMLS CUI [2])
Kidney Diseases
Item
Kidney Diseases
boolean
C0022658 (UMLS CUI [1])
Hematological Disease
Item
Hematological Disease
boolean
C0018939 (UMLS CUI [1])
Blood transfusion
Item
Blood transfusion
boolean
C0005841 (UMLS CUI [1])
Diabetes
Item
Diabetes
boolean
C0011849 (UMLS CUI [1])
Cancer
Item
Cancer
boolean
C0006826 (UMLS CUI [1])
Hereditary Diseases
Item
Hereditary Diseases
boolean
C0019247 (UMLS CUI [1])
Operation
Item
Operation
boolean
C0543467 (UMLS CUI [1])
Item Group
Gynecological history
C0474455 (UMLS CUI-1)
Menarche
Item
Menarche
integer
C0025274 (UMLS CUI [1])
Menopause
Item
Menopause
integer
C0025320 (UMLS CUI [1])
Contraception
Item
Contraception
integer
C0700589 (UMLS CUI [1])
Bleeding disorder
Item
Bleeding disorder
boolean
C0005779 (UMLS CUI [1])
Gynecological operation
Item
Gynecological operation
boolean
C0580732 (UMLS CUI [1])
Item Group
Midwifery history
Midwifery
Item
Midwifery
integer
C0026082 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Birth weight
Item
Birth weight
integer
C0005612 (UMLS CUI [1])
Week of gestation
Item
Week of gestation
integer
C1135241 (UMLS CUI [1])
Delivery
Item
Delivery
date
C1301668 (UMLS CUI [1,1])
C2053594 (UMLS CUI [1,2])
Item Group
Examination
Item
Genital
integer
C0017420 (UMLS CUI [1])
Genital
Code List
Genital
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
Uterine adnexae structure
integer
C0001575 (UMLS CUI [1])
Genital
Code List
Uterine adnexae structure
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Rectum
integer
C0001575 (UMLS CUI [1])
Genital
Code List
Rectum
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
Skin
integer
C1268990 (UMLS CUI [1])
Genital
Code List
Skin
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Head
integer
C1268990 (UMLS CUI [1])
Genital
Code List
Head
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Chest
integer
C0817096 (UMLS CUI [1])
Genital
Code List
Chest
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Heart
integer
C0018787 (UMLS CUI [1])
Genital
Code List
Heart
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Lungs
integer
C2228454 (UMLS CUI [1])
Genital
Code List
Lungs
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
Kindey
integer
C0022646 (UMLS CUI [1])
Genital
Code List
Kindey
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Limbs
integer
C0015385 (UMLS CUI [1])
Genital
Code List
Limbs
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Nerv
integer
C0027763 (UMLS CUI [1])
Genital
Code List
Nerv
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Pap smear
Item
Pap smear
integer
C0079104 (UMLS CUI [1])
Item Group
Footer module
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
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