ID

21843

Description

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

Mots-clés

Versions (2)
  1. 25/04/2017 25/04/2017 -
  2. 03/05/2017 03/05/2017 -
Téléchargé le

3 mai 2017

DOI

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Licence

Creative Commons BY-NC 3.0
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RIS, Head MRI examination report, University Hospital Cologne

Allemand

RIS, Head MRI examination report, University Hospital Cologne

1 Formulaires  
MRT Radiologie Schädel, Hirn, Tumor/Entzündung Datenerfassung
Description

MRT Radiologie Schädel, Hirn, Tumor/Entzündung Datenerfassung

Alias
UMLS CUI-1
C0412674
UMLS CUI-2
C0034601
UMLS CUI-3
C2985643
Patient
Description

Patient name

Type de données

text

Alias
UMLS CUI [1]
C1299487
Geburtsdatum
Description

Birth Date

Type de données

date

Unités de mesure
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C0421451
dd.mm.yyyy
Leistende Stelle
Description

Department performing examination

Type de données

text

Alias
UMLS CUI [1,1]
C2986180
UMLS CUI [1,2]
C0019961
UMLS CUI [1,3]
C0412674
Auftragsnummer
Description

Order ID

Type de données

integer

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C1705175
Dringlichkeit
Description

Urgency

Type de données

text

Alias
UMLS CUI [1,1]
C2188402
UMLS CUI [1,2]
C0412674
Anfordernde Abteilung
Description

Department requesting examination

Type de données

text

Alias
UMLS CUI [1,1]
C1705175
UMLS CUI [1,2]
C0412674
UMLS CUI [1,3]
C1550369
UMLS CUI [1,4]
C0019961
Anfordernde Station
Description

Ward requesting examination

Type de données

text

Alias
UMLS CUI [1,1]
C1705175
UMLS CUI [1,2]
C0412674
UMLS CUI [1,3]
C1550369
UMLS CUI [1,4]
C1305702
Anfordernder Arzt
Description

Ordering physician

Type de données

text

Unités de mesure
  • Name
Alias
UMLS CUI [1,1]
C1709334
UMLS CUI [1,2]
C0412674
Name
Anf. Arzt Telefon
Description

Ordering physician phone number

Type de données

integer

Alias
UMLS CUI [1,1]
C1709334
UMLS CUI [1,2]
C1515258
CAVE Informationen zu Patient
Description

Patient information

Type de données

text

Alias
UMLS CUI [1,1]
C1955348
UMLS CUI [1,2]
C0871599
Untersuchungsdatum
Description

Examination date

Type de données

date

Unités de mesure
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0412674
dd.mm.yyyy
Untersuchungsbeginn (Uhrzeit)
Description

Examination start time

Type de données

time

Unités de mesure
  • hh:mm
Alias
UMLS CUI [1,1]
C1301880
UMLS CUI [1,2]
C0412674
hh:mm
Untersuchungsende (Uhrzeit)
Description

Examination end time

Type de données

time

Unités de mesure
  • hh:mm
Alias
UMLS CUI [1,1]
C1522314
UMLS CUI [1,2]
C0412674
hh:mm
Untersuchungsdauer
Description

Duration of examination

Type de données

integer

Unités de mesure
  • min
Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0412674
min
Mitarbeiter (MTRA oder Arzt)
Description

Employee

Type de données

text

Unités de mesure
  • Name
Alias
UMLS CUI [1,1]
C0599987
UMLS CUI [1,2]
C0412674
Name
MR-Sequenz
Description

MRI sequence

Type de données

integer

Alias
UMLS CUI [1,1]
C0412674
UMLS CUI [1,2]
C1519249
Schichtführung
Description

Sectioning of MRI

Type de données

integer

Alias
UMLS CUI [1,1]
C0412674
UMLS CUI [1,2]
C1519355
UMLS CUI [1,3]
C0449738
Befundender Arzt
Description

Diagnosing physician

Type de données

text

Unités de mesure
  • Name
Alias
UMLS CUI [1]
C3260206
Name
Schwangerschaft
Description

Pregnancy

Type de données

boolean

Alias
UMLS CUI [1]
C0032961
Gesamt CTDIw
Description

Computed tomography dose index CTDIw

Type de données

float

Unités de mesure
  • mGy x cm²
Alias
UMLS CUI [1]
C3640003
mGy x cm²
Gesamt CTDIvol
Description

Computed tomography dose index volume CTDIvol

Type de données

float

Unités de mesure
  • Gy x cm²
Alias
UMLS CUI [1]
C3640003
Gy x cm²
Gesamt AGD
Description

Average Glandular Dose

Type de données

float

Unités de mesure
  • Gy x cm²
Alias
UMLS CUI [1,1]
C1999052
UMLS CUI [1,2]
C0225353
Gy x cm²
Aufklärung erfolgt
Description

Informed consent

Type de données

boolean

Alias
UMLS CUI [1]
C0021430
Verabreichte Medikamente
Description

Administered medication

Type de données

text

Alias
UMLS CUI [1]
C0013227
Kontrastmittel
Description

Contast media

Type de données

text

Alias
UMLS CUI [1]
C0009924
Komplikationen
Description

Complications

Type de données

text

Alias
UMLS CUI [1,1]
C0009566
UMLS CUI [1,2]
C0412674
Bemerkung
Description

Comment

Type de données

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0412674
Rückweisegrund
Description

Justification for cancellation of examination

Type de données

text

Alias
UMLS CUI [1,1]
C1689901
UMLS CUI [1,2]
C0412674
Laborwerte
Description

Laboratory results

Type de données

text

Alias
UMLS CUI [1]
C1254595
Retour au début de la page

Similar models

RIS, Head MRI examination report, University Hospital Cologne

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
MRT Radiologie Schädel, Hirn, Tumor/Entzündung Datenerfassung
C0412674 (UMLS CUI-1)
C0034601 (UMLS CUI-2)
C2985643 (UMLS CUI-3)
Patient name
Item
Patient
text
C1299487 (UMLS CUI [1])
Birth Date
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Department performing examination
Item
Leistende Stelle
text
C2986180 (UMLS CUI [1,1])
C0019961 (UMLS CUI [1,2])
C0412674 (UMLS CUI [1,3])
Order ID
Item
Auftragsnummer
integer
C1300638 (UMLS CUI [1,1])
C1705175 (UMLS CUI [1,2])
Urgency
Item
Dringlichkeit
text
C2188402 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Department requesting examination
Item
Anfordernde Abteilung
text
C1705175 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
C1550369 (UMLS CUI [1,3])
C0019961 (UMLS CUI [1,4])
Ward requesting examination
Item
Anfordernde Station
text
C1705175 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
C1550369 (UMLS CUI [1,3])
C1305702 (UMLS CUI [1,4])
Ordering physician
Item
Anfordernder Arzt
text
C1709334 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Ordering physician phone number
Item
Anf. Arzt Telefon
integer
C1709334 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
Patient information
Item
CAVE Informationen zu Patient
text
C1955348 (UMLS CUI [1,1])
C0871599 (UMLS CUI [1,2])
Examination date
Item
Untersuchungsdatum
date
C0011008 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Examination start time
Item
Untersuchungsbeginn (Uhrzeit)
time
C1301880 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Examination end time
Item
Untersuchungsende (Uhrzeit)
time
C1522314 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Duration of examination
Item
Untersuchungsdauer
integer
C0449238 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Employee
Item
Mitarbeiter (MTRA oder Arzt)
text
C0599987 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Item
MR-Sequenz
integer
C0412674 (UMLS CUI [1,1])
C1519249 (UMLS CUI [1,2])
MRI sequence
Code List
MR-Sequenz
CL Item
FLAIR (1)
CL Item
T2 TSE (2)
CL Item
T2* (3)
CL Item
DWI (4)
CL Item
T1 SE o. KM (5)
CL Item
T1 SE m. KM (6)
CL Item
T1w FFE (Spünti special) (7)
Item
Schichtführung
integer
C0412674 (UMLS CUI [1,1])
C1519355 (UMLS CUI [1,2])
C0449738 (UMLS CUI [1,3])
Sectioning of MRI
Code List
Schichtführung
CL Item
axial (1)
CL Item
sagittal (2)
CL Item
koronar (3)
Diagnosing physician
Item
Befundender Arzt
text
C3260206 (UMLS CUI [1])
Pregnancy
Item
Schwangerschaft
boolean
C0032961 (UMLS CUI [1])
Computed tomography dose index CTDIw
Item
Gesamt CTDIw
float
C3640003 (UMLS CUI [1])
Computed tomography dose index volume CTDIvol
Item
Gesamt CTDIvol
float
C3640003 (UMLS CUI [1])
Average Glandular Dose
Item
Gesamt AGD
float
C1999052 (UMLS CUI [1,1])
C0225353 (UMLS CUI [1,2])
Informed consent
Item
Aufklärung erfolgt
boolean
C0021430 (UMLS CUI [1])
Administered medication
Item
Verabreichte Medikamente
text
C0013227 (UMLS CUI [1])
Contast media
Item
Kontrastmittel
text
C0009924 (UMLS CUI [1])
Complications
Item
Komplikationen
text
C0009566 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Comment
Item
Bemerkung
text
C0947611 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Justification for cancellation of examination
Item
Rückweisegrund
text
C1689901 (UMLS CUI [1,1])
C0412674 (UMLS CUI [1,2])
Laboratory results
Item
Laborwerte
text
C1254595 (UMLS CUI [1])
Retour au début de la page 

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