ID

23087

Description

Operation chart form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Univ.-Prof. Dr. med. Sven Martens.

Keywords

Versions (1)
  1. 6/22/17 6/22/17 -
Copyright Holder

UKM

Uploaded on

June 22, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Operation chart cardiac surgery UKM

German English

Operation chart

1 forms  
  1. StudyEvent: ODM
    1. Operation chart
Patiendaten
Description

Patiendaten

Name
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Geb.-Datum
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Datum:
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Eingriff:
Description

Operation

Data type

integer

Alias
UMLS CUI [1]
C0543467
Saal:
Description

Operating Room

Data type

integer

Alias
UMLS CUI [1]
C0029064
Diagnose
Description

Diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011900
Notizen:
Description

Comment

Data type

text

Alias
UMLS CUI [1]
C0947611
OP Indikation
Description

OP Indikation

Alias
UMLS CUI-1
C0392360
OP Indikation
Description

Medical indication for surgery

Data type

integer

Alias
UMLS CUI [1]
C0392360
Voroperationen
Description

Voroperationen

Voroperationen
Description

Previous operation

Data type

integer

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0543467
Koronarchirurgie
Description

Coronary artery bypass surgery

Data type

boolean

Alias
UMLS CUI [1]
C0010055
Klappenchirurgie
Description

Heart valve surgery

Data type

integer

Alias
UMLS CUI [1]
C0190065
Kongenitale Vitien
Description

congenital heart anomaly

Data type

boolean

Alias
UMLS CUI [1]
C0018798
Tx
Description

Heart transplantation

Data type

boolean

Alias
UMLS CUI [1]
C0018823
Aneurysmektomie
Description

Aneurysm Resection

Data type

boolean

Alias
UMLS CUI [1]
C0397296
ICD
Description

Implantable cardioverter-defibrillator

Data type

boolean

Alias
UMLS CUI [1]
C0162589
ICD epikardial
Description

Implantable cardioverter-defibrillator epicardial

Data type

boolean

Alias
UMLS CUI [1,1]
C0162589
UMLS CUI [1,2]
C0442016
ICD extraperikardial
Description

Implantable cardioverter-defibrillator pericardial

Data type

boolean

Alias
UMLS CUI [1,1]
C0162589
UMLS CUI [1,2]
C0442031
ICD transvenös
Description

Implantable cardioverter-defibrillator transvenous

Data type

boolean

Alias
UMLS CUI [1]
C0180299
SM-Implantation
Description

Implantation of cardiac pacemaker

Data type

boolean

Alias
UMLS CUI [1]
C0189842
Sonstige Vor-OP
Description

Other previous operation

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0543467
Datum letzter Vor-OP
Description

Date last operation

Data type

date

Alias
UMLS CUI [1]
C0489584
Hersteller
Description

Hersteller

Hersteller explantiertes Aggregat
Description

Device manufacturer explantation of device

Data type

integer

Alias
UMLS CUI [1,1]
C0947322
UMLS CUI [1,2]
C1455857
Hersteller implantiertes Aggregat
Description

Device manufacturer implantation of device

Data type

integer

Alias
UMLS CUI [1]
C0947322
Modellnummer / alt:
Description

Device number explanted device

Data type

integer

Alias
UMLS CUI [1,1]
C2348107
UMLS CUI [1,2]
C3830290
Modellnummer / neu:
Description

Device number Implant

Data type

integer

Alias
UMLS CUI [1,1]
C2348107
UMLS CUI [1,2]
C0021102
Hersteller
Description

Manufacturer Name

Data type

text

Alias
UMLS CUI [1]
C0947322
Elektrodendaten
Description

Elektrodendaten

Vorhof
Description

Electrodes Atrium

Data type

integer

Alias
UMLS CUI [1,1]
C0013814
UMLS CUI [1,2]
C0018792
Rechter Ventrikel
Description

Electrodes Heart Ventricle right

Data type

integer

Alias
UMLS CUI [1,1]
C0013814
UMLS CUI [1,2]
C0225883
Linker Ventrikel
Description

Electrodes Heart Ventricle left

Data type

integer

Alias
UMLS CUI [1,1]
C0013814
UMLS CUI [1,2]
C0225897
Thoraxwandelektrode
Description

Electrodes chest

Data type

integer

Alias
UMLS CUI [1,1]
C0013814
UMLS CUI [1,2]
C0817096
Operationsart
Description

Operationsart

Operationsart
Description

Operation type

Data type

integer

Alias
UMLS CUI [1]
C0543467
Zugänge
Description

Venous entry

Data type

integer

Alias
UMLS CUI [1]
C2919510
Lokalisation
Description

Site

Data type

integer

Alias
UMLS CUI [1]
C1515974
DEFI
Description

defibrillator

Data type

integer

Alias
UMLS CUI [1]
C0180307
Aggregattasche
Description

skin pocket

Data type

integer

Alias
UMLS CUI [1]
C0189841
SM-Code
Description

Pacemaker code

Data type

integer

Alias
UMLS CUI [1,1]
C0030163
UMLS CUI [1,2]
C0805701
Seriennummer
Description

Serial number

Data type

integer

Alias
UMLS CUI [1]
C2348188
Zusatzoperationen
Description

Zusatzoperationen

Zusatzoperationen
Description

Additional operation

Data type

integer

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C1524062
Op Verlauf
Description

Op Verlauf

MAP
Description

MAP

Data type

integer

Measurement units
  • l/min
Alias
UMLS CUI [1]
C0428886
l/min
SEVO
Description

SEVO

Data type

boolean

Alias
UMLS CUI [1]
C0074414
ISO
Description

ISO

Data type

boolean

Alias
UMLS CUI [1]
C0022180
Gas flow
Description

Gas flow

Data type

integer

Measurement units
  • l/min
Alias
UMLS CUI [1]
C0428715
l/min
FIO2
Description

FIO2

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C0428167
%
Linie - p
Description

Pressure

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0033095
mmHg
Temp
Description

Temp

Data type

integer

Measurement units
  • °C
Alias
UMLS CUI [1]
C0005903
°C
Kardioplegie
Description

Cardioplegia

Data type

integer

Measurement units
  • ml
Alias
UMLS CUI [1]
C0007200
ml
Blutgase
Description

Blood gas

Data type

integer

Alias
UMLS CUI [1]
C0005800
Parameter
Description

Parameters

Data type

integer

Alias
UMLS CUI [1]
C0549193
Bemerkungen:
Description

Comment

Data type

text

Alias
UMLS CUI [1]
C0947611
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Similar models

Operation chart

1 forms
  1. StudyEvent: ODM
    1. Operation chart
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patiendaten
Patient name
Item
Name
text
C1299487 (UMLS CUI [1])
Date of birth
Item
Geb.-Datum
date
C0421451 (UMLS CUI [1])
Date
Item
Datum:
date
C0011008 (UMLS CUI [1])
Operation
Item
Eingriff:
integer
C0543467 (UMLS CUI [1])
Operating Room
Item
Saal:
integer
C0029064 (UMLS CUI [1])
Diagnosis
Item
Diagnose
integer
C0011900 (UMLS CUI [1])
Comment
Item
Notizen:
text
C0947611 (UMLS CUI [1])
Item Group
OP Indikation
C0392360 (UMLS CUI-1)
Item
OP Indikation
integer
C0392360 (UMLS CUI [1])
Medical indication for surgery
Code List
OP Indikation
CL Item
'Familienanamnese' (10)
C0042514 (UMLS CUI-1)
CL Item
Risikogruppe (DCM, CABG-Patch, HTx) (11)
C0241889 (UMLS CUI-1)
CL Item
Carotis-Sinus-Syndrome  (12)
C0684030 (UMLS CUI-1)
CL Item
Long QT syndrome (13)
C0221046 (UMLS CUI-1)
CL Item
Brugada-Brugada-Syndrom (14)
C0023976 (UMLS CUI-1)
CL Item
Herzinsuffizienz (15)
C1142166 (UMLS CUI-1)
CL Item
Herzinsuffizienz mit VT`s (16)
C0018801 (UMLS CUI-1)
CL Item
AV-Block I (01)
CL Item
AV-Block II (02)
CL Item
AV-Block III (03)
CL Item
SA-Block (04)
CL Item
Sick-Sinus-Syndrom (05)
CL Item
Bradyarrhythmie (06)
CL Item
Kammerflimmern (07)
Item Group
Voroperationen
Previous operation
Item
Voroperationen
integer
C0543467 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Coronary artery bypass surgery
Item
Koronarchirurgie
boolean
C0010055 (UMLS CUI [1])
Heart valve surgery
Item
Klappenchirurgie
integer
C0190065 (UMLS CUI [1])
congenital heart anomaly
Item
Kongenitale Vitien
boolean
C0018798 (UMLS CUI [1])
Heart transplantation
Item
Tx
boolean
C0018823 (UMLS CUI [1])
Aneurysm Resection
Item
Aneurysmektomie
boolean
C0397296 (UMLS CUI [1])
Implantable cardioverter-defibrillator
Item
ICD
boolean
C0162589 (UMLS CUI [1])
Implantable cardioverter-defibrillator epicardial
Item
ICD epikardial
boolean
C0162589 (UMLS CUI [1,1])
C0442016 (UMLS CUI [1,2])
Implantable cardioverter-defibrillator pericardial
Item
ICD extraperikardial
boolean
C0162589 (UMLS CUI [1,1])
C0442031 (UMLS CUI [1,2])
Implantable cardioverter-defibrillator transvenous
Item
ICD transvenös
boolean
C0180299 (UMLS CUI [1])
Implantation of cardiac pacemaker
Item
SM-Implantation
boolean
C0189842 (UMLS CUI [1])
Other previous operation
Item
Sonstige Vor-OP
boolean
C0543467 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Date last operation
Item
Datum letzter Vor-OP
date
C0489584 (UMLS CUI [1])
Item Group
Hersteller
Device manufacturer explantation of device
Item
Hersteller explantiertes Aggregat
integer
C0947322 (UMLS CUI [1,1])
C1455857 (UMLS CUI [1,2])
Device manufacturer implantation of device
Item
Hersteller implantiertes Aggregat
integer
C0947322 (UMLS CUI [1])
Device number explanted device
Item
Modellnummer / alt:
integer
C2348107 (UMLS CUI [1,1])
C3830290 (UMLS CUI [1,2])
Device number Implant
Item
Modellnummer / neu:
integer
C2348107 (UMLS CUI [1,1])
C0021102 (UMLS CUI [1,2])
Item
Hersteller
text
C0947322 (UMLS CUI [1])
Manufacturer Name
Code List
Hersteller
CL Item
no implant (kein Aggregat)
C0025080 (UMLS CUI-1)
C0021102 (UMLS CUI-2)
CL Item
Other (99)
CL Item
Biotronik (100)
CL Item
Pacesetter / SJM (101)
CL Item
Vitatron (102)
CL Item
Siemens (103)
CL Item
Teletronics (104)
CL Item
Medico (105)
CL Item
CCS (106)
CL Item
Cardiac Impulse (107)
CL Item
Stöckert (108)
CL Item
SJM (109)
CL Item
Cook (110)
CL Item
CPI/Guidant (111)
CL Item
ELA Medical (112)
CL Item
Implantronik (113)
CL Item
Intermedics (114)
CL Item
Meditronic (115)
CL Item
Osypka (116)
CL Item
Sorin Biomedica (117)
Item Group
Elektrodendaten
Electrodes Atrium
Item
Vorhof
integer
C0013814 (UMLS CUI [1,1])
C0018792 (UMLS CUI [1,2])
Electrodes Heart Ventricle right
Item
Rechter Ventrikel
integer
C0013814 (UMLS CUI [1,1])
C0225883 (UMLS CUI [1,2])
Electrodes Heart Ventricle left
Item
Linker Ventrikel
integer
C0013814 (UMLS CUI [1,1])
C0225897 (UMLS CUI [1,2])
Electrodes chest
Item
Thoraxwandelektrode
integer
C0013814 (UMLS CUI [1,1])
C0817096 (UMLS CUI [1,2])
Item Group
Operationsart
Item
Operationsart
integer
C0543467 (UMLS CUI [1])
Operation type
Code List
Operationsart
CL Item
Systemneuimplantation (01)
CL Item
Aggregatimplantation (02)
CL Item
Aggregatwechsel (03)
CL Item
Aggregatwechsel wegen SM-Indikation (04)
CL Item
Aggregatwechsel + SM-Explantation (05)
CL Item
Systemexplantation (Infektion) (10)
CL Item
Systemexplantation (Fehlfunktion) (11)
CL Item
Systemexplantation (alternative Therapie) (12)
CL Item
Revisionen (Dislokation) (20)
CL Item
Revisionen (Fehlfunktion) (21)
CL Item
Revisionen (Patchfaltung) (22)
CL Item
Revisionen (Isolationsdefekt) (23)
CL Item
Revisionen (Elektrodenbruch) (24)
CL Item
Revisionen (Infektion) (25)
CL Item
Revisionen (Perforation) (26)
CL Item
Revisionen (sonst.) (27)
CL Item
Revisionen (Twiddler) (28)
CL Item
VVI (40)
CL Item
AAI (41)
CL Item
DDD (42)
CL Item
Muskelzucken (30)
CL Item
Aggregatverlagerung (31)
Item
Zugänge
integer
C2919510 (UMLS CUI [1])
Venous entry
Code List
Zugänge
CL Item
keine (1)
C1298908 (UMLS CUI-1)
CL Item
V.Cephalica (2)
C0226802 (UMLS CUI-1)
CL Item
V.Subclavia-Punktion (3)
C0038532 (UMLS CUI-1)
CL Item
V.Jugularis interna (4)
C0226550 (UMLS CUI-1)
CL Item
Sonstige (5)
C0205394 (UMLS CUI-1)
Item
Lokalisation
integer
C1515974 (UMLS CUI [1])
Site
Code List
Lokalisation
CL Item
links (1)
C0205091 (UMLS CUI-1)
CL Item
rechts (2)
C0205090 (UMLS CUI-1)
Item
DEFI
integer
C0180307 (UMLS CUI [1])
defibrillator
Code List
DEFI
CL Item
transvenös (1)
C0180299 (UMLS CUI-1)
CL Item
Thorakotomie (2)
C0039991 (UMLS CUI-1)
CL Item
subxiphoidal (3)
C4039027 (UMLS CUI-1)
Item
Aggregattasche
integer
C0189841 (UMLS CUI [1])
skin pocket
Code List
Aggregattasche
CL Item
abdominal (1)
C0000726 (UMLS CUI-1)
CL Item
subpecotral (2)
CL Item
subcutan (3)
C0443315 (UMLS CUI-1)
Item
SM-Code
integer
C0030163 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
Pacemaker code
Code List
SM-Code
CL Item
SM (1)
C0030163 (UMLS CUI-1)
CL Item
defibrillator (2)
C0180307 (UMLS CUI-1)
Item
Seriennummer
integer
C2348188 (UMLS CUI [1])
Serial number
Code List
Seriennummer
CL Item
SM (1)
C0030163 (UMLS CUI-1)
CL Item
defibrillator (2)
C0180307 (UMLS CUI-1)
Item Group
Zusatzoperationen
Item
Zusatzoperationen
integer
C0543467 (UMLS CUI [1,1])
C1524062 (UMLS CUI [1,2])
Additional operation
Code List
Zusatzoperationen
CL Item
Korrektur kongenitaler Vitien (10)
C0410933 (UMLS CUI-1)
C0543467 (UMLS CUI-2)
CL Item
keine (01)
CL Item
ACB (CABG-Studie) (02)
CL Item
Klappenoperation (03)
CL Item
Klappenoperation + ACB (04)
CL Item
Aneurysmektomie (05)
CL Item
Aneurysmektomie + ACB (06)
CL Item
Versuch endokardialer Implantation (07)
CL Item
Systemexplantation (08)
CL Item
SM-Explantation (09)
Item Group
Op Verlauf
MAP
Item
MAP
integer
C0428886 (UMLS CUI [1])
SEVO
Item
SEVO
boolean
C0074414 (UMLS CUI [1])
ISO
Item
ISO
boolean
C0022180 (UMLS CUI [1])
Gas flow
Item
Gas flow
integer
C0428715 (UMLS CUI [1])
FIO2
Item
FIO2
integer
C0428167 (UMLS CUI [1])
Pressure
Item
Linie - p
integer
C0033095 (UMLS CUI [1])
Temp
Item
Temp
integer
C0005903 (UMLS CUI [1])
Cardioplegia
Item
Kardioplegie
integer
C0007200 (UMLS CUI [1])
Blood gas
Item
Blutgase
integer
C0005800 (UMLS CUI [1])
Item
Parameter
integer
C0549193 (UMLS CUI [1])
Parameters
Code List
Parameter
CL Item
ACT (1)
C0427611 (UMLS CUI-1)
CL Item
pH (2)
C0202165 (UMLS CUI-1)
CL Item
pCO2 (3)
C0201931 (UMLS CUI-1)
CL Item
pO2 (4)
C2317096 (UMLS CUI-1)
CL Item
BE (5)
C0201985 (UMLS CUI-1)
CL Item
SvO2 (6)
C0428176 (UMLS CUI-1)
CL Item
K+ (7)
C0202194 (UMLS CUI-1)
CL Item
Na+ (8)
C0337443 (UMLS CUI-1)
CL Item
Ca++ (9)
C0201925 (UMLS CUI-1)
CL Item
HK (10)
C0518014 (UMLS CUI-1)
CL Item
Hb (11)
C0518015 (UMLS CUI-1)
CL Item
BZ (12)
C0392201 (UMLS CUI-1)
CL Item
Lactat (13)
C0202115 (UMLS CUI-1)
Comment
Item
Bemerkungen:
text
C0947611 (UMLS CUI [1])
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