ID

24669

Description

Risk assessment form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by surgery Prof. Dr. Edgar Schäfer

Keywords

  1. 8/12/17 8/12/17 -
  2. 9/17/21 9/17/21 -
Copyright Holder

UKM

Uploaded on

August 12, 2017

DOI

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License

Creative Commons BY-NC 3.0

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Risk assessment Oral and maxillofacial surgery

Risk assessment

  1. StudyEvent: ODM
    1. Risk assessment
Patientendaten
Description

Patientendaten

Name
Description

Patient name

Data type

integer

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

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Geschlecht
Description

Gender

Data type

integer

Alias
UMLS CUI [1]
C0079399
Anschrift:
Description

Patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Email
Description

Email

Data type

text

Alias
UMLS CUI [1]
C0013849
Telefon:
Description

Telephone

Data type

integer

Alias
UMLS CUI [1]
C1515258
Beruf
Description

Occupation

Data type

integer

Alias
UMLS CUI [1]
C0028811
Hausarzt
Description

GP

Data type

integer

Alias
UMLS CUI [1]
C0017319
Operationsrisiko
Description

Surgery risk

Data type

integer

Alias
UMLS CUI [1,1]
C0038895
UMLS CUI [1,2]
C0038895
Medikation
Description

Medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
Grunderkrankung
Description

primary disorders

Data type

text

Alias
UMLS CUI [1]
C0277554
Risiko-Bogen
Description

Risiko-Bogen

Allgemeinanamnese
Description

Medical history

Data type

integer

Alias
UMLS CUI [1]
C0262926
Allergien
Description

Allergy

Data type

integer

Alias
UMLS CUI [1]
C0020517
Medikation
Description

Medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
Sind adrenalinhaltige Lokalanästhetika kontraindiziert?
Description

Medical contraindication local anesthetic

Data type

boolean

Alias
UMLS CUI [1,1]
C1301624
UMLS CUI [1,2]
C0002921
Endokarditisprophylaxe
Description

Endocarditis prophylaxis

Data type

boolean

Alias
UMLS CUI [1]
C1396567
Perioperatives Risiko?
Description

Perioperative complications

Data type

boolean

Alias
UMLS CUI [1]
C0280955
Infektionskrankheit?
Description

Communicable Diseases

Data type

text

Alias
UMLS CUI [1]
C0009450
Entlassungsbriefe
Description

Discharge note

Data type

boolean

Alias
UMLS CUI [1]
C0552421
Anästhesie
Description

Anästhesie

Rapid Sequence Induction
Description

Rapid Sequence Induction

Data type

boolean

Alias
UMLS CUI [1]
C0412767
Quick
Description

Quick

Data type

boolean

Alias
UMLS CUI [1]
C0483455
INR
Description

INR

Data type

boolean

Alias
UMLS CUI [1]
C0525032
PTT
Description

PTT

Data type

boolean

Alias
UMLS CUI [1]
C0030605
Endokarditis Prophylaxe
Description

Endocarditis prophylaxis

Data type

integer

Alias
UMLS CUI [1]
C1396567
EKG
Description

ECG

Data type

boolean

Alias
UMLS CUI [1]
C1623258
i.v. Zugang
Description

Intravenous access

Data type

boolean

Alias
UMLS CUI [1]
C3650989
Angaben zum Versicherten
Description

Angaben zum Versicherten

Name / Vorname
Description

Primary Subscriber

Data type

text

Alias
UMLS CUI [1]
C3242716
Geb.-Datum
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Krankenkasse:
Description

Health insurance

Data type

text

Alias
UMLS CUI [1]
C0021682
Hauszahnarzt:
Description

Dentist

Data type

text

Alias
UMLS CUI [1]
C0011441
Hausarzt:
Description

General Practitioners

Data type

text

Alias
UMLS CUI [1]
C0017319
Angaben zur Überweisung
Description

Referral and Consultation

Data type

text

Alias
UMLS CUI [1]
C0034928
Nachsorgebehandlungen
Description

Follow-up status

Data type

integer

Alias
UMLS CUI [1]
C0589120

Similar models

Risk assessment

  1. StudyEvent: ODM
    1. Risk assessment
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patientendaten
Patient name
Item
Name
integer
C1299487 (UMLS CUI [1])
Date of birth
Item
Geb.-Datum
date
C0421451 (UMLS CUI [1])
Item
Geschlecht
integer
C0079399 (UMLS CUI [1])
Code List
Geschlecht
CL Item
m (1)
C0086582 (UMLS CUI-1)
(Comment:de)
CL Item
w (2)
C0015780 (UMLS CUI-1)
(Comment:de)
Patient address
Item
Anschrift:
text
C0421449 (UMLS CUI [1])
Email
Item
Email
text
C0013849 (UMLS CUI [1])
Telephone
Item
Telefon:
integer
C1515258 (UMLS CUI [1])
Occupation
Item
Beruf
integer
C0028811 (UMLS CUI [1])
GP
Item
Hausarzt
integer
C0017319 (UMLS CUI [1])
Surgery risk
Item
Operationsrisiko
integer
C0038895 (UMLS CUI [1,1])
C0038895 (UMLS CUI [1,2])
Item
Medikation
integer
C0013227 (UMLS CUI [1])
Code List
Medikation
CL Item
Antikonvulsiva (1)
C0003286 (UMLS CUI-1)
(Comment:en)
CL Item
Antikoagulantien (2)
C0003280 (UMLS CUI-1)
(Comment:en)
primary disorders
Item
Grunderkrankung
text
C0277554 (UMLS CUI [1])
Item Group
Risiko-Bogen
Medical history
Item
Allgemeinanamnese
integer
C0262926 (UMLS CUI [1])
Allergy
Item
Allergien
integer
C0020517 (UMLS CUI [1])
Item
Medikation
integer
C0013227 (UMLS CUI [1])
Code List
Medikation
CL Item
ASS (1)
C0004057 (UMLS CUI-1)
(Comment:en)
CL Item
Plavix (2)
C0070166 (UMLS CUI-1)
(Comment:en)
CL Item
Marcumar (3)
C0043031 (UMLS CUI-1)
(Comment:en)
CL Item
others (4)
C0205394 (UMLS CUI-1)
(Comment:en)
Medical contraindication local anesthetic
Item
Sind adrenalinhaltige Lokalanästhetika kontraindiziert?
boolean
C1301624 (UMLS CUI [1,1])
C0002921 (UMLS CUI [1,2])
Endocarditis prophylaxis
Item
Endokarditisprophylaxe
boolean
C1396567 (UMLS CUI [1])
Perioperative complications
Item
Perioperatives Risiko?
boolean
C0280955 (UMLS CUI [1])
Item
Infektionskrankheit?
text
C0009450 (UMLS CUI [1])
Code List
Infektionskrankheit?
CL Item
HIV (HIV)
C0019693 (UMLS CUI-1)
(Comment:en)
CL Item
Hep. B (Hep. B)
C0019163 (UMLS CUI-1)
(Comment:en)
CL Item
Hep. C (Hep. C)
C0019196 (UMLS CUI-1)
(Comment:en)
Discharge note
Item
Entlassungsbriefe
boolean
C0552421 (UMLS CUI [1])
Item Group
Anästhesie
Rapid Sequence Induction
Item
Rapid Sequence Induction
boolean
C0412767 (UMLS CUI [1])
Quick
Item
Quick
boolean
C0483455 (UMLS CUI [1])
INR
Item
INR
boolean
C0525032 (UMLS CUI [1])
PTT
Item
PTT
boolean
C0030605 (UMLS CUI [1])
Item
Endokarditis Prophylaxe
integer
C1396567 (UMLS CUI [1])
Code List
Endokarditis Prophylaxe
CL Item
Amoxicillin (1)
C0002645 (UMLS CUI-1)
(Comment:en)
CL Item
Clindamycin (2)
C0008947 (UMLS CUI-1)
(Comment:en)
CL Item
nicht erforderlich (3)
(Comment:en)
ECG
Item
EKG
boolean
C1623258 (UMLS CUI [1])
Intravenous access
Item
i.v. Zugang
boolean
C3650989 (UMLS CUI [1])
Item Group
Angaben zum Versicherten
Primary Subscriber
Item
Name / Vorname
text
C3242716 (UMLS CUI [1])
Date of birth
Item
Geb.-Datum
date
C0421451 (UMLS CUI [1])
Health insurance
Item
Krankenkasse:
text
C0021682 (UMLS CUI [1])
Dentist
Item
Hauszahnarzt:
text
C0011441 (UMLS CUI [1])
General Practitioners
Item
Hausarzt:
text
C0017319 (UMLS CUI [1])
Referral and Consultation
Item
Angaben zur Überweisung
text
C0034928 (UMLS CUI [1])
Follow-up status
Item
Nachsorgebehandlungen
integer
C0589120 (UMLS CUI [1])

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