ID

13397

Description

Keywords

  1. 3/17/15 3/17/15 -
  2. 2/10/16 2/10/16 -
Uploaded on

February 10, 2016

DOI

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License

Creative Commons BY-NC 3.0

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Medical History - Department of Internal Medicine Knappschaftskrankenhaus Bochum-Langendreer

Medical History - Department of Internal Medicine Knappschaftskrankenhaus Bochum-Langendreer

Default Itemgroup
Description

Default Itemgroup

Diagnosis
Description

Diagnosis

Data type

text

Alias
UMLS CUI-1
C0011900
ICD-Codes
Description

ICD-Codes

Data type

text

Alias
UMLS CUI-1
C1136256
Date
Description

Date

Data type

date

Alias
UMLS CUI-1
C0011008
Department
Description

Department

Data type

text

Alias
UMLS CUI-1
C1704729
Treating physician
Description

Treating physician

Data type

text

Alias
UMLS CUI-1
C1710470
Signs and Symptoms
Description

Signs and Symptoms

Data type

text

Alias
UMLS CUI-1
C0037088
Medical history
Description

Medical history

Data type

text

Alias
UMLS CUI-1
C0262926
Review of systems
Description

Review of systems

Data type

text

Alias
UMLS CUI-1
C0489633
Medication
Description

Medication

Self-medication (prescribed)
Description

Self-medication (prescribed)

Data type

text

Self-medication (nonprescribed)
Description

Self-medication (nonprescribed)

Data type

text

Alias
UMLS CUI-1
C0599404
Stimulants/Drugs
Description

Stimulants/Drugs

Stimulants
Description

Stimulants

Data type

text

Alias
UMLS CUI-1
C0304402
Illicit drugs
Description

Illicit drugs

Data type

text

Alias
UMLS CUI-1
C0086190
Social life
Description

Social life

Social and personal history
Description

Social and personal history

Data type

text

Alias
UMLS CUI-1
C0424945
Familiy history
Description

Familiy history

Data type

text

Alias
UMLS CUI-1
C0241889
Physical examination
Description

Physical examination

Age
Description

Age

Data type

integer

Measurement units
  • years
Alias
UMLS CUI-1
C0001779
years
Weight
Description

Weight

Data type

integer

Measurement units
  • kg
Alias
UMLS CUI-1
C0005910
kg
Height
Description

Height

Data type

integer

Alias
UMLS CUI-1
C0005890
BMI
Description

BMI

Data type

integer

Measurement units
  • kg/sqm
Alias
UMLS CUI-1
C1305855
kg/sqm
Nutritional status (if no BMI calculated)
Description

Nutritional status (if no BMI calculated)

Data type

text

Alias
UMLS CUI-1
C0392209
Skin
Description

Skin

Data type

text

Alias
UMLS CUI-1
C1123023
Hair
Description

Hair

Data type

text

Alias
UMLS CUI-1
C0018494
Icterus
Description

Icterus

Data type

text

Alias
UMLS CUI-1
C0022346
Cyanosis
Description

Cyanosis

Data type

text

Alias
UMLS CUI-1
C0010520
Edema
Description

Edema

Data type

text

Alias
UMLS CUI-1
C0013604
Head and Mouth/Tooth
Description

Head and Mouth

Data type

text

Alias
UMLS CUI-1
C0230028
Neck
Description

Neck

Data type

text

Alias
UMLS CUI-1
C0027530
Describe entire Thorax: shape, mammae, heart and lung auscultation
Description

Thorax

Data type

text

Alias
UMLS CUI-1
C1269614
Abdomen
Description

Abdomen

Data type

text

Musculokeletal system
Description

Musculokeletal system

Data type

text

Alias
UMLS CUI-1
C0026860
Peripheral pulse
Description

Peripheral pulse

Data type

text

Alias
UMLS CUI-1
C0232139
Blood pressure
Description

Blood pressure

Data type

text

Alias
UMLS CUI-1
C0005823
Varicosity
Description

Varicosity

Data type

text

Alias
UMLS CUI-1
C0042345
Lymph nodes
Description

Lymph nodes

Data type

text

Alias
UMLS CUI-1
C0024204
Neurologic symptoms
Description

Neurologic symptoms

Data type

text

Alias
UMLS CUI-1
C0235031
Date and Signature
Description

Date and Signature

Date
Description

Date

Data type

date

Alias
UMLS CUI-1
C0011008
Signature
Description

Signature

Data type

text

Alias
UMLS CUI-1
C1519316

Similar models

Medical History - Department of Internal Medicine Knappschaftskrankenhaus Bochum-Langendreer

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Default Itemgroup
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI-1)
ICD-Codes
Item
ICD-Codes
text
C1136256 (UMLS CUI-1)
Date
Item
Date
date
C0011008 (UMLS CUI-1)
Department
Item
Department
text
C1704729 (UMLS CUI-1)
Treating physician
Item
Treating physician
text
C1710470 (UMLS CUI-1)
Signs and Symptoms
Item
Signs and Symptoms
text
C0037088 (UMLS CUI-1)
Medical history
Item
Medical history
text
C0262926 (UMLS CUI-1)
Review of systems
Item
Review of systems
text
C0489633 (UMLS CUI-1)
Item Group
Medication
Item
Self-medication (prescribed)
text
Code List
Self-medication (prescribed)
CL Item
C0599401 (C0599401)
Self-medication (nonprescribed)
Item
Self-medication (nonprescribed)
text
C0599404 (UMLS CUI-1)
Item Group
Stimulants/Drugs
Stimulants
Item
Stimulants
text
C0304402 (UMLS CUI-1)
Illicit drugs
Item
Illicit drugs
text
C0086190 (UMLS CUI-1)
Item Group
Social life
Social and personal history
Item
Social and personal history
text
C0424945 (UMLS CUI-1)
Familiy history
Item
Familiy history
text
C0241889 (UMLS CUI-1)
Item Group
Physical examination
Age
Item
Age
integer
C0001779 (UMLS CUI-1)
Weight
Item
Weight
integer
C0005910 (UMLS CUI-1)
Height
Item
Height
integer
C0005890 (UMLS CUI-1)
BMI
Item
BMI
integer
C1305855 (UMLS CUI-1)
Nutritional status (if no BMI calculated)
Item
Nutritional status (if no BMI calculated)
text
C0392209 (UMLS CUI-1)
Skin
Item
Skin
text
C1123023 (UMLS CUI-1)
Hair
Item
Hair
text
C0018494 (UMLS CUI-1)
Icterus
Item
Icterus
text
C0022346 (UMLS CUI-1)
Cyanosis
Item
Cyanosis
text
C0010520 (UMLS CUI-1)
Edema
Item
Edema
text
C0013604 (UMLS CUI-1)
Head and Mouth
Item
Head and Mouth/Tooth
text
C0230028 (UMLS CUI-1)
Neck
Item
Neck
text
C0027530 (UMLS CUI-1)
Thorax
Item
Describe entire Thorax: shape, mammae, heart and lung auscultation
text
C1269614 (UMLS CUI-1)
Abdomen
Item
Abdomen
text
Musculokeletal system
Item
Musculokeletal system
text
C0026860 (UMLS CUI-1)
Peripheral pulse
Item
Peripheral pulse
text
C0232139 (UMLS CUI-1)
Blood pressure
Item
Blood pressure
text
C0005823 (UMLS CUI-1)
Varicosity
Item
Varicosity
text
C0042345 (UMLS CUI-1)
Lymph nodes
Item
Lymph nodes
text
C0024204 (UMLS CUI-1)
Neurologic symptoms
Item
Neurologic symptoms
text
C0235031 (UMLS CUI-1)
Item Group
Date and Signature
Date
Item
Date
date
C0011008 (UMLS CUI-1)
Signature
Item
Signature
text
C1519316 (UMLS CUI-1)

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