ID

15242

Description

Routine documentation in German hospitals. Source file name: AU010104_Checkliste Aufnahme/ Ablaufplan stationäre Aufnahme.045 Examplary forms provided by DMI (http://www.dmi.de/)

Link

http://www.dmi.de/

Keywords

Versions (2)
  1. 5/23/16 5/23/16 -
  2. 9/20/21 9/20/21 -
Uploaded on

May 23, 2016

DOI

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License

Creative Commons BY-NC 3.0
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Flowchart inpatient admission Checklist Admission Routine documentation in German hospitals DMI

English

Flowchart inpatient admission Checklist Admission

1 forms  
Flowchart inpatient admission
Description

Flowchart inpatient admission

Alias
UMLS CUI-1
C1299501
UMLS CUI-2
C0184666
UMLS CUI-3
C0021562
Admission date and time
Description

Admission date and time

Data type

datetime

Alias
UMLS CUI [1]
C0488561
Ward
Description

Ward

Data type

integer

Alias
UMLS CUI [1]
C1305702
Expected patient discharge date
Description

Patient Discharge date

Data type

date

Alias
UMLS CUI [1]
C4037773
Surgery date
Description

Surgery date

Data type

date

Alias
UMLS CUI [1]
C1628561
Blood collection (CA- Standard: BB, Sodium, Potassium, Creatinine, Urea, CA 19-9, CEA, Coagulation, TSH
Description

blood collection

Data type

boolean

Alias
UMLS CUI [1]
C0005834
Other blood collection
Description

Other blood collection

Data type

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0005834
X- ray
Description

X- ray

Alias
UMLS CUI-1
C0034571
Chest X- ray
Description

Chest X- ray

Data type

text

Alias
UMLS CUI [1]
C0039985
Date and time of Chest X- ray
Description

Date and time Chest X- ray

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0039985
CT abdomen
Description

CT abdomen

Data type

text

Alias
UMLS CUI [1]
C0412620
CT abdomen Date and time
Description

Date and time CT abdomen

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0412620
MRI
Description

MRI

Data type

text

Alias
UMLS CUI [1]
C0024485
MRI Date and time
Description

Date and time MRI

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0024485
Other
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394
Date and time Other
Description

Date and time Other

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0205394
Ultrasonography/ Endoscopy
Description

Ultrasonography/ Endoscopy

Alias
UMLS CUI-1
C0041618
UMLS CUI-3
C0014245
Ultrasonography of liver
Description

Ultrasonography Liver

Data type

text

Alias
UMLS CUI [1]
C0412534
Date and time of Ultrasonography of liver
Description

Date and time Ultrasonography of liver

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0412534
Colonoscopy
Description

Colonoscopy

Data type

text

Alias
UMLS CUI [1]
C0009378
Date and time of Colonoscopy
Description

Date and time Colonoscopy

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0009378
Gastroscopy
Description

Gastroscopy

Data type

text

Alias
UMLS CUI [1]
C0017195
Date and time of Gastroscopy
Description

Date and time Gastroscopy

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0017195
Endosonography
Description

Endosonography

Data type

text

Alias
UMLS CUI [1]
C0376443
Date and time of Endosonography
Description

Date and time Endosonography

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0376443
Other
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394
Date and time of Other
Description

Date and time Other

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0205394
Other Examinations
Description

Other Examinations

Alias
UMLS CUI-1
C0086141
UMLS CUI-2
C0205394
Other Examinations
Description

Examinations Other

Data type

text

Alias
UMLS CUI [1,1]
C0086141
UMLS CUI [1,2]
C0205394
Other Examinations
Description

Examinations Other

Data type

text

Alias
UMLS CUI [1,1]
C0086141
UMLS CUI [1,2]
C0205394
Date and time of Other Examinations
Description

Date and time Other Examinations

Data type

datetime

Alias
UMLS CUI [1,1]
C1717740
UMLS CUI [1,2]
C0086141
UMLS CUI [1,3]
C0205394
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Similar models

Flowchart inpatient admission Checklist Admission

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Flowchart inpatient admission
C1299501 (UMLS CUI-1)
C0184666 (UMLS CUI-2)
C0021562 (UMLS CUI-3)
Admission date and time
Item
Admission date and time
datetime
C0488561 (UMLS CUI [1])
Ward
Item
Ward
integer
C1305702 (UMLS CUI [1])
Patient Discharge date
Item
Expected patient discharge date
date
C4037773 (UMLS CUI [1])
Surgery date
Item
Surgery date
date
C1628561 (UMLS CUI [1])
blood collection
Item
Blood collection (CA- Standard: BB, Sodium, Potassium, Creatinine, Urea, CA 19-9, CEA, Coagulation, TSH
boolean
C0005834 (UMLS CUI [1])
Other blood collection
Item
Other blood collection
text
C0205394 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
Item Group
X- ray
C0034571 (UMLS CUI-1)
Item
Chest X- ray
text
C0039985 (UMLS CUI [1])
Chest X- ray
Code List
Chest X- ray
CL Item
yes, registered (1)
CL Item
yes, referral already by the X- ray department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Chest X- ray
Item
Date and time of Chest X- ray
datetime
C1717740 (UMLS CUI [1,1])
C0039985 (UMLS CUI [1,2])
Item
CT abdomen
text
C0412620 (UMLS CUI [1])
Chest X- ray
Code List
CT abdomen
CL Item
yes, registered (1)
CL Item
yes, referral already by the X- ray department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time CT abdomen
Item
CT abdomen Date and time
datetime
C1717740 (UMLS CUI [1,1])
C0412620 (UMLS CUI [1,2])
Item
MRI
text
C0024485 (UMLS CUI [1])
Chest X- ray
Code List
MRI
CL Item
yes, registered (1)
CL Item
yes, referral already by the X- ray department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time MRI
Item
MRI Date and time
datetime
C1717740 (UMLS CUI [1,1])
C0024485 (UMLS CUI [1,2])
Item
Other
text
C0205394 (UMLS CUI [1])
Chest X- ray
Code List
Other
CL Item
yes, registered (1)
CL Item
yes, referral already by the X- ray department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Other
Item
Date and time Other
datetime
C1717740 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Ultrasonography/ Endoscopy
C0041618 (UMLS CUI-1)
C0014245 (UMLS CUI-3)
Item
Ultrasonography of liver
text
C0412534 (UMLS CUI [1])
Ultrasonography Liver
Code List
Ultrasonography of liver
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Ultrasonography of liver
Item
Date and time of Ultrasonography of liver
datetime
C1717740 (UMLS CUI [1,1])
C0412534 (UMLS CUI [1,2])
Item
Colonoscopy
text
C0009378 (UMLS CUI [1])
Ultrasonography Liver
Code List
Colonoscopy
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Colonoscopy
Item
Date and time of Colonoscopy
datetime
C1717740 (UMLS CUI [1,1])
C0009378 (UMLS CUI [1,2])
Item
Gastroscopy
text
C0017195 (UMLS CUI [1])
Ultrasonography Liver
Code List
Gastroscopy
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Gastroscopy
Item
Date and time of Gastroscopy
datetime
C1717740 (UMLS CUI [1,1])
C0017195 (UMLS CUI [1,2])
Item
Endosonography
text
C0376443 (UMLS CUI [1])
Endosonography
Code List
Endosonography
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
yes, appointment in LC/ Outpatient department (4)
CL Item
no (5)
Date and time Endosonography
Item
Date and time of Endosonography
datetime
C1717740 (UMLS CUI [1,1])
C0376443 (UMLS CUI [1,2])
Item
Other
text
C0205394 (UMLS CUI [1])
Ultrasonography Liver
Code List
Other
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Other
Item
Date and time of Other
datetime
C1717740 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Other Examinations
C0086141 (UMLS CUI-1)
C0205394 (UMLS CUI-2)
Examinations Other
Item
Other Examinations
text
C0086141 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Other Examinations
text
C0086141 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Ultrasonography Liver
Code List
Other Examinations
CL Item
yes, registered (1)
CL Item
yes, referral already by the Ultrasonography department (2)
CL Item
yes, referral in Patient's file (3)
CL Item
no (4)
Date and time Other Examinations
Item
Date and time of Other Examinations
datetime
C1717740 (UMLS CUI [1,1])
C0086141 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
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