ID

20149

Description

Inpatient documentation form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Univ.-Prof. Dr. med. Volker Arolt

Keywords

  1. 1/6/17 1/6/17 -
  2. 2/8/17 2/8/17 -
Uploaded on

February 8, 2017

DOI

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License

Creative Commons BY-NC 3.0

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Inpatient documentation Psychiatry UKM

Inpatient documentation

Patient demographics
Description

Patient demographics

Name
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Patient date of birth
Description

Patient date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Admission date
Description

Admission date

Data type

date

Alias
UMLS CUI [1]
C1302393
Gender
Description

Gender

Data type

integer

Alias
UMLS CUI [1]
C0079399
Relationship
Description

Relationship

Data type

integer

Alias
UMLS CUI [1]
C0015608
Unemployed
Description

Unemployed

Data type

boolean

Alias
UMLS CUI [1]
C0041674
Marital status
Description

Marital status

Data type

integer

Alias
UMLS CUI [1]
C0024819
Current occupation
Description

Current occupation

Data type

integer

Alias
UMLS CUI [1]
C0421456
Educational Status
Description

Educational status

Data type

integer

Alias
UMLS CUI [1]
C0013658
Nationality
Description

Nationality

Data type

integer

Alias
UMLS CUI [1]
C0027473
Admission status
Description

Admission status

Inpatient
Description

Inpatient

Data type

boolean

Alias
UMLS CUI [1]
C0021562
Day patient
Description

Day patient

Data type

boolean

Alias
UMLS CUI [1]
C0030705
Date of discharge
Description

Date of discharge

Data type

date

Alias
UMLS CUI [1]
C2361123
Hospital stay duration
Description

Hospital stay duration

Data type

integer

Alias
UMLS CUI [1]
C4019086
Patient self-discharge against medical advice
Description

Patient self-discharge against medical advice

Data type

boolean

Alias
UMLS CUI [1]
C1304701
Hospitalization
Description

Hospitalization

Data type

integer

Alias
UMLS CUI [1]
C0019993
Diagnosis International Classification of Diseases
Description

Example F20.01 V

Data type

integer

Alias
UMLS CUI [1,1]
C0870733
UMLS CUI [1,2]
C0011900
Legal basis
Description

Legal basis

Data type

integer

Alias
UMLS CUI [1]
C0557319
Further treatment
Description

Further treatment

Data type

integer

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1517331

Similar models

Inpatient documentation

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient demographics
Patient name
Item
Name
text
C1299487 (UMLS CUI [1])
Patient date of birth
Item
Patient date of birth
date
C0421451 (UMLS CUI [1])
Admission date
Item
Admission date
date
C1302393 (UMLS CUI [1])
Item
Gender
integer
C0079399 (UMLS CUI [1])
Code List
Gender
CL Item
Male (1)
CL Item
Female (2)
Item
Relationship
integer
C0015608 (UMLS CUI [1])
Code List
Relationship
CL Item
steady relationship (1)
C0555047 (UMLS CUI-1)
CL Item
no steady relationship (2)
C0439849 (UMLS CUI-1)
Unemployed
Item
Unemployed
boolean
C0041674 (UMLS CUI [1])
Item
Marital status
integer
C0024819 (UMLS CUI [1])
Code List
Marital status
CL Item
Single (2)
C0037179 (UMLS CUI-1)
CL Item
Widowed (4)
C0206275 (UMLS CUI-1)
CL Item
Married (1)
C0555047 (UMLS CUI-1)
CL Item
Divorced (3)
C0086170 (UMLS CUI-1)
Item
Current occupation
integer
C0421456 (UMLS CUI [1])
Code List
Current occupation
CL Item
worker (1)
C1306056 (UMLS CUI-1)
CL Item
employee (2)
C0599987 (UMLS CUI-1)
CL Item
civil servant (3)
C0401892 (UMLS CUI-1)
CL Item
self-employed (4)
C0425092 (UMLS CUI-1)
CL Item
Student (5)
C0038492 (UMLS CUI-1)
CL Item
not working (6)
C0041674 (UMLS CUI-1)
CL Item
retired (7)
C0035345 (UMLS CUI-1)
CL Item
housewife (8)
C2939438 (UMLS CUI-1)
Item
Educational Status
integer
C0013658 (UMLS CUI [1])
Code List
Educational Status
CL Item
No formal schooling (1)
CL Item
Less than primary school  (2)
CL Item
Primary school completed (3)
C0033145 (UMLS CUI-1)
CL Item
Secondary school completed (4)
C0036530 (UMLS CUI-1)
CL Item
High school completed (5)
C0599395 (UMLS CUI-1)
CL Item
Collage/ University completed (6)
C0557292 (UMLS CUI-1)
CL Item
Post graduate degree (7)
C1552037 (UMLS CUI-1)
CL Item
Insufficient data (unknown) (8)
C0439673 (UMLS CUI-1)
Item
Nationality
integer
C0027473 (UMLS CUI [1])
Code List
Nationality
CL Item
German (1)
C0017477 (UMLS CUI-1)
CL Item
european (2)
C0239307 (UMLS CUI-1)
CL Item
non european (3)
C1955874 (UMLS CUI-1)
Item Group
Admission status
Inpatient
Item
Inpatient
boolean
C0021562 (UMLS CUI [1])
Day patient
Item
Day patient
boolean
C0030705 (UMLS CUI [1])
Date of discharge
Item
Date of discharge
date
C2361123 (UMLS CUI [1])
Hospital stay duration
Item
Hospital stay duration
integer
C4019086 (UMLS CUI [1])
Patient self-discharge against medical advice
Item
Patient self-discharge against medical advice
boolean
C1304701 (UMLS CUI [1])
Item
Hospitalization
integer
C0019993 (UMLS CUI [1])
Code List
Hospitalization
CL Item
General Practitioner (1)
C0017319 (UMLS CUI-1)
CL Item
Psychiatrist (2)
C0033872 (UMLS CUI-1)
CL Item
Outpatient clinic (3)
C0029916 (UMLS CUI-1)
C0025102 (UMLS CUI-2)
CL Item
Other Clinic (4)
C0442592 (UMLS CUI-1)
CL Item
Psychiatry (5)
C0587494 (UMLS CUI-1)
Diagnosis International Classification of Diseases
Item
Diagnosis International Classification of Diseases
integer
C0870733 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item
Legal basis
integer
C0557319 (UMLS CUI [1])
Code List
Legal basis
CL Item
voluntary  (1)
C0439656 (UMLS CUI-1)
CL Item
Mental health law (2)
C0025353 (UMLS CUI-1)
C0220866 (UMLS CUI-2)
CL Item
guardianship (3)
C0870627 (UMLS CUI-1)
CL Item
medical consultation (4)
C0199318 (UMLS CUI-1)
Item
Further treatment
integer
C0087111 (UMLS CUI [1,1])
C1517331 (UMLS CUI [1,2])
Code List
Further treatment
CL Item
General Practitioner (1)
C0017319 (UMLS CUI-1)
CL Item
Psychiatrist (2)
C0033872 (UMLS CUI-1)
CL Item
Outpatient clinic (3)
C0029916 (UMLS CUI-1)
C0025102 (UMLS CUI-2)
CL Item
Other Clinic (4)
C0442592 (UMLS CUI-1)
CL Item
Psychiatry (5)
C0587494 (UMLS CUI-1)
CL Item
Psychotherapist (6)
C0557555 (UMLS CUI-1)
CL Item
No further treatment (7)
C0746919 (UMLS CUI-1)

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