ID

21227

Description

Hospital Routine Documentation Subform at the University Hospital Cologne Original Form name: Allgemeiner Befund Med1

Keywords

Versions (1)
  1. 4/13/17 4/13/17 -
Uploaded on

April 13, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Finding, Laboratory for Molecular Hematology and Oncology, University Hospital Cologne

German

Finding, Laboratory for Molecular Hematology and Oncology, University Hospital Cologne

1 forms  
Befund MED I LMHO
Description

Befund MED I LMHO

Alias
UMLS CUI-1
C1254595
Patient
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Auftragsnummer
Description

Request identification number

Data type

integer

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C1272683
Auftragsstatus
Description

Order status

Data type

text

Alias
UMLS CUI [1]
C1550341
Dringlichkeit
Description

Urgency

Data type

text

Alias
UMLS CUI [1]
C4049774
Zielbenutzer
Description

Recipient

Data type

text

Alias
UMLS CUI [1,1]
C1709854
UMLS CUI [1,2]
C1706077
Rückweisungs-/Stornierungsgrund
Description

Justification for cancellation of request

Data type

text

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C1548226
Leistungsanforderer
Description

Department requesting procedure

Data type

text

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C1550369
UMLS CUI [1,3]
C0019961
Leistungserbringer
Description

Department performing procedure

Data type

text

Alias
UMLS CUI [1,1]
C0022885
UMLS CUI [1,2]
C1550369
UMLS CUI [1,3]
C0019961
Angeforderte Leistung
Description

Requested laboratory procedures

Data type

integer

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C0022885
Spezifizierung angeforderte Leistung
Description

Specification of requested laboratory procedures

Data type

text

Alias
UMLS CUI [1,1]
C2348235
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C0022885
Labor Nr.
Description

Laboratory number

Data type

integer

Alias
UMLS CUI [1,1]
C0022877
UMLS CUI [1,2]
C1300638
Eingegangenes Material
Description

Sample specimen

Data type

text

Alias
UMLS CUI [1]
C2347026
Versanddatum
Description

Shipping date

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1524049
UMLS CUI [1,3]
C0011008
dd.mm.yyyy
Versandadresse
Description

Shipping address

Data type

text

Alias
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1524049
UMLS CUI [1,3]
C1442065
Zytomorphologischer Befund
Description

Zytomorphologischer Befund

Alias
UMLS CUI-1
C1305671
UMLS CUI-2
C0243095
Diagnose/Fragestellung
Description

Diagnosis/question

Data type

text

Alias
UMLS CUI [1]
C0011900
UMLS CUI [2]
C1522634
Laborwerte
Description

Laborwerte

Alias
UMLS CUI-1
C1254595
Leukozyten
Description

WBC

Data type

float

Measurement units
  • x1E9/L
Alias
UMLS CUI [1]
C0023508
x1E9/L
Erythrozyten
Description

RBC

Data type

float

Measurement units
  • x1E12/L
Alias
UMLS CUI [1]
C0014772
x1E12/L
Hämoglobin
Description

Hemoglobin

Data type

float

Measurement units
  • g/dl
Alias
UMLS CUI [1]
C0019046
g/dl
Hämatokrit
Description

Hematocrit

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0518014
%
MCV
Description

MCV

Data type

float

Measurement units
  • fl
Alias
UMLS CUI [1]
C1948043
fl
MCH
Description

MCH

Data type

float

Measurement units
  • pg
Alias
UMLS CUI [1]
C0369183
pg
Retikulozyten
Description

Reticulocytes

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0035286
%
Thrombozyten
Description

Platelet count

Data type

float

Measurement units
  • x1E9/L
Alias
UMLS CUI [1]
C0032181
x1E9/L
Differentialblutbild
Description

Differentialblutbild

Alias
UMLS CUI-1
C0162401
Blasten
Description

Blast count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0523113
%
Promyelozyten
Description

Promyelocyte count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0455279
%
Myelozyten
Description

Myelocyte count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0455284
%
Metamyelozyten
Description

Metamyelocyte count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0455285
%
Stabkernige neutrophile Granulozyten
Description

Neutrophil Band Form

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C1882076
%
Segmentkernige neutrophile Granulozyten
Description

Segmented neutrophils

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C1168247
%
Eosinophile Granulozyten
Description

Eosinophil count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0200638
%
Basophile Granulozyten
Description

Basophile count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0200641
%
Monozyten
Description

Monocytes

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C1171403
%
Lymphozyten
Description

Lymphocytes

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0200635
%
Kernschatten
Description

Smudge cell count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C2699318
%
Plasmazellen
Description

Plasma cell count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0581142
%
Erythroblasten
Description

Erythroblasts

Data type

integer

Measurement units
  • /100 Leukozyten
Alias
UMLS CUI [1]
C0014762
/100 Leukozyten
Leukozytenmorphologie
Description

Leucocytes morphology

Data type

text

Alias
UMLS CUI [1,1]
C0023516
UMLS CUI [1,2]
C0332437
Erythrozytenmorphologie
Description

Erythrozytenmorphologie

Alias
UMLS CUI-1
C0014792
UMLS CUI-2
C0332437
Anisozytose
Description

Anisocytosis

Data type

boolean

Alias
UMLS CUI [1]
C0221278
Poikilozytose
Description

Poikilocytosis

Data type

boolean

Alias
UMLS CUI [1]
C0221281
Hyperchromasie
Description

Hyperchromatism

Data type

boolean

Alias
UMLS CUI [1]
C0333910
Hypochromasie
Description

Hypochromatism

Data type

boolean

Alias
UMLS CUI [1]
C0333912
Polychromasie
Description

Polychromatic red blood cells

Data type

boolean

Alias
UMLS CUI [1]
C0427493
Fragmentozyten
Description

Schistocytes

Data type

float

Measurement units
  • ‰
Alias
UMLS CUI [1]
C2699276
‰
Bemerkung
Description

Comment

Data type

text

Alias
UMLS CUI [1]
C0947611
Malaria-Parasitämie
Description

RBC malaria parasitemia

Data type

float

Measurement units
  • ‰
Alias
UMLS CUI [1]
C1303278
‰
Thrombozytenmorphologie
Description

Thrombozytenmorphologie

Alias
UMLS CUI-1
C0005821
UMLS CUI-2
C0332437
Thrombozytenzahl
Description

Blood platelet count

Data type

float

Measurement units
  • x1E9/L
Alias
UMLS CUI [1]
C0005821
x1E9/L
Riesenthrombozyten
Description

Giant platelets

Data type

boolean

Alias
UMLS CUI [1]
C2697501
Knochenmark
Description

Knochenmark

Alias
UMLS CUI-1
C0005953
Zellgehalt der Ausstriche
Description

Cell count in smear sample

Data type

integer

Measurement units
  • /ml
Alias
UMLS CUI [1,1]
C0007584
UMLS CUI [1,2]
C0444086
/ml
Markbröckel
Description

Bone marrow fragments

Data type

integer

Alias
UMLS CUI [1]
C0444224
Megakaryozyten
Description

Megakaryocytes

Data type

integer

Alias
UMLS CUI [1]
C0025166
Blasten
Description

Blast count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0523113
%
Promyelozyten
Description

Promyelocyte count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0455279
%
Myelozyten
Description

Myelocyte count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0455284
%
Metamyelozyten
Description

Metamyelocyte count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0455285
%
Stabkernige neutrophile Granulozyten
Description

Neutrophil Band Form

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C1882076
%
Segmentkernige neutrophile Granulozyten
Description

Segmented neutrophils

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C1168247
%
Eosinophile Granulozyten
Description

Eosinophil count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0200638
%
Basophile Granulozyten
Description

Basophile count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0200641
%
Granulozytopoese insgesamt
Description

Granulocytopoiesis total

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C2328390
%
Auer-Stäbchen
Description

Auer rods

Data type

boolean

Alias
UMLS CUI [1]
C0333828
Lymphozyten
Description

Lymphocyte count

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0200635
%
Proerythroblasten
Description

undefined item

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C1168097
%
Basophile Erythroblasten
Description

Basophil erythroblasts

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0229628
%
Polychromatische Eryhtroblasten
Description

Polychromatophilic erythroblasts

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0229629
%
Oxyphile Erythroblasten
Description

Oxyphil erythroblasts

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1,1]
C0949666
UMLS CUI [1,2]
C0014762
%
Erythropoese insgesamt
Description

Erythropoiesis total

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0014819
%
Knochenmarkfremde Zellen
Description

Other non-bone marrow cells

Data type

text

Alias
UMLS CUI [1,1]
C0549184
UMLS CUI [1,2]
C0005955
Zytochemie
Description

Zytochemie

Alias
UMLS CUI-1
C0010741
Peroxidase (POX)
Description

Peroxidase stain

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1,1]
C1318719
UMLS CUI [1,2]
C0010741
%
Saure Phosphatase (SP)
Description

Acid phosphatase

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1,1]
C0201834
UMLS CUI [1,2]
C0010741
%
Periodschiffsäure (PAS)
Description

Periodic acid Schiff stain

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1,1]
C0440048
UMLS CUI [1,2]
C0010741
%
Alkalische Leukoyztenphosphatase (ALP)
Description

Leukocyte alkaline phosphatase

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C0369599
%
alpha-Naphtylacetat-Esterase (NE)
Description

alpha naphtyl acetate

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1,1]
C2003941
UMLS CUI [1,2]
C0752387
%
Berliner Blau Reaktion
Description

Berlin blue stain reaction

Data type

boolean

Alias
UMLS CUI [1]
C0303919
Liquor
Description

Liquor

Alias
UMLS CUI-1
C0007806
Zellzahl
Description

Cell count

Data type

integer

Measurement units
  • /µl
Alias
UMLS CUI [1]
C0427874
/µl
Beurteilung
Description

Beurteilung

Alias
UMLS CUI-1
C0220825
Beurteilung der Befunde
Description

Finding evaluation

Data type

text

Alias
UMLS CUI [1]
C2711906
Befundungsdatum
Description

Date of evaluation

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C1302584
dd.mm.yyyy
Unterschrift
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316
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Similar models

Finding, Laboratory for Molecular Hematology and Oncology, University Hospital Cologne

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Befund MED I LMHO
C1254595 (UMLS CUI-1)
Patient name
Item
Patient
text
C1299487 (UMLS CUI [1])
Request identification number
Item
Auftragsnummer
integer
C1300638 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
Order status
Item
Auftragsstatus
text
C1550341 (UMLS CUI [1])
Urgency
Item
Dringlichkeit
text
C4049774 (UMLS CUI [1])
Recipient
Item
Zielbenutzer
text
C1709854 (UMLS CUI [1,1])
C1706077 (UMLS CUI [1,2])
Justification for cancellation of request
Item
Rückweisungs-/Stornierungsgrund
text
C0566251 (UMLS CUI [1,1])
C1548226 (UMLS CUI [1,2])
Department requesting procedure
Item
Leistungsanforderer
text
C1272683 (UMLS CUI [1,1])
C1550369 (UMLS CUI [1,2])
C0019961 (UMLS CUI [1,3])
Department performing procedure
Item
Leistungserbringer
text
C0022885 (UMLS CUI [1,1])
C1550369 (UMLS CUI [1,2])
C0019961 (UMLS CUI [1,3])
Item
Angeforderte Leistung
integer
C0332307 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
Requested laboratory procedures
Code List
Angeforderte Leistung
CL Item
Immunphänotypisierung (1)
CL Item
Molekulargenetik (2)
CL Item
Chimärismusanalyse (3)
CL Item
Panel-Sequenzierung (4)
CL Item
Zytomorphologie (5)
CL Item
Zytogenetik (6)
CL Item
Liquid Biopsies (7)
Specification of requested laboratory procedures
Item
Spezifizierung angeforderte Leistung
text
C2348235 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C0022885 (UMLS CUI [1,3])
Laboratory number
Item
Labor Nr.
integer
C0022877 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Sample specimen
Item
Eingegangenes Material
text
C2347026 (UMLS CUI [1])
Shipping date
Item
Versanddatum
date
C0370003 (UMLS CUI [1,1])
C1524049 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Shipping address
Item
Versandadresse
text
C0370003 (UMLS CUI [1,1])
C1524049 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,3])
Item Group
Zytomorphologischer Befund
C1305671 (UMLS CUI-1)
C0243095 (UMLS CUI-2)
Diagnosis/question
Item
Diagnose/Fragestellung
text
C0011900 (UMLS CUI [1])
C1522634 (UMLS CUI [2])
Item Group
Laborwerte
C1254595 (UMLS CUI-1)
WBC
Item
Leukozyten
float
C0023508 (UMLS CUI [1])
RBC
Item
Erythrozyten
float
C0014772 (UMLS CUI [1])
Hemoglobin
Item
Hämoglobin
float
C0019046 (UMLS CUI [1])
Hematocrit
Item
Hämatokrit
float
C0518014 (UMLS CUI [1])
MCV
Item
MCV
float
C1948043 (UMLS CUI [1])
MCH
Item
MCH
float
C0369183 (UMLS CUI [1])
Reticulocytes
Item
Retikulozyten
float
C0035286 (UMLS CUI [1])
Platelet count
Item
Thrombozyten
float
C0032181 (UMLS CUI [1])
Item Group
Differentialblutbild
C0162401 (UMLS CUI-1)
Blast count
Item
Blasten
float
C0523113 (UMLS CUI [1])
Promyelocyte count
Item
Promyelozyten
float
C0455279 (UMLS CUI [1])
Myelocyte count
Item
Myelozyten
float
C0455284 (UMLS CUI [1])
Metamyelocyte count
Item
Metamyelozyten
float
C0455285 (UMLS CUI [1])
Neutrophil Band Form
Item
Stabkernige neutrophile Granulozyten
float
C1882076 (UMLS CUI [1])
Segmented neutrophils
Item
Segmentkernige neutrophile Granulozyten
float
C1168247 (UMLS CUI [1])
Eosinophil count
Item
Eosinophile Granulozyten
float
C0200638 (UMLS CUI [1])
Basophile count
Item
Basophile Granulozyten
float
C0200641 (UMLS CUI [1])
Monocytes
Item
Monozyten
float
C1171403 (UMLS CUI [1])
Lymphocytes
Item
Lymphozyten
float
C0200635 (UMLS CUI [1])
Smudge cell count
Item
Kernschatten
float
C2699318 (UMLS CUI [1])
Plasma cell count
Item
Plasmazellen
float
C0581142 (UMLS CUI [1])
Erythroblasts
Item
Erythroblasten
integer
C0014762 (UMLS CUI [1])
Leucocytes morphology
Item
Leukozytenmorphologie
text
C0023516 (UMLS CUI [1,1])
C0332437 (UMLS CUI [1,2])
Item Group
Erythrozytenmorphologie
C0014792 (UMLS CUI-1)
C0332437 (UMLS CUI-2)
Anisocytosis
Item
Anisozytose
boolean
C0221278 (UMLS CUI [1])
Poikilocytosis
Item
Poikilozytose
boolean
C0221281 (UMLS CUI [1])
Hyperchromatism
Item
Hyperchromasie
boolean
C0333910 (UMLS CUI [1])
Hypochromatism
Item
Hypochromasie
boolean
C0333912 (UMLS CUI [1])
Polychromatic red blood cells
Item
Polychromasie
boolean
C0427493 (UMLS CUI [1])
Schistocytes
Item
Fragmentozyten
float
C2699276 (UMLS CUI [1])
Comment
Item
Bemerkung
text
C0947611 (UMLS CUI [1])
RBC malaria parasitemia
Item
Malaria-Parasitämie
float
C1303278 (UMLS CUI [1])
Item Group
Thrombozytenmorphologie
C0005821 (UMLS CUI-1)
C0332437 (UMLS CUI-2)
Blood platelet count
Item
Thrombozytenzahl
float
C0005821 (UMLS CUI [1])
Giant platelets
Item
Riesenthrombozyten
boolean
C2697501 (UMLS CUI [1])
Item Group
Knochenmark
C0005953 (UMLS CUI-1)
Cell count in smear sample
Item
Zellgehalt der Ausstriche
integer
C0007584 (UMLS CUI [1,1])
C0444086 (UMLS CUI [1,2])
Bone marrow fragments
Item
Markbröckel
integer
C0444224 (UMLS CUI [1])
Megakaryocytes
Item
Megakaryozyten
integer
C0025166 (UMLS CUI [1])
Blast count
Item
Blasten
float
C0523113 (UMLS CUI [1])
Promyelocyte count
Item
Promyelozyten
float
C0455279 (UMLS CUI [1])
Myelocyte count
Item
Myelozyten
float
C0455284 (UMLS CUI [1])
Metamyelocyte count
Item
Metamyelozyten
float
C0455285 (UMLS CUI [1])
Neutrophil Band Form
Item
Stabkernige neutrophile Granulozyten
float
C1882076 (UMLS CUI [1])
Segmented neutrophils
Item
Segmentkernige neutrophile Granulozyten
float
C1168247 (UMLS CUI [1])
Eosinophil count
Item
Eosinophile Granulozyten
float
C0200638 (UMLS CUI [1])
Basophile count
Item
Basophile Granulozyten
float
C0200641 (UMLS CUI [1])
Granulocytopoiesis total
Item
Granulozytopoese insgesamt
float
C2328390 (UMLS CUI [1])
Auer rods
Item
Auer-Stäbchen
boolean
C0333828 (UMLS CUI [1])
Lymphocyte count
Item
Lymphozyten
float
C0200635 (UMLS CUI [1])
undefined item
Item
Proerythroblasten
float
C1168097 (UMLS CUI [1])
Basophil erythroblasts
Item
Basophile Erythroblasten
float
C0229628 (UMLS CUI [1])
Polychromatophilic erythroblasts
Item
Polychromatische Eryhtroblasten
float
C0229629 (UMLS CUI [1])
Oxyphil erythroblasts
Item
Oxyphile Erythroblasten
float
C0949666 (UMLS CUI [1,1])
C0014762 (UMLS CUI [1,2])
Erythropoiesis total
Item
Erythropoese insgesamt
float
C0014819 (UMLS CUI [1])
Other non-bone marrow cells
Item
Knochenmarkfremde Zellen
text
C0549184 (UMLS CUI [1,1])
C0005955 (UMLS CUI [1,2])
Item Group
Zytochemie
C0010741 (UMLS CUI-1)
Peroxidase stain
Item
Peroxidase (POX)
integer
C1318719 (UMLS CUI [1,1])
C0010741 (UMLS CUI [1,2])
Acid phosphatase
Item
Saure Phosphatase (SP)
integer
C0201834 (UMLS CUI [1,1])
C0010741 (UMLS CUI [1,2])
Periodic acid Schiff stain
Item
Periodschiffsäure (PAS)
integer
C0440048 (UMLS CUI [1,1])
C0010741 (UMLS CUI [1,2])
Leukocyte alkaline phosphatase
Item
Alkalische Leukoyztenphosphatase (ALP)
integer
C0369599 (UMLS CUI [1])
alpha naphtyl acetate
Item
alpha-Naphtylacetat-Esterase (NE)
integer
C2003941 (UMLS CUI [1,1])
C0752387 (UMLS CUI [1,2])
Berlin blue stain reaction
Item
Berliner Blau Reaktion
boolean
C0303919 (UMLS CUI [1])
Item Group
Liquor
C0007806 (UMLS CUI-1)
Cell count
Item
Zellzahl
integer
C0427874 (UMLS CUI [1])
Item Group
Beurteilung
C0220825 (UMLS CUI-1)
Finding evaluation
Item
Beurteilung der Befunde
text
C2711906 (UMLS CUI [1])
Date of evaluation
Item
Befundungsdatum
date
C1302584 (UMLS CUI [1])
Signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])
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