ID

21415

Description

Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: Gatro_Anforderung

Keywords

Versions (1)
  1. 4/20/17 4/20/17 -
Uploaded on

April 20, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Gastroenterology Order Form, University Hospital Cologne

German

Gastroenterology Order Form, University Hospital Cologne

1 forms  
Gastro Anfoderungsbogen
Description

Gastro Anfoderungsbogen

Alias
UMLS CUI-1
C0017163
UMLS CUI-2
C1705175
UMLS CUI-3
C0430022
Patient
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Geburtsdatum
Description

Birth Date

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C0421451
dd.mm.yyyy
Fall-Nr.
Description

Case ID

Data type

integer

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
Dokumentiert am
Description

Date of documentation

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0920316
dd.mm.yyyy
Studienpatient
Description

Study subject participation status

Data type

boolean

Alias
UMLS CUI [1]
C2348568
Telefon
Description

Phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
Diagnose(n)
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Terminwunsch
Description

Wanted date of procedure

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0430022
UMLS CUI [1,2]
C0011008
dd.mm.yyyy
Leistungserbringer
Description

Person performing procedure

Data type

text

Measurement units
  • Name
Alias
UMLS CUI [1]
C3476341
Name
Endoskopie/Sono
Description

Endoscopy/Sonography

Data type

integer

Alias
UMLS CUI [1]
C0014245
UMLS CUI [2]
C0041618
Andere Diagnostik
Description

Other diagnostic procedure

Data type

integer

Alias
UMLS CUI [1]
C0430022
Radiologie
Description

Radiology

Data type

integer

Alias
UMLS CUI [1]
C0043299
Indikation
Description

Indication

Data type

text

Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C0430022
Neuer Termin
Description

Appointment

Data type

integer

Alias
UMLS CUI [1]
C0586344
Nächster freier Termin
Description

Next appointment

Data type

integer

Alias
UMLS CUI [1]
C1272171
Rezept
Description

Prescription

Data type

boolean

Alias
UMLS CUI [1]
C1521941
Bescheinigung Arbeitgeber
Description

Certificate for employer

Data type

boolean

Alias
UMLS CUI [1,1]
C0586303
UMLS CUI [1,2]
C1274022
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Similar models

Gastroenterology Order Form, University Hospital Cologne

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Gastro Anfoderungsbogen
C0017163 (UMLS CUI-1)
C1705175 (UMLS CUI-2)
C0430022 (UMLS CUI-3)
Patient name
Item
Patient
text
C1299487 (UMLS CUI [1])
Birth Date
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Case ID
Item
Fall-Nr.
integer
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date of documentation
Item
Dokumentiert am
date
C0011008 (UMLS CUI [1,1])
C0920316 (UMLS CUI [1,2])
Study subject participation status
Item
Studienpatient
boolean
C2348568 (UMLS CUI [1])
Phone number
Item
Telefon
integer
C1515258 (UMLS CUI [1])
Diagnosis
Item
Diagnose(n)
text
C0011900 (UMLS CUI [1])
Wanted date of procedure
Item
Terminwunsch
date
C0430022 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Person performing procedure
Item
Leistungserbringer
text
C3476341 (UMLS CUI [1])
Item
Endoskopie/Sono
integer
C0014245 (UMLS CUI [1])
C0041618 (UMLS CUI [2])
Endoscopy/Sonography
Code List
Endoskopie/Sono
CL Item
ÖGD (1)
CL Item
EUS (2)
CL Item
Koloskopie (3)
CL Item
Sigmoidoskopie (4)
CL Item
Rekto/Proktoskopie (5)
CL Item
Sono (6)
CL Item
KM Sono (7)
CL Item
Fibroscan (8)
CL Item
Sonstiges (9)
Item
Andere Diagnostik
integer
C0430022 (UMLS CUI [1])
Other diagnostic procedure
Code List
Andere Diagnostik
CL Item
EKG (1)
CL Item
Echo (2)
CL Item
LuFu (3)
CL Item
Bronchoskopie (4)
CL Item
Knochendichtemessung (5)
CL Item
Ernährungsberatung (6)
CL Item
Konsil (7)
CL Item
Sonstiges (8)
Item
Radiologie
integer
C0043299 (UMLS CUI [1])
Radiology
Code List
Radiologie
CL Item
Rö-Abdomen (1)
CL Item
Rö-Thorax (2)
CL Item
CT-Abdomen (3)
CL Item
CT-Thorax (4)
CL Item
MR-Leber (5)
CL Item
MRCP (6)
CL Item
MR-Sellinck (7)
CL Item
MR-Becken (8)
CL Item
Sonstiges (9)
Indication
Item
Indikation
text
C3146298 (UMLS CUI [1,1])
C0430022 (UMLS CUI [1,2])
Item
Neuer Termin
integer
C0586344 (UMLS CUI [1])
Appointment
Code List
Neuer Termin
CL Item
nur Laborkontrolle (1)
CL Item
Labor 1 Woche vorher (2)
CL Item
vorher Sono (3)
CL Item
mit Virologie (4)
CL Item
vorher Fibroscan (5)
Item
Nächster freier Termin
integer
C1272171 (UMLS CUI [1])
Next appointment
Code List
Nächster freier Termin
CL Item
Woche/n (1)
CL Item
Monat/en (2)
Prescription
Item
Rezept
boolean
C1521941 (UMLS CUI [1])
Certificate for employer
Item
Bescheinigung Arbeitgeber
boolean
C0586303 (UMLS CUI [1,1])
C1274022 (UMLS CUI [1,2])
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