ID

21494

Description

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

Keywords

Versions (1)
  1. 4/24/17 4/24/17 -
Uploaded on

April 24, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Guide registration and admission, University Hospital Cologne

German

Guide registration and admission, University Hospital Cologne

1 forms  
Lotsen Aufnahmeformular
Description

Lotsen Aufnahmeformular

Alias
UMLS CUI-1
C0181090
UMLS CUI-2
C0184666
Name
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
Krankenkasse
Description

Health Insurance

Data type

text

Alias
UMLS CUI [1]
C0021682
Versicherungsnummer
Description

Insurance number

Data type

integer

Alias
UMLS CUI [1,1]
C0021672
UMLS CUI [1,2]
C1300638
IV Vertrag
Description

IV contract

Data type

boolean

Alias
UMLS CUI [1]
C3846158
MVZ
Description

MVZ

Data type

boolean

Alias
UMLS CUI [1]
C1552531
Angemeldet am
Description

Registration date

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0421512
UMLS CUI [1,2]
C0011008
dd.mm.yyyy
Termin am
Description

Appointment date

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C0585085
dd.mm.yyyy
2. Meinung
Description

Second opinion

Data type

boolean

Alias
UMLS CUI [1]
C0036524
Interdisziplinäres Gespräch (Fach und Teilnehmer)
Description

Interdisciplinary communication

Data type

text

Alias
UMLS CUI [1]
C0079631
Telefon
Description

Phone number

Data type

integer

Alias
UMLS CUI [1]
C1515258
E- Mail
Description

Email

Data type

text

Alias
UMLS CUI [1]
C0013849
Körpergröße
Description

Body Height

Data type

float

Measurement units
  • m
Alias
UMLS CUI [1]
C0005890
m
Körpergewicht
Description

Body weight

Data type

float

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Erstgespräch: Arzt
Description

Physician

Data type

text

Measurement units
  • Name
Alias
UMLS CUI [1]
C2826892
Name
Erstgespräch: Lotsin
Description

Guide

Data type

text

Measurement units
  • Name
Alias
UMLS CUI [1]
C0181090
Name
Hausarzt
Description

Family physician

Data type

text

Alias
UMLS CUI [1]
C1704221
Behandelnder Arzt
Description

Treating physician

Data type

text

Alias
UMLS CUI [1]
C1710470
Woher kommt der Patient?
Description

Admitting physician/department

Data type

integer

Alias
UMLS CUI [1]
C1547428
Diagnose/Kurzanamnese
Description

Diagnosis, short medical history

Data type

text

Alias
UMLS CUI [1]
C0011900
UMLS CUI [2]
C0262926
Procedere
Description

Proceedings

Data type

text

Alias
UMLS CUI [1]
C0087111
Familienstand
Description

Marital status

Data type

integer

Alias
UMLS CUI [1]
C0024819
Lebt der Patient allein?
Description

Does the patient live alone?

Data type

boolean

Alias
UMLS CUI [1]
C2734681
Lebenspartner
Description

Partner

Data type

boolean

Alias
UMLS CUI [1]
C0682323
Kinder
Description

Children

Data type

boolean

Alias
UMLS CUI [1]
C0008059
Bezugspersonen
Description

Attachment figures

Data type

boolean

Alias
UMLS CUI [1]
C0814553
Beruf
Description

Occupation

Data type

text

Alias
UMLS CUI [1]
C0028811
Hat der Patient zur Zeit Beschwerden?
Description

Symptoms

Data type

boolean

Alias
UMLS CUI [1]
C1457887
Nimmt der Patent zur Zeit Medikamente?
Description

Medication

Data type

boolean

Alias
UMLS CUI [1]
C0013227
Ist der Patient über seine Krankheit informiert?
Description

Knowledge of disease

Data type

boolean

Alias
UMLS CUI [1]
C3651074
Betreuung durch ambulanten Pflegedienst?
Description

Mobile nursing service

Data type

boolean

Alias
UMLS CUI [1]
C1266870
Termin zur Betreuung
Description

Date, caregiver

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0085537
UMLS CUI [1,2]
C0011008
dd.mm.yyyy
Entlassart
Description

Patient discharge type

Data type

text

Alias
UMLS CUI [1,1]
C0030685
UMLS CUI [1,2]
C0332307
Weitere Information zur freien Formulierung
Description

Note

Data type

text

Alias
UMLS CUI [1]
C1317574
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Similar models

Guide registration and admission, University Hospital Cologne

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Lotsen Aufnahmeformular
C0181090 (UMLS CUI-1)
C0184666 (UMLS CUI-2)
Patient name
Item
Name
text
C1299487 (UMLS CUI [1])
Birth Date
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Health Insurance
Item
Krankenkasse
text
C0021682 (UMLS CUI [1])
Insurance number
Item
Versicherungsnummer
integer
C0021672 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
IV contract
Item
IV Vertrag
boolean
C3846158 (UMLS CUI [1])
MVZ
Item
MVZ
boolean
C1552531 (UMLS CUI [1])
Registration date
Item
Angemeldet am
date
C0421512 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Appointment date
Item
Termin am
date
C0585085 (UMLS CUI [1])
Second opinion
Item
2. Meinung
boolean
C0036524 (UMLS CUI [1])
Interdisciplinary communication
Item
Interdisziplinäres Gespräch (Fach und Teilnehmer)
text
C0079631 (UMLS CUI [1])
Phone number
Item
Telefon
integer
C1515258 (UMLS CUI [1])
Email
Item
E- Mail
text
C0013849 (UMLS CUI [1])
Body Height
Item
Körpergröße
float
C0005890 (UMLS CUI [1])
Body weight
Item
Körpergewicht
float
C0005910 (UMLS CUI [1])
Physician
Item
Erstgespräch: Arzt
text
C2826892 (UMLS CUI [1])
Guide
Item
Erstgespräch: Lotsin
text
C0181090 (UMLS CUI [1])
Family physician
Item
Hausarzt
text
C1704221 (UMLS CUI [1])
Treating physician
Item
Behandelnder Arzt
text
C1710470 (UMLS CUI [1])
Item
Woher kommt der Patient?
integer
C1547428 (UMLS CUI [1])
Where does the patient come from?
Code List
Woher kommt der Patient?
CL Item
intern (1)
CL Item
anderes KH (2)
CL Item
Hausarzt (3)
CL Item
niedergel. Facharzt (4)
CL Item
Angehörige/Bekannte (5)
CL Item
Internet (6)
CL Item
Sonstiges (7)
Diagnosis, short medical history
Item
Diagnose/Kurzanamnese
text
C0011900 (UMLS CUI [1])
C0262926 (UMLS CUI [2])
Proceedings
Item
Procedere
text
C0087111 (UMLS CUI [1])
Item
Familienstand
integer
C0024819 (UMLS CUI [1])
Marital status
Code List
Familienstand
CL Item
ledig (1)
CL Item
verheiratet (2)
CL Item
getrennt lebend (3)
CL Item
geschieden (4)
CL Item
verwitwet (5)
Does the patient live alone?
Item
Lebt der Patient allein?
boolean
C2734681 (UMLS CUI [1])
Partner
Item
Lebenspartner
boolean
C0682323 (UMLS CUI [1])
Children
Item
Kinder
boolean
C0008059 (UMLS CUI [1])
Attachment figures
Item
Bezugspersonen
boolean
C0814553 (UMLS CUI [1])
Occupation
Item
Beruf
text
C0028811 (UMLS CUI [1])
Symptoms
Item
Hat der Patient zur Zeit Beschwerden?
boolean
C1457887 (UMLS CUI [1])
Medication
Item
Nimmt der Patent zur Zeit Medikamente?
boolean
C0013227 (UMLS CUI [1])
Knowledge of disease
Item
Ist der Patient über seine Krankheit informiert?
boolean
C3651074 (UMLS CUI [1])
Mobile nursing service
Item
Betreuung durch ambulanten Pflegedienst?
boolean
C1266870 (UMLS CUI [1])
Date, caregiver
Item
Termin zur Betreuung
date
C0085537 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Patient discharge type
Item
Entlassart
text
C0030685 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Note
Item
Weitere Information zur freien Formulierung
text
C1317574 (UMLS CUI [1])
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