ID

21821

Description

Baseline Medical Examination form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Prof. Dr. med. Ludwig Kiesel

Keywords

Versions (3)
  1. 4/25/17 4/25/17 -
  2. 4/25/17 4/25/17 -
  3. 5/2/17 5/2/17 -
Copyright Holder

UKM

Uploaded on

May 2, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Baseline Medical Examination Gynaecology UKM

German English

Baseline Medical Examination

1 forms  
Patient demographics
Description

Patient demographics

Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Address
Description

Address

Data type

text

Alias
UMLS CUI [1]
C0421449
Birth time
Description

Birth time

Data type

time

Alias
UMLS CUI [1]
C2736116
Blood group
Description

Blood group

Data type

integer

Alias
UMLS CUI [1]
C0005810
Health insurance
Description

Health insurance

Data type

integer

Alias
UMLS CUI [1]
C0021682
Address
Description

Address

Data type

text

Alias
UMLS CUI [1]
C0421449
Physician
Description

Physician

Data type

text

Alias
UMLS CUI [1]
C2826892
Age group
Description

Age group

Data type

integer

Alias
UMLS CUI [1]
C0001779
Medication
Description

Medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
Allergies
Description

Allergies

Data type

integer

Alias
UMLS CUI [1]
C0020517
Risk
Description

Risk

Data type

integer

Alias
UMLS CUI [1]
C0035647
Diagnosis
Description

Diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011900
Therapy
Description

Therapy

Data type

integer

Alias
UMLS CUI [1]
C0087111
Assessment
Description

Assessment

Headache
Description

Headache

Data type

boolean

Alias
UMLS CUI [1]
C0018681
Thyroid gland diseases
Description

Thyroid gland diseases

Data type

boolean

Alias
UMLS CUI [1]
C0040128
Heart Diseases
Description

Heart Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0018799
Lung disease
Description

Lung disease

Data type

boolean

Alias
UMLS CUI [1]
C0024115
Breast Diseases
Description

Breast Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0006145
Liver disease
Description

Liver disease

Data type

boolean

Alias
UMLS CUI [1]
C0023895
Stomach Diseases | Intestinal Diseases
Description

Stomach Diseases | Intestinal Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0038354
UMLS CUI [2]
C0021831
Kidney Diseases
Description

Kidney Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0022658
Hematological Disease
Description

Hematological Disease

Data type

boolean

Alias
UMLS CUI [1]
C0018939
Blood transfusion
Description

Blood transfusion

Data type

boolean

Alias
UMLS CUI [1]
C0005841
Diabetes
Description

Diabetes

Data type

boolean

Alias
UMLS CUI [1]
C0011849
Cancer
Description

Cancer

Data type

boolean

Alias
UMLS CUI [1]
C0006826
Hereditary Diseases
Description

Hereditary Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0019247
Operation
Description

Operation

Data type

boolean

Alias
UMLS CUI [1]
C0543467
Gynecological history
Description

Gynecological history

Alias
UMLS CUI-1
C0474455
Menarche
Description

Menarche

Data type

integer

Alias
UMLS CUI [1]
C0025274
Menopause
Description

Menopause

Data type

integer

Alias
UMLS CUI [1]
C0025320
Contraception
Description

Contraception

Data type

integer

Alias
UMLS CUI [1]
C0700589
Bleeding disorder
Description

Bleeding disorder

Data type

boolean

Alias
UMLS CUI [1]
C0005779
Gynecological operation
Description

Gynecological operation

Data type

boolean

Alias
UMLS CUI [1]
C0580732
Midwifery history
Description

Midwifery history

Midwifery
Description

Midwifery

Data type

integer

Alias
UMLS CUI [1]
C0026082
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Birth weight
Description

Birth weight

Data type

integer

Alias
UMLS CUI [1]
C0005612
Week of gestation
Description

Week of gestation

Data type

integer

Alias
UMLS CUI [1]
C1135241
Delivery
Description

Delivery

Data type

date

Alias
UMLS CUI [1,1]
C1301668
UMLS CUI [1,2]
C2053594
Examination
Description

Examination

Genital
Description

Genital

Data type

integer

Alias
UMLS CUI [1]
C0017420
Vagina
Description

Vagina

Data type

integer

Alias
UMLS CUI [1]
C0042232
Cervix
Description

Cervix

Data type

integer

Alias
UMLS CUI [1]
C0007874
Uterus
Description

Uterus

Data type

integer

Alias
UMLS CUI [1]
C0007874
Uterine adnexae structure
Description

Uterine adnexae structure

Data type

integer

Alias
UMLS CUI [1]
C0001575
Rectum
Description

Rectum

Data type

integer

Alias
UMLS CUI [1]
C0001575
Mamma
Description

Mamma

Data type

integer

Alias
UMLS CUI [1]
C1268990
Skin
Description

Skin

Data type

integer

Alias
UMLS CUI [1]
C1268990
Head
Description

Head

Data type

integer

Alias
UMLS CUI [1]
C1268990
Chest
Description

Chest

Data type

integer

Alias
UMLS CUI [1]
C0817096
Heart
Description

Heart

Data type

integer

Alias
UMLS CUI [1]
C0018787
Lungs
Description

Lungs

Data type

integer

Alias
UMLS CUI [1]
C2228454
Abdomen
Description

Abdomen

Data type

integer

Alias
UMLS CUI [1]
C0000726
Kindey
Description

Kidney

Data type

integer

Alias
UMLS CUI [1]
C0022646
Limbs
Description

Limbs

Data type

integer

Alias
UMLS CUI [1]
C0015385
Nerv
Description

Nerv

Data type

integer

Alias
UMLS CUI [1]
C0027763
Pap smear
Description

Pap smear

Data type

integer

Alias
UMLS CUI [1]
C0079104
Footer module
Description

Footer module

Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Signature
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316
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Similar models

Baseline Medical Examination

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient demographics
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Address
Item
Address
text
C0421449 (UMLS CUI [1])
Birth time
Item
Birth time
time
C2736116 (UMLS CUI [1])
Blood group
Item
Blood group
integer
C0005810 (UMLS CUI [1])
Health insurance
Item
Health insurance
integer
C0021682 (UMLS CUI [1])
Address
Item
Address
text
C0421449 (UMLS CUI [1])
Physician
Item
Physician
text
C2826892 (UMLS CUI [1])
Age group
Item
Age group
integer
C0001779 (UMLS CUI [1])
Medication
Item
Medication
integer
C0013227 (UMLS CUI [1])
Allergies
Item
Allergies
integer
C0020517 (UMLS CUI [1])
Risk
Item
Risk
integer
C0035647 (UMLS CUI [1])
Diagnosis
Item
Diagnosis
integer
C0011900 (UMLS CUI [1])
Therapy
Item
Therapy
integer
C0087111 (UMLS CUI [1])
Item Group
Assessment
Headache
Item
Headache
boolean
C0018681 (UMLS CUI [1])
Thyroid gland diseases
Item
Thyroid gland diseases
boolean
C0040128 (UMLS CUI [1])
Heart Diseases
Item
Heart Diseases
boolean
C0018799 (UMLS CUI [1])
Lung disease
Item
Lung disease
boolean
C0024115 (UMLS CUI [1])
Breast Diseases
Item
Breast Diseases
boolean
C0006145 (UMLS CUI [1])
Liver disease
Item
Liver disease
boolean
C0023895 (UMLS CUI [1])
Stomach Diseases | Intestinal Diseases
Item
Stomach Diseases | Intestinal Diseases
boolean
C0038354 (UMLS CUI [1])
C0021831 (UMLS CUI [2])
Kidney Diseases
Item
Kidney Diseases
boolean
C0022658 (UMLS CUI [1])
Hematological Disease
Item
Hematological Disease
boolean
C0018939 (UMLS CUI [1])
Blood transfusion
Item
Blood transfusion
boolean
C0005841 (UMLS CUI [1])
Diabetes
Item
Diabetes
boolean
C0011849 (UMLS CUI [1])
Cancer
Item
Cancer
boolean
C0006826 (UMLS CUI [1])
Hereditary Diseases
Item
Hereditary Diseases
boolean
C0019247 (UMLS CUI [1])
Operation
Item
Operation
boolean
C0543467 (UMLS CUI [1])
Item Group
Gynecological history
C0474455 (UMLS CUI-1)
Menarche
Item
Menarche
integer
C0025274 (UMLS CUI [1])
Menopause
Item
Menopause
integer
C0025320 (UMLS CUI [1])
Contraception
Item
Contraception
integer
C0700589 (UMLS CUI [1])
Bleeding disorder
Item
Bleeding disorder
boolean
C0005779 (UMLS CUI [1])
Gynecological operation
Item
Gynecological operation
boolean
C0580732 (UMLS CUI [1])
Item Group
Midwifery history
Midwifery
Item
Midwifery
integer
C0026082 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Birth weight
Item
Birth weight
integer
C0005612 (UMLS CUI [1])
Week of gestation
Item
Week of gestation
integer
C1135241 (UMLS CUI [1])
Delivery
Item
Delivery
date
C1301668 (UMLS CUI [1,1])
C2053594 (UMLS CUI [1,2])
Item Group
Examination
Item
Genital
integer
C0017420 (UMLS CUI [1])
Genital
Code List
Genital
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Vagina
integer
C0042232 (UMLS CUI [1])
Genital
Code List
Vagina
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Cervix
integer
C0007874 (UMLS CUI [1])
Genital
Code List
Cervix
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Uterus
integer
C0007874 (UMLS CUI [1])
Genital
Code List
Uterus
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Uterine adnexae structure
integer
C0001575 (UMLS CUI [1])
Genital
Code List
Uterine adnexae structure
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Rectum
integer
C0001575 (UMLS CUI [1])
Genital
Code List
Rectum
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Mamma
integer
C1268990 (UMLS CUI [1])
Genital
Code List
Mamma
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Skin
integer
C1268990 (UMLS CUI [1])
Genital
Code List
Skin
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Head
integer
C1268990 (UMLS CUI [1])
Genital
Code List
Head
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Chest
integer
C0817096 (UMLS CUI [1])
Genital
Code List
Chest
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Heart
integer
C0018787 (UMLS CUI [1])
Genital
Code List
Heart
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Lungs
integer
C2228454 (UMLS CUI [1])
Genital
Code List
Lungs
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Abdomen
integer
C0000726 (UMLS CUI [1])
Genital
Code List
Abdomen
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Kindey
integer
C0022646 (UMLS CUI [1])
Genital
Code List
Kindey
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Limbs
integer
C0015385 (UMLS CUI [1])
Genital
Code List
Limbs
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Item
Nerv
integer
C0027763 (UMLS CUI [1])
Genital
Code List
Nerv
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
Pap smear
Item
Pap smear
integer
C0079104 (UMLS CUI [1])
Item Group
Footer module
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
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