ID

22268

Description

Medical history form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Univ.-Prof. Dr. med. Michael Schäfers

Keywords

Versions (2)
  1. 5/28/17 5/28/17 -
  2. 9/20/21 9/20/21 -
Copyright Holder

UKM

Uploaded on

May 28, 2017

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License

Creative Commons BY-NC 3.0
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Medical history Nuclear medicine UKM

German English

Medical history

1 forms  
  1. StudyEvent: ODM
    1. Medical history
Patient demographics
Description

Patient demographics

Patient name
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Age
Description

Age

Data type

integer

Alias
UMLS CUI [1]
C0001779
Admission date
Description

Admission date

Data type

date

Alias
UMLS CUI [1]
C1302393
Diagnosis
Description

Diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011900
Symptoms
Description

Symptoms

Data type

integer

Alias
UMLS CUI [1]
C1457887
Medical history
Description

Medical history

Medical history of family
Description

Family medical history

Data type

integer

Alias
UMLS CUI [1]
C0241889
Medical history
Description

Medical history

Data type

integer

Alias
UMLS CUI [1]
C0262926
Disease
Description

Disease

Data type

integer

Alias
UMLS CUI [1]
C0012634
Tobacco Use Disorder
Description

Tobacco Use Disorder

Data type

integer

Alias
UMLS CUI [1]
C0040336
Alcohol abuse
Description

Alcohol abuse

Data type

integer

Alias
UMLS CUI [1]
C0085762
Medication
Description

Medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
Body Weight Changes
Description

Body Weight Changes

Data type

integer

Alias
UMLS CUI [1]
C0005911
Defecation
Description

Defecation

Data type

integer

Alias
UMLS CUI [1]
C0011135
micturition
Description

micturition

Data type

integer

Alias
UMLS CUI [1]
C0042034
Sleep
Description

Sleep

Data type

integer

Alias
UMLS CUI [1]
C0037313
Menstruation
Description

Menstruation

Data type

integer

Alias
UMLS CUI [1]
C0025344
Desire for food
Description

Desire for food

Data type

integer

Alias
UMLS CUI [1]
C0003618
Social and personal history
Description

Social and personal history

Data type

integer

Alias
UMLS CUI [1]
C0424945
Menstruation
Description

Menstruation

Data type

integer

Alias
UMLS CUI [1]
C0025344
Estrogen
Description

Estrogen

Data type

integer

Alias
UMLS CUI [1]
C0279494
Iodine
Description

Iodine

Data type

integer

Alias
UMLS CUI [1]
C0021968
neck swelling
Description

neck swelling

Data type

integer

Alias
UMLS CUI [1]
C0578454
Local symptoms
Description

Local symptoms

Data type

integer

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0205276
Eye symptom
Description

Eye symptom

Data type

integer

Alias
UMLS CUI [1]
C0586406
thermal sensation
Description

thermal sensation

Data type

integer

Alias
UMLS CUI [1]
C0039478
Tachycardia
Description

Tachycardia

Data type

integer

Alias
UMLS CUI [1]
C0039231
Angina pectoris
Description

Angina pectoris

Data type

integer

Alias
UMLS CUI [1]
C0002962
Edema
Description

Edema

Data type

integer

Alias
UMLS CUI [1]
C0013604
Skin | Alopecia
Description

Skin | Alopecia

Data type

integer

Alias
UMLS CUI [1]
C0455205
UMLS CUI [2]
C0002170
Shakes
Description

Shakes

Data type

integer

Alias
UMLS CUI [1]
C0392703
uneasiness
Description

uneasiness

Data type

integer

Alias
UMLS CUI [1]
C1821715
insomnia
Description

insomnia

Data type

integer

Alias
UMLS CUI [1]
C0917801
Fatigue
Description

Fatigue

Data type

integer

Alias
UMLS CUI [1]
C0015672
Physical Endurance
Description

Physical Endurance

Data type

integer

Alias
UMLS CUI [1]
C0031808
Capacity
Description

Capacity

Data type

integer

Alias
UMLS CUI [1]
C1516240
Sports
Description

Sports

Data type

integer

Alias
UMLS CUI [1]
C0038039
Skin
Description

Skin

Data type

integer

Alias
UMLS CUI [1]
C1123023
Tremor
Description

Tremor

Data type

integer

Alias
UMLS CUI [1]
C0040822
Pulse
Description

Pulse

Data type

integer

Alias
UMLS CUI [1]
C0232117
Blood pressure
Description

Blood pressure

Data type

integer

Alias
UMLS CUI [1]
C0005823
Eyes
Description

Eyes

Dalrymple sign
Description

Dalrymple sign

Data type

integer

Alias
UMLS CUI [1]
C1562625
Von Graefe sign
Description

Von Graefe sign

Data type

integer

Alias
UMLS CUI [1]
C0278217
Mobius sign
Description

Mobius sign

Data type

integer

Alias
UMLS CUI [1]
C3846158
Stellwag's sign
Description

Stellwag's sign

Data type

integer

Alias
UMLS CUI [1]
C3846158
Bell's phenomenon
Description

Bell's phenomenon

Data type

integer

Alias
UMLS CUI [1]
C0278216
Classification
Description

Classification

Data type

integer

Alias
UMLS CUI [1]
C0008902
Thyroid gland
Description

Thyroid gland

Alias
UMLS CUI-1
C0040132
neck circumference
Description

neck circumference

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C1630403
cm
Thyroid gland size
Description

Thyroid gland size

Data type

integer

Alias
UMLS CUI [1,1]
C0040132
UMLS CUI [1,2]
C0456389
Thyroid gland consistency
Description

Thyroid gland consistency

Data type

integer

Alias
UMLS CUI [1]
C2116018
Thyroid gland moves with swallowing
Description

Thyroid gland moves with swallowing

Data type

integer

Alias
UMLS CUI [1]
C0578748
Pain
Description

Pain

Data type

integer

Alias
UMLS CUI [1]
C0542134
Stridor
Description

Stridor

Data type

integer

Alias
UMLS CUI [1]
C0038450
thrill
Description

thrill

Data type

integer

Alias
UMLS CUI [1]
C0241402
Venous Engorgement
Description

Venous Engorgement

Data type

integer

Alias
UMLS CUI [1]
C0042484
Finding
Description

Finding

Alias
UMLS CUI-1
C0243095
Height
Description

Height

Data type

integer

Alias
UMLS CUI [1]
C0005890
Weight
Description

Weight

Data type

integer

Alias
UMLS CUI [1]
C0005910
Skin
Description

Skin

Data type

integer

Alias
UMLS CUI [1]
C1123023
Head
Description

Head

Data type

integer

Alias
UMLS CUI [1]
C0018670
Neck
Description

Neck

Data type

integer

Alias
UMLS CUI [1]
C0027530
Chest
Description

Chest

Data type

integer

Alias
UMLS CUI [1]
C0817096
Lungs
Description

Lungs

Data type

integer

Alias
UMLS CUI [1]
C2228454
Heart | Vascular system
Description

Heart | Vascular system

Data type

integer

Alias
UMLS CUI [1]
C0018787
UMLS CUI [2]
C0489903
Blood pressure
Description

Blood pressure

Data type

integer

Alias
UMLS CUI [1]
C0005823
Abdomen
Description

Abdomen

Data type

integer

Alias
UMLS CUI [1]
C0000726
genito-urinary system
Description

genito-urinary system

Data type

integer

Alias
UMLS CUI [1]
C0260313
Limbs
Description

Limbs

Data type

integer

Alias
UMLS CUI [1]
C0015385
Vertebral column
Description

Vertebral column

Data type

integer

Alias
UMLS CUI [1]
C0037949
Nervous system
Description

Nervous system

Data type

integer

Alias
UMLS CUI [1]
C0027763
Lymph nodes
Description

Lymph nodes

Data type

integer

Alias
UMLS CUI [1]
C0024204
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Similar models

Medical history

1 forms
  1. StudyEvent: ODM
    1. Medical history
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient demographics
Patient name
Item
Patient name
text
C1299487 (UMLS CUI [1])
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Admission date
Item
Admission date
date
C1302393 (UMLS CUI [1])
Diagnosis
Item
Diagnosis
integer
C0011900 (UMLS CUI [1])
Symptoms
Item
Symptoms
integer
C1457887 (UMLS CUI [1])
Item Group
Medical history
Family medical history
Item
Medical history of family
integer
C0241889 (UMLS CUI [1])
Medical history
Item
Medical history
integer
C0262926 (UMLS CUI [1])
Disease
Item
Disease
integer
C0012634 (UMLS CUI [1])
Tobacco Use Disorder
Item
Tobacco Use Disorder
integer
C0040336 (UMLS CUI [1])
Alcohol abuse
Item
Alcohol abuse
integer
C0085762 (UMLS CUI [1])
Item
Medication
integer
C0013227 (UMLS CUI [1])
Medication
Code List
Medication
CL Item
thyroid gland (1)
C0040132 (UMLS CUI-1)
CL Item
Antithyroid agent (2)
C0040125 (UMLS CUI-1)
Body Weight Changes
Item
Body Weight Changes
integer
C0005911 (UMLS CUI [1])
Defecation
Item
Defecation
integer
C0011135 (UMLS CUI [1])
micturition
Item
micturition
integer
C0042034 (UMLS CUI [1])
Sleep
Item
Sleep
integer
C0037313 (UMLS CUI [1])
Menstruation
Item
Menstruation
integer
C0025344 (UMLS CUI [1])
Desire for food
Item
Desire for food
integer
C0003618 (UMLS CUI [1])
Social and personal history
Item
Social and personal history
integer
C0424945 (UMLS CUI [1])
Menstruation
Item
Menstruation
integer
C0025344 (UMLS CUI [1])
Estrogen
Item
Estrogen
integer
C0279494 (UMLS CUI [1])
Item
Iodine
integer
C0021968 (UMLS CUI [1])
Iodine
Code List
Iodine
CL Item
Contrast Media (1)
C0009924 (UMLS CUI-1)
CL Item
other substances (2)
C0002778 (UMLS CUI-1)
v (UMLS CUI-2)
neck swelling
Item
neck swelling
integer
C0578454 (UMLS CUI [1])
Item
Local symptoms
integer
C1457887 (UMLS CUI [1,1])
C0205276 (UMLS CUI [1,2])
Local symptoms
Code List
Local symptoms
CL Item
Globus (1)
C0232534 (UMLS CUI-1)
CL Item
Feeling of pressure (2)
C4061377 (UMLS CUI-1)
CL Item
sore throat (3)
C0242429 (UMLS CUI-1)
CL Item
pain (4)
C0030193 (UMLS CUI-1)
CL Item
Dyspnea (5)
C0013404 (UMLS CUI-1)
CL Item
hoarseness (6)
C0019825 (UMLS CUI-1)
Item
Eye symptom
integer
C0586406 (UMLS CUI [1])
Eye symptom
Code List
Eye symptom
CL Item
Swelling of eyelid (1)
C0560024 (UMLS CUI-1)
CL Item
feeling of a foreign body (2)
C0423602 (UMLS CUI-1)
CL Item
tears (3)
C0039409 (UMLS CUI-1)
CL Item
burn (4)
C0006434 (UMLS CUI-1)
CL Item
light sensitivity (5)
C0085636 (UMLS CUI-1)
CL Item
Exophthalmus (6)
C0015300 (UMLS CUI-1)
CL Item
Diplopia (7)
C0012569 (UMLS CUI-1)
thermal sensation
Item
thermal sensation
integer
C0039478 (UMLS CUI [1])
Tachycardia
Item
Tachycardia
integer
C0039231 (UMLS CUI [1])
Angina pectoris
Item
Angina pectoris
integer
C0002962 (UMLS CUI [1])
Edema
Item
Edema
integer
C0013604 (UMLS CUI [1])
Skin | Alopecia
Item
Skin | Alopecia
integer
C0455205 (UMLS CUI [1])
C0002170 (UMLS CUI [2])
Shakes
Item
Shakes
integer
C0392703 (UMLS CUI [1])
uneasiness
Item
uneasiness
integer
C1821715 (UMLS CUI [1])
insomnia
Item
insomnia
integer
C0917801 (UMLS CUI [1])
Fatigue
Item
Fatigue
integer
C0015672 (UMLS CUI [1])
Physical Endurance
Item
Physical Endurance
integer
C0031808 (UMLS CUI [1])
Capacity
Item
Capacity
integer
C1516240 (UMLS CUI [1])
Sports
Item
Sports
integer
C0038039 (UMLS CUI [1])
Item
Skin
integer
C1123023 (UMLS CUI [1])
Skin
Code List
Skin
CL Item
warm (1)
C0235218 (UMLS CUI-1)
CL Item
wet (2)
C0241126 (UMLS CUI-1)
CL Item
rough (3)
C0859038 (UMLS CUI-1)
Tremor
Item
Tremor
integer
C0040822 (UMLS CUI [1])
Pulse
Item
Pulse
integer
C0232117 (UMLS CUI [1])
Blood pressure
Item
Blood pressure
integer
C0005823 (UMLS CUI [1])
Item Group
Eyes
Dalrymple sign
Item
Dalrymple sign
integer
C1562625 (UMLS CUI [1])
Von Graefe sign
Item
Von Graefe sign
integer
C0278217 (UMLS CUI [1])
Mobius sign
Item
Mobius sign
integer
C3846158 (UMLS CUI [1])
Stellwag's sign
Item
Stellwag's sign
integer
C3846158 (UMLS CUI [1])
Bell's phenomenon
Item
Bell's phenomenon
integer
C0278216 (UMLS CUI [1])
Item
Classification
integer
C0008902 (UMLS CUI [1])
Classification
Code List
Classification
CL Item
no symptoms (1)
C0037088 (UMLS CUI-1)
CL Item
eye lid reaction (2)
C0234665 (UMLS CUI-1)
CL Item
Blinking (3)
C0005757 (UMLS CUI-1)
CL Item
swelling of eyelid (4)
C0560024 (UMLS CUI-1)
CL Item
Chemosis (5)
C0271298 (UMLS CUI-1)
CL Item
conjunctivitis (6)
C0009763 (UMLS CUI-1)
CL Item
Exophthalmus (7)
C0015300 (UMLS CUI-1)
CL Item
eye muscle (8)
C0028863 (UMLS CUI-1)
CL Item
cornea lesion (9)
C0151571 (UMLS CUI-1)
CL Item
optical nerve (10)
C1709330 (UMLS CUI-1)
CL Item
loss of vision (11)
C0730512 (UMLS CUI-1)
Item Group
Thyroid gland
C0040132 (UMLS CUI-1)
neck circumference
Item
neck circumference
integer
C1630403 (UMLS CUI [1])
Thyroid gland size
Item
Thyroid gland size
integer
C0040132 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
Thyroid gland consistency
Item
Thyroid gland consistency
integer
C2116018 (UMLS CUI [1])
Thyroid gland moves with swallowing
Item
Thyroid gland moves with swallowing
integer
C0578748 (UMLS CUI [1])
Pain
Item
Pain
integer
C0542134 (UMLS CUI [1])
Stridor
Item
Stridor
integer
C0038450 (UMLS CUI [1])
thrill
Item
thrill
integer
C0241402 (UMLS CUI [1])
Venous Engorgement
Item
Venous Engorgement
integer
C0042484 (UMLS CUI [1])
Item Group
Finding
C0243095 (UMLS CUI-1)
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Skin
Item
Skin
integer
C1123023 (UMLS CUI [1])
Head
Item
Head
integer
C0018670 (UMLS CUI [1])
Neck
Item
Neck
integer
C0027530 (UMLS CUI [1])
Chest
Item
Chest
integer
C0817096 (UMLS CUI [1])
Lungs
Item
Lungs
integer
C2228454 (UMLS CUI [1])
Heart | Vascular system
Item
Heart | Vascular system
integer
C0018787 (UMLS CUI [1])
C0489903 (UMLS CUI [2])
Blood pressure
Item
Blood pressure
integer
C0005823 (UMLS CUI [1])
Abdomen
Item
Abdomen
integer
C0000726 (UMLS CUI [1])
genito-urinary system
Item
genito-urinary system
integer
C0260313 (UMLS CUI [1])
Item
Limbs
integer
C0015385 (UMLS CUI [1])
Limbs
Code List
Limbs
CL Item
Bones and Joints (1)
C0545594 (UMLS CUI-1)
CL Item
Muscles (2)
C0026845 (UMLS CUI-1)
Vertebral column
Item
Vertebral column
integer
C0037949 (UMLS CUI [1])
Nervous system
Item
Nervous system
integer
C0027763 (UMLS CUI [1])
Lymph nodes
Item
Lymph nodes
integer
C0024204 (UMLS CUI [1])
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