ID

5831

Description

EHR General report

Keywords

Versions (3)
  1. 9/25/14 9/25/14 - Martin Dugas
  2. 9/28/14 9/28/14 - Martin Dugas
  3. 9/20/21 9/20/21 -
Uploaded on

September 28, 2014

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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EHR General report

German English

General report

1 forms  
  1. StudyEvent: Allgemeiner Bericht
    1. General report
General report
Description

General report

Alias
UMLS CUI-1
C0700287
Creation date
Description

Creation date

Data type

date

Alias
UMLS CUI-1
C2347859
Medical date
Description

Medical date

Data type

date

Priority
Description

Priority

Data type

text

Alias
UMLS CUI-1
C0549179
Report status
Description

Report status

Data type

text

Alias
UMLS CUI-1
C0586177
Receiver
Description

Receiver

Data type

text

Alias
UMLS CUI-1
C1553422
Summary report
Description

Summary report

Data type

text

Alias
UMLS CUI-1
C0242482
Attachment
Description

Attachment

Data type

text

Alias
UMLS CUI-1
C1999228
Consciousness
Description

Consciousness

Data type

text

Alias
UMLS CUI-1
C0517960
Psyche
Description

Psyche

Data type

text

Alias
UMLS CUI-1
C1277043
General physical condition
Description

General physical condition

Data type

text

Alias
UMLS CUI-1
C1142435
Nutritional status
Description

Nutritional status

Data type

text

Alias
UMLS CUI-1
C0392209
Dyspnea
Description

Dyspnea

Data type

text

Alias
UMLS CUI-1
C0013404
Cyanosis
Description

Cyanosis

Data type

text

Alias
UMLS CUI-1
C0010520
Venous congestion
Description

Venous congestion

Data type

text

Alias
UMLS CUI-1
C0042484
Skin turgor
Description

Skin turgor

Data type

text

Alias
UMLS CUI-1
C0277937
Icterus
Description

Icterus

Data type

text

Alias
UMLS CUI-1
C0022346
Edemas
Description

Edemas

Data type

text

Alias
UMLS CUI-1
C0013604
Decubitus
Description

Decubitus

Data type

text

Alias
UMLS CUI-1
C0011127
Cutaneous signs of liver diseases
Description

Cutaneous signs of liver diseases

Data type

text

Nail finding
Description

Nail finding

Data type

text

Alias
UMLS CUI-1
C0423800
Joint flexibility
Description

Joint flexibility

Data type

text

Alias
UMLS CUI-1
C0080078
Deformation of bone
Description

Deformation of bone

Data type

text

Alias
UMLS CUI-1
C0575133
Musculature
Description

Musculature

Data type

text

Alias
UMLS CUI-1
C1995013
Mobility
Description

Mobility

Data type

text

Alias
UMLS CUI-1
C0425245
Deformity of spine
Description

Deformity of spine

Data type

text

Alias
UMLS CUI-1
C0575157
Gelenke
Description

Gelenke

Data type

text

Pain in spine
Description

Pain in spine

Data type

text

Alias
UMLS CUI-1
C0423673
Mobility of the spine
Description

Mobility of the spine

Data type

text

calotte
Description

calotte

Data type

text

Alias
UMLS CUI-1
C0205950
Nerve exit points
Description

Nerve exit points

Data type

text

Tongue
Description

Tongue

Data type

text

Alias
UMLS CUI-1
C0040408
Throat
Description

Throat

Data type

text

Alias
UMLS CUI-1
C0031354
Tonsil
Description

Tonsil

Data type

text

Alias
UMLS CUI-1
C0836921
Mucous Membrane
Description

Mucous Membrane

Data type

text

Alias
UMLS CUI-1
C0026724
Thyroid Gland
Description

Thyroid Gland

Data type

text

Alias
UMLS CUI-1
C0040132
Lymph nodes conspicuous
Description

Lymph nodes conspicuous

Data type

boolean

KopfSonstiges
Description

KopfSonstiges

Data type

text

Other lymph nodes (right)
Description

Other lymph nodes (right)

Data type

text

Other lymph nodes (left)
Description

Other lymph nodes (left)

Data type

text

Leg circumference
Description

Leg circumference

Data type

text

Peripheral pulse
Description

Peripheral pulse

Data type

text

Alias
UMLS CUI-1
C0232139
Varices
Description

Varices

Data type

text

Alias
UMLS CUI-1
C0042345
Thrombophlebitis
Description

Thrombophlebitis

Data type

text

Alias
UMLS CUI-1
C0040046
Breast
Description

Breast

Data type

text

Alias
UMLS CUI-1
C0006141
Percussion
Description

Percussion

Data type

text

Alias
UMLS CUI-1
C0030987
blood pressure, systolic (right)
Description

blood pressure, systolic (right)

Data type

integer

Alias
UMLS CUI-1
C0871470
UMLS CUI-2
C0205090
blood pressure, diastolic (right)
Description

blood pressure, diastolic (right)

Data type

integer

Alias
UMLS CUI-1
C0428883
UMLS CUI-2
C0205090
blood pressure, systolic (left)
Description

blood pressure, systolic (left)

Data type

integer

Alias
UMLS CUI-1
C0871470
UMLS CUI-2
C0205091
Cardiac rhythm type
Description

Cardiac rhythm type

Data type

text

Alias
UMLS CUI-1
C0232187
Apex beat
Description

Apex beat

Data type

text

Alias
UMLS CUI-1
C0277909
Heart murmur
Description

Heart murmur

Data type

text

Alias
UMLS CUI-1
C0018808
Heart Sounds
Description

Heart Sounds

Data type

text

Alias
UMLS CUI-1
C0018820
Carotid
Description

Carotid

Data type

text

Alias
UMLS CUI-1
C0741968
Aorta
Description

Aorta

Data type

text

Alias
UMLS CUI-1
C0003483
Abdominal wall
Description

Abdominal wall

Data type

text

Alias
UMLS CUI-1
C1269041
Hernia
Description

Hernia

Data type

text

Alias
UMLS CUI-1
C0019270
Bowel sounds
Description

Bowel sounds

Data type

text

Alias
UMLS CUI-1
C0232693
External genitalia
Description

External genitalia

Data type

text

Alias
UMLS CUI-1
C0227605
Rectal examination
Description

Rectal examination

Data type

text

Alias
UMLS CUI-1
C0199900
Wound or scar
Description

Wound or scar

Data type

text

Alias
UMLS CUI-1
C0043250
UMLS CUI-2
C2004491
Meteorism
Description

Meteorism

Data type

text

Alias
UMLS CUI-1
C1291077
pain pressure
Description

pain pressure

Data type

text

Alias
UMLS CUI-1
C3647129
Resistance
Description

Resistance

Data type

text

Ascites
Description

Ascites

Data type

text

Alias
UMLS CUI-1
C0003962
Liver
Description

Liver

Data type

text

Alias
UMLS CUI-1
C0023884
Gallbladder
Description

Gallbladder

Data type

text

Alias
UMLS CUI-1
C0016976
Spleen
Description

Spleen

Data type

text

Alias
UMLS CUI-1
C0037993
Renal bed
Description

Renal bed

Data type

text

Vigilance
Description

Vigilance

Data type

text

Alias
UMLS CUI-1
C0087156
Neck stiffness
Description

Neck stiffness

Data type

text

Alias
UMLS CUI-1
C0151315
Pupils
Description

Pupils

Data type

text

Alias
UMLS CUI-1
C0034121
KonvReaktion
Description

KonvReaktion

Data type

text

Pupillenreaktion
Description

Pupillenreaktion

Data type

text

Finger-to-nose test
Description

Finger-to-nose test

Data type

text

Alias
UMLS CUI-1
C0278158
Heel-to-knee test
Description

Heel-to-knee test

Data type

text

Alias
UMLS CUI-1
C0278160
Tremor
Description

Tremor

Data type

text

Alias
UMLS CUI-1
C0040822
Muscle Tonus
Description

Muscle Tonus

Data type

text

Alias
UMLS CUI-1
C0026841
Muscle Strength
Description

Muscle Strength

Data type

text

Alias
UMLS CUI-1
C0517349
Sensibility
Description

Sensibility

Data type

text

Alias
UMLS CUI-1
C0439823
Motor behaviour
Description

Motor behaviour

Data type

text

Alias
UMLS CUI-1
C0026606
Diadochokinesia
Description

Diadochokinesia

Data type

text

Alias
UMLS CUI-1
C0278157
Language
Description

Language

Data type

text

Alias
UMLS CUI-1
C1145677
Position Sense
Description

Position Sense

Data type

text

Alias
UMLS CUI-1
C0234219
Biceps reflex finding
Description

Biceps reflex finding

Data type

text

Alias
UMLS CUI-1
C1287963
triceps tendon reflex
Description

triceps tendon reflex

Data type

text

Alias
UMLS CUI-1
C2146253
Radial reflex
Description

Radial reflex

Data type

text

Alias
UMLS CUI-1
C0422909
Patella reflex
Description

Patella reflex

Data type

text

Alias
UMLS CUI-1
C0234147
Achilles tendon reflex
Description

Achilles tendon reflex

Data type

text

Alias
UMLS CUI-1
C0234171
Babinski Reflex
Description

Babinski Reflex

Data type

text

Alias
UMLS CUI-1
C0034935
Neurological status
Description

Neurological status

Data type

text

Alias
UMLS CUI-1
C0746866
Clinic
Description

Clinic

Data type

text

Alias
UMLS CUI-1
C0442592
Admission date
Description

Admission date

Data type

date

Alias
UMLS CUI-1
C1302393
Discharge date
Description

Discharge date

Data type

date

Alias
UMLS CUI-1
C2361123
Person Initials
Description

Person Initials

Data type

text

Alias
UMLS CUI-1
C2986440
Signature
Description

Signature

Data type

text

Alias
UMLS CUI-1
C1519316
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Similar models

General report

1 forms
  1. StudyEvent: Allgemeiner Bericht
    1. General report
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General report
C0700287 (UMLS CUI-1)
Creation date
Item
Creation date
date
C2347859 (UMLS CUI-1)
Medical date
Item
date
Priority
Item
text
C0549179 (UMLS CUI-1)
Report status
Item
text
C0586177 (UMLS CUI-1)
Receiver
Item
text
C1553422 (UMLS CUI-1)
Summary report
Item
text
C0242482 (UMLS CUI-1)
Attachment
Item
text
C1999228 (UMLS CUI-1)
Consciousness
Item
text
C0517960 (UMLS CUI-1)
Psyche
Item
text
C1277043 (UMLS CUI-1)
General physical condition
Item
text
C1142435 (UMLS CUI-1)
Nutritional status
Item
text
C0392209 (UMLS CUI-1)
Dyspnea
Item
text
C0013404 (UMLS CUI-1)
Cyanosis
Item
text
C0010520 (UMLS CUI-1)
Venous congestion
Item
text
C0042484 (UMLS CUI-1)
Skin turgor
Item
text
C0277937 (UMLS CUI-1)
Icterus
Item
text
C0022346 (UMLS CUI-1)
Edemas
Item
text
C0013604 (UMLS CUI-1)
Decubitus
Item
text
C0011127 (UMLS CUI-1)
Cutaneous signs of liver diseases
Item
text
Nail finding
Item
text
C0423800 (UMLS CUI-1)
Joint flexibility
Item
text
C0080078 (UMLS CUI-1)
Deformation of bone
Item
text
C0575133 (UMLS CUI-1)
Musculature
Item
text
C1995013 (UMLS CUI-1)
Mobility
Item
text
C0425245 (UMLS CUI-1)
Deformity of spine
Item
text
C0575157 (UMLS CUI-1)
Gelenke
Item
text
Pain in spine
Item
text
C0423673 (UMLS CUI-1)
Mobility of the spine
Item
text
calotte
Item
text
C0205950 (UMLS CUI-1)
Nerve exit points
Item
text
Tongue
Item
text
C0040408 (UMLS CUI-1)
Throat
Item
text
C0031354 (UMLS CUI-1)
Tonsil
Item
text
C0836921 (UMLS CUI-1)
Mucous Membrane
Item
text
C0026724 (UMLS CUI-1)
Thyroid Gland
Item
text
C0040132 (UMLS CUI-1)
Lymph nodes conspicuous
Item
boolean
KopfSonstiges
Item
text
Other lymph nodes (right)
Item
text
Other lymph nodes (left)
Item
text
Leg circumference
Item
text
Peripheral pulse
Item
text
C0232139 (UMLS CUI-1)
Varices
Item
text
C0042345 (UMLS CUI-1)
Thrombophlebitis
Item
text
C0040046 (UMLS CUI-1)
Breast
Item
text
C0006141 (UMLS CUI-1)
Percussion
Item
text
C0030987 (UMLS CUI-1)
blood pressure, systolic (right)
Item
integer
C0871470 (UMLS CUI-1)
C0205090 (UMLS CUI-2)
blood pressure, diastolic (right)
Item
integer
C0428883 (UMLS CUI-1)
C0205090 (UMLS CUI-2)
blood pressure, systolic (left)
Item
integer
C0871470 (UMLS CUI-1)
C0205091 (UMLS CUI-2)
Cardiac rhythm type
Item
text
C0232187 (UMLS CUI-1)
Apex beat
Item
text
C0277909 (UMLS CUI-1)
Heart murmur
Item
text
C0018808 (UMLS CUI-1)
Heart Sounds
Item
text
C0018820 (UMLS CUI-1)
Carotid
Item
text
C0741968 (UMLS CUI-1)
Aorta
Item
text
C0003483 (UMLS CUI-1)
Abdominal wall
Item
text
C1269041 (UMLS CUI-1)
Hernia
Item
text
C0019270 (UMLS CUI-1)
Bowel sounds
Item
text
C0232693 (UMLS CUI-1)
External genitalia
Item
text
C0227605 (UMLS CUI-1)
Rectal examination
Item
text
C0199900 (UMLS CUI-1)
Wound or scar
Item
text
C0043250 (UMLS CUI-1)
C2004491 (UMLS CUI-2)
Meteorism
Item
text
C1291077 (UMLS CUI-1)
pain pressure
Item
text
C3647129 (UMLS CUI-1)
Resistance
Item
text
Ascites
Item
text
C0003962 (UMLS CUI-1)
Liver
Item
text
C0023884 (UMLS CUI-1)
Gallbladder
Item
text
C0016976 (UMLS CUI-1)
Spleen
Item
text
C0037993 (UMLS CUI-1)
Renal bed
Item
text
Vigilance
Item
text
C0087156 (UMLS CUI-1)
Neck stiffness
Item
text
C0151315 (UMLS CUI-1)
Pupils
Item
text
C0034121 (UMLS CUI-1)
KonvReaktion
Item
text
Pupillenreaktion
Item
text
Finger-to-nose test
Item
text
C0278158 (UMLS CUI-1)
Heel-to-knee test
Item
text
C0278160 (UMLS CUI-1)
Tremor
Item
text
C0040822 (UMLS CUI-1)
Muscle Tonus
Item
text
C0026841 (UMLS CUI-1)
Muscle Strength
Item
text
C0517349 (UMLS CUI-1)
Sensibility
Item
text
C0439823 (UMLS CUI-1)
Motor behaviour
Item
text
C0026606 (UMLS CUI-1)
Diadochokinesia
Item
text
C0278157 (UMLS CUI-1)
Language
Item
text
C1145677 (UMLS CUI-1)
Position Sense
Item
text
C0234219 (UMLS CUI-1)
Biceps reflex finding
Item
text
C1287963 (UMLS CUI-1)
triceps tendon reflex
Item
text
C2146253 (UMLS CUI-1)
Radial reflex
Item
text
C0422909 (UMLS CUI-1)
Patella reflex
Item
text
C0234147 (UMLS CUI-1)
Achilles tendon reflex
Item
text
C0234171 (UMLS CUI-1)
Babinski Reflex
Item
text
C0034935 (UMLS CUI-1)
Neurological status
Item
text
C0746866 (UMLS CUI-1)
Clinic
Item
text
C0442592 (UMLS CUI-1)
Admission date
Item
date
C1302393 (UMLS CUI-1)
Discharge date
Item
date
C2361123 (UMLS CUI-1)
Person Initials
Item
text
C2986440 (UMLS CUI-1)
Signature
Item
text
C1519316 (UMLS CUI-1)
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