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ID

10436

Description

MS HAUT Histologie converted to ODM format. Routine documentation of University Hospital Muenster

Keywords

  1. 6/1/15 6/1/15 - Julian Varghese
  2. 6/1/15 6/1/15 - Julian Varghese
Uploaded on

June 1, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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    Skin Histopathological Results UKM

    ODM-Form

    1. StudyEvent: ODM
      1. ODM-Form
    Default Itemgroup
    Description

    Default Itemgroup

    Patient ID Data
    Description

    Patient ID Data

    Data type

    text

    Alias
    UMLS CUI-1
    C2706990 (Patient identification data:-:Pt:^Patient:Set:DEEDS)
    LOINC
    55174-7
    Purpose
    Description

    Purpose

    Data type

    text

    Alias
    UMLS CUI-1
    C1285529 (Purpose)
    SNOMED
    363675004
    Diagnosis
    Description

    Diagnosis

    Data type

    text

    Alias
    UMLS CUI-1
    C0011900 (Diagnosis)
    SNOMED
    439401001
    LOINC
    LP30831-9
    Histology Number
    Description

    Histology Number

    Data type

    text

    Alias
    UMLS CUI-1
    C0019638 (Histology)
    UMLS CUI-2
    C0600091 (Identifier)
    SNOMED
    118522005
    LOINC
    LP31795-5
    Date of receipt
    Description

    Date of receipt

    Data type

    text

    Alias
    UMLS CUI-1
    C2985846 (Receipt Date)
    Requesting Department/Unit
    Description

    Requesting Department/Unit

    Data type

    text

    Alias
    UMLS CUI-1
    C0587450 (Medical department)
    SNOMED
    309912009
    (operating) Surgeon
    Description

    (operating) Surgeon

    Data type

    text

    Alias
    UMLS CUI-1
    C0582175 (Surgeon)
    SNOMED
    304292004
    Location of Excesion
    Description

    Location of Excesion

    Data type

    text

    Alias
    UMLS CUI-1
    C0450429 (Location)
    SNOMED
    246267002
    LOINC
    LP149876-7
    UMLS CUI-2
    C0728940 (Excision)
    SNOMED
    65801008
    LOINC
    LA17736-2
    Prior histologic examinations
    Description

    Prior histologic examinations

    Data type

    text

    Alias
    UMLS CUI-1
    C0019638 (Histology)
    UMLS CUI-2
    C0332152 (Before)
    SNOMED
    236874000
    Anesthesia
    Description

    Anesthesia

    Data type

    text

    Alias
    UMLS CUI-1
    C1305863 (Anesthesia type)
    SNOMED
    399084002
    Preliminary report
    Description

    Preliminary report

    Excision technique
    Description

    Excision technique

    Data type

    text

    Alias
    UMLS CUI-1
    C0728940 (Excision)
    SNOMED
    65801008
    LOINC
    LA17736-2
    UMLS CUI-2
    C0332307 (Type - attribute)
    SNOMED
    261664005
    Specimen procedure
    Description

    Specimen procedure

    Data type

    text

    Alias
    UMLS CUI-1
    C1292744 (Specimen procedure)
    SNOMED
    118171006
    Requested Specimen Cut
    Description

    Requested Specimen Cut

    Data type

    text

    Comments
    Description

    Comments

    Data type

    text

    Alias
    UMLS CUI-1
    C0947611 (Comment)
    LOINC
    LP72293-1
    Macroscopic results
    Description

    Macroscopic results

    Data type

    text

    Alias
    UMLS CUI-1
    C3847446 (Macroscopic observation:Imp:Pt:XXX:Nar)
    LOINC
    74574-5
    Microscopic results
    Description

    Microscopic results

    Data type

    text

    Alias
    UMLS CUI-1
    C0369671 (microscopic observation)
    Immunohistology
    Description

    Immunohistology

    Data type

    boolean

    Alias
    UMLS CUI-1
    C0021044 (Immunohistochemistry)
    SNOMED
    708097004
    Critical Report
    Description

    Critical Report

    Data type

    text

    Alias
    UMLS CUI-1
    C1511545 (Critical)
    UMLS CUI-2
    C0684224 (Report (document))
    SNOMED
    229059009
    LOINC
    LP183761-8
    Date of results
    Description

    Date of results

    Data type

    text

    Alias
    UMLS CUI-1
    C0011008 (Date in time)
    SNOMED
    410671006
    UMLS CUI-2
    C1274040 (Result)
    SNOMED
    394617004

    Similar models

    ODM-Form

    1. StudyEvent: ODM
      1. ODM-Form
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Default Itemgroup
    Patient ID Data
    Item
    Patient ID Data
    text
    C2706990 (UMLS CUI-1)
    Purpose
    Item
    Purpose
    text
    C1285529 (UMLS CUI-1)
    Diagnosis
    Item
    Diagnosis
    text
    C0011900 (UMLS CUI-1)
    Histology Number
    Item
    Histology Number
    text
    C0019638 (UMLS CUI-1)
    C0600091 (UMLS CUI-2)
    Date of receipt
    Item
    Date of receipt
    text
    C2985846 (UMLS CUI-1)
    Requesting Department/Unit
    Item
    Requesting Department/Unit
    text
    C0587450 (UMLS CUI-1)
    (operating) Surgeon
    Item
    (operating) Surgeon
    text
    C0582175 (UMLS CUI-1)
    Location of Excesion
    Item
    text
    C0450429 (UMLS CUI-1)
    C0728940 (UMLS CUI-2)
    Prior histologic examinations
    Item
    Prior histologic examinations
    text
    C0019638 (UMLS CUI-1)
    C0332152 (UMLS CUI-2)
    Item
    Anesthesia
    text
    C1305863 (UMLS CUI-1)
    Code List
    Anesthesia
    CL Item
    Local (1)
    CL Item
    Conductive anesthesia (2)
    CL Item
    Total, Narcosis (3)
    Item Group
    Preliminary report
    Item
    text
    C0728940 (UMLS CUI-1)
    C0332307 (UMLS CUI-2)
    Code List
    Excision technique
    CL Item
    Punch biopsy (1)
    CL Item
    Partial Biopsy (2)
    CL Item
    Total excision (3)
    CL Item
    Shave (4)
    Item
    Specimen procedure
    text
    C1292744 (UMLS CUI-1)
    Code List
    Specimen procedure
    CL Item
    Frozen section (1)
    CL Item
    Microbiology (2)
    CL Item
    Electron Microscopy (3)
    Code List
    Requested Specimen Cut
    CL Item
    across (1)
    CL Item
    along (2)
    Comments
    Item
    text
    C0947611 (UMLS CUI-1)
    Macroscopic results
    Item
    Macroscopic results
    text
    C3847446 (UMLS CUI-1)
    Microscopic results
    Item
    Microscopic results
    text
    C0369671 (UMLS CUI-1)
    Immunohistology
    Item
    Immunohistology
    boolean
    C0021044 (UMLS CUI-1)
    Critical Report
    Item
    text
    C1511545 (UMLS CUI-1)
    C0684224 (UMLS CUI-2)
    Date of results
    Item
    text
    C0011008 (UMLS CUI-1)
    C1274040 (UMLS CUI-2)

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