ID

14540

Description

eWundbericht Prof. Dr. Ursula Hübner Forschungsgruppe Informatik im Gesundheitswesen Hochschule Osnabrück Fakultät Wirtschafts- und Sozialwissenschaften http://wiki.hl7.de/index.php/EWundbericht_(Projekt)

Link

http://wiki.hl7.de/index.php/EWundbericht_(Projekt)

Keywords

Versions (6)
  1. 4/19/16 4/19/16 - Martin Dugas
  2. 4/20/16 4/20/16 - Martin Dugas
  3. 4/20/16 4/20/16 - Martin Dugas
  4. 4/20/16 4/20/16 - Martin Dugas
  5. 5/23/17 5/23/17 -
  6. 9/20/21 9/20/21 -
Copyright Holder

Prof. Dr. Ursula Hübner

Uploaded on

April 19, 2016

DOI

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License

Creative Commons BY-NC 3.0
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eWundbericht (electronic wound report)

German English

Body - Anamnese (medical history)

2 forms  
Wundbeurteilung
Description

Wundbeurteilung

Alias
UMLS CUI-1
C0558033
Wundgröße
Description

Wound size

Data type

float

Alias
UMLS CUI [1]
C3853328
Wundumgebung
Description

Tissue surrounding wound

Data type

text

Alias
UMLS CUI [1]
C2116843
Wundfläche
Description

Wound area

Data type

float

Alias
UMLS CUI [1]
C3534343
Wundrand
Description

Wound edge

Data type

text

Alias
UMLS CUI [1]
C1545981
Wundexsudat
Description

Wound exudate

Data type

text

Alias
UMLS CUI [1]
C1550682
von der Wunde ausgehende Schmerzen
Description

Wound pain

Data type

text

Alias
UMLS CUI [1]
C0241745
Wundgeruch
Description

Wound odor

Data type

text

Alias
UMLS CUI [1]
C2721577
Lokalisation der Wunde
Description

Location of wound

Data type

text

Alias
UMLS CUI [1]
C3266792
Hinweise auf infektionsbedingte Erkrankung
Description

Evidence of infection-related disease

Data type

text

Alias
UMLS CUI [1,1]
C3714514
UMLS CUI [1,2]
C0332120
Infektionsrisiko
Description

Susceptibility for infection

Data type

text

Alias
UMLS CUI [1,1]
C1269665
Ödem
Description

Edema

Data type

text

Alias
UMLS CUI [1]
C0013604
Wunddauer
Description

Wound duration

Data type

durationDatetime

Alias
UMLS CUI [1,1]
C0043250
UMLS CUI [1,2]
C0449238
Darüber hinaus gehende Beschreibung des Erscheinungsbildes
Description

Further description

Data type

text

Alias
UMLS CUI [1]
C0678257
Aktueller Status Patient
Description

Aktueller Status Patient

Alias
UMLS CUI-1
C0449437
Diagnostik zugrunde liegender Erkrankungen
Description

Underlying diseases

Data type

text

Alias
UMLS CUI [1]
C0011900
Ernährungsstatus, Ernährungsdefizite
Description

Nutritional status

Data type

text

Alias
UMLS CUI [1]
C0392209
Immunstatus
Description

Immune status

Data type

text

Alias
UMLS CUI [1]
C1287407
Psychsoziale Faktoren
Description

Psychsoziale Faktoren

Alias
UMLS CUI-1
C0033963
Bewusstseinslevel
Description

Level of awareness

Data type

text

Alias
UMLS CUI [1,1]
C1563011
Soziale Faktoren
Description

Social factors

Data type

text

Alias
UMLS CUI [1]
C0337460
Individuelle Risikofaktoren
Description

Individuelle Risikofaktoren

Alias
UMLS CUI-1
C0035648
Individuelle Risikofaktoren
Description

Risk factors

Data type

text

Alias
UMLS CUI [1]
C0035648
Risikoassessmentskala
Description

Risikoassessmentskala

Alias
UMLS CUI-1
C0086930
Name der Risikoassessmentskala
Description

Risk assessment scale

Data type

text

Alias
UMLS CUI [1]
C0086930
Score/Ergebnis
Description

Risk score

Data type

float

Alias
UMLS CUI [1,1]
C0086930
UMLS CUI [1,2]
C0449820
Interpretation
Description

Interpretation

Data type

text

Alias
UMLS CUI [1]
C0459471
Hygieneassessment
Description

Hygieneassessment

Alias
UMLS CUI-1
C2009150
Körperhygiene
Description

Personal hygiene

Data type

text

Alias
UMLS CUI [1]
C0564673
Hautassessment
Description

Hautassessment

Alias
UMLS CUI-1
C0419929
Hautsituation
Description

Skin status

Data type

text

Alias
UMLS CUI [1]
C1123023
Hautbarrierefunktion
Description

Skin barrier function

Data type

text

Alias
UMLS CUI [1]
C2246986
Details über geheilte Wunden
Description

Details über geheilte Wunden

Alias
UMLS CUI-1
C0436680
Heilungsdauer
Description

Healing duration

Data type

durationDatetime

Alias
UMLS CUI [1,1]
C0043240
UMLS CUI [1,2]
C0449238
Frühere Behandlungen
Description

Past treatments

Data type

text

Alias
UMLS CUI [1]
C2945691
Verwendete Produkte/Maßnahmen
Description

Products/Procedures

Data type

text

Alias
UMLS CUI [1,1]
C1514468
UMLS CUI [1,2]
C2700391
Gesundheitsrelevantes Patientenverhalten, Adhärenz
Description

Gesundheitsrelevantes Patientenverhalten, Adhärenz

Alias
UMLS CUI-1
C1321605
Therapieakzeptanz, Therapieeinhaltung
Description

Adherence

Data type

text

Alias
UMLS CUI [1]
C1321605
Lebensstil und Fähigkeiten, Selbstpflegefähigkeit
Description

Life style

Data type

text

Alias
UMLS CUI [1,1]
C0023676
Körperliche Beeinträchtigungen
Description

Körperliche Beeinträchtigungen

Alias
UMLS CUI-1
C0231171
Mobilitäts-/Aktivitätseinschränkungen
Description

Reduced mobility

Data type

text

Alias
UMLS CUI [1]
C0700572
Schmerzen
Description

Pain

Data type

text

Alias
UMLS CUI [1]
C0030193
Empfindungsbeeinträchtigungen
Description

Somatosensory Disorders

Data type

text

Alias
UMLS CUI [1]
C0752262
Wundgeruch: subjektive Beeinträchtigung
Description

Wound odor: subjective impairment

Data type

text

Alias
UMLS CUI [1,1]
C2721577
UMLS CUI [1,2]
C3842836
Psychosoziale Beeinträchtigungen
Description

Psychosoziale Beeinträchtigungen

Alias
UMLS CUI-1
C0748071
Beeinträchtigung der Lebensqualität, soziale und berufliche Teilhabe
Description

Impaired quality of life

Data type

text

Alias
UMLS CUI [1,1]
C0221099
UMLS CUI [1,2]
C0451401
Leiden unter den Symptomen
Description

Suffering from symptoms

Data type

text

Alias
UMLS CUI [1]
C0518881
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Similar models

Body - Anamnese (medical history)

2 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Wundbeurteilung
C0558033 (UMLS CUI-1)
Wound size
Item
Wundgröße
float
C3853328 (UMLS CUI [1])
Tissue surrounding wound
Item
Wundumgebung
text
C2116843 (UMLS CUI [1])
Wound area
Item
Wundfläche
float
C3534343 (UMLS CUI [1])
Wound edge
Item
Wundrand
text
C1545981 (UMLS CUI [1])
Wound exudate
Item
Wundexsudat
text
C1550682 (UMLS CUI [1])
Wound pain
Item
von der Wunde ausgehende Schmerzen
text
C0241745 (UMLS CUI [1])
Wound odor
Item
Wundgeruch
text
C2721577 (UMLS CUI [1])
Location of wound
Item
Lokalisation der Wunde
text
C3266792 (UMLS CUI [1])
Evidence of infection-related disease
Item
Hinweise auf infektionsbedingte Erkrankung
text
C3714514 (UMLS CUI [1,1])
C0332120 (UMLS CUI [1,2])
Susceptibility for infection
Item
Infektionsrisiko
text
C1269665 (UMLS CUI [1,1])
Edema
Item
Ödem
text
C0013604 (UMLS CUI [1])
Wound duration
Item
Wunddauer
durationDatetime
C0043250 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Further description
Item
Darüber hinaus gehende Beschreibung des Erscheinungsbildes
text
C0678257 (UMLS CUI [1])
Item Group
Aktueller Status Patient
C0449437 (UMLS CUI-1)
Underlying diseases
Item
Diagnostik zugrunde liegender Erkrankungen
text
C0011900 (UMLS CUI [1])
Nutritional status
Item
Ernährungsstatus, Ernährungsdefizite
text
C0392209 (UMLS CUI [1])
Immune status
Item
Immunstatus
text
C1287407 (UMLS CUI [1])
Item Group
Psychsoziale Faktoren
C0033963 (UMLS CUI-1)
Level of awareness
Item
Bewusstseinslevel
text
C1563011 (UMLS CUI [1,1])
Social factors
Item
Soziale Faktoren
text
C0337460 (UMLS CUI [1])
Item Group
Individuelle Risikofaktoren
C0035648 (UMLS CUI-1)
Risk factors
Item
Individuelle Risikofaktoren
text
C0035648 (UMLS CUI [1])
Item Group
Risikoassessmentskala
C0086930 (UMLS CUI-1)
Risk assessment scale
Item
Name der Risikoassessmentskala
text
C0086930 (UMLS CUI [1])
Risk score
Item
Score/Ergebnis
float
C0086930 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
Interpretation
Item
Interpretation
text
C0459471 (UMLS CUI [1])
Item Group
Hygieneassessment
C2009150 (UMLS CUI-1)
Personal hygiene
Item
Körperhygiene
text
C0564673 (UMLS CUI [1])
Item Group
Hautassessment
C0419929 (UMLS CUI-1)
Skin status
Item
Hautsituation
text
C1123023 (UMLS CUI [1])
Skin barrier function
Item
Hautbarrierefunktion
text
C2246986 (UMLS CUI [1])
Item Group
Details über geheilte Wunden
C0436680 (UMLS CUI-1)
Healing duration
Item
Heilungsdauer
durationDatetime
C0043240 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Past treatments
Item
Frühere Behandlungen
text
C2945691 (UMLS CUI [1])
Products/Procedures
Item
Verwendete Produkte/Maßnahmen
text
C1514468 (UMLS CUI [1,1])
C2700391 (UMLS CUI [1,2])
Item Group
Gesundheitsrelevantes Patientenverhalten, Adhärenz
C1321605 (UMLS CUI-1)
Adherence
Item
Therapieakzeptanz, Therapieeinhaltung
text
C1321605 (UMLS CUI [1])
Life style
Item
Lebensstil und Fähigkeiten, Selbstpflegefähigkeit
text
C0023676 (UMLS CUI [1,1])
Item Group
Körperliche Beeinträchtigungen
C0231171 (UMLS CUI-1)
Reduced mobility
Item
Mobilitäts-/Aktivitätseinschränkungen
text
C0700572 (UMLS CUI [1])
Pain
Item
Schmerzen
text
C0030193 (UMLS CUI [1])
Somatosensory Disorders
Item
Empfindungsbeeinträchtigungen
text
C0752262 (UMLS CUI [1])
Wound odor: subjective impairment
Item
Wundgeruch: subjektive Beeinträchtigung
text
C2721577 (UMLS CUI [1,1])
C3842836 (UMLS CUI [1,2])
Item Group
Psychosoziale Beeinträchtigungen
C0748071 (UMLS CUI-1)
Impaired quality of life
Item
Beeinträchtigung der Lebensqualität, soziale und berufliche Teilhabe
text
C0221099 (UMLS CUI [1,1])
C0451401 (UMLS CUI [1,2])
Suffering from symptoms
Item
Leiden unter den Symptomen
text
C0518881 (UMLS CUI [1])
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