Informações:
Falhas:
ID
14884
Descrição
Item used as routine documentation by Clinic Erlangen, Dermatology, Outpatient Department. ODM derived from original form “Derma- Ambulanz Erlangen”.
Palavras-chave
Versões (1)
- 03/05/2016 03/05/2016 -
Transferido a
3 de maio de 2016
DOI
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Licença
Creative Commons BY-NC 3.0
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Outpatient Department Form Dermatology Clinic Erlangen
Outpatient Department Form Dermatology
- StudyEvent: ODM
Similar models
Outpatient Department Form Dermatology
- StudyEvent: ODM
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
principal diagnosis
Item
Principal diagnosis 1
text
C0332137 (UMLS CUI [1])
date diagnosis
Item
Diagnosis unchanged since
date
C2316983 (UMLS CUI [1])
Principal diagnosis
Item
Principal diagnosis 2
text
C0332137 (UMLS CUI [1])
date diagnosis
Item
Diagnosis unchanged since
date
C2316983 (UMLS CUI [1])
attending physician
Item
Attending physician today
text
C2361125 (UMLS CUI [1])
Appointment
Item
Today's visit without appointment?
boolean
C0586344 (UMLS CUI [1])
important note
Item
Important note (e.g. Infection)
text
C1317574 (UMLS CUI [1])
Patient occupation
Item
Patient's occupation
text
C0421456 (UMLS CUI [1])
Previous diseases
Item
Previous diseases
text
C0262926 (UMLS CUI [1])
date diagnosis
Item
Diagnosis unchanged
date
C2316983 (UMLS CUI [1])
long term medication
Item
Long- term medication
text
C2054144 (UMLS CUI [1])
date Medication commenced
Item
Medication unchanged since
date
C0011008 (UMLS CUI [1,1])
C0451613 (UMLS CUI [1,2])
C0451613 (UMLS CUI [1,2])
Hypersensitivity
Item
Allergies
text
C0020517 (UMLS CUI [1])
date hypersensitivity
Item
Allergy unchanged since
date
C0011008 (UMLS CUI [1,1])
C0020517 (UMLS CUI [1,2])
C0020517 (UMLS CUI [1,2])
Family medical history
Item
Medical history of family
text
C0241889 (UMLS CUI [1])
date family history
Item
Family history unchanged since
date
C0011008 (UMLS CUI [1,1])
C0241889 (UMLS CUI [1,2])
C0241889 (UMLS CUI [1,2])
alcohol consumption
Item
Current average alcohol consumption
text
C0001948 (UMLS CUI [1])
nicotine consumption
Item
Current nicotine consumption
text
C1519386 (UMLS CUI [1])
medical history
Item
Medical history
text
C0262926 (UMLS CUI [1])
Physical examination
Item
Physical examination carried out today?
boolean
C0031809 (UMLS CUI [1])
Physical examination
Item
Physical examination
text
C0031809 (UMLS CUI [1])
date Physical examination
Item
Date of last physical examination
date
C0011008 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,2])
Item Group
Dermatological Diagnosis
C0011900 (UMLS CUI-1)
C0011627 (UMLS CUI-2)
C0011627 (UMLS CUI-2)
Principal diagnosis
Item
Principal diagnosis 1
text
C0332137 (UMLS CUI [1])
date diagnosis
Item
Date of diagnosis
date
C2316983 (UMLS CUI [1])
Principal diagnosis
Item
Principal diagnosis 2
text
C0332137 (UMLS CUI [1])
date diagnosis
Item
Date of diagnosis
date
C2316983 (UMLS CUI [1])
Procedure
Item
Procedure
text
C0184661 (UMLS CUI [1])
Senior physician
Item
Senior physician
text
C0031831 (UMLS CUI [1])
Follow- up
Item
Follow- up in (days/ weeks/ months)
text
C1522577 (UMLS CUI [1])
CL Item
as required (1)
CL Item
by GP (2)
Nursing procedure
Item
Nursing measures and procedures
text
C0204636 (UMLS CUI [1])
Photo
Item
Photograph instructed today?
boolean
C0441468 (UMLS CUI [1])
date photo
Item
Last photo taken on
date
C0011008 (UMLS CUI [1,1])
C0441468 (UMLS CUI [1,2])
C0441468 (UMLS CUI [1,2])
CL Item
previous study participation of the patient (1)
CL Item
current consultation is part of a study (2)
Clinical trials
Item
Studies
text
C0008976 (UMLS CUI [1])
Memo
Item
Memo (For letters and outdoor patient list e.g. addressees, etc.)
text
Notes
Item
Internal Notes
text
C0947611 (UMLS CUI [1])
Nursing notes
Item
Nursing notes
text
C1718140 (UMLS CUI [1])