ID

15027

Descripción

Request for general histologic assessment, Pathology UKM Please use this form for requests of general histologic assessment. Gerhard-Domagk-Institute of Pathology Univ.-Prof.Dr.med.Eva Wardelmann Albert-Schweitzer-Campus 1 Building D17 48149 Münster Phone:0251-83-57550 Fax:0251-83-55481 E-mail:pathologie@ukmuenster.de

Palabras clave

Versiones (2)
  1. 11/5/16 11/5/16 -
  2. 11/5/16 11/5/16 -
Subido en

11 de mayo de 2016

DOI

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Licencia

Creative Commons BY-NC 3.0
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Request for general histologic assessment, Pathology UKM

Alemán Inglés

Request for general histologic assessment

1 formularios  
Patientendaten
Descripción

Patientendaten

Patient Name
Descripción

Patient Name

Tipo de datos

text

Alias
UMLS CUI [1]
C1299487
Patient ID
Descripción

Patient ID

Tipo de datos

integer

Alias
UMLS CUI [1]
C1269815
Patient Geburtsdatum
Descripción

Birth Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0421451
Fallnummer
Descripción

Case ID

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0868928
UMLS CUI [1,2]
C0600091
Patient Krankenversicherung
Descripción

Patient insurance

Tipo de datos

text

Alias
UMLS CUI [1]
C1548070
Auftragsnummer
Descripción

Request ID

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C1299222
Auftragstatus
Descripción

Request status

Tipo de datos

text

Alias
UMLS CUI [1]
C0586246
Dringlichkeit
Descripción

Urgency

Tipo de datos

text

Alias
UMLS CUI [1]
C2188402
Leistende Stelle
Descripción

Performing hospital department

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2986180
UMLS CUI [1,2]
C0019961
Auftragsdatum
Descripción

Date of request

Tipo de datos

datetime

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C0011008
Anfordernde Fachabteilung
Descripción

Referring hospital department

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0019961
UMLS CUI [1,2]
C0205543
Anfordernde Stelle
Descripción

Referring medical department

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0587450
UMLS CUI [1,2]
C0205543
Anfordernder Arzt
Descripción

Referring Physician

Tipo de datos

text

Alias
UMLS CUI [1]
C1709880
Terminwunsch
Descripción

Desired date

Tipo de datos

date

Alias
UMLS CUI [1]
C0011008
Kommentar
Descripción

Comments

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Cave
Descripción

Cave

Tipo de datos

text

Alias
UMLS CUI [1]
C0871599
Mobilität
Descripción

Mobility

Tipo de datos

text

Alias
UMLS CUI [1]
C0449580
Vorbefunde
Descripción

Preliminary examination results

Tipo de datos

text

Alias
UMLS CUI [1]
C1548161
Infektiosität
Descripción

Infectivity

Tipo de datos

integer

Alias
UMLS CUI [1]
C0030657
Infektiosität:bitte spezifizieren Sie sonstige infektiöse Erkrankung
Descripción

Infectivity

Tipo de datos

text

Alias
UMLS CUI [1]
C0030657
Versicherungsstatus stationär
Descripción

Inpatient insurance status

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0021562
UMLS CUI [1,2]
C0376629
Versicherungsstatus Ambulant
Descripción

Outpatient insurance status

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0029921
UMLS CUI [1,2]
C0376629
Material
Descripción

Type of specimen

Tipo de datos

integer

Alias
UMLS CUI [1]
C0456204
Preliminary results
Descripción

Preliminary results

Clinical Diagnosis
Descripción

Clinical Diagnosis

Tipo de datos

text

Alias
UMLS CUI [1]
C0332140
Staining method
Descripción

Staining method

Tipo de datos

integer

Alias
UMLS CUI [1]
C0487602
Number of stainings
Descripción

Number of stainings

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0200673
UMLS CUI [1,2]
C0750480
Number of stainings
Descripción

Number of stainings

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0523213
UMLS CUI [1,2]
C0750480
Number of stainings
Descripción

Number of stainings

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0487602
UMLS CUI [1,2]
C0750480
Specific prior treatment
Descripción

Specific prior treatment

Tipo de datos

text

Alias
UMLS CUI [1]
C1514463
Current question
Descripción

Current question

Tipo de datos

text

Alias
UMLS CUI [1]
C1522634
Responsible physician
Descripción

Responsible physician

Tipo de datos

text

Alias
UMLS CUI [1]
C1710470
Phone contact
Descripción

Phone contact

Tipo de datos

integer

Alias
UMLS CUI [1]
C3476398
Fax number
Descripción

Fax number

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1710470
UMLS CUI [1,2]
C1549619
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Similar models

Request for general histologic assessment

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Patientendaten
Patient Name
Item
Patient Name
text
C1299487 (UMLS CUI [1])
Patient ID
Item
Patient ID
integer
C1269815 (UMLS CUI [1])
Birth Date
Item
Patient Geburtsdatum
date
C0421451 (UMLS CUI [1])
Case ID
Item
Fallnummer
integer
C0868928 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Patient insurance
Item
Patient Krankenversicherung
text
C1548070 (UMLS CUI [1])
Request ID
Item
Auftragsnummer
text
C1272683 (UMLS CUI [1,1])
C1299222 (UMLS CUI [1,2])
Request status
Item
Auftragstatus
text
C0586246 (UMLS CUI [1])
Urgency
Item
Dringlichkeit
text
C2188402 (UMLS CUI [1])
Performing hospital department
Item
Leistende Stelle
text
C2986180 (UMLS CUI [1,1])
C0019961 (UMLS CUI [1,2])
Date of request
Item
Auftragsdatum
datetime
C1272683 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Referring hospital department
Item
Anfordernde Fachabteilung
text
C0019961 (UMLS CUI [1,1])
C0205543 (UMLS CUI [1,2])
Referring medical department
Item
Anfordernde Stelle
text
C0587450 (UMLS CUI [1,1])
C0205543 (UMLS CUI [1,2])
Referring Physician
Item
Anfordernder Arzt
text
C1709880 (UMLS CUI [1])
Desired date
Item
Terminwunsch
date
C0011008 (UMLS CUI [1])
Comments
Item
Kommentar
text
C0947611 (UMLS CUI [1])
Cave
Item
Cave
text
C0871599 (UMLS CUI [1])
Mobility
Item
Mobilität
text
C0449580 (UMLS CUI [1])
Preliminary examination results
Item
Vorbefunde
text
C1548161 (UMLS CUI [1])
Item
Infektiosität
integer
C0030657 (UMLS CUI [1])
Infectivity
Code List
Infektiosität
CL Item
Keine (1)
CL Item
Nicht bekannt (2)
CL Item
Hep B (3)
CL Item
Hep C (4)
CL Item
Tbc (5)
CL Item
HIV (6)
CL Item
VRE (7)
CL Item
MRSA (8)
CL Item
Sonstiges (9)
Infectivity
Item
Infektiosität:bitte spezifizieren Sie sonstige infektiöse Erkrankung
text
C0030657 (UMLS CUI [1])
Item
Versicherungsstatus stationär
integer
C0021562 (UMLS CUI [1,1])
C0376629 (UMLS CUI [1,2])
Inpatient insurance status
Code List
Versicherungsstatus stationär
CL Item
Regelleistung (1)
CL Item
Wahlleistung/Arzt (2)
Item
Versicherungsstatus Ambulant
integer
C0029921 (UMLS CUI [1,1])
C0376629 (UMLS CUI [1,2])
Outpatient insurance status
Code List
Versicherungsstatus Ambulant
CL Item
Krankenkasse (1)
CL Item
Privat (2)
Item
Material
integer
C0456204 (UMLS CUI [1])
Type of specimen
Code List
Material
CL Item
Schnellschnitt (1)
CL Item
Gewebe (2)
CL Item
Punktat (3)
CL Item
Ausstrich (4)
Clinical Diagnosis
Item
text
C0332140 (UMLS CUI [1])
Item
integer
C0487602 (UMLS CUI [1])
Staining method
Code List
Staining method
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Number of stainings
Item
integer
C0200673 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Number of stainings
Item
integer
C0523213 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Number of stainings
Item
integer
C0487602 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Specific prior treatment
Item
text
C1514463 (UMLS CUI [1])
Current question
Item
text
C1522634 (UMLS CUI [1])
Responsible physician
Item
text
C1710470 (UMLS CUI [1])
Phone contact
Item
integer
C3476398 (UMLS CUI [1])
Fax number
Item
integer
C1710470 (UMLS CUI [1,1])
C1549619 (UMLS CUI [1,2])
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