ID

15100

Description

Routine documentation in German hospitals. Source file name: DG020111_Sonographiebefund/ Sonographiebefund.039 Sonographiebefund.059 Sonographiebild.039 Examplary forms provided by DMI (http://www.dmi.de/)

Link

http://www.dmi.de/

Keywords

  1. 5/15/16 5/15/16 -
Uploaded on

May 15, 2016

DOI

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License

Creative Commons BY-NC 3.0

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Sonography report Sonography findings Routine documentation in German hospitals DMI

Sonography report Sonography findings

Patient information
Description

Patient information

Alias
UMLS CUI-1
C1955348
Patient surname
Description

Patient surname

Data type

text

Alias
UMLS CUI [1]
C0421448
Patient forename
Description

Patient forename

Data type

text

Alias
UMLS CUI [1]
C0421447
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Age
Description

Age

Data type

text

Alias
UMLS CUI [1]
C0001779
Gender
Description

Gender

Data type

text

Alias
UMLS CUI [1]
C0079399
Patient address
Description

Patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Patient ID
Description

Patient ID

Data type

integer

Alias
UMLS CUI [1]
C1269815
Date of diagnosis
Description

Date of diagnosis

Data type

date

Alias
UMLS CUI [1]
C2316983
Access number
Description

access number

Data type

integer

Referring physician
Description

Referring physician

Data type

text

Alias
UMLS CUI [1]
C1709880
User
Description

User

Data type

text

Alias
UMLS CUI [1]
C1706077
Referral diagnosis
Description

Referral diagnosis

Data type

text

Alias
UMLS CUI [1]
C1320286
Attending physician
Description

Attending physician

Data type

text

Alias
UMLS CUI [1]
C1320929
Report date
Description

Report date

Data type

date

Alias
UMLS CUI [1]
C1302584
Date of last change
Description

date

Data type

date

Alias
UMLS CUI [1]
C0011008
Status
Description

Status

Data type

text

Alias
UMLS CUI [1]
C1442792
Sonography findings
Description

Sonography findings

Alias
UMLS CUI-1
C0422136
UMLS CUI-2
C0041618
Anamnesis
Description

Anamnesis

Data type

text

Alias
UMLS CUI [1]
C0199182
Ultrasonography of liver
Description

Ultrasonography of liver

Data type

text

Alias
UMLS CUI [1]
C0412534
Ultrasonography of Gallbladder
Description

Ultrasonography of Gallbladder

Data type

text

Alias
UMLS CUI [1]
C2455905
Ultrasonography of Pancreas
Description

Ultrasonography of Pancreas

Data type

text

Alias
UMLS CUI [1]
C2455908
Ultrasonography of blood vessel
Description

Ultrasonography Blood Vessel

Data type

text

Alias
UMLS CUI [1,1]
C0041618
UMLS CUI [1,2]
C0005847
Ultrasonography of kidney
Description

Ultrasonography kidney

Data type

text

Alias
UMLS CUI [1,1]
C0041618
UMLS CUI [1,2]
C0022646
Ultrasonography of spleen
Description

Ultrasonography spleen

Data type

text

Alias
UMLS CUI [1,1]
C0041618
UMLS CUI [1,2]
C0037993
Diagnosis
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900

Similar models

Sonography report Sonography findings

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient information
C1955348 (UMLS CUI-1)
Patient surname
Item
Patient surname
text
C0421448 (UMLS CUI [1])
Patient forename
Item
Patient forename
text
C0421447 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Age
Item
Age
text
C0001779 (UMLS CUI [1])
Gender
Item
Gender
text
C0079399 (UMLS CUI [1])
Patient address
Item
Patient address
text
C0421449 (UMLS CUI [1])
Patient ID
Item
Patient ID
integer
C1269815 (UMLS CUI [1])
Date of diagnosis
Item
Date of diagnosis
date
C2316983 (UMLS CUI [1])
access number
Item
Access number
integer
Referring physician
Item
Referring physician
text
C1709880 (UMLS CUI [1])
User
Item
User
text
C1706077 (UMLS CUI [1])
Referral diagnosis
Item
Referral diagnosis
text
C1320286 (UMLS CUI [1])
Attending physician
Item
Attending physician
text
C1320929 (UMLS CUI [1])
Report date
Item
Report date
date
C1302584 (UMLS CUI [1])
date
Item
Date of last change
date
C0011008 (UMLS CUI [1])
Status
Item
Status
text
C1442792 (UMLS CUI [1])
Item Group
Sonography findings
C0422136 (UMLS CUI-1)
C0041618 (UMLS CUI-2)
Anamnesis
Item
Anamnesis
text
C0199182 (UMLS CUI [1])
Ultrasonography of liver
Item
Ultrasonography of liver
text
C0412534 (UMLS CUI [1])
Ultrasonography of Gallbladder
Item
Ultrasonography of Gallbladder
text
C2455905 (UMLS CUI [1])
Ultrasonography of Pancreas
Item
Ultrasonography of Pancreas
text
C2455908 (UMLS CUI [1])
Ultrasonography Blood Vessel
Item
Ultrasonography of blood vessel
text
C0041618 (UMLS CUI [1,1])
C0005847 (UMLS CUI [1,2])
Ultrasonography kidney
Item
Ultrasonography of kidney
text
C0041618 (UMLS CUI [1,1])
C0022646 (UMLS CUI [1,2])
Ultrasonography spleen
Item
Ultrasonography of spleen
text
C0041618 (UMLS CUI [1,1])
C0037993 (UMLS CUI [1,2])
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])

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