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ID
15211
Beschreibung
Routine documentation in German hospitals. Source file name: AM170105_Qualitätssicherungsbogen/ Qualitätssicherung.021 Examplary forms provided by DMI (http://www.dmi.de/)
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- 22.05.16 22.05.16 -
Hochgeladen am
22. Mai 2016
DOI
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Creative Commons BY-NC 3.0
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Quality assurance gall bladders and bile duct diseases Quality assurance sheet Routine documentation in German hospitals DMI
Quality assurance gall bladders and bile duct diseases Quality assurance sheet
Ähnliche Modelle
Quality assurance gall bladders and bile duct diseases Quality assurance sheet
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
medical history
Item
Anamnesis
text
C0262926 (UMLS CUI [1])
colics
Item
Colics
boolean
C0232488 (UMLS CUI [1])
abdominal pain
Item
Pain in the right upper abdomen
boolean
C0000737 (UMLS CUI [1])
cholestasis
Item
Cholestasis
boolean
C0008370 (UMLS CUI [1])
Gallstones
Item
Gallstone detection confirmed?
boolean
C0008350 (UMLS CUI [1])
specify
Item
When yes, confirmed through
text
X- ray
Item
X- ray
boolean
C0034571 (UMLS CUI [1])
Ultrasonography
Item
Ultrasonography
boolean
C0041618 (UMLS CUI [1])
Cholangiopancreatography, Magnetic Resonance MRCP
Item
MRCP
boolean
C0994163 (UMLS CUI [1])
CT
Item
CT
boolean
C0040405 (UMLS CUI [1])
ERCP Endoscopic Retrograde Cholangiopancreatography
Item
ERCP
boolean
C0008310 (UMLS CUI [1])
Biliary Stone Extraction
Item
If ERCP was performed, Biliary Stone Extraction?
boolean
C1548824 (UMLS CUI [1])
Other
Item
Other
boolean
C0205394 (UMLS CUI [1])
Acute inflammation
Item
Acute inflammation
boolean
C0333361 (UMLS CUI [1])
Specify
Item
If yes, confirmed through:
text
clinical findings
Item
Clinical findings
boolean
C0037088 (UMLS CUI [1])
Leukocytes
Item
Leukocytes > 12000 cells/ mm^2
boolean
C0023508 (UMLS CUI [1])
CRP
Item
CRP
boolean
C0201657 (UMLS CUI [1])
Body temperature
Item
Body temperature (> 38° rectal)
boolean
C0005903 (UMLS CUI [1])
Ultrasonography
Item
Ultrasonography
boolean
C0041618 (UMLS CUI [1])
Extrahepatic cholestasis
Item
Extrahepatic cholestasis
boolean
C0005398 (UMLS CUI [1])
x- ray
Item
Confirmed through x- ray
boolean
C0034571 (UMLS CUI [1])
ultrasonography
Item
Confirmed through ultrasonography?
boolean
C0041618 (UMLS CUI [1])
ERCP
Item
Confirmed through ERCP?
boolean
C0008310 (UMLS CUI [1])
MRCP
Item
Confirmed through MRCP?
boolean
C0994163 (UMLS CUI [1])
CT
Item
Confirmed through CT?
boolean
C0040405 (UMLS CUI [1])
Other
Item
Other
boolean
C0205394 (UMLS CUI [1])
Documentation
Item
Information for quality assurance completely collected?
boolean
C0920316 (UMLS CUI [1])
date documentaion
Item
Date of documentaion
date
C0011008 (UMLS CUI [1,1])
C0920316 (UMLS CUI [1,2])
C0920316 (UMLS CUI [1,2])