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ID

15249

Description

Routine documentation in German hospitals. Source file name: DG020105_Endoskopiebefund/ Koloskopiebefund.079 Examplary forms provided by DMI (http://www.dmi.de/)

Link

http://www.dmi.de/

Keywords

  1. 5/23/16 5/23/16 -
Uploaded on

May 23, 2016

DOI

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License

Creative Commons BY-NC 3.0

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    Colonoscopy Findings Endoscopy findings Routine documentation in German hospitals DMI

    Colonoscopy Findings Endoscopy findings

    Colonoscopy findings
    Description

    Colonoscopy findings

    Alias
    UMLS CUI-1
    C0009378 (colonoscopy)
    SNOMED
    73761001
    UMLS CUI-2
    C2926606 (Procedure findings:Finding:Point in time:^Patient:Narrative)
    LOINC
    59776-5
    Date of Colonoscopy findings
    Description

    Date Colonoscopy findings

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C0011008 (Date in time)
    SNOMED
    410671006
    UMLS CUI [1,2]
    C0009378 (colonoscopy)
    SNOMED
    73761001
    UMLS CUI [1,3]
    C2926606 (Procedure findings:Finding:Point in time:^Patient:Narrative)
    LOINC
    59776-5
    Patient name
    Description

    Patient name

    Data type

    text

    Alias
    UMLS CUI [1]
    C1299487 (Patient name)
    SNOMED
    371484003
    Date of birth
    Description

    Date of birth

    Data type

    date

    Alias
    UMLS CUI [1]
    C0421451 (Patient date of birth)
    SNOMED
    184099003
    LOINC
    LP57552-9
    Indications for colonoscopy
    Description

    Indications Colonoscopy

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C3146298 (Indication)
    UMLS CUI [1,2]
    C0009378 (colonoscopy)
    SNOMED
    73761001
    Diagnosis
    Description

    Diagnosis

    Data type

    text

    Alias
    UMLS CUI [1]
    C0011900 (Diagnosis)
    SNOMED
    439401001
    LOINC
    LP30831-9
    Findings
    Description

    Findings

    Data type

    text

    Alias
    UMLS CUI [1]
    C0243095 (Finding)
    LOINC
    LA9042-8
    Therapy suggestions
    Description

    Therapy

    Data type

    text

    Alias
    UMLS CUI [1]
    C0087111 (Therapeutic procedure)
    SNOMED
    277132007
    LOINC
    LP21090-3

    Similar models

    Colonoscopy Findings Endoscopy findings

    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Colonoscopy findings
    C0009378 (UMLS CUI-1)
    C2926606 (UMLS CUI-2)
    Date Colonoscopy findings
    Item
    Date of Colonoscopy findings
    date
    C0011008 (UMLS CUI [1,1])
    C0009378 (UMLS CUI [1,2])
    C2926606 (UMLS CUI [1,3])
    Patient name
    Item
    Patient name
    text
    C1299487 (UMLS CUI [1])
    Date of birth
    Item
    Date of birth
    date
    C0421451 (UMLS CUI [1])
    Indications Colonoscopy
    Item
    Indications for colonoscopy
    text
    C3146298 (UMLS CUI [1,1])
    C0009378 (UMLS CUI [1,2])
    Diagnosis
    Item
    Diagnosis
    text
    C0011900 (UMLS CUI [1])
    Findings
    Item
    Findings
    text
    C0243095 (UMLS CUI [1])
    Therapy
    Item
    Therapy suggestions
    text
    C0087111 (UMLS CUI [1])

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