ID

15628

Description

Routine documentation in German hospitals. Source file name: OP150102_OP-Anmeldungsbogen/ OP-Anmeldung.009 Examplary forms provided by DMI (http://www.dmi.de/)

Link

http://www.dmi.de/

Keywords

  1. 6/6/16 6/6/16 -
Uploaded on

June 6, 2016

DOI

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License

Creative Commons BY-NC 3.0

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Surgery registration Form for surgery registration Routine documentation in German hospitals DMI

Surgery registration Form for surgery registration

OP-Anmeldung
Description

OP-Anmeldung

Alias
UMLS CUI-1
C1514821
UMLS CUI-2
C0038894
Patientenidentifikation
Description

Patient ID

Data type

integer

Alias
UMLS CUI [1]
C1269815
Telefon/ Handy
Description

Patient telephone number

Data type

integer

Alias
UMLS CUI [1]
C0421455
Datum der Registrierung
Description

Date and time of registration

Data type

datetime

Alias
UMLS CUI [1,1]
C1514821
UMLS CUI [1,2]
C0011008
Diagnose
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Operation
Description

Surgery

Data type

text

Alias
UMLS CUI [1]
C0543467
Operateur
Description

Surgeon

Data type

text

Alias
UMLS CUI [1]
C0582175
Gyn- Sprechstunde
Description

Appointment date Gynecology

Data type

datetime

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0018417
Anästhesiesprechstunde
Description

Appointment date anesthesia

Data type

datetime

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C4049933
OP Termin
Description

Surgery Date

Data type

datetime

Alias
UMLS CUI [1]
C1628561
Op- Dauer
Description

Surgery duration

Data type

text

Alias
UMLS CUI [1]
C0488629
OP- Sieb
Description

Surgery set

Data type

text

Zusatzinstrumente
Description

Additional instruments

Data type

text

Lagerung
Description

Positioning

Data type

text

Alias
UMLS CUI [1]
C1561964
Assistenz
Description

Assistent

Data type

text

Alias
UMLS CUI [1]
C0524635
Implantate
Description

Implants

Data type

text

Alias
UMLS CUI [1]
C0021102
Tumeszenzlösung
Description

solution

Data type

float

Measurement units
  • L
Alias
UMLS CUI [1]
C0037633
L
Tumeszenzlösung ohne Lokalanästhetikum
Description

solution; local anaesthetic

Data type

float

Measurement units
  • L
Alias
UMLS CUI [1]
C0037633
UMLS CUI [2]
C0002934
L
Infiltrationspumpe- Vakuumsauger- Lipokanülen
Description

infiltration pump; vacuum cup

Data type

text

Röntgenlokalisation
Description

X- ray site

Data type

text

Alias
UMLS CUI [1,1]
C0034571
UMLS CUI [1,2]
C1515974
Sonstiges
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394

Similar models

Surgery registration Form for surgery registration

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
OP-Anmeldung
C1514821 (UMLS CUI-1)
C0038894 (UMLS CUI-2)
Patient ID
Item
Patientenidentifikation
integer
C1269815 (UMLS CUI [1])
Patient telephone number
Item
Telefon/ Handy
integer
C0421455 (UMLS CUI [1])
Date and time of registration
Item
Datum der Registrierung
datetime
C1514821 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Diagnosis
Item
Diagnose
text
C0011900 (UMLS CUI [1])
Surgery
Item
Operation
text
C0543467 (UMLS CUI [1])
Surgeon
Item
Operateur
text
C0582175 (UMLS CUI [1])
Appointment date Gynecology
Item
Gyn- Sprechstunde
datetime
C0585085 (UMLS CUI [1,1])
C0018417 (UMLS CUI [1,2])
Appointment date anesthesia
Item
Anästhesiesprechstunde
datetime
C0585085 (UMLS CUI [1,1])
C4049933 (UMLS CUI [1,2])
Surgery Date
Item
OP Termin
datetime
C1628561 (UMLS CUI [1])
Surgery duration
Item
Op- Dauer
text
C0488629 (UMLS CUI [1])
Surgery set
Item
OP- Sieb
text
Additional instruments
Item
Zusatzinstrumente
text
Positioning
Item
Lagerung
text
C1561964 (UMLS CUI [1])
Assistent
Item
Assistenz
text
C0524635 (UMLS CUI [1])
Implants
Item
Implantate
text
C0021102 (UMLS CUI [1])
solution
Item
Tumeszenzlösung
float
C0037633 (UMLS CUI [1])
solution; local anaesthetic
Item
Tumeszenzlösung ohne Lokalanästhetikum
float
C0037633 (UMLS CUI [1])
C0002934 (UMLS CUI [2])
infiltration pump; vacuum cup
Item
Infiltrationspumpe- Vakuumsauger- Lipokanülen
text
X- ray site
Item
Röntgenlokalisation
text
C0034571 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
Other
Item
Sonstiges
text
C0205394 (UMLS CUI [1])

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