ID

15894

Description

Report/Protocol collecting patient and treatment information like the circumstances of the accident and initial ER treatment. http://klinikum.uni-muenster.de/

Link

http://klinikum.uni-muenster.de/

Keywords

Versions (3)
  1. 6/17/16 6/17/16 -
  2. 6/18/16 6/18/16 -
  3. 7/3/16 7/3/16 -
Uploaded on

June 17, 2016

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0 Legacy
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Emergency Room Point B in Time Part 2: Emergency Room Report UKM

German English

Emergency Room Point B in Time Part 2: Emergency Room Report UKM

1 forms  
Patient information
Description

Patient information

Alias
UMLS CUI-1
C1955348
Last name
Description

Last name

Data type

text

Alias
UMLS CUI [1]
C0421448
First name
Description

First name

Data type

text

Alias
UMLS CUI [1]
C1443235
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Index
Description

Index

Data type

text

Alias
UMLS CUI [1]
C1300638
Physical examination result
Description

Physical examination result

ATLS
Description

ATLS

Alias
UMLS CUI-1
C3494237
A-Problem (Airway)
Description

A-Problem (Airway)

Data type

boolean

Alias
UMLS CUI [1,1]
C0458827
UMLS CUI [1,2]
C0033213
B-Problem (Breathing)
Description

B-Problem (Breathing)

Data type

boolean

Alias
UMLS CUI [1,1]
C0035203
UMLS CUI [1,2]
C0033213
C-Problem (Circulation)
Description

C-Problem (Circulation)

Data type

boolean

Alias
UMLS CUI [1,1]
C0005775
UMLS CUI [1,2]
C0033213
D-Problem (Disability)
Description

D-Problem (Disability)

Data type

boolean

Alias
UMLS CUI [1,1]
C0231170
UMLS CUI [1,2]
C0033213
E-Problem (Hypothermia)
Description

E-Problem (Hypothermia)

Data type

boolean

Alias
UMLS CUI [1,1]
C0020672
UMLS CUI [1,2]
C0033213
Peripheral neurological status
Description

Peripheral neurological status

Alias
UMLS CUI-1
C0027853
motor function
Description

motor function

Data type

integer

Alias
UMLS CUI [1]
C0234130
sensitivity
Description

sensitivity

Data type

integer

Alias
UMLS CUI [1]
C1522640
reflexes
Description

reflexes

Data type

integer

Alias
UMLS CUI [1]
C0436145
Babinski Reflex
Description

Babinski Reflex

Data type

boolean

Alias
UMLS CUI [1]
C0034935
sphincter tone
Description

sphincter tone

Data type

boolean

Alias
UMLS CUI [1]
C0516792
other neurological finding
Description

other neurological finding

Data type

text

Alias
UMLS CUI [1]
C0438194
Vascular examination
Description

Vascular examination

Alias
UMLS CUI-1
C0005847
UMLS CUI-2
C0438105
right A. carotis palpable
Description

right A. carotis palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0007272
UMLS CUI [1,3]
C0444532
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0007272
UMLS CUI [2,3]
C0444532
left A. carotis palpable
Description

left A. carotis palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0007272
UMLS CUI [1,3]
C0162481
UMLS CUI [1,4]
C0007272
UMLS CUI [1,5]
C0443246
right A. radialis palpable
Description

right A. radialis palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0232142
UMLS CUI [1,2]
C0444532
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0162857
UMLS CUI [2,3]
C0444532
left A. radialis palpable
Description

left A. radialis palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0232142
UMLS CUI [1,2]
C0443246
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0162857
UMLS CUI [2,3]
C0443246
right A. femoralis palpable
Description

right A. femoralis palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0015801
UMLS CUI [1,3]
C0444532
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0015801
UMLS CUI [2,3]
C0444532
left A. femoralis palpable
Description

left A. femoralis palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0015801
UMLS CUI [1,3]
C0443246
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0015801
UMLS CUI [2,3]
C0443246
right A. poplitea palpable
Description

right A. poplitea palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0232151
UMLS CUI [1,2]
C0444532
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0032649
UMLS CUI [2,3]
C0444532
left A. poplitea palpable
Description

left A. poplitea palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0232151
UMLS CUI [1,2]
C0162481
UMLS CUI [1,3]
C0032649
UMLS CUI [1,4]
C0443246
right A. dors. ped. palpable
Description

right A. dors. ped. palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0226492
UMLS CUI [1,3]
C0444532
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226492
UMLS CUI [2,3]
C0444532
left A. dors. ped. palpable
Description

left A. dors. ped. palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0226492
UMLS CUI [1,3]
C0443246
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0226492
UMLS CUI [2,3]
C0443246
right A. tib. post. palpable
Description

right A. tib. post. palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0086835
UMLS CUI [1,3]
C0444532
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0086835
UMLS CUI [2,3]
C0444532
left A. tib. post. palpable
Description

left A. tib. post. palpable

Data type

boolean

Alias
UMLS CUI [1,1]
C0517385
UMLS CUI [1,2]
C0086835
UMLS CUI [1,3]
C0443246
UMLS CUI [2,1]
C0162481
UMLS CUI [2,2]
C0086835
UMLS CUI [2,3]
C0443246
Physical examination of head
Description

Physical examination of head

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0460004
without finding
Description

without finding

Data type

boolean

Alias
UMLS CUI [1,1]
C0332288
UMLS CUI [1,2]
C0243095
hematoma
Description

hematoma

Data type

boolean

Alias
UMLS CUI [1]
C0018944
hematoma of orbita
Description

hematoma of orbita

Data type

boolean

Alias
UMLS CUI [1]
C0520723
bleeding of auditory canal
Description

bleeding of auditory canal

Data type

boolean

Alias
UMLS CUI [1,1]
C0019080
UMLS CUI [1,2]
C0013444
liquorrhea
Description

liquorrhea

Data type

boolean

Alias
UMLS CUI [1]
C0860578
laceration
Description

laceration

Data type

boolean

Alias
UMLS CUI [1]
C0856548
facial instabilty
Description

facial instabilty

Data type

boolean

Alias
UMLS CUI [1]
C0024953
fracture of mandibula
Description

fracture of mandibula

Data type

boolean

Alias
UMLS CUI [1]
C0024692
injury of eye
Description

injury of eye

Data type

boolean

Alias
UMLS CUI [1]
C0015408
ohter injuries of head
Description

ohter injuries of head

Data type

text

Alias
UMLS CUI [1]
C0178671
Physical examination of thorax
Description

Physical examination of thorax

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0817096
without finding
Description

without finding

Data type

boolean

Alias
UMLS CUI [1,1]
C0332288
UMLS CUI [1,2]
C0243095
contusion of chest
Description

contusion of chest

Data type

boolean

Alias
UMLS CUI [1]
C0160925
hematoma
Description

hematoma

Data type

boolean

Alias
UMLS CUI [1]
C4049192
skin emphysema
Description

skin emphysema

Data type

boolean

Alias
UMLS CUI [1]
C0038536
thoracal instability
Description

thoracal instability

Data type

boolean

Alias
UMLS CUI [1,1]
C0231433
UMLS CUI [1,2]
C0817096
chest pain on breathing
Description

chest pain on breathing

Data type

boolean

Alias
UMLS CUI [1]
C0423729
chest pain on compression
Description

chest pain on compression

Data type

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0728907
open wound
Description

open wound

Data type

boolean

Alias
UMLS CUI [1]
C0478235
jugular vein congestion
Description

jugular vein congestion

Data type

boolean

Alias
UMLS CUI [1,1]
C0700148
UMLS CUI [1,2]
C0022427
pathological auscultation of chest
Description

pathological auscultation of chest

Data type

boolean

Alias
UMLS CUI [1]
C0577960
chest tube
Description

chest tube

Data type

boolean

Alias
UMLS CUI [1]
C0008034
other chest pain
Description

other chest pain

Data type

text

Alias
UMLS CUI [1]
C0039980
Physical examination of abdomen and genitourinary system
Description

Physical examination of abdomen and genitourinary system

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0000726
UMLS CUI-3
C0042066
without finding
Description

without finding

Data type

boolean

Alias
UMLS CUI [1,1]
C0332288
UMLS CUI [1,2]
C0243095
contusion
Description

contusion

Data type

boolean

Alias
UMLS CUI [1]
C1439271
UMLS CUI [2]
C1389458
Hematoma
Description

Hematoma

Data type

boolean

Alias
UMLS CUI [1]
C0018944
Abdomen distended
Description

Abdomen distended

Data type

boolean

Alias
UMLS CUI [1]
C0000731
pressure pain
Description

pressure pain

Data type

boolean

Alias
UMLS CUI [1]
C3647129
muscular guarding
Description

muscular guarding

Data type

boolean

Alias
UMLS CUI [1]
C0238547
open injury
Description

open injury

Data type

boolean

Alias
UMLS CUI [1]
C0559870
anogenital injury
Description

anogenital injury

Data type

boolean

Alias
UMLS CUI [1,1]
C3263723
UMLS CUI [1,2]
C0031066
pathological digital examination of the rectum
Description

pathological digital examination of the rectum

Data type

boolean

Alias
UMLS CUI [1]
C1384593
other injury of abdomen
Description

other injury of abdomen

Data type

text

Alias
UMLS CUI [1]
C1260446
Physical examination of pelvis
Description

Physical examination of pelvis

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0030797
without finding
Description

without finding

Data type

boolean

Alias
UMLS CUI [1,1]
C0332288
UMLS CUI [1,2]
C0243095
instability of pelvis
Description

instability of pelvis

Data type

boolean

Alias
UMLS CUI [1]
C1389477
open wound
Description

open wound

Data type

boolean

Alias
UMLS CUI [1,1]
C0559870
UMLS CUI [1,2]
C0030797
other injury of pelvis
Description

other injury of pelvis

Data type

text

Alias
UMLS CUI [1]
C0560636
Back to the top of the page

Similar models

Emergency Room Point B in Time Part 2: Emergency Room Report UKM

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient information
C1955348 (UMLS CUI-1)
Last name
Item
Last name
text
C0421448 (UMLS CUI [1])
First name
Item
First name
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Index
Item
text
C1300638 (UMLS CUI [1])
Item Group
C3494237 (UMLS CUI-1)
A-Problem (Airway)
Item
boolean
C0458827 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
B-Problem (Breathing)
Item
boolean
C0035203 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
C-Problem (Circulation)
Item
boolean
C0005775 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
D-Problem (Disability)
Item
boolean
C0231170 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
E-Problem (Hypothermia)
Item
boolean
C0020672 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
Item Group
C0027853 (UMLS CUI-1)
Item
integer
C0234130 (UMLS CUI [1])
motor function
Code List
motor function
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
Item
integer
C1522640 (UMLS CUI [1])
sensitivity
Code List
sensitivity
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item
integer
C0436145 (UMLS CUI [1])
reflexes
Code List
reflexes
CL Item
 (1)
CL Item
 (2)
Babinski Reflex
Item
boolean
C0034935 (UMLS CUI [1])
sphincter tone
Item
boolean
C0516792 (UMLS CUI [1])
other neurological finding
Item
text
C0438194 (UMLS CUI [1])
Item Group
C0005847 (UMLS CUI-1)
C0438105 (UMLS CUI-2)
right A. carotis palpable
Item
boolean
C0517385 (UMLS CUI [1,1])
C0007272 (UMLS CUI [1,2])
C0444532 (UMLS CUI [1,3])
C0162481 (UMLS CUI [2,1])
C0007272 (UMLS CUI [2,2])
C0444532 (UMLS CUI [2,3])
left A. carotis palpable
Item
boolean
C0517385 (UMLS CUI [1,1])
C0007272 (UMLS CUI [1,2])
C0162481 (UMLS CUI [1,3])
C0007272 (UMLS CUI [1,4])
C0443246 (UMLS CUI [1,5])
right A. radialis palpable
Item
boolean
C0232142 (UMLS CUI [1,1])
C0444532 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0162857 (UMLS CUI [2,2])
C0444532 (UMLS CUI [2,3])
left A. radialis palpable
Item
boolean
C0232142 (UMLS CUI [1,1])
C0443246 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0162857 (UMLS CUI [2,2])
C0443246 (UMLS CUI [2,3])
right A. femoralis palpable
Item
boolean
C0517385 (UMLS CUI [1,1])
C0015801 (UMLS CUI [1,2])
C0444532 (UMLS CUI [1,3])
C0162481 (UMLS CUI [2,1])
C0015801 (UMLS CUI [2,2])
C0444532 (UMLS CUI [2,3])
left A. femoralis palpable
Item
boolean
C0517385 (UMLS CUI [1,1])
C0015801 (UMLS CUI [1,2])
C0443246 (UMLS CUI [1,3])
C0162481 (UMLS CUI [2,1])
C0015801 (UMLS CUI [2,2])
C0443246 (UMLS CUI [2,3])
right A. poplitea palpable
Item
boolean
C0232151 (UMLS CUI [1,1])
C0444532 (UMLS CUI [1,2])
C0162481 (UMLS CUI [2,1])
C0032649 (UMLS CUI [2,2])
C0444532 (UMLS CUI [2,3])
left A. poplitea palpable
Item
boolean
C0232151 (UMLS CUI [1,1])
C0162481 (UMLS CUI [1,2])
C0032649 (UMLS CUI [1,3])
C0443246 (UMLS CUI [1,4])
right A. dors. ped. palpable
Item
boolean
C0517385 (UMLS CUI [1,1])
C0226492 (UMLS CUI [1,2])
C0444532 (UMLS CUI [1,3])
C0162481 (UMLS CUI [2,1])
C0226492 (UMLS CUI [2,2])
C0444532 (UMLS CUI [2,3])
left A. dors. ped. palpable
Item
boolean
C0517385 (UMLS CUI [1,1])
C0226492 (UMLS CUI [1,2])
C0443246 (UMLS CUI [1,3])
C0162481 (UMLS CUI [2,1])
C0226492 (UMLS CUI [2,2])
C0443246 (UMLS CUI [2,3])
right A. tib. post. palpable
Item
boolean
C0517385 (UMLS CUI [1,1])
C0086835 (UMLS CUI [1,2])
C0444532 (UMLS CUI [1,3])
C0162481 (UMLS CUI [2,1])
C0086835 (UMLS CUI [2,2])
C0444532 (UMLS CUI [2,3])
left A. tib. post. palpable
Item
boolean
C0517385 (UMLS CUI [1,1])
C0086835 (UMLS CUI [1,2])
C0443246 (UMLS CUI [1,3])
C0162481 (UMLS CUI [2,1])
C0086835 (UMLS CUI [2,2])
C0443246 (UMLS CUI [2,3])
Item Group
C0031809 (UMLS CUI-1)
C0460004 (UMLS CUI-2)
without finding
Item
boolean
C0332288 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
hematoma
Item
boolean
C0018944 (UMLS CUI [1])
hematoma of orbita
Item
boolean
C0520723 (UMLS CUI [1])
bleeding of auditory canal
Item
boolean
C0019080 (UMLS CUI [1,1])
C0013444 (UMLS CUI [1,2])
liquorrhea
Item
boolean
C0860578 (UMLS CUI [1])
laceration
Item
boolean
C0856548 (UMLS CUI [1])
facial instabilty
Item
boolean
C0024953 (UMLS CUI [1])
fracture of mandibula
Item
boolean
C0024692 (UMLS CUI [1])
injury of eye
Item
boolean
C0015408 (UMLS CUI [1])
ohter injuries of head
Item
text
C0178671 (UMLS CUI [1])
Item Group
C0031809 (UMLS CUI-1)
C0817096 (UMLS CUI-2)
without finding
Item
boolean
C0332288 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
contusion of chest
Item
boolean
C0160925 (UMLS CUI [1])
hematoma
Item
boolean
C4049192 (UMLS CUI [1])
skin emphysema
Item
boolean
C0038536 (UMLS CUI [1])
thoracal instability
Item
boolean
C0231433 (UMLS CUI [1,1])
C0817096 (UMLS CUI [1,2])
chest pain on breathing
Item
boolean
C0423729 (UMLS CUI [1])
chest pain on compression
Item
boolean
C0008031 (UMLS CUI [1,1])
C0728907 (UMLS CUI [1,2])
open wound
Item
boolean
C0478235 (UMLS CUI [1])
jugular vein congestion
Item
boolean
C0700148 (UMLS CUI [1,1])
C0022427 (UMLS CUI [1,2])
pathological auscultation of chest
Item
boolean
C0577960 (UMLS CUI [1])
chest tube
Item
boolean
C0008034 (UMLS CUI [1])
other chest pain
Item
text
C0039980 (UMLS CUI [1])
Item Group
C0031809 (UMLS CUI-1)
C0000726 (UMLS CUI-2)
C0042066 (UMLS CUI-3)
without finding
Item
boolean
C0332288 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
contusion
Item
boolean
C1439271 (UMLS CUI [1])
C1389458 (UMLS CUI [2])
Hematoma
Item
boolean
C0018944 (UMLS CUI [1])
Abdomen distended
Item
boolean
C0000731 (UMLS CUI [1])
pressure pain
Item
boolean
C3647129 (UMLS CUI [1])
muscular guarding
Item
boolean
C0238547 (UMLS CUI [1])
open injury
Item
boolean
C0559870 (UMLS CUI [1])
anogenital injury
Item
boolean
C3263723 (UMLS CUI [1,1])
C0031066 (UMLS CUI [1,2])
pathological digital examination of the rectum
Item
boolean
C1384593 (UMLS CUI [1])
other injury of abdomen
Item
text
C1260446 (UMLS CUI [1])
Item Group
C0031809 (UMLS CUI-1)
C0030797 (UMLS CUI-2)
without finding
Item
boolean
C0332288 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
instability of pelvis
Item
boolean
C1389477 (UMLS CUI [1])
open wound
Item
boolean
C0559870 (UMLS CUI [1,1])
C0030797 (UMLS CUI [1,2])
other injury of pelvis
Item
text
C0560636 (UMLS CUI [1])
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial