ID

16888

Description

Mots-clés

Versions (2)
  1. 28/07/2016 28/07/2016 -
  2. 12/08/2016 12/08/2016 -
Téléchargé le

12 août 2016

DOI

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Licence

Creative Commons BY-NC 3.0
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Durchgangsarztbericht

Allemand Anglais

Durchgangsarztbericht

1 Formulaires  
  1. StudyEvent: ODM
    1. Durchgangsarztbericht
Patient Information
Description

Patient Information

Alias
UMLS CUI-1
C1955348
Accident insurer
Description

Accident insurer

Type de données

text

Alias
UMLS CUI [1,1]
C0021680
UMLS CUI [1,2]
C0021675
Name of insured person
Description

Name of insured person

Type de données

text

Alias
UMLS CUI [1,1]
C1548651
UMLS CUI [1,2]
C0027365
Surname of insured person
Description

Surname of insured person

Type de données

text

Alias
UMLS CUI [1,1]
C1548651
UMLS CUI [1,2]
C0421448
Birth date of insured person
Description

Birth date of insured person

Type de données

date

Alias
UMLS CUI [1,1]
C1548651
UMLS CUI [1,2]
C0421451
Employment
Description

Employment

Type de données

text

Alias
UMLS CUI [1]
C0014003
Employment date
Description

Employment date

Type de données

date

Alias
UMLS CUI [1,1]
C0014003
UMLS CUI [1,2]
C0011008
Company where accident happened
Description

Company where accident happened

Type de données

text

Alias
UMLS CUI [1,1]
C0683757
UMLS CUI [1,2]
C0000924
Address of insured person
Description

Address of insured person

Type de données

text

Alias
UMLS CUI [1,1]
C1548651
UMLS CUI [1,2]
C1442065
Report Information
Description

Report Information

Alias
UMLS CUI-1
C0684224
Arrival
Description

Arrival

Type de données

date

Alias
UMLS CUI [1]
C1706079
Arrival time
Description

Arrival time

Type de données

time

Alias
UMLS CUI [1,1]
C1706079
UMLS CUI [1,2]
C0040223
Health insurance
Description

Health insurance

Type de données

text

Nursing care insurance
Description

Nursing care insurance

Type de données

text

Alias
UMLS CUI [1]
C0021690
Phone Number of Insured Person
Description

Phone Number of Insured Person

Type de données

text

Alias
UMLS CUI [1,1]
C1548651
UMLS CUI [1,2]
C1515258
Nationality
Description

Nationality

Type de données

text

Alias
UMLS CUI [1]
C0027473
Gender
Description

Gender

Type de données

text

Alias
UMLS CUI [1]
C0079399
Accident
Description

Accident

Alias
UMLS CUI-1
C0000924
Date of accident
Description

Date of accident

Type de données

date

Alias
UMLS CUI [1,1]
C0000924
UMLS CUI [1,2]
C0011008
Time of Accident
Description

Time of Accident

Type de données

time

Alias
UMLS CUI [1,1]
C0000924
UMLS CUI [1,2]
C0040223
Working time: Start Time
Description

Working time: Start Time

Type de données

time

Alias
UMLS CUI [1,1]
C2135639
UMLS CUI [1,2]
C1301880
Working time: End Time
Description

Working time: End Time

Type de données

time

Alias
UMLS CUI [1,1]
C2135639
UMLS CUI [1,2]
C1522314
Accident scene
Description

Accident scene

Type de données

text

Alias
UMLS CUI [1]
C0337069
Course of accident
Description

Course of accident

Type de données

text

Alias
UMLS CUI [1,1]
C0750729
UMLS CUI [1,2]
C0000924
Activity while accident
Description

Activity while accident

Type de données

text

Alias
UMLS CUI [1,1]
C0336911
UMLS CUI [1,2]
C0000924
Behaviour after accident
Description

Behaviour after accident

Type de données

text

Alias
UMLS CUI [1,1]
C0004927
UMLS CUI [1,2]
C0000924
Treatment and findings
Description

Treatment and findings

Alias
UMLS CUI-1
C0087111
UMLS CUI-2
C0243095
Medical care specification
Description

Medical care specification

Type de données

text

Alias
UMLS CUI [1,1]
C0496675
UMLS CUI [1,2]
C2348235
First Treatment: Date
Description

First Treatment: Date

Type de données

date

Alias
UMLS CUI [1,1]
C0805838
UMLS CUI [1,2]
C0087111
First Treatment: Physician
Description

First Treatment: Physician

Type de données

text

Alias
UMLS CUI [1,1]
C0805838
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0031831
Substance Use Disorder
Description

Substance Use Disorder

Type de données

boolean

Alias
UMLS CUI [1]
C0038586
Substance Use Disorder: Specification
Description

Substance Use Disorder: Specification

Type de données

text

Alias
UMLS CUI [1,1]
C0038586
UMLS CUI [1,2]
C2348235
Blood sample
Description

Blood sample

Type de données

boolean

Alias
UMLS CUI [1]
C0005834
X-ray: finding
Description

X-ray: finding

Type de données

text

Alias
UMLS CUI [1,1]
C0034571
UMLS CUI [1,2]
C0243095
Initial diagnosis
Description

Initial diagnosis

Type de données

text

Alias
UMLS CUI [1]
C4071762
Medical care by accident insurance consultance
Description

Medical care by accident insurance consultance

Type de données

text

Alias
UMLS CUI [1,1]
C0496675
UMLS CUI [1,2]
C0021680
UMLS CUI [1,3]
C0031831
Comorbidity
Description

Comorbidity

Type de données

text

Alias
UMLS CUI [1]
C0009488
Contradiction to accident
Description

Contradiction to accident

Type de données

boolean

Alias
UMLS CUI [1,1]
C0442809
UMLS CUI [1,2]
C0000924
Contradiction to accident: specification
Description

Contradiction to accident: specification

Type de données

text

Alias
UMLS CUI [1,1]
C0442809
UMLS CUI [1,2]
C0000924
UMLS CUI [1,3]
C2348235
Accident insurance: consultation
Description

Accident insurance: consultation

Type de données

boolean

Alias
UMLS CUI [1,1]
C0009818
UMLS CUI [1,2]
C0021680
Accident insurance: consultation specification
Description

Accident insurance: consultation specification

Type de données

text

Alias
UMLS CUI [1,1]
C0009818
UMLS CUI [1,2]
C0021680
UMLS CUI [1,3]
C2348235
Treatment
Description

Treatment

Type de données

text

Alias
UMLS CUI [1]
C0087111
Work ability
Description

Work ability

Type de données

text

Alias
UMLS CUI [1]
C2960301
Work inability: Date
Description

Work inability: Date

Type de données

date

Alias
UMLS CUI [1,1]
C2960301
UMLS CUI [1,2]
C0011008
Work ability: Date
Description

Work ability: Date

Type de données

date

Alias
UMLS CUI [1,1]
C2960301
UMLS CUI [1,2]
C0011008
Consultant physician
Description

Consultant physician

Type de données

boolean

Alias
UMLS CUI [1]
C0401971
Consultant physician: Specification
Description

Consultant physician: Specification

Type de données

text

Alias
UMLS CUI [1,1]
C0401971
UMLS CUI [1,2]
C2348235
Follow up date
Description

Follow up date

Type de données

date

Alias
UMLS CUI [1]
C3694716
Hospital's or Physician's Address
Description

Hospital's or Physician's Address

Type de données

text

Alias
UMLS CUI [1]
C2986046
UMLS CUI [2]
C3669301
Identification and Signature
Description

Identification and Signature

Alias
UMLS CUI-1
C0205396
UMLS CUI-2
C1519316
Date of report
Description

Date of report

Type de données

date

Alias
UMLS CUI [1]
C1302584
Physician's signature
Description

Physician's signature

Type de données

text

Alias
UMLS CUI [1]
C1519316
Invoice
Description

Invoice

Alias
UMLS CUI-1
C2981733
Report Fee
Description

Report Fee

Type de données

float

Unités de mesure
  • EUR
Alias
UMLS CUI [1,1]
C0015754
UMLS CUI [1,2]
C0684224
EUR
Complementary report
Description

Complementary report

Type de données

float

Alias
UMLS CUI [1,1]
C1524062
UMLS CUI [1,2]
C0684224
Complementary report: Payment
Description

Complementary report: Payment

Type de données

float

Unités de mesure
  • EUR
Alias
UMLS CUI [1,1]
C1524062
UMLS CUI [1,2]
C0684224
UMLS CUI [1,3]
C0220808
EUR
Medical Service
Description

Medical Service

Type de données

float

Alias
UMLS CUI [1]
C0199168
Medical Service: Payment
Description

Medical Service: Payment

Type de données

float

Unités de mesure
  • EUR
Alias
UMLS CUI [1,1]
C0199168
UMLS CUI [1,2]
C0220808
EUR
Medical Service: Payment Specifciation
Description

Medical Service: Payment Specifciation

Type de données

float

Unités de mesure
  • EUR
Alias
UMLS CUI [1,1]
C0199168
UMLS CUI [1,2]
C0220808
EUR
Tetanus Vaccine: Payment
Description

Tetanus Vaccine: Payment

Type de données

float

Unités de mesure
  • EUR
Alias
UMLS CUI [1,1]
C0305062
UMLS CUI [1,2]
C0220808
EUR
Tetanus Vaccine: Payment Specification
Description

Tetanus Vaccine: Payment Specification

Type de données

float

Unités de mesure
  • EUR
Alias
UMLS CUI [1,1]
C0305062
UMLS CUI [1,2]
C0220808
UMLS CUI [1,3]
C2348235
EUR
Active Tetanus Vaccine: Payment
Description

Active Tetanus Vaccine: Payment

Type de données

float

Unités de mesure
  • EUR
Alias
UMLS CUI [1,1]
C0305062
UMLS CUI [1,2]
C0205991
UMLS CUI [1,3]
C0220808
EUR
Active Tetanus Vaccine: Payment Specification
Description

Active Tetanus Vaccine: Payment Specification

Type de données

float

Unités de mesure
  • EUR
Alias
UMLS CUI [1,1]
C0305062
UMLS CUI [1,2]
C0205991
UMLS CUI [1,3]
C0220808
UMLS CUI [1,4]
C2348235
EUR
Sum: Special costs
Description

Sum: Special costs

Type de données

float

Unités de mesure
  • EUR
Alias
UMLS CUI [1,1]
C1515051
UMLS CUI [1,2]
C0220808
UMLS CUI [1,3]
C2348235
EUR
Postage: Payment
Description

Postage: Payment

Type de données

float

Unités de mesure
  • EUR
Alias
UMLS CUI [1,1]
C0032755
UMLS CUI [1,2]
C0220808
EUR
Sum: Payment
Description

Sum: Payment

Type de données

float

Unités de mesure
  • EUR
Alias
UMLS CUI [1,1]
C1515051
UMLS CUI [1,2]
C0220808
EUR
Invoice number
Description

Invoice number

Type de données

text

Alias
UMLS CUI [1,1]
C2981733
UMLS CUI [1,2]
C0237753
Institution label
Description

Institution label

Type de données

text

Alias
UMLS CUI [1,1]
C2607850
UMLS CUI [1,2]
C2983610
Bank account
Description

Bank account

Type de données

text

Alias
UMLS CUI [1]
C1549682
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Durchgangsarztbericht

1 Formulaires
  1. StudyEvent: ODM
    1. Durchgangsarztbericht
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Patient Information
C1955348 (UMLS CUI-1)
Accident insurer
Item
text
C0021680 (UMLS CUI [1,1])
C0021675 (UMLS CUI [1,2])
Name of insured person
Item
text
C1548651 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Surname of insured person
Item
text
C1548651 (UMLS CUI [1,1])
C0421448 (UMLS CUI [1,2])
Birth date of insured person
Item
date
C1548651 (UMLS CUI [1,1])
C0421451 (UMLS CUI [1,2])
Employment
Item
text
C0014003 (UMLS CUI [1])
Employment date
Item
date
C0014003 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Company where accident happened
Item
text
C0683757 (UMLS CUI [1,1])
C0000924 (UMLS CUI [1,2])
Address of insured person
Item
text
C1548651 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
Item Group
C0684224 (UMLS CUI-1)
Arrival
Item
date
C1706079 (UMLS CUI [1])
Arrival time
Item
time
C1706079 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Health insurance
Item
text
Nursing care insurance
Item
text
C0021690 (UMLS CUI [1])
Phone Number of Insured Person
Item
text
C1548651 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
Nationality
Item
text
C0027473 (UMLS CUI [1])
Gender
Item
text
C0079399 (UMLS CUI [1])
Item Group
C0000924 (UMLS CUI-1)
Date of accident
Item
date
C0000924 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of Accident
Item
time
C0000924 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Working time: Start Time
Item
time
C2135639 (UMLS CUI [1,1])
C1301880 (UMLS CUI [1,2])
Working time: End Time
Item
time
C2135639 (UMLS CUI [1,1])
C1522314 (UMLS CUI [1,2])
Accident scene
Item
text
C0337069 (UMLS CUI [1])
Course of accident
Item
text
C0750729 (UMLS CUI [1,1])
C0000924 (UMLS CUI [1,2])
Activity while accident
Item
text
C0336911 (UMLS CUI [1,1])
C0000924 (UMLS CUI [1,2])
Behaviour after accident
Item
text
C0004927 (UMLS CUI [1,1])
C0000924 (UMLS CUI [1,2])
Item Group
C0087111 (UMLS CUI-1)
C0243095 (UMLS CUI-2)
Medical care specification
Item
text
C0496675 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
First Treatment: Date
Item
date
C0805838 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
First Treatment: Physician
Item
text
C0805838 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0031831 (UMLS CUI [1,3])
Substance Use Disorder
Item
boolean
C0038586 (UMLS CUI [1])
Substance Use Disorder: Specification
Item
text
C0038586 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Blood sample
Item
boolean
C0005834 (UMLS CUI [1])
X-ray: finding
Item
text
C0034571 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Initial diagnosis
Item
text
C4071762 (UMLS CUI [1])
Medical care by accident insurance consultance
Item
text
C0496675 (UMLS CUI [1,1])
C0021680 (UMLS CUI [1,2])
C0031831 (UMLS CUI [1,3])
Comorbidity
Item
text
C0009488 (UMLS CUI [1])
Contradiction to accident
Item
boolean
C0442809 (UMLS CUI [1,1])
C0000924 (UMLS CUI [1,2])
Contradiction to accident: specification
Item
text
C0442809 (UMLS CUI [1,1])
C0000924 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Accident insurance: consultation
Item
boolean
C0009818 (UMLS CUI [1,1])
C0021680 (UMLS CUI [1,2])
Accident insurance: consultation specification
Item
text
C0009818 (UMLS CUI [1,1])
C0021680 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item
text
C0087111 (UMLS CUI [1])
Treatment
Code List
Treatment
CL Item
 (Allgemeine Heilbehandlung durch anderen Arzt)
CL Item
 (Allgemeine Heilbehandlung durch mich)
CL Item
 (Besondere Heilbehandlung: ambulant)
CL Item
 (Besondere Heilbehandlung: stationär)
CL Item
 (Liegt eine Verletzung nach dem Verletzungs-/ Schwerstverletzungsartenverzeichnis vor? Nein)
CL Item
 (Liegt eine Verletzung nach dem Verletzungs-/ Schwerstverletzungsartenverzeichnis vor? Ja)
CL Item
 (Es wird keine Heilbehandlung zu Lasten der UV durchgeführt)
Item
text
C2960301 (UMLS CUI [1])
Work ability
Code List
Work ability
CL Item
 (arbeitsfähig)
CL Item
 (voraussichtlich länger als 6 Monate arbeitsunfähig)
CL Item
 (voraussichtlich wieder arbeitsunfähig)
Work inability: Date
Item
date
C2960301 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Work ability: Date
Item
date
C2960301 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Consultant physician
Item
boolean
C0401971 (UMLS CUI [1])
Consultant physician: Specification
Item
text
C0401971 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Follow up date
Item
date
C3694716 (UMLS CUI [1])
Hospital's or Physician's Address
Item
text
C2986046 (UMLS CUI [1])
C3669301 (UMLS CUI [2])
Item Group
C0205396 (UMLS CUI-1)
C1519316 (UMLS CUI-2)
Date of report
Item
date
C1302584 (UMLS CUI [1])
Physician's signature
Item
text
C1519316 (UMLS CUI [1])
Item Group
C2981733 (UMLS CUI-1)
Report Fee
Item
float
C0015754 (UMLS CUI [1,1])
C0684224 (UMLS CUI [1,2])
Complementary report
Item
float
C1524062 (UMLS CUI [1,1])
C0684224 (UMLS CUI [1,2])
Complementary report: Payment
Item
float
C1524062 (UMLS CUI [1,1])
C0684224 (UMLS CUI [1,2])
C0220808 (UMLS CUI [1,3])
Medical Service
Item
float
C0199168 (UMLS CUI [1])
Medical Service: Payment
Item
float
C0199168 (UMLS CUI [1,1])
C0220808 (UMLS CUI [1,2])
Medical Service: Payment Specifciation
Item
float
C0199168 (UMLS CUI [1,1])
C0220808 (UMLS CUI [1,2])
Tetanus Vaccine: Payment
Item
float
C0305062 (UMLS CUI [1,1])
C0220808 (UMLS CUI [1,2])
Tetanus Vaccine: Payment Specification
Item
float
C0305062 (UMLS CUI [1,1])
C0220808 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Active Tetanus Vaccine: Payment
Item
float
C0305062 (UMLS CUI [1,1])
C0205991 (UMLS CUI [1,2])
C0220808 (UMLS CUI [1,3])
Active Tetanus Vaccine: Payment Specification
Item
float
C0305062 (UMLS CUI [1,1])
C0205991 (UMLS CUI [1,2])
C0220808 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Sum: Special costs
Item
float
C1515051 (UMLS CUI [1,1])
C0220808 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Postage: Payment
Item
float
C0032755 (UMLS CUI [1,1])
C0220808 (UMLS CUI [1,2])
Sum: Payment
Item
float
C1515051 (UMLS CUI [1,1])
C0220808 (UMLS CUI [1,2])
Invoice number
Item
text
C2981733 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Institution label
Item
text
C2607850 (UMLS CUI [1,1])
C2983610 (UMLS CUI [1,2])
Bank account
Item
text
C1549682 (UMLS CUI [1])
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