ID

16888

Beschrijving

Trefwoorden

Versies (2)
  1. 28-07-16 28-07-16 -
  2. 12-08-16 12-08-16 -
Geüploaded op

12 augustus 2016

DOI

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Licentie

Creative Commons BY-NC 3.0
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Durchgangsarztbericht

Duits Engels

Durchgangsarztbericht

1 Formulieren  
  1. StudyEvent: ODM
    1. Durchgangsarztbericht
Patient Information
Beschrijving

Patient Information

Alias
UMLS CUI-1
C1955348
Accident insurer
Beschrijving

Accident insurer

Datatype

text

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

Name of insured person

Datatype

text

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

Surname of insured person

Datatype

text

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

Birth date of insured person

Datatype

date

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

Employment

Datatype

text

Alias
UMLS CUI [1]
C0014003
Employment date
Beschrijving

Employment date

Datatype

date

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

Company where accident happened

Datatype

text

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

Address of insured person

Datatype

text

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

Report Information

Alias
UMLS CUI-1
C0684224
Arrival
Beschrijving

Arrival

Datatype

date

Alias
UMLS CUI [1]
C1706079
Arrival time
Beschrijving

Arrival time

Datatype

time

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

Health insurance

Datatype

text

Nursing care insurance
Beschrijving

Nursing care insurance

Datatype

text

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

Phone Number of Insured Person

Datatype

text

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

Nationality

Datatype

text

Alias
UMLS CUI [1]
C0027473
Gender
Beschrijving

Gender

Datatype

text

Alias
UMLS CUI [1]
C0079399
Accident
Beschrijving

Accident

Alias
UMLS CUI-1
C0000924
Date of accident
Beschrijving

Date of accident

Datatype

date

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

Time of Accident

Datatype

time

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

Working time: Start Time

Datatype

time

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

Working time: End Time

Datatype

time

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

Accident scene

Datatype

text

Alias
UMLS CUI [1]
C0337069
Course of accident
Beschrijving

Course of accident

Datatype

text

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

Activity while accident

Datatype

text

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

Behaviour after accident

Datatype

text

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

Treatment and findings

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

Medical care specification

Datatype

text

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

First Treatment: Date

Datatype

date

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

First Treatment: Physician

Datatype

text

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

Substance Use Disorder

Datatype

boolean

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

Substance Use Disorder: Specification

Datatype

text

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

Blood sample

Datatype

boolean

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

X-ray: finding

Datatype

text

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

Initial diagnosis

Datatype

text

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

Medical care by accident insurance consultance

Datatype

text

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

Comorbidity

Datatype

text

Alias
UMLS CUI [1]
C0009488
Contradiction to accident
Beschrijving

Contradiction to accident

Datatype

boolean

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

Contradiction to accident: specification

Datatype

text

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

Accident insurance: consultation

Datatype

boolean

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

Accident insurance: consultation specification

Datatype

text

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

Treatment

Datatype

text

Alias
UMLS CUI [1]
C0087111
Work ability
Beschrijving

Work ability

Datatype

text

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

Work inability: Date

Datatype

date

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

Work ability: Date

Datatype

date

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

Consultant physician

Datatype

boolean

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

Consultant physician: Specification

Datatype

text

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

Follow up date

Datatype

date

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

Hospital's or Physician's Address

Datatype

text

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

Identification and Signature

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

Date of report

Datatype

date

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

Physician's signature

Datatype

text

Alias
UMLS CUI [1]
C1519316
Invoice
Beschrijving

Invoice

Alias
UMLS CUI-1
C2981733
Report Fee
Beschrijving

Report Fee

Datatype

float

Maateenheden
  • EUR
Alias
UMLS CUI [1,1]
C0015754
UMLS CUI [1,2]
C0684224
EUR
Complementary report
Beschrijving

Complementary report

Datatype

float

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

Complementary report: Payment

Datatype

float

Maateenheden
  • EUR
Alias
UMLS CUI [1,1]
C1524062
UMLS CUI [1,2]
C0684224
UMLS CUI [1,3]
C0220808
EUR
Medical Service
Beschrijving

Medical Service

Datatype

float

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

Medical Service: Payment

Datatype

float

Maateenheden
  • EUR
Alias
UMLS CUI [1,1]
C0199168
UMLS CUI [1,2]
C0220808
EUR
Medical Service: Payment Specifciation
Beschrijving

Medical Service: Payment Specifciation

Datatype

float

Maateenheden
  • EUR
Alias
UMLS CUI [1,1]
C0199168
UMLS CUI [1,2]
C0220808
EUR
Tetanus Vaccine: Payment
Beschrijving

Tetanus Vaccine: Payment

Datatype

float

Maateenheden
  • EUR
Alias
UMLS CUI [1,1]
C0305062
UMLS CUI [1,2]
C0220808
EUR
Tetanus Vaccine: Payment Specification
Beschrijving

Tetanus Vaccine: Payment Specification

Datatype

float

Maateenheden
  • EUR
Alias
UMLS CUI [1,1]
C0305062
UMLS CUI [1,2]
C0220808
UMLS CUI [1,3]
C2348235
EUR
Active Tetanus Vaccine: Payment
Beschrijving

Active Tetanus Vaccine: Payment

Datatype

float

Maateenheden
  • EUR
Alias
UMLS CUI [1,1]
C0305062
UMLS CUI [1,2]
C0205991
UMLS CUI [1,3]
C0220808
EUR
Active Tetanus Vaccine: Payment Specification
Beschrijving

Active Tetanus Vaccine: Payment Specification

Datatype

float

Maateenheden
  • 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
Beschrijving

Sum: Special costs

Datatype

float

Maateenheden
  • EUR
Alias
UMLS CUI [1,1]
C1515051
UMLS CUI [1,2]
C0220808
UMLS CUI [1,3]
C2348235
EUR
Postage: Payment
Beschrijving

Postage: Payment

Datatype

float

Maateenheden
  • EUR
Alias
UMLS CUI [1,1]
C0032755
UMLS CUI [1,2]
C0220808
EUR
Sum: Payment
Beschrijving

Sum: Payment

Datatype

float

Maateenheden
  • EUR
Alias
UMLS CUI [1,1]
C1515051
UMLS CUI [1,2]
C0220808
EUR
Invoice number
Beschrijving

Invoice number

Datatype

text

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

Institution label

Datatype

text

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

Bank account

Datatype

text

Alias
UMLS CUI [1]
C1549682
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Durchgangsarztbericht

1 Formulieren
  1. StudyEvent: ODM
    1. Durchgangsarztbericht
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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