ID

17413

Description

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Allgemeine Anforderungen.

Keywords

Versions (2)
  1. 9/12/16 9/12/16 -
  2. 9/12/16 9/12/16 -
Uploaded on

September 12, 2016

DOI

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License

Creative Commons BY-NC 3.0
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General Requests University Hospital Muenster (UKM)

German

General Requests University Hospital Muenster (UKM)

1 forms  
Auftragsdaten
Description

Auftragsdaten

Auftragsnummer
Description

order number

Data type

text

Alias
UMLS CUI [1]
C1548260
Auftragsstatus
Description

order status

Data type

text

Alias
UMLS CUI [1]
C1550341
Dringlichkeit
Description

urgency

Data type

text

Alias
UMLS CUI [1]
C2188402
Leistungsanforderer: Orgaeinheit 1
Description

requesting unit

Data type

text

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C2981734
Leistungsanforderer: Orgaeinheit 2
Description

requesting unit 2

Data type

text

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C2981734
Leistungserbringer:
Description

providing unit

Data type

text

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C1138603
Anforderer:
Description

ordering person

Data type

text

Alias
UMLS CUI [1]
C1709334
Im Auftrag von
Description

by order of

Data type

text

Anforderungszeitpunkt
Description

time of order

Data type

datetime

Alias
UMLS CUI [1,1]
C1705178
UMLS CUI [1,2]
C0011008
Gewünschte Leistungen
Description

Gewünschte Leistungen

Art der Anforderung
Description

requested procedure type

Data type

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C1272683
Leistung
Description

requested procedure specification

Data type

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1272683
Zusatz
Description

additional procedure

Data type

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1524062
Anzahl
Description

number

Data type

integer

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C0449788
Weitere Daten
Description

Weitere Daten

Cave
Description

cave

Data type

text

Alias
UMLS CUI [1]
C0871599
Klinische Diagnose
Description

clinical diagnosis

Data type

text

Alias
UMLS CUI [1]
C0332140
Vorbefunde
Description

previous findings

Data type

text

Alias
UMLS CUI [1]
C0332132
Terminwunsch
Description

scheduled date

Data type

datetime

Alias
UMLS CUI [1,1]
C0430022
UMLS CUI [1,2]
C2986272
Kommentar
Description

comment

Data type

text

Alias
UMLS CUI [1]
C0947611
Mobilität
Description

mobility

Data type

text

Alias
UMLS CUI [1]
C0547136
Operative Therapie:
Description

operative therapy

Data type

text

Alias
UMLS CUI [1]
C0543467
Einzel- oder Gruppenbehandlung
Description

treatment type

Data type

text

Alias
UMLS CUI [1]
C0087111
Sonstiges
Description

Sonstiges

Infektiosität: Keine
Description

infectivity none

Data type

boolean

Alias
UMLS CUI [1,1]
C0030657
UMLS CUI [1,2]
C0549184
Infektiosität: Nicht bekannt
Description

infectivity unknown

Data type

boolean

Alias
UMLS CUI [1,1]
C0030657
UMLS CUI [1,2]
C0439673
Infektiosität: Hep. B
Description

infectivity hepatitis B

Data type

boolean

Alias
UMLS CUI [1,1]
C0030657
UMLS CUI [1,2]
C0019163
Infektiosität: Hep. C
Description

infectivity hepatitis C

Data type

boolean

Alias
UMLS CUI [1,1]
C0030657
UMLS CUI [1,2]
C0019196
Infektiosität: Tbc
Description

infectivity tuberculosis

Data type

boolean

Alias
UMLS CUI [1,1]
C0030657
UMLS CUI [1,2]
C0041296
Infektiosität: HIV
Description

infectivity HIV

Data type

boolean

Alias
UMLS CUI [1,1]
C0030657
UMLS CUI [1,2]
C0019682
Infektiosität: VRE
Description

infectivity vancomycin-resistant enterococci

Data type

boolean

Alias
UMLS CUI [1,1]
C0030657
UMLS CUI [1,2]
C1265175
Infektiosität: MRSA
Description

infectivity MRSA

Data type

boolean

Alias
UMLS CUI [1,1]
C0030657
UMLS CUI [1,2]
C0343401
Infektiosität: Sonstiges
Description

infectivity other

Data type

boolean

Alias
UMLS CUI [1,1]
C0030657
UMLS CUI [1,2]
C0205394
Infektiosität: Sonstiges
Description

infectivity other specify

Data type

text

Alias
UMLS CUI [1,1]
C0030657
UMLS CUI [1,2]
C0205394
Einschränkung der Mobilität:
Description

limited mobility

Data type

text

Alias
UMLS CUI [1]
C0518456
Pat.-Adr.
Description

patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Pat.-Tel:
Description

patient phone number

Data type

text

Alias
UMLS CUI [1]
C1515258
Pat. KV-Nr.:
Description

patient insurance

Data type

text

Alias
UMLS CUI [1,1]
C0021682
UMLS CUI [1,2]
C0600091
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Similar models

General Requests University Hospital Muenster (UKM)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Auftragsdaten
order number
Item
Auftragsnummer
text
C1548260 (UMLS CUI [1])
order status
Item
Auftragsstatus
text
C1550341 (UMLS CUI [1])
Item
Dringlichkeit
text
C2188402 (UMLS CUI [1])
urgency
Code List
Dringlichkeit
CL Item
dringend (dringend)
CL Item
normal (normal)
CL Item
Notfall (Notfall)
requesting unit
Item
Leistungsanforderer: Orgaeinheit 1
text
C1272683 (UMLS CUI [1,1])
C2981734 (UMLS CUI [1,2])
requesting unit 2
Item
Leistungsanforderer: Orgaeinheit 2
text
C1272683 (UMLS CUI [1,1])
C2981734 (UMLS CUI [1,2])
providing unit
Item
Leistungserbringer:
text
C1272683 (UMLS CUI [1,1])
C1138603 (UMLS CUI [1,2])
ordering person
Item
Anforderer:
text
C1709334 (UMLS CUI [1])
by order of
Item
Im Auftrag von
text
time of order
Item
Anforderungszeitpunkt
datetime
C1705178 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Gewünschte Leistungen
requested procedure type
Item
Art der Anforderung
text
C0087111 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
requested procedure specification
Item
Leistung
text
C0087111 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
additional procedure
Item
Zusatz
text
C0087111 (UMLS CUI [1,1])
C1524062 (UMLS CUI [1,2])
number
Item
Anzahl
integer
C1272683 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Item Group
Weitere Daten
cave
Item
Cave
text
C0871599 (UMLS CUI [1])
clinical diagnosis
Item
Klinische Diagnose
text
C0332140 (UMLS CUI [1])
previous findings
Item
Vorbefunde
text
C0332132 (UMLS CUI [1])
scheduled date
Item
Terminwunsch
datetime
C0430022 (UMLS CUI [1,1])
C2986272 (UMLS CUI [1,2])
comment
Item
Kommentar
text
C0947611 (UMLS CUI [1])
mobility
Item
Mobilität
text
C0547136 (UMLS CUI [1])
operative therapy
Item
Operative Therapie:
text
C0543467 (UMLS CUI [1])
Item
Einzel- oder Gruppenbehandlung
text
C0087111 (UMLS CUI [1])
treatment type
Code List
Einzel- oder Gruppenbehandlung
CL Item
Einzelbehandlung (Einzelbehandlung)
CL Item
Gruppenbehandlung (Gruppenbehandlung)
Item Group
Sonstiges
infectivity none
Item
Infektiosität: Keine
boolean
C0030657 (UMLS CUI [1,1])
C0549184 (UMLS CUI [1,2])
infectivity unknown
Item
Infektiosität: Nicht bekannt
boolean
C0030657 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
infectivity hepatitis B
Item
Infektiosität: Hep. B
boolean
C0030657 (UMLS CUI [1,1])
C0019163 (UMLS CUI [1,2])
infectivity hepatitis C
Item
Infektiosität: Hep. C
boolean
C0030657 (UMLS CUI [1,1])
C0019196 (UMLS CUI [1,2])
infectivity tuberculosis
Item
Infektiosität: Tbc
boolean
C0030657 (UMLS CUI [1,1])
C0041296 (UMLS CUI [1,2])
infectivity HIV
Item
Infektiosität: HIV
boolean
C0030657 (UMLS CUI [1,1])
C0019682 (UMLS CUI [1,2])
infectivity vancomycin-resistant enterococci
Item
Infektiosität: VRE
boolean
C0030657 (UMLS CUI [1,1])
C1265175 (UMLS CUI [1,2])
infectivity MRSA
Item
Infektiosität: MRSA
boolean
C0030657 (UMLS CUI [1,1])
C0343401 (UMLS CUI [1,2])
infectivity other
Item
Infektiosität: Sonstiges
boolean
C0030657 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
infectivity other specify
Item
Infektiosität: Sonstiges
text
C0030657 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Einschränkung der Mobilität:
text
C0518456 (UMLS CUI [1])
limited mobility
Code List
Einschränkung der Mobilität:
CL Item
Bettruhe (Bettruhe)
CL Item
Eingeschränkte Bettruhe (Eingeschränkte Bettruhe)
CL Item
Frei (Frei)
patient address
Item
Pat.-Adr.
text
C0421449 (UMLS CUI [1])
patient phone number
Item
Pat.-Tel:
text
C1515258 (UMLS CUI [1])
patient insurance
Item
Pat. KV-Nr.:
text
C0021682 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
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