ID

17454

Description

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Radiologische Anforderung MS.

Keywords

Versions (1)
  1. 9/15/16 9/15/16 -
Uploaded on

September 15, 2016

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License

Creative Commons BY-NC 3.0
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Radiological Request University Hospital Muenster (UKM)

German

Radiological Request University Hospital Muenster (UKM)

1 forms  
Administrative Daten
Description

Administrative Daten

Auftragsnr.:
Description

order number

Data type

text

Alias
UMLS CUI [1,1]
C1548260
UMLS CUI [1,2]
C0043299
Angefordert am:
Description

order date

Data type

date

Alias
UMLS CUI [1]
C1549499
durch:
Description

order person

Data type

text

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C0043299
UMLS CUI [1,3]
C0031831
Tel. der Abt. (für Rückfragen):
Description

telephone number department

Data type

text

Alias
UMLS CUI [1,1]
C1515258
UMLS CUI [1,2]
C1704729
Gewünschte Untersuchung/Leistung:
Description

requested procedure

Data type

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1272683
Gewünschte Untersuchung/Leistung:
Description

review or study patient

Data type

text

Alias
UMLS CUI [1]
C0587970
UMLS CUI [2]
C0422740
Infektiosität
Description

Infektiosität

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
Radiologische Anforderung
Description

Radiologische Anforderung

Alias
UMLS CUI-1
C0043299
UMLS CUI-2
C1272683
Dringlichkeit
Description

urgency

Data type

text

Alias
UMLS CUI [1,1]
C0043299
UMLS CUI [1,2]
C2188402
Wunschtermin
Description

scheduled date radiology

Data type

text

Terminwunsch
Description

scheduled date

Data type

datetime

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

transport

Data type

text

Alias
UMLS CUI [1]
C0150390
Allergie
Description

allergy

Data type

text

Alias
UMLS CUI [1]
C0020517
Allergie
Description

other allergy

Data type

text

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0205394
Schwangerschaft
Description

pregnancy

Data type

text

Alias
UMLS CUI [1]
C0032961
Pat. ist hör-/ sehbehindert
Description

patient with disabilities

Data type

boolean

Alias
UMLS CUI [1]
C0848765
UMLS CUI [2]
C0848765
Voruntersuchungen - extern
Description

preliminary examination

Data type

boolean

Alias
UMLS CUI [1,1]
C0582103
UMLS CUI [1,2]
C1548161
Labor
Description

Labor

Alias
UMLS CUI-1
C0022877
TSH basal
Description

TSH

Data type

float

Measurement units
  • μU/ml
Alias
UMLS CUI [1]
C0040160
μU/ml
vom
Description

TSH date

Data type

date

Alias
UMLS CUI [1,1]
C0040160
UMLS CUI [1,2]
C0011008
Kreatinin
Description

creatinine

Data type

float

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0201976
mg/dl
vom
Description

creatinine date

Data type

date

Alias
UMLS CUI [1,1]
C0201976
UMLS CUI [1,2]
C0011008
Befund
Description

Befund

Klinische Befunde
Description

clinical findings

Data type

text

Alias
UMLS CUI [1,1]
C0043299
UMLS CUI [1,2]
C2607943
Fragestellung
Description

question

Data type

text

Alias
UMLS CUI [1,1]
C0043299
UMLS CUI [1,2]
C0332147
Bemerkungen
Description

remarks

Data type

text

Alias
UMLS CUI [1,1]
C0043299
UMLS CUI [1,2]
C2607943
UMLS CUI [1,3]
C0947611
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Similar models

Radiological Request University Hospital Muenster (UKM)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Daten
order number
Item
Auftragsnr.:
text
C1548260 (UMLS CUI [1,1])
C0043299 (UMLS CUI [1,2])
order date
Item
Angefordert am:
date
C1549499 (UMLS CUI [1])
order person
Item
durch:
text
C1272683 (UMLS CUI [1,1])
C0043299 (UMLS CUI [1,2])
C0031831 (UMLS CUI [1,3])
telephone number department
Item
Tel. der Abt. (für Rückfragen):
text
C1515258 (UMLS CUI [1,1])
C1704729 (UMLS CUI [1,2])
Item
Gewünschte Untersuchung/Leistung:
text
C0087111 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
requested procedure
Code List
Gewünschte Untersuchung/Leistung:
CL Item
CT (CT)
CL Item
MRT (MRT)
CL Item
Sono (Sono)
CL Item
Durchleuchtung (Durchleuchtung)
CL Item
Service (Service)
CL Item
Rö (Rö)
CL Item
Rö-Thorax (Rö-Thorax)
CL Item
Angiografie/Gefäßintervention (Angiografie/Gefäßintervention)
Item
Gewünschte Untersuchung/Leistung:
text
C0587970 (UMLS CUI [1])
C0422740 (UMLS CUI [2])
review or study patient
Code List
Gewünschte Untersuchung/Leistung:
CL Item
Gutachten (Gutachten)
CL Item
Studienpatient (Studienpatient)
Item Group
Infektiosität
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 Group
Radiologische Anforderung
C0043299 (UMLS CUI-1)
C1272683 (UMLS CUI-2)
Item
Dringlichkeit
text
C0043299 (UMLS CUI [1,1])
C2188402 (UMLS CUI [1,2])
urgency
Code List
Dringlichkeit
CL Item
dringend (dringend)
CL Item
normal (normal)
CL Item
Notfall (Notfall)
Item
Wunschtermin
text
scheduled date radiology
Code List
Wunschtermin
CL Item
sofort (sofort)
CL Item
Datum/Uhrzeit (Datum/Uhrzeit)
scheduled date
Item
Terminwunsch
datetime
C0430022 (UMLS CUI [1,1])
C2986272 (UMLS CUI [1,2])
Item
Transport
text
C0150390 (UMLS CUI [1])
transport
Code List
Transport
CL Item
gehfähig (gehfähig)
CL Item
sitzend (sitzend)
CL Item
liegend (liegend)
CL Item
beatmet/intensiv (beatmet/intensiv)
CL Item
in med. Begleitg. (in med. Begleitg.)
Item
Allergie
text
C0020517 (UMLS CUI [1])
allergy
Code List
Allergie
CL Item
keine bekannt (keine bekannt)
CL Item
Kontrastmittel (Kontrastmittel)
CL Item
andere (andere)
other allergy
Item
Allergie
text
C0020517 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
Schwangerschaft
text
C0032961 (UMLS CUI [1])
pregnancy
Code List
Schwangerschaft
CL Item
ja (ja)
CL Item
nein (nein)
CL Item
nicht sicher (nicht sicher)
CL Item
ausgeschlossen (ausgeschlossen)
patient with disabilities
Item
Pat. ist hör-/ sehbehindert
boolean
C0848765 (UMLS CUI [1])
C0848765 (UMLS CUI [2])
preliminary examination
Item
Voruntersuchungen - extern
boolean
C0582103 (UMLS CUI [1,1])
C1548161 (UMLS CUI [1,2])
Item Group
Labor
C0022877 (UMLS CUI-1)
TSH
Item
TSH basal
float
C0040160 (UMLS CUI [1])
TSH date
Item
vom
date
C0040160 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
creatinine
Item
Kreatinin
float
C0201976 (UMLS CUI [1])
creatinine date
Item
vom
date
C0201976 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Befund
clinical findings
Item
Klinische Befunde
text
C0043299 (UMLS CUI [1,1])
C2607943 (UMLS CUI [1,2])
question
Item
Fragestellung
text
C0043299 (UMLS CUI [1,1])
C0332147 (UMLS CUI [1,2])
remarks
Item
Bemerkungen
text
C0043299 (UMLS CUI [1,1])
C2607943 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
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