Allgemeine Information
Order number
text
Name of patient
Date of birth
date
Date of admission
Treating physician
für Rückfragen
integer
Date of request
Sender of request
Requested examination/service
Anamnesis & Clinical information
Anamnesis/Clinical information
Comments
Height
float
Weight
Date of last catheter
Anticoagulation
Vitamin K antagonist
boolean
Unfractioned heparin
Low molecular heparin
Dabigatran
Acetylsalicylic acid
Clopidogrel
Prasugrel
Other
Other text
None
Infectivity
Unknown
Hepatitis B
Hepatitis C
Tuberculosis (TB)
HIV
Vancomycin-resistant enterococci (VRE)
MRSA
Other infections
Other infections text
Further information
Urgency
Requested date: immediately
Requested date
datetime
Transport
No known allergies
Contrast agent allergy
Other allergies
Other allergies, text
Pregnancy
Anesthesia necessary
Subsequent dialysis
Cardiac defect
Laboratory findings
Hemoglobin value
Creatinine value
PTT value
PT/Quick value
TSH value