ID

17598

Beschrijving

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Kurzbericht nach §2 Abs. 1 des Vertrages nach §112 Abs.2Nr.2 SGB V für NRW..

Trefwoorden

  1. 25-09-16 25-09-16 -
  2. 02-10-16 02-10-16 -
Geüploaded op

25 september 2016

DOI

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Licentie

Creative Commons BY-NC-ND 3.0

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D14 Aerztlicher Kurzbericht MS

D14 Aerztlicher Kurzbericht MS University Hospital Muenster (UKM)

Aufnahme
Beschrijving

Aufnahme

Alias
UMLS CUI-1
C0030673
Aufn.Diagnose(n):
Beschrijving

Admission Diagnosis

Datatype

text

Alias
UMLS CUI [1]
C1628992
voraussichtl. Verweilsd:
Beschrijving

Expected Hospital Stay Length

Datatype

durationDatetime

Alias
UMLS CUI [1,1]
C0023303
UMLS CUI [1,2]
C1517001
Aufn.Diagnose(n):
Beschrijving

Confirmed Admission Diagnosis

Datatype

boolean

Alias
UMLS CUI [1,1]
C1628992
UMLS CUI [1,2]
C0750484
Further Diagnosis
Beschrijving

Further Diagnosis

Datatype

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C1517331
Hospital Stay
Beschrijving

Hospital Stay

Alias
UMLS CUI-1
C3489408
Patient Transfer
Beschrijving

Patient Transfer

Datatype

text

Alias
UMLS CUI [1]
C0030704
Surgery
Beschrijving

Surgery

Datatype

text

Alias
UMLS CUI [1]
C0543467
Therapeutic process
Beschrijving

Therapeutic process

Datatype

text

Alias
UMLS CUI [1]
C0935606
Clinical Action
Beschrijving

Clinical Action

Datatype

text

Alias
UMLS CUI [1]
C0441472
Rehabilitation Therapy
Beschrijving

Rehabilitation Therapy

Datatype

boolean

Alias
UMLS CUI [1]
C0034991
Rehabilitation Therapy Specification
Beschrijving

Rehabilitation Therapy Specification

Datatype

text

Alias
UMLS CUI [1,1]
C0034991
UMLS CUI [1,2]
C2348235
Costs paid by Health Insurance
Beschrijving

Costs paid by Health Insurance

Datatype

date

Alias
UMLS CUI [1,1]
C0085552
UMLS CUI [1,2]
C0021682
Inpatient Treatment
Beschrijving

Inpatient Treatment

Datatype

text

Alias
UMLS CUI [1,1]
C0021562
UMLS CUI [1,2]
C0087111
Inpatient Treatment Date
Beschrijving

Inpatient Treatment Date

Datatype

date

Alias
UMLS CUI [1,1]
C0021562
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0011008
Discharge Date
Beschrijving

Discharge Date

Datatype

date

Alias
UMLS CUI [1]
C2361123
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
Doctor's Name
Beschrijving

Doctor's Name

Datatype

text

Alias
UMLS CUI [1,1]
C0027365
UMLS CUI [1,2]
C0031831
Doctor's Signature
Beschrijving

Doctor's Signature

Datatype

text

Alias
UMLS CUI [1]
C1519316

Similar models

D14 Aerztlicher Kurzbericht MS University Hospital Muenster (UKM)

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Aufnahme
C0030673 (UMLS CUI-1)
Admission Diagnosis
Item
Aufn.Diagnose(n):
text
C1628992 (UMLS CUI [1])
Expected Hospital Stay Length
Item
voraussichtl. Verweilsd:
durationDatetime
C0023303 (UMLS CUI [1,1])
C1517001 (UMLS CUI [1,2])
Confirmed Admission Diagnosis
Item
Aufn.Diagnose(n):
boolean
C1628992 (UMLS CUI [1,1])
C0750484 (UMLS CUI [1,2])
Further Diagnosis
Item
text
C0011900 (UMLS CUI [1,1])
C1517331 (UMLS CUI [1,2])
Item Group
C3489408 (UMLS CUI-1)
Patient Transfer
Item
text
C0030704 (UMLS CUI [1])
Surgery
Item
text
C0543467 (UMLS CUI [1])
Therapeutic process
Item
text
C0935606 (UMLS CUI [1])
Clinical Action
Item
text
C0441472 (UMLS CUI [1])
Rehabilitation Therapy
Item
boolean
C0034991 (UMLS CUI [1])
Rehabilitation Therapy Specification
Item
text
C0034991 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Costs paid by Health Insurance
Item
date
C0085552 (UMLS CUI [1,1])
C0021682 (UMLS CUI [1,2])
Inpatient Treatment
Item
text
C0021562 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
Inpatient Treatment Date
Item
date
C0021562 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Discharge Date
Item
date
C2361123 (UMLS CUI [1])
Item Group
C0205396 (UMLS CUI-1)
C1519316 (UMLS CUI-2)
Date of Report
Item
date
C1302584 (UMLS CUI [1])
Doctor's Name
Item
text
C0027365 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
Doctor's Signature
Item
text
C1519316 (UMLS CUI [1])

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