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Medical Notification Occupational Disease University Hospital Muenster (UKM)

1 formularios  
Default Itemgroup
Descripción

Default Itemgroup

Alias
UMLS CUI-1
C0422202
UMLS CUI-2
C0028797
membership number
Descripción

membership number

Tipo de datos

text

Alias
UMLS CUI [1]
C1548070
trade control
Descripción

trade control

Tipo de datos

text

road number job center
Descripción

road number job center

Tipo de datos

text

type of accident
Descripción

type of accident

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0000924
UMLS CUI [1,2]
C0332307
registration type
Descripción

registration type

Tipo de datos

text

registration year
Descripción

registration year

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1514821
UMLS CUI [1,2]
C0439234
insurance carrier
Descripción

insurance carrier

Tipo de datos

text

Alias
UMLS CUI [1]
C0021675
assurance product
Descripción

assurance product

Tipo de datos

text

Alias
UMLS CUI [1]
C0021680
file reference
Descripción

file reference

Tipo de datos

text

address
Descripción

address

Tipo de datos

text

Alias
UMLS CUI [1]
C0376649
Information about Insurant
Descripción

Information about Insurant

patient name
Descripción

patient name

Tipo de datos

text

Alias
UMLS CUI [1]
C1299487
insurance numbers or birth date
Descripción

insurance numbers or birth date

Tipo de datos

text

Alias
UMLS CUI [1]
C0421451
UMLS CUI [2,1]
C0021680
UMLS CUI [2,2]
C0600091
street
Descripción

street

Tipo de datos

text

Alias
UMLS CUI [1]
C1301826
PLZ
Descripción

PLZ

Tipo de datos

text

Alias
UMLS CUI [1]
C0421454
city
Descripción

city

Tipo de datos

text

Alias
UMLS CUI [1]
C0008848
comment 7
Descripción

comment 7

Tipo de datos

text

gender
Descripción

gender

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
nationality
Descripción

nationality

Tipo de datos

text

Alias
UMLS CUI [1]
C0027473
comment 9
Descripción

comment 9

Tipo de datos

text

comment 10
Descripción

comment 10

Tipo de datos

text

workplace
Descripción

workplace

Tipo de datos

text

Alias
UMLS CUI [1]
C0162579
occupation
Descripción

occupation

Tipo de datos

text

Alias
UMLS CUI [1]
C0028811
occupation since
Descripción

occupation since

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0028811
UMLS CUI [1,2]
C0946385
health insurance
Descripción

health insurance

Tipo de datos

text

Alias
UMLS CUI [1]
C0021682
stopped working
Descripción

stopped working

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0425082
date stopped work
Descripción

date stopped work

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0425082
UMLS CUI [1,2]
C0011008
returned to work
Descripción

returned to work

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0425105
returned to work date
Descripción

returned to work date

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0425105
UMLS CUI [1,2]
C0011008
Information about Health State of Patient
Descripción

Information about Health State of Patient

complaints
Descripción

complaints

Tipo de datos

text

Alias
UMLS CUI [1]
C0871764
onset complaints
Descripción

onset complaints

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0871764
UMLS CUI [1,2]
C0332162
occupational impacts
Descripción

occupational impacts

Tipo de datos

text

Alias
UMLS CUI [1]
C3539941
occupational disease
Descripción

occupational disease

Tipo de datos

text

Alias
UMLS CUI [1]
C0028797
comment 25
Descripción

comment 25

Tipo de datos

text

diagnosis
Descripción

diagnosis

Tipo de datos

text

Alias
UMLS CUI [1]
C0497120
UMLS CUI [2]
C0011900
pre-existing conditions
Descripción

pre-existing conditions

Tipo de datos

text

Alias
UMLS CUI [1]
C0521987
physican
Descripción

physican

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0205435
current physician
Descripción

current physician

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0031831
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0521116
insurant current place
Descripción

insurant current place

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0442504
UMLS CUI [1,2]
C0030705
treatments
Descripción

treatments

Tipo de datos

text

Alias
UMLS CUI [1]
C0087111
treatment date
Descripción

treatment date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0011008
no treatment
Descripción

no treatment

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0746919
death of patient
Descripción

death of patient

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0011065
time of death
Descripción

time of death

Tipo de datos

datetime

Alias
UMLS CUI [1]
C1301931
comment 33
Descripción

comment 33

Tipo de datos

text

autopsy
Descripción

autopsy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0004398
time autopsy
Descripción

time autopsy

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0004398
UMLS CUI [1,2]
C0011008
autopsy performer
Descripción

autopsy performer

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0004398
UMLS CUI [1,2]
C0027361
Information about Occupation of Patient
Descripción

Information about Occupation of Patient

name and type of company
Descripción

name and type of company

Tipo de datos

text

Alias
UMLS CUI [1]
C0683757
PLZ company
Descripción

PLZ company

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0683757
UMLS CUI [1,2]
C1514254
city and street
Descripción

city and street

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0683757
UMLS CUI [1,2]
C1442065
occupation
Descripción

occupation

Tipo de datos

text

Alias
UMLS CUI [1]
C0028811
occupation date
Descripción

occupation date

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0028811
UMLS CUI [1,2]
C0011008
occupation duration
Descripción

occupation duration

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0028811
UMLS CUI [1,2]
C0449238
occupational medicine check-ups
Descripción

occupational medicine check-ups

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1555855
UMLS CUI [1,2]
C0598836
additional information
Descripción

additional information

Tipo de datos

text

Alias
UMLS CUI [1]
C1546922
place and date
Descripción

place and date

Tipo de datos

text

Alias
UMLS CUI [1]
C0011008
address
Descripción

address

Tipo de datos

text

Alias
UMLS CUI [1]
C0421449
financial institute
Descripción

financial institute

Tipo de datos

text

Alias
UMLS CUI [1]
C0442598
bank account number
Descripción

bank account number

Tipo de datos

text

Alias
UMLS CUI [1]
C1549682
BIC
Descripción

BIC

Tipo de datos

text

Alias
UMLS CUI [1]
C1549682
signature physician
Descripción

signature physician

Tipo de datos

text

Alias
UMLS CUI [1]
C0807938
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Similar models

Medical Notification Occupational Disease University Hospital Muenster (UKM)

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Default Itemgroup
C0422202 (UMLS CUI-1)
C0028797 (UMLS CUI-2)
membership number
Item
text
C1548070 (UMLS CUI [1])
trade control
Item
text
road number job center
Item
text
type of accident
Item
text
C0000924 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
registration type
Item
text
registration year
Item
integer
C1514821 (UMLS CUI [1,1])
C0439234 (UMLS CUI [1,2])
insurance carrier
Item
text
C0021675 (UMLS CUI [1])
assurance product
Item
text
C0021680 (UMLS CUI [1])
file reference
Item
text
address
Item
text
C0376649 (UMLS CUI [1])
patient name
Item
text
C1299487 (UMLS CUI [1])
insurance numbers or birth date
Item
text
C0421451 (UMLS CUI [1])
C0021680 (UMLS CUI [2,1])
C0600091 (UMLS CUI [2,2])
street
Item
text
C1301826 (UMLS CUI [1])
PLZ
Item
text
C0421454 (UMLS CUI [1])
city
Item
text
C0008848 (UMLS CUI [1])
comment 7
Item
text
Item
text
C0079399 (UMLS CUI [1])
gender
Code List
gender
CL Item
 (männlich)
CL Item
 (weiblich)
nationality
Item
text
C0027473 (UMLS CUI [1])
comment 9
Item
text
comment 10
Item
text
workplace
Item
text
C0162579 (UMLS CUI [1])
occupation
Item
text
C0028811 (UMLS CUI [1])
occupation since
Item
text
C0028811 (UMLS CUI [1,1])
C0946385 (UMLS CUI [1,2])
health insurance
Item
text
C0021682 (UMLS CUI [1])
stopped working
Item
boolean
C0425082 (UMLS CUI [1])
date stopped work
Item
text
C0425082 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
returned to work
Item
boolean
C0425105 (UMLS CUI [1])
returned to work date
Item
text
C0425105 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
complaints
Item
text
C0871764 (UMLS CUI [1])
onset complaints
Item
text
C0871764 (UMLS CUI [1,1])
C0332162 (UMLS CUI [1,2])
occupational impacts
Item
text
C3539941 (UMLS CUI [1])
occupational disease
Item
text
C0028797 (UMLS CUI [1])
comment 25
Item
text
diagnosis
Item
text
C0497120 (UMLS CUI [1])
C0011900 (UMLS CUI [2])
pre-existing conditions
Item
text
C0521987 (UMLS CUI [1])
physican
Item
text
C0031831 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0205435 (UMLS CUI [1,3])
current physician
Item
text
C0031831 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0521116 (UMLS CUI [1,3])
insurant current place
Item
text
C0442504 (UMLS CUI [1,1])
C0030705 (UMLS CUI [1,2])
treatments
Item
text
C0087111 (UMLS CUI [1])
treatment date
Item
date
C0087111 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
no treatment
Item
boolean
C0746919 (UMLS CUI [1])
death of patient
Item
boolean
C0011065 (UMLS CUI [1])
time of death
Item
datetime
C1301931 (UMLS CUI [1])
comment 33
Item
text
autopsy
Item
boolean
C0004398 (UMLS CUI [1])
time autopsy
Item
date
C0004398 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
autopsy performer
Item
text
C0004398 (UMLS CUI [1,1])
C0027361 (UMLS CUI [1,2])
name and type of company
Item
text
C0683757 (UMLS CUI [1])
PLZ company
Item
text
C0683757 (UMLS CUI [1,1])
C1514254 (UMLS CUI [1,2])
city and street
Item
text
C0683757 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
occupation
Item
text
C0028811 (UMLS CUI [1])
occupation date
Item
date
C0028811 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
occupation duration
Item
text
C0028811 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
occupational medicine check-ups
Item
text
C1555855 (UMLS CUI [1,1])
C0598836 (UMLS CUI [1,2])
additional information
Item
text
C1546922 (UMLS CUI [1])
place and date
Item
text
C0011008 (UMLS CUI [1])
address
Item
text
C0421449 (UMLS CUI [1])
financial institute
Item
text
C0442598 (UMLS CUI [1])
bank account number
Item
text
C1549682 (UMLS CUI [1])
BIC
Item
text
C1549682 (UMLS CUI [1])
signature physician
Item
text
C0807938 (UMLS CUI [1])
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