ID

17695

Beschreibung

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Aerztl AZ Berufskrankheit - composer.

Stichworte

Versionen (2)
  1. 28.09.16 28.09.16 -
  2. 28.09.16 28.09.16 -
Hochgeladen am

28. September 2016

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Medical Notification Occupational Disease University Hospital Muenster (UKM)

Deutsch Englisch

Medical Notification Occupational Disease University Hospital Muenster (UKM)

1 Formulare  
Default Itemgroup
Beschreibung

Default Itemgroup

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

membership number

Datentyp

text

Alias
UMLS CUI [1]
C1548070
trade control
Beschreibung

trade control

Datentyp

text

road number job center
Beschreibung

road number job center

Datentyp

text

type of accident
Beschreibung

type of accident

Datentyp

text

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

registration type

Datentyp

text

registration year
Beschreibung

registration year

Datentyp

integer

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

insurance carrier

Datentyp

text

Alias
UMLS CUI [1]
C0021675
assurance product
Beschreibung

assurance product

Datentyp

text

Alias
UMLS CUI [1]
C0021680
file reference
Beschreibung

file reference

Datentyp

text

address
Beschreibung

address

Datentyp

text

Alias
UMLS CUI [1]
C0376649
Information about Insurant
Beschreibung

Information about Insurant

patient name
Beschreibung

patient name

Datentyp

text

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

insurance numbers or birth date

Datentyp

text

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

street

Datentyp

text

Alias
UMLS CUI [1]
C1301826
PLZ
Beschreibung

PLZ

Datentyp

text

Alias
UMLS CUI [1]
C0421454
city
Beschreibung

city

Datentyp

text

Alias
UMLS CUI [1]
C0008848
comment 7
Beschreibung

comment 7

Datentyp

text

gender
Beschreibung

gender

Datentyp

text

Alias
UMLS CUI [1]
C0079399
nationality
Beschreibung

nationality

Datentyp

text

Alias
UMLS CUI [1]
C0027473
comment 9
Beschreibung

comment 9

Datentyp

text

comment 10
Beschreibung

comment 10

Datentyp

text

workplace
Beschreibung

workplace

Datentyp

text

Alias
UMLS CUI [1]
C0162579
occupation
Beschreibung

occupation

Datentyp

text

Alias
UMLS CUI [1]
C0028811
occupation since
Beschreibung

occupation since

Datentyp

text

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

health insurance

Datentyp

text

Alias
UMLS CUI [1]
C0021682
stopped working
Beschreibung

stopped working

Datentyp

boolean

Alias
UMLS CUI [1]
C0425082
date stopped work
Beschreibung

date stopped work

Datentyp

text

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

returned to work

Datentyp

boolean

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

returned to work date

Datentyp

text

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

Information about Health State of Patient

complaints
Beschreibung

complaints

Datentyp

text

Alias
UMLS CUI [1]
C0871764
onset complaints
Beschreibung

onset complaints

Datentyp

text

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

occupational impacts

Datentyp

text

Alias
UMLS CUI [1]
C3539941
occupational disease
Beschreibung

occupational disease

Datentyp

text

Alias
UMLS CUI [1]
C0028797
comment 25
Beschreibung

comment 25

Datentyp

text

diagnosis
Beschreibung

diagnosis

Datentyp

text

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

pre-existing conditions

Datentyp

text

Alias
UMLS CUI [1]
C0521987
physican
Beschreibung

physican

Datentyp

text

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

current physician

Datentyp

text

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

insurant current place

Datentyp

text

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

treatments

Datentyp

text

Alias
UMLS CUI [1]
C0087111
treatment date
Beschreibung

treatment date

Datentyp

date

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

no treatment

Datentyp

boolean

Alias
UMLS CUI [1]
C0746919
death of patient
Beschreibung

death of patient

Datentyp

boolean

Alias
UMLS CUI [1]
C0011065
time of death
Beschreibung

time of death

Datentyp

datetime

Alias
UMLS CUI [1]
C1301931
comment 33
Beschreibung

comment 33

Datentyp

text

autopsy
Beschreibung

autopsy

Datentyp

boolean

Alias
UMLS CUI [1]
C0004398
time autopsy
Beschreibung

time autopsy

Datentyp

date

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

autopsy performer

Datentyp

text

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

Information about Occupation of Patient

name and type of company
Beschreibung

name and type of company

Datentyp

text

Alias
UMLS CUI [1]
C0683757
PLZ company
Beschreibung

PLZ company

Datentyp

text

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

city and street

Datentyp

text

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

occupation

Datentyp

text

Alias
UMLS CUI [1]
C0028811
occupation date
Beschreibung

occupation date

Datentyp

date

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

occupation duration

Datentyp

text

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

occupational medicine check-ups

Datentyp

text

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

additional information

Datentyp

text

Alias
UMLS CUI [1]
C1546922
place and date
Beschreibung

place and date

Datentyp

text

Alias
UMLS CUI [1]
C0011008
address
Beschreibung

address

Datentyp

text

Alias
UMLS CUI [1]
C0421449
financial institute
Beschreibung

financial institute

Datentyp

text

Alias
UMLS CUI [1]
C0442598
bank account number
Beschreibung

bank account number

Datentyp

text

Alias
UMLS CUI [1]
C1549682
BIC
Beschreibung

BIC

Datentyp

text

Alias
UMLS CUI [1]
C1549682
signature physician
Beschreibung

signature physician

Datentyp

text

Alias
UMLS CUI [1]
C0807938
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Medical Notification Occupational Disease University Hospital Muenster (UKM)

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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])
Zum Seitenanfang zurückkehren 

Kontakt

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video