ID

17695

Beskrivning

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

Nyckelord

Versioner (2)
  1. 28/9/16 28/9/16 -
  2. 28/9/16 28/9/16 -
Uppladdad den

28 de septiembre de 2016

DOI

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Creative Commons BY-NC 3.0
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Medical Notification Occupational Disease University Hospital Muenster (UKM)

Tysk Engelsk

Medical Notification Occupational Disease University Hospital Muenster (UKM)

1 Formulär  
Default Itemgroup
Beskrivning

Default Itemgroup

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

membership number

Datatyp

text

Alias
UMLS CUI [1]
C1548070
trade control
Beskrivning

trade control

Datatyp

text

road number job center
Beskrivning

road number job center

Datatyp

text

type of accident
Beskrivning

type of accident

Datatyp

text

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

registration type

Datatyp

text

registration year
Beskrivning

registration year

Datatyp

integer

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

insurance carrier

Datatyp

text

Alias
UMLS CUI [1]
C0021675
assurance product
Beskrivning

assurance product

Datatyp

text

Alias
UMLS CUI [1]
C0021680
file reference
Beskrivning

file reference

Datatyp

text

address
Beskrivning

address

Datatyp

text

Alias
UMLS CUI [1]
C0376649
Information about Insurant
Beskrivning

Information about Insurant

patient name
Beskrivning

patient name

Datatyp

text

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

insurance numbers or birth date

Datatyp

text

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

street

Datatyp

text

Alias
UMLS CUI [1]
C1301826
PLZ
Beskrivning

PLZ

Datatyp

text

Alias
UMLS CUI [1]
C0421454
city
Beskrivning

city

Datatyp

text

Alias
UMLS CUI [1]
C0008848
comment 7
Beskrivning

comment 7

Datatyp

text

gender
Beskrivning

gender

Datatyp

text

Alias
UMLS CUI [1]
C0079399
nationality
Beskrivning

nationality

Datatyp

text

Alias
UMLS CUI [1]
C0027473
comment 9
Beskrivning

comment 9

Datatyp

text

comment 10
Beskrivning

comment 10

Datatyp

text

workplace
Beskrivning

workplace

Datatyp

text

Alias
UMLS CUI [1]
C0162579
occupation
Beskrivning

occupation

Datatyp

text

Alias
UMLS CUI [1]
C0028811
occupation since
Beskrivning

occupation since

Datatyp

text

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

health insurance

Datatyp

text

Alias
UMLS CUI [1]
C0021682
stopped working
Beskrivning

stopped working

Datatyp

boolean

Alias
UMLS CUI [1]
C0425082
date stopped work
Beskrivning

date stopped work

Datatyp

text

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

returned to work

Datatyp

boolean

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

returned to work date

Datatyp

text

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

Information about Health State of Patient

complaints
Beskrivning

complaints

Datatyp

text

Alias
UMLS CUI [1]
C0871764
onset complaints
Beskrivning

onset complaints

Datatyp

text

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

occupational impacts

Datatyp

text

Alias
UMLS CUI [1]
C3539941
occupational disease
Beskrivning

occupational disease

Datatyp

text

Alias
UMLS CUI [1]
C0028797
comment 25
Beskrivning

comment 25

Datatyp

text

diagnosis
Beskrivning

diagnosis

Datatyp

text

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

pre-existing conditions

Datatyp

text

Alias
UMLS CUI [1]
C0521987
physican
Beskrivning

physican

Datatyp

text

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

current physician

Datatyp

text

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

insurant current place

Datatyp

text

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

treatments

Datatyp

text

Alias
UMLS CUI [1]
C0087111
treatment date
Beskrivning

treatment date

Datatyp

date

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

no treatment

Datatyp

boolean

Alias
UMLS CUI [1]
C0746919
death of patient
Beskrivning

death of patient

Datatyp

boolean

Alias
UMLS CUI [1]
C0011065
time of death
Beskrivning

time of death

Datatyp

datetime

Alias
UMLS CUI [1]
C1301931
comment 33
Beskrivning

comment 33

Datatyp

text

autopsy
Beskrivning

autopsy

Datatyp

boolean

Alias
UMLS CUI [1]
C0004398
time autopsy
Beskrivning

time autopsy

Datatyp

date

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

autopsy performer

Datatyp

text

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

Information about Occupation of Patient

name and type of company
Beskrivning

name and type of company

Datatyp

text

Alias
UMLS CUI [1]
C0683757
PLZ company
Beskrivning

PLZ company

Datatyp

text

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

city and street

Datatyp

text

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

occupation

Datatyp

text

Alias
UMLS CUI [1]
C0028811
occupation date
Beskrivning

occupation date

Datatyp

date

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

occupation duration

Datatyp

text

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

occupational medicine check-ups

Datatyp

text

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

additional information

Datatyp

text

Alias
UMLS CUI [1]
C1546922
place and date
Beskrivning

place and date

Datatyp

text

Alias
UMLS CUI [1]
C0011008
address
Beskrivning

address

Datatyp

text

Alias
UMLS CUI [1]
C0421449
financial institute
Beskrivning

financial institute

Datatyp

text

Alias
UMLS CUI [1]
C0442598
bank account number
Beskrivning

bank account number

Datatyp

text

Alias
UMLS CUI [1]
C1549682
BIC
Beskrivning

BIC

Datatyp

text

Alias
UMLS CUI [1]
C1549682
signature physician
Beskrivning

signature physician

Datatyp

text

Alias
UMLS CUI [1]
C0807938
Tillbaka till toppen

Similar models

Medical Notification Occupational Disease University Hospital Muenster (UKM)

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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