ID

17695

Beschrijving

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

Trefwoorden

Versies (2)
  1. 28-09-16 28-09-16 -
  2. 28-09-16 28-09-16 -
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28 september 2016

DOI

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

Duits Engels

Medical Notification Occupational Disease University Hospital Muenster (UKM)

1 Formulieren  
Default Itemgroup
Beschrijving

Default Itemgroup

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

membership number

Datatype

text

Alias
UMLS CUI [1]
C1548070
trade control
Beschrijving

trade control

Datatype

text

road number job center
Beschrijving

road number job center

Datatype

text

type of accident
Beschrijving

type of accident

Datatype

text

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

registration type

Datatype

text

registration year
Beschrijving

registration year

Datatype

integer

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

insurance carrier

Datatype

text

Alias
UMLS CUI [1]
C0021675
assurance product
Beschrijving

assurance product

Datatype

text

Alias
UMLS CUI [1]
C0021680
file reference
Beschrijving

file reference

Datatype

text

address
Beschrijving

address

Datatype

text

Alias
UMLS CUI [1]
C0376649
Information about Insurant
Beschrijving

Information about Insurant

patient name
Beschrijving

patient name

Datatype

text

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

insurance numbers or birth date

Datatype

text

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

street

Datatype

text

Alias
UMLS CUI [1]
C1301826
PLZ
Beschrijving

PLZ

Datatype

text

Alias
UMLS CUI [1]
C0421454
city
Beschrijving

city

Datatype

text

Alias
UMLS CUI [1]
C0008848
comment 7
Beschrijving

comment 7

Datatype

text

gender
Beschrijving

gender

Datatype

text

Alias
UMLS CUI [1]
C0079399
nationality
Beschrijving

nationality

Datatype

text

Alias
UMLS CUI [1]
C0027473
comment 9
Beschrijving

comment 9

Datatype

text

comment 10
Beschrijving

comment 10

Datatype

text

workplace
Beschrijving

workplace

Datatype

text

Alias
UMLS CUI [1]
C0162579
occupation
Beschrijving

occupation

Datatype

text

Alias
UMLS CUI [1]
C0028811
occupation since
Beschrijving

occupation since

Datatype

text

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

health insurance

Datatype

text

Alias
UMLS CUI [1]
C0021682
stopped working
Beschrijving

stopped working

Datatype

boolean

Alias
UMLS CUI [1]
C0425082
date stopped work
Beschrijving

date stopped work

Datatype

text

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

returned to work

Datatype

boolean

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

returned to work date

Datatype

text

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

Information about Health State of Patient

complaints
Beschrijving

complaints

Datatype

text

Alias
UMLS CUI [1]
C0871764
onset complaints
Beschrijving

onset complaints

Datatype

text

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

occupational impacts

Datatype

text

Alias
UMLS CUI [1]
C3539941
occupational disease
Beschrijving

occupational disease

Datatype

text

Alias
UMLS CUI [1]
C0028797
comment 25
Beschrijving

comment 25

Datatype

text

diagnosis
Beschrijving

diagnosis

Datatype

text

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

pre-existing conditions

Datatype

text

Alias
UMLS CUI [1]
C0521987
physican
Beschrijving

physican

Datatype

text

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

current physician

Datatype

text

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

insurant current place

Datatype

text

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

treatments

Datatype

text

Alias
UMLS CUI [1]
C0087111
treatment date
Beschrijving

treatment date

Datatype

date

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

no treatment

Datatype

boolean

Alias
UMLS CUI [1]
C0746919
death of patient
Beschrijving

death of patient

Datatype

boolean

Alias
UMLS CUI [1]
C0011065
time of death
Beschrijving

time of death

Datatype

datetime

Alias
UMLS CUI [1]
C1301931
comment 33
Beschrijving

comment 33

Datatype

text

autopsy
Beschrijving

autopsy

Datatype

boolean

Alias
UMLS CUI [1]
C0004398
time autopsy
Beschrijving

time autopsy

Datatype

date

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

autopsy performer

Datatype

text

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

Information about Occupation of Patient

name and type of company
Beschrijving

name and type of company

Datatype

text

Alias
UMLS CUI [1]
C0683757
PLZ company
Beschrijving

PLZ company

Datatype

text

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

city and street

Datatype

text

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

occupation

Datatype

text

Alias
UMLS CUI [1]
C0028811
occupation date
Beschrijving

occupation date

Datatype

date

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

occupation duration

Datatype

text

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

occupational medicine check-ups

Datatype

text

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

additional information

Datatype

text

Alias
UMLS CUI [1]
C1546922
place and date
Beschrijving

place and date

Datatype

text

Alias
UMLS CUI [1]
C0011008
address
Beschrijving

address

Datatype

text

Alias
UMLS CUI [1]
C0421449
financial institute
Beschrijving

financial institute

Datatype

text

Alias
UMLS CUI [1]
C0442598
bank account number
Beschrijving

bank account number

Datatype

text

Alias
UMLS CUI [1]
C1549682
BIC
Beschrijving

BIC

Datatype

text

Alias
UMLS CUI [1]
C1549682
signature physician
Beschrijving

signature physician

Datatype

text

Alias
UMLS CUI [1]
C0807938
Terug naar het begin van de pagina

Similar models

Medical Notification Occupational Disease University Hospital Muenster (UKM)

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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