ID

17737

Description

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Fußbogen MS.

Keywords

Versions (1)
  1. 9/30/16 9/30/16 -
Uploaded on

September 30, 2016

DOI

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License

Creative Commons BY-NC 3.0
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Feet Form University Hospital Muenster (UKM)

German

Feet Form University Hospital Muenster (UKM)

1 forms  
Angaben zum Patienten
Description

Angaben zum Patienten

Name
Description

patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
geb.:
Description

date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Fall-Nr.:
Description

case number

Data type

text

Alias
UMLS CUI [1,1]
C0872057
UMLS CUI [1,2]
C1300638
Admission date and time:
Description

admission date

Data type

datetime

Alias
UMLS CUI [1]
C1302393
Anamnese
Description

Anamnese

Alias
UMLS CUI-1
C0199182
wichtige Dauerdiagnosen
Description

important chronic diagnosis

Data type

text

Alias
UMLS CUI [1,1]
C0008679
UMLS CUI [1,2]
C3898777
frühere Fuß-Läsionen (Jahr)
Description

ealier foot lesions

Data type

text

Alias
UMLS CUI [1,1]
C0744147
UMLS CUI [1,2]
C1279919
keine
Description

no foot lesions

Data type

boolean

Alias
UMLS CUI [1]
C0744147
Fuß-Operationen (Jahr)
Description

surgery on feet

Data type

text

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0016504
keine
Description

no surgery on feet

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0016504
Antibiotische Vorbehandlung
Description

antibiotics

Data type

boolean

Alias
UMLS CUI [1,1]
C2709094
UMLS CUI [1,2]
C0003232
MRSA
Description

MRSA

Data type

text

Alias
UMLS CUI [1]
C0343401
Bisherige Schuhversorgung
Description

shoes

Data type

text

Alias
UMLS CUI [1,1]
C0036988
UMLS CUI [1,2]
C0039798
Bisherige Schuhversorgung
Description

shoes sufficiency

Data type

text

Alias
UMLS CUI [1,1]
C0036988
UMLS CUI [1,2]
C0039798
UMLS CUI [1,3]
C0205410
Versorgung ist insuffizient, weil
Description

shoes sufficiency reason

Data type

text

Alias
UMLS CUI [1,1]
C0036988
UMLS CUI [1,2]
C0039798
UMLS CUI [1,3]
C0231180
UMLS CUI [1,4]
C0392360
Neurologie
Description

Neurologie

Alias
UMLS CUI-1
C0027855
PNP mit Sensibilitätsverlust vorhanden
Description

PNP

Data type

boolean

Alias
UMLS CUI [1,1]
C0152025
UMLS CUI [1,2]
C0028643
Vibration [x/8] Rechts
Description

vibration right

Data type

text

Alias
UMLS CUI [1,1]
C0234198
UMLS CUI [1,2]
C0205090
Vibration [x/8] links
Description

vibration left

Data type

text

Alias
UMLS CUI [1,1]
C0234198
UMLS CUI [1,2]
C0205091
ASR auslösbar Rechts
Description

ASR right

Data type

text

Alias
UMLS CUI [1]
C2028419
ASR auslösbar Links
Description

ASR left

Data type

text

Alias
UMLS CUI [1]
C2028418
10g Sem. Weinstein Filament Rechts
Description

weinstein test right

Data type

text

Alias
UMLS CUI [1,1]
C2959403
UMLS CUI [1,2]
C0205090
10g Sem. Weinstein Filament Links
Description

weinstein test left

Data type

text

Alias
UMLS CUI [1,1]
C2959403
UMLS CUI [1,2]
C0205091
Neuropathie Symptome (Score)
Description

neuropathy symptoms score

Data type

integer

Alias
UMLS CUI [1,1]
C0442874
UMLS CUI [1,2]
C0449820
Sonstiges
Description

other

Data type

text

Alias
UMLS CUI [1]
C0205394
Diagnosen
Description

diagnoses

Data type

text

Alias
UMLS CUI [1,1]
C0027855
UMLS CUI [1,2]
C0011900
Fußbefund
Description

Fußbefund

Alias
UMLS CUI-1
C0576221
vom
Description

date foot finding

Data type

date

Alias
UMLS CUI [1,1]
C0576221
UMLS CUI [1,2]
C0011008
Läsion
Description

foot lesion

Data type

text

Alias
UMLS CUI [1]
C0744147
keine
Description

no foot lesion

Data type

boolean

Alias
UMLS CUI [1]
C0744147
Deformitäten
Description

foot deformities

Data type

text

Alias
UMLS CUI [1]
C0016506
keine
Description

no foot deformities

Data type

boolean

Alias
UMLS CUI [1]
C0016506
Eingeschränkte Gelenkbeweglichkeit
Description

impaired mobility

Data type

text

Alias
UMLS CUI [1,1]
C1857108
UMLS CUI [1,2]
C0016504
keine
Description

no impaired mobility

Data type

boolean

Alias
UMLS CUI [1,1]
C1857108
UMLS CUI [1,2]
C0016504
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Similar models

Feet Form University Hospital Muenster (UKM)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Angaben zum Patienten
patient name
Item
Name
text
C1299487 (UMLS CUI [1])
date of birth
Item
geb.:
date
C0421451 (UMLS CUI [1])
case number
Item
Fall-Nr.:
text
C0872057 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
admission date
Item
Admission date and time:
datetime
C1302393 (UMLS CUI [1])
Item Group
Anamnese
C0199182 (UMLS CUI-1)
important chronic diagnosis
Item
wichtige Dauerdiagnosen
text
C0008679 (UMLS CUI [1,1])
C3898777 (UMLS CUI [1,2])
ealier foot lesions
Item
frühere Fuß-Läsionen (Jahr)
text
C0744147 (UMLS CUI [1,1])
C1279919 (UMLS CUI [1,2])
no foot lesions
Item
keine
boolean
C0744147 (UMLS CUI [1])
surgery on feet
Item
Fuß-Operationen (Jahr)
text
C0543467 (UMLS CUI [1,1])
C0016504 (UMLS CUI [1,2])
no surgery on feet
Item
keine
boolean
C0543467 (UMLS CUI [1,1])
C0016504 (UMLS CUI [1,2])
antibiotics
Item
Antibiotische Vorbehandlung
boolean
C2709094 (UMLS CUI [1,1])
C0003232 (UMLS CUI [1,2])
Item
MRSA
text
C0343401 (UMLS CUI [1])
MRSA
Code List
MRSA
CL Item
z.Zeit (z.Zeit)
CL Item
früher schon mal (früher schon mal)
Item
Bisherige Schuhversorgung
text
C0036988 (UMLS CUI [1,1])
C0039798 (UMLS CUI [1,2])
shoes
Code List
Bisherige Schuhversorgung
CL Item
keine spezielle (keine spezielle)
CL Item
Schutzschuh (Schutzschuh)
CL Item
Maßschuh (Maßschuh)
CL Item
Weichpolstereinlage (Weichpolstereinlage)
CL Item
DAF (DAF)
CL Item
Entlastungsschuh (Entlastungsschuh)
Item
Bisherige Schuhversorgung
text
C0036988 (UMLS CUI [1,1])
C0039798 (UMLS CUI [1,2])
C0205410 (UMLS CUI [1,3])
shoes
Code List
Bisherige Schuhversorgung
CL Item
Versorgung ist suffizient (Versorgung ist suffizient)
CL Item
Versorgung ist insuffizient (Versorgung ist insuffizient)
shoes sufficiency reason
Item
Versorgung ist insuffizient, weil
text
C0036988 (UMLS CUI [1,1])
C0039798 (UMLS CUI [1,2])
C0231180 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
Item Group
Neurologie
C0027855 (UMLS CUI-1)
PNP
Item
PNP mit Sensibilitätsverlust vorhanden
boolean
C0152025 (UMLS CUI [1,1])
C0028643 (UMLS CUI [1,2])
Item
Vibration [x/8] Rechts
text
C0234198 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
vibration right
Code List
Vibration [x/8] Rechts
CL Item
D1 (D1)
CL Item
Mall (Mall)
CL Item
Tib (Tib)
Item
Vibration [x/8] links
text
C0234198 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
vibration right
Code List
Vibration [x/8] links
CL Item
D1 (D1)
CL Item
Mall (Mall)
CL Item
Tib (Tib)
Item
ASR auslösbar Rechts
text
C2028419 (UMLS CUI [1])
ASR
Code List
ASR auslösbar Rechts
CL Item
nicht (nicht)
CL Item
schwach  (schwach )
CL Item
gut (gut)
Item
ASR auslösbar Links
text
C2028418 (UMLS CUI [1])
ASR
Code List
ASR auslösbar Links
CL Item
nicht (nicht)
CL Item
schwach  (schwach )
CL Item
gut (gut)
Item
10g Sem. Weinstein Filament Rechts
text
C2959403 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
weinstein test right
Code List
10g Sem. Weinstein Filament Rechts
CL Item
MFK (MFK)
CL Item
MFK5 (MFK5)
CL Item
D1 (D1)
Item
10g Sem. Weinstein Filament Links
text
C2959403 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
weinstein test right
Code List
10g Sem. Weinstein Filament Links
CL Item
MFK (MFK)
CL Item
MFK5 (MFK5)
CL Item
D1 (D1)
neuropathy symptoms score
Item
Neuropathie Symptome (Score)
integer
C0442874 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
other
Item
Sonstiges
text
C0205394 (UMLS CUI [1])
diagnoses
Item
Diagnosen
text
C0027855 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
Item Group
Fußbefund
C0576221 (UMLS CUI-1)
date foot finding
Item
vom
date
C0576221 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
foot lesion
Item
Läsion
text
C0744147 (UMLS CUI [1])
no foot lesion
Item
keine
boolean
C0744147 (UMLS CUI [1])
foot deformities
Item
Deformitäten
text
C0016506 (UMLS CUI [1])
no foot deformities
Item
keine
boolean
C0016506 (UMLS CUI [1])
impaired mobility
Item
Eingeschränkte Gelenkbeweglichkeit
text
C1857108 (UMLS CUI [1,1])
C0016504 (UMLS CUI [1,2])
no impaired mobility
Item
keine
boolean
C1857108 (UMLS CUI [1,1])
C0016504 (UMLS CUI [1,2])
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