ID

17879

Beschreibung

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Operationalisierte Psychodynamische Diagnostik (OPD) - Station- Abschlussdokumentation.

Stichworte

Versionen (3)
  1. 06.10.16 06.10.16 -
  2. 06.10.16 06.10.16 -
  3. 07.11.17 07.11.17 -
Hochgeladen am

6. Oktober 2016

DOI

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Lizenz

Creative Commons BY-NC-ND 3.0
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OPD Abschlussdokumentation MS University Hospital Muenster (UKM)

Deutsch Englisch

OPD Abschlussdokumentation MS University Hospital Muenster (UKM)

1 Formulare  
Default Itemgroup
Beschreibung

Default Itemgroup

Alias
UMLS CUI-1
C0596545
UMLS CUI-2
C0012634
UMLS CUI-3
C1274122
Experience of Disease and Treatment Condition
Beschreibung

Experience of Disease and Treatment Condition

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0596545
UMLS CUI [1,2]
C0012634
UMLS CUI [2]
C1274122
Experience of Disease and Treatment Condition Specification
Beschreibung

Experience of Disease and Treatment Condition Specification

Datentyp

text

Alias
UMLS CUI [1,1]
C0596545
UMLS CUI [1,2]
C0012634
UMLS CUI [1,3]
C2348235
UMLS CUI [2,1]
C1274122
UMLS CUI [2,2]
C2348235
Severity of illness
Beschreibung

Severity of illness

Datentyp

text

Alias
UMLS CUI [1]
C0521117
GAF Score
Beschreibung

GAF Score

Datentyp

text

Alias
UMLS CUI [1]
C2231024
GAF Score Specification
Beschreibung

GAF Score Specification

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2231024
UMLS CUI [1,2]
C2348235
EuroQoL five dimension questionnaire
Beschreibung

EuroQoL five dimension questionnaire

Datentyp

text

Alias
UMLS CUI [1]
C2733251
Duration of disorder
Beschreibung

Duration of disorder

Datentyp

float

Alias
UMLS CUI [1]
C0872146
Age of onset
Beschreibung

Age of onset

Datentyp

float

Maßeinheiten
  • Jahren
Alias
UMLS CUI [1]
C0206132
Jahren
Physiological stress
Beschreibung

Physiological stress

Datentyp

text

Alias
UMLS CUI [1]
C0038443
Physical Disorder
Beschreibung

Physical Disorder

Datentyp

text

Alias
UMLS CUI [1]
C0683323
Mental Disorder
Beschreibung

Mental Disorder

Datentyp

text

Alias
UMLS CUI [1]
C0004936
Social Issue
Beschreibung

Social Issue

Datentyp

text

Alias
UMLS CUI [1]
C0683653
Somatic Factors of Disease Concept
Beschreibung

Somatic Factors of Disease Concept

Datentyp

text

Alias
UMLS CUI [1]
C0178566
UMLS CUI [2]
C2986476
Mental Factors of Disease Concept
Beschreibung

Mental Factors of Disease Concept

Datentyp

text

Alias
UMLS CUI [1]
C0178566
UMLS CUI [2]
C0229992
Social Factors of Disease Concept
Beschreibung

Social Factors of Disease Concept

Datentyp

text

Alias
UMLS CUI [1]
C0178566
UMLS CUI [2]
C0337460
Physical Therapy
Beschreibung

Physical Therapy

Datentyp

text

Alias
UMLS CUI [1]
C0949766
Psychotherapy
Beschreibung

Psychotherapy

Datentyp

text

Alias
UMLS CUI [1]
C0033968
Social Therapy
Beschreibung

Social Therapy

Datentyp

text

Alias
UMLS CUI [1]
C0740117
Personal Resource
Beschreibung

Personal Resource

Datentyp

text

Alias
UMLS CUI [1,1]
C0035201
UMLS CUI [1,2]
C0007952
Social Support
Beschreibung

Social Support

Datentyp

text

Alias
UMLS CUI [1]
C0037438
Outer Changing Barrier
Beschreibung

Outer Changing Barrier

Datentyp

text

Alias
UMLS CUI [1,1]
C1706912
UMLS CUI [1,2]
C0392747
UMLS CUI [1,3]
C0205101
Inner Changing Barrier
Beschreibung

Inner Changing Barrier

Datentyp

text

Alias
UMLS CUI [1,1]
C1706912
UMLS CUI [1,2]
C0392747
UMLS CUI [1,3]
C0205102
Reduction of Symptom
Beschreibung

Reduction of Symptom

Datentyp

text

Alias
UMLS CUI [1,1]
C0392756
UMLS CUI [1,2]
C1457887
Conflict
Beschreibung

Conflict

Datentyp

text

Alias
UMLS CUI [1]
C0009671
Emotional support
Beschreibung

Emotional support

Datentyp

text

Alias
UMLS CUI [1]
C0600015
Guiding characteristics
Beschreibung

Guiding characteristics

Datentyp

text

Alias
UMLS CUI [1]
C0220845
Openness
Beschreibung

Openness

Datentyp

text

Alias
UMLS CUI [1]
C0547049
Secondary gain
Beschreibung

Secondary gain

Datentyp

text

Alias
UMLS CUI [1,1]
C1517378
UMLS CUI [1,2]
C0175668
Axis II - Relation
Beschreibung

Axis II - Relation

Alias
UMLS CUI-1
C0741358
Axis II - Relation
Beschreibung

Axis II - Relation

Datentyp

text

Alias
UMLS CUI [1]
C0741358
Experience of self
Beschreibung

Experience of self

Datentyp

text

Alias
UMLS CUI [1]
C2370914
Experience of other people
Beschreibung

Experience of other people

Datentyp

text

Alias
UMLS CUI [1,1]
C0596545
UMLS CUI [1,2]
C0027361
Experience of patient
Beschreibung

Experience of patient

Datentyp

text

Alias
UMLS CUI [1,1]
C0596545
UMLS CUI [1,2]
C0030705
Experience of self - other people
Beschreibung

Experience of self - other people

Datentyp

text

Alias
UMLS CUI [1,1]
C2370914
UMLS CUI [1,2]
C0027361
Axis III - Conflict
Beschreibung

Axis III - Conflict

Alias
UMLS CUI-1
C0221447
Conflict
Beschreibung

Conflict

Datentyp

boolean

Alias
UMLS CUI [1]
C0009671
Conflict Scheme
Beschreibung

Conflict Scheme

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0009671
UMLS CUI [1,2]
C1519193
Conflict assassability
Beschreibung

Conflict assassability

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0009671
UMLS CUI [1,2]
C1883425
Conflict pattern
Beschreibung

Conflict pattern

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0009671
UMLS CUI [1,2]
C0449774
Individuation vs. Dependence
Beschreibung

Individuation vs. Dependence

Datentyp

text

Alias
UMLS CUI [1]
C0021229
UMLS CUI [2]
C0439857
Submission vs. Control
Beschreibung

Submission vs. Control

Datentyp

text

Alias
UMLS CUI [1]
C1515022
UMLS CUI [2]
C0243148
Care vs. Self-sufficiency
Beschreibung

Care vs. Self-sufficiency

Datentyp

text

Alias
UMLS CUI [1]
C1947933
UMLS CUI [2]
C0680212
Self Confidence
Beschreibung

Self Confidence

Datentyp

text

Alias
UMLS CUI [1]
C0237529
Guilt
Beschreibung

Guilt

Datentyp

text

Alias
UMLS CUI [1]
C0018379
Oedipus Complex
Beschreibung

Oedipus Complex

Datentyp

text

Alias
UMLS CUI [1]
C0028885
Identification
Beschreibung

Identification

Datentyp

text

Alias
UMLS CUI [1]
C0020792
Main Conflict
Beschreibung

Main Conflict

Datentyp

text

Alias
UMLS CUI [1,1]
C1542147
UMLS CUI [1,2]
C0009671
Second most important conflict
Beschreibung

Second most important conflict

Datentyp

text

Alias
UMLS CUI [1,1]
C0009671
UMLS CUI [1,2]
C0205436
Main Conflict Specification
Beschreibung

Main Conflict Specification

Datentyp

text

Alias
UMLS CUI [1,1]
C1542147
UMLS CUI [1,2]
C0009671
UMLS CUI [1,3]
C2348235
Axis IV - Structure
Beschreibung

Axis IV - Structure

Alias
UMLS CUI-1
C0221449
Axis IV - Structure
Beschreibung

Axis IV - Structure

Datentyp

boolean

Alias
UMLS CUI [1]
C0221449
Self-Perception
Beschreibung

Self-Perception

Datentyp

text

Alias
UMLS CUI [1]
C0242498
Perception
Beschreibung

Perception

Datentyp

text

Alias
UMLS CUI [1]
C0030971
Self-regulation
Beschreibung

Self-regulation

Datentyp

text

Alias
UMLS CUI [1]
C0684274
Regulation of Perception
Beschreibung

Regulation of Perception

Datentyp

text

Alias
UMLS CUI [1,1]
C0851285
UMLS CUI [1,2]
C0030971
Internal Communication
Beschreibung

Internal Communication

Datentyp

text

Alias
UMLS CUI [1,1]
C0009452
UMLS CUI [1,2]
C0205102
External Communication
Beschreibung

External Communication

Datentyp

text

Alias
UMLS CUI [1,1]
C0009452
UMLS CUI [1,2]
C0205101
Relation to inner objects
Beschreibung

Relation to inner objects

Datentyp

text

Alias
UMLS CUI [1,1]
C0869014
UMLS CUI [1,2]
C0205102
Relation to external objects
Beschreibung

Relation to external objects

Datentyp

text

Alias
UMLS CUI [1,1]
C0869014
UMLS CUI [1,2]
C0205101
Structure
Beschreibung

Structure

Datentyp

text

Alias
UMLS CUI [1]
C0678594
Severity score
Beschreibung

Severity score

Alias
UMLS CUI-1
C0457451
Physical assessment
Beschreibung

Physical assessment

Datentyp

text

Alias
UMLS CUI [1]
C0031809
Mental assessment
Beschreibung

Mental assessment

Datentyp

text

Alias
UMLS CUI [1]
C1444362
Social assessment
Beschreibung

Social assessment

Datentyp

text

Alias
UMLS CUI [1]
C1320310
Treatment focus
Beschreibung

Treatment focus

Datentyp

text

Alias
UMLS CUI [1,1]
C0039798
UMLS CUI [1,2]
C0205234
Therapy recommendations
Beschreibung

Therapy recommendations

Datentyp

text

Alias
UMLS CUI [1,1]
C0039798
UMLS CUI [1,2]
C0034866
Therapy recommendations specification
Beschreibung

Therapy recommendations specification

Datentyp

text

Alias
UMLS CUI [1,1]
C0039798
UMLS CUI [1,2]
C0034866
UMLS CUI [1,3]
C2348235
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Ähnliche Modelle

OPD Abschlussdokumentation MS University Hospital Muenster (UKM)

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Default Itemgroup
C0596545 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
C1274122 (UMLS CUI-3)
Experience of Disease and Treatment Condition
Item
boolean
C0596545 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C1274122 (UMLS CUI [2])
Experience of Disease and Treatment Condition Specification
Item
text
C0596545 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C1274122 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
Severity of illness
Item
text
C0521117 (UMLS CUI [1])
GAF Score
Item
text
C2231024 (UMLS CUI [1])
GAF Score Specification
Item
boolean
C2231024 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Item
text
C2733251 (UMLS CUI [1])
EuroQoL five dimension questionnaire
Code List
EuroQoL five dimension questionnaire
CL Item
 (1.)
CL Item
 (2.)
CL Item
 (3.)
CL Item
 (4.)
CL Item
 (5.)
CL Item
 (nicht beurteilbar)
Duration of disorder
Item
float
C0872146 (UMLS CUI [1])
Age of onset
Item
float
C0206132 (UMLS CUI [1])
Physiological stress
Item
text
C0038443 (UMLS CUI [1])
Physical Disorder
Item
text
C0683323 (UMLS CUI [1])
Mental Disorder
Item
text
C0004936 (UMLS CUI [1])
Social Issue
Item
text
C0683653 (UMLS CUI [1])
Somatic Factors of Disease Concept
Item
text
C0178566 (UMLS CUI [1])
C2986476 (UMLS CUI [2])
Mental Factors of Disease Concept
Item
text
C0178566 (UMLS CUI [1])
C0229992 (UMLS CUI [2])
Social Factors of Disease Concept
Item
text
C0178566 (UMLS CUI [1])
C0337460 (UMLS CUI [2])
Physical Therapy
Item
text
C0949766 (UMLS CUI [1])
Psychotherapy
Item
text
C0033968 (UMLS CUI [1])
Social Therapy
Item
text
C0740117 (UMLS CUI [1])
Personal Resource
Item
text
C0035201 (UMLS CUI [1,1])
C0007952 (UMLS CUI [1,2])
Social Support
Item
text
C0037438 (UMLS CUI [1])
Outer Changing Barrier
Item
text
C1706912 (UMLS CUI [1,1])
C0392747 (UMLS CUI [1,2])
C0205101 (UMLS CUI [1,3])
Inner Changing Barrier
Item
text
C1706912 (UMLS CUI [1,1])
C0392747 (UMLS CUI [1,2])
C0205102 (UMLS CUI [1,3])
Reduction of Symptom
Item
text
C0392756 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
Conflict
Item
text
C0009671 (UMLS CUI [1])
Emotional support
Item
text
C0600015 (UMLS CUI [1])
Guiding characteristics
Item
text
C0220845 (UMLS CUI [1])
Openness
Item
text
C0547049 (UMLS CUI [1])
Secondary gain
Item
text
C1517378 (UMLS CUI [1,1])
C0175668 (UMLS CUI [1,2])
Item Group
C0741358 (UMLS CUI-1)
Item
text
C0741358 (UMLS CUI [1])
Axis II - Relation
Code List
Axis II - Relation
CL Item
 (Achse II nicht beurteilbar)
CL Item
 (Kein repetitives maladaptives Beziehungsmuster)
Experience of self
Item
text
C2370914 (UMLS CUI [1])
Experience of other people
Item
text
C0596545 (UMLS CUI [1,1])
C0027361 (UMLS CUI [1,2])
Experience of patient
Item
text
C0596545 (UMLS CUI [1,1])
C0030705 (UMLS CUI [1,2])
Experience of self - other people
Item
text
C2370914 (UMLS CUI [1,1])
C0027361 (UMLS CUI [1,2])
Item Group
C0221447 (UMLS CUI-1)
Conflict
Item
boolean
C0009671 (UMLS CUI [1])
Conflict Scheme
Item
boolean
C0009671 (UMLS CUI [1,1])
C1519193 (UMLS CUI [1,2])
Conflict assassability
Item
boolean
C0009671 (UMLS CUI [1,1])
C1883425 (UMLS CUI [1,2])
Conflict pattern
Item
boolean
C0009671 (UMLS CUI [1,1])
C0449774 (UMLS CUI [1,2])
Individuation vs. Dependence
Item
text
C0021229 (UMLS CUI [1])
C0439857 (UMLS CUI [2])
Submission vs. Control
Item
text
C1515022 (UMLS CUI [1])
C0243148 (UMLS CUI [2])
Care vs. Self-sufficiency
Item
text
C1947933 (UMLS CUI [1])
C0680212 (UMLS CUI [2])
Self Confidence
Item
text
C0237529 (UMLS CUI [1])
Guilt
Item
text
C0018379 (UMLS CUI [1])
Oedipus Complex
Item
text
C0028885 (UMLS CUI [1])
Identification
Item
text
C0020792 (UMLS CUI [1])
Main Conflict
Item
text
C1542147 (UMLS CUI [1,1])
C0009671 (UMLS CUI [1,2])
Second most important conflict
Item
text
C0009671 (UMLS CUI [1,1])
C0205436 (UMLS CUI [1,2])
Main Conflict Specification
Item
text
C1542147 (UMLS CUI [1,1])
C0009671 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item Group
C0221449 (UMLS CUI-1)
Axis IV - Structure
Item
boolean
C0221449 (UMLS CUI [1])
Self-Perception
Item
text
C0242498 (UMLS CUI [1])
Perception
Item
text
C0030971 (UMLS CUI [1])
Self-regulation
Item
text
C0684274 (UMLS CUI [1])
Regulation of Perception
Item
text
C0851285 (UMLS CUI [1,1])
C0030971 (UMLS CUI [1,2])
Internal Communication
Item
text
C0009452 (UMLS CUI [1,1])
C0205102 (UMLS CUI [1,2])
External Communication
Item
text
C0009452 (UMLS CUI [1,1])
C0205101 (UMLS CUI [1,2])
Relation to inner objects
Item
text
C0869014 (UMLS CUI [1,1])
C0205102 (UMLS CUI [1,2])
Relation to external objects
Item
text
C0869014 (UMLS CUI [1,1])
C0205101 (UMLS CUI [1,2])
Structure
Item
text
C0678594 (UMLS CUI [1])
Item Group
C0457451 (UMLS CUI-1)
Physical assessment
Item
text
C0031809 (UMLS CUI [1])
Mental assessment
Item
text
C1444362 (UMLS CUI [1])
Social assessment
Item
text
C1320310 (UMLS CUI [1])
Item
text
C0039798 (UMLS CUI [1,1])
C0205234 (UMLS CUI [1,2])
Treatment focus
Code List
Treatment focus
CL Item
 (Setting I (Somatoforme Störungen))
CL Item
 (Setting II (Essstörungen))
CL Item
 (Andere (Krisenintervention, Diagnostik, u.ä.))
Item
text
C0039798 (UMLS CUI [1,1])
C0034866 (UMLS CUI [1,2])
Therapy recommendations
Code List
Therapy recommendations
CL Item
 (Keine)
CL Item
 (Somatische Behandlung)
CL Item
 (Psychiatrische Behandlung)
CL Item
 (Psychotherapeutische / Psychosomatische Behandlung)
CL Item
 (Medikamentöse Behandlung)
CL Item
 (Entspannungsverfahren / Biofeedback)
CL Item
 (Selbsthilfegruppe)
CL Item
 (Psychosozialer Dienst / Beratungsstelle)
CL Item
 (Verlaufsbeobachtung / Wiedervorstellung bei Wunsch)
CL Item
 (Gestufte Wiedereingliederung)
CL Item
 (Umschulung / Berufswechsel)
CL Item
 (Andere berufsfördernde Maßnahmen)
CL Item
 (Sonstige)
Therapy recommendations specification
Item
text
C0039798 (UMLS CUI [1,1])
C0034866 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
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