ID

17879

Beskrivning

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

Nyckelord

  1. 2016-10-06 2016-10-06 -
  2. 2016-10-06 2016-10-06 -
  3. 2017-11-07 2017-11-07 -
Uppladdad den

6 oktober 2016

DOI

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Licens

Creative Commons BY-NC-ND 3.0

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OPD Abschlussdokumentation MS University Hospital Muenster (UKM)

OPD Abschlussdokumentation MS University Hospital Muenster (UKM)

Default Itemgroup
Beskrivning

Default Itemgroup

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

Experience of Disease and Treatment Condition

Datatyp

boolean

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

Experience of Disease and Treatment Condition Specification

Datatyp

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
Beskrivning

Severity of illness

Datatyp

text

Alias
UMLS CUI [1]
C0521117
GAF Score
Beskrivning

GAF Score

Datatyp

text

Alias
UMLS CUI [1]
C2231024
GAF Score Specification
Beskrivning

GAF Score Specification

Datatyp

boolean

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

EuroQoL five dimension questionnaire

Datatyp

text

Alias
UMLS CUI [1]
C2733251
Duration of disorder
Beskrivning

Duration of disorder

Datatyp

float

Alias
UMLS CUI [1]
C0872146
Age of onset
Beskrivning

Age of onset

Datatyp

float

Måttenheter
  • Jahren
Alias
UMLS CUI [1]
C0206132
Jahren
Physiological stress
Beskrivning

Physiological stress

Datatyp

text

Alias
UMLS CUI [1]
C0038443
Physical Disorder
Beskrivning

Physical Disorder

Datatyp

text

Alias
UMLS CUI [1]
C0683323
Mental Disorder
Beskrivning

Mental Disorder

Datatyp

text

Alias
UMLS CUI [1]
C0004936
Social Issue
Beskrivning

Social Issue

Datatyp

text

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

Somatic Factors of Disease Concept

Datatyp

text

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

Mental Factors of Disease Concept

Datatyp

text

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

Social Factors of Disease Concept

Datatyp

text

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

Physical Therapy

Datatyp

text

Alias
UMLS CUI [1]
C0949766
Psychotherapy
Beskrivning

Psychotherapy

Datatyp

text

Alias
UMLS CUI [1]
C0033968
Social Therapy
Beskrivning

Social Therapy

Datatyp

text

Alias
UMLS CUI [1]
C0740117
Personal Resource
Beskrivning

Personal Resource

Datatyp

text

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

Social Support

Datatyp

text

Alias
UMLS CUI [1]
C0037438
Outer Changing Barrier
Beskrivning

Outer Changing Barrier

Datatyp

text

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

Inner Changing Barrier

Datatyp

text

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

Reduction of Symptom

Datatyp

text

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

Conflict

Datatyp

text

Alias
UMLS CUI [1]
C0009671
Emotional support
Beskrivning

Emotional support

Datatyp

text

Alias
UMLS CUI [1]
C0600015
Guiding characteristics
Beskrivning

Guiding characteristics

Datatyp

text

Alias
UMLS CUI [1]
C0220845
Openness
Beskrivning

Openness

Datatyp

text

Alias
UMLS CUI [1]
C0547049
Secondary gain
Beskrivning

Secondary gain

Datatyp

text

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

Axis II - Relation

Alias
UMLS CUI-1
C0741358
Axis II - Relation
Beskrivning

Axis II - Relation

Datatyp

text

Alias
UMLS CUI [1]
C0741358
Experience of self
Beskrivning

Experience of self

Datatyp

text

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

Experience of other people

Datatyp

text

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

Experience of patient

Datatyp

text

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

Experience of self - other people

Datatyp

text

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

Axis III - Conflict

Alias
UMLS CUI-1
C0221447
Conflict
Beskrivning

Conflict

Datatyp

boolean

Alias
UMLS CUI [1]
C0009671
Conflict Scheme
Beskrivning

Conflict Scheme

Datatyp

boolean

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

Conflict assassability

Datatyp

boolean

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

Conflict pattern

Datatyp

boolean

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

Individuation vs. Dependence

Datatyp

text

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

Submission vs. Control

Datatyp

text

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

Care vs. Self-sufficiency

Datatyp

text

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

Self Confidence

Datatyp

text

Alias
UMLS CUI [1]
C0237529
Guilt
Beskrivning

Guilt

Datatyp

text

Alias
UMLS CUI [1]
C0018379
Oedipus Complex
Beskrivning

Oedipus Complex

Datatyp

text

Alias
UMLS CUI [1]
C0028885
Identification
Beskrivning

Identification

Datatyp

text

Alias
UMLS CUI [1]
C0020792
Main Conflict
Beskrivning

Main Conflict

Datatyp

text

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

Second most important conflict

Datatyp

text

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

Main Conflict Specification

Datatyp

text

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

Axis IV - Structure

Alias
UMLS CUI-1
C0221449
Axis IV - Structure
Beskrivning

Axis IV - Structure

Datatyp

boolean

Alias
UMLS CUI [1]
C0221449
Self-Perception
Beskrivning

Self-Perception

Datatyp

text

Alias
UMLS CUI [1]
C0242498
Perception
Beskrivning

Perception

Datatyp

text

Alias
UMLS CUI [1]
C0030971
Self-regulation
Beskrivning

Self-regulation

Datatyp

text

Alias
UMLS CUI [1]
C0684274
Regulation of Perception
Beskrivning

Regulation of Perception

Datatyp

text

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

Internal Communication

Datatyp

text

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

External Communication

Datatyp

text

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

Relation to inner objects

Datatyp

text

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

Relation to external objects

Datatyp

text

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

Structure

Datatyp

text

Alias
UMLS CUI [1]
C0678594
Severity score
Beskrivning

Severity score

Alias
UMLS CUI-1
C0457451
Physical assessment
Beskrivning

Physical assessment

Datatyp

text

Alias
UMLS CUI [1]
C0031809
Mental assessment
Beskrivning

Mental assessment

Datatyp

text

Alias
UMLS CUI [1]
C1444362
Social assessment
Beskrivning

Social assessment

Datatyp

text

Alias
UMLS CUI [1]
C1320310
Treatment focus
Beskrivning

Treatment focus

Datatyp

text

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

Therapy recommendations

Datatyp

text

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

Therapy recommendations specification

Datatyp

text

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

Similar models

OPD Abschlussdokumentation MS University Hospital Muenster (UKM)

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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])
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])
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])
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])
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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