ID

17894

Description

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Stationaere Anmeldg KIALL MS .

Keywords

Versions (1)
  1. 10/7/16 10/7/16 -
Uploaded on

October 7, 2016

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License

Creative Commons BY-NC-ND 3.0
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Stationaere Anmeldg KIALL MS University Hospital Muenster (UKM)

German

Stationaere Anmeldg KIALL MS University Hospital Muenster (UKM)

1 forms  
Hospitalisierung
Description

Hospitalisierung

Alias
UMLS CUI-1
C0019993
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Dringlichkeit
Description

Urgency

Data type

text

Alias
UMLS CUI [1]
C0439609
Dauer
Description

Length of Stay

Data type

durationDatetime

Alias
UMLS CUI [1]
C0023303
Station
Description

Department

Data type

text

Alias
UMLS CUI [1]
C1704729
Krankenhauszimmer
Description

Hospital room

Data type

text

Alias
UMLS CUI [1]
C2094624
sind informiert
Description

Information Status

Data type

boolean

Alias
UMLS CUI [1]
C0587902
werden mit aufgenommen
Description

Company

Data type

boolean

Alias
UMLS CUI [1]
C0683757
Gesundheitszustand
Description

Gesundheitszustand

Alias
UMLS CUI-1
C0018759
Diagnose
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Mobilität
Description

Mobility

Data type

text

Alias
UMLS CUI [1]
C0449580
Beatmung
Description

Ventilation

Data type

text

Alias
UMLS CUI [1]
C2945579
Datum der Prüfung
Description

Date of assessment

Data type

date

Alias
UMLS CUI [1]
C2985720
Laboruntersuchungen
Description

Laboruntersuchungen

Alias
UMLS CUI-1
C0022885
Blutentnahme
Description

Blood Sample

Data type

text

Alias
UMLS CUI [1]
C0005834
Blutentnahme: Freitext
Description

Blood Sample Specification

Data type

text

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C2348235
Urinstatus
Description

Urinalysis

Data type

text

Alias
UMLS CUI [1]
C0042014
Urinstatus: Freitext
Description

Urinalysis specification

Data type

text

Alias
UMLS CUI [1,1]
C0042014
UMLS CUI [1,2]
C2348235
Fachdisziplin
Description

Fachdisziplin

Alias
UMLS CUI-1
C0237070
Fachdisziplin
Description

Discipline

Data type

text

Alias
UMLS CUI [1]
C0237070
Fachdisziplin Wenn andere, genauere Angaben:
Description

Discipline Specification

Data type

text

Alias
UMLS CUI [1,1]
C0237070
UMLS CUI [1,2]
C2348235
Bildgebung
Description

Bildgebung

Alias
UMLS CUI-1
C0011923
Bildgebung
Description

Imaging

Data type

text

Alias
UMLS CUI [1]
C0011923
Bildgebung: Region
Description

Imaging Region

Data type

text

Alias
UMLS CUI [1]
C2827628
Bildgebung: Fragestellung
Description

Imaging Question

Data type

text

Alias
UMLS CUI [1,1]
C0011923
UMLS CUI [1,2]
C1522634
Bildgebung: Anästhesie
Description

Imaging: Anaesthesia

Data type

text

Alias
UMLS CUI [1,1]
C0011923
UMLS CUI [1,2]
C1720436
Untersuchung
Description

Untersuchung

Alias
UMLS CUI-1
C0031809
Untersuchung
Description

Physical Examination

Data type

text

Alias
UMLS CUI [1]
C0031809
Untersuchung: Fragestellung
Description

Physical Examination Question

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C1522634
Untersuchung: Konsil
Description

Physical Examination Consultation

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0009818
Height
Description

Größe

Data type

float

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Gewicht
Description

Weight

Data type

float

Measurement units
  • kg
kg
Medikation
Description

Medikation

Alias
UMLS CUI-1
C0013227
Medikation
Description

Medication

Data type

text

Alias
UMLS CUI [1]
C0013227
Anmerkungen
Description

Anmerkungen

Alias
UMLS CUI-1
C0947611
Anmerkung
Description

Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
Befund
Description

Befund

Alias
UMLS CUI-1
C0243095
Befund
Description

Finding

Data type

text

Wo
Description

Location

Data type

text

Alias
UMLS CUI [1]
C0450429
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Arzt
Description

Physician

Data type

text

Alias
UMLS CUI [1]
C2826892
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Similar models

Stationaere Anmeldg KIALL MS University Hospital Muenster (UKM)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Hospitalisierung
C0019993 (UMLS CUI-1)
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Urgency
Item
Dringlichkeit
text
C0439609 (UMLS CUI [1])
Length of Stay
Item
Dauer
durationDatetime
C0023303 (UMLS CUI [1])
Department
Item
Station
text
C1704729 (UMLS CUI [1])
Item
Krankenhauszimmer
text
C2094624 (UMLS CUI [1])
Hospital room
Code List
Krankenhauszimmer
CL Item
frei (frei)
CL Item
Tageszimmer (Tageszimmer)
Information Status
Item
sind informiert
boolean
C0587902 (UMLS CUI [1])
Company
Item
werden mit aufgenommen
boolean
C0683757 (UMLS CUI [1])
Item Group
Gesundheitszustand
C0018759 (UMLS CUI-1)
Diagnosis
Item
Diagnose
text
C0011900 (UMLS CUI [1])
Item
Mobilität
text
C0449580 (UMLS CUI [1])
Mobility
Code List
Mobilität
CL Item
bettlägerig (bettlägerig)
CL Item
mental (mental)
CL Item
Rollstuhl (Rollstuhl)
CL Item
gehfähig (gehfähig)
CL Item
Pflegebedarf hoch (Pflegebedarf hoch)
Item
Beatmung
text
C2945579 (UMLS CUI [1])
Ventilation
Code List
Beatmung
CL Item
Tracheostoma (Tracheostoma)
CL Item
Maske (Maske)
CL Item
keine Beatmug (keine Beatmug)
Date of assessment
Item
Datum der Prüfung
date
C2985720 (UMLS CUI [1])
Item Group
Laboruntersuchungen
C0022885 (UMLS CUI-1)
Item
Blutentnahme
text
C0005834 (UMLS CUI [1])
Blood Sample
Code List
Blutentnahme
CL Item
Routine-BE (Routine-BE)
CL Item
keine BE (keine BE)
CL Item
Sonstiges (Sonstiges)
Blood Sample Specification
Item
Blutentnahme: Freitext
text
C0005834 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Item
Urinstatus
text
C0042014 (UMLS CUI [1])
Urinalysis
Code List
Urinstatus
CL Item
Urinstatus (Urinstatus)
CL Item
Sonstiges (Sonstiges)
Urinalysis specification
Item
Urinstatus: Freitext
text
C0042014 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Item Group
Fachdisziplin
C0237070 (UMLS CUI-1)
Item
Fachdisziplin
text
C0237070 (UMLS CUI [1])
Discipline
Code List
Fachdisziplin
CL Item
Ki-Chirurgie (Ki-Chirurgie)
CL Item
Urologie (Urologie)
CL Item
Gastro (Gastro)
CL Item
Pulmo (Pulmo)
CL Item
Rheuma (Rheuma)
CL Item
Nephro (Nephro)
CL Item
andere: (andere:)
Item
Fachdisziplin Wenn andere, genauere Angaben:
text
C0237070 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Discipline
Code List
Fachdisziplin Wenn andere, genauere Angaben:
Item Group
Bildgebung
C0011923 (UMLS CUI-1)
Imaging
Item
Bildgebung
text
C0011923 (UMLS CUI [1])
Imaging Region
Item
Bildgebung: Region
text
C2827628 (UMLS CUI [1])
Imaging Question
Item
Bildgebung: Fragestellung
text
C0011923 (UMLS CUI [1,1])
C1522634 (UMLS CUI [1,2])
Item
Bildgebung: Anästhesie
text
C0011923 (UMLS CUI [1,1])
C1720436 (UMLS CUI [1,2])
Imaging: Anaesthesia
Code List
Bildgebung: Anästhesie
CL Item
in Sedierung (in Sedierung)
CL Item
in Narkose (in Narkose)
Item Group
Untersuchung
C0031809 (UMLS CUI-1)
Physical Examination
Item
Untersuchung
text
C0031809 (UMLS CUI [1])
Physical Examination Question
Item
Untersuchung: Fragestellung
text
C0031809 (UMLS CUI [1,1])
C1522634 (UMLS CUI [1,2])
Physical Examination Consultation
Item
Untersuchung: Konsil
text
C0031809 (UMLS CUI [1,1])
C0009818 (UMLS CUI [1,2])
Height
Item
float
C0005890 (UMLS CUI [1])
Weight
Item
Gewicht
float
Item Group
Medikation
C0013227 (UMLS CUI-1)
Medication
Item
Medikation
text
C0013227 (UMLS CUI [1])
Item Group
Anmerkungen
C0947611 (UMLS CUI-1)
Comments
Item
Anmerkung
text
C0947611 (UMLS CUI [1])
Item Group
Befund
C0243095 (UMLS CUI-1)
Finding
Item
Befund
text
Location
Item
Wo
text
C0450429 (UMLS CUI [1])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Physician
Item
Arzt
text
C2826892 (UMLS CUI [1])
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