ID

18022

Description

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Qualitätssicherung Diabetologie

Keywords

Versions (2)
  1. 10/14/16 10/14/16 -
  2. 10/14/16 10/14/16 -
Uploaded on

October 14, 2016

DOI

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License

Creative Commons BY-NC 3.0
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Quality controling Diabetology University Hospital Muenster (UKM)

German

Quality controling Diabetology University Hospital Muenster (UKM)

1 forms  
Patientendaten
Description

Patientendaten

Patientenname
Description

Patient Name

Data type

text

Alias
UMLS CUI [1]
C1299487
Geburtsdatum
Description

Birth Date

Data type

date

Alias
UMLS CUI [1]
C0421451
Fall Nummer
Description

Case number

Data type

integer

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
Fallstatus
Description

Case Status

Data type

integer

Alias
UMLS CUI [1]
C0449437
Angelegt durch
Description

Case file created by

Data type

text

Alias
UMLS CUI [1,1]
C0868928
UMLS CUI [1,2]
C1706214
QMED Nummer
Description

Qmed number

Data type

integer

Alias
UMLS CUI [1]
C0600091
Datum Patientenschulung
Description

Patient education date

Data type

date

Alias
UMLS CUI [1,1]
C0030688
Behandlungsdatum
Description

Date of treatment

Data type

date

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0011008
Diabetestyp
Description

Diabetes type

Data type

integer

Alias
UMLS CUI [1]
C1320657
Geschlecht
Description

Gender

Data type

integer

Alias
UMLS CUI [1]
C0079399
Alter
Description

Age

Data type

integer

Alias
UMLS CUI [1]
C0001779
Zeit seit Diabetesdiagnose (in Jahren)
Description

Time since diagnosis

Data type

integer

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0011849
Größe
Description

Height

Data type

integer

Alias
UMLS CUI [1]
C0005890
Gewicht
Description

Weight

Data type

float

Alias
UMLS CUI [1]
C0005910
Medikation
Description

Medikation

Insulinanaloga
Description

Insulin analog

Data type

boolean

Alias
UMLS CUI [1]
C2825028
Zahl der täglichen Insulininjektionen
Description

Number of daily injections

Data type

integer

Alias
UMLS CUI [1,1]
C0199782
UMLS CUI [1,2]
C0750480
Insulinpumpe
Description

Insulin pump

Data type

boolean

Alias
UMLS CUI [1]
C1140609
Orale Antidiabetika
Description

Oral Hypoglycemics

Data type

boolean

Alias
UMLS CUI [1]
C0359086
Metformin
Description

Metformin

Data type

boolean

Alias
UMLS CUI [1]
C0025598
Sulfonylharnstoffe
Description

Sulfonylurea

Data type

boolean

Alias
UMLS CUI [1]
C0038766
Glinide
Description

Glinide

Data type

boolean

Alias
UMLS CUI [1]
C2266929
Glitazone
Description

Glitazone

Data type

boolean

Alias
UMLS CUI [1]
C1257987
Acarbose
Description

Acarbose

Data type

boolean

Alias
UMLS CUI [1]
C0050393
GLP-1-Analoga
Description

GLP-1-Analog

Data type

boolean

Alias
UMLS CUI [1,1]
C0061355
UMLS CUI [1,2]
C0002776
DPP-4-Hemmer
Description

DPP-4-inhibitor

Data type

boolean

Alias
UMLS CUI [1]
C1827106
SGLT2 Hemmer
Description

SGLT2 inhibitor

Data type

boolean

Alias
UMLS CUI [1]
C3273807
Laborwerte
Description

Laborwerte

HbA1c
Description

HbA1C

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0019018
%
HbA1c oberer Normwert (in %)
Description

ULN HbA1c

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1,1]
C0019018
UMLS CUI [1,2]
C1519815
%
HbA1c unterer Normwert (in %)
Description

HbA1c LLN

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1,1]
C0019018
UMLS CUI [1,2]
C1518030
%
Kreatinin
Description

Creatinine

Data type

float

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0201976
mg/dl
Albuminurie / Mikroalbuminurie
Description

Albuminuria / Microalbuminuria

Data type

integer

Measurement units
  • mg/g
Alias
UMLS CUI [1]
C0001925
UMLS CUI [2]
C0730345
mg/g
LDL-Cholesterin
Description

LDL-Cholesterol

Data type

integer

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0202117
mg/dl
Körperliche Untersuchung
Description

Körperliche Untersuchung

Systolischer Blutdruck
Description

Systolic blood pressure

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Diastolischer Blutdruck
Description

Diastolic blood pressure

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Systolischer Blutdruck, Selbstmessung bei Hypertoniepatienten
Description

Systolic blood pressure

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Diastolischer Blutdruck, Selbstmessung bei Hypertoniepatienten
Description

Diastolic blood pressure

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Schwere Hypoglykämie
Description

Anzahl schwerer Hypoglykämien (Glucose iv, Glukagen-Injektion) in den letzten 12 Monaten

Data type

integer

Alias
UMLS CUI [1,1]
C0020615
UMLS CUI [1,2]
C0205082
Ketoazidose
Description

Anzahl der Krankenhausaufnahmen in den letzten 12 Monaten

Data type

integer

Alias
UMLS CUI [1]
C0018799
Hyperosmolares Koma
Description

Anzahl der Krankenhausaufnahmen in den letzten 12 Monaten

Data type

integer

Alias
UMLS CUI [1]
C1720143
Dialyse
Description

Dialysis

Data type

boolean

Alias
UMLS CUI [1]
C0011946
Fußkomplikationen
Description

Anzahl neu eingetretener Fußkomplikationen in den letzten 12 Monaten

Data type

integer

Alias
UMLS CUI [1]
C0206172
Schwangerschaft
Description

Pregnancy

Data type

boolean

Alias
UMLS CUI [1]
C0549206
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Similar models

Quality controling Diabetology University Hospital Muenster (UKM)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patientendaten
Patient Name
Item
Patientenname
text
C1299487 (UMLS CUI [1])
Birth Date
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Case number
Item
Fall Nummer
integer
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item
Fallstatus
integer
C0449437 (UMLS CUI [1])
Case Status
Code List
Fallstatus
CL Item
ambulant (1)
CL Item
stationär (2)
CL Item
vorstationär (3)
CL Item
nachstationär (4)
Case file created by
Item
Angelegt durch
text
C0868928 (UMLS CUI [1,1])
C1706214 (UMLS CUI [1,2])
Qmed number
Item
QMED Nummer
integer
C0600091 (UMLS CUI [1])
Patient education date
Item
Datum Patientenschulung
date
C0030688 (UMLS CUI [1,1])
Date of treatment
Item
Behandlungsdatum
date
C0087111 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Diabetestyp
integer
C1320657 (UMLS CUI [1])
Diabetes type
Code List
Diabetestyp
CL Item
Typ 1  (1 )
CL Item
Typ 2 (2 )
CL Item
Typ 3  (3 )
CL Item
Typ 4 (4 )
Item
Geschlecht
integer
C0079399 (UMLS CUI [1])
Gender
Code List
Geschlecht
CL Item
Frau (0 )
CL Item
Mann (1 )
Age
Item
Alter
integer
C0001779 (UMLS CUI [1])
Time since diagnosis
Item
Zeit seit Diabetesdiagnose (in Jahren)
integer
C0449238 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
Height
Item
Größe
integer
C0005890 (UMLS CUI [1])
Weight
Item
Gewicht
float
C0005910 (UMLS CUI [1])
Item Group
Medikation
Insulin analog
Item
Insulinanaloga
boolean
C2825028 (UMLS CUI [1])
Number of daily injections
Item
Zahl der täglichen Insulininjektionen
integer
C0199782 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Insulin pump
Item
Insulinpumpe
boolean
C1140609 (UMLS CUI [1])
Oral Hypoglycemics
Item
Orale Antidiabetika
boolean
C0359086 (UMLS CUI [1])
Metformin
Item
Metformin
boolean
C0025598 (UMLS CUI [1])
Sulfonylurea
Item
Sulfonylharnstoffe
boolean
C0038766 (UMLS CUI [1])
Glinide
Item
Glinide
boolean
C2266929 (UMLS CUI [1])
Glitazone
Item
Glitazone
boolean
C1257987 (UMLS CUI [1])
Acarbose
Item
Acarbose
boolean
C0050393 (UMLS CUI [1])
GLP-1-Analog
Item
GLP-1-Analoga
boolean
C0061355 (UMLS CUI [1,1])
C0002776 (UMLS CUI [1,2])
DPP-4-inhibitor
Item
DPP-4-Hemmer
boolean
C1827106 (UMLS CUI [1])
SGLT2 inhibitor
Item
SGLT2 Hemmer
boolean
C3273807 (UMLS CUI [1])
Item Group
Laborwerte
HbA1C
Item
HbA1c
float
C0019018 (UMLS CUI [1])
ULN HbA1c
Item
HbA1c oberer Normwert (in %)
float
C0019018 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
HbA1c LLN
Item
HbA1c unterer Normwert (in %)
float
C0019018 (UMLS CUI [1,1])
C1518030 (UMLS CUI [1,2])
Creatinine
Item
Kreatinin
float
C0201976 (UMLS CUI [1])
Albuminuria / Microalbuminuria
Item
Albuminurie / Mikroalbuminurie
integer
C0001925 (UMLS CUI [1])
C0730345 (UMLS CUI [2])
LDL-Cholesterol
Item
LDL-Cholesterin
integer
C0202117 (UMLS CUI [1])
Item Group
Körperliche Untersuchung
Systolic blood pressure
Item
Systolischer Blutdruck
integer
C0871470 (UMLS CUI [1])
Diastolic blood pressure
Item
Diastolischer Blutdruck
integer
C0428883 (UMLS CUI [1])
Systolic blood pressure
Item
Systolischer Blutdruck, Selbstmessung bei Hypertoniepatienten
integer
C0871470 (UMLS CUI [1])
Diastolic blood pressure
Item
Diastolischer Blutdruck, Selbstmessung bei Hypertoniepatienten
integer
C0428883 (UMLS CUI [1])
Severe Hypoglycemia
Item
Schwere Hypoglykämie
integer
C0020615 (UMLS CUI [1,1])
C0205082 (UMLS CUI [1,2])
Ketoacidosis
Item
Ketoazidose
integer
C0018799 (UMLS CUI [1])
hyperosmolar coma
Item
Hyperosmolares Koma
integer
C1720143 (UMLS CUI [1])
Dialysis
Item
Dialyse
boolean
C0011946 (UMLS CUI [1])
Diabetic foot
Item
Fußkomplikationen
integer
C0206172 (UMLS CUI [1])
Pregnancy
Item
Schwangerschaft
boolean
C0549206 (UMLS CUI [1])
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