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ID
18426
Description
Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: NI Sub CDC HNO
Keywords
Versions (1)
- 11/4/16 11/4/16 -
Uploaded on
November 4, 2016
DOI
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License
Creative Commons BY-NC 3.0
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NI Sub CDC HNO University Hospital Muenster (UKM) Subform
NI Sub CDC HNO University Hospital Muenster (UKM) Subform
- StudyEvent: ODM
Similar models
NI Sub CDC HNO University Hospital Muenster (UKM) Subform
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Microbial culture proof findings of pathogens
Item
Kultureller Nachweis eines Mikroorganismus aus dem eitrigen Exsudat, das aus Konfunktiva oder angrenzendem Gewebe entnommen wurde, z.B. Augenlid, Kornea, Meibom-Drüsen oder Tränendrüsen
boolean
C2242979 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
Finding of leucocytes and microscopic proof of microorganisms
Item
Leukozytennachweis und mikroskopischer Nachweis von Mikroorganismen im Exsudat
boolean
C0023516 (UMLS CUI [1,1])
C2827068 (UMLS CUI [1,2])
C0445623 (UMLS CUI [1,3])
C2827068 (UMLS CUI [1,2])
C0445623 (UMLS CUI [1,3])
Purulent discharge
Item
Eitriges Exsudat
boolean
C0333274 (UMLS CUI [1])
Antigens finding from discharge or smear of the conjunctiva
Item
Antigen-Nachweis aus Exsudat oder Abstrich der Konjunktiva
boolean
C0333274 (UMLS CUI [1,1])
C0444086 (UMLS CUI [1,2])
C0428030 (UMLS CUI [1,3])
C0444086 (UMLS CUI [1,2])
C0428030 (UMLS CUI [1,3])
Multinucleated giant cells were detected by microscopic examination of the conjunctival exudate or smear
Item
Vielkernige Riesenzellen bei mikroskopischer Untersuchung des Konjunktivalexsudats oder des Abstrichs festgestellt
boolean
C0017526 (UMLS CUI [1,1])
C0026018 (UMLS CUI [1,2])
C0948288 (UMLS CUI [1,3])
C0444086 (UMLS CUI [1,4])
C0026018 (UMLS CUI [1,2])
C0948288 (UMLS CUI [1,3])
C0444086 (UMLS CUI [1,4])
Virus finding in conjunctival discharge
Item
Kultureller Virusnachweis im Konjunktivalexsudat
boolean
C0427958 (UMLS CUI [1,1])
C0948288 (UMLS CUI [1,2])
C0948288 (UMLS CUI [1,2])
Diagnostic single antibody-titer (IgM) or four times rise of IgG titer in repeating serum samples for a specific pathogen
Item
Diagnostischer Einzelantikörper-Titer (IgM) oder vierfacher Titeranstieg (IgG) in wiederholten Serumproben für den betreffenden Krankheitserreger
boolean
C0202084 (UMLS CUI [1,1])
C0202087 (UMLS CUI [1,2])
C1550100 (UMLS CUI [1,3])
C0450254 (UMLS CUI [1,4])
C0202087 (UMLS CUI [1,2])
C1550100 (UMLS CUI [1,3])
C0450254 (UMLS CUI [1,4])
Microbial culture proof findings of pathogens from anterior or posterior chamber of the eyeball or from vitreous fluid
Item
Kultureller Nachweis von Erregern aus der vorderen oder hinteren Kammer oder der Glaskörperflüssigkeit
boolean
C2242979 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0229242 (UMLS CUI [1,4])
C1547957 (UMLS CUI [1,5])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0229242 (UMLS CUI [1,4])
C1547957 (UMLS CUI [1,5])
Pain
Item
Schmerzen
boolean
C0030193 (UMLS CUI [1])
Eye pain
Item
Augenschmerz
boolean
C0151827 (UMLS CUI [1])
Sore throat
Item
Halsschmerz
boolean
C0242429 (UMLS CUI [1])
Cough
Item
Husten
boolean
C0010200 (UMLS CUI [1])
Hoarseness
Item
Heiserkeit
boolean
C0019825 (UMLS CUI [1])
Pharyngeal discharge
Item
Exsudat im Rachenraum
boolean
C0012621 (UMLS CUI [1,1])
C0031354 (UMLS CUI [1,2])
C0031354 (UMLS CUI [1,2])
Headache
Item
Kopfschmerz
boolean
C0018681 (UMLS CUI [1])
Visual disturbance
Item
Sehstörung
boolean
C0547030 (UMLS CUI [1])
Fever
Item
Fieber > 38°C
boolean
C0015967 (UMLS CUI [1])
Redness
Item
Rötung
boolean
C0332575 (UMLS CUI [1])
Hypothermia
Item
Hypothermie (< 37°C)
boolean
C0020672 (UMLS CUI [1])
Apnea
Item
Apnoe
boolean
C0003578 (UMLS CUI [1])
Bradycardia
Item
Bradykardie
boolean
C0428977 (UMLS CUI [1])
Nasal discharge
Item
Nasale Sekretion
boolean
C0437645 (UMLS CUI [1])
Tympanic membrane pain
Item
Schmerzhaftes Trommelfell
boolean
C0749746 (UMLS CUI [1])
Retraction or reduced mobility of tympanic membrane
Item
Retraktion oder verminderte Mobilität des Trommelfells
boolean
C0241518 (UMLS CUI [1,1])
C0456510 (UMLS CUI [1,2])
C0456510 (UMLS CUI [1,2])
Sensitivity to touch
Item
Berührungsempfindlichkeit
boolean
C0700079 (UMLS CUI [1])
Abscess found during histopathologic exam or surgery
Item
Abszess bei der direkten, bei der histopathologischen Untersuchung oder bei der Operation festgestellt
boolean
C0000833 (UMLS CUI [1,1])
C0677043 (UMLS CUI [1,2])
C0543467 (UMLS CUI [1,3])
C0677043 (UMLS CUI [1,2])
C0543467 (UMLS CUI [1,3])
Ulceration
Item
Ulzeration
boolean
C0041582 (UMLS CUI [1])
Sublime white spots on inflamed mucous membrane
Item
Erhabene weiße Flecke auf entzündeter Schleimhaut
boolean
C0151785 (UMLS CUI [1,1])
C2012700 (UMLS CUI [1,2])
C2012700 (UMLS CUI [1,2])
Hypopyon
Item
Hypopyon
boolean
C0020641 (UMLS CUI [1])
Finding of Antigen in blood sample
Item
Positiver Antigen-Nachweis im Blut
boolean
C0003320 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C0178913 (UMLS CUI [1,2])
Finding of antigen in respiratory secretion
Item
Positiver Antigen-Nachweis im Atemwegsekret
boolean
C1532372 (UMLS CUI [1,1])
C0003320 (UMLS CUI [1,2])
C0003320 (UMLS CUI [1,2])
Microbial culture proof findings of pathogens in purulent discharge of external auditory canal
Item
Kultureller Nachweis von Erregern im eitrigen Sekret des äußeren Gehörgangs
boolean
C2242979 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C2143937 (UMLS CUI [1,4])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C2143937 (UMLS CUI [1,4])
Secretion from external auditory canal
Item
Sekretion aus dem äußeren Gehörgang
boolean
C0155540 (UMLS CUI [1])
Microscopic proof findings of pathogens in purulent discharge
Item
Mikroskopischer Nachweis von Erregern im eitrigen Sekret
boolean
C0369671 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0333274 (UMLS CUI [1,4])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0333274 (UMLS CUI [1,4])
Microbial culture proof findings of pathogens in ear discharge taken by tympanocentesis or surgery
Item
Kultureller Nachweis von Erregern im Sekret des Mittelohrs, das durch Tympanozentese oder Operation entnommen wurde
boolean
C2242979 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0155540 (UMLS CUI [1,4])
C3266817 (UMLS CUI [1,5])
C0087123 (UMLS CUI [1,6])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0155540 (UMLS CUI [1,4])
C3266817 (UMLS CUI [1,5])
C0087123 (UMLS CUI [1,6])
Fluid behind tympanic membrane
Item
Flüssigkeit hinter dem Trommelfell
boolean
C0005889 (UMLS CUI [1,1])
C0041445 (UMLS CUI [1,2])
C0041445 (UMLS CUI [1,2])
Microbial culture proof findings of pathogens in surgically derived sample of the inner ear
Item
Kultureller Nachweis von Erregern aus dem intraoperativ entnommenen Untersuchungsmaterial des Innenohres
boolean
C2242979 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C2960494 (UMLS CUI [1,4])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C2960494 (UMLS CUI [1,4])
Physicians diagnosis
Item
Diagnose des Arztes
boolean
C0011900 (UMLS CUI [1])
Microbial culture proof findings of pathogens from purulent discharge of processus mastoideus
Item
Kultureller Nachweis von Erregern in dem eitrigen Sekret aus dem Processus mastoideus
boolean
C2242979 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0333274 (UMLS CUI [1,4])
C0446908 (UMLS CUI [1,5])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0333274 (UMLS CUI [1,4])
C0446908 (UMLS CUI [1,5])
Facial paralysis
Item
Fazialislähmung
boolean
C0015469 (UMLS CUI [1])
Microscopic proof findings of pathogens from purulent discharge of processus mastoideus
Item
Mikroskopischer Nachweis von Erregern in dem eitrigen Sekret aus dem Processus mastoideus
boolean
C0205288 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0333274 (UMLS CUI [1,4])
C0446908 (UMLS CUI [1,5])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0333274 (UMLS CUI [1,4])
C0446908 (UMLS CUI [1,5])
Microbial culture proof findings of pathogens in purulent discharge from tissue or mouth
Item
Kultureller Nachweis von Erregern im eitrigen Sekret aus Gewebe oder der Mundhöhle
boolean
C2242979 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0333274 (UMLS CUI [1,4])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0333274 (UMLS CUI [1,4])
Abscess or other proof of mouth infection found during inspection,surgery or histopathologic exam
Item
Abszess oder sonstiger Nachweis einer Mundrauminfektion bei der Inspektion, während einer Operation oder durch histopathologische Untersuchung festgestellt
boolean
C0000833 (UMLS CUI [1,1])
C0555971 (UMLS CUI [1,2])
C0555971 (UMLS CUI [1,2])
Coating of oral mucosa
Item
Belag auf der Mundschleimhaut
boolean
C0426518 (UMLS CUI [1])
Microscopic proof finding of microorganisms
Item
Mikroskopischer Nachweis von Mikroorganismen
boolean
C0205288 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0445623 (UMLS CUI [1,3])
C0565962 (UMLS CUI [1,2])
C0445623 (UMLS CUI [1,3])
Positive potassium hydroxide (KOH) preparation (detection of fungi)
Item
Positives Kaliumhydroxid (KOH)-Präparat (Nachweis von Pilzen)
boolean
C0855731 (UMLS CUI [1])
Multinucleated giant cells were detected by microscopic examination of mucosal smear
Item
Vielkernige Riesenzellen bei mikroskopischer Untersuchung des Schleimhautabstrichs festgestellt
boolean
C0017526 (UMLS CUI [1,1])
C0026018 (UMLS CUI [1,2])
C0444086 (UMLS CUI [1,3])
C0026018 (UMLS CUI [1,2])
C0444086 (UMLS CUI [1,3])
Antigens positive in inflammatory discharge
Item
Positiver Antigen-Nachweis im entzündlichen Exsudat
boolean
C0003320 (UMLS CUI [1,1])
C0012621 (UMLS CUI [1,2])
C0012621 (UMLS CUI [1,2])
Physician diagnosis and treatment with topic or oral antifungal agent
Item
Diagnose des Arztes und Behandlung mit einem topischen oder oralen Antimykotikum
boolean
C0011900 (UMLS CUI [1,1])
C0003308 (UMLS CUI [1,2])
C0003308 (UMLS CUI [1,2])
Microbial culture proof findings of pathogens in purulent discharge of paranasal sinuses
Item
Kultureller Nachweis von Erregern im eitrigen Sekret der Nasennebenhöhle
boolean
C2242979 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0333274 (UMLS CUI [1,4])
C0030471 (UMLS CUI [1,5])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0333274 (UMLS CUI [1,4])
C0030471 (UMLS CUI [1,5])
Nasal obstruction
Item
Obstruktion der Nase
boolean
C0027429 (UMLS CUI [1])
Diaphanoscopy positive
Item
Diaphanoskopie positiv
boolean
C0040706 (UMLS CUI [1])
Radiologic proof of infection
Item
Radiologischer Hinweis auf Infektion
boolean
C1290916 (UMLS CUI [1,1])
C3714514 (UMLS CUI [1,2])
C3714514 (UMLS CUI [1,2])
Microbial culture proof findings of pathogens
Item
Kultureller Nachweis von Erregern aus der betreffenden Region
boolean
C2242979 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
C0565962 (UMLS CUI [1,2])
C0450254 (UMLS CUI [1,3])
Microbial culture proof findings of blood borne pathogens
Item
Kultureller Nachweis von Erregern im Blut.
boolean
C2242979 (UMLS CUI [1,1])
C0565962 (UMLS CUI [1,2])
C0206333 (UMLS CUI [1,3])
C0565962 (UMLS CUI [1,2])
C0206333 (UMLS CUI [1,3])