ID

18437

Description

Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: Wunddokumentation Sub.

Keywords

  1. 11/4/16 11/4/16 -
  2. 11/17/16 11/17/16 -
Uploaded on

November 4, 2016

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0

Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Wunddokumentation Sub University Hospital Muenster (UKM) Subform

Wunddokumentation Sub University Hospital Muenster (UKM) Subform

Wundbeschreibung
Description

Wundbeschreibung

Pat.
Description

Name of patient

Data type

text

Gebutsdatum
Description

Date of birth

Data type

date

Alter der Wunde
Description

Wound age

Data type

text

Wundheilung abgeschlossen
Description

Wound healing completed

Data type

boolean

Kommt mit Wunde
Description

Arrival with wound

Data type

text

Andere Einrichtung
Description

Institution

Data type

text

Entstehung am
Description

Date of emergence

Data type

date

Entstehung unklar
Description

Emergence unclear

Data type

boolean

Entstehung unklar (Text)
Description

Emergence unclear (text)

Data type

text

Pat. hat in digitale Bilddok. eingewilligt
Description

Consent to digital documentation of images

Data type

boolean

Wundheilung
Description

Wound healing

Data type

text

Operative Versorgung
Description

Surgical care

Data type

text

Infektionsstatus
Description

State of infection

Data type

text

Wundabstrich
Description

Wound swab

Data type

boolean

letzter Wundabstrich
Description

Latest wound swab

Data type

text

bestätigter Keim
Description

Germ confirmed

Data type

text

Infektionszeichen
Description

Signs of infection

Data type

boolean

Infektionszeichen (Text)
Description

Signs of infection (text)

Data type

text

Wundheilung beeinfl. Faktoren
Description

Factors influencing wound healing

Data type

text

Wundform/-grad
Description

Form/degree of wound

Data type

text

Wundgröße
Description

Wound size

Data type

text

Measurement units
  • cm
cm
Tiefe (Daniel)
Description

Wound depth (Daniel)

Data type

text

Zustand (Seiler)
Description

Wound condition (Seiler)

Data type

text

Wundbemerkung
Description

Comment

Data type

text

Wundstadium
Description

Wound stage

Data type

text

Wundheilungsphase
Description

Wundheilungsphase

Exsudationsphase
Description

Exsudative phase

Data type

boolean

Nekrose
Description

Necrosis

Data type

integer

Measurement units
  • %
%
Fibrin
Description

Fibrin

Data type

integer

Measurement units
  • %
%
Exsudationsphase (Text)
Description

Exudative phase (text)

Data type

text

Granulationsphase
Description

Granulation phase

Data type

boolean

Granulationsgewebe
Description

Granulation tissue

Data type

integer

Measurement units
  • %
%
Granulationsphase (Text)
Description

Granulation phase (text)

Data type

text

Epithelisierungsphase
Description

Epithelization phase

Data type

boolean

Epithelisierung
Description

Epithelization

Data type

integer

Measurement units
  • %
%
Epithelisierungsphase (Text)
Description

Epithelization phase (text)

Data type

text

Exsudation
Description

Exsudation

Exsudation der Wunde
Description

Exudation of wound

Data type

text

Exsudat
Description

Exudate

Data type

text

Geruch Exsudation
Description

Smell exudation

Data type

boolean

Geruch Exsudation (Text)
Description

Smell exudation (text)

Data type

text

Menge Exsudation
Description

Amount of exudation

Data type

integer

Measurement units
  • ml
ml
Menge Exsudation (Genauigkeit)
Description

Amount of exudation (accuracy)

Data type

text

Weitere Faktoren
Description

Weitere Faktoren

Geruch der Wunde
Description

Smell of wound

Data type

boolean

Geruch der Wunde (Text)
Description

Smell of wound (text)

Data type

text

Wundränder
Description

Margin of wound

Data type

text

Wundumgebung
Description

Wound environment

Data type

text

Intensität Wundschmerz
Description

Intensity of wound pain

Data type

text

Wundschmerz Bemerkungen
Description

Wound pain, comments

Data type

text

Schmerzbehandlung
Description

Treatment of wound pain

Data type

text

Bemerkungen
Description

Comments

Data type

text

Digitale Bilder
Description

Digital images

Data type

boolean

Pat. hat eingewilligt
Description

Patient consented

Data type

boolean

Similar models

Wunddokumentation Sub University Hospital Muenster (UKM) Subform

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Wundbeschreibung
Name of patient
Item
Pat.
text
Date of birth
Item
Gebutsdatum
date
Item
Alter der Wunde
text
Code List
Alter der Wunde
CL Item
akut (< 8 Wochen) (akut (< 8 Wochen))
CL Item
chronisch (> 8 Wochen) (chronisch (> 8 Wochen))
Wound healing completed
Item
Wundheilung abgeschlossen
boolean
Item
Kommt mit Wunde
text
Code List
Kommt mit Wunde
CL Item
zu Hause (zu Hause)
CL Item
andere Einrichtung (andere Einrichtung)
Institution
Item
Andere Einrichtung
text
Date of emergence
Item
Entstehung am
date
Emergence unclear
Item
Entstehung unklar
boolean
Emergence unclear (text)
Item
Entstehung unklar (Text)
text
Consent to digital documentation of images
Item
Pat. hat in digitale Bilddok. eingewilligt
boolean
Item
Wundheilung
text
Code List
Wundheilung
CL Item
primär (primär)
CL Item
sekundär (sekundär)
CL Item
operative Versorgung (operative Versorgung)
Surgical care
Item
Operative Versorgung
text
Item
Infektionsstatus
text
Code List
Infektionsstatus
CL Item
aseptisch (aseptisch)
CL Item
kontaminiert (kontaminiert)
CL Item
infiziert/septisch (infiziert/septisch)
Wound swab
Item
Wundabstrich
boolean
Latest wound swab
Item
letzter Wundabstrich
text
Germ confirmed
Item
bestätigter Keim
text
Signs of infection
Item
Infektionszeichen
boolean
Signs of infection (text)
Item
Infektionszeichen (Text)
text
Factors influencing wound healing
Item
Wundheilung beeinfl. Faktoren
text
Form/degree of wound
Item
Wundform/-grad
text
Wound size
Item
Wundgröße
text
Wound depth (Daniel)
Item
Tiefe (Daniel)
text
Wound condition (Seiler)
Item
Zustand (Seiler)
text
Comment
Item
Wundbemerkung
text
Wound stage
Item
Wundstadium
text
Item Group
Wundheilungsphase
Exsudative phase
Item
Exsudationsphase
boolean
Necrosis
Item
Nekrose
integer
Fibrin
Item
Fibrin
integer
Exudative phase (text)
Item
Exsudationsphase (Text)
text
Granulation phase
Item
Granulationsphase
boolean
Granulation tissue
Item
Granulationsgewebe
integer
Granulation phase (text)
Item
Granulationsphase (Text)
text
Epithelization phase
Item
Epithelisierungsphase
boolean
Epithelization
Item
Epithelisierung
integer
Epithelization phase (text)
Item
Epithelisierungsphase (Text)
text
Item Group
Exsudation
Exudation of wound
Item
Exsudation der Wunde
text
Exudate
Item
Exsudat
text
Smell exudation
Item
Geruch Exsudation
boolean
Smell exudation (text)
Item
Geruch Exsudation (Text)
text
Amount of exudation
Item
Menge Exsudation
integer
Item
Menge Exsudation (Genauigkeit)
text
Code List
Menge Exsudation (Genauigkeit)
CL Item
gemessen (gemessen)
CL Item
geschätzt (geschätzt)
Item Group
Weitere Faktoren
Smell of wound
Item
Geruch der Wunde
boolean
Smell of wound (text)
Item
Geruch der Wunde (Text)
text
Margin of wound
Item
Wundränder
text
Wound environment
Item
Wundumgebung
text
Intensity of wound pain
Item
Intensität Wundschmerz
text
Wound pain, comments
Item
Wundschmerz Bemerkungen
text
Treatment of wound pain
Item
Schmerzbehandlung
text
Comments
Item
Bemerkungen
text
Digital images
Item
Digitale Bilder
boolean
Patient consented
Item
Pat. hat eingewilligt
boolean

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial