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ID
18440
Description
Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: AB MS NEURO Arztbrief Stroke.
Keywords
Versions (3)
- 11/4/16 11/4/16 -
- 11/21/16 11/21/16 -
- 11/23/16 11/23/16 -
Uploaded on
November 4, 2016
DOI
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License
Creative Commons BY-NC 3.0
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AB MS NEURO Arztbrief Stroke MS University Hospital Muenster (UKM) Subform
AB MS NEURO Arztbrief Stroke MS University Hospital Muenster (UKM) Subform
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AB MS NEURO Arztbrief Stroke MS University Hospital Muenster (UKM) Subform
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Title
Item
Überschrift
text
Subject
Item
Betrifft
text
Diagnosis
Item
Diagnosen
text
Summary
Item
Zusammenfassende Beurteilung
text
Development
Item
Verlauf
text
Treatment
Item
Therapeutische Maßnahmen
text
Prophylaxis
Item
Konzept zur Sekundärprophylaxe
text
Procedure
Item
Vorschlag zum Prozedere
text
Medical History
Item
Aktuelle Anamnese
text
Deviation
Item
Zeitliche Latenz vom Ereignis bis zur stationären Aufnahme in Stunden
integer
Reason
Item
Hauptursache für Verzögerung
text
Further Medical History
Item
Weitere Anamnese
text
Case History
Item
Sozialanamnese
text
Medical History
Item
Vegetative Anamnese
text
Medical History
Item
Familienanamnese
text
Risk factors
Item
Vaskuläre Risikofaktoren
text
Medication
Item
Bisherige Medikation
text
Date
Item
Neurologischer Aufnahmebefund vom
date
Results
Item
Neurologische Befunde bei Entlassung
text
Results
Item
Allgemeinmedizinischer Befund
text
Results
Item
Befunde
text
Signature
Item
Unterschrift
text