ID

18493

Description

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

Keywords

  1. 9/30/16 9/30/16 -
  2. 11/8/16 11/8/16 -
Uploaded on

November 8, 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.

Anfallsprotokoll University Hospital Muenster (UKM)

Anfallsprotokoll University Hospital Muenster (UKM)

Anfallsbeschreibung
Description

Anfallsbeschreibung

Alias
UMLS CUI-1
C0036572
Dauer des Anfalls
Description

Duration of seizure

Data type

text

Measurement units
  • min/sec
Alias
UMLS CUI [1]
C0730597
min/sec
Häufigkeit
Description

Frequency

Data type

text

Alias
UMLS CUI [1]
C2724369
Aura vor Anfall
Description

Aura before seizure

Data type

text

Alias
UMLS CUI [1]
C0234542
Situation
Description

Situation

Data type

text

Alias
UMLS CUI [1,1]
C0036572
UMLS CUI [1,2]
C0014006
Fieber
Description

Fever

Data type

boolean

Alias
UMLS CUI [1]
C0009952
Letzte Temperatur
Description

Last temperature measured

Data type

float

Measurement units
  • °C
Alias
UMLS CUI [1]
C0009952
UMLS CUI [2]
C0015967
°C
Temperatur gemessen um
Description

Time of temperature measurement

Data type

time

Alias
UMLS CUI [1]
C0009952
UMLS CUI [2,1]
C0040223
UMLS CUI [2,2]
C0015967
Allgemeines
Description

Allgemeines

Alias
UMLS CUI-1
C1508263
Seitengleicher Beginn
Description

Beginning equal on both sides

Data type

boolean

Alias
UMLS CUI [1]
C1148454
Seitengleicher Beginn (Wo?)
Description

Beginning equal on both sides (description)

Data type

text

Alias
UMLS CUI [1]
C1148454
Unterschiedlicher Beginn
Description

Beginning different

Data type

boolean

Alias
UMLS CUI [1]
C1148454
Unterschiedlicher Beginn (Text)
Description

Beginning different (description)

Data type

text

Alias
UMLS CUI [1]
C1148454
Seitengleiches Ende
Description

Ending equal on both sides

Data type

boolean

Alias
UMLS CUI [1]
C1148454
Seitengleiches Ende (Text)
Description

Ending equal on both sides (description)

Data type

text

Alias
UMLS CUI [1]
C1148454
Unterschiedliches Ende
Description

Ending different

Data type

boolean

Alias
UMLS CUI [1]
C1148454
Unterschiedliches Ende (Text)
Description

Ending different (description)

Data type

text

Alias
UMLS CUI [1]
C1148454
Zyanose
Description

Cyanosis

Data type

boolean

Alias
UMLS CUI [1]
C0010520
Zyanose (Wo?)
Description

Cyanosis (description)

Data type

text

Alias
UMLS CUI [1]
C0010520
Blässe
Description

Paleness

Data type

boolean

Alias
UMLS CUI [1]
C0030232
Blässe (Text)
Description

Paleness (description)

Data type

text

Alias
UMLS CUI [1]
C0030232
Tonisch-klonisch
Description

Tonic-clonic

Data type

boolean

Alias
UMLS CUI [1]
C0014549
Tonisch-klonisch (Text)
Description

Tonic-clonic (description)

Data type

text

Alias
UMLS CUI [1]
C0014549
Absence
Description

Absence

Data type

boolean

Alias
UMLS CUI [1]
C0014553
Absence (Text)
Description

Absence (description)

Data type

text

Alias
UMLS CUI [1]
C0014553
Sonstiges
Description

Other information

Data type

boolean

Alias
UMLS CUI [1,1]
C0036572
UMLS CUI [1,2]
C0205394
Sonstiges (Text)
Description

Other information (description)

Data type

text

Alias
UMLS CUI [1,1]
C0036572
UMLS CUI [1,2]
C0205394
Körperhaltung / Bewegung
Description

Körperhaltung / Bewegung

Alias
UMLS CUI-1
C1262869
UMLS CUI-3
C0026649
Sitzen
Description

Sitting

Data type

boolean

Alias
UMLS CUI [1]
C0277814
Liegen
Description

Lying down

Data type

boolean

Alias
UMLS CUI [1]
C2584317
Stehen
Description

Standing

Data type

boolean

Alias
UMLS CUI [1]
C0231472
Gehen
Description

Walking

Data type

boolean

Alias
UMLS CUI [1]
C0080331
Fechterstellung
Description

Fencing posture

Data type

boolean

Alias
UMLS CUI [1]
C0278128
Sturz
Description

Falling

Data type

boolean

Alias
UMLS CUI [1]
C0085639
Sturz (Text)
Description

Faling (description)

Data type

text

Alias
UMLS CUI [1]
C0085639
Haltung der Extremitäten
Description

Haltung der Extremitäten

Alias
UMLS CUI-1
C1857952
Extremitäten
Description

Limbs

Data type

text

Alias
UMLS CUI [1]
C1857952
Zuckungen (Klonien)
Description

Zuckungen (Klonien)

Alias
UMLS CUI-1
C0495698
Einseitig
Description

On one side

Data type

boolean

Alias
UMLS CUI [1,1]
C0205092
UMLS CUI [1,2]
C0495698
Einseitig (Wo?)
Description

On one side (description)

Data type

text

Alias
UMLS CUI [1,1]
C0205092
UMLS CUI [1,2]
C0495698
Doppelseitig
Description

On both sides

Data type

boolean

Alias
UMLS CUI [1,1]
C0238767
UMLS CUI [1,2]
C0495698
Doppelseitig (Text)
Description

On both sides (description)

Data type

text

Alias
UMLS CUI [1,1]
C0238767
UMLS CUI [1,2]
C0495698
Rhythmisch
Description

Rhythmic

Data type

boolean

Alias
UMLS CUI [1,1]
C1523018
UMLS CUI [1,2]
C0495698
Rhythmisch (Text)
Description

Rhythmic (description)

Data type

text

Alias
UMLS CUI [1,1]
C1523018
UMLS CUI [1,2]
C0495698
Unregelmäßig
Description

Irregular

Data type

boolean

Alias
UMLS CUI [1,1]
C0205271
UMLS CUI [1,2]
C0495698
Unregelmäßig (Text)
Description

Irregular (description)

Data type

text

Alias
UMLS CUI [1,1]
C0205271
UMLS CUI [1,2]
C0495698
Myoklonien
Description

Myoclonic twitches

Data type

boolean

Alias
UMLS CUI [1]
C0027063
Myoklonien (Text)
Description

Myoclonic twitches (description)

Data type

text

Alias
UMLS CUI [1]
C0027063
Bemerkungen
Description

Comments

Data type

text

Alias
UMLS CUI [1,1]
C4048158
UMLS CUI [1,2]
C0947611
Erhöhte Körperspannung (Tonien)
Description

Erhöhte Körperspannung (Tonien)

Alias
UMLS CUI-1
C0026826
Einseitig
Description

On one side

Data type

boolean

Alias
UMLS CUI [1,1]
C0205092
UMLS CUI [1,2]
C0026826
Einseitig (Wo?)
Description

On one side (description)

Data type

text

Alias
UMLS CUI [1,1]
C0205092
UMLS CUI [1,2]
C0026826
Doppelseitig
Description

On both sides

Data type

boolean

Alias
UMLS CUI [1,1]
C0238767
UMLS CUI [1,2]
C0026826
Doppelseitig (Text)
Description

On both sides (description)

Data type

text

Alias
UMLS CUI [1,1]
C0238767
UMLS CUI [1,2]
C0026826
Seitengleicher Beginn
Description

Beginning equal on both sides

Data type

boolean

Alias
UMLS CUI [1]
C0026826
Seitengleicher Beginn (Text)
Description

Beginning equal on both sides (description)

Data type

text

Alias
UMLS CUI [1]
C0026826
Seitengleiches Ende
Description

Ending equal on both sides

Data type

boolean

Alias
UMLS CUI [1]
C0026826
Seitengleiches Ende (Text)
Description

Ending equal on both sides (description)

Data type

text

Alias
UMLS CUI [1]
C0026826
Unterschiedlicher Beginn
Description

Beginning different

Data type

boolean

Alias
UMLS CUI [1]
C0026826
Unterschiedlicher Beginn (Text)
Description

Beginning different (description)

Data type

text

Alias
UMLS CUI [1]
C0026826
Unterschiedliches Ende
Description

Ending different

Data type

boolean

Alias
UMLS CUI [1]
C0026826
Unterschiedliches Ende (Text)
Description

Ending different (description)

Data type

text

Alias
UMLS CUI [1]
C0026826
Bemerkungen Tonien
Description

Comments

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0026826
Augen
Description

Augen

Alias
UMLS CUI-1
C0015392
Augenstellung
Description

Ocular alignment

Data type

text

Alias
UMLS CUI [1]
C0015392
Kopf
Description

Kopf

Alias
UMLS CUI-1
C0018670
Kopf
Description

Head

Data type

text

Alias
UMLS CUI [1]
C0018670
Mund
Description

Mund

Alias
UMLS CUI-1
C0230028
Mund
Description

Mouth

Data type

text

Alias
UMLS CUI [1]
C0230028
Atmung
Description

Atmung

Alias
UMLS CUI-1
C0035203
Atemgeräusch
Description

Respiratory noise

Data type

text

Alias
UMLS CUI [1]
C0035234
Sonstiges
Description

Other information

Data type

text

Alias
UMLS CUI [1,1]
C0035203
UMLS CUI [1,2]
C0205394
Reagiert auf Reize
Description

Reagiert auf Reize

Alias
UMLS CUI-1
C0234402
Reize
Description

Stimuli

Data type

text

Alias
UMLS CUI [1]
C0234402
Medikamente
Description

Medikamente

Alias
UMLS CUI-1
C0013227
Medikament
Description

Medication

Data type

text

Alias
UMLS CUI [1]
C0013227
Dosis
Description

Dose

Data type

text

Alias
UMLS CUI [1]
C3174092
nach Min.
Description

Time

Data type

float

Measurement units
  • min.
min.
Nach dem Anfall
Description

Nach dem Anfall

Alias
UMLS CUI-1
C1546087
UMLS CUI-2
C0036572
Nach Anfall
Description

After seizure

Data type

text

Alias
UMLS CUI [1,1]
C1546087
UMLS CUI [1,2]
C0036572
Arzt informiert
Description

Arzt informiert

Alias
UMLS CUI-1
C2826892
Arzt informiert
Description

Physician informed

Data type

boolean

Alias
UMLS CUI [1]
C2826892
Arzt
Description

Physician

Data type

text

Alias
UMLS CUI [1]
C2826892
Sonstiges
Description

Sonstiges

Alias
UMLS CUI-1
C0947611
Sonstiges
Description

Comments

Data type

text

Alias
UMLS CUI [1]
C0947611

Similar models

Anfallsprotokoll University Hospital Muenster (UKM)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Anfallsbeschreibung
C0036572 (UMLS CUI-1)
Duration of seizure
Item
Dauer des Anfalls
text
C0730597 (UMLS CUI [1])
Frequency
Item
Häufigkeit
text
C2724369 (UMLS CUI [1])
Aura before seizure
Item
Aura vor Anfall
text
C0234542 (UMLS CUI [1])
Situation
Item
Situation
text
C0036572 (UMLS CUI [1,1])
C0014006 (UMLS CUI [1,2])
Fever
Item
Fieber
boolean
C0009952 (UMLS CUI [1])
Last temperature measured
Item
Letzte Temperatur
float
C0009952 (UMLS CUI [1])
C0015967 (UMLS CUI [2])
Time of temperature measurement
Item
Temperatur gemessen um
time
C0009952 (UMLS CUI [1])
C0040223 (UMLS CUI [2,1])
C0015967 (UMLS CUI [2,2])
Item Group
Allgemeines
C1508263 (UMLS CUI-1)
Beginning equal on both sides
Item
Seitengleicher Beginn
boolean
C1148454 (UMLS CUI [1])
Beginning equal on both sides (description)
Item
Seitengleicher Beginn (Wo?)
text
C1148454 (UMLS CUI [1])
Beginning different
Item
Unterschiedlicher Beginn
boolean
C1148454 (UMLS CUI [1])
Beginning different (description)
Item
Unterschiedlicher Beginn (Text)
text
C1148454 (UMLS CUI [1])
Ending equal on both sides
Item
Seitengleiches Ende
boolean
C1148454 (UMLS CUI [1])
Ending equal on both sides (description)
Item
Seitengleiches Ende (Text)
text
C1148454 (UMLS CUI [1])
Ending different
Item
Unterschiedliches Ende
boolean
C1148454 (UMLS CUI [1])
Ending different (description)
Item
Unterschiedliches Ende (Text)
text
C1148454 (UMLS CUI [1])
Cyanosis
Item
Zyanose
boolean
C0010520 (UMLS CUI [1])
Cyanosis (description)
Item
Zyanose (Wo?)
text
C0010520 (UMLS CUI [1])
Paleness
Item
Blässe
boolean
C0030232 (UMLS CUI [1])
Paleness (description)
Item
Blässe (Text)
text
C0030232 (UMLS CUI [1])
Tonic-clonic
Item
Tonisch-klonisch
boolean
C0014549 (UMLS CUI [1])
Tonic-clonic (description)
Item
Tonisch-klonisch (Text)
text
C0014549 (UMLS CUI [1])
Absence
Item
Absence
boolean
C0014553 (UMLS CUI [1])
Absence (description)
Item
Absence (Text)
text
C0014553 (UMLS CUI [1])
Other information
Item
Sonstiges
boolean
C0036572 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Other information (description)
Item
Sonstiges (Text)
text
C0036572 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Körperhaltung / Bewegung
C1262869 (UMLS CUI-1)
C0026649 (UMLS CUI-3)
Sitting
Item
Sitzen
boolean
C0277814 (UMLS CUI [1])
Lying down
Item
Liegen
boolean
C2584317 (UMLS CUI [1])
Standing
Item
Stehen
boolean
C0231472 (UMLS CUI [1])
Walking
Item
Gehen
boolean
C0080331 (UMLS CUI [1])
Fencing posture
Item
Fechterstellung
boolean
C0278128 (UMLS CUI [1])
Falling
Item
Sturz
boolean
C0085639 (UMLS CUI [1])
Faling (description)
Item
Sturz (Text)
text
C0085639 (UMLS CUI [1])
Item Group
Haltung der Extremitäten
C1857952 (UMLS CUI-1)
Limbs
Item
Extremitäten
text
C1857952 (UMLS CUI [1])
Item Group
Zuckungen (Klonien)
C0495698 (UMLS CUI-1)
On one side
Item
Einseitig
boolean
C0205092 (UMLS CUI [1,1])
C0495698 (UMLS CUI [1,2])
On one side (description)
Item
Einseitig (Wo?)
text
C0205092 (UMLS CUI [1,1])
C0495698 (UMLS CUI [1,2])
On both sides
Item
Doppelseitig
boolean
C0238767 (UMLS CUI [1,1])
C0495698 (UMLS CUI [1,2])
On both sides (description)
Item
Doppelseitig (Text)
text
C0238767 (UMLS CUI [1,1])
C0495698 (UMLS CUI [1,2])
Rhythmic
Item
Rhythmisch
boolean
C1523018 (UMLS CUI [1,1])
C0495698 (UMLS CUI [1,2])
Rhythmic (description)
Item
Rhythmisch (Text)
text
C1523018 (UMLS CUI [1,1])
C0495698 (UMLS CUI [1,2])
Irregular
Item
Unregelmäßig
boolean
C0205271 (UMLS CUI [1,1])
C0495698 (UMLS CUI [1,2])
Irregular (description)
Item
Unregelmäßig (Text)
text
C0205271 (UMLS CUI [1,1])
C0495698 (UMLS CUI [1,2])
Myoclonic twitches
Item
Myoklonien
boolean
C0027063 (UMLS CUI [1])
Myoclonic twitches (description)
Item
Myoklonien (Text)
text
C0027063 (UMLS CUI [1])
Comments
Item
Bemerkungen
text
C4048158 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item Group
Erhöhte Körperspannung (Tonien)
C0026826 (UMLS CUI-1)
On one side
Item
Einseitig
boolean
C0205092 (UMLS CUI [1,1])
C0026826 (UMLS CUI [1,2])
On one side (description)
Item
Einseitig (Wo?)
text
C0205092 (UMLS CUI [1,1])
C0026826 (UMLS CUI [1,2])
On both sides
Item
Doppelseitig
boolean
C0238767 (UMLS CUI [1,1])
C0026826 (UMLS CUI [1,2])
On both sides (description)
Item
Doppelseitig (Text)
text
C0238767 (UMLS CUI [1,1])
C0026826 (UMLS CUI [1,2])
Beginning equal on both sides
Item
Seitengleicher Beginn
boolean
C0026826 (UMLS CUI [1])
Beginning equal on both sides (description)
Item
Seitengleicher Beginn (Text)
text
C0026826 (UMLS CUI [1])
Ending equal on both sides
Item
Seitengleiches Ende
boolean
C0026826 (UMLS CUI [1])
Ending equal on both sides (description)
Item
Seitengleiches Ende (Text)
text
C0026826 (UMLS CUI [1])
Beginning different
Item
Unterschiedlicher Beginn
boolean
C0026826 (UMLS CUI [1])
Beginning different (description)
Item
Unterschiedlicher Beginn (Text)
text
C0026826 (UMLS CUI [1])
Ending different
Item
Unterschiedliches Ende
boolean
C0026826 (UMLS CUI [1])
Ending different (description)
Item
Unterschiedliches Ende (Text)
text
C0026826 (UMLS CUI [1])
Comments
Item
Bemerkungen Tonien
text
C0947611 (UMLS CUI [1,1])
C0026826 (UMLS CUI [1,2])
Item Group
Augen
C0015392 (UMLS CUI-1)
Ocular alignment
Item
Augenstellung
text
C0015392 (UMLS CUI [1])
Item Group
Kopf
C0018670 (UMLS CUI-1)
Head
Item
Kopf
text
C0018670 (UMLS CUI [1])
Item Group
Mund
C0230028 (UMLS CUI-1)
Mouth
Item
Mund
text
C0230028 (UMLS CUI [1])
Item Group
Atmung
C0035203 (UMLS CUI-1)
Respiratory noise
Item
Atemgeräusch
text
C0035234 (UMLS CUI [1])
Other information
Item
Sonstiges
text
C0035203 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Reagiert auf Reize
C0234402 (UMLS CUI-1)
Stimuli
Item
Reize
text
C0234402 (UMLS CUI [1])
Item Group
Medikamente
C0013227 (UMLS CUI-1)
Medication
Item
Medikament
text
C0013227 (UMLS CUI [1])
Dose
Item
Dosis
text
C3174092 (UMLS CUI [1])
Time
Item
nach Min.
float
Item Group
Nach dem Anfall
C1546087 (UMLS CUI-1)
C0036572 (UMLS CUI-2)
After seizure
Item
Nach Anfall
text
C1546087 (UMLS CUI [1,1])
C0036572 (UMLS CUI [1,2])
Item Group
Arzt informiert
C2826892 (UMLS CUI-1)
Physician informed
Item
Arzt informiert
boolean
C2826892 (UMLS CUI [1])
Physician
Item
Arzt
text
C2826892 (UMLS CUI [1])
Item Group
Sonstiges
C0947611 (UMLS CUI-1)
Comments
Item
Sonstiges
text
C0947611 (UMLS CUI [1])

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