ID

18536

Description

Hospital Routine Documentation Form at the University Hospital Muenster

Keywords

Versions (1)
  1. 11/10/16 11/10/16 -
Uploaded on

November 10, 2016

DOI

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License

Creative Commons BY-NC 3.0
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OP MS Patbegl Leber University Hospital Muenster (UKM) Subform

German ( localization.languageCode.DE )

OP MS Patbegl Leber University Hospital Muenster (UKM) Subform

1 forms  
Pathobeleg Leber
Description

Pathobeleg Leber

Alias
UMLS CUI-1
C0030664
UMLS CUI-2
C0023884
Postoperative Diagnose:
Description

Post-surgery diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Operation:
Description

Surgery

Data type

text

Alias
UMLS CUI [1]
C0543467
Postoperative Anordnung:
Description

post surgery therapeutic procedure

Data type

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0032790
"OP-Details":
Description

surgery details

Data type

text

Alias
UMLS CUI [1]
C0543467
Handschriftliche Zeichnung auf Ausdruck:
Description

handwritten comment

Data type

integer

Alias
UMLS CUI [1]
C1553516
Tumorlokalisation: bitte Tumor und Resektionsgrenzen einzeichnen/beschreiben
Description

malignant neoplasm location

Data type

text

Alias
UMLS CUI [1,1]
C0006826
UMLS CUI [1,2]
C0450429
Lebermakroskopie:
Description

liver macroscopy

Data type

integer

Alias
UMLS CUI [1,1]
C0023884
UMLS CUI [1,2]
C0430385
Geschätztes Resektionvolumen in % der Gesamtleber:
Description

resection volume

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1,1]
C0023884
UMLS CUI [1,2]
C0728940
UMLS CUI [1,3]
C2700258
%
Tumorausdehnung
Description

tumor extension

Data type

integer

Alias
UMLS CUI [1,1]
C0006826
UMLS CUI [1,2]
C0231448
Maximaler Tumordurchmesser:
Description

tumor diameter

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1,1]
C0006826
UMLS CUI [1,2]
C1301886
cm
Geringster Sicherheitsabstand:
Description

margin of safety

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0243168
cm
Resektions-und Versiegelungstechnik
Description

Resektions-und Versiegelungstechnik

Alias
UMLS CUI-1
C0728940
UMLS CUI-2
C0543467
Resektions-und Versiegelungstechnik
Description

resection

Data type

integer

Alias
UMLS CUI [1,1]
C0728940
UMLS CUI [1,2]
C0543467
OP-Dauer:
Description

surgery duration

Data type

integer

Measurement units
  • min
Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0449238
min
Pringle-Manöver:
Description

vascular clamp

Data type

integer

Alias
UMLS CUI [1]
C0179955
Gesamtdauer Pringle-Manöver:
Description

duration

Data type

integer

Measurement units
  • min
Alias
UMLS CUI [1,1]
C0179955
UMLS CUI [1,2]
C0449238
min
Blutverlust intraoperativ:
Description

blood loss

Data type

integer

Measurement units
  • ml
Alias
UMLS CUI [1]
C3163616
ml
Blutprodukte intraoperativ, Anzahl EK:
Description

Transfusion packed red blood cells

Data type

integer

Alias
UMLS CUI [1]
C0199962
Blutprodukte intraoperativ, Anzahl TK:
Description

transfusion platelet concentrate

Data type

integer

Alias
UMLS CUI [1]
C1293886
Blutprodukte intraoperativ, Anzahl FFP:
Description

transfusion fresh frozen plasma

Data type

integer

Alias
UMLS CUI [1,1]
C0016709
UMLS CUI [1,2]
C1879316
Blutprodukte intraoperativ, Anzahl PPSB:
Description

transfusion prothrombin complex concentrate

Data type

integer

Alias
UMLS CUI [1,1]
C0072434
UMLS CUI [1,2]
C1879316
Onkologische Wertung
Description

Onkologische Wertung

Alias
UMLS CUI-1
C1300072
Onkologische Wertung der Restleber:
Description

liver staging

Data type

integer

Alias
UMLS CUI [1,1]
C0023884
UMLS CUI [1,2]
C0332305
Onkologische Wertung des Patienten:
Description

patient staging

Data type

integer

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0332305
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Similar models

OP MS Patbegl Leber University Hospital Muenster (UKM) Subform

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Pathobeleg Leber
C0030664 (UMLS CUI-1)
C0023884 (UMLS CUI-2)
Post-surgery diagnosis
Item
Postoperative Diagnose:
text
C0011900 (UMLS CUI [1])
Surgery
Item
Operation:
text
C0543467 (UMLS CUI [1])
post surgery therapeutic procedure
Item
Postoperative Anordnung:
text
C0087111 (UMLS CUI [1,1])
C0032790 (UMLS CUI [1,2])
surgery details
Item
"OP-Details":
text
C0543467 (UMLS CUI [1])
Item
Handschriftliche Zeichnung auf Ausdruck:
integer
C1553516 (UMLS CUI [1])
undefined item
Code List
Handschriftliche Zeichnung auf Ausdruck:
CL Item
Ja (1)
CL Item
Nein (2)
malignant neoplasm location
Item
Tumorlokalisation: bitte Tumor und Resektionsgrenzen einzeichnen/beschreiben
text
C0006826 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Item
Lebermakroskopie:
integer
C0023884 (UMLS CUI [1,1])
C0430385 (UMLS CUI [1,2])
liver macroscopy
Code List
Lebermakroskopie:
CL Item
unauffällig (1)
CL Item
Verfettung (2)
CL Item
Zirrhose (3)
resection volume
Item
Geschätztes Resektionvolumen in % der Gesamtleber:
integer
C0023884 (UMLS CUI [1,1])
C0728940 (UMLS CUI [1,2])
C2700258 (UMLS CUI [1,3])
Item
Tumorausdehnung
integer
C0006826 (UMLS CUI [1,1])
C0231448 (UMLS CUI [1,2])
tumor extension
Code List
Tumorausdehnung
CL Item
solitär (1)
CL Item
multiple (2)
tumor diameter
Item
Maximaler Tumordurchmesser:
integer
C0006826 (UMLS CUI [1,1])
C1301886 (UMLS CUI [1,2])
margin of safety
Item
Geringster Sicherheitsabstand:
integer
C0243168 (UMLS CUI [1])
Item Group
Resektions-und Versiegelungstechnik
C0728940 (UMLS CUI-1)
C0543467 (UMLS CUI-2)
Item
Resektions-und Versiegelungstechnik
integer
C0728940 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
undefined item
Code List
Resektions-und Versiegelungstechnik
CL Item
Klemmendisfraktion (1)
CL Item
Ultraschalldissektor (2)
CL Item
Cusa (3)
CL Item
Elektrokoagulation (4)
CL Item
Naht (5)
CL Item
Fibrinkleber (6)
CL Item
Netz (Vicryl) (7)
CL Item
Tachokomp (8)
CL Item
Argon-Beamer (9)
surgery duration
Item
OP-Dauer:
integer
C0087111 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
Pringle-Manöver:
integer
C0179955 (UMLS CUI [1])
undefined item
Code List
Pringle-Manöver:
CL Item
Ja (1)
CL Item
Nein (2)
duration
Item
Gesamtdauer Pringle-Manöver:
integer
C0179955 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
blood loss
Item
Blutverlust intraoperativ:
integer
C3163616 (UMLS CUI [1])
Transfusion packed red blood cells
Item
Blutprodukte intraoperativ, Anzahl EK:
integer
C0199962 (UMLS CUI [1])
transfusion platelet concentrate
Item
Blutprodukte intraoperativ, Anzahl TK:
integer
C1293886 (UMLS CUI [1])
transfusion fresh frozen plasma
Item
Blutprodukte intraoperativ, Anzahl FFP:
integer
C0016709 (UMLS CUI [1,1])
C1879316 (UMLS CUI [1,2])
transfusion prothrombin complex concentrate
Item
Blutprodukte intraoperativ, Anzahl PPSB:
integer
C0072434 (UMLS CUI [1,1])
C1879316 (UMLS CUI [1,2])
Item Group
Onkologische Wertung
C1300072 (UMLS CUI-1)
Item
Onkologische Wertung der Restleber:
integer
C0023884 (UMLS CUI [1,1])
C0332305 (UMLS CUI [1,2])
undefined item
Code List
Onkologische Wertung der Restleber:
CL Item
R0 (1)
CL Item
R1 (2)
CL Item
R2 (3)
Item
Onkologische Wertung des Patienten:
integer
C0030705 (UMLS CUI [1,1])
C0332305 (UMLS CUI [1,2])
undefined item
Code List
Onkologische Wertung des Patienten:
CL Item
R0 (1)
CL Item
R1 (2)
CL Item
R2 (3)
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