ID

18838

Description

Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: Verlaufsdoku KIRHE UKM

Keywords

  1. 11/22/16 11/22/16 -
Uploaded on

November 22, 2016

DOI

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License

Creative Commons BY-NC 3.0

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Verlaufsdoku KIRHE UKM University Hospital Muenster (UKM) Subform

Verlaufsdoku KIRHE UKM University Hospital Muenster (UKM) Subform

Verlaufsdokumentation KIRHE
Description

Verlaufsdokumentation KIRHE

Diagnose
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Aktuelle Diagnose
Description

Current diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Empfehlungen
Description

Recommendation

Data type

text

Alias
UMLS CUI [1]
C0034866
Aktuelle Therapie: Bisherige Medikamente
Description

Aktuelle Therapie: Bisherige Medikamente

Alias
UMLS CUI-1
C0013227
Bisherige Medikamente
Description

Previous Medication

Data type

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205156
Dosierung
Description

Dosage

Data type

text

Alias
UMLS CUI [1]
C0178602
Änderung
Description

Dose modification

Data type

text

Alias
UMLS CUI [1]
C1707811
Neue Dosierung ab (Datum der Vorstellung oder anderes)
Description

Dose modification date

Data type

date

Alias
UMLS CUI [1,1]
C1707811
UMLS CUI [1,2]
C0011008
Aktuelle Therapie: Neue Medikamente
Description

Aktuelle Therapie: Neue Medikamente

Alias
UMLS CUI-1
C0013227
Neue Medikamente
Description

New Medication

Data type

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205314
Dosierung
Description

Dosage

Data type

text

Alias
UMLS CUI [1]
C0178602
Physiotherapie/Ergotherapie/Orthopädische Hilfsmittel
Description

Physiotherapie/Ergotherapie/Orthopädische Hilfsmittel

Alias
UMLS CUI-1
C0087111
Physiotherapie/Ergotherapie/Orthopädische Hilfsmittel
Description

Physical Therapy, Occupational Therapy, Orthotics

Data type

text

Alias
UMLS CUI [1]
C0949766
UMLS CUI [2]
C1318464
UMLS CUI [3]
C0029365
Körperliche Untersuchung
Description

Körperliche Untersuchung

Alias
UMLS CUI-1
C0031809
Aktuelle Situation
Description

Current situation

Data type

text

Alias
UMLS CUI [1]
C3899485
Morgensteifigkeit
Description

Morning stiffness

Data type

boolean

Alias
UMLS CUI [1]
C0457086
Fieber/Infekte
Description

Fieber/Infekte

Data type

boolean

Alias
UMLS CUI [1]
C0015967
UMLS CUI [2]
C0009443
Letzter Augenarzt-Termin:
Description

Last seen by ophthalmologist

Data type

date

Alias
UMLS CUI [1,1]
C0029087
UMLS CUI [1,2]
C0011008
Körperlicher Untersuchungsbefund
Description

Physical examination finding

Data type

text

Alias
UMLS CUI [1]
C0031809
PGA/VAS
Description

PGA/VAS

Data type

text

Alias
UMLS CUI [1,1]
C4050369
UMLS CUI [1,2]
C3536884
AJ
Description

AJ

Data type

text

JADAS
Description

JADAS

Data type

text

Alias
UMLS CUI [1]
C4053518
CMAS
Description

CMAS

Data type

text

Alias
UMLS CUI [1]
C4050350
Biometrische Daten: Länge
Description

Body length

Data type

float

Alias
UMLS CUI [1]
C0221097
Biometrische Daten: Gewicht
Description

Body weight

Data type

float

Alias
UMLS CUI [1]
C0005910
Biometrische Daten: RR
Description

Blood pressure

Data type

text

Alias
UMLS CUI [1]
C0005823
Biometrische Daten: Temperatur
Description

Body Temperature

Data type

float

Alias
UMLS CUI [1]
C0005903
Nächster Wiedervorstellungstermin:
Description

Next appointment

Data type

date

Alias
UMLS CUI [1]
C1272171

Similar models

Verlaufsdoku KIRHE UKM University Hospital Muenster (UKM) Subform

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Verlaufsdokumentation KIRHE
Diagnosis
Item
Diagnose
text
C0011900 (UMLS CUI [1])
Current diagnosis
Item
Aktuelle Diagnose
text
C0011900 (UMLS CUI [1])
Recommendation
Item
Empfehlungen
text
C0034866 (UMLS CUI [1])
Item Group
Aktuelle Therapie: Bisherige Medikamente
C0013227 (UMLS CUI-1)
Previous Medication
Item
Bisherige Medikamente
text
C0013227 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
Dosage
Item
Dosierung
text
C0178602 (UMLS CUI [1])
Dose modification
Item
Änderung
text
C1707811 (UMLS CUI [1])
Dose modification date
Item
Neue Dosierung ab (Datum der Vorstellung oder anderes)
date
C1707811 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Aktuelle Therapie: Neue Medikamente
C0013227 (UMLS CUI-1)
New Medication
Item
Neue Medikamente
text
C0013227 (UMLS CUI [1,1])
C0205314 (UMLS CUI [1,2])
Dosage
Item
Dosierung
text
C0178602 (UMLS CUI [1])
Item Group
Physiotherapie/Ergotherapie/Orthopädische Hilfsmittel
C0087111 (UMLS CUI-1)
Physical Therapy, Occupational Therapy, Orthotics
Item
Physiotherapie/Ergotherapie/Orthopädische Hilfsmittel
text
C0949766 (UMLS CUI [1])
C1318464 (UMLS CUI [2])
C0029365 (UMLS CUI [3])
Item Group
Körperliche Untersuchung
C0031809 (UMLS CUI-1)
Current situation
Item
Aktuelle Situation
text
C3899485 (UMLS CUI [1])
Morning stiffness
Item
Morgensteifigkeit
boolean
C0457086 (UMLS CUI [1])
Fieber/Infekte
Item
Fieber/Infekte
boolean
C0015967 (UMLS CUI [1])
C0009443 (UMLS CUI [2])
Last seen by ophthalmologist
Item
Letzter Augenarzt-Termin:
date
C0029087 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Physical examination finding
Item
Körperlicher Untersuchungsbefund
text
C0031809 (UMLS CUI [1])
PGA/VAS
Item
PGA/VAS
text
C4050369 (UMLS CUI [1,1])
C3536884 (UMLS CUI [1,2])
AJ
Item
AJ
text
JADAS
Item
JADAS
text
C4053518 (UMLS CUI [1])
CMAS
Item
CMAS
text
C4050350 (UMLS CUI [1])
Body length
Item
Biometrische Daten: Länge
float
C0221097 (UMLS CUI [1])
Body weight
Item
Biometrische Daten: Gewicht
float
C0005910 (UMLS CUI [1])
Blood pressure
Item
Biometrische Daten: RR
text
C0005823 (UMLS CUI [1])
Body Temperature
Item
Biometrische Daten: Temperatur
float
C0005903 (UMLS CUI [1])
Next appointment
Item
Nächster Wiedervorstellungstermin:
date
C1272171 (UMLS CUI [1])

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