Information:
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ID
18849
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 23, 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
Similar models
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
C3888414 (UMLS CUI [1])
Subject
Item
Betrifft
text
C0681850 (UMLS CUI [1])
Diagnosis
Item
Diagnosen
text
C0011900 (UMLS CUI [1])
Summary
Item
Zusammenfassende Beurteilung
text
C0220825 (UMLS CUI [1,1])
C0242482 (UMLS CUI [1,2])
C0242482 (UMLS CUI [1,2])
Development
Item
Verlauf
text
C1527148 (UMLS CUI [1])
Therapeutic procedure
Item
Therapeutische Maßnahmen
text
C0087111 (UMLS CUI [1])
Secondary disease, NOS; Prophylactic treatment; concept
Item
Konzept zur Sekundärprophylaxe
text
C0277555 (UMLS CUI [1,1])
C0199176 (UMLS CUI [1,2])
C0178566 (UMLS CUI [1,3])
C0199176 (UMLS CUI [1,2])
C0178566 (UMLS CUI [1,3])
Therapeutic procedure; Recommendation
Item
Vorschlag zum Prozedere
text
C0087111 (UMLS CUI [1,1])
C0034866 (UMLS CUI [1,2])
C0034866 (UMLS CUI [1,2])
Actual; Diagnosis
Item
Aktuelle Anamnese
text
C0237400 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,2])
Response Latency; Hospital admission
Item
Zeitliche Latenz vom Ereignis bis zur stationären Aufnahme in Stunden
integer
C0242465 (UMLS CUI [1,1])
C0184666 (UMLS CUI [1,2])
C0184666 (UMLS CUI [1,2])
Delay time; Reason and justification
Item
Hauptursache für Verzögerung
text
C0522486 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,2])
Medical History
Item
Weitere Anamnese
text
C0262926 (UMLS CUI [1])
Social and personal history
Item
Sozialanamnese
text
C0424945 (UMLS CUI [1])
Autonomic nervous system; Medical History
Item
Vegetative Anamnese
text
C0004388 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
C0262926 (UMLS CUI [1,2])
Family history
Item
Familienanamnese
text
C0241889 (UMLS CUI [1])
Vascular; risk factors
Item
Vaskuläre Risikofaktoren
text
C1801960 (UMLS CUI [1,1])
C0035648 (UMLS CUI [1,2])
C0035648 (UMLS CUI [1,2])
Pharmaceutical Preparations; Previous
Item
Bisherige Medikation
text
C0013227 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
C0205156 (UMLS CUI [1,2])
Neurological status; On admission; Date in time
Item
Neurologischer Aufnahmebefund vom
date
C0746866 (UMLS CUI [1,1])
C0457453 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0457453 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Nervous system structure; Report (document); Patient Discharge
Item
Neurologische Befunde bei Entlassung
text
C0027763 (UMLS CUI [1,1])
C0684224 (UMLS CUI [1,2])
C0030685 (UMLS CUI [1,3])
C0684224 (UMLS CUI [1,2])
C0030685 (UMLS CUI [1,3])
general practice (field); Report (document)
Item
Allgemeinmedizinischer Befund
text
C0086343 (UMLS CUI [1,1])
C0684224 (UMLS CUI [1,2])
C0684224 (UMLS CUI [1,2])
Report (document)
Item
Befunde
text
C0684224 (UMLS CUI [1,1])
Signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])