ID

18849

Description

Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: AB MS NEURO Arztbrief Stroke.

Keywords

  1. 11/4/16 11/4/16 -
  2. 11/21/16 11/21/16 -
  3. 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

Allgemeine Informationen
Description

Allgemeine Informationen

Alias
UMLS CUI-1
C1508263
Überschrift
Description

Title

Data type

text

Alias
UMLS CUI [1]
C3888414
Betrifft
Description

Subject

Data type

text

Alias
UMLS CUI [1]
C0681850
Diagnosen
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Zusammenfassende Beurteilung
Description

Summary

Data type

text

Alias
UMLS CUI [1,1]
C0220825
UMLS CUI [1,2]
C0242482
Verlauf
Description

Development

Data type

text

Alias
UMLS CUI [1]
C1527148
Therapeutische Maßnahmen
Description

Therapeutic procedure

Data type

text

Alias
UMLS CUI [1]
C0087111
Konzept zur Sekundärprophylaxe
Description

Secondary disease, NOS; Prophylactic treatment; concept

Data type

text

Alias
UMLS CUI [1,1]
C0277555
UMLS CUI [1,2]
C0199176
UMLS CUI [1,3]
C0178566
Vorschlag zum Prozedere
Description

Therapeutic procedure; Recommendation

Data type

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0034866
Aktuelle Anamnese
Description

Actual; Diagnosis

Data type

text

Alias
UMLS CUI [1,1]
C0237400
UMLS CUI [1,2]
C0011900
Zeitliche Latenz vom Ereignis bis zur stationären Aufnahme in Stunden
Description

Response Latency; Hospital admission

Data type

integer

Measurement units
  • hours
Alias
UMLS CUI [1,1]
C0242465
UMLS CUI [1,2]
C0184666
hours
Hauptursache für Verzögerung
Description

Delay time; Reason and justification

Data type

text

Alias
UMLS CUI [1,1]
C0522486
UMLS CUI [1,2]
C0566251
Weitere Anamnese
Description

Medical History

Data type

text

Alias
UMLS CUI [1]
C0262926
Sozialanamnese
Description

Social and personal history

Data type

text

Alias
UMLS CUI [1]
C0424945
Vegetative Anamnese
Description

Autonomic nervous system; Medical History

Data type

text

Alias
UMLS CUI [1,1]
C0004388
UMLS CUI [1,2]
C0262926
Familienanamnese
Description

Family history

Data type

text

Alias
UMLS CUI [1]
C0241889
Vaskuläre Risikofaktoren
Description

Vascular; risk factors

Data type

text

Alias
UMLS CUI [1,1]
C1801960
UMLS CUI [1,2]
C0035648
Bisherige Medikation
Description

Pharmaceutical Preparations; Previous

Data type

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205156
Neurologischer Aufnahmebefund vom
Description

Neurological status; On admission; Date in time

Data type

date

Alias
UMLS CUI [1,1]
C0746866
UMLS CUI [1,2]
C0457453
UMLS CUI [1,3]
C0011008
Neurologische Befunde bei Entlassung
Description

Nervous system structure; Report (document); Patient Discharge

Data type

text

Alias
UMLS CUI [1,1]
C0027763
UMLS CUI [1,2]
C0684224
UMLS CUI [1,3]
C0030685
Allgemeinmedizinischer Befund
Description

general practice (field); Report (document)

Data type

text

Alias
UMLS CUI [1,1]
C0086343
UMLS CUI [1,2]
C0684224
Befunde
Description

Report (document)

Data type

text

Alias
UMLS CUI [1,1]
C0684224
Unterschrift
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316

Similar models

AB MS NEURO Arztbrief Stroke MS University Hospital Muenster (UKM) Subform

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Allgemeine Informationen
C1508263 (UMLS CUI-1)
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])
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])
Therapeutic procedure; Recommendation
Item
Vorschlag zum Prozedere
text
C0087111 (UMLS CUI [1,1])
C0034866 (UMLS CUI [1,2])
Actual; Diagnosis
Item
Aktuelle Anamnese
text
C0237400 (UMLS CUI [1,1])
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])
Delay time; Reason and justification
Item
Hauptursache für Verzögerung
text
C0522486 (UMLS CUI [1,1])
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])
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])
Pharmaceutical Preparations; Previous
Item
Bisherige Medikation
text
C0013227 (UMLS CUI [1,1])
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])
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])
general practice (field); Report (document)
Item
Allgemeinmedizinischer Befund
text
C0086343 (UMLS CUI [1,1])
C0684224 (UMLS CUI [1,2])
Report (document)
Item
Befunde
text
C0684224 (UMLS CUI [1,1])
Signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])

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