ID

18950

Description

Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: AN STD Anamnese 01.

Keywords

Versions (3)
  1. 11/7/16 11/7/16 -
  2. 11/21/16 11/21/16 -
  3. 11/26/16 11/26/16 -
Uploaded on

November 26, 2016

DOI

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License

Creative Commons BY-NC 3.0
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AN STD Anamnese 01 MS University Hospital Muenster (UKM) Subform

German ( localization.languageCode.DE )

AN STD Anamnese 01 MS University Hospital Muenster (UKM) Subform

1 forms  
Allgemeine Informationen
Description

Allgemeine Informationen

Alias
UMLS CUI-1
C1508263
Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Geburtsdatum
Description

Patient date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Erhoben von
Description

data entry person

Data type

text

Alias
UMLS CUI [1]
C1550483
Erhoben am
Description

Date

Data type

datetime

Alias
UMLS CUI [1]
C0011008
Erhebungsmodus
Description

Medical History Taking; Type - attribute

Data type

text

Alias
UMLS CUI [1,1]
C0025084
UMLS CUI [1,2]
C0332307
erhoben zusammen mit
Description

data entry person; cooperation

Data type

text

Alias
UMLS CUI [1,1]
C1550483
UMLS CUI [1,2]
C0392337
Jetzige Anamnese
Description

Jetzige Anamnese

Alias
UMLS CUI-1
C0262926
Vorerkrankungen
Description

Comorbidity

Data type

boolean

Alias
UMLS CUI [1]
C0009488
Operationen
Description

Operative Surgical Procedures

Data type

boolean

Alias
UMLS CUI [1]
C0543467
Medikamente
Description

Pharmaceutical Preparations

Data type

boolean

Alias
UMLS CUI [1]
C0013227
Allergien
Description

Hypersensitivity

Data type

boolean

Alias
UMLS CUI [1]
C0020517
Risikofaktoren: Alkohol
Description

risk factors; Alcohol abuse

Data type

boolean

Alias
UMLS CUI [1,1]
C0035648
UMLS CUI [1,2]
C0085762
Risikofaktoren: Nikotin
Description

risk factors; Tobacco use

Data type

boolean

Alias
UMLS CUI [1,1]
C0035648
UMLS CUI [1,2]
C0543414
Risikofaktoren: Sonstiges
Description

risk factors; Other

Data type

boolean

Alias
UMLS CUI [1,1]
C0035648
UMLS CUI [1,2]
C0205394
Kinderkrankheiten
Description

Kinderkrankheiten

Alias
UMLS CUI-1
C0489532
Scharlach
Description

Scarlet Fever

Data type

boolean

Alias
UMLS CUI [1]
C0036285
Masern
Description

Measles

Data type

boolean

Alias
UMLS CUI [1]
C0025007
Diphtherie
Description

Diphtheria

Data type

boolean

Alias
UMLS CUI [1]
C0012546
Röteln
Description

Rubella

Data type

boolean

Alias
UMLS CUI [1]
C0035920
Varizellen
Description

Varicella zoster

Data type

boolean

Alias
UMLS CUI [1]
C0740380
Mumps
Description

Mumps

Data type

boolean

Alias
UMLS CUI [1]
C0026780
Pertussis
Description

Pertussis

Data type

boolean

Alias
UMLS CUI [1]
C0043167
Sonstiges
Description

Other

Data type

boolean

Alias
UMLS CUI [1]
C0205394
Familienkrankheiten
Description

Familienkrankheiten

Alias
UMLS CUI-1
C0344339
Mutter
Description

Mother

Data type

text

Alias
UMLS CUI [1]
C0026591
Vater
Description

Father

Data type

text

Alias
UMLS CUI [1]
C0015671
Sonstige
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394
Soziale Anamnese
Description

Soziale Anamnese

Alias
UMLS CUI-1
C0424945
Beruf
Description

Occupations

Data type

text

Alias
UMLS CUI [1]
C0028811
Familienstand
Description

Marital Status

Data type

text

Alias
UMLS CUI [1]
C0024819
Anzahl der Kinder
Description

Child; Quantity

Data type

integer

Alias
UMLS CUI [1,1]
C0008059
UMLS CUI [1,2]
C1265611
häusliche Situation
Description

Home environment

Data type

text

Alias
UMLS CUI [1]
C0442519
Vegetative Anamnese
Description

Vegetative Anamnese

Alias
UMLS CUI-1
C0262926
UMLS CUI-2
C0004388
Größe
Description

Body Height

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Gewicht
Description

Body Weight

Data type

float

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Gewicht
Description

Body Weight

Data type

text

Alias
UMLS CUI [1]
C0005910
Stuhlgang
Description

Defecation

Data type

text

Alias
UMLS CUI [1]
C0011135
Miktion
Description

Urination

Data type

text

Alias
UMLS CUI [1]
C0042034
Nykturie
Description

Nocturia

Data type

boolean

Alias
UMLS CUI [1]
C0028734
Nachtschweiß
Description

Night sweats

Data type

boolean

Alias
UMLS CUI [1]
C0028081
Fieber
Description

Fever

Data type

boolean

Alias
UMLS CUI [1]
C0015967
Luftnot
Description

Dyspnea

Data type

boolean

Alias
UMLS CUI [1]
C0013404
Ödeme
Description

Edemas

Data type

boolean

Alias
UMLS CUI [1]
C0013604
Husten
Description

Coughing

Data type

boolean

Alias
UMLS CUI [1]
C0010200
Auswurf
Description

Sputum

Data type

boolean

Alias
UMLS CUI [1]
C0038056
Appetit
Description

Desire for food

Data type

text

Alias
UMLS CUI [1]
C0003618
Durst
Description

Thirst

Data type

float

Measurement units
  • l / day
Alias
UMLS CUI [1]
C0039971
l / day
Schlaf
Description

Sleep

Data type

text

Alias
UMLS CUI [1]
C0037313
Sonstiges
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394
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Similar models

AN STD Anamnese 01 MS University Hospital Muenster (UKM) Subform

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Allgemeine Informationen
C1508263 (UMLS CUI-1)
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Patient date of birth
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
data entry person
Item
Erhoben von
text
C1550483 (UMLS CUI [1])
Date
Item
Erhoben am
datetime
C0011008 (UMLS CUI [1])
Item
Erhebungsmodus
text
C0025084 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Type of interview
Code List
Erhebungsmodus
CL Item
Eigenanamnese (1)
CL Item
Fremdanamnese (2)
CL Item
Sonstiges (3)
Item
erhoben zusammen mit
text
C1550483 (UMLS CUI [1,1])
C0392337 (UMLS CUI [1,2])
Interview
Code List
erhoben zusammen mit
CL Item
Mutter (1)
CL Item
Vater (2)
CL Item
sonstiges (3)
Item Group
Jetzige Anamnese
C0262926 (UMLS CUI-1)
Comorbidity
Item
Vorerkrankungen
boolean
C0009488 (UMLS CUI [1])
Operative Surgical Procedures
Item
Operationen
boolean
C0543467 (UMLS CUI [1])
Pharmaceutical Preparations
Item
Medikamente
boolean
C0013227 (UMLS CUI [1])
Hypersensitivity
Item
Allergien
boolean
C0020517 (UMLS CUI [1])
risk factors; Alcohol abuse
Item
Risikofaktoren: Alkohol
boolean
C0035648 (UMLS CUI [1,1])
C0085762 (UMLS CUI [1,2])
risk factors; Tobacco use
Item
Risikofaktoren: Nikotin
boolean
C0035648 (UMLS CUI [1,1])
C0543414 (UMLS CUI [1,2])
risk factors; Other
Item
Risikofaktoren: Sonstiges
boolean
C0035648 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Kinderkrankheiten
C0489532 (UMLS CUI-1)
Scarlet Fever
Item
Scharlach
boolean
C0036285 (UMLS CUI [1])
Measles
Item
Masern
boolean
C0025007 (UMLS CUI [1])
Diphtheria
Item
Diphtherie
boolean
C0012546 (UMLS CUI [1])
Rubella
Item
Röteln
boolean
C0035920 (UMLS CUI [1])
Varicella zoster
Item
Varizellen
boolean
C0740380 (UMLS CUI [1])
Mumps
Item
Mumps
boolean
C0026780 (UMLS CUI [1])
Pertussis
Item
Pertussis
boolean
C0043167 (UMLS CUI [1])
Other
Item
Sonstiges
boolean
C0205394 (UMLS CUI [1])
Item Group
Familienkrankheiten
C0344339 (UMLS CUI-1)
Mother
Item
Mutter
text
C0026591 (UMLS CUI [1])
Father
Item
Vater
text
C0015671 (UMLS CUI [1])
Other
Item
Sonstige
text
C0205394 (UMLS CUI [1])
Item Group
Soziale Anamnese
C0424945 (UMLS CUI-1)
Occupations
Item
Beruf
text
C0028811 (UMLS CUI [1])
Item
Familienstand
text
C0024819 (UMLS CUI [1])
Family status
Code List
Familienstand
CL Item
verheiratet (1)
CL Item
ledig (2)
CL Item
geschieden (3)
CL Item
getrennt (4)
CL Item
verwitwet (5)
Child; Quantity
Item
Anzahl der Kinder
integer
C0008059 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
Item
häusliche Situation
text
C0442519 (UMLS CUI [1])
Domestic situation
Code List
häusliche Situation
CL Item
versorgt (1)
CL Item
nicht versorgt (2)
Item Group
Vegetative Anamnese
C0262926 (UMLS CUI-1)
C0004388 (UMLS CUI-2)
Body Height
Item
Größe
integer
C0005890 (UMLS CUI [1])
Body Weight
Item
Gewicht
float
C0005910 (UMLS CUI [1])
Item
Gewicht
text
C0005910 (UMLS CUI [1])
Weight
Code List
Gewicht
CL Item
konstant (1)
CL Item
Reduktion (2)
CL Item
Zunahme (3)
Item
Stuhlgang
text
C0011135 (UMLS CUI [1])
Stool
Code List
Stuhlgang
CL Item
regelmäßig (1)
CL Item
unregelmäßig (2)
Item
Miktion
text
C0042034 (UMLS CUI [1])
Micturition
Code List
Miktion
CL Item
regelmäßig (1)
CL Item
unregelmäßig (2)
Nocturia
Item
Nykturie
boolean
C0028734 (UMLS CUI [1])
Night sweats
Item
Nachtschweiß
boolean
C0028081 (UMLS CUI [1])
Fever
Item
Fieber
boolean
C0015967 (UMLS CUI [1])
Dyspnea
Item
Luftnot
boolean
C0013404 (UMLS CUI [1])
Edemas
Item
Ödeme
boolean
C0013604 (UMLS CUI [1])
Coughing
Item
Husten
boolean
C0010200 (UMLS CUI [1])
Sputum
Item
Auswurf
boolean
C0038056 (UMLS CUI [1])
Item
Appetit
text
C0003618 (UMLS CUI [1])
Appetite
Code List
Appetit
CL Item
normal (1)
CL Item
nicht normal (2)
Thirst
Item
Durst
float
C0039971 (UMLS CUI [1])
Item
Schlaf
text
C0037313 (UMLS CUI [1])
Sleep
Code List
Schlaf
CL Item
unauffällig (1)
CL Item
auffällig (2)
Other
Item
Sonstiges
text
C0205394 (UMLS CUI [1])
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