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ID

18992

Description

Agreement to Operation and Consent Form converted to ODM format. Routine documentation of university hospital muenster.

Keywords

  1. 28.11.16 28.11.16 -
  2. 08.02.17 08.02.17 -
Uploaded on

28. November 2016

DOI

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License

Creative Commons BY-NC 3.0

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    Oral and maxillofacial surgery consent form UKM

    Einwilligungserklärung zur Operation

    Einwilligungserklärung
    Description

    Einwilligungserklärung

    aufklärender Arzt
    Description

    Attending physician name

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2361125 (Attending physician name)
    LOINC
    MTHU028124
    Einwilligungserklärung zur Operation
    Description

    Surgical operation consent

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2964517 (Surgical operation consent)
    LOINC
    LP102489-4
    vorzunehmenden operativen Eingriffe
    Description

    Description of surgical intervention methods

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1820875 (Surgical treatment options)
    Aufklärung über Op Risiken
    Description

    Patient information

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1955348 (Patient Information)
    Fragen nach der Operationsanzeige, nach dem Operationsumfang
    Description

    Questions

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1522634 (Question (inquiry))
    LOINC
    LP175698-2
    Footer module
    Description

    Footer module

    Datum Einwilligungserklärung
    Description

    Consent Date

    Data type

    date

    Alias
    UMLS CUI [1]
    C2985782 (Informed Consent Date)
    Unterschrift des aufklärenden Arztes
    Description

    Signature physician

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0807938 (Signature of responsible attending physician on file)
    LOINC
    MTHU008308
    Unterschrift des Patienten bzw. des Sorgeberechtigten
    Description

    Signature patient

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2348583 (Subject's Signature on Informed Consent Form)

    Similar models

    Einwilligungserklärung zur Operation

    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Einwilligungserklärung
    Attending physician name
    Item
    aufklärender Arzt
    integer
    C2361125 (UMLS CUI [1])
    Surgical operation consent
    Item
    Einwilligungserklärung zur Operation
    integer
    C2964517 (UMLS CUI [1])
    Description of surgical intervention methods
    Item
    vorzunehmenden operativen Eingriffe
    integer
    C1820875 (UMLS CUI [1])
    Patient information
    Item
    Aufklärung über Op Risiken
    integer
    C1955348 (UMLS CUI [1])
    Questions
    Item
    Fragen nach der Operationsanzeige, nach dem Operationsumfang
    integer
    C1522634 (UMLS CUI [1])
    Item Group
    Footer module
    Consent Date
    Item
    Datum Einwilligungserklärung
    date
    C2985782 (UMLS CUI [1])
    Signature physician
    Item
    Unterschrift des aufklärenden Arztes
    integer
    C0807938 (UMLS CUI [1])
    Signature patient
    Item
    Unterschrift des Patienten bzw. des Sorgeberechtigten
    integer
    C2348583 (UMLS CUI [1])

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