ID

19010

Descripción

Hospital Routine Documentation Subform at the University Hospital Muenster. Original Form name: AN MS MEDD Anamnese KU NTX.

Palabras clave

  1. 15/11/16 15/11/16 -
  2. 30/11/16 30/11/16 -
Subido en

30 de noviembre de 2016

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0

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AN MS MEDD Anamnese KU NTX University Hospital Muenster (UKM) Subform

AN MS MEDD Anamnese KU NTX University Hospital Muenster (UKM) Subform

General information
Descripción

General information

Alias
UMLS CUI-1
C1508263
UMLS CUI-2
C1955348
UMLS CUI-3
C0587474
UMLS CUI-4
C0022671
Examiner
Descripción

Examiner

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0025082
UMLS CUI [1,2]
C0025084
UMLS CUI [1,3]
C0031809
Date of medical history taking
Descripción

Date of medical history taking

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0034927
UMLS CUI [1,2]
C0025084
UMLS CUI [1,3]
C0011008
Mode of medical history taking
Descripción

Mode of medical history taking

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0025084
UMLS CUI [1,2]
C0332307
Current medical history
Descripción

Current medical history

Tipo de datos

text

Alias
UMLS CUI [1]
C0262926
Vegetative anamnesis and management of risk factors
Descripción

Vegetative anamnesis and management of risk factors

Alias
UMLS CUI-1
C0262926
UMLS CUI-2
C0037088
UMLS CUI-3
C0035648
UMLS CUI-4
C0376636
Height
Descripción

Height

Tipo de datos

float

Unidades de medida
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight
Descripción

Weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
UMLS CUI [1]
C0005910
kg
BMI
Descripción

BMI

Tipo de datos

text

Alias
UMLS CUI [1]
C1305855
Change in weight
Descripción

Change in weight

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0005911
Change in weight (specification)
Descripción

Change in weight (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0005911
UMLS CUI [1,2]
C2348235
Amount of liquid consumed (per day)
Descripción

Amount of liquid consumed (per day)

Tipo de datos

float

Unidades de medida
  • l
Alias
UMLS CUI [1]
C0429791
l
Amount of liquid consumed (specification)
Descripción

Amount of liquid consumed (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0429791
Diuresis (per day)
Descripción

Diuresis (per day)

Tipo de datos

float

Unidades de medida
  • l
Alias
UMLS CUI [1]
C0012797
l
Diuresis
Descripción

Diuresis

Tipo de datos

text

Alias
UMLS CUI [1]
C0012797
Hypertension: Mean systolic blood pressure
Descripción

Hypertension: Mean systolic blood pressure

Tipo de datos

integer

Alias
UMLS CUI [1]
C0020538
UMLS CUI [2,1]
C0428886
UMLS CUI [2,2]
C0871470
Hypertension: systolic
Descripción

Hypertension: systolic

Tipo de datos

text

Hypertension: Mean diastolic blood pressure
Descripción

Hypertension: Mean diastolic blood pressure

Tipo de datos

integer

Alias
UMLS CUI [1]
C0020538
UMLS CUI [2,1]
C0428886
UMLS CUI [2,2]
C0428883
Hypertension: diastolic
Descripción

Hypertension: diastolic

Tipo de datos

text

Alias
UMLS CUI [1]
C0428883
UMLS CUI [2]
C0020538
Hypertension: 24 h RR (syst/diast)
Descripción

Hypertension: 24 h RR (syst/diast)

Tipo de datos

text

Alias
UMLS CUI [1]
C0451604
UMLS CUI [2]
C0020538
Hypertension: Date of 24 h RR measurement
Descripción

Hypertension: Date of 24 h RR measurement

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0451604
UMLS CUI [1,2]
C0011008
UMLS CUI [2]
C0020538
Hypertension: Comments 24 h RR
Descripción

Hypertension: Comments 24 h RR

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0451604
UMLS CUI [1,2]
C0947611
UMLS CUI [2]
C0020538
Fever
Descripción

Fever

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0015967
Fever (specification)
Descripción

Fever (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0015967
Stool
Descripción

Stool

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1290944
UMLS CUI [1,2]
C0015733
Stool (specification)
Descripción

Stool (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1290944
UMLS CUI [1,2]
C0015733
Micturition
Descripción

Micturition

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0042034
UMLS CUI [1,2]
C0542565
Micturition (specification)
Descripción

Micturition (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0042034
UMLS CUI [1,2]
C0542565
Nocturia
Descripción

Nocturia

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0028734
Nocturia (specification)
Descripción

Nocturia (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0028734
Coughing
Descripción

Coughing

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0010200
Coughing (specification)
Descripción

Coughing (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0010200
Sputum
Descripción

Sputum

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0038056
Sputum (specification)
Descripción

Sputum (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0038056
Shortness of breath
Descripción

Shortness of breath

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0013404
Shortness of breath (specification)
Descripción

Shortness of breath (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0013404
Edema
Descripción

Edema

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0013604
Edema (specification)
Descripción

Edema (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0013604
Night sweats
Descripción

Night sweats

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0028081
Night sweats (specification)
Descripción

Night sweats (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0028081
Joint trouble
Descripción

Joint trouble

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0022408
Joint trouble (specification)
Descripción

Joint trouble (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0022408
Signs of vasculitis
Descripción

Signs of vasculitis

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0042384
UMLS CUI [1,2]
C0037088
Signs of vasculitis (specification)
Descripción

Signs of vasculitis (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0042384
UMLS CUI [1,2]
C0037088
Appetite
Descripción

Appetite

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0003618
Appetite (specification)
Descripción

Appetite (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0003618
Sleep
Descripción

Sleep

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0037313
Sleep (specification)
Descripción

Sleep (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0037313
Nicotine
Descripción

Nicotine

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0543414
Nicotine: packets per day
Descripción

Nicotine: packets per day

Tipo de datos

float

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C2348070
UMLS CUI [2]
C0560663
Nicotine: duration of consumption (years)
Descripción

Nicotine: duration of consumption (years)

Tipo de datos

float

Unidades de medida
  • years
Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0449238
years
Nicotine: Ex-smoker
Descripción

Nicotine: Ex-smoker

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0543414
UMLS CUI [2]
C0337671
Nicotine: Ex-smoker since (years)
Descripción

Nicotine: Ex-smoker since (years)

Tipo de datos

float

Unidades de medida
  • years
Alias
UMLS CUI [1]
C0543414
UMLS CUI [2,1]
C0337671
UMLS CUI [2,2]
C0449238
years
Nicotine (specification)
Descripción

Nicotine (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0205394
Alcohol
Descripción

Alcohol

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0038586
UMLS CUI [2]
C0085762
Alcohol (specification)
Descripción

Alcohol (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0038586
UMLS CUI [2]
C0085762
Hypercholesterolemia
Descripción

Hypercholesterolemia

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0020443
Hypercholesterolemia (specification)
Descripción

Hypercholesterolemia (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0020443
Diabetes
Descripción

Diabetes

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0011849
Diabetes (specification)
Descripción

Diabetes (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0011849
Calcium/phosphate balance
Descripción

Calcium/phosphate balance

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0013831
UMLS CUI [1,2]
C0201925
UMLS CUI [1,3]
C0523826
Calcium/phosphate balance (specification)
Descripción

Calcium/phosphate balance (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0013831
UMLS CUI [1,2]
C0201925
UMLS CUI [1,3]
C0523826
Other risk factors
Descripción

Other risk factors

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0035648
UMLS CUI [1,2]
C0205394
Other risk factors (specification)
Descripción

Other risk factors (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0035648
UMLS CUI [1,2]
C0205394
Clinical examination
Descripción

Clinical examination

Alias
UMLS CUI-1
C0031809
General findings/skin
Descripción

General findings/skin

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0455205
General findings/skin (specification)
Descripción

General findings/skin (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0455205
Head
Descripción

Head

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0018670
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Head (specification)
Descripción

Head (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0018670
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Neck
Descripción

Neck

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0027530
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Neck (specification)
Descripción

Neck (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0027530
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Thorax
Descripción

Thorax

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0817096
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Thorax (specification)
Descripción

Thorax (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0817096
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Lungs
Descripción

Lungs

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C2228454
UMLS CUI [1,2]
C0243095
Lungs (specification)
Descripción

Lungs (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2228454
UMLS CUI [1,2]
C0243095
Cardiovascular system
Descripción

Cardiovascular system

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0007226
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Cardiovascular system (specification)
Descripción

Cardiovascular system (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0007226
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Heart
Descripción

Heart

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0018787
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Heart (specification)
Descripción

Heart (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0018787
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Pulse status
Descripción

Pulse status

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0558829
Pulse status (specification)
Descripción

Pulse status (specification)

Tipo de datos

text

Alias
UMLS CUI [1]
C0558829
Pulse status: Upper limb N.A.D.
Descripción

Pulse status: Upper limb N.A.D.

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0558829
UMLS CUI [1,2]
C1140618
Pulse status: Right carotid artery
Descripción

Pulse status: Right carotid artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1096529
UMLS CUI [1,2]
C0226086
Pulse status: Left carotid artery
Descripción

Pulse status: Left carotid artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1096529
UMLS CUI [1,2]
C0226087
Pulse status: Right radial artery
Descripción

Pulse status: Right radial artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2363059
UMLS CUI [1,2]
C0226438
Pulse status: Left radial artery
Descripción

Pulse status: Left radial artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2363059
UMLS CUI [1,2]
C0226439
Pulse status: Lower limb N.A.D.
Descripción

Pulse status: Lower limb N.A.D.

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0558829
Pulse status: Right femoral artery
Descripción

Pulse status: Right femoral artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2228442
UMLS CUI [1,2]
C0226447
Pulse status: Left femoral artery
Descripción

Pulse status: Left femoral artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2228442
UMLS CUI [1,2]
C0226448
Pulse status: Right popliteal artery
Descripción

Pulse status: Right popliteal artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0232151
UMLS CUI [1,2]
C0226462
Pulse status: Left popliteal artery
Descripción

Pulse status: Left popliteal artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0232151
UMLS CUI [1,2]
C0226463
Pulse status: Right posterior tibial artery
Descripción

Pulse status: Right posterior tibial artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1720310
UMLS CUI [1,2]
C0226474
Pulse status: Left posterior tibial artery
Descripción

Pulse status: Left posterior tibial artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1720310
UMLS CUI [1,2]
C0226475
Pulse status: Right dorsalis pedis artery
Descripción

Pulse status: Right dorsalis pedis artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1706488
UMLS CUI [1,2]
C0834665
Pulse status: Left dorsalis pedis artery
Descripción

Pulse status: Left dorsalis pedis artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1706488
UMLS CUI [1,2]
C0834666
Blood pressure right
Descripción

Blood pressure right

Tipo de datos

text

Unidades de medida
  • mmHg
Alias
UMLS CUI [1,1]
C0005823
UMLS CUI [1,2]
C0205090
mmHg
Blood pressure left
Descripción

Blood pressure left

Tipo de datos

text

Unidades de medida
  • mmHg
Alias
UMLS CUI [1,1]
C0005823
UMLS CUI [1,2]
C0205091
mmHg
Transplant
Descripción

Transplant

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0478647
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Transplant (specification)
Descripción

Transplant (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0478647
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Abdomen
Descripción

Abdomen

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0000726
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Abdomen (specification)
Descripción

Abdomen (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0000726
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Genitourinary system / rectum
Descripción

Genitourinary system / rectum

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0042066
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
UMLS CUI [2,1]
C0034896
UMLS CUI [2,2]
C0243095
UMLS CUI [2,3]
C0031809
Genitourinary system / rectum (specification)
Descripción

Genitourinary system / rectum (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0042066
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
UMLS CUI [2,1]
C0034896
UMLS CUI [2,2]
C0243095
UMLS CUI [2,3]
C0031809
Limbs/edema
Descripción

Limbs/edema

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0015385
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
UMLS CUI [2,1]
C0013604
UMLS CUI [2,2]
C0243095
UMLS CUI [2,3]
C0031809
Limbs/edema (specification)
Descripción

Limbs/edema (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0015385
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
UMLS CUI [2,1]
C0013604
UMLS CUI [2,2]
C0243095
UMLS CUI [2,3]
C0031809
Spine
Descripción

Spine

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0037949
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Spine (specification)
Descripción

Spine (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0037949
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Nervous system and psyche
Descripción

Nervous system and psyche

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0027763
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
UMLS CUI [2,1]
C0846574
UMLS CUI [2,2]
C0243095
Nervous system and psyche (specification)
Descripción

Nervous system and psyche (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0027763
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
UMLS CUI [2,1]
C0846574
UMLS CUI [2,2]
C0243095
Lymph nodes
Descripción

Lymph nodes

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0024204
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Lymph nodes (specification)
Descripción

Lymph nodes (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0024204
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Other
Descripción

Other

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Other (specification)
Descripción

Other (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Wound
Descripción

Wound

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0043250
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Wound (specification)
Descripción

Wound (specification)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0043250
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0031809
Sonography of transplanted kidney
Descripción

Sonography of transplanted kidney

Alias
UMLS CUI-1
C2456887
UMLS CUI-3
C0022671
Morphology (qualitative)
Descripción

Morphology (qualitative)

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0332437
UMLS CUI [1,2]
C0022646
UMLS CUI [2]
C2456887
Longitudinal diameter
Descripción

Longitudinal diameter

Tipo de datos

integer

Unidades de medida
  • mm
Alias
UMLS CUI [1,1]
C1301886
UMLS CUI [1,2]
C0022646
UMLS CUI [2]
C2456887
mm
Lateral diameter
Descripción

Lateral diameter

Tipo de datos

integer

Unidades de medida
  • mm
Alias
UMLS CUI [1,1]
C1301886
UMLS CUI [1,2]
C0022646
UMLS CUI [2]
C2456887
mm
Width of parenchyma
Descripción

Width of parenchyma

Tipo de datos

integer

Unidades de medida
  • mm
Alias
UMLS CUI [1,1]
C0227628
UMLS CUI [1,2]
C0487742
UMLS CUI [2]
C2456887
mm
Doppler/Duplex sonography
Descripción

Doppler/Duplex sonography

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0162481
UMLS CUI [1,2]
C0022646
UMLS CUI [2]
C2456887
Resistive index
Descripción

Resistive index

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0807745
UMLS CUI [1,2]
C0022646
UMLS CUI [2]
C2456887
Renal arteries Vmax
Descripción

Renal arteries Vmax

Tipo de datos

integer

Unidades de medida
  • cm/s
Alias
UMLS CUI [1,1]
C0035065
UMLS CUI [1,2]
C1710637
UMLS CUI [1,3]
C0022646
UMLS CUI [2]
C2456887
cm/s
Quality of flow in renal artery
Descripción

Quality of flow in renal artery

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0035065
UMLS CUI [1,2]
C0232338
UMLS CUI [1,3]
C0022646
UMLS CUI [2]
C2456887
Other
Descripción

Other

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C2456887
UMLS CUI [1,3]
C0022671
Summary/Procedure
Descripción

Summary/Procedure

Alias
UMLS CUI-1
C0087111
UMLS CUI-2
C0242482
Procedure
Descripción

Procedure

Tipo de datos

text

Alias
UMLS CUI [1]
C0087111
Summary of medical history
Descripción

Summary of medical history

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0242482
UMLS CUI [1,2]
C0262926
Summary of clinical examination
Descripción

Summary of clinical examination

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0242482
UMLS CUI [1,2]
C0031809
Summary of sonography
Descripción

Summary of sonography

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0242482
UMLS CUI [1,2]
C2456887
UMLS CUI [1,3]
C0022671

Similar models

AN MS MEDD Anamnese KU NTX University Hospital Muenster (UKM) Subform

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
C1508263 (UMLS CUI-1)
C1955348 (UMLS CUI-2)
C0587474 (UMLS CUI-3)
C0022671 (UMLS CUI-4)
Examiner
Item
text
C0025082 (UMLS CUI [1,1])
C0025084 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Date of medical history taking
Item
date
C0034927 (UMLS CUI [1,1])
C0025084 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Mode of medical history taking
Item
text
C0025084 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Current medical history
Item
text
C0262926 (UMLS CUI [1])
Item Group
C0262926 (UMLS CUI-1)
C0037088 (UMLS CUI-2)
C0035648 (UMLS CUI-3)
C0376636 (UMLS CUI-4)
Height
Item
float
C0005890 (UMLS CUI [1])
Weight
Item
float
C0005910 (UMLS CUI [1])
BMI
Item
text
C1305855 (UMLS CUI [1])
Change in weight
Item
boolean
C0005911 (UMLS CUI [1])
Change in weight (specification)
Item
text
C0005911 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Amount of liquid consumed (per day)
Item
float
C0429791 (UMLS CUI [1])
Amount of liquid consumed (specification)
Item
text
C0429791 (UMLS CUI [1])
Diuresis (per day)
Item
float
C0012797 (UMLS CUI [1])
Diuresis
Item
text
C0012797 (UMLS CUI [1])
Hypertension: Mean systolic blood pressure
Item
integer
C0020538 (UMLS CUI [1])
C0428886 (UMLS CUI [2,1])
C0871470 (UMLS CUI [2,2])
Hypertension: systolic
Item
text
Hypertension: Mean diastolic blood pressure
Item
integer
C0020538 (UMLS CUI [1])
C0428886 (UMLS CUI [2,1])
C0428883 (UMLS CUI [2,2])
Hypertension: diastolic
Item
text
C0428883 (UMLS CUI [1])
C0020538 (UMLS CUI [2])
Hypertension: 24 h RR (syst/diast)
Item
text
C0451604 (UMLS CUI [1])
C0020538 (UMLS CUI [2])
Hypertension: Date of 24 h RR measurement
Item
date
C0451604 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0020538 (UMLS CUI [2])
Hypertension: Comments 24 h RR
Item
text
C0451604 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
C0020538 (UMLS CUI [2])
Fever
Item
boolean
C0015967 (UMLS CUI [1])
Fever (specification)
Item
text
C0015967 (UMLS CUI [1])
Stool
Item
boolean
C1290944 (UMLS CUI [1,1])
C0015733 (UMLS CUI [1,2])
Stool (specification)
Item
text
C1290944 (UMLS CUI [1,1])
C0015733 (UMLS CUI [1,2])
Micturition
Item
boolean
C0042034 (UMLS CUI [1,1])
C0542565 (UMLS CUI [1,2])
Micturition (specification)
Item
text
C0042034 (UMLS CUI [1,1])
C0542565 (UMLS CUI [1,2])
Nocturia
Item
boolean
C0028734 (UMLS CUI [1])
Nocturia (specification)
Item
text
C0028734 (UMLS CUI [1])
Coughing
Item
boolean
C0010200 (UMLS CUI [1])
Coughing (specification)
Item
text
C0010200 (UMLS CUI [1])
Sputum
Item
boolean
C0038056 (UMLS CUI [1])
Sputum (specification)
Item
text
C0038056 (UMLS CUI [1])
Shortness of breath
Item
boolean
C0013404 (UMLS CUI [1])
Shortness of breath (specification)
Item
text
C0013404 (UMLS CUI [1])
Edema
Item
boolean
C0013604 (UMLS CUI [1])
Edema (specification)
Item
text
C0013604 (UMLS CUI [1])
Night sweats
Item
boolean
C0028081 (UMLS CUI [1])
Night sweats (specification)
Item
text
C0028081 (UMLS CUI [1])
Joint trouble
Item
boolean
C0022408 (UMLS CUI [1])
Joint trouble (specification)
Item
text
C0022408 (UMLS CUI [1])
Signs of vasculitis
Item
boolean
C0042384 (UMLS CUI [1,1])
C0037088 (UMLS CUI [1,2])
Signs of vasculitis (specification)
Item
text
C0042384 (UMLS CUI [1,1])
C0037088 (UMLS CUI [1,2])
Appetite
Item
boolean
C0003618 (UMLS CUI [1])
Appetite (specification)
Item
text
C0003618 (UMLS CUI [1])
Sleep
Item
boolean
C0037313 (UMLS CUI [1])
Sleep (specification)
Item
text
C0037313 (UMLS CUI [1])
Nicotine
Item
boolean
C0543414 (UMLS CUI [1])
Nicotine: packets per day
Item
float
C0543414 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C0560663 (UMLS CUI [2])
Nicotine: duration of consumption (years)
Item
float
C0543414 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Nicotine: Ex-smoker
Item
boolean
C0543414 (UMLS CUI [1])
C0337671 (UMLS CUI [2])
Nicotine: Ex-smoker since (years)
Item
float
C0543414 (UMLS CUI [1])
C0337671 (UMLS CUI [2,1])
C0449238 (UMLS CUI [2,2])
Nicotine (specification)
Item
text
C0543414 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Alcohol
Item
boolean
C0038586 (UMLS CUI [1])
C0085762 (UMLS CUI [2])
Alcohol (specification)
Item
text
C0038586 (UMLS CUI [1])
C0085762 (UMLS CUI [2])
Hypercholesterolemia
Item
boolean
C0020443 (UMLS CUI [1])
Hypercholesterolemia (specification)
Item
text
C0020443 (UMLS CUI [1])
Diabetes
Item
boolean
C0011849 (UMLS CUI [1])
Diabetes (specification)
Item
text
C0011849 (UMLS CUI [1])
Calcium/phosphate balance
Item
boolean
C0013831 (UMLS CUI [1,1])
C0201925 (UMLS CUI [1,2])
C0523826 (UMLS CUI [1,3])
Calcium/phosphate balance (specification)
Item
text
C0013831 (UMLS CUI [1,1])
C0201925 (UMLS CUI [1,2])
C0523826 (UMLS CUI [1,3])
Other risk factors
Item
boolean
C0035648 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Other risk factors (specification)
Item
text
C0035648 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
C0031809 (UMLS CUI-1)
General findings/skin
Item
boolean
C0455205 (UMLS CUI [1])
General findings/skin (specification)
Item
text
C0455205 (UMLS CUI [1])
Head
Item
boolean
C0018670 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Head (specification)
Item
text
C0018670 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Neck
Item
boolean
C0027530 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Neck (specification)
Item
text
C0027530 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Thorax
Item
boolean
C0817096 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Thorax (specification)
Item
text
C0817096 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Lungs
Item
boolean
C2228454 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Lungs (specification)
Item
text
C2228454 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Cardiovascular system
Item
boolean
C0007226 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Cardiovascular system (specification)
Item
text
C0007226 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Heart
Item
boolean
C0018787 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Heart (specification)
Item
text
C0018787 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Pulse status
Item
boolean
C0558829 (UMLS CUI [1])
Pulse status (specification)
Item
text
C0558829 (UMLS CUI [1])
Pulse status: Upper limb N.A.D.
Item
boolean
C0558829 (UMLS CUI [1,1])
C1140618 (UMLS CUI [1,2])
Pulse status: Right carotid artery
Item
text
C1096529 (UMLS CUI [1,1])
C0226086 (UMLS CUI [1,2])
Pulse status: Left carotid artery
Item
text
C1096529 (UMLS CUI [1,1])
C0226087 (UMLS CUI [1,2])
Pulse status: Right radial artery
Item
text
C2363059 (UMLS CUI [1,1])
C0226438 (UMLS CUI [1,2])
Pulse status: Left radial artery
Item
text
C2363059 (UMLS CUI [1,1])
C0226439 (UMLS CUI [1,2])
Pulse status: Lower limb N.A.D.
Item
boolean
C0558829 (UMLS CUI [1])
Pulse status: Right femoral artery
Item
text
C2228442 (UMLS CUI [1,1])
C0226447 (UMLS CUI [1,2])
Pulse status: Left femoral artery
Item
text
C2228442 (UMLS CUI [1,1])
C0226448 (UMLS CUI [1,2])
Pulse status: Right popliteal artery
Item
text
C0232151 (UMLS CUI [1,1])
C0226462 (UMLS CUI [1,2])
Pulse status: Left popliteal artery
Item
text
C0232151 (UMLS CUI [1,1])
C0226463 (UMLS CUI [1,2])
Pulse status: Right posterior tibial artery
Item
text
C1720310 (UMLS CUI [1,1])
C0226474 (UMLS CUI [1,2])
Pulse status: Left posterior tibial artery
Item
text
C1720310 (UMLS CUI [1,1])
C0226475 (UMLS CUI [1,2])
Pulse status: Right dorsalis pedis artery
Item
text
C1706488 (UMLS CUI [1,1])
C0834665 (UMLS CUI [1,2])
Pulse status: Left dorsalis pedis artery
Item
text
C1706488 (UMLS CUI [1,1])
C0834666 (UMLS CUI [1,2])
Blood pressure right
Item
text
C0005823 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
Blood pressure left
Item
text
C0005823 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
Transplant
Item
boolean
C0478647 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Transplant (specification)
Item
text
C0478647 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Abdomen
Item
boolean
C0000726 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Abdomen (specification)
Item
text
C0000726 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Genitourinary system / rectum
Item
boolean
C0042066 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
C0034896 (UMLS CUI [2,1])
C0243095 (UMLS CUI [2,2])
C0031809 (UMLS CUI [2,3])
Genitourinary system / rectum (specification)
Item
text
C0042066 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
C0034896 (UMLS CUI [2,1])
C0243095 (UMLS CUI [2,2])
C0031809 (UMLS CUI [2,3])
Limbs/edema
Item
boolean
C0015385 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
C0013604 (UMLS CUI [2,1])
C0243095 (UMLS CUI [2,2])
C0031809 (UMLS CUI [2,3])
Limbs/edema (specification)
Item
text
C0015385 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
C0013604 (UMLS CUI [2,1])
C0243095 (UMLS CUI [2,2])
C0031809 (UMLS CUI [2,3])
Spine
Item
boolean
C0037949 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Spine (specification)
Item
text
C0037949 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Nervous system and psyche
Item
boolean
C0027763 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
C0846574 (UMLS CUI [2,1])
C0243095 (UMLS CUI [2,2])
Nervous system and psyche (specification)
Item
text
C0027763 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
C0846574 (UMLS CUI [2,1])
C0243095 (UMLS CUI [2,2])
Lymph nodes
Item
boolean
C0024204 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Lymph nodes (specification)
Item
text
C0024204 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Other
Item
boolean
C0205394 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Other (specification)
Item
text
C0205394 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Wound
Item
boolean
C0043250 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Wound (specification)
Item
text
C0043250 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0031809 (UMLS CUI [1,3])
Item Group
C2456887 (UMLS CUI-1)
C0022671 (UMLS CUI-3)
Morphology (qualitative)
Item
text
C0332437 (UMLS CUI [1,1])
C0022646 (UMLS CUI [1,2])
C2456887 (UMLS CUI [2])
Longitudinal diameter
Item
integer
C1301886 (UMLS CUI [1,1])
C0022646 (UMLS CUI [1,2])
C2456887 (UMLS CUI [2])
Lateral diameter
Item
integer
C1301886 (UMLS CUI [1,1])
C0022646 (UMLS CUI [1,2])
C2456887 (UMLS CUI [2])
Width of parenchyma
Item
integer
C0227628 (UMLS CUI [1,1])
C0487742 (UMLS CUI [1,2])
C2456887 (UMLS CUI [2])
Doppler/Duplex sonography
Item
text
C0162481 (UMLS CUI [1,1])
C0022646 (UMLS CUI [1,2])
C2456887 (UMLS CUI [2])
Resistive index
Item
text
C0807745 (UMLS CUI [1,1])
C0022646 (UMLS CUI [1,2])
C2456887 (UMLS CUI [2])
Renal arteries Vmax
Item
integer
C0035065 (UMLS CUI [1,1])
C1710637 (UMLS CUI [1,2])
C0022646 (UMLS CUI [1,3])
C2456887 (UMLS CUI [2])
Quality of flow in renal artery
Item
text
C0035065 (UMLS CUI [1,1])
C0232338 (UMLS CUI [1,2])
C0022646 (UMLS CUI [1,3])
C2456887 (UMLS CUI [2])
Other
Item
text
C0205394 (UMLS CUI [1,1])
C2456887 (UMLS CUI [1,2])
C0022671 (UMLS CUI [1,3])
Item Group
C0087111 (UMLS CUI-1)
C0242482 (UMLS CUI-2)
Procedure
Item
text
C0087111 (UMLS CUI [1])
Summary of medical history
Item
text
C0242482 (UMLS CUI [1,1])
C0262926 (UMLS CUI [1,2])
Summary of clinical examination
Item
text
C0242482 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Summary of sonography
Item
text
C0242482 (UMLS CUI [1,1])
C2456887 (UMLS CUI [1,2])
C0022671 (UMLS CUI [1,3])

Utilice este formulario para comentarios, preguntas y sugerencias.

Los campos marcados con * son obligatorios.

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