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ID
19639
Description
Admission checklist converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Univ.-Prof. Dr. med. Volker Arolt.
Keywords
Versions (2)
- 1/17/17 1/17/17 -
- 9/20/21 9/20/21 -
Uploaded on
January 17, 2017
DOI
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License
Creative Commons BY-NC 3.0
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Admission checklist Psychiatry UKM
Similar models
Admission checklist
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Patient name
Item
Name des Patienten:
text
C1299487 (UMLS CUI [1])
Date of birth
Item
geboren am:
date
C0421451 (UMLS CUI [1])
Admission date
Item
Datum:
date
C1302393 (UMLS CUI [1])
Admission time
Item
Uhrzeit:
time
C3854259 (UMLS CUI [1])
Physician
Item
Aufnahmearzt:
integer
C0031831 (UMLS CUI [1])
Admission voluntarily
Item
Aufnahme freiwillig:
boolean
C0586002 (UMLS CUI [1])
Suicide attempt
Item
Suizidversuch aktuell:
boolean
C0038663 (UMLS CUI [1])
Suicidality
Item
Suizidalität:
boolean
C0438696 (UMLS CUI [1])
Suicide threat
Item
Fremdgefährdung:
boolean
C4087166 (UMLS CUI [1])
Severe illness
Item
schwere körperliche Erkrankung:
boolean
C0221423 (UMLS CUI [1])
CL Item
wievielte Aufnahme (1)
C0184666 (UMLS CUI-1)
C0449788 (UMLS CUI-2)
C0449788 (UMLS CUI-2)
CL Item
Beruf, (2)
C0028811 (UMLS CUI-1)
CL Item
einweisender Arzt (3)
C2584922 (UMLS CUI-1)
CL Item
Angehörige (4)
C0080103 (UMLS CUI-1)
CL Item
Freiwillig (1)
C0439656 (UMLS CUI-1)
CL Item
PsychKG (2)
C0025353 (UMLS CUI-1)
C0220866 (UMLS CUI-2)
C0220866 (UMLS CUI-2)
CL Item
Betreuung (3)
C0870627 (UMLS CUI-1)
CL Item
durch Ordnungsbehörden untergebracht (4)
C3826021 (UMLS CUI-1)
CL Item
Eigenanamnese (1)
C0262926 (UMLS CUI-1)
Medication history
Item
Bisherige Medikation:
integer
C0262926 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
Hypersensitivity
Item
Medikamentenunverträglichkeiten, Allergien, andere Risikofaktoren:
integer
C0020517 (UMLS CUI [1])
Psychiatric history
Item
Psychopathologischer Befund bei Aufnahme:
integer
C0748059 (UMLS CUI [1])
Neurologic Examination
Item
neurologischem Status bei Aufnahme
integer
C0027853 (UMLS CUI [1])
Probable diagnosis
Item
Vorläufige Diagnose
integer
C0332148 (UMLS CUI [1])
Differential diagnosis
Item
Differentialdiagnose:
integer
C0011906 (UMLS CUI [1])
Procedures
Item
Weiteres Vorgehen und Verordnungen
integer
C2700391 (UMLS CUI [1])
Signature physician
Item
Unterschrift des Aufnahmearztes:
text
C0807938 (UMLS CUI [1])