ID

20393

Description

Medical History form at the University Hospital Muenster. Routine documentation of University Hospital of Münster. Publication granted by Prof. Dr. Omran.

Keywords

Versions (1)
  1. 2/21/17 2/21/17 -
Uploaded on

February 21, 2017

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License

Creative Commons BY-NC 3.0
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Pediatrics UKM Medical History

German English

Medical History

1 forms  
  1. StudyEvent: ODM
    1. Medical History
Neonatology
Description

Neonatology

Patient Name
Description

Patient Name

Data type

text

Alias
UMLS CUI [1]
C1299487
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Time of birth
Description

Time of birth

Data type

time

Alias
UMLS CUI [1]
C2736116
Signature
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316
Weeks pregnant
Description

Weeks pregnant

Data type

integer

Alias
UMLS CUI [1]
C1135241
Apgar
Description

Apgar

Data type

integer

Alias
UMLS CUI [1]
C0003533
Weight
Description

Weight

Data type

integer

Alias
UMLS CUI [1]
C0005910
Length
Description

Length

Data type

integer

Alias
UMLS CUI [1]
C1444754
Umbilical cord ph
Description

Umbilical cord ph

Data type

integer

Alias
UMLS CUI [1]
C4067152
Umbilical cord blood gas analysis
Description

Umbilical cord blood gas analysis

Data type

integer

Alias
UMLS CUI [1,1]
C0005800
UMLS CUI [1,2]
C0041633
Diagnosis
Description

Diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011900
Temperature
Description

Temperature

Data type

integer

Alias
UMLS CUI [1]
C0039476
Pregnancy and maternal medical history
Description

Pregnancy and maternal medical history

Mother name
Description

Mother name

Data type

text

Alias
UMLS CUI [1]
C0802060
Pre-existing condition
Description

Pre-existing condition

Data type

boolean

Alias
UMLS CUI [1]
C0521987
Gravidity
Description

Gravidity

Data type

boolean

Alias
UMLS CUI [1]
C0600457
Blood group
Description

Blood group

Data type

integer

Alias
UMLS CUI [1]
C0005810
Betamethasone
Description

Betamethasone

Data type

boolean

Alias
UMLS CUI [1]
C0005308
Gestational diabetes
Description

Gestational diabetes

Data type

boolean

Alias
UMLS CUI [1]
C0085207
Breastfeeding
Description

Breastfeeding

Data type

boolean

Alias
UMLS CUI [1]
C0006147
Premature rupture of membranes
Description

Premature rupture of membranes

Data type

boolean

Alias
UMLS CUI [1]
C0015944
Fever
Description

Fever

Data type

boolean

Alias
UMLS CUI [1]
C0015967
Leucocytes
Description

Leucocytes

Data type

integer

Alias
UMLS CUI [1]
C0023508
CRP
Description

CRP

Data type

integer

Alias
UMLS CUI [1]
C0201657
HBs‐AG
Description

HBs‐AG

Data type

integer

Alias
UMLS CUI [1]
C0019168
CMV
Description

CMV

Data type

integer

Alias
UMLS CUI [1]
C0582172
HIV/Hep C
Description

HIV/Hep C

Data type

integer

Alias
UMLS CUI [1,1]
C0019682
UMLS CUI [1,2]
C0019196
Pap smear
Description

Pap smear

Data type

integer

Alias
UMLS CUI [1]
C0079104
Streptococcus b
Description

Streptococcus b

Data type

integer

Alias
UMLS CUI [1]
C0579233
Chlamydia
Description

Chlamydia

Data type

integer

Alias
UMLS CUI [1]
C0008148
Lues
Description

Lues

Data type

integer

Alias
UMLS CUI [1]
C0039128
Prenatal Diagnosis
Description

Prenatal Diagnosis

Alias
UMLS CUI-1
C0033053
Intrauterine growth restriction
Description

Intrauterine growth restriction

Data type

boolean

Alias
UMLS CUI [1]
C0015934
Chromosome analysis
Description

Chromosome analysis

Data type

integer

Alias
UMLS CUI [1]
C0200867
Ultrasound
Description

Ultrasound

Data type

integer

Alias
UMLS CUI [1]
C1456803
Family medical history
Description

Family medical history

Siblings
Description

Siblings

Data type

integer

Alias
UMLS CUI [1]
C0037047
pediatrician
Description

pediatrician

Data type

integer

Alias
UMLS CUI [1]
C0237433
Birth medical history
Description

Birth medical history

birthplace
Description

birthplace

Data type

integer

Alias
UMLS CUI [1]
C0032040
Induction of labor
Description

Induction of labor

Data type

integer

Alias
UMLS CUI [1]
C0259787
Birth Method of Delivery
Description

Birth Method of Delivery

Data type

integer

Alias
UMLS CUI [1]
C2825496
Diagnostic findings at admission
Description

Diagnostic findings at admission

Transferal
Description

Transferal

Data type

integer

Alias
UMLS CUI [1,1]
C0178895
UMLS CUI [1,2]
C0243095
General state of health
Description

General state of health

Data type

integer

Alias
UMLS CUI [1]
C0424575
Heart
Description

Heart

Data type

integer

Alias
UMLS CUI [1]
C0018787
Skin
Description

Skin

Data type

integer

Alias
UMLS CUI [1]
C1123023
Neck
Description

Neck

Data type

integer

Alias
UMLS CUI [1]
C0027530
Lungs
Description

Lungs

Data type

integer

Alias
UMLS CUI [1]
C2228454
Pulse
Description

Pulse

Data type

integer

Alias
UMLS CUI [1]
C0232117
Abdomen
Description

Abdomen

Data type

integer

Alias
UMLS CUI [1]
C0000726
motor function
Description

motor function

Data type

integer

Alias
UMLS CUI [1]
C0234130
Malformation
Description

Malformation

Data type

integer

Alias
UMLS CUI [1]
C0302142
First treatment
Description

First treatment

Data type

integer

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0205435
Baby maturity
Description

Baby maturity

Data type

integer

Alias
UMLS CUI [1]
C0419397
Health Personnel
Description

Health Personnel

Data type

integer

Alias
UMLS CUI [1]
C0018724
Fetal infant growth chart for preterm infants
Description

Fetal infant growth chart for preterm infants

Alias
UMLS CUI-1
C2718056
Weight
Description

Weight

Data type

integer

Alias
UMLS CUI [1]
C0005910
Height
Description

Height

Data type

text

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
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Similar models

Medical History

1 forms
  1. StudyEvent: ODM
    1. Medical History
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Neonatology
Patient Name
Item
Patient Name
text
C1299487 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Time of birth
Item
Time of birth
time
C2736116 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
Weeks pregnant
Item
Weeks pregnant
integer
C1135241 (UMLS CUI [1])
Apgar
Item
Apgar
integer
C0003533 (UMLS CUI [1])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Length
Item
Length
integer
C1444754 (UMLS CUI [1])
Umbilical cord ph
Item
Umbilical cord ph
integer
C4067152 (UMLS CUI [1])
Umbilical cord blood gas analysis
Item
Umbilical cord blood gas analysis
integer
C0005800 (UMLS CUI [1,1])
C0041633 (UMLS CUI [1,2])
Diagnosis
Item
Diagnosis
integer
C0011900 (UMLS CUI [1])
Temperature
Item
Temperature
integer
C0039476 (UMLS CUI [1])
Item Group
Pregnancy and maternal medical history
Mother name
Item
Mother name
text
C0802060 (UMLS CUI [1])
Pre-existing condition
Item
Pre-existing condition
boolean
C0521987 (UMLS CUI [1])
Gravidity
Item
Gravidity
boolean
C0600457 (UMLS CUI [1])
Blood group
Item
Blood group
integer
C0005810 (UMLS CUI [1])
Betamethasone
Item
Betamethasone
boolean
C0005308 (UMLS CUI [1])
Gestational diabetes
Item
Gestational diabetes
boolean
C0085207 (UMLS CUI [1])
Breastfeeding
Item
Breastfeeding
boolean
C0006147 (UMLS CUI [1])
Premature rupture of membranes
Item
Premature rupture of membranes
boolean
C0015944 (UMLS CUI [1])
Fever
Item
Fever
boolean
C0015967 (UMLS CUI [1])
Leucocytes
Item
Leucocytes
integer
C0023508 (UMLS CUI [1])
CRP
Item
CRP
integer
C0201657 (UMLS CUI [1])
Item
HBs‐AG
integer
C0019168 (UMLS CUI [1])
HBs‐AG
Code List
HBs‐AG
CL Item
positive (1)
C1446409 (UMLS CUI-1)
CL Item
negative (2)
C0205160 (UMLS CUI-1)
Item
CMV
integer
C0582172 (UMLS CUI [1])
CMV
Code List
CMV
CL Item
positive (1)
C1446409 (UMLS CUI-1)
CL Item
negative (2)
C0205160 (UMLS CUI-1)
Item
HIV/Hep C
integer
C0019682 (UMLS CUI [1,1])
C0019196 (UMLS CUI [1,2])
HIV/Hep C
Code List
HIV/Hep C
CL Item
positive (1)
C1446409 (UMLS CUI-1)
CL Item
negative (2)
C0205160 (UMLS CUI-1)
Item
Pap smear
integer
C0079104 (UMLS CUI [1])
Pap smear
Code List
Pap smear
CL Item
positive (1)
C1446409 (UMLS CUI-1)
CL Item
negative (2)
C0205160 (UMLS CUI-1)
Item
Streptococcus b
integer
C0579233 (UMLS CUI [1])
Streptococcus b
Code List
Streptococcus b
CL Item
positive (1)
C1446409 (UMLS CUI-1)
CL Item
negative (2)
C0205160 (UMLS CUI-1)
Item
Chlamydia
integer
C0008148 (UMLS CUI [1])
Chlamydia
Code List
Chlamydia
CL Item
positive (1)
C1446409 (UMLS CUI-1)
CL Item
negative (2)
C0205160 (UMLS CUI-1)
Lues
Item
Lues
integer
C0039128 (UMLS CUI [1])
Item Group
Prenatal Diagnosis
C0033053 (UMLS CUI-1)
Intrauterine growth restriction
Item
Intrauterine growth restriction
boolean
C0015934 (UMLS CUI [1])
Item
Chromosome analysis
integer
C0200867 (UMLS CUI [1])
Chromosome analysis
Code List
Chromosome analysis
CL Item
not done (1)
C1272696 (UMLS CUI-1)
CL Item
NAD (2)
C0559229 (UMLS CUI-1)
CL Item
abnormal (3)
C0205161 (UMLS CUI-1)
Item
Ultrasound
integer
C1456803 (UMLS CUI [1])
Ultrasound
Code List
Ultrasound
CL Item
malformation  (1)
C0302142 (UMLS CUI-1)
CL Item
nad (2)
C0559229 (UMLS CUI-1)
Item Group
Family medical history
Siblings
Item
Siblings
integer
C0037047 (UMLS CUI [1])
pediatrician
Item
pediatrician
integer
C0237433 (UMLS CUI [1])
Item Group
Birth medical history
Item
birthplace
integer
C0032040 (UMLS CUI [1])
birthplace
Code List
birthplace
CL Item
delivery room (1)
C0011212 (UMLS CUI-1)
CL Item
other (2)
C0205394 (UMLS CUI-1)
Item
Induction of labor
integer
C0259787 (UMLS CUI [1])
Induction of labor
Code List
Induction of labor
CL Item
maternal (1)
C1858460 (UMLS CUI-1)
CL Item
fetal (2)
C0521457 (UMLS CUI-1)
Item
Birth Method of Delivery
integer
C2825496 (UMLS CUI [1])
Birth Method of Delivery
Code List
Birth Method of Delivery
CL Item
spontaneous (1)
C0205359 (UMLS CUI-1)
CL Item
sectio (2)
C0007876 (UMLS CUI-1)
CL Item
forceps (3)
C1384586 (UMLS CUI-1)
Item Group
Diagnostic findings at admission
Item
Transferal
integer
C0178895 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Transferal
Code List
Transferal
CL Item
direct postnatal (1)
CL Item
at the age of (2)
General state of health
Item
General state of health
integer
C0424575 (UMLS CUI [1])
Heart
Item
Heart
integer
C0018787 (UMLS CUI [1])
Skin
Item
Skin
integer
C1123023 (UMLS CUI [1])
Neck
Item
Neck
integer
C0027530 (UMLS CUI [1])
Lungs
Item
Lungs
integer
C2228454 (UMLS CUI [1])
Pulse
Item
Pulse
integer
C0232117 (UMLS CUI [1])
Abdomen
Item
Abdomen
integer
C0000726 (UMLS CUI [1])
motor function
Item
motor function
integer
C0234130 (UMLS CUI [1])
Malformation
Item
Malformation
integer
C0302142 (UMLS CUI [1])
First treatment
Item
First treatment
integer
C0087111 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
Baby maturity
Item
Baby maturity
integer
C0419397 (UMLS CUI [1])
Item
Health Personnel
integer
C0018724 (UMLS CUI [1])
Health Personnel
Code List
Health Personnel
CL Item
Assistant Doctor (1)
C0031833 (UMLS CUI-1)
CL Item
Physician Executives (2)
C0025081 (UMLS CUI-1)
CL Item
Nurse (3)
C0028661 (UMLS CUI-1)
Item Group
Fetal infant growth chart for preterm infants
C2718056 (UMLS CUI-1)
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Height
Item
Height
text
C0005890 (UMLS CUI [1])
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