ID

20786

Description

Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: AF ANAE UKK Sub.

Keywords

Versions (2)
  1. 3/14/17 3/14/17 -
  2. 3/17/17 3/17/17 -
Uploaded on

March 17, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Patient Admission request RIS Subform University Hospital Cologne

German ( localization.languageCode.DE )

Patient Admission request RIS Subform University Hospital Cologne

1 forms  
AF Anforderung RIS Sub
Description

AF Anforderung RIS Sub

Alias
UMLS CUI-1
C0587500
UMLS CUI-2
C0030673
UMLS CUI-3
C1272683
Symptome
Description

symptoms

Data type

text

Alias
UMLS CUI [1]
C1457887
Klinische Diagnosen
Description

Clinical Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Medikation
Description

Medication

Data type

text

Alias
UMLS CUI [1]
C0013227
Jodhaltige KM verabreicht
Description

iodine contrast agents

Data type

integer

Alias
UMLS CUI [1]
C0443076
Falls Jodhaltige KM verabreicht wurden, welche:
Description

iodine contrast agents

Data type

text

Alias
UMLS CUI [1]
C0443076
Aufklärung erfolgt
Description

clarification

Data type

integer

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0043299
Aufklärung erfolgt am:
Description

clarification

Data type

date

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0043299
Aufklärung erfolgt durch:
Description

clarification

Data type

text

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C1710470
UMLS CUI [1,3]
C0043299
Einverständniserklärung:
Description

consent

Data type

integer

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0043299
Körpergröße:
Description

height

Data type

integer

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

weight

Data type

float

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

body surface area

Data type

integer

Measurement units
  • m2KOF
Alias
UMLS CUI [1]
C0005902
m2KOF
Voruntersuchungen:
Description

previous examination

Data type

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C1548161
Voruntersuchungen, erfolgt am:
Description

previous examination

Data type

date

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C1548161
UMLS CUI [1,3]
C0011008
Interne Voruntersuchung:
Description

previous examination

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C1548161
UMLS CUI [1,3]
C0205102
Externe Voruntersuchung:
Description

previous examination

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C1548161
UMLS CUI [1,3]
C0205101
Bilder mitgeben:
Description

give pictures to patient

Data type

integer

Alias
UMLS CUI [1,1]
C0441469
UMLS CUI [1,2]
C0043299
Begleitung:
Description

company

Data type

text

Alias
UMLS CUI [1]
C0587717
Röntgenpass vorhanden:
Description

X-Ray pass

Data type

integer

Alias
UMLS CUI [1,1]
C0043309
UMLS CUI [1,2]
C1319531
Schwangerschaft:
Description

pregnancy

Data type

integer

Alias
UMLS CUI [1]
C0032961
Vorangegangene OP/PE:
Description

previous surgery

Data type

text

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0205156
letzte Periode:
Description

last menstruation

Data type

text

Alias
UMLS CUI [1]
C0025344
Menopause seit:
Description

menopause since

Data type

text

Alias
UMLS CUI [1]
C0025320
Hormontherapie:
Description

hormone therapy

Data type

text

Alias
UMLS CUI [1]
C0279025
Inspektion/Palpation:
Description

inspection/palpation

Data type

text

Alias
UMLS CUI [1]
C0199219
UMLS CUI [2]
C0030247
Glaukompatient:
Description

glaucoma

Data type

integer

Alias
UMLS CUI [1]
C0017601
Schrittmacher:
Description

pacemaker

Data type

integer

Alias
UMLS CUI [1]
C0030163
Mögliche Artefakte:
Description

artifact

Data type

integer

Alias
UMLS CUI [1]
C0085089
Mögliche Artefakte:
Description

falls Ja

Data type

text

Alias
UMLS CUI [1]
C0085089
Bemerkung:
Description

comment

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0043299
Laborwerte
Description

Subformularaufruf

Data type

text

Alias
UMLS CUI [1]
C0587081
Leistende Stelle:
Description

department

Data type

text

Alias
UMLS CUI [1]
C0587450
Untersuchungen:
Description

examination

Data type

text

Alias
UMLS CUI [1]
C0031809
UMLS CUI [2]
C0043299
Untersuchungskuerzel:
Description

examination identifier

Data type

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0600091
UMLS CUI [2]
C0043299
Klinische Diagnose:
Description

clinical diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
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Similar models

Patient Admission request RIS Subform University Hospital Cologne

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
AF Anforderung RIS Sub
C0587500 (UMLS CUI-1)
C0030673 (UMLS CUI-2)
C1272683 (UMLS CUI-3)
symptoms
Item
Symptome
text
C1457887 (UMLS CUI [1])
Clinical Diagnosis
Item
Klinische Diagnosen
text
C0011900 (UMLS CUI [1])
Medication
Item
Medikation
text
C0013227 (UMLS CUI [1])
Item
Jodhaltige KM verabreicht
integer
C0443076 (UMLS CUI [1])
iodine contrast agents
Code List
Jodhaltige KM verabreicht
CL Item
Ja (1)
CL Item
Nein (2)
CL Item
unbekannt (3)
iodine contrast agents
Item
Falls Jodhaltige KM verabreicht wurden, welche:
text
C0443076 (UMLS CUI [1])
Item
Aufklärung erfolgt
integer
C0021430 (UMLS CUI [1,1])
C0043299 (UMLS CUI [1,2])
clarification
Code List
Aufklärung erfolgt
CL Item
Ja (1)
CL Item
Nein (2)
CL Item
unbekannt (3)
clarification
Item
Aufklärung erfolgt am:
date
C0021430 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0043299 (UMLS CUI [1,3])
clarification
Item
Aufklärung erfolgt durch:
text
C0021430 (UMLS CUI [1,1])
C1710470 (UMLS CUI [1,2])
C0043299 (UMLS CUI [1,3])
Item
Einverständniserklärung:
integer
C0021430 (UMLS CUI [1,1])
C0043299 (UMLS CUI [1,2])
undefined item
Code List
Einverständniserklärung:
CL Item
liegt vor (1)
CL Item
liegt vor, inkl. KM (2)
CL Item
liegt nicht vor (3)
height
Item
Körpergröße:
integer
C0005890 (UMLS CUI [1])
weight
Item
Körpergewicht:
float
C0005910 (UMLS CUI [1])
body surface area
Item
Körperoberfläche:
integer
C0005902 (UMLS CUI [1])
Item
Voruntersuchungen:
integer
C0031809 (UMLS CUI [1,1])
C1548161 (UMLS CUI [1,2])
previous examination
Code List
Voruntersuchungen:
CL Item
Ja (1)
CL Item
Nein (2)
CL Item
unbekannt (3)
previous examination
Item
Voruntersuchungen, erfolgt am:
date
C0031809 (UMLS CUI [1,1])
C1548161 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
previous examination
Item
Interne Voruntersuchung:
text
C0031809 (UMLS CUI [1,1])
C1548161 (UMLS CUI [1,2])
C0205102 (UMLS CUI [1,3])
previous examination
Item
Externe Voruntersuchung:
text
C0031809 (UMLS CUI [1,1])
C1548161 (UMLS CUI [1,2])
C0205101 (UMLS CUI [1,3])
Item
Bilder mitgeben:
integer
C0441469 (UMLS CUI [1,1])
C0043299 (UMLS CUI [1,2])
give pictures to patient
Code List
Bilder mitgeben:
CL Item
Ja (1)
CL Item
Nein (2)
company
Item
Begleitung:
text
C0587717 (UMLS CUI [1])
Item
Röntgenpass vorhanden:
integer
C0043309 (UMLS CUI [1,1])
C1319531 (UMLS CUI [1,2])
undefined item
Code List
Röntgenpass vorhanden:
CL Item
Ja (1)
CL Item
Nein (2)
CL Item
unbekannt (3)
Item
Schwangerschaft:
integer
C0032961 (UMLS CUI [1])
pregnancy
Code List
Schwangerschaft:
CL Item
Ja (1)
CL Item
Nein (2)
CL Item
fraglich (3)
previous surgery
Item
Vorangegangene OP/PE:
text
C0543467 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
last menstruation
Item
letzte Periode:
text
C0025344 (UMLS CUI [1])
menopause since
Item
Menopause seit:
text
C0025320 (UMLS CUI [1])
hormone therapy
Item
Hormontherapie:
text
C0279025 (UMLS CUI [1])
inspection/palpation
Item
Inspektion/Palpation:
text
C0199219 (UMLS CUI [1])
C0030247 (UMLS CUI [2])
Item
Glaukompatient:
integer
C0017601 (UMLS CUI [1])
glaucoma
Code List
Glaukompatient:
CL Item
Ja (1)
CL Item
Nein (2)
CL Item
unbekannt (3)
Item
Schrittmacher:
integer
C0030163 (UMLS CUI [1])
pacemaker
Code List
Schrittmacher:
CL Item
Ja (1)
CL Item
Nein (2)
CL Item
unbekannt (3)
Item
Mögliche Artefakte:
integer
C0085089 (UMLS CUI [1])
undefined item
Code List
Mögliche Artefakte:
CL Item
Ja (1)
CL Item
Nein (2)
CL Item
unbekannt (3)
artifact
Item
Mögliche Artefakte:
text
C0085089 (UMLS CUI [1])
comment
Item
Bemerkung:
text
C0947611 (UMLS CUI [1,1])
C0043299 (UMLS CUI [1,2])
laboratory
Item
Laborwerte
text
C0587081 (UMLS CUI [1])
department
Item
Leistende Stelle:
text
C0587450 (UMLS CUI [1])
examination
Item
Untersuchungen:
text
C0031809 (UMLS CUI [1])
C0043299 (UMLS CUI [2])
examination identifier
Item
Untersuchungskuerzel:
text
C0031809 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C0043299 (UMLS CUI [2])
clinical diagnosis
Item
Klinische Diagnose:
text
C0011900 (UMLS CUI [1])
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