ID

20868

Description

Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: BE Beurteilung RIS.

Keywords

  1. 3/12/17 3/12/17 -
  2. 3/23/17 3/23/17 -
Uploaded on

March 23, 2017

DOI

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License

Creative Commons BY-NC-ND 3.0

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Evaluation of Finding RIS University Hospital Cologne

Evaluation of Finding RIS University Hospital Cologne

Befund Beurteilung RIS
Description

Befund Beurteilung RIS

Alias
UMLS CUI-1
C2711906
UMLS CUI-2
C0034601
(Vor)Beurteilung
Description

Finding

Data type

text

Alias
UMLS CUI [1,1]
C0243095
UMLS CUI [1,2]
C0748230
Nachtragsbefund
Description

Finding addendum

Data type

text

Alias
UMLS CUI [1,1]
C0243095
UMLS CUI [1,2]
C1510776
UMLS CUI [1,3]
C0748230
Diagnosen
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Beurteilung des Befunds
Description

Finding evaluation

Data type

text

Alias
UMLS CUI [1]
C2711906
Leistende Stelle
Description

Facility performing examination

Data type

text

Alias
UMLS CUI [1,1]
C1547538
UMLS CUI [1,2]
C3260207
Befundener Arzt
Description

Diagnosing Physician

Data type

text

Alias
UMLS CUI [1]
C3260206
Sekretariat
Description

Secretary

Data type

text

Alias
UMLS CUI [1]
C0341647
Blindbefundung
Description

Blinded evaluation

Data type

text

Alias
UMLS CUI [1,1]
C2911685
UMLS CUI [1,2]
C2347038
Kategorie Befund
Description

Category of finding

Data type

text

Alias
UMLS CUI [1,1]
C0683312
UMLS CUI [1,2]
C0243095
Befund Gruppierungsnummer
Description

Finding, grouping number

Data type

text

Alias
UMLS CUI [1,1]
C0243095
UMLS CUI [1,2]
C1522242
UMLS CUI [1,3]
C0237753
Erstellungsdatum
Description

Creation date

Data type

date

Alias
UMLS CUI [1]
C2347859
Erstellungszeit
Description

Creation time

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C2347859
Priorität des Befunds
Description

Priority of finding

Data type

text

Alias
UMLS CUI [1,1]
C0549179
UMLS CUI [1,2]
C0243095
Befund Typ
Description

Finding type

Data type

text

Alias
UMLS CUI [1,1]
C0243095
UMLS CUI [1,2]
C0332307
Anamnese
Description

Medical history

Data type

text

Alias
UMLS CUI [1]
C0262926
Fragestellung
Description

Question

Data type

text

Alias
UMLS CUI [1,1]
C1522634
UMLS CUI [1,2]
C0748230
Zusätzliche Fragestellung
Description

Additional question

Data type

text

Alias
UMLS CUI [1,1]
C1524062
UMLS CUI [1,2]
C1522634
UMLS CUI [1,3]
C0748230
Indikation
Description

Indication

Data type

text

Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C0748230
Zusätzliche Angaben zur Indikation
Description

Indication (addendum)

Data type

text

Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C1510776
UMLS CUI [1,3]
C0748230
Doppelbefundung
Description

Second evaluation of finding

Data type

text

Alias
UMLS CUI [1,1]
C0036524
UMLS CUI [1,2]
C2711906
Korrekturvorschlag Diagnose
Description

Diagnosis correction/change

Data type

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C1947976
Zusammenfassung der Befunde/Beurteilung und Empfehlung
Description

Summary of findings and recommendation

Data type

text

Alias
UMLS CUI [1,1]
C1706244
UMLS CUI [1,2]
C0243095
UMLS CUI [1,3]
C0220825
UMLS CUI [2]
C0034866
Erstbefunder
Description

First diagnosing physician

Data type

text

Alias
UMLS CUI [1,1]
C0205435
UMLS CUI [1,2]
C3260206
Zweitbefunder
Description

Second diagnosing physician

Data type

text

Alias
UMLS CUI [1,1]
C0205436
UMLS CUI [1,2]
C3260206
Ultraschall Status
Description

Ultrasonography status

Data type

text

Alias
UMLS CUI [1,1]
C0041618
UMLS CUI [1,2]
C0449438
Unterschrift
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316

Similar models

Evaluation of Finding RIS University Hospital Cologne

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Befund Beurteilung RIS
C2711906 (UMLS CUI-1)
C0034601 (UMLS CUI-2)
Finding
Item
(Vor)Beurteilung
text
C0243095 (UMLS CUI [1,1])
C0748230 (UMLS CUI [1,2])
Finding addendum
Item
Nachtragsbefund
text
C0243095 (UMLS CUI [1,1])
C1510776 (UMLS CUI [1,2])
C0748230 (UMLS CUI [1,3])
Diagnosis
Item
Diagnosen
text
C0011900 (UMLS CUI [1])
Finding evaluation
Item
Beurteilung des Befunds
text
C2711906 (UMLS CUI [1])
Facility performing examination
Item
Leistende Stelle
text
C1547538 (UMLS CUI [1,1])
C3260207 (UMLS CUI [1,2])
Diagnosing Physician
Item
Befundener Arzt
text
C3260206 (UMLS CUI [1])
Secretary
Item
Sekretariat
text
C0341647 (UMLS CUI [1])
Blinded evaluation
Item
Blindbefundung
text
C2911685 (UMLS CUI [1,1])
C2347038 (UMLS CUI [1,2])
Category of finding
Item
Kategorie Befund
text
C0683312 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Finding, grouping number
Item
Befund Gruppierungsnummer
text
C0243095 (UMLS CUI [1,1])
C1522242 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
Creation date
Item
Erstellungsdatum
date
C2347859 (UMLS CUI [1])
Creation time
Item
Erstellungszeit
time
C0040223 (UMLS CUI [1,1])
C2347859 (UMLS CUI [1,2])
Priority of finding
Item
Priorität des Befunds
text
C0549179 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
Finding type
Item
Befund Typ
text
C0243095 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Medical history
Item
Anamnese
text
C0262926 (UMLS CUI [1])
Question
Item
Fragestellung
text
C1522634 (UMLS CUI [1,1])
C0748230 (UMLS CUI [1,2])
Additional question
Item
Zusätzliche Fragestellung
text
C1524062 (UMLS CUI [1,1])
C1522634 (UMLS CUI [1,2])
C0748230 (UMLS CUI [1,3])
Indication
Item
Indikation
text
C3146298 (UMLS CUI [1,1])
C0748230 (UMLS CUI [1,2])
Indication (addendum)
Item
Zusätzliche Angaben zur Indikation
text
C3146298 (UMLS CUI [1,1])
C1510776 (UMLS CUI [1,2])
C0748230 (UMLS CUI [1,3])
Second evaluation of finding
Item
Doppelbefundung
text
C0036524 (UMLS CUI [1,1])
C2711906 (UMLS CUI [1,2])
Diagnosis correction/change
Item
Korrekturvorschlag Diagnose
text
C0011900 (UMLS CUI [1,1])
C1947976 (UMLS CUI [1,2])
Summary of findings and recommendation
Item
Zusammenfassung der Befunde/Beurteilung und Empfehlung
text
C1706244 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0220825 (UMLS CUI [1,3])
C0034866 (UMLS CUI [2])
First diagnosing physician
Item
Erstbefunder
text
C0205435 (UMLS CUI [1,1])
C3260206 (UMLS CUI [1,2])
Second diagnosing physician
Item
Zweitbefunder
text
C0205436 (UMLS CUI [1,1])
C3260206 (UMLS CUI [1,2])
Ultrasonography status
Item
Ultraschall Status
text
C0041618 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
Signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])

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