ID

20978

Description

Hospital Routine Documentation Subform at the University Hospital Cologne Original Form name: DE Datenerfassung RIS

Keywords

  1. 4/1/17 4/1/17 -
Uploaded on

April 1, 2017

DOI

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License

Creative Commons BY-NC 3.0

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Data entry RIS, University Hospital Cologne

Data entry RIS, University Hospital Cologne

RIS Untersuchung
Description

RIS Untersuchung

Alias
UMLS CUI-1
C0034601
UMLS CUI-2
C0748230
Leistende Stelle
Description

Diagnosing provider

Data type

text

Alias
UMLS CUI [1,1]
C3260207
UMLS CUI [1,2]
C2607850
Befundender Arzt
Description

Person performing diagnosing

Data type

text

Alias
UMLS CUI [1]
C3260206
Schwangerschaft
Description

Pregnancy

Data type

boolean

Alias
UMLS CUI [1]
C0032961
Gonadenschutz
Description

Gonadal shielding

Data type

boolean

Alias
UMLS CUI [1]
C0183268
Gesamtdosisflächenprodukt
Description

Dose area product

Data type

float

Measurement units
  • mGy x cm²
Alias
UMLS CUI [1]
C1999052
UMLS CUI [2,1]
C1533134
UMLS CUI [2,2]
C0205146
UMLS CUI [2,3]
C1704444
mGy x cm²
Gesamtdosislängenprodukt
Description

Dose length product

Data type

float

Measurement units
  • mGy x cm
Alias
UMLS CUI [1]
C1999052
UMLS CUI [2]
C3539930
mGy x cm
Gesamt CTDI Volumen
Description

Computed Tomography Dose Index Volume

Data type

float

Measurement units
  • mGy
Alias
UMLS CUI [1]
C3640003
mGy
Gesamt CTDI weighted
Description

Computed Tomography Dose Index (weighted)

Data type

float

Measurement units
  • mGy
Alias
UMLS CUI [1]
C3640003
mGy
Gesamt AGD
Description

Average Glandular Dose

Data type

float

Measurement units
  • mGy
Alias
UMLS CUI [1]
C1999052
UMLS CUI [2]
C0225353
mGy
Aufklärung erfolgt
Description

Informed consent

Data type

boolean

Alias
UMLS CUI [1]
C0021430
Aufklärung erfolgt durch
Description

Informed consent provider

Data type

text

Measurement units
  • Name
Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C3476341
Name
Aufklärung erfolgt am
Description

Informed consent date

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C2985782
dd.mm.yyyy
Einverständniserklärung
Description

Informed consent given

Data type

integer

Alias
UMLS CUI [1]
C0021430
Verabreichte Medikation und Menge
Description

Medication administered

Data type

text

Alias
UMLS CUI [1]
C0806914
Kontrastmittel Menge
Description

Contrast media volume

Data type

integer

Measurement units
  • ml
Alias
UMLS CUI [1,1]
C0009924
UMLS CUI [1,2]
C0449971
ml
Komplikationen/Reaktion
Description

Complications, Adverse Reactions

Data type

text

Alias
UMLS CUI [1]
C0009566
UMLS CUI [2]
C0559546
Schweregrad Komplikation/Reaktion
Description

Severity complication/adverse reaction

Data type

text

Alias
UMLS CUI [1,1]
C0392364
UMLS CUI [1,2]
C0559546
Bemerkung
Description

Note

Data type

text

Alias
UMLS CUI [1]
C1317574
Rückweisung mit Rückweisegrund
Description

Patient rejected, reason for rejection

Data type

text

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1548437
UMLS CUI [1,3]
C0566251
Rückweisender Mitarbeiter
Description

Patient rejected, person rejecting patient

Data type

text

Measurement units
  • Name
Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1548437
UMLS CUI [1,3]
C3476341
Name
Laborwerte
Description

Laboratory results

Data type

text

Alias
UMLS CUI [1]
C1254595
Art der Untersuchung
Description

Type of examination

Data type

text

Alias
UMLS CUI [1,1]
C0748230
UMLS CUI [1,2]
C0332307
Untersuchungsdatum und -zeit
Description

Date and time of examination

Data type

datetime

Alias
UMLS CUI [1,1]
C1264639
UMLS CUI [1,2]
C0748230
Befund
Description

Finding radiological exam

Data type

text

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

Evaluation of examination

Data type

text

Alias
UMLS CUI [1,1]
C0220825
UMLS CUI [1,2]
C0748230
Anzahl unvollständiger Untersuchungen
Description

Amount of incomplete examinations

Data type

float

Alias
UMLS CUI [1,1]
C0205257
UMLS CUI [1,2]
C0748230
UMLS CUI [1,3]
C0750480
Signierung
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316

Similar models

Data entry RIS, University Hospital Cologne

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
RIS Untersuchung
C0034601 (UMLS CUI-1)
C0748230 (UMLS CUI-2)
Diagnosing provider
Item
Leistende Stelle
text
C3260207 (UMLS CUI [1,1])
C2607850 (UMLS CUI [1,2])
Person performing diagnosing
Item
Befundender Arzt
text
C3260206 (UMLS CUI [1])
Pregnancy
Item
Schwangerschaft
boolean
C0032961 (UMLS CUI [1])
Gonadal shielding
Item
Gonadenschutz
boolean
C0183268 (UMLS CUI [1])
Dose area product
Item
Gesamtdosisflächenprodukt
float
C1999052 (UMLS CUI [1])
C1533134 (UMLS CUI [2,1])
C0205146 (UMLS CUI [2,2])
C1704444 (UMLS CUI [2,3])
Dose length product
Item
Gesamtdosislängenprodukt
float
C1999052 (UMLS CUI [1])
C3539930 (UMLS CUI [2])
Computed Tomography Dose Index Volume
Item
Gesamt CTDI Volumen
float
C3640003 (UMLS CUI [1])
Computed Tomography Dose Index (weighted)
Item
Gesamt CTDI weighted
float
C3640003 (UMLS CUI [1])
Average Glandular Dose
Item
Gesamt AGD
float
C1999052 (UMLS CUI [1])
C0225353 (UMLS CUI [2])
Informed consent
Item
Aufklärung erfolgt
boolean
C0021430 (UMLS CUI [1])
Informed consent provider
Item
Aufklärung erfolgt durch
text
C0021430 (UMLS CUI [1,1])
C3476341 (UMLS CUI [1,2])
Informed consent date
Item
Aufklärung erfolgt am
date
C2985782 (UMLS CUI [1])
Item
Einverständniserklärung
integer
C0021430 (UMLS CUI [1])
Code List
Einverständniserklärung
CL Item
liegt vor (1)
CL Item
liegt nicht vor (2)
Medication administered
Item
Verabreichte Medikation und Menge
text
C0806914 (UMLS CUI [1])
Contrast media volume
Item
Kontrastmittel Menge
integer
C0009924 (UMLS CUI [1,1])
C0449971 (UMLS CUI [1,2])
Complications, Adverse Reactions
Item
Komplikationen/Reaktion
text
C0009566 (UMLS CUI [1])
C0559546 (UMLS CUI [2])
Severity complication/adverse reaction
Item
Schweregrad Komplikation/Reaktion
text
C0392364 (UMLS CUI [1,1])
C0559546 (UMLS CUI [1,2])
Note
Item
Bemerkung
text
C1317574 (UMLS CUI [1])
Patient rejected, reason for rejection
Item
Rückweisung mit Rückweisegrund
text
C0030705 (UMLS CUI [1,1])
C1548437 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,3])
Patient rejected, person rejecting patient
Item
Rückweisender Mitarbeiter
text
C0030705 (UMLS CUI [1,1])
C1548437 (UMLS CUI [1,2])
C3476341 (UMLS CUI [1,3])
Laboratory results
Item
Laborwerte
text
C1254595 (UMLS CUI [1])
Type of examination
Item
Art der Untersuchung
text
C0748230 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Date and time of examination
Item
Untersuchungsdatum und -zeit
datetime
C1264639 (UMLS CUI [1,1])
C0748230 (UMLS CUI [1,2])
Finding radiological exam
Item
Befund
text
C0243095 (UMLS CUI [1,1])
C0748230 (UMLS CUI [1,2])
Evaluation of examination
Item
Beurteilung
text
C0220825 (UMLS CUI [1,1])
C0748230 (UMLS CUI [1,2])
Amount of incomplete examinations
Item
Anzahl unvollständiger Untersuchungen
float
C0205257 (UMLS CUI [1,1])
C0748230 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,3])
Signature
Item
Signierung
text
C1519316 (UMLS CUI [1])

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