ID

21005

Beskrivning

Check up form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by: Prof. Dr. Berdel

Nyckelord

  1. 2017-04-03 2017-04-03 -
Uppladdad den

3 april 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Check up Hematology UKM

Check up form

  1. StudyEvent: ODM
    1. Check up form
Patient demographics
Beskrivning

Patient demographics

Patient name
Beskrivning

Patient name

Datatyp

text

Alias
UMLS CUI [1]
C1299487
Clinic
Beskrivning

Clinic

Datatyp

integer

Alias
UMLS CUI [1]
C0442592
Name of attending physician
Beskrivning

Attending physician

Datatyp

text

Alias
UMLS CUI [1]
C1320929
Date
Beskrivning

Date

Datatyp

date

Alias
UMLS CUI [1]
C0011008
Informed consent
Beskrivning

Informed consent

Datatyp

boolean

Alias
UMLS CUI [1]
C0021430
Clinic
Beskrivning

Clinic

Datatyp

integer

Alias
UMLS CUI [1]
C0442592
Hypersensitivities
Beskrivning

Hypersensitivities

Datatyp

integer

Alias
UMLS CUI [1]
C0020517
Check up
Beskrivning

Check up

Fluid balance
Beskrivning

Fluid balance

Datatyp

integer

Alias
UMLS CUI [1]
C0016284
Body weight
Beskrivning

Body weight

Datatyp

integer

Alias
UMLS CUI [1]
C0005910
Diuresis
Beskrivning

Diuresis

Datatyp

integer

Alias
UMLS CUI [1]
C0012797
Medication
Beskrivning

Medication

Datatyp

integer

Alias
UMLS CUI [1]
C0013227
Catheter
Beskrivning

Catheter

Datatyp

integer

Alias
UMLS CUI [1]
C0179802
Blood sugar
Beskrivning

Blood sugar

Datatyp

integer

Alias
UMLS CUI [1]
C0392201
Chemotherapy
Beskrivning

Chemotherapy

Datatyp

integer

Alias
UMLS CUI [1]
C0392920
Oxygen
Beskrivning

Oxygen

Datatyp

boolean

Alias
UMLS CUI [1]
C0030054
Vital signs
Beskrivning

Vital signs

Datatyp

integer

Alias
UMLS CUI [1]
C0518766
Blood product
Beskrivning

Blood product

Datatyp

integer

Alias
UMLS CUI [1]
C0456388
PRN medication
Beskrivning

PRN medication

Datatyp

integer

Alias
UMLS CUI [1]
C3166225
Medical order
Beskrivning

Medical order

Datatyp

text

Alias
UMLS CUI [1]
C1563825
Blood Constituents
Beskrivning

Blood Constituents

Datatyp

integer

Alias
UMLS CUI [1]
C0729650
Fecal occult blood test
Beskrivning

Fecal occult blood test

Datatyp

boolean

Alias
UMLS CUI [1]
C0201811
Pain scale
Beskrivning

Pain scale

Datatyp

integer

Alias
UMLS CUI [1]
C1504479

Similar models

Check up form

  1. StudyEvent: ODM
    1. Check up form
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Patient demographics
Patient name
Item
Patient name
text
C1299487 (UMLS CUI [1])
Clinic
Item
Clinic
integer
C0442592 (UMLS CUI [1])
Attending physician
Item
Name of attending physician
text
C1320929 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Informed consent
Item
Informed consent
boolean
C0021430 (UMLS CUI [1])
Item
Clinic
integer
C0442592 (UMLS CUI [1])
Code List
Clinic
CL Item
gynecology (1)
C0018417 (UMLS CUI-1)
CL Item
hematology (2)
C0474523 (UMLS CUI-1)
CL Item
urology (3)
C0042077 (UMLS CUI-1)
Hypersensitivities
Item
Hypersensitivities
integer
C0020517 (UMLS CUI [1])
Item Group
Check up
Fluid balance
Item
Fluid balance
integer
C0016284 (UMLS CUI [1])
Body weight
Item
Body weight
integer
C0005910 (UMLS CUI [1])
Diuresis
Item
Diuresis
integer
C0012797 (UMLS CUI [1])
Medication
Item
Medication
integer
C0013227 (UMLS CUI [1])
Catheter
Item
Catheter
integer
C0179802 (UMLS CUI [1])
Blood sugar
Item
Blood sugar
integer
C0392201 (UMLS CUI [1])
Chemotherapy
Item
Chemotherapy
integer
C0392920 (UMLS CUI [1])
Oxygen
Item
Oxygen
boolean
C0030054 (UMLS CUI [1])
Item
Vital signs
integer
C0518766 (UMLS CUI [1])
Code List
Vital signs
CL Item
blood pressure (1)
C0005823 (UMLS CUI-1)
CL Item
temperature (2)
C0039476 (UMLS CUI-1)
CL Item
pulse (3)
C0232117 (UMLS CUI-1)
CL Item
respiratory rate (4)
C0231832 (UMLS CUI-1)
Blood product
Item
Blood product
integer
C0456388 (UMLS CUI [1])
PRN medication
Item
PRN medication
integer
C3166225 (UMLS CUI [1])
Medical order
Item
Medical order
text
C1563825 (UMLS CUI [1])
Blood Constituents
Item
Blood Constituents
integer
C0729650 (UMLS CUI [1])
Fecal occult blood test
Item
Fecal occult blood test
boolean
C0201811 (UMLS CUI [1])
Item
Pain scale
integer
C1504479 (UMLS CUI [1])
Code List
Pain scale
CL Item
0 no pain at all (0)
CL Item
1 (1)
CL Item
10 unbearable pain (10)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial