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ID

21005

Description

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

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Versions (1)
  1. 4/3/17 4/3/17 -
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April 3, 2017

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Creative Commons BY-NC 3.0
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    Check up Hematology UKM

    German English

    Check up form

    1 forms  
    1. StudyEvent: ODM
      1. Check up form
    Patient demographics
    Description

    Patient demographics

    Patient name
    Description

    Patient name

    Data type

    text

    Alias
    UMLS CUI [1]
    C1299487 (Patient name)
    SNOMED
    371484003
    Clinic
    Description

    Clinic

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0442592 (Clinic)
    SNOMED
    257585005
    LOINC
    LA24318-0
    Name of attending physician
    Description

    Attending physician

    Data type

    text

    Alias
    UMLS CUI [1]
    C1320929 (Attending physician)
    SNOMED
    405279007
    LOINC
    LP173477-3
    Date
    Description

    Date

    Data type

    date

    Alias
    UMLS CUI [1]
    C0011008 (Date in time)
    SNOMED
    410671006
    Informed consent
    Description

    Informed consent

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0021430 (Informed Consent)
    Clinic
    Description

    Clinic

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0442592 (Clinic)
    SNOMED
    257585005
    LOINC
    LA24318-0
    Hypersensitivities
    Description

    Hypersensitivities

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0020517 (Hypersensitivity)
    SNOMED
    421961002
    LOINC
    LP20697-6
    Check up
    Description

    Check up

    Fluid balance
    Description

    Fluid balance

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0016284 (Fluid Balance)
    SNOMED
    251856003
    Body weight
    Description

    Body weight

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0005910 (Body Weight)
    SNOMED
    27113001
    Diuresis
    Description

    Diuresis

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0012797 (Diuresis)
    SNOMED
    60309003
    Medication
    Description

    Medication

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0013227 (Pharmaceutical Preparations)
    SNOMED
    763158003
    LOINC
    LP100609-9
    Catheter
    Description

    Catheter

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0179802 (Urinary catheter)
    SNOMED
    20568009
    Blood sugar
    Description

    Blood sugar

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0392201 (Blood glucose measurement)
    SNOMED
    33747003
    Chemotherapy
    Description

    Chemotherapy

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0392920 (Chemotherapy Regimen)
    SNOMED
    716872004
    Oxygen
    Description

    Oxygen

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0030054 (oxygen)
    SNOMED
    24099007
    Vital signs
    Description

    Vital signs

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0518766 (Vital signs)
    LOINC
    LP30605-7
    Blood product
    Description

    Blood product

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0456388 (Blood product)
    SNOMED
    410652009
    LOINC
    LP32808-5
    PRN medication
    Description

    PRN medication

    Data type

    integer

    Alias
    UMLS CUI [1]
    C3166225 (PRN medicine)
    LOINC
    LP128482-9
    Medical order
    Description

    Medical order

    Data type

    text

    Alias
    UMLS CUI [1]
    C1563825 (Medical Order Entry Systems)
    Blood Constituents
    Description

    Blood Constituents

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0729650 (Constituents)
    SNOMED
    312297002
    Fecal occult blood test
    Description

    Fecal occult blood test

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0201811 (Fecal occult blood test)
    SNOMED
    104435004
    LOINC
    LA15406-4
    Pain scale
    Description

    Pain scale

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1504479 (Pain scale)
    LOINC
    MTHU051379
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    Similar models

    Check up form

    1 forms
    1. StudyEvent: ODM
      1. Check up form
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    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])
    Clinic
    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])
    Vital signs
    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])
    Pain scale
    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)
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