ID

21219

Beschreibung

Hospital Routine Documentation Subform at the University Hospital Cologne Original Form name: Allgemeine Anforderung_CIO_Thorax

Stichworte

  1. 13.04.17 13.04.17 -
  2. 25.04.17 25.04.17 -
Hochgeladen am

13. April 2017

DOI

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Lizenz

Creative Commons BY-NC 3.0

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General request form, Oncology Tumor Board, University Hospital Cologne

General request form, Oncology Tumor Board, University Hospital Cologne

CIO Thorax Tumor Board Request
Beschreibung

CIO Thorax Tumor Board Request

Alias
UMLS CUI-1
C0805438
UMLS CUI-2
C1272683
Patient name
Beschreibung

Patient name

Datentyp

text

Alias
UMLS CUI [1]
C1299487
Diagnosis ICD Code
Beschreibung

Diagnosis ICD Code

Datentyp

text

Alias
UMLS CUI [1]
C2598420
Diagnosis (free text)
Beschreibung

Diagnosis (free text)

Datentyp

text

Alias
UMLS CUI [1]
C0011900
Date of diagnosis
Beschreibung

Date of diagnosis

Datentyp

date

Maßeinheiten
  • mm/yyyy
Alias
UMLS CUI [1]
C2316983
mm/yyyy
ECOG Performance Status
Beschreibung

ECOG Performance Status

Datentyp

integer

Alias
UMLS CUI [1]
C1520224
Clinical course
Beschreibung

Clinical course

Datentyp

text

Alias
UMLS CUI [1]
C0449259
Age
Beschreibung

Age

Datentyp

integer

Maßeinheiten
  • yy
Alias
UMLS CUI [1]
C0001779
yy
Body height
Beschreibung

Body height

Datentyp

float

Maßeinheiten
  • m
Alias
UMLS CUI [1]
C0005890
m
Body weight
Beschreibung

Body weight

Datentyp

float

Maßeinheiten
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Tobacco use
Beschreibung

Tobacco use

Datentyp

integer

Alias
UMLS CUI [1]
C0543414
Treatment plan
Beschreibung

Treatment plan

Datentyp

integer

Alias
UMLS CUI [1]
C0599880
Prior therapy
Beschreibung

Prior therapy

Datentyp

integer

Alias
UMLS CUI [1]
C1514463
Question
Beschreibung

Question

Datentyp

text

Alias
UMLS CUI [1,1]
C1522634
UMLS CUI [1,2]
C0805438
Contact person
Beschreibung

Contact person

Datentyp

text

Maßeinheiten
  • Name
Alias
UMLS CUI [1]
C0337611
Name
Requested service
Beschreibung

Requested service

Alias
UMLS CUI-1
C1272683
UMLS CUI-2
C0557854
Type of request
Beschreibung

Type of request

Datentyp

text

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C2348235
Service
Beschreibung

Service

Datentyp

text

Alias
UMLS CUI [1]
C0199168
Quantity of requested services
Beschreibung

Quantity of requested services

Datentyp

integer

Alias
UMLS CUI [1,1]
C1265611
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0557854
Request data
Beschreibung

Request data

Alias
UMLS CUI-1
C1272683
UMLS CUI-2
C1511726
Request identification number
Beschreibung

Request identification number

Datentyp

integer

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C1272683
Order status
Beschreibung

Order status

Datentyp

text

Alias
UMLS CUI [1]
C1550341
Urgency
Beschreibung

Urgency

Datentyp

text

Alias
UMLS CUI [1]
C4049774
Date of order
Beschreibung

Date of order

Datentyp

date

Maßeinheiten
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1549499
UMLS CUI [1,2]
C0011008
dd.mm.yyyy
Time of order
Beschreibung

Time of order

Datentyp

time

Maßeinheiten
  • hh:mm
Alias
UMLS CUI [1,1]
C1549499
UMLS CUI [1,2]
C0040223
hh:mm
Department performing service
Beschreibung

Department performing service

Alias
UMLS CUI-1
C0557854
UMLS CUI-2
C1550369
UMLS CUI-3
C0019961
Department performing service
Beschreibung

Department performing service

Datentyp

text

Alias
UMLS CUI [1]
C0019961
Department requesting service
Beschreibung

Department requesting service

Alias
UMLS CUI-1
C1272683
UMLS CUI-2
C1550369
UMLS CUI-3
C0019961
Department
Beschreibung

Department

Datentyp

text

Alias
UMLS CUI [1]
C0019961
Name of requesting physician
Beschreibung

Name of requesting physician

Datentyp

text

Maßeinheiten
  • Name
Alias
UMLS CUI [1]
C0686901
Name
Further information
Beschreibung

Further information

Alias
UMLS CUI-1
C1533716
Wanted date of appointment
Beschreibung

Wanted date of appointment

Datentyp

date

Maßeinheiten
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C1444647
UMLS CUI [1,2]
C0011008
dd.mm.yyyy
Wanted time of appointment
Beschreibung

Wanted time of appointment

Datentyp

time

Maßeinheiten
  • hh:mm
Alias
UMLS CUI [1,1]
C1444647
UMLS CUI [1,2]
C0040223
hh:mm
Comment
Beschreibung

Comment

Datentyp

text

Alias
UMLS CUI [1]
C0947611
Mobility
Beschreibung

Mobility

Datentyp

text

Alias
UMLS CUI [1]
C0449580
Previous finding
Beschreibung

Previous finding

Datentyp

text

Alias
UMLS CUI [1,1]
C0243095
UMLS CUI [1,2]
C0205156
Diagnostic imaging
Beschreibung

Diagnostic imaging

Datentyp

text

Alias
UMLS CUI [1]
C0011923
Pulmonary function tests
Beschreibung

Pulmonary function tests

Alias
UMLS CUI-1
C0024119
Exercise load
Beschreibung

Exercise load

Datentyp

integer

Maßeinheiten
  • W/kg
Alias
UMLS CUI [1,1]
C0015259
UMLS CUI [1,2]
C2020707
W/kg
VO2 max
Beschreibung

VO2 max

Datentyp

float

Maßeinheiten
  • ml/(kg * min)
Alias
UMLS CUI [1]
C1305742
ml/(kg * min)
Lung functional tests requested
Beschreibung

Lung functional tests requested

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C0024119
BGA at rest
Beschreibung

BGA at rest

Alias
UMLS CUI-1
C0005800
UMLS CUI-2
C0035253
Blood oxygen partial pressure
Beschreibung

Blood oxygen partial pressure

Datentyp

float

Maßeinheiten
  • mmHg
Alias
UMLS CUI [1]
C1291013
mmHg
Blood carbon dioxide partial pressure
Beschreibung

Blood carbon dioxide partial pressure

Datentyp

float

Maßeinheiten
  • mmHg
Alias
UMLS CUI [1]
C0201931
mmHg
pH
Beschreibung

pH

Datentyp

float

Alias
UMLS CUI [1]
C0202165
BGA during exercise
Beschreibung

BGA during exercise

Alias
UMLS CUI-1
C0005800
UMLS CUI-2
C0015259
Blood oxygen partial pressure
Beschreibung

Blood oxygen partial pressure

Datentyp

float

Maßeinheiten
  • mmHg
Alias
UMLS CUI [1]
C1291013
mmHg
Blood carbon dioxide partial pressure
Beschreibung

Blood carbon dioxide partial pressure

Datentyp

float

Maßeinheiten
  • mmHg
Alias
UMLS CUI [1]
C0201930
mmHg
pH
Beschreibung

pH

Datentyp

float

Alias
UMLS CUI [1]
C0202165

Ähnliche Modelle

General request form, Oncology Tumor Board, University Hospital Cologne

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
C0805438 (UMLS CUI-1)
C1272683 (UMLS CUI-2)
Patient name
Item
text
C1299487 (UMLS CUI [1])
Diagnosis ICD Code
Item
text
C2598420 (UMLS CUI [1])
Diagnosis (free text)
Item
text
C0011900 (UMLS CUI [1])
Date of diagnosis
Item
date
C2316983 (UMLS CUI [1])
ECOG Performance Status
Item
integer
C1520224 (UMLS CUI [1])
Clinical course
Item
text
C0449259 (UMLS CUI [1])
Age
Item
integer
C0001779 (UMLS CUI [1])
Body height
Item
float
C0005890 (UMLS CUI [1])
Body weight
Item
float
C0005910 (UMLS CUI [1])
Item
integer
C0543414 (UMLS CUI [1])
Code List
Tobacco use
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
Item
integer
C0599880 (UMLS CUI [1])
Code List
Treatment plan
CL Item
 (1)
CL Item
 (2)
Item
integer
C1514463 (UMLS CUI [1])
Code List
Prior therapy
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Question
Item
text
C1522634 (UMLS CUI [1,1])
C0805438 (UMLS CUI [1,2])
Contact person
Item
text
C0337611 (UMLS CUI [1])
Item Group
C1272683 (UMLS CUI-1)
C0557854 (UMLS CUI-2)
Type of request
Item
text
C1272683 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Service
Item
text
C0199168 (UMLS CUI [1])
Quantity of requested services
Item
integer
C1265611 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0557854 (UMLS CUI [1,3])
Item Group
C1272683 (UMLS CUI-1)
C1511726 (UMLS CUI-2)
Request identification number
Item
integer
C1300638 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
Order status
Item
text
C1550341 (UMLS CUI [1])
Urgency
Item
text
C4049774 (UMLS CUI [1])
Date of order
Item
date
C1549499 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Time of order
Item
time
C1549499 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Item Group
C0557854 (UMLS CUI-1)
C1550369 (UMLS CUI-2)
C0019961 (UMLS CUI-3)
Department performing service
Item
text
C0019961 (UMLS CUI [1])
Item Group
C1272683 (UMLS CUI-1)
C1550369 (UMLS CUI-2)
C0019961 (UMLS CUI-3)
Department
Item
text
C0019961 (UMLS CUI [1])
Name of requesting physician
Item
text
C0686901 (UMLS CUI [1])
Item Group
C1533716 (UMLS CUI-1)
Wanted date of appointment
Item
date
C1444647 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Wanted time of appointment
Item
time
C1444647 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Comment
Item
text
C0947611 (UMLS CUI [1])
Mobility
Item
text
C0449580 (UMLS CUI [1])
Previous finding
Item
text
C0243095 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
Diagnostic imaging
Item
text
C0011923 (UMLS CUI [1])
Item Group
C0024119 (UMLS CUI-1)
Exercise load
Item
integer
C0015259 (UMLS CUI [1,1])
C2020707 (UMLS CUI [1,2])
VO2 max
Item
float
C1305742 (UMLS CUI [1])
Lung functional tests requested
Item
boolean
C1272683 (UMLS CUI [1,1])
C0024119 (UMLS CUI [1,2])
Item Group
C0005800 (UMLS CUI-1)
C0035253 (UMLS CUI-2)
Blood oxygen partial pressure
Item
float
C1291013 (UMLS CUI [1])
Blood carbon dioxide partial pressure
Item
float
C0201931 (UMLS CUI [1])
pH
Item
float
C0202165 (UMLS CUI [1])
Item Group
C0005800 (UMLS CUI-1)
C0015259 (UMLS CUI-2)
Blood oxygen partial pressure
Item
float
C1291013 (UMLS CUI [1])
Blood carbon dioxide partial pressure
Item
float
C0201930 (UMLS CUI [1])
pH
Item
float
C0202165 (UMLS CUI [1])

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