ID

21219

Beschrijving

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

Trefwoorden

  1. 13-04-17 13-04-17 -
  2. 25-04-17 25-04-17 -
Geüploaded op

13 april 2017

DOI

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Licentie

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
Beschrijving

CIO Thorax Tumor Board Request

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

Patient name

Datatype

text

Alias
UMLS CUI [1]
C1299487
Diagnosis ICD Code
Beschrijving

Diagnosis ICD Code

Datatype

text

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

Diagnosis (free text)

Datatype

text

Alias
UMLS CUI [1]
C0011900
Date of diagnosis
Beschrijving

Date of diagnosis

Datatype

date

Maateenheden
  • mm/yyyy
Alias
UMLS CUI [1]
C2316983
mm/yyyy
ECOG Performance Status
Beschrijving

ECOG Performance Status

Datatype

integer

Alias
UMLS CUI [1]
C1520224
Clinical course
Beschrijving

Clinical course

Datatype

text

Alias
UMLS CUI [1]
C0449259
Age
Beschrijving

Age

Datatype

integer

Maateenheden
  • yy
Alias
UMLS CUI [1]
C0001779
yy
Body height
Beschrijving

Body height

Datatype

float

Maateenheden
  • m
Alias
UMLS CUI [1]
C0005890
m
Body weight
Beschrijving

Body weight

Datatype

float

Maateenheden
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Tobacco use
Beschrijving

Tobacco use

Datatype

integer

Alias
UMLS CUI [1]
C0543414
Treatment plan
Beschrijving

Treatment plan

Datatype

integer

Alias
UMLS CUI [1]
C0599880
Prior therapy
Beschrijving

Prior therapy

Datatype

integer

Alias
UMLS CUI [1]
C1514463
Question
Beschrijving

Question

Datatype

text

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

Contact person

Datatype

text

Maateenheden
  • Name
Alias
UMLS CUI [1]
C0337611
Name
Requested service
Beschrijving

Requested service

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

Type of request

Datatype

text

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

Service

Datatype

text

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

Quantity of requested services

Datatype

integer

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

Request data

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

Request identification number

Datatype

integer

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

Order status

Datatype

text

Alias
UMLS CUI [1]
C1550341
Urgency
Beschrijving

Urgency

Datatype

text

Alias
UMLS CUI [1]
C4049774
Date of order
Beschrijving

Date of order

Datatype

date

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

Time of order

Datatype

time

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

Department performing service

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

Department performing service

Datatype

text

Alias
UMLS CUI [1]
C0019961
Department requesting service
Beschrijving

Department requesting service

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

Department

Datatype

text

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

Name of requesting physician

Datatype

text

Maateenheden
  • Name
Alias
UMLS CUI [1]
C0686901
Name
Further information
Beschrijving

Further information

Alias
UMLS CUI-1
C1533716
Wanted date of appointment
Beschrijving

Wanted date of appointment

Datatype

date

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

Wanted time of appointment

Datatype

time

Maateenheden
  • hh:mm
Alias
UMLS CUI [1,1]
C1444647
UMLS CUI [1,2]
C0040223
hh:mm
Comment
Beschrijving

Comment

Datatype

text

Alias
UMLS CUI [1]
C0947611
Mobility
Beschrijving

Mobility

Datatype

text

Alias
UMLS CUI [1]
C0449580
Previous finding
Beschrijving

Previous finding

Datatype

text

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

Diagnostic imaging

Datatype

text

Alias
UMLS CUI [1]
C0011923
Pulmonary function tests
Beschrijving

Pulmonary function tests

Alias
UMLS CUI-1
C0024119
Exercise load
Beschrijving

Exercise load

Datatype

integer

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

VO2 max

Datatype

float

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

Lung functional tests requested

Datatype

boolean

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

BGA at rest

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

Blood oxygen partial pressure

Datatype

float

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C1291013
mmHg
Blood carbon dioxide partial pressure
Beschrijving

Blood carbon dioxide partial pressure

Datatype

float

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0201931
mmHg
pH
Beschrijving

pH

Datatype

float

Alias
UMLS CUI [1]
C0202165
BGA during exercise
Beschrijving

BGA during exercise

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

Blood oxygen partial pressure

Datatype

float

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C1291013
mmHg
Blood carbon dioxide partial pressure
Beschrijving

Blood carbon dioxide partial pressure

Datatype

float

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0201930
mmHg
pH
Beschrijving

pH

Datatype

float

Alias
UMLS CUI [1]
C0202165

Similar models

General request form, Oncology Tumor Board, University Hospital Cologne

Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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