Patient name
Item
Patient
text
C1299487 (UMLS CUI [1])
Date of report
Item
Datum
date
C1302584 (UMLS CUI [1])
Name of secretary
Item
Sekretariat
text
C0341647 (UMLS CUI [1])
Diagnosis
Item
Diagnose(n)
text
C0011900 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
Surgical or medical procedures
Item
(Operative) Maßnahme(n)
text
C1948041 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
Medication at discharge
Item
Medikation bei Entlassung
text
C1553894 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
Medical history
Item
Anamnese
text
C0262926 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
Clinical course
Item
Verlauf
text
C0449259 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
Follow-up visit
Item
Wiedervorstellung
date
C0589121 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
Free text
Item
Freitext
text
C2348713 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
Signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])
Diagnostic imaging: Finding
Item
Bildgebung: Befund
text
C0243095 (UMLS CUI [1,1])
C0011923 (UMLS CUI [1,2])
Diagnostic imaging: Evaluation
Item
Bildgebung: Beurteilung
text
C0220825 (UMLS CUI [1,1])
C0011923 (UMLS CUI [1,2])
Laboratory results
Item
Labor
text
C1254595 (UMLS CUI [1])
Histology
Item
Histologie
text
C0019638 (UMLS CUI [1])