Information:
Fel:
ID
21241
Beskrivning
Hospital Routine Documentation Subform at the University Hospital Cologne Original Form name: ambulant_Kurzarztbrief
Nyckelord
Versioner (1)
- 2017-04-16 2017-04-16 -
Uppladdad den
16 april 2017
DOI
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Licens
Creative Commons BY-NC 3.0
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Outpatient Short Report, University Hospital Cologne
Outpatient Short Report, University Hospital Cologne
- StudyEvent: ODM
Similar models
Outpatient Short Report, University Hospital Cologne
- StudyEvent: ODM
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Ambulanter Kurzarztbrief
C0545084 (UMLS CUI-1)
C0002423 (UMLS CUI-2)
C0684224 (UMLS CUI-3)
C0002423 (UMLS CUI-2)
C0684224 (UMLS CUI-3)
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])
C4035875 (UMLS CUI [1,2])
Surgical or medical procedures
Item
(Operative) Maßnahme(n)
text
C1948041 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
C4035875 (UMLS CUI [1,2])
Medication at discharge
Item
Medikation bei Entlassung
text
C1553894 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
C4035875 (UMLS CUI [1,2])
Medical history
Item
Anamnese
text
C0262926 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
C4035875 (UMLS CUI [1,2])
Clinical course
Item
Verlauf
text
C0449259 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
C4035875 (UMLS CUI [1,2])
Follow-up visit
Item
Wiedervorstellung
date
C0589121 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
C4035875 (UMLS CUI [1,2])
Free text
Item
Freitext
text
C2348713 (UMLS CUI [1,1])
C4035875 (UMLS CUI [1,2])
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])
C0011923 (UMLS CUI [1,2])
Diagnostic imaging: Evaluation
Item
Bildgebung: Beurteilung
text
C0220825 (UMLS CUI [1,1])
C0011923 (UMLS CUI [1,2])
C0011923 (UMLS CUI [1,2])
Laboratory results
Item
Labor
text
C1254595 (UMLS CUI [1])
Histology
Item
Histologie
text
C0019638 (UMLS CUI [1])