ID

21241

Descripción

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

Palabras clave

  1. 16/4/17 16/4/17 -
Subido en

16 de abril de 2017

DOI

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Licencia

Creative Commons BY-NC 3.0

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Outpatient Short Report, University Hospital Cologne

Outpatient Short Report, University Hospital Cologne

Ambulanter Kurzarztbrief
Descripción

Ambulanter Kurzarztbrief

Alias
UMLS CUI-1
C0545084
UMLS CUI-2
C0002423
UMLS CUI-3
C0684224
Patient
Descripción

Patient name

Tipo de datos

text

Alias
UMLS CUI [1]
C1299487
Datum
Descripción

Date of report

Tipo de datos

date

Unidades de medida
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C1302584
dd.mm.yyyy
Sekretariat
Descripción

Name of secretary

Tipo de datos

text

Unidades de medida
  • Name
Alias
UMLS CUI [1]
C0341647
Name
Diagnose(n)
Descripción

Diagnosis

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C4035875
(Operative) Maßnahme(n)
Descripción

Surgical or medical procedures

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1948041
UMLS CUI [1,2]
C4035875
Medikation bei Entlassung
Descripción

Medication at discharge

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1553894
UMLS CUI [1,2]
C4035875
Anamnese
Descripción

Medical history

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C4035875
Verlauf
Descripción

Clinical course

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0449259
UMLS CUI [1,2]
C4035875
Wiedervorstellung
Descripción

Follow-up visit

Tipo de datos

date

Unidades de medida
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C0589121
UMLS CUI [1,2]
C4035875
dd.mm.yyyy
Freitext
Descripción

Free text

Tipo de datos

text

Alias
UMLS CUI [1,1]
C2348713
UMLS CUI [1,2]
C4035875
Unterschrift
Descripción

Signature

Tipo de datos

text

Alias
UMLS CUI [1]
C1519316
Diagnostik
Descripción

Diagnostik

Alias
UMLS CUI-1
C0430022
Bildgebung: Befund
Descripción

Diagnostic imaging: Finding

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0243095
UMLS CUI [1,2]
C0011923
Bildgebung: Beurteilung
Descripción

Diagnostic imaging: Evaluation

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0220825
UMLS CUI [1,2]
C0011923
Labor
Descripción

Laboratory results

Tipo de datos

text

Alias
UMLS CUI [1]
C1254595
Histologie
Descripción

Histology

Tipo de datos

text

Alias
UMLS CUI [1]
C0019638

Similar models

Outpatient Short Report, University Hospital Cologne

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Ambulanter Kurzarztbrief
C0545084 (UMLS CUI-1)
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])
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])
Item Group
Diagnostik
C0430022 (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])

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