ID

21492

Description

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

Keywords

  1. 4/24/17 4/24/17 -
Uploaded on

April 24, 2017

DOI

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License

Creative Commons BY-NC 3.0

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Stereotaxis, Activity Recording, University Hospital Cologne

Stereotaxis, Activity Recording, University Hospital Cologne

Stereotaxie Leistungserfassung
Description

Stereotaxie Leistungserfassung

Alias
UMLS CUI-1
C1514967
Patient
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Geburtsdatum
Description

Birth Date

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1]
C0421451
dd.mm.yyyy
Auftragsnummer
Description

Order ID

Data type

integer

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C1705175
UMLS CUI [1,3]
C1514967
Leistende Stelle
Description

Department performing procedure

Data type

text

Alias
UMLS CUI [1,1]
C2986180
UMLS CUI [1,2]
C0019961
UMLS CUI [1,3]
C1514967
Leistungsdatum
Description

Date of procedure

Data type

date

Measurement units
  • dd.mm.yyyy
Alias
UMLS CUI [1,1]
C2584899
UMLS CUI [1,2]
C1514967
dd.mm.yyyy
Zeitpunkt der Untersuchung
Description

Time of procedure

Data type

time

Measurement units
  • hh:mm
Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C1514967
hh:mm
Bereitschaftsdienst
Description

Emergency medical service

Data type

boolean

Alias
UMLS CUI [1,1]
C0013961
UMLS CUI [1,2]
C1514967
Dokumentiert von
Description

Documented by

Data type

text

Measurement units
  • Name
Alias
UMLS CUI [1]
C2361125
Name
Leistungsanforderer
Description

Department performing procedure

Data type

text

Alias
UMLS CUI [1,1]
C1705175
UMLS CUI [1,2]
C1514967
UMLS CUI [1,3]
C1550369
UMLS CUI [1,4]
C0019961
Fachabteilung
Description

Medical specialty

Data type

text

Alias
UMLS CUI [1,1]
C1705175
UMLS CUI [1,2]
C1514967
UMLS CUI [1,3]
C1550369
UMLS CUI [1,4]
C0037778
Sitzungszahl
Description

Session quantity

Data type

integer

Alias
UMLS CUI [1,1]
C1883017
UMLS CUI [1,2]
C1265611
UMLS CUI [1,3]
C1514967
Stereotaxie Poliklinik - Pumpenauffüllung Komplex
Description

Stereotaxie Poliklinik - Pumpenauffüllung Komplex

Alias
UMLS CUI-1
C1514967
UMLS CUI-2
C0029916
Beratung/a. Tel. - Kassenpat. (Dauer)
Description

Counseling

Data type

integer

Measurement units
  • min
Alias
UMLS CUI [1,1]
C0010210
UMLS CUI [1,2]
C0449238
min
Symptombez. Untersuchung (Dauer)
Description

Physical examination (symptom oriented)

Data type

integer

Measurement units
  • min
Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0031809
UMLS CUI [1,3]
C0449238
min
Kurzer ärztlicher Bericht (Dauer)
Description

Short medical report

Data type

integer

Measurement units
  • min
Alias
UMLS CUI [1,1]
C1806781
UMLS CUI [1,2]
C0814525
UMLS CUI [1,3]
C0449238
min
Pumpenauffüllung (Dauer)
Description

Filling of pump

Data type

integer

Measurement units
  • min
Alias
UMLS CUI [1,1]
C1708059
UMLS CUI [1,2]
C0182537
UMLS CUI [1,3]
C0449238
min
Administration
Description

Administration

Alias
UMLS CUI-1
C1533734
Administration
Description

Administration

Data type

integer

Alias
UMLS CUI [1]
C1533734
Beratung
Description

Beratung

Alias
UMLS CUI-1
C0010210
Beratung/a. Tel. - Kassenpat.
Description

Counseling

Data type

boolean

Alias
UMLS CUI [1]
C0010210
Eingehende Beratung
Description

Extensive counseling

Data type

boolean

Alias
UMLS CUI [1]
C0545100
Erhebung Fremdanamnese/Unterw. der Bezugsperson
Description

Third-party history taking/Instruct caregiver

Data type

boolean

Alias
UMLS CUI [1]
C1303082
UMLS CUI [2]
C1512171
Einl. und Koord. flank. therapeutische Maßnahmen
Description

Treatment plan

Data type

boolean

Alias
UMLS CUI [1]
C0599880
Diagnostik
Description

Diagnostik

Alias
UMLS CUI-1
C0430022
Symptombez. Untersuchung
Description

Diagnostic procedure (symptom oriented)

Data type

boolean

Alias
UMLS CUI [1,1]
C0430022
UMLS CUI [1,2]
C1457887
Neurologische Untersuchung
Description

Neurologic examination

Data type

boolean

Alias
UMLS CUI [1]
C0027853
Psychiatrischer Status
Description

Psychiatric mental status determination

Data type

boolean

Alias
UMLS CUI [1]
C0178056
Funktion
Description

Funktion

Alias
UMLS CUI-1
C0455713
Verband
Description

Bandage

Data type

boolean

Alias
UMLS CUI [1]
C0004726
Blutentnahme mit Spritze/Kan./Kath. venös
Description

Blood sample taken

Data type

boolean

Alias
UMLS CUI [1]
C1277698
Pumpenauffüllung
Description

Filling of pump

Data type

boolean

Alias
UMLS CUI [1,1]
C1708059
UMLS CUI [1,2]
C0182537
Generatoreinstellung
Description

Adjustment of generator

Data type

boolean

Alias
UMLS CUI [1,1]
C0237638
UMLS CUI [1,2]
C0456081
Kleine Wunde_Versorgung o. Naht
Description

Small wound, therapy without suture

Data type

boolean

Alias
UMLS CUI [1,1]
C0043250
UMLS CUI [1,2]
C0700321
UMLS CUI [1,3]
C0039798
Klammern/Fäden Entfernung
Description

Removal of sutures or clips

Data type

boolean

Alias
UMLS CUI [1]
C0515510

Similar models

Stereotaxis, Activity Recording, University Hospital Cologne

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Stereotaxie Leistungserfassung
C1514967 (UMLS CUI-1)
Patient name
Item
Patient
text
C1299487 (UMLS CUI [1])
Birth Date
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Order ID
Item
Auftragsnummer
integer
C1300638 (UMLS CUI [1,1])
C1705175 (UMLS CUI [1,2])
C1514967 (UMLS CUI [1,3])
Department performing procedure
Item
Leistende Stelle
text
C2986180 (UMLS CUI [1,1])
C0019961 (UMLS CUI [1,2])
C1514967 (UMLS CUI [1,3])
Date of procedure
Item
Leistungsdatum
date
C2584899 (UMLS CUI [1,1])
C1514967 (UMLS CUI [1,2])
Time of procedure
Item
Zeitpunkt der Untersuchung
time
C0040223 (UMLS CUI [1,1])
C1514967 (UMLS CUI [1,2])
Emergency medical service
Item
Bereitschaftsdienst
boolean
C0013961 (UMLS CUI [1,1])
C1514967 (UMLS CUI [1,2])
Documented by
Item
Dokumentiert von
text
C2361125 (UMLS CUI [1])
Department performing procedure
Item
Leistungsanforderer
text
C1705175 (UMLS CUI [1,1])
C1514967 (UMLS CUI [1,2])
C1550369 (UMLS CUI [1,3])
C0019961 (UMLS CUI [1,4])
Medical specialty
Item
Fachabteilung
text
C1705175 (UMLS CUI [1,1])
C1514967 (UMLS CUI [1,2])
C1550369 (UMLS CUI [1,3])
C0037778 (UMLS CUI [1,4])
Session quantity
Item
Sitzungszahl
integer
C1883017 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
C1514967 (UMLS CUI [1,3])
Item Group
Stereotaxie Poliklinik - Pumpenauffüllung Komplex
C1514967 (UMLS CUI-1)
C0029916 (UMLS CUI-2)
Counseling
Item
Beratung/a. Tel. - Kassenpat. (Dauer)
integer
C0010210 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Physical examination (symptom oriented)
Item
Symptombez. Untersuchung (Dauer)
integer
C1457887 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Short medical report
Item
Kurzer ärztlicher Bericht (Dauer)
integer
C1806781 (UMLS CUI [1,1])
C0814525 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Filling of pump
Item
Pumpenauffüllung (Dauer)
integer
C1708059 (UMLS CUI [1,1])
C0182537 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Item Group
Administration
C1533734 (UMLS CUI-1)
Item
Administration
integer
C1533734 (UMLS CUI [1])
Code List
Administration
CL Item
Patient nicht erschienen/nicht behandelt (1)
CL Item
Verwal.Komp._Rezept_Bef.Übermittl.v.Pers. (2)
CL Item
Kurzer ärztl. Bericht (3)
CL Item
Bescheinigung an Dritte (4)
CL Item
Ausführlicher Befund-/Krankheitsbericht (5)
CL Item
schriftl. gutacht. Äußerung (6)
CL Item
Kopie_ EDV-technische Abschrift (7)
CL Item
Versand.p.Brief b.20g Porto (0_55Euro) (8)
Item Group
Beratung
C0010210 (UMLS CUI-1)
Counseling
Item
Beratung/a. Tel. - Kassenpat.
boolean
C0010210 (UMLS CUI [1])
Extensive counseling
Item
Eingehende Beratung
boolean
C0545100 (UMLS CUI [1])
Third-party history taking/Instruct caregiver
Item
Erhebung Fremdanamnese/Unterw. der Bezugsperson
boolean
C1303082 (UMLS CUI [1])
C1512171 (UMLS CUI [2])
Treatment plan
Item
Einl. und Koord. flank. therapeutische Maßnahmen
boolean
C0599880 (UMLS CUI [1])
Item Group
Diagnostik
C0430022 (UMLS CUI-1)
Diagnostic procedure (symptom oriented)
Item
Symptombez. Untersuchung
boolean
C0430022 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
Neurologic examination
Item
Neurologische Untersuchung
boolean
C0027853 (UMLS CUI [1])
Psychiatric mental status determination
Item
Psychiatrischer Status
boolean
C0178056 (UMLS CUI [1])
Item Group
Funktion
C0455713 (UMLS CUI-1)
Bandage
Item
Verband
boolean
C0004726 (UMLS CUI [1])
Blood sample taken
Item
Blutentnahme mit Spritze/Kan./Kath. venös
boolean
C1277698 (UMLS CUI [1])
Filling of pump
Item
Pumpenauffüllung
boolean
C1708059 (UMLS CUI [1,1])
C0182537 (UMLS CUI [1,2])
Adjustment of generator
Item
Generatoreinstellung
boolean
C0237638 (UMLS CUI [1,1])
C0456081 (UMLS CUI [1,2])
Small wound, therapy without suture
Item
Kleine Wunde_Versorgung o. Naht
boolean
C0043250 (UMLS CUI [1,1])
C0700321 (UMLS CUI [1,2])
C0039798 (UMLS CUI [1,3])
Removal of sutures or clips
Item
Klammern/Fäden Entfernung
boolean
C0515510 (UMLS CUI [1])

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