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ID

21494

Description

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

Keywords

Versions (1)
  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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    Guide registration and admission, University Hospital Cologne

    German

    Guide registration and admission, University Hospital Cologne

    1 forms  
    Lotsen Aufnahmeformular
    Description

    Lotsen Aufnahmeformular

    Alias
    UMLS CUI-1
    C0181090
    UMLS CUI-2
    C0184666
    Name
    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
    Krankenkasse
    Description

    Health Insurance

    Data type

    text

    Alias
    UMLS CUI [1]
    C0021682
    Versicherungsnummer
    Description

    Insurance number

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0021672
    UMLS CUI [1,2]
    C1300638
    IV Vertrag
    Description

    IV contract

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C3846158
    MVZ
    Description

    MVZ

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C1552531
    Angemeldet am
    Description

    Registration date

    Data type

    date

    Measurement units
    • dd.mm.yyyy
    Alias
    UMLS CUI [1,1]
    C0421512
    UMLS CUI [1,2]
    C0011008
    dd.mm.yyyy
    Termin am
    Description

    Appointment date

    Data type

    date

    Measurement units
    • dd.mm.yyyy
    Alias
    UMLS CUI [1]
    C0585085
    dd.mm.yyyy
    2. Meinung
    Description

    Second opinion

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0036524
    Interdisziplinäres Gespräch (Fach und Teilnehmer)
    Description

    Interdisciplinary communication

    Data type

    text

    Alias
    UMLS CUI [1]
    C0079631
    Telefon
    Description

    Phone number

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1515258
    E- Mail
    Description

    Email

    Data type

    text

    Alias
    UMLS CUI [1]
    C0013849
    Körpergröße
    Description

    Body Height

    Data type

    float

    Measurement units
    • m
    Alias
    UMLS CUI [1]
    C0005890
    m
    Körpergewicht
    Description

    Body weight

    Data type

    float

    Measurement units
    • kg
    Alias
    UMLS CUI [1]
    C0005910
    kg
    Erstgespräch: Arzt
    Description

    Physician

    Data type

    text

    Measurement units
    • Name
    Alias
    UMLS CUI [1]
    C2826892
    Name
    Erstgespräch: Lotsin
    Description

    Guide

    Data type

    text

    Measurement units
    • Name
    Alias
    UMLS CUI [1]
    C0181090
    Name
    Hausarzt
    Description

    Family physician

    Data type

    text

    Alias
    UMLS CUI [1]
    C1704221
    Behandelnder Arzt
    Description

    Treating physician

    Data type

    text

    Alias
    UMLS CUI [1]
    C1710470
    Woher kommt der Patient?
    Description

    Admitting physician/department

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1547428
    Diagnose/Kurzanamnese
    Description

    Diagnosis, short medical history

    Data type

    text

    Alias
    UMLS CUI [1]
    C0011900
    UMLS CUI [2]
    C0262926
    Procedere
    Description

    Proceedings

    Data type

    text

    Alias
    UMLS CUI [1]
    C0087111
    Familienstand
    Description

    Marital status

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0024819
    Lebt der Patient allein?
    Description

    Does the patient live alone?

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C2734681
    Lebenspartner
    Description

    Partner

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0682323
    Kinder
    Description

    Children

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0008059
    Bezugspersonen
    Description

    Attachment figures

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0814553
    Beruf
    Description

    Occupation

    Data type

    text

    Alias
    UMLS CUI [1]
    C0028811
    Hat der Patient zur Zeit Beschwerden?
    Description

    Symptoms

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C1457887
    Nimmt der Patent zur Zeit Medikamente?
    Description

    Medication

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0013227
    Ist der Patient über seine Krankheit informiert?
    Description

    Knowledge of disease

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C3651074
    Betreuung durch ambulanten Pflegedienst?
    Description

    Mobile nursing service

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C1266870
    Termin zur Betreuung
    Description

    Date, caregiver

    Data type

    date

    Measurement units
    • dd.mm.yyyy
    Alias
    UMLS CUI [1,1]
    C0085537
    UMLS CUI [1,2]
    C0011008
    dd.mm.yyyy
    Entlassart
    Description

    Patient discharge type

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0030685
    UMLS CUI [1,2]
    C0332307
    Weitere Information zur freien Formulierung
    Description

    Note

    Data type

    text

    Alias
    UMLS CUI [1]
    C1317574
    Back to the top of the page

    Similar models

    Guide registration and admission, University Hospital Cologne

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Lotsen Aufnahmeformular
    C0181090 (UMLS CUI-1)
    C0184666 (UMLS CUI-2)
    Patient name
    Item
    Name
    text
    C1299487 (UMLS CUI [1])
    Birth Date
    Item
    Geburtsdatum
    date
    C0421451 (UMLS CUI [1])
    Health Insurance
    Item
    Krankenkasse
    text
    C0021682 (UMLS CUI [1])
    Insurance number
    Item
    Versicherungsnummer
    integer
    C0021672 (UMLS CUI [1,1])
    C1300638 (UMLS CUI [1,2])
    IV contract
    Item
    IV Vertrag
    boolean
    C3846158 (UMLS CUI [1])
    MVZ
    Item
    MVZ
    boolean
    C1552531 (UMLS CUI [1])
    Registration date
    Item
    Angemeldet am
    date
    C0421512 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Appointment date
    Item
    Termin am
    date
    C0585085 (UMLS CUI [1])
    Second opinion
    Item
    2. Meinung
    boolean
    C0036524 (UMLS CUI [1])
    Interdisciplinary communication
    Item
    Interdisziplinäres Gespräch (Fach und Teilnehmer)
    text
    C0079631 (UMLS CUI [1])
    Phone number
    Item
    Telefon
    integer
    C1515258 (UMLS CUI [1])
    Email
    Item
    E- Mail
    text
    C0013849 (UMLS CUI [1])
    Body Height
    Item
    Körpergröße
    float
    C0005890 (UMLS CUI [1])
    Body weight
    Item
    Körpergewicht
    float
    C0005910 (UMLS CUI [1])
    Physician
    Item
    Erstgespräch: Arzt
    text
    C2826892 (UMLS CUI [1])
    Guide
    Item
    Erstgespräch: Lotsin
    text
    C0181090 (UMLS CUI [1])
    Family physician
    Item
    Hausarzt
    text
    C1704221 (UMLS CUI [1])
    Treating physician
    Item
    Behandelnder Arzt
    text
    C1710470 (UMLS CUI [1])
    Item
    Woher kommt der Patient?
    integer
    C1547428 (UMLS CUI [1])
    Where does the patient come from?
    Code List
    Woher kommt der Patient?
    CL Item
    intern (1)
    CL Item
    anderes KH (2)
    CL Item
    Hausarzt (3)
    CL Item
    niedergel. Facharzt (4)
    CL Item
    Angehörige/Bekannte (5)
    CL Item
    Internet (6)
    CL Item
    Sonstiges (7)
    Diagnosis, short medical history
    Item
    Diagnose/Kurzanamnese
    text
    C0011900 (UMLS CUI [1])
    C0262926 (UMLS CUI [2])
    Proceedings
    Item
    Procedere
    text
    C0087111 (UMLS CUI [1])
    Item
    Familienstand
    integer
    C0024819 (UMLS CUI [1])
    Marital status
    Code List
    Familienstand
    CL Item
    ledig (1)
    CL Item
    verheiratet (2)
    CL Item
    getrennt lebend (3)
    CL Item
    geschieden (4)
    CL Item
    verwitwet (5)
    Does the patient live alone?
    Item
    Lebt der Patient allein?
    boolean
    C2734681 (UMLS CUI [1])
    Partner
    Item
    Lebenspartner
    boolean
    C0682323 (UMLS CUI [1])
    Children
    Item
    Kinder
    boolean
    C0008059 (UMLS CUI [1])
    Attachment figures
    Item
    Bezugspersonen
    boolean
    C0814553 (UMLS CUI [1])
    Occupation
    Item
    Beruf
    text
    C0028811 (UMLS CUI [1])
    Symptoms
    Item
    Hat der Patient zur Zeit Beschwerden?
    boolean
    C1457887 (UMLS CUI [1])
    Medication
    Item
    Nimmt der Patent zur Zeit Medikamente?
    boolean
    C0013227 (UMLS CUI [1])
    Knowledge of disease
    Item
    Ist der Patient über seine Krankheit informiert?
    boolean
    C3651074 (UMLS CUI [1])
    Mobile nursing service
    Item
    Betreuung durch ambulanten Pflegedienst?
    boolean
    C1266870 (UMLS CUI [1])
    Date, caregiver
    Item
    Termin zur Betreuung
    date
    C0085537 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Patient discharge type
    Item
    Entlassart
    text
    C0030685 (UMLS CUI [1,1])
    C0332307 (UMLS CUI [1,2])
    Note
    Item
    Weitere Information zur freien Formulierung
    text
    C1317574 (UMLS CUI [1])
    Back to the top of the page 

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