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ID

21501

Description

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

Keywords

Versions (2)
  1. 4/13/17 4/13/17 -
  2. 4/25/17 4/25/17 -
Uploaded on

April 25, 2017

DOI

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License

Creative Commons BY-NC 3.0
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    General request form, Oncology Tumor Board, University Hospital Cologne

    German English

    General request form, Oncology Tumor Board, University Hospital Cologne

    1 forms  
    CIO Thorax Tumor Board Request
    Description

    CIO Thorax Tumor Board Request

    Alias
    UMLS CUI-1
    C0805438
    UMLS CUI-2
    C0039981
    UMLS CUI-3
    C1705175
    Patient name
    Description

    Patient name

    Data type

    text

    Alias
    UMLS CUI [1]
    C1299487
    Birth Date
    Description

    Birth Date

    Data type

    date

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

    Case ID

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C1698493
    UMLS CUI [1,2]
    C1300638
    Patient ID
    Description

    Patient ID

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0030705
    UMLS CUI [1,2]
    C1300638
    Health insurance
    Description

    Health insurance

    Data type

    text

    Alias
    UMLS CUI [1]
    C0021682
    Request identification number
    Description

    Request identification number

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C1300638
    UMLS CUI [1,2]
    C1705175
    Order status
    Description

    Order status

    Data type

    text

    Alias
    UMLS CUI [1]
    C1550341
    Urgency
    Description

    Urgency

    Data type

    text

    Alias
    UMLS CUI [1]
    C4049774
    Date of order
    Description

    Date of order

    Data type

    date

    Measurement units
    • dd.mm.yyyy
    Alias
    UMLS CUI [1,1]
    C1549499
    UMLS CUI [1,2]
    C0011008
    dd.mm.yyyy
    Time of order
    Description

    Time of order

    Data type

    time

    Measurement units
    • hh:mm
    Alias
    UMLS CUI [1,1]
    C1549499
    UMLS CUI [1,2]
    C0040223
    hh:mm
    Department performing service
    Description

    Department performing service

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0805438
    UMLS CUI [1,2]
    C2986180
    UMLS CUI [1,3]
    C0019961
    Department requesting service
    Description

    Department requesting service

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1705175
    UMLS CUI [1,2]
    C2986180
    UMLS CUI [1,3]
    C0019961
    Ordering physician
    Description

    Ordering physician

    Data type

    text

    Measurement units
    • Name
    Alias
    UMLS CUI [1,1]
    C1709334
    UMLS CUI [1,2]
    C0805438
    Name
    Diagnosis ICD Code
    Description

    Diagnosis ICD Code

    Data type

    text

    Alias
    UMLS CUI [1]
    C2598420
    Diagnosis (free text)
    Description

    Diagnosis (free text)

    Data type

    text

    Alias
    UMLS CUI [1]
    C0011900
    Date of diagnosis
    Description

    Date of diagnosis

    Data type

    date

    Measurement units
    • mm/yyyy
    Alias
    UMLS CUI [1]
    C2316983
    mm/yyyy
    ECOG Performance Status
    Description

    ECOG Performance Status

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1520224
    Mobility
    Description

    Mobility

    Data type

    text

    Alias
    UMLS CUI [1]
    C0449580
    Previous finding
    Description

    Previous finding

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0243095
    UMLS CUI [1,2]
    C0205156
    Diagnostic imaging
    Description

    Diagnostic imaging

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0011923
    UMLS CUI [1,2]
    C0449450
    Clinical course
    Description

    Clinical course

    Data type

    text

    Alias
    UMLS CUI [1]
    C0449259
    Age
    Description

    Age

    Data type

    integer

    Measurement units
    • yy
    Alias
    UMLS CUI [1]
    C0001779
    yy
    Body height
    Description

    Body height

    Data type

    float

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

    Body weight

    Data type

    float

    Measurement units
    • kg
    Alias
    UMLS CUI [1]
    C0005910
    kg
    Tobacco use
    Description

    Tobacco use

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0543414
    Treatment plan
    Description

    Treatment plan

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0599880
    Prior therapy
    Description

    Prior therapy

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1514463
    Question
    Description

    Question

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1522634
    UMLS CUI [1,2]
    C0805438
    Contact person
    Description

    Contact person

    Data type

    text

    Measurement units
    • Name
    Alias
    UMLS CUI [1]
    C0337611
    Name
    Pulmonary function tests
    Description

    Pulmonary function tests

    Alias
    UMLS CUI-1
    C0024119
    FEV
    Description

    FEV

    Data type

    float

    Measurement units
    • L/s
    Alias
    UMLS CUI [1]
    C0016529
    L/s
    FEV
    Description

    FEV

    Data type

    float

    Measurement units
    • %
    Alias
    UMLS CUI [1]
    C0016529
    %
    Carbon Monoxide Diffusing Capability Test
    Description

    Carbon Monoxide Diffusing Capability Test

    Data type

    float

    Measurement units
    • ml/mmHg/min
    Alias
    UMLS CUI [1]
    C1516251
    ml/mmHg/min
    Exercise load
    Description

    Exercise load

    Data type

    integer

    Measurement units
    • W/kg
    Alias
    UMLS CUI [1,1]
    C0015259
    UMLS CUI [1,2]
    C2020707
    W/kg
    VO2 max
    Description

    VO2 max

    Data type

    float

    Measurement units
    • ml/(kg * min)
    Alias
    UMLS CUI [1]
    C1305742
    ml/(kg * min)
    Lung functional tests requested
    Description

    Lung functional tests requested

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C1272683
    UMLS CUI [1,2]
    C0024119
    BGA at rest
    Description

    BGA at rest

    Alias
    UMLS CUI-1
    C0005800
    UMLS CUI-2
    C0035253
    Blood oxygen partial pressure
    Description

    Blood oxygen partial pressure

    Data type

    float

    Measurement units
    • mmHg
    Alias
    UMLS CUI [1,1]
    C1291013
    UMLS CUI [1,2]
    C0035253
    mmHg
    Blood carbon dioxide partial pressure
    Description

    Blood carbon dioxide partial pressure

    Data type

    float

    Measurement units
    • mmHg
    Alias
    UMLS CUI [1,1]
    C0201931
    UMLS CUI [1,2]
    C0035253
    mmHg
    pH
    Description

    pH

    Data type

    float

    Alias
    UMLS CUI [1,1]
    C0202165
    UMLS CUI [1,2]
    C0035253
    BGA during exercise
    Description

    BGA during exercise

    Alias
    UMLS CUI-1
    C0005800
    UMLS CUI-2
    C0015259
    Blood oxygen partial pressure
    Description

    Blood oxygen partial pressure

    Data type

    float

    Measurement units
    • mmHg
    Alias
    UMLS CUI [1,1]
    C1291013
    UMLS CUI [1,2]
    C0015259
    mmHg
    Blood carbon dioxide partial pressure
    Description

    Blood carbon dioxide partial pressure

    Data type

    float

    Measurement units
    • mmHg
    Alias
    UMLS CUI [1,1]
    C0201930
    UMLS CUI [1,2]
    C0015259
    mmHg
    pH
    Description

    pH

    Data type

    float

    Alias
    UMLS CUI [1,1]
    C0202165
    UMLS CUI [1,2]
    C0015259
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    Similar models

    General request form, Oncology Tumor Board, University Hospital Cologne

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    C0805438 (UMLS CUI-1)
    C0039981 (UMLS CUI-2)
    C1705175 (UMLS CUI-3)
    Patient name
    Item
    text
    C1299487 (UMLS CUI [1])
    Birth Date
    Item
    date
    C0421451 (UMLS CUI [1])
    Case ID
    Item
    integer
    C1698493 (UMLS CUI [1,1])
    C1300638 (UMLS CUI [1,2])
    Patient ID
    Item
    integer
    C0030705 (UMLS CUI [1,1])
    C1300638 (UMLS CUI [1,2])
    Health insurance
    Item
    text
    C0021682 (UMLS CUI [1])
    Request identification number
    Item
    integer
    C1300638 (UMLS CUI [1,1])
    C1705175 (UMLS CUI [1,2])
    Order status
    Item
    text
    C1550341 (UMLS CUI [1])
    Urgency
    Item
    text
    C4049774 (UMLS CUI [1])
    Date of order
    Item
    date
    C1549499 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    Time of order
    Item
    time
    C1549499 (UMLS CUI [1,1])
    C0040223 (UMLS CUI [1,2])
    Department performing service
    Item
    text
    C0805438 (UMLS CUI [1,1])
    C2986180 (UMLS CUI [1,2])
    C0019961 (UMLS CUI [1,3])
    Department requesting service
    Item
    text
    C1705175 (UMLS CUI [1,1])
    C2986180 (UMLS CUI [1,2])
    C0019961 (UMLS CUI [1,3])
    Ordering physician
    Item
    text
    C1709334 (UMLS CUI [1,1])
    C0805438 (UMLS CUI [1,2])
    Diagnosis ICD Code
    Item
    text
    C2598420 (UMLS CUI [1])
    Diagnosis (free text)
    Item
    text
    C0011900 (UMLS CUI [1])
    Date of diagnosis
    Item
    date
    C2316983 (UMLS CUI [1])
    ECOG Performance Status
    Item
    integer
    C1520224 (UMLS CUI [1])
    Mobility
    Item
    text
    C0449580 (UMLS CUI [1])
    Previous finding
    Item
    text
    C0243095 (UMLS CUI [1,1])
    C0205156 (UMLS CUI [1,2])
    Diagnostic imaging
    Item
    text
    C0011923 (UMLS CUI [1,1])
    C0449450 (UMLS CUI [1,2])
    Clinical course
    Item
    text
    C0449259 (UMLS CUI [1])
    Age
    Item
    integer
    C0001779 (UMLS CUI [1])
    Body height
    Item
    float
    C0005890 (UMLS CUI [1])
    Body weight
    Item
    float
    C0005910 (UMLS CUI [1])
    Item
    integer
    C0543414 (UMLS CUI [1])
    Tobacco use
    Code List
    Tobacco use
    CL Item
     (1)
    CL Item
     (2)
    CL Item
     (3)
    CL Item
     (4)
    Item
    integer
    C0599880 (UMLS CUI [1])
    Treatment plan
    Code List
    Treatment plan
    CL Item
     (1)
    CL Item
     (2)
    Item
    integer
    C1514463 (UMLS CUI [1])
    Prior therapy
    Code List
    Prior therapy
    CL Item
     (1)
    CL Item
     (2)
    CL Item
     (3)
    Question
    Item
    text
    C1522634 (UMLS CUI [1,1])
    C0805438 (UMLS CUI [1,2])
    Contact person
    Item
    text
    C0337611 (UMLS CUI [1])
    Item Group
    C0024119 (UMLS CUI-1)
    FEV
    Item
    float
    C0016529 (UMLS CUI [1])
    FEV
    Item
    float
    C0016529 (UMLS CUI [1])
    Carbon Monoxide Diffusing Capability Test
    Item
    float
    C1516251 (UMLS CUI [1])
    Exercise load
    Item
    integer
    C0015259 (UMLS CUI [1,1])
    C2020707 (UMLS CUI [1,2])
    VO2 max
    Item
    float
    C1305742 (UMLS CUI [1])
    Lung functional tests requested
    Item
    boolean
    C1272683 (UMLS CUI [1,1])
    C0024119 (UMLS CUI [1,2])
    Item Group
    C0005800 (UMLS CUI-1)
    C0035253 (UMLS CUI-2)
    Blood oxygen partial pressure
    Item
    float
    C1291013 (UMLS CUI [1,1])
    C0035253 (UMLS CUI [1,2])
    Blood carbon dioxide partial pressure
    Item
    float
    C0201931 (UMLS CUI [1,1])
    C0035253 (UMLS CUI [1,2])
    pH
    Item
    float
    C0202165 (UMLS CUI [1,1])
    C0035253 (UMLS CUI [1,2])
    Item Group
    C0005800 (UMLS CUI-1)
    C0015259 (UMLS CUI-2)
    Blood oxygen partial pressure
    Item
    float
    C1291013 (UMLS CUI [1,1])
    C0015259 (UMLS CUI [1,2])
    Blood carbon dioxide partial pressure
    Item
    float
    C0201930 (UMLS CUI [1,1])
    C0015259 (UMLS CUI [1,2])
    pH
    Item
    float
    C0202165 (UMLS CUI [1,1])
    C0015259 (UMLS CUI [1,2])
    Back to the top of the page 

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