ID

21523

Description

Baseline Medical Examination form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Prof. Dr. med. Ludwig Kiesel

Keywords

  1. 4/25/17 4/25/17 -
  2. 4/25/17 4/25/17 -
  3. 5/2/17 5/2/17 -
Uploaded on

April 25, 2017

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License

Creative Commons BY-NC 3.0

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Baseline Medical Examination Gynaecology UKM

Baseline Medical Examination

Patientendaten
Description

Patientendaten

Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Geburtsdatum
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Addresse
Description

Address

Data type

text

Alias
UMLS CUI [1]
C0421449
Geb.-Zeit
Description

Birth time

Data type

time

Alias
UMLS CUI [1]
C2736116
Blutgruppe der Mutter
Description

Blood group

Data type

integer

Alias
UMLS CUI [1]
C0005810
Antikörper
Description

Health insurance

Data type

integer

Alias
UMLS CUI [1]
C0021682
Hebamme
Description

Address

Data type

text

Alias
UMLS CUI [1]
C0421449
Arzt
Description

Physician

Data type

text

Alias
UMLS CUI [1]
C2826892
Age group
Description

Age group

Data type

integer

Alias
UMLS CUI [1]
C0001779
Medication
Description

Medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
Allergies
Description

Allergies

Data type

integer

Alias
UMLS CUI [1]
C0020517
Risk
Description

Risk

Data type

integer

Alias
UMLS CUI [1]
C0035647
Diagnosis
Description

Diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011900
Therapy
Description

Therapy

Data type

integer

Alias
UMLS CUI [1]
C0087111
Untersuchung
Description

Untersuchung

Headache
Description

Headache

Data type

boolean

Alias
UMLS CUI [1]
C0018681
Thyroid gland diseases
Description

Thyroid gland diseases

Data type

boolean

Alias
UMLS CUI [1]
C0040128
Heart Diseases
Description

Heart Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0018799
Lung disease
Description

Lung disease

Data type

boolean

Alias
UMLS CUI [1]
C0024115
Breast Diseases
Description

Breast Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0006145
Liver disease
Description

Liver disease

Data type

boolean

Alias
UMLS CUI [1]
C0023895
Stomach Diseases | Intestinal Diseases
Description

Stomach Diseases | Intestinal Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0038354
UMLS CUI [2]
C0021831
Kidney Diseases
Description

Kidney Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0022658
Hematological Disease
Description

Hematological Disease

Data type

boolean

Alias
UMLS CUI [1]
C0018939
Blood transfusion
Description

Blood transfusion

Data type

boolean

Alias
UMLS CUI [1]
C0005841
Diabetes
Description

Diabetes

Data type

boolean

Alias
UMLS CUI [1]
C0011849
Cancer
Description

Cancer

Data type

boolean

Alias
UMLS CUI [1]
C0006826
Hereditary Diseases
Description

Hereditary Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0019247
Operation
Description

Operation

Data type

boolean

Alias
UMLS CUI [1]
C0543467
Unterschrift
Description

Unterschrift

Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Unterschrift
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316
Gynecological history
Description

Gynecological history

Alias
UMLS CUI-1
C0474455
Menarche
Description

Menarche

Data type

integer

Alias
UMLS CUI [1]
C0025274
Menopause
Description

Menopause

Data type

integer

Alias
UMLS CUI [1]
C0025320
Contraception
Description

Contraception

Data type

integer

Alias
UMLS CUI [1]
C0700589
Bleeding disorder
Description

Bleeding disorder

Data type

boolean

Alias
UMLS CUI [1]
C0005779
Gynecological operation
Description

Gynecological operation

Data type

boolean

Alias
UMLS CUI [1]
C0580732
Midwifery history
Description

Midwifery history

Midwifery
Description

Midwifery

Data type

integer

Alias
UMLS CUI [1]
C0026082
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Birth weight
Description

Birth weight

Data type

integer

Alias
UMLS CUI [1]
C0005612
Week of gestation
Description

Week of gestation

Data type

integer

Alias
UMLS CUI [1]
C1135241
Delivery
Description

Delivery

Data type

date

Alias
UMLS CUI [1,1]
C1301668
UMLS CUI [1,2]
C2053594
Examination
Description

Examination

Genital
Description

Genital

Data type

integer

Alias
UMLS CUI [1]
C0017420
Vagina
Description

Vagina

Data type

integer

Alias
UMLS CUI [1]
C0042232
Cervix
Description

Cervix

Data type

integer

Alias
UMLS CUI [1]
C0007874
Uterus
Description

Uterus

Data type

integer

Alias
UMLS CUI [1]
C0007874
Uterine adnexae structure
Description

Uterine adnexae structure

Data type

integer

Alias
UMLS CUI [1]
C0001575
Rectum
Description

Rectum

Data type

integer

Alias
UMLS CUI [1]
C0001575
Mamma
Description

Mamma

Data type

integer

Alias
UMLS CUI [1]
C1268990
Skin
Description

Skin

Data type

integer

Alias
UMLS CUI [1]
C1268990
Head
Description

Head

Data type

integer

Alias
UMLS CUI [1]
C1268990
Chest
Description

Chest

Data type

integer

Alias
UMLS CUI [1]
C0817096
Heart
Description

Heart

Data type

integer

Alias
UMLS CUI [1]
C0018787
Lungs
Description

Lungs

Data type

integer

Alias
UMLS CUI [1]
C2228454
Abdomen
Description

Abdomen

Data type

integer

Alias
UMLS CUI [1]
C0000726
Kidney
Description

Kidney

Data type

integer

Alias
UMLS CUI [1]
C0022646
Limbs
Description

Limbs

Data type

integer

Alias
UMLS CUI [1]
C0015385
Nerv
Description

Nerv

Data type

integer

Alias
UMLS CUI [1]
C0027763
Pap smear
Description

Pap smear

Data type

integer

Alias
UMLS CUI [1]
C0079104

Similar models

Baseline Medical Examination

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patientendaten
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Date of birth
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Address
Item
Addresse
text
C0421449 (UMLS CUI [1])
Birth time
Item
Geb.-Zeit
time
C2736116 (UMLS CUI [1])
Blood group
Item
Blutgruppe der Mutter
integer
C0005810 (UMLS CUI [1])
Health insurance
Item
Antikörper
integer
C0021682 (UMLS CUI [1])
Address
Item
Hebamme
text
C0421449 (UMLS CUI [1])
Physician
Item
Arzt
text
C2826892 (UMLS CUI [1])
Age group
Item
integer
C0001779 (UMLS CUI [1])
Medication
Item
integer
C0013227 (UMLS CUI [1])
Allergies
Item
integer
C0020517 (UMLS CUI [1])
Risk
Item
integer
C0035647 (UMLS CUI [1])
Diagnosis
Item
integer
C0011900 (UMLS CUI [1])
Therapy
Item
integer
C0087111 (UMLS CUI [1])
Item Group
Untersuchung
Headache
Item
boolean
C0018681 (UMLS CUI [1])
Thyroid gland diseases
Item
boolean
C0040128 (UMLS CUI [1])
Heart Diseases
Item
boolean
C0018799 (UMLS CUI [1])
Lung disease
Item
boolean
C0024115 (UMLS CUI [1])
Breast Diseases
Item
boolean
C0006145 (UMLS CUI [1])
Liver disease
Item
boolean
C0023895 (UMLS CUI [1])
Stomach Diseases | Intestinal Diseases
Item
boolean
C0038354 (UMLS CUI [1])
C0021831 (UMLS CUI [2])
Kidney Diseases
Item
boolean
C0022658 (UMLS CUI [1])
Hematological Disease
Item
boolean
C0018939 (UMLS CUI [1])
Blood transfusion
Item
boolean
C0005841 (UMLS CUI [1])
Diabetes
Item
boolean
C0011849 (UMLS CUI [1])
Cancer
Item
boolean
C0006826 (UMLS CUI [1])
Hereditary Diseases
Item
boolean
C0019247 (UMLS CUI [1])
Operation
Item
boolean
C0543467 (UMLS CUI [1])
Item Group
Unterschrift
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Signature
Item
Unterschrift
text
C1519316 (UMLS CUI [1])
Item Group
C0474455 (UMLS CUI-1)
Menarche
Item
integer
C0025274 (UMLS CUI [1])
Menopause
Item
integer
C0025320 (UMLS CUI [1])
Contraception
Item
integer
C0700589 (UMLS CUI [1])
Bleeding disorder
Item
boolean
C0005779 (UMLS CUI [1])
Gynecological operation
Item
boolean
C0580732 (UMLS CUI [1])
Midwifery
Item
integer
C0026082 (UMLS CUI [1])
Date of birth
Item
date
C0421451 (UMLS CUI [1])
Birth weight
Item
integer
C0005612 (UMLS CUI [1])
Week of gestation
Item
integer
C1135241 (UMLS CUI [1])
Delivery
Item
date
C1301668 (UMLS CUI [1,1])
C2053594 (UMLS CUI [1,2])
Item Group
Item
integer
C0017420 (UMLS CUI [1])
Code List
Genital
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C0042232 (UMLS CUI [1])
Code List
Vagina
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C0007874 (UMLS CUI [1])
Code List
Cervix
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C0007874 (UMLS CUI [1])
Code List
Uterus
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C0001575 (UMLS CUI [1])
Code List
Uterine adnexae structure
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C0001575 (UMLS CUI [1])
Code List
Rectum
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C1268990 (UMLS CUI [1])
Code List
Mamma
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C1268990 (UMLS CUI [1])
Code List
Skin
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C1268990 (UMLS CUI [1])
Code List
Head
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C0817096 (UMLS CUI [1])
Code List
Chest
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C0018787 (UMLS CUI [1])
Code List
Heart
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C2228454 (UMLS CUI [1])
Code List
Lungs
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C0000726 (UMLS CUI [1])
Code List
Abdomen
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C0022646 (UMLS CUI [1])
Code List
Kidney
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C0015385 (UMLS CUI [1])
Code List
Limbs
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Item
integer
C0027763 (UMLS CUI [1])
Code List
Nerv
CL Item
 (1)
C0205307 (UMLS CUI-1)
CL Item
 (2)
C0205161 (UMLS CUI-1)
Pap smear
Item
integer
C0079104 (UMLS CUI [1])

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