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ID

21821

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

Versions (3)
  1. 4/25/17 4/25/17 -
  2. 4/25/17 4/25/17 -
  3. 5/2/17 5/2/17 -
Copyright Holder

UKM

Uploaded on

May 2, 2017

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Creative Commons BY-NC 3.0
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    Baseline Medical Examination Gynaecology UKM

    German English

    Baseline Medical Examination

    1 forms  
    Patient demographics
    Description

    Patient demographics

    Name
    Description

    Name

    Data type

    text

    Alias
    UMLS CUI [1]
    C0027365
    Date of birth
    Description

    Date of birth

    Data type

    date

    Alias
    UMLS CUI [1]
    C0421451
    Address
    Description

    Address

    Data type

    text

    Alias
    UMLS CUI [1]
    C0421449
    Birth time
    Description

    Birth time

    Data type

    time

    Alias
    UMLS CUI [1]
    C2736116
    Blood group
    Description

    Blood group

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0005810
    Health insurance
    Description

    Health insurance

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0021682
    Address
    Description

    Address

    Data type

    text

    Alias
    UMLS CUI [1]
    C0421449
    Physician
    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
    Assessment
    Description

    Assessment

    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
    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
    Kindey
    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
    Footer module
    Description

    Footer module

    Date
    Description

    Date

    Data type

    date

    Alias
    UMLS CUI [1]
    C0011008
    Signature
    Description

    Signature

    Data type

    text

    Alias
    UMLS CUI [1]
    C1519316
    Back to the top of the page

    Similar models

    Baseline Medical Examination

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

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