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ID
24039
Description
Examination form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Univ.-Prof. Dr. med. Sven Martens.
Keywords
Versions (3)
- 7/23/17 7/23/17 -
- 7/24/17 7/24/17 -
- 7/25/17 7/25/17 -
Copyright Holder
UKM
Uploaded on
July 23, 2017
DOI
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License
Creative Commons BY-NC 3.0
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Examination cardiac surgery UKM
Similar models
Examination
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Patient name
Item
Patient name
text
C1299487 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Operation
Item
Operation
integer
C0543467 (UMLS CUI [1])
Diagnosis
Item
Diagnosis
integer
C0011900 (UMLS CUI [1])
Comment
Item
Comment
text
C0947611 (UMLS CUI [1])
Heart disease
Item
Heart disease
integer
C0018799 (UMLS CUI [1])
Family history
Item
Family history
integer
C0241889 (UMLS CUI [1])
Symptoms
Item
Symptoms
text
C1457887 (UMLS CUI [1])
CL Item
normal (1)
C0205307 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
less (2)
C0439092 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
normal (1)
C0205307 (UMLS CUI-1)
(Comment:en)
(Comment:en)
Stool
Item
Stool
integer
C0015733 (UMLS CUI [1])
Frequency of urination
Item
Frequency of urination
integer
C2584336 (UMLS CUI [1])
Coughing
Item
Coughing
integer
C0010200 (UMLS CUI [1])
Sleeping
Item
Sleeping
integer
C0237086 (UMLS CUI [1])
CL Item
pulse (1)
C0232117 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
noise (2)
C3257923 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
pulse (pulse)
C0232117 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
pulse (pulse)
C0232117 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
pulse (1)
C0232117 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
pulse (1)
C0232117 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
noise (2)
C3257923 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
pulse (pulse)
C0232117 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
pulse (1)
C0232117 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
pulse (1)
C0232117 (UMLS CUI-1)
(Comment:en)
(Comment:en)
Item
Neurological status: consciousness
integer
C0517960 (UMLS CUI [1])
CL Item
NAD (1)
C0559229 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
unconscious (2)
C0041657 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
agitation (3)
C0085631 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
stupor (4)
C0009421 (UMLS CUI-1)
C0085628 (UMLS CUI-2)
(Comment:en)
C0085628 (UMLS CUI-2)
(Comment:en)
CL Item
coma (5)
C0009421 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
NAD (1)
C0559229 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Normal (1)
C0205307 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Abnormal (2)
C0205161 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Not Examined (3)
C0332128 (UMLS CUI-1)
C1518422 (UMLS CUI-2)
(Comment:en)
C1518422 (UMLS CUI-2)
(Comment:en)
Nutritional status
Item
Nutritional status
integer
C0392209 (UMLS CUI [1])
CL Item
athletic (1)
C1510656 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
asthenisch (2)
(Comment:en)
CL Item
pyknic (3)
(Comment:en)
CL Item
NAD (1)
C0559229 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
paleness (2)
C0030232 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Cyanosis (3)
C0010520 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Jaundice (4)
C0022346 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Redness (5)
C0332575 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Bleeding (6)
C0019080 (UMLS CUI-1)
(Comment:en)
(Comment:en)
CL Item
Turgor pressure (7)
(Comment:en)
CL Item
Exanthem (8)
C0015230 (UMLS CUI-1)
(Comment:en)
(Comment:en)
Dyspnea
Item
Dyspnea
boolean
C0013404 (UMLS CUI [1])
CL Item
no (1)
CL Item
ex ore (2)