ID
28294
Description
Documentation part 5d. Documentation form for intravitreal operative drug application of VEGF inhibitors / steroids by Diabetic maculopathy.
Keywords
Versions (1)
- 1/2/18 1/2/18 -
Copyright Holder
Kassenärztliche Vereinigung Westfalen-Lippe (KVWL)
Uploaded on
January 2, 2018
DOI
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License
Creative Commons BY-NC 3.0
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5d Documentation Form for Surgeon or Follow- Up Controller IVOM
1st Therapy cycle
Description
Befund bei Indikationsstellung und vor 1. Injektion (Fluoreszenzangiogramm und SD-OCT des behandelten Auges beigefügt)
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Description
prior therapy
Data type
text
Alias
- UMLS CUI [1]
- C1514463
Description
Date of therapy
Data type
date
Alias
- UMLS CUI [1]
- C2584899
Description
Right eye
Data type
boolean
Alias
- UMLS CUI [1]
- C0229089
Description
Left eye
Data type
boolean
Alias
- UMLS CUI [1]
- C0229090
Description
Visual Acuity Right eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Description
Visual Acuity Left eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Description
Reduced visual acuity
Data type
integer
Measurement units
- week
Alias
- UMLS CUI [1]
- C0234632
Description
Focal diabetic maculopathy
Data type
boolean
Alias
- UMLS CUI [1]
- C1281923
Description
Hb1Ac
Data type
float
Measurement units
- %
Alias
- UMLS CUI [1]
- C0019018
Description
Hb1Ac
Data type
float
Measurement units
- mmol/mol
Alias
- UMLS CUI [1]
- C0019018
Description
Blood pressure
Data type
text
Measurement units
- mmHg
Alias
- UMLS CUI [1]
- C0005823
Description
Injection
Data type
text
Alias
- UMLS CUI [1]
- C1272883
Description
Befund vor 2. Injektion
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Description
Date of therapy
Data type
date
Alias
- UMLS CUI [1]
- C2584899
Description
Visual Acuity Right eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Description
Visual Acuity Left eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Description
complication
Data type
text
Alias
- UMLS CUI [1]
- C0009566
Description
Injection
Data type
text
Alias
- UMLS CUI [1]
- C1272883
Description
Befund vor 3. Injektion
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Description
Date of therapy
Data type
date
Alias
- UMLS CUI [1]
- C2584899
Description
Visual Acuity Right eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Description
Visual Acuity Left eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Description
complication
Data type
text
Alias
- UMLS CUI [1]
- C0009566
Description
Injection
Data type
text
Alias
- UMLS CUI [1]
- C1272883
Description
Befund vor 4. Injektion
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Description
Date of therapy
Data type
date
Alias
- UMLS CUI [1]
- C2584899
Description
Visual Acuity Right eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Description
Visual Acuity Left eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Description
complication
Data type
text
Alias
- UMLS CUI [1]
- C0009566
Description
Injection
Data type
text
Alias
- UMLS CUI [1]
- C1272883
Description
Befund bei 1. Verlaufskontrolle
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Description
Date of therapy
Data type
date
Alias
- UMLS CUI [1]
- C2584899
Description
Visual Acuity Right eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Description
Visual Acuity Left eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Description
SD-OCT Visual Acuity
Data type
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Description
SD-OCT
Data type
text
Alias
- UMLS CUI [1]
- C3876157
Description
criteria
Data type
text
Alias
- UMLS CUI [1]
- C0243161
Description
Recommendation
Data type
text
Alias
- UMLS CUI [1]
- C0034866
Description
date follow- up
Data type
date
Alias
- UMLS CUI [1]
- C3694716
Description
Withdraw
Data type
text
Alias
- UMLS CUI [1]
- C2349954
Description
Indication
Data type
text
Alias
- UMLS CUI [1]
- C3146298
Description
Befund bei 2. Verlaufskontrolle (SD-OCT/ggf. FAG des behandelten Auges beigefügt):
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Description
Date of therapy
Data type
date
Alias
- UMLS CUI [1]
- C2584899
Description
Visual Acuity Right eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Description
Visual Acuity Left eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Description
comment
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
SD-OCT Visual Acuity
Data type
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Description
SD-OCT
Data type
text
Alias
- UMLS CUI [1]
- C3876157
Description
criteria
Data type
text
Alias
- UMLS CUI [1]
- C0243161
Description
Recommendation
Data type
text
Alias
- UMLS CUI [1]
- C0034866
Description
date follow- up
Data type
date
Alias
- UMLS CUI [1]
- C3694716
Description
Withdraw
Data type
text
Alias
- UMLS CUI [1]
- C2349954
Description
Indication
Data type
text
Alias
- UMLS CUI [1]
- C3146298
Description
Befund bei 3. Verlaufskontrolle (SD-OCT/ggf. FAG des behandelten Auges beigefügt):
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Description
Date of therapy
Data type
date
Alias
- UMLS CUI [1]
- C2584899
Description
Visual Acuity Right eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Description
Visual Acuity Left eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Description
comment
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
SD-OCT Visual Acuity
Data type
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Description
SD-OCT
Data type
text
Alias
- UMLS CUI [1]
- C3876157
Description
criteria
Data type
text
Alias
- UMLS CUI [1]
- C0243161
Description
Recommendation
Data type
text
Alias
- UMLS CUI [1]
- C0034866
Description
date follow- up
Data type
date
Alias
- UMLS CUI [1]
- C3694716
Description
Withdraw
Data type
text
Alias
- UMLS CUI [1]
- C2349954
Description
Indication
Data type
text
Alias
- UMLS CUI [1]
- C3146298
Description
Befund bei 4. Verlaufskontrolle (SD-OCT/ggf. FAG des behandelten Auges beigefügt):
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Description
Date of therapy
Data type
date
Alias
- UMLS CUI [1]
- C2584899
Description
Visual Acuity Right eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Description
Visual Acuity Left eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Description
comment
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
SD-OCT Visual Acuity
Data type
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Description
SD-OCT
Data type
text
Alias
- UMLS CUI [1]
- C3876157
Description
criteria
Data type
text
Alias
- UMLS CUI [1]
- C0243161
Description
Recommendation
Data type
text
Alias
- UMLS CUI [1]
- C0034866
Description
date follow- up
Data type
date
Alias
- UMLS CUI [1]
- C3694716
Description
Withdraw
Data type
text
Alias
- UMLS CUI [1]
- C2349954
Description
Indication
Data type
text
Alias
- UMLS CUI [1]
- C3146298
Description
Befund bei 5. Verlaufskontrolle (SD-OCT/ggf. FAG des behandelten Auges beigefügt):
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Description
Date of therapy
Data type
date
Alias
- UMLS CUI [1]
- C2584899
Description
Visual Acuity Right eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Description
Visual Acuity Left eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Description
comment
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
SD-OCT Visual Acuity
Data type
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Description
SD-OCT
Data type
text
Alias
- UMLS CUI [1]
- C3876157
Description
criteria
Data type
text
Alias
- UMLS CUI [1]
- C0243161
Description
Recommendation
Data type
text
Alias
- UMLS CUI [1]
- C0034866
Description
date follow- up
Data type
date
Alias
- UMLS CUI [1]
- C3694716
Description
Withdraw
Data type
text
Alias
- UMLS CUI [1]
- C2349954
Description
Indication
Data type
text
Alias
- UMLS CUI [1]
- C3146298
Description
Befund bei 6. Verlaufskontrolle (SD-OCT/ggf. FAG des behandelten Auges beigefügt):
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Description
Date of therapy
Data type
date
Alias
- UMLS CUI [1]
- C2584899
Description
Visual Acuity Right eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Description
Visual Acuity Left eye
Data type
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Description
comment
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
SD-OCT Visual Acuity
Data type
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Description
SD-OCT
Data type
text
Alias
- UMLS CUI [1]
- C3876157
Description
criteria
Data type
text
Alias
- UMLS CUI [1]
- C0243161
Description
Recommendation
Data type
text
Alias
- UMLS CUI [1]
- C0034866
Description
date follow- up
Data type
date
Alias
- UMLS CUI [1]
- C3694716
Description
Withdraw
Data type
text
Alias
- UMLS CUI [1]
- C2349954
Description
Indication
Data type
text
Alias
- UMLS CUI [1]
- C3146298
Similar models
1st Therapy cycle
C0019994 (UMLS CUI [1,2])
C1511572 (UMLS CUI-2)
(Comment:de)
(Comment:de)
C0229090 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,2])
C0229089 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,2])
C1511572 (UMLS CUI-2)
C0229089 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,2])
C0042812 (UMLS CUI [1,2])
C1511572 (UMLS CUI-2)
C0229089 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,2])
C0042812 (UMLS CUI [1,2])
C1511572 (UMLS CUI-2)
C0229089 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,2])
C0042812 (UMLS CUI [1,2])
C1511572 (UMLS CUI-2)
C0229089 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,2])
C0042812 (UMLS CUI [1,2])
C1511572 (UMLS CUI-2)
C0229089 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,2])
C0042812 (UMLS CUI [1,2])
C1511572 (UMLS CUI-2)
C0229089 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,2])
C0042812 (UMLS CUI [1,2])