ID
28294
Beschrijving
Documentation part 5d. Documentation form for intravitreal operative drug application of VEGF inhibitors / steroids by Diabetic maculopathy.
Trefwoorden
Versies (1)
- 02-01-18 02-01-18 -
Houder van rechten
Kassenärztliche Vereinigung Westfalen-Lippe (KVWL)
Geüploaded op
2 januari 2018
DOI
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Licentie
Creative Commons BY-NC 3.0
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5d Documentation Form for Surgeon or Follow- Up Controller IVOM
1st Therapy cycle
Beschrijving
Befund bei Indikationsstellung und vor 1. Injektion (Fluoreszenzangiogramm und SD-OCT des behandelten Auges beigefügt)
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Beschrijving
prior therapy
Datatype
text
Alias
- UMLS CUI [1]
- C1514463
Beschrijving
Date of therapy
Datatype
date
Alias
- UMLS CUI [1]
- C2584899
Beschrijving
Right eye
Datatype
boolean
Alias
- UMLS CUI [1]
- C0229089
Beschrijving
Left eye
Datatype
boolean
Alias
- UMLS CUI [1]
- C0229090
Beschrijving
Visual Acuity Right eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Beschrijving
Visual Acuity Left eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Beschrijving
Reduced visual acuity
Datatype
integer
Maateenheden
- week
Alias
- UMLS CUI [1]
- C0234632
Beschrijving
Focal diabetic maculopathy
Datatype
boolean
Alias
- UMLS CUI [1]
- C1281923
Beschrijving
Hb1Ac
Datatype
float
Maateenheden
- %
Alias
- UMLS CUI [1]
- C0019018
Beschrijving
Hb1Ac
Datatype
float
Maateenheden
- mmol/mol
Alias
- UMLS CUI [1]
- C0019018
Beschrijving
Blood pressure
Datatype
text
Maateenheden
- mmHg
Alias
- UMLS CUI [1]
- C0005823
Beschrijving
Injection
Datatype
text
Alias
- UMLS CUI [1]
- C1272883
Beschrijving
Befund vor 2. Injektion
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Beschrijving
Date of therapy
Datatype
date
Alias
- UMLS CUI [1]
- C2584899
Beschrijving
Visual Acuity Right eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Beschrijving
Visual Acuity Left eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Beschrijving
complication
Datatype
text
Alias
- UMLS CUI [1]
- C0009566
Beschrijving
Injection
Datatype
text
Alias
- UMLS CUI [1]
- C1272883
Beschrijving
Befund vor 3. Injektion
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Beschrijving
Date of therapy
Datatype
date
Alias
- UMLS CUI [1]
- C2584899
Beschrijving
Visual Acuity Right eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Beschrijving
Visual Acuity Left eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Beschrijving
complication
Datatype
text
Alias
- UMLS CUI [1]
- C0009566
Beschrijving
Injection
Datatype
text
Alias
- UMLS CUI [1]
- C1272883
Beschrijving
Befund vor 4. Injektion
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Beschrijving
Date of therapy
Datatype
date
Alias
- UMLS CUI [1]
- C2584899
Beschrijving
Visual Acuity Right eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Beschrijving
Visual Acuity Left eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Beschrijving
complication
Datatype
text
Alias
- UMLS CUI [1]
- C0009566
Beschrijving
Injection
Datatype
text
Alias
- UMLS CUI [1]
- C1272883
Beschrijving
Befund bei 1. Verlaufskontrolle
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Beschrijving
Date of therapy
Datatype
date
Alias
- UMLS CUI [1]
- C2584899
Beschrijving
Visual Acuity Right eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Beschrijving
Visual Acuity Left eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Beschrijving
SD-OCT Visual Acuity
Datatype
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Beschrijving
SD-OCT
Datatype
text
Alias
- UMLS CUI [1]
- C3876157
Beschrijving
criteria
Datatype
text
Alias
- UMLS CUI [1]
- C0243161
Beschrijving
Recommendation
Datatype
text
Alias
- UMLS CUI [1]
- C0034866
Beschrijving
date follow- up
Datatype
date
Alias
- UMLS CUI [1]
- C3694716
Beschrijving
Withdraw
Datatype
text
Alias
- UMLS CUI [1]
- C2349954
Beschrijving
Indication
Datatype
text
Alias
- UMLS CUI [1]
- C3146298
Beschrijving
Befund bei 2. Verlaufskontrolle (SD-OCT/ggf. FAG des behandelten Auges beigefügt):
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Beschrijving
Date of therapy
Datatype
date
Alias
- UMLS CUI [1]
- C2584899
Beschrijving
Visual Acuity Right eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Beschrijving
Visual Acuity Left eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Beschrijving
comment
Datatype
text
Alias
- UMLS CUI [1]
- C0947611
Beschrijving
SD-OCT Visual Acuity
Datatype
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Beschrijving
SD-OCT
Datatype
text
Alias
- UMLS CUI [1]
- C3876157
Beschrijving
criteria
Datatype
text
Alias
- UMLS CUI [1]
- C0243161
Beschrijving
Recommendation
Datatype
text
Alias
- UMLS CUI [1]
- C0034866
Beschrijving
date follow- up
Datatype
date
Alias
- UMLS CUI [1]
- C3694716
Beschrijving
Withdraw
Datatype
text
Alias
- UMLS CUI [1]
- C2349954
Beschrijving
Indication
Datatype
text
Alias
- UMLS CUI [1]
- C3146298
Beschrijving
Befund bei 3. Verlaufskontrolle (SD-OCT/ggf. FAG des behandelten Auges beigefügt):
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Beschrijving
Date of therapy
Datatype
date
Alias
- UMLS CUI [1]
- C2584899
Beschrijving
Visual Acuity Right eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Beschrijving
Visual Acuity Left eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Beschrijving
comment
Datatype
text
Alias
- UMLS CUI [1]
- C0947611
Beschrijving
SD-OCT Visual Acuity
Datatype
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Beschrijving
SD-OCT
Datatype
text
Alias
- UMLS CUI [1]
- C3876157
Beschrijving
criteria
Datatype
text
Alias
- UMLS CUI [1]
- C0243161
Beschrijving
Recommendation
Datatype
text
Alias
- UMLS CUI [1]
- C0034866
Beschrijving
date follow- up
Datatype
date
Alias
- UMLS CUI [1]
- C3694716
Beschrijving
Withdraw
Datatype
text
Alias
- UMLS CUI [1]
- C2349954
Beschrijving
Indication
Datatype
text
Alias
- UMLS CUI [1]
- C3146298
Beschrijving
Befund bei 4. Verlaufskontrolle (SD-OCT/ggf. FAG des behandelten Auges beigefügt):
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Beschrijving
Date of therapy
Datatype
date
Alias
- UMLS CUI [1]
- C2584899
Beschrijving
Visual Acuity Right eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Beschrijving
Visual Acuity Left eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Beschrijving
comment
Datatype
text
Alias
- UMLS CUI [1]
- C0947611
Beschrijving
SD-OCT Visual Acuity
Datatype
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Beschrijving
SD-OCT
Datatype
text
Alias
- UMLS CUI [1]
- C3876157
Beschrijving
criteria
Datatype
text
Alias
- UMLS CUI [1]
- C0243161
Beschrijving
Recommendation
Datatype
text
Alias
- UMLS CUI [1]
- C0034866
Beschrijving
date follow- up
Datatype
date
Alias
- UMLS CUI [1]
- C3694716
Beschrijving
Withdraw
Datatype
text
Alias
- UMLS CUI [1]
- C2349954
Beschrijving
Indication
Datatype
text
Alias
- UMLS CUI [1]
- C3146298
Beschrijving
Befund bei 5. Verlaufskontrolle (SD-OCT/ggf. FAG des behandelten Auges beigefügt):
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Beschrijving
Date of therapy
Datatype
date
Alias
- UMLS CUI [1]
- C2584899
Beschrijving
Visual Acuity Right eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Beschrijving
Visual Acuity Left eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Beschrijving
comment
Datatype
text
Alias
- UMLS CUI [1]
- C0947611
Beschrijving
SD-OCT Visual Acuity
Datatype
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Beschrijving
SD-OCT
Datatype
text
Alias
- UMLS CUI [1]
- C3876157
Beschrijving
criteria
Datatype
text
Alias
- UMLS CUI [1]
- C0243161
Beschrijving
Recommendation
Datatype
text
Alias
- UMLS CUI [1]
- C0034866
Beschrijving
date follow- up
Datatype
date
Alias
- UMLS CUI [1]
- C3694716
Beschrijving
Withdraw
Datatype
text
Alias
- UMLS CUI [1]
- C2349954
Beschrijving
Indication
Datatype
text
Alias
- UMLS CUI [1]
- C3146298
Beschrijving
Befund bei 6. Verlaufskontrolle (SD-OCT/ggf. FAG des behandelten Auges beigefügt):
Alias
- UMLS CUI-1
- C0087111
- UMLS CUI-2
- C1511572
Beschrijving
Date of therapy
Datatype
date
Alias
- UMLS CUI [1]
- C2584899
Beschrijving
Visual Acuity Right eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229089
Beschrijving
Visual Acuity Left eye
Datatype
text
Alias
- UMLS CUI [1,1]
- C0042812
- UMLS CUI [1,2]
- C0229090
Beschrijving
comment
Datatype
text
Alias
- UMLS CUI [1]
- C0947611
Beschrijving
SD-OCT Visual Acuity
Datatype
text
Alias
- UMLS CUI [1,1]
- C3876157
- UMLS CUI [1,2]
- C0042812
Beschrijving
SD-OCT
Datatype
text
Alias
- UMLS CUI [1]
- C3876157
Beschrijving
criteria
Datatype
text
Alias
- UMLS CUI [1]
- C0243161
Beschrijving
Recommendation
Datatype
text
Alias
- UMLS CUI [1]
- C0034866
Beschrijving
date follow- up
Datatype
date
Alias
- UMLS CUI [1]
- C3694716
Beschrijving
Withdraw
Datatype
text
Alias
- UMLS CUI [1]
- C2349954
Beschrijving
Indication
Datatype
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])