ID

28800

Descripción

Routine documentation for Age-Related Macular Degeneration. Eye clinic, University Clinic of Muenster.

Palabras clave

Versiones (2)
  1. 5/2/18 5/2/18 -
  2. 17/9/21 17/9/21 -
Titular de derechos de autor

Eye Clinic UKM

Subido en

5 de febrero de 2018

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0
Comentarios del modelo :

Puede comentar sobre el modelo de datos aquí. A través de las burbujas de diálogo en los grupos de elementos y elementos, puede agregar comentarios específicos.

Volver a los comentarios del modelo
Comentarios de grupo de elementos para :

Comentarios del elemento para :

Para descargar modelos de datos, debe haber iniciado sesión. Por favor iniciar sesión o Registrate gratis.

Example 2 Discharge Letter AMD

Inglés

Example 2 Discharge Letter AMD

1 formularios  
Administrative data
Descripción

Administrative data

Alias
UMLS CUI-1
C1320722
Patient Name
Descripción

Patient Name

Tipo de datos

text

Alias
UMLS CUI [1]
C1299487
Patient date of birth
Descripción

Patient date of birth

Tipo de datos

date

Alias
UMLS CUI [1]
C0421451
Patient address
Descripción

Patient address

Tipo de datos

text

Alias
UMLS CUI [1]
C0421449
Visit Date
Descripción

Visit Date

Tipo de datos

date

Alias
UMLS CUI [1]
C1320303
Type of care
Descripción

Type of care

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0086388
UMLS CUI [1,2]
C0332307
Reason for patient visit
Descripción

Reason for patient visit

Tipo de datos

text

Alias
UMLS CUI [1]
C1704447
Attending physician name
Descripción

Attending physician name

Tipo de datos

text

Alias
UMLS CUI [1]
C2361125
Recipient
Descripción

Recipient

Tipo de datos

text

Alias
UMLS CUI [1]
C1709854
Recipient's address
Descripción

Recipient address

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1709854
UMLS CUI [1,2]
C1442065
Diagnosis Right eye
Descripción

Diagnosis Right eye

Alias
UMLS CUI-1
C0011900
UMLS CUI-2
C0229089
Present diagnosis
Descripción

diagnosis present

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0150312
Past medical history
Descripción

past medical history

Tipo de datos

text

Alias
UMLS CUI [1]
C3661816
Duration past medical history
Descripción

Duration past medical history

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C3661816
Study Subject Participation Status
Descripción

Study Subject Participation Status

Tipo de datos

text

Alias
UMLS CUI [1]
C2348568
Diagnosis Left eye
Descripción

Diagnosis Left eye

Alias
UMLS CUI-1
C0011900
UMLS CUI-2
C0229090
Present diagnosis
Descripción

diagnosis present

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0150312
Past medical history
Descripción

past medical history

Tipo de datos

text

Alias
UMLS CUI [1]
C3661816
Duration past medical history
Descripción

Duration past medical history

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C3661816
Study Subject Participation Status
Descripción

Study Subject Participation Status

Tipo de datos

text

Alias
UMLS CUI [1]
C2348568
Vision
Descripción

Vision

Alias
UMLS CUI-1
C0042789
Vision Right eye
Descripción

Vision Right eye

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C0229089
Vision Left eye
Descripción

Vision Left eye

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0042789
UMLS CUI [1,2]
C0229090
Intraocular pressure
Descripción

Intraocular pressure

Alias
UMLS CUI-1
C0578862
Intraocular pressure Right eye
Descripción

Intraocular pressure Right eye

Tipo de datos

text

Unidades de medida
  • mmHg
Alias
UMLS CUI [1,1]
C0578862
UMLS CUI [1,2]
C0229089
mmHg
Intraocular pressure Left eye
Descripción

Intraocular pressure Left eye

Tipo de datos

text

Unidades de medida
  • mmHg
Alias
UMLS CUI [1,1]
C0578862
UMLS CUI [1,2]
C0229090
mmHg
Slit lamp biomicroscopy Right eye
Descripción

Slit lamp biomicroscopy Right eye

Alias
UMLS CUI-1
C0419360
UMLS CUI-2
C0229089
Anterior segment of eye- Irritation?
Descripción

Anterior segment of eye Eye irritation

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0003153
UMLS CUI [1,2]
C0235266
Slit lamp biomicroscopy Left eye
Descripción

Slit lamp biomicroscopy Left eye

Alias
UMLS CUI-1
C0419360
UMLS CUI-2
C0229090
Anterior segment of eye- Irritation?
Descripción

Anterior segment of eye Eye irritation

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0003153
UMLS CUI [1,2]
C0235266
Ophthalmoscopy Right eye
Descripción

Ophthalmoscopy Right eye

Alias
UMLS CUI-1
C0029090
UMLS CUI-2
C0229089
In Mydriasis ?
Descripción

Mydriasis

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0026961
Optic disc- vital, sharp margin?
Descripción

Optic disc finding vital sharp margin

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0423451
UMLS CUI [1,2]
C0442732
UMLS CUI [1,3]
C2963144
Macula edema
Descripción

macula edema

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1403471
Nevus
Descripción

Nevus

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0027960
Ocular prominence
Descripción

Ocular prominence

Tipo de datos

boolean

Alias
UMLS CUI [1]
C4242684
Drusen
Descripción

Drusen

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1260959
Retinal pigment deposits
Descripción

Retinal pigment deposits

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0423417
Retinal Detachment
Descripción

Retinal Detachment

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0035305
Ophthalmoscopy Left eye
Descripción

Ophthalmoscopy Left eye

Alias
UMLS CUI-1
C0029090
UMLS CUI-2
C0229090
Fibrovascular macular scar
Descripción

Fibrovascular macular scar

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0730272
Macula- OCT Right eye
Descripción

Macula- OCT Right eye

Alias
UMLS CUI-1
C2013322
UMLS CUI-2
C0450295
UMLS CUI-3
C0229089
Fibrovascular
Descripción

Fibrovascular

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0392759
Edema
Descripción

Edema

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0013604
Macular exudation
Descripción

Macular exudation

Tipo de datos

boolean

Alias
UMLS CUI [1]
C4072984
Macula- OCT Left eye
Descripción

Macula- OCT Left eye

Alias
UMLS CUI-1
C2013322
UMLS CUI-2
C0450295
UMLS CUI-3
C0229090
Fibrovascular
Descripción

Fibrovascular

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0392759
Edema
Descripción

Edema

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0013604
Multiple macular cysts
Descripción

multiple macular cysts

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2174726
Vitreomacular adhesion
Descripción

Vitreomacular adhesion

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2748203
Fluorescein Angiography
Descripción

Fluorescein Angiography

Alias
UMLS CUI-1
C0016313
Hyperfluorescence with leaking and pooling Right eye
Descripción

hyperfluorescence with leaking and pooling Right eye

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C2062011
UMLS CUI [1,2]
C0229089
Maculopathy
Descripción

Maculopathy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0730362
Fibrovascular macular scar
Descripción

Fibrovascular macular scar

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0730272
Indocyanine green angiography
Descripción

Indocyanine green angiography

Alias
UMLS CUI-1
C0430879
Choroidal neovascularization of the macula
Descripción

Choroidal neovascularization of the macula

Tipo de datos

boolean

Alias
UMLS CUI [1]
C4023323
Evaluation and Treatment
Descripción

Evaluation and Treatment

Alias
UMLS CUI-1
C0220825
UMLS CUI-3
C0087111
Diagnosis
Descripción

Diagnosis

Tipo de datos

text

Alias
UMLS CUI [1]
C0011900
Therapy
Descripción

Therapy

Tipo de datos

text

Alias
UMLS CUI [1]
C0087111
Date of start of therapy
Descripción

Date of start of therapy

Tipo de datos

date

Alias
UMLS CUI [1]
C3173309
Volver a la parte superior de la página

Similar models

Example 2 Discharge Letter AMD

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Patient Name
Item
Patient Name
text
C1299487 (UMLS CUI [1])
Patient date of birth
Item
Patient date of birth
date
C0421451 (UMLS CUI [1])
Patient address
Item
Patient address
text
C0421449 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item
Type of care
text
C0086388 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Type of care
Code List
Type of care
CL Item
Inpatient (Inpatient)
C0021562 (UMLS CUI-1)
(Comment:en)
CL Item
Outpatients (Outpatients)
C0029921 (UMLS CUI-1)
(Comment:en)
Item
Reason for patient visit
text
C1704447 (UMLS CUI [1])
Reason for patient visit
Code List
Reason for patient visit
CL Item
First consultation (First consultation)
C3826021 (UMLS CUI-1)
(Comment:en)
CL Item
Follow- up (Follow- up)
C0589121 (UMLS CUI-1)
(Comment:en)
Attending physician name
Item
Attending physician name
text
C2361125 (UMLS CUI [1])
Recipient
Item
Recipient
text
C1709854 (UMLS CUI [1])
Recipient address
Item
Recipient's address
text
C1709854 (UMLS CUI [1,1])
C1442065 (UMLS CUI [1,2])
Item Group
Diagnosis Right eye
C0011900 (UMLS CUI-1)
C0229089 (UMLS CUI-2)
Item
Present diagnosis
text
C0011900 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
diagnosis present
Code List
Present diagnosis
CL Item
Age-Related Macular Degeneration (Exudative) (Age-Related Macular Degeneration)
C0242383 (UMLS CUI-1)
(Comment:en)
CL Item
Nevus of choroid (Nevus of choroid)
C0346392 (UMLS CUI-1)
(Comment:en)
past medical history
Item
Past medical history
text
C3661816 (UMLS CUI [1])
Duration past medical history
Item
Duration past medical history
text
C0449238 (UMLS CUI [1,1])
C3661816 (UMLS CUI [1,2])
Study Subject Participation Status
Item
Study Subject Participation Status
text
C2348568 (UMLS CUI [1])
Item Group
Diagnosis Left eye
C0011900 (UMLS CUI-1)
C0229090 (UMLS CUI-2)
Item
Present diagnosis
text
C0011900 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
diagnosis present
Code List
Present diagnosis
CL Item
Maculopathy (Maculopathy)
C0730362 (UMLS CUI-1)
(Comment:en)
past medical history
Item
Past medical history
text
C3661816 (UMLS CUI [1])
Duration past medical history
Item
Duration past medical history
text
C0449238 (UMLS CUI [1,1])
C3661816 (UMLS CUI [1,2])
Study Subject Participation Status
Item
Study Subject Participation Status
text
C2348568 (UMLS CUI [1])
Item Group
Vision
C0042789 (UMLS CUI-1)
Vision Right eye
Item
Vision Right eye
text
C0042789 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Vision Left eye
Item
Vision Left eye
text
C0042789 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Item Group
Intraocular pressure
C0578862 (UMLS CUI-1)
Intraocular pressure Right eye
Item
Intraocular pressure Right eye
text
C0578862 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Intraocular pressure Left eye
Item
Intraocular pressure Left eye
text
C0578862 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Item Group
Slit lamp biomicroscopy Right eye
C0419360 (UMLS CUI-1)
C0229089 (UMLS CUI-2)
Anterior segment of eye Eye irritation
Item
Anterior segment of eye- Irritation?
boolean
C0003153 (UMLS CUI [1,1])
C0235266 (UMLS CUI [1,2])
Item Group
Slit lamp biomicroscopy Left eye
C0419360 (UMLS CUI-1)
C0229090 (UMLS CUI-2)
Anterior segment of eye Eye irritation
Item
Anterior segment of eye- Irritation?
boolean
C0003153 (UMLS CUI [1,1])
C0235266 (UMLS CUI [1,2])
Item Group
Ophthalmoscopy Right eye
C0029090 (UMLS CUI-1)
C0229089 (UMLS CUI-2)
Mydriasis
Item
In Mydriasis ?
boolean
C0026961 (UMLS CUI [1])
Optic disc finding vital sharp margin
Item
Optic disc- vital, sharp margin?
boolean
C0423451 (UMLS CUI [1,1])
C0442732 (UMLS CUI [1,2])
C2963144 (UMLS CUI [1,3])
macula edema
Item
Macula edema
boolean
C1403471 (UMLS CUI [1])
Nevus
Item
Nevus
boolean
C0027960 (UMLS CUI [1])
Ocular prominence
Item
Ocular prominence
boolean
C4242684 (UMLS CUI [1])
Drusen
Item
Drusen
boolean
C1260959 (UMLS CUI [1])
Retinal pigment deposits
Item
Retinal pigment deposits
boolean
C0423417 (UMLS CUI [1])
Retinal Detachment
Item
Retinal Detachment
boolean
C0035305 (UMLS CUI [1])
Item Group
Ophthalmoscopy Left eye
C0029090 (UMLS CUI-1)
C0229090 (UMLS CUI-2)
Fibrovascular macular scar
Item
Fibrovascular macular scar
boolean
C0730272 (UMLS CUI [1])
Item Group
Macula- OCT Right eye
C2013322 (UMLS CUI-1)
C0450295 (UMLS CUI-2)
C0229089 (UMLS CUI-3)
Fibrovascular
Item
Fibrovascular
boolean
C0392759 (UMLS CUI [1])
Edema
Item
Edema
boolean
C0013604 (UMLS CUI [1])
Macular exudation
Item
Macular exudation
boolean
C4072984 (UMLS CUI [1])
Item Group
Macula- OCT Left eye
C2013322 (UMLS CUI-1)
C0450295 (UMLS CUI-2)
C0229090 (UMLS CUI-3)
Fibrovascular
Item
Fibrovascular
boolean
C0392759 (UMLS CUI [1])
Edema
Item
Edema
boolean
C0013604 (UMLS CUI [1])
multiple macular cysts
Item
Multiple macular cysts
boolean
C2174726 (UMLS CUI [1])
Vitreomacular adhesion
Item
Vitreomacular adhesion
boolean
C2748203 (UMLS CUI [1])
Item Group
Fluorescein Angiography
C0016313 (UMLS CUI-1)
hyperfluorescence with leaking and pooling Right eye
Item
Hyperfluorescence with leaking and pooling Right eye
boolean
C2062011 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Maculopathy
Item
Maculopathy
boolean
C0730362 (UMLS CUI [1])
Fibrovascular macular scar
Item
Fibrovascular macular scar
boolean
C0730272 (UMLS CUI [1])
Item Group
Indocyanine green angiography
C0430879 (UMLS CUI-1)
Choroidal neovascularization of the macula
Item
Choroidal neovascularization of the macula
boolean
C4023323 (UMLS CUI [1])
Item Group
Evaluation and Treatment
C0220825 (UMLS CUI-1)
C0087111 (UMLS CUI-3)
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item
Therapy
text
C0087111 (UMLS CUI [1])
Therapy
Code List
Therapy
CL Item
Intravitreal Injections Lucentis (Intravitreal Injections Lucentis)
C1554888 (UMLS CUI-1)
C3234800 (UMLS CUI-2)
(Comment:en)
CL Item
Choroidal neovascularization of the macula (Choroidal neovascularization of the macula)
C4023323 (UMLS CUI-1)
(Comment:en)
CL Item
Nevus of choroid (Nevus of choroid)
C0346392 (UMLS CUI-1)
(Comment:en)
Date of start of therapy
Item
Date of start of therapy
date
C3173309 (UMLS CUI [1])
Volver a la parte superior de la página 

Contacto

Utilice este formulario para comentarios, preguntas y sugerencias.

Los campos marcados con * son obligatorios.

Ayuda

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial