ID

28807

Description

Routine documentation for Central Retinal Vein Occlusion. Eye clinic, University Clinic of Muenster.

Keywords

  1. 2/5/18 2/5/18 -
Copyright Holder

Eye Clinic UKM

Uploaded on

February 5, 2018

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0

Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Example 3 Discharge Letter CRVO

Example 3 Discharge Letter CRVO

Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
Patient Name
Description

Patient Name

Data type

text

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

Patient date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Patient address
Description

Patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Visit Date
Description

Visit Date

Data type

date

Alias
UMLS CUI [1]
C1320303
Type of care
Description

Type of care

Data type

text

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

Reason for patient visit

Data type

text

Alias
UMLS CUI [1]
C1704447
Attending physician name
Description

Attending physician name

Data type

text

Alias
UMLS CUI [1]
C2361125
Recipient
Description

Recipient

Data type

text

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

Recipient address

Data type

text

Alias
UMLS CUI [1,1]
C1709854
UMLS CUI [1,2]
C1442065
Diagnosis
Description

Diagnosis

Alias
UMLS CUI-1
C0011900
Eye
Description

Eye

Data type

text

Alias
UMLS CUI [1]
C0015392
Present diagnosis
Description

diagnosis present

Data type

text

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

past medical history

Data type

text

Alias
UMLS CUI [1]
C3661816
Date medical history
Description

date medical history

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C3661816
Visual Acuity
Description

Visual Acuity

Alias
UMLS CUI-1
C0042812
Eye
Description

Eye

Data type

text

Alias
UMLS CUI [1]
C0015392
Corrected visual acuity
Description

Corrected visual acuity

Data type

text

Alias
UMLS CUI [1]
C1275680
Intraocular pressure
Description

Intraocular pressure

Alias
UMLS CUI-1
C0578862
Intraocular pressure Right eye
Description

Intraocular pressure Right eye

Data type

text

Measurement units
  • mmHg
Alias
UMLS CUI [1,1]
C0578862
UMLS CUI [1,2]
C0229089
mmHg
Intraocular pressure Left eye
Description

Intraocular pressure Left eye

Data type

text

Measurement units
  • mmHg
Alias
UMLS CUI [1,1]
C0578862
UMLS CUI [1,2]
C0229090
mmHg
Slit lamp biomicroscopy
Description

Slit lamp biomicroscopy

Alias
UMLS CUI-1
C0419360
Eye
Description

Eye

Data type

text

Alias
UMLS CUI [1]
C0015392
Anterior segment of eye- Irritation?
Description

Anterior segment of eye Eye irritation

Data type

boolean

Alias
UMLS CUI [1,1]
C0003153
UMLS CUI [1,2]
C0235266
Cataract
Description

Cataract

Data type

boolean

Alias
UMLS CUI [1]
C0086543
Ophthalmoscopy
Description

Ophthalmoscopy

Alias
UMLS CUI-1
C0029090
In Miosis
Description

Miosis

Data type

boolean

Alias
UMLS CUI [1]
C0728710
Optic disc- vital, sharp margin?
Description

Optic disc finding vital sharp margin

Data type

boolean

Alias
UMLS CUI [1,1]
C0423451
UMLS CUI [1,2]
C0442732
UMLS CUI [1,3]
C2963144
OCT Macula
Description

OCT Macula

Alias
UMLS CUI-1
C2013322
UMLS CUI-2
C0450295
Eye
Description

Eye

Data type

text

Alias
UMLS CUI [1]
C0015392
Macula edema
Description

Macula edema

Data type

boolean

Alias
UMLS CUI [1]
C1403471
Foveal depression?
Description

Foveal depression

Data type

boolean

Alias
UMLS CUI [1]
C2013325
Evaluation and Treatment
Description

Evaluation and Treatment

Alias
UMLS CUI-1
C0220825
UMLS CUI-2
C0087111
Diagnosis
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Therapy
Description

Therapy

Data type

text

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

Date of start of therapy

Data type

date

Alias
UMLS CUI [1]
C3173309

Similar models

Example 3 Discharge Letter CRVO

Name
Type
Description | Question | Decode (Coded Value)
Data type
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])
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])
Code List
Reason for patient visit
CL Item
Adjustment of glasses (Adjustment of glasses)
C0481759 (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
C0011900 (UMLS CUI-1)
Item
Eye
text
C0015392 (UMLS CUI [1])
Code List
Eye
CL Item
Right Eye (Right Eye)
C0229089 (UMLS CUI-1)
(Comment:en)
CL Item
Left Eye (Left Eye)
C0229090 (UMLS CUI-1)
(Comment:en)
CL Item
Both Eyes (Both Eyes)
C0229118 (UMLS CUI-1)
(Comment:en)
Item
Present diagnosis
text
C0011900 (UMLS CUI [1,1])
C0150312 (UMLS CUI [1,2])
Code List
Present diagnosis
CL Item
Epiphora (Epiphora)
C1024522 (UMLS CUI-1)
(Comment:en)
Item
Past medical history
text
C3661816 (UMLS CUI [1])
Code List
Past medical history
CL Item
Intravitreal injections (Intravitreal injections)
C1554888 (UMLS CUI-1)
(Comment:en)
CL Item
Macula edema (Macula edema)
C1403471 (UMLS CUI-1)
(Comment:en)
CL Item
Central retinal vein occlusion (Central retinal vein occlusion)
C0154841 (UMLS CUI-1)
(Comment:en)
date medical history
Item
Date medical history
date
C0011008 (UMLS CUI [1,1])
C3661816 (UMLS CUI [1,2])
Item Group
Visual Acuity
C0042812 (UMLS CUI-1)
Item
Eye
text
C0015392 (UMLS CUI [1])
Code List
Eye
CL Item
Right eye (Right eye)
C0229089 (UMLS CUI-1)
(Comment:en)
CL Item
Left eye (Left eye)
C0229090 (UMLS CUI-1)
(Comment:en)
Corrected visual acuity
Item
Corrected visual acuity
text
C1275680 (UMLS CUI [1])
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
C0419360 (UMLS CUI-1)
Item
Eye
text
C0015392 (UMLS CUI [1])
Code List
Eye
CL Item
Right eye (Right eye)
C0229089 (UMLS CUI-1)
(Comment:en)
CL Item
Left eye (Left eye)
C0229090 (UMLS CUI-1)
(Comment:en)
CL Item
Both eyes (Both eyes)
C0229118 (UMLS CUI-1)
(Comment:en)
Anterior segment of eye Eye irritation
Item
Anterior segment of eye- Irritation?
boolean
C0003153 (UMLS CUI [1,1])
C0235266 (UMLS CUI [1,2])
Cataract
Item
Cataract
boolean
C0086543 (UMLS CUI [1])
Item Group
Ophthalmoscopy
C0029090 (UMLS CUI-1)
Miosis
Item
In Miosis
boolean
C0728710 (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])
Item Group
OCT Macula
C2013322 (UMLS CUI-1)
C0450295 (UMLS CUI-2)
Item
Eye
text
C0015392 (UMLS CUI [1])
Code List
Eye
CL Item
Right eye (Right eye)
C0229089 (UMLS CUI-1)
(Comment:en)
CL Item
Left eye (Left eye)
C0229090 (UMLS CUI-1)
(Comment:en)
Macula edema
Item
Macula edema
boolean
C1403471 (UMLS CUI [1])
Foveal depression
Item
Foveal depression?
boolean
C2013325 (UMLS CUI [1])
Item Group
Evaluation and Treatment
C0220825 (UMLS CUI-1)
C0087111 (UMLS CUI-2)
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item
Therapy
text
C0087111 (UMLS CUI [1])
Code List
Therapy
CL Item
Intravitreal injections (Intravitreal injections)
C1554888 (UMLS CUI-1)
(Comment:en)
CL Item
Follow- up (Follow- up)
C1522577 (UMLS CUI-1)
(Comment:en)
CL Item
Cataract surgery (Cataract surgery)
C2939459 (UMLS CUI-1)
(Comment:en)
CL Item
Tear substitute (Tear substitute)
C0543462 (UMLS CUI-1)
(Comment:en)
Date of start of therapy
Item
Date of start of therapy
date
C3173309 (UMLS CUI [1])

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

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