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Record Medical Exam and Echocardiography CARLA

1 forms  
Record
Description

Record

Subject ID
Description

Subject ID

Data type

text

Alias
UMLS CUI [1]
C2348585
Date of general investigation/interview
Description

Date of general investigation/interview

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0021822
Beginning of waiting time before medical exam
Description

Beginning of waiting time before medical exam

Data type

time

Alias
UMLS CUI [1,1]
C0814636
UMLS CUI [1,2]
C0582103
Entry of subject into examination room
Description

Time of entry into room for medical examination

Data type

time

Alias
UMLS CUI [1,1]
C1978796
UMLS CUI [1,2]
C1707958
Beginning of medical exam (arrival of physician)
Description

Beginning of medical exam

Data type

time

Alias
UMLS CUI [1,1]
C1301880
UMLS CUI [1,2]
C0582103
End of medical exam (if known)
Description

End of medical exam

Data type

time

Alias
UMLS CUI [1,1]
C1522314
UMLS CUI [1,2]
C0582103
A medical exam has been performed
Description

A medical exam has been performed

Data type

boolean

Alias
UMLS CUI [1]
C0420619
An echocardiography has been performed
Description

An echocardiography has been performed

Data type

boolean

Alias
UMLS CUI [1,1]
C0013516
UMLS CUI [1,2]
C0884358
Site of echocardiography
Description

If echocardiography has been performed, please specify site.

Data type

integer

Alias
UMLS CUI [1,1]
C0013516
UMLS CUI [1,2]
C1547117
ID of physician
Description

ID of physician who performed medical exam and/or echocardiography

Data type

text

Alias
UMLS CUI [1]
C1550333
Date
Description

Date of medical exam and/or echocardiography

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0013516
UMLS CUI [1,3]
C0884358
If medical exam and general investigation/interview did not take place on the same day, please indicate reason
Description

Different dates of medical exam and general investigation/interview

Data type

integer

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0011008
UMLS CUI [1,4]
C0013516
UMLS CUI [1,5]
C088435
If echocardiography and general investigation/interview did not take place on the same day, please indicate reason
Description

Different dates of echocardiography and general investigation/interview

Data type

integer

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0011008
UMLS CUI [1,4]
C0013516
UMLS CUI [1,5]
C088435
Please specify in detail
Description

Specific reasons why medical exam and/or echocardiography could not take place on the same day as general investigation/interview

Data type

text

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0011008
UMLS CUI [1,4]
C0013516
UMLS CUI [1,5]
C088435
Documentation by (examiner ID)
Description

Documentation by (examiner ID)

Data type

text

Alias
UMLS CUI [1]
C1550333
Date of documentation
Description

Date of documentation

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0920316
The subject has been informed about the results of the general investigation by phone.
Description

Information of subject

Data type

boolean

Alias
UMLS CUI [1,1]
C1278466
UMLS CUI [1,2]
C1274040
Date of telephonic information
Description

Date of telephonic information

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C1278466
ID of informing physician
Description

Physician ID

Data type

text

Alias
UMLS CUI [1]
C1550333
Second Appointment
Description

Second Appointment

A medical exam has been performed
Description

Please specify only if another appointment was necessary to perform medical exam.

Data type

boolean

Alias
UMLS CUI [1]
C0420619
An echocardiography has been performed
Description

Please specify only if another appointment was necessary to perform echocardiography.

Data type

boolean

Alias
UMLS CUI [1,1]
C0013516
UMLS CUI [1,2]
C0884358
Site of echocardiography
Description

If echocardiography has been performed, please specify site.

Data type

integer

Alias
UMLS CUI [1,1]
C0013516
UMLS CUI [1,2]
C1547117
ID of physician
Description

ID of physician who performed medical exam and/or echocardiography (Please specify only if another appointment was necessary to perform the investigation).

Data type

text

Alias
UMLS CUI [1]
C1550333
Date
Description

Date of medical exam and/or echocardiography (Please specify only if another appointment was necessary to perform the investigation)

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0013516
UMLS CUI [1,3]
C0884358
Beginning of waiting time before medical exam
Description

Please specify only if another appointment was necessary.

Data type

time

Alias
UMLS CUI [1,1]
C0814636
UMLS CUI [1,2]
C0582103
Entry of subject into examination room
Description

Time of entry into room for medical examination (Please specify only if another appointment was necessary)

Data type

time

Alias
UMLS CUI [1,1]
C1978796
UMLS CUI [1,2]
C1707958
Beginning of medical exam (arrival of physician)
Description

Please specify only if another appointment was necessary.

Data type

time

Alias
UMLS CUI [1,1]
C1301880
UMLS CUI [1,2]
C0582103
End of medical exam (if known)
Description

(Please specify only if another appointment was necessary)

Data type

time

Alias
UMLS CUI [1,1]
C1522314
UMLS CUI [1,2]
C0582103
Documentation by (examiner ID)
Description

Documentation by (examiner ID)

Data type

text

Alias
UMLS CUI [1]
C1550333
Date of documentation
Description

Date of documentation

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0920316
Data entry
Description

Data entry

1st data entry: DNo.
Description

1st data entry: DNo.

Data type

text

Alias
UMLS CUI [1,1]
C0010995
UMLS CUI [1,2]
C0205435
UMLS CUI [1,3]
C0237753
1st data entry: Date
Description

1st data entry: Date

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0010995
UMLS CUI [1,3]
C0205435
2nd data entry: DNo.
Description

2nd data entry: DNo.

Data type

text

Alias
UMLS CUI [1,1]
C0010995
UMLS CUI [1,2]
C0205436
UMLS CUI [1,3]
C0237753
2nd data entry: Date
Description

2nd data entry: Date

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0010995
UMLS CUI [1,3]
C0205436
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Similar models

Record Medical Exam and Echocardiography CARLA

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Record
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Date of general investigation/interview
Item
Date of general investigation/interview
date
C0011008 (UMLS CUI [1,1])
C0021822 (UMLS CUI [1,2])
Beginning of waiting time before medical exam
Item
Beginning of waiting time before medical exam
time
C0814636 (UMLS CUI [1,1])
C0582103 (UMLS CUI [1,2])
Entry of subject into examination room
Item
Entry of subject into examination room
time
C1978796 (UMLS CUI [1,1])
C1707958 (UMLS CUI [1,2])
Beginning of medical exam
Item
Beginning of medical exam (arrival of physician)
time
C1301880 (UMLS CUI [1,1])
C0582103 (UMLS CUI [1,2])
End of medical exam
Item
End of medical exam (if known)
time
C1522314 (UMLS CUI [1,1])
C0582103 (UMLS CUI [1,2])
A medical exam has been performed
Item
A medical exam has been performed
boolean
C0420619 (UMLS CUI [1])
An echocardiography has been performed
Item
An echocardiography has been performed
boolean
C0013516 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
Item
Site of echocardiography
integer
C0013516 (UMLS CUI [1,1])
C1547117 (UMLS CUI [1,2])
Site of echo-investigation
Code List
Site of echocardiography
CL Item
Functional diagnostics department (1)
CL Item
Outpatient department (2)
ID of physician
Item
ID of physician
text
C1550333 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1,1])
C0013516 (UMLS CUI [1,2])
C0884358 (UMLS CUI [1,3])
Item
If medical exam and general investigation/interview did not take place on the same day, please indicate reason
integer
C0566251 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0013516 (UMLS CUI [1,4])
C088435 (UMLS CUI [1,5])
Different dates of medical exam and general examination/interview
Code List
If medical exam and general investigation/interview did not take place on the same day, please indicate reason
CL Item
Physician not available (1)
CL Item
Technical problems / Malfunction echocardiography device (2)
CL Item
Subject not available (3)
Item
If echocardiography and general investigation/interview did not take place on the same day, please indicate reason
integer
C0566251 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0013516 (UMLS CUI [1,4])
C088435 (UMLS CUI [1,5])
Different dates of medical exam and general examination/interview
Code List
If echocardiography and general investigation/interview did not take place on the same day, please indicate reason
CL Item
Physician not available (1)
CL Item
Technical problems / Malfunction echocardiography device (2)
CL Item
Subject not available (3)
Please specify in detail
Item
Please specify in detail
text
C0566251 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C0013516 (UMLS CUI [1,4])
C088435 (UMLS CUI [1,5])
Documentation by (examiner ID)
Item
Documentation by (examiner ID)
text
C1550333 (UMLS CUI [1])
Date of documentation
Item
Date of documentation
date
C0011008 (UMLS CUI [1,1])
C0920316 (UMLS CUI [1,2])
Information of subject
Item
The subject has been informed about the results of the general investigation by phone.
boolean
C1278466 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Date of telephonic information
Item
Date of telephonic information
date
C0011008 (UMLS CUI [1,1])
C1278466 (UMLS CUI [1,2])
Physician ID
Item
ID of informing physician
text
C1550333 (UMLS CUI [1])
Item Group
Second Appointment
A medical exam has been performed
Item
A medical exam has been performed
boolean
C0420619 (UMLS CUI [1])
An echocardiography has been performed
Item
An echocardiography has been performed
boolean
C0013516 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
Item
Site of echocardiography
integer
C0013516 (UMLS CUI [1,1])
C1547117 (UMLS CUI [1,2])
Site of echo-investigation
Code List
Site of echocardiography
CL Item
Functional diagnostics department (1)
CL Item
Outpatient department (2)
ID of physician
Item
ID of physician
text
C1550333 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1,1])
C0013516 (UMLS CUI [1,2])
C0884358 (UMLS CUI [1,3])
Beginning of waiting time before medical exam
Item
Beginning of waiting time before medical exam
time
C0814636 (UMLS CUI [1,1])
C0582103 (UMLS CUI [1,2])
Entry of subject into examination room
Item
Entry of subject into examination room
time
C1978796 (UMLS CUI [1,1])
C1707958 (UMLS CUI [1,2])
Beginning of medical exam
Item
Beginning of medical exam (arrival of physician)
time
C1301880 (UMLS CUI [1,1])
C0582103 (UMLS CUI [1,2])
End of medical exam
Item
End of medical exam (if known)
time
C1522314 (UMLS CUI [1,1])
C0582103 (UMLS CUI [1,2])
Documentation by (examiner ID)
Item
Documentation by (examiner ID)
text
C1550333 (UMLS CUI [1])
Date of documentation
Item
Date of documentation
date
C0011008 (UMLS CUI [1,1])
C0920316 (UMLS CUI [1,2])
Item Group
Data entry
1st data entry: DNo.
Item
1st data entry: DNo.
text
C0010995 (UMLS CUI [1,1])
C0205435 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
1st data entry: Date
Item
1st data entry: Date
date
C0011008 (UMLS CUI [1,1])
C0010995 (UMLS CUI [1,2])
C0205435 (UMLS CUI [1,3])
2nd data entry: DNo.
Item
2nd data entry: DNo.
text
C0010995 (UMLS CUI [1,1])
C0205436 (UMLS CUI [1,2])
C0237753 (UMLS CUI [1,3])
2nd data entry: Date
Item
2nd data entry: Date
date
C0011008 (UMLS CUI [1,1])
C0010995 (UMLS CUI [1,2])
C0205436 (UMLS CUI [1,3])
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