Engelsk

Clinical Observation V4.1

1 Formulär  
Clinical Observation
Beskrivning

Clinical Observation

Alias
UMLS CUI-1
C3889687
OBSCLIN - ID
Beskrivning

Arbitrary identifier for each unique OBS_CLIN record.

Datatyp

text

Alias
UMLS CUI [1,1]
C2348585
UMLS CUI [1,2]
C3889687
Patient- ID
Beskrivning

Arbitrary person-level identifier. Used to link across tables. All PATIDs must be present in the DEMOGRAPHIC table.

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Encounter-ID
Beskrivning

Arbitrary encounter-level identifier used to link across tables. Populate with the ENCOUNTERID where the observation was obtained. All ENCOUNTERIDs must be present in the ENCOUNTER table.

Datatyp

text

Alias
UMLS CUI [1,1]
C1947978
UMLS CUI [1,2]
C1300638
OBSCLIN Provider-ID
Beskrivning

Provider code for the provider who ordered the observation. The provider code is a pseudoidentifier with a consistent crosswalk to the real identifier. All PROVIDERIDs must be present in the PROVIDER table.

Datatyp

text

Alias
UMLS CUI [1,1]
C1138603
UMLS CUI [1,2]
C1300638
UMLS CUI [1,3]
C3889687
Clinical Observation Date and Time
Beskrivning

Date and time of observation/measurement

Datatyp

datetime

Alias
UMLS CUI [1,1]
C3889687
UMLS CUI [1,2]
C1264639
Clinical Observation Type
Beskrivning

Terminology / vocabulary used to describe the clinical observation.

Datatyp

text

Alias
UMLS CUI [1,1]
C0332307
UMLS CUI [1,2]
C3889687
Clinical observation code
Beskrivning

Code of the clinical observation in the vocabulary/terminology specified in OBSCLIN_TYPE. Results with local versions of LOINC codes (e.g., LOINC candidate codes) should be included in the RAW_ table field. The last digit of the LOINC code is a check digit and is always preceded by a hyphen. All parts of the LOINC code, including the hyphen, must be included. Do not pad codes with leading zeros.

Datatyp

text

Alias
UMLS CUI [1,1]
C3889687
UMLS CUI [1,2]
C0805701
Clinical Observation result quality
Beskrivning

Standardized result for qualitative results. This variable should be NI for quantitative results. If qualitative result cannot be harmonized to a value in OBSCLIN_RESULT_QUAL value set, please ensure that RAW_OBSCLIN_RESULT is populated with result value.

Datatyp

text

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C0332306
UMLS CUI [1,3]
C3889687
Clinical Observation Result Text
Beskrivning

Narrative/textual clinical observations

Datatyp

text

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C1527021
UMLS CUI [1,3]
C3889687
Clinical observation Result SNOMED CT
Beskrivning

If the qualitative result has been mapped to SNOMED CT, the corresponding SNOMED code can be placed here. Partners are not expected to derive or impute if not present in the source system.

Datatyp

text

Alias
UMLS CUI [1,1]
C1623497
UMLS CUI [1,2]
C1274040
UMLS CUI [1,3]
C3889687
Clinical Observation Result Number
Beskrivning

Standardized/converted result for quantitative results. Used to store quantitative results, including the numeric component of numeric results that contain operators (e.g., “<200”, “>= 0.5”). See guidance for RESULT_MODIFIER for further details.

Datatyp

float

Alias
UMLS CUI [1,1]
C1274040
UMLS CUI [1,2]
C0237753
UMLS CUI [1,3]
C3889687
Clinical Observation Result Modifier
Beskrivning

Modifier for result values. Any symbols in the RAW_RESULT value should be reflected in the RESULT_MODIFIER variable. For example, if the original source data value is "<=200" then RAW_RESULT=200 and RESULT_MODIFIER=LE. RESULT_NUM would also be set to “200”. If the original source data value is text, then RESULT_MODIFIER=TXIf the original source data value is a numeric value, then RESULT_MODIFIER=EQ

Datatyp

text

Alias
UMLS CUI [1,1]
C1254595
UMLS CUI [1,2]
C1515926
UMLS CUI [1,3]
C3889687
Clinical Observation Result Unit
Beskrivning

Converted/standardized units for the result. Chose the standardized unit of measure that is most reflective of the source data (if applicable). This is a mixed case value set and entries should be handled accordingly.

Datatyp

text

Alias
UMLS CUI [1,1]
C1254595
UMLS CUI [1,2]
C1519795
UMLS CUI [1,3]
C3889687
RAW OBSCLIN Name
Beskrivning

Local name related to an individual clinical observation/measurement.

Datatyp

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C0027365
UMLS CUI [1,3]
C3889687
UMLS CUI [2,1]
C0205313
UMLS CUI [2,2]
C0027365
UMLS CUI [2,3]
C0242485
RAW OBSCLIN Code
Beskrivning

Local code related to an individual clinical observation/measurement.

Datatyp

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C0805701
UMLS CUI [1,3]
C3889687
UMLS CUI [2,1]
C0205313
UMLS CUI [2,2]
C0805701
UMLS CUI [2,3]
C0242485
RAW OBSCLIN Type
Beskrivning

Terminology related to the code in RAW_OBSGEN_CODE.

Datatyp

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C0805701
UMLS CUI [1,4]
C3889687
UMLS CUI [2,1]
C0205313
UMLS CUI [2,2]
C0332307
UMLS CUI [2,3]
C0805701
UMLS CUI [2,4]
C0242485
RAW OBSCLIN Result
Beskrivning

The original test result value as seen in your source data. Values may include a decimal point, a sign or text (e.g., POSITIVE, NEGATIVE, DETECTED). The symbols >, <, >=, <= should be removed from the value and stored in the Modifier variable instead.

Datatyp

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C2826772
UMLS CUI [1,3]
C3889687
RAW OBSCLIN Modifier
Beskrivning

The original modifier text as represented in your source data.

Datatyp

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C3542952
UMLS CUI [1,3]
C1527021
UMLS CUI [1,4]
C3889687
RAW OBSCLIN Unit
Beskrivning

Original units for the result in your source data.

Datatyp

text

Alias
UMLS CUI [1,1]
C0205313
UMLS CUI [1,2]
C2826772
UMLS CUI [1,3]
C3889687
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Similar models

Clinical Observation V4.1

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Clinical Observation
C3889687 (UMLS CUI-1)
OBSCLIN- ID
Item
OBSCLIN - ID
text
C2348585 (UMLS CUI [1,1])
C3889687 (UMLS CUI [1,2])
PAT-ID
Item
Patient- ID
text
C2348585 (UMLS CUI [1])
Encounter-ID
Item
Encounter-ID
text
C1947978 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
OBSCLIN Provider-ID
Item
OBSCLIN Provider-ID
text
C1138603 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
OBSCLIN Date and Time
Item
Clinical Observation Date and Time
datetime
C3889687 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
Item
Clinical Observation Type
text
C0332307 (UMLS CUI [1,1])
C3889687 (UMLS CUI [1,2])
OBSCLIN Type
Code List
Clinical Observation Type
CL Item
LOINC (LC)
CL Item
SNOMED CT (observable entity)  (SM)
CL Item
No information  (NI)
CL Item
Unknown  (UN)
CL Item
Other (OT)
OBSCLIN Code
Item
Clinical observation code
text
C3889687 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
OBSCLIN Result Quality
Item
Clinical Observation result quality
text
C1274040 (UMLS CUI [1,1])
C0332306 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
OBSCLIN Result Text
Item
Clinical Observation Result Text
text
C1274040 (UMLS CUI [1,1])
C1527021 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
OBSCLIN Result SNOMED
Item
Clinical observation Result SNOMED CT
text
C1623497 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
OBSCLIN Result Number
Item
Clinical Observation Result Number
float
C1274040 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
Item
Clinical Observation Result Modifier
text
C1254595 (UMLS CUI [1,1])
C1515926 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
OBSCLIN Result Modifier
Code List
Clinical Observation Result Modifier
CL Item
Equal (EQ)
CL Item
Greater than or equal to (GE)
CL Item
Greater than  (GT)
CL Item
Less than or equal to  (LE)
CL Item
Less than (LT)
CL Item
Text (TX)
CL Item
No information UN=Unknown (NI)
CL Item
Other (OT)
OBSCLIN Result Unit
Item
Clinical Observation Result Unit
text
C1254595 (UMLS CUI [1,1])
C1519795 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
RAW OBSCLIN Name
Item
RAW OBSCLIN Name
text
C0205313 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
C0205313 (UMLS CUI [2,1])
C0027365 (UMLS CUI [2,2])
C0242485 (UMLS CUI [2,3])
RAW OBSCLIN Code
Item
RAW OBSCLIN Code
text
C0205313 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
C0205313 (UMLS CUI [2,1])
C0805701 (UMLS CUI [2,2])
C0242485 (UMLS CUI [2,3])
RAW OBSCLIN Type
Item
RAW OBSCLIN Type
text
C0205313 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,3])
C3889687 (UMLS CUI [1,4])
C0205313 (UMLS CUI [2,1])
C0332307 (UMLS CUI [2,2])
C0805701 (UMLS CUI [2,3])
C0242485 (UMLS CUI [2,4])
RAW OBSCLIN Result
Item
RAW OBSCLIN Result
text
C0205313 (UMLS CUI [1,1])
C2826772 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
RAW OBSCLIN Modifier
Item
RAW OBSCLIN Modifier
text
C0205313 (UMLS CUI [1,1])
C3542952 (UMLS CUI [1,2])
C1527021 (UMLS CUI [1,3])
C3889687 (UMLS CUI [1,4])
RAW OBSCLIN Unit
Item
RAW OBSCLIN Unit
text
C0205313 (UMLS CUI [1,1])
C2826772 (UMLS CUI [1,2])
C3889687 (UMLS CUI [1,3])
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