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AHB Diagnosis Report MS

1 Formulare  
  1. StudyEvent: ODM-Test
    1. AHB Diagnosis Report MS
General Info
Beschreibung

General Info

Alias
UMLS CUI-1
C1508263
insurance number
Beschreibung

insurance number

Datentyp

text

tag
Datentyp

text

address of rehabilitation clinic
Datentyp

text

hospital address
Datentyp

text

Contact person
Datentyp

text

Alias
UMLS CUI-1
C0337611
Administrative procedure
Datentyp

integer

Proposed rehabilitation method
Datentyp

text

Patient data
Beschreibung

Patient data

Name
Datentyp

text

Alias
UMLS CUI-1
C0421448
First name
Datentyp

text

Alias
UMLS CUI-1
C1443235
Date of Birth
Datentyp

date

Alias
UMLS CUI-1
C0421451
Patient address
Datentyp

text

Hospital
Beschreibung

Hospital

Admission date
Datentyp

date

Alias
UMLS CUI-1
C1302393
Reason for rehabilitation
Datentyp

integer

Date of event
Datentyp

date

Accident while engaged in work-related activity
Datentyp

boolean

Alias
UMLS CUI-1
C0586557
ASR-Revisionseingriff
Datentyp

boolean

mögliche Schädigung durch Dritte
Datentyp

text

Discharge date (Planned)
Datentyp

date

Alias
UMLS CUI-1
C2361123
UMLS CUI-2
C1301732
Transfer date (planned)
Datentyp

date

Diagnosis
Beschreibung

Diagnosis

Alias
UMLS CUI-1
C0011900
Diagnosis
Datentyp

text

Alias
UMLS CUI-1
C0011900
Diagnosis (ICD-10-GM)
Datentyp

text

DRG group
Datentyp

text

Clinical course
Beschreibung

Clinical course

Alias
UMLS CUI-1
C0449259
Clinical course
Datentyp

text

Alias
UMLS CUI-1
C0449259
Current status
Datentyp

text

Further steps
Datentyp

text

Further diseases or disabilities
Beschreibung

Further diseases or disabilities

Further relevant diseases or disabilities
Datentyp

text

Clinical and medical-technical findings
Beschreibung

Clinical and medical-technical findings

Clinical and medical-technical findings
Datentyp

text

Patient characteristics
Beschreibung

Patient characteristics

Alias
UMLS CUI-1
C0815172
eat without assistance
Datentyp

boolean

wash and dress without assistance
Datentyp

boolean

walk without assistance
Datentyp

boolean

Closed wound
Datentyp

boolean

Alias
UMLS CUI-1
C0679319
Multiresistant germs
Datentyp

text

Urinary Incontinence
Datentyp

boolean

Alias
UMLS CUI-1
C0042024
Drainage procedure
Datentyp

text

Alias
UMLS CUI-1
C0013103
Fecal Incontinence
Datentyp

boolean

Alias
UMLS CUI-1
C0015732
Wheelchair user
Datentyp

boolean

Alias
UMLS CUI-1
C0853966
Cognitive Orientation
Datentyp

text

Alias
UMLS CUI-1
C0029266
Transfer options
Datentyp

integer

person accompanying patient
Datentyp

boolean

Alias
UMLS CUI-1
C2079578
Taxi
Datentyp

boolean

Alias
UMLS CUI-1
C0336814
Ambulance
Datentyp

boolean

Alias
UMLS CUI-1
C0002422
Comments
Datentyp

text

Alias
UMLS CUI-1
C0947611
active participation in rehabilitation
Datentyp

boolean

Signature
Beschreibung

Signature

Alias
UMLS CUI-1
C1519316
Date of signature
Datentyp

date

Physician signature
Datentyp

text

Alias
UMLS CUI-1
C1519316
Physician stamp
Datentyp

text

Telephone
Datentyp

text

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Ähnliche Modelle

AHB Diagnosis Report MS

1 Formulare
  1. StudyEvent: ODM-Test
    1. AHB Diagnosis Report MS
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
General Info
C1508263 (UMLS CUI-1)
insurance number
Item
insurance number
text
tag
Item
text
address of rehabilitation clinic
Item
text
hospital address
Item
text
Contact person
Item
text
C0337611 (UMLS CUI-1)
Administrative procedure
Code List
Administrative procedure
CL Item
 (1)
CL Item
 (2)
Proposed rehabilitation method
Code List
Proposed rehabilitation method
CL Item
 (1)
CL Item
 (2)
Item Group
Name
Item
text
C0421448 (UMLS CUI-1)
First name
Item
text
C1443235 (UMLS CUI-1)
Date of Birth
Item
date
C0421451 (UMLS CUI-1)
Patient address
Item
text
Item Group
Admission date
Item
date
C1302393 (UMLS CUI-1)
Reason for rehabilitation
Code List
Reason for rehabilitation
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
CL Item
 (5)
Date of event
Item
date
Accident while engaged in work-related activity
Item
boolean
C0586557 (UMLS CUI-1)
ASR-Revisionseingriff
Item
boolean
mögliche Schädigung durch Dritte
Item
text
Discharge date (Planned)
Item
date
C2361123 (UMLS CUI-1)
C1301732 (UMLS CUI-2)
Transfer date (planned)
Item
date
Item Group
C0011900 (UMLS CUI-1)
Diagnosis
Item
text
C0011900 (UMLS CUI-1)
Diagnosis (ICD-10-GM)
Item
text
DRG group
Item
text
Item Group
C0449259 (UMLS CUI-1)
Clinical course
Item
text
C0449259 (UMLS CUI-1)
Current status
Item
text
Further steps
Item
text
Further relevant diseases or disabilities
Item
text
Clinical and medical-technical findings
Item
text
Item Group
C0815172 (UMLS CUI-1)
eat without assistance
Item
boolean
wash and dress without assistance
Item
boolean
walk without assistance
Item
boolean
Closed wound
Item
boolean
C0679319 (UMLS CUI-1)
Multiresistant germs
Item
text
Urinary Incontinence
Item
boolean
C0042024 (UMLS CUI-1)
Drainage procedure
Item
text
C0013103 (UMLS CUI-1)
Fecal Incontinence
Item
boolean
C0015732 (UMLS CUI-1)
Wheelchair user
Item
boolean
C0853966 (UMLS CUI-1)
Cognitive Orientation
Item
text
C0029266 (UMLS CUI-1)
Item
integer
Transfer options
Code List
Transfer options
CL Item
 (1)
CL Item
 (2)
person accompanying patient
Item
boolean
C2079578 (UMLS CUI-1)
Taxi
Item
boolean
C0336814 (UMLS CUI-1)
Ambulance
Item
boolean
C0002422 (UMLS CUI-1)
Comments
Item
text
C0947611 (UMLS CUI-1)
active participation in rehabilitation
Item
boolean
Item Group
C1519316 (UMLS CUI-1)
Date of signature
Item
date
Physician signature
Item
text
C1519316 (UMLS CUI-1)
Physician stamp
Item
text
Telephone
Item
text
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