Informatie:
Fout:
ID
42134
Beschrijving
HIS form ORBIS. with friendly permission form urology (Prof. Semjonow) and medical informatics department (Dr. Breil)
Trefwoorden
Versies (2)
- 07-08-13 07-08-13 -
- 13-04-21 13-04-21 - Dr. rer. medic Philipp Neuhaus
Geüploaded op
13 april 2021
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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HIS surgery report prostate cancer
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HIS
- StudyEvent: HIS
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Bericht vom:
Item
Datum Bericht
date
Date of Report (Code-1)
C1302584 (UMLS CUI-1)
399651003 (SNOMED CT-1)
C1302584 (UMLS CUI-1)
399651003 (SNOMED CT-1)
Arztkürzel
Item
Arzt
string
Patientenname
Item
Patientenname
string
Patient name (observable entity) (Code-1)
C1299487 (UMLS CUI-1)
371484003 (SNOMED CT-1)
C1299487 (UMLS CUI-1)
371484003 (SNOMED CT-1)
Geburtsdatum
Item
Patienten-Geburtsdatum
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
184099003 (SNOMED CT-1)
Fall-Nr.
Item
Fallnummer
string
Case - situation (qualifier value) (Code-1)
C0868928 (UMLS CUI-1)
398241000 (SNOMED CT-1)
Identifier (Code-2)
C0600091 (UMLS CUI-2)
118522005 (SNOMED CT-2)
C0868928 (UMLS CUI-1)
398241000 (SNOMED CT-1)
Identifier (Code-2)
C0600091 (UMLS CUI-2)
118522005 (SNOMED CT-2)
Aufnahmeklinik
Item
Krankenhaus
string
Aufnahmedatum
Item
Aufnahmedatum
date
Entlassungsdatum
Item
Entlassungsdatum
date
Aufnahmeart
Item
Aufnahmestatus
string
Admission statuses (finding) (Code-1)
C0586002 (UMLS CUI-1)
308277006 (SNOMED CT-1)
C0586002 (UMLS CUI-1)
308277006 (SNOMED CT-1)
Station
Item
Station
string
Ward (environment) (Code-1)
C1305702 (UMLS CUI-1)
225746001 (SNOMED CT-1)
C1305702 (UMLS CUI-1)
225746001 (SNOMED CT-1)
Anästhesie
Item
Anästhesist
string
Anesthesiologist (Code-1)
C0334910 (UMLS CUI-1)
88189002 (SNOMED CT-1)
C0334910 (UMLS CUI-1)
88189002 (SNOMED CT-1)
OP-Team
Item
Operations Team
string
Histologische Präparate?
Item
Präparate
string
OP-Dauer (min)
Item
Dauer der Operation
string
Length of procedure (observable entity) (Code-1)
C1299418 (UMLS CUI-1)
371767005 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
C1299418 (UMLS CUI-1)
371767005 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
Prostatavolumen (ccm)
Item
Volumen Prostata
string
Volume (Code-1)
C0449468 (UMLS CUI-1)
118565006 (SNOMED CT-1)
MTHU003070 (LOINC-1)
Prostate (Code-2)
C0033572 (UMLS CUI-2)
41216001 (SNOMED CT-2)
MTHU004957 (LOINC-2)
C0449468 (UMLS CUI-1)
118565006 (SNOMED CT-1)
MTHU003070 (LOINC-1)
Prostate (Code-2)
C0033572 (UMLS CUI-2)
41216001 (SNOMED CT-2)
MTHU004957 (LOINC-2)
Geschätzter Blutverlust (l)
Item
Geschätzter Blutverlust
string
Surgical operation note estimated blood loss:Vol:Procedure dur:^Patient:Qn (Code-1)
C0488622 (UMLS CUI-1)
8717-1 (LOINC-1)
C0488622 (UMLS CUI-1)
8717-1 (LOINC-1)
Erythrozytenkonzentrate intra-OP (l)
Item
Erythrozyten Transfusion
string
Erythrocyte Transfusion (Code-1)
C0086252 (UMLS CUI-1)
116863004 (SNOMED CT-1)
C0086252 (UMLS CUI-1)
116863004 (SNOMED CT-1)
Infusionsmenge
Item
Infusion
string
Infusion procedures (Code-1)
C0574032 (UMLS CUI-1)
36576007 (SNOMED CT-1)
10060345 (MedDRA-1)
_Infusion (HL7 V3-1)
C0574032 (UMLS CUI-1)
36576007 (SNOMED CT-1)
10060345 (MedDRA-1)
_Infusion (HL7 V3-1)
Anastomose dicht
Item
Anastomose intakt
boolean
Anastomosis, intact (morphologic abnormality) (Code-1)
C1265704 (UMLS CUI-1)
125215000 (SNOMED CT-1)
C1265704 (UMLS CUI-1)
125215000 (SNOMED CT-1)
Kont. Gef. ?
Item
nicht_kodiert
string
Rektumläsion
Item
Rektumläsion
boolean
Lesion of rectum (finding) (Code-1)
C0577034 (UMLS CUI-1)
300312006 (SNOMED CT-1)
10054828 (MedDRA-1)
C0577034 (UMLS CUI-1)
300312006 (SNOMED CT-1)
10054828 (MedDRA-1)
Nervus obturatorius Läsion
Item
Nervus obturatorius Läsion
boolean
Obturator nerve lesion (disorder) (Code-1)
C0574915 (UMLS CUI-1)
298130005 (SNOMED CT-1)
10065292 (MedDRA-1)
C0574915 (UMLS CUI-1)
298130005 (SNOMED CT-1)
10065292 (MedDRA-1)
andere Komplikation
Item
intraoperative Komplikationen
boolean
C0021890 (UMLS CUI-1)
10052620 (MedDRA-1)
10052620 (MedDRA-1)
Unterschrift Arzt
Item
Arzt-Unterschrift
string
Signature of responsible attending physician on file (Code-1)
C0807938 (UMLS CUI-1)
C0807938 (UMLS CUI-1)