ID

42823

Beschrijving

Documentation form "Kitteltaschenzettel"converted to ODM format. Routine documentation of University Hospital of Essen. Publication granted by: Priv.-Doz. Dr. med. Benedikt, University Hospital of Essen, Essen, Germany.

Trefwoorden

  1. 27-03-17 27-03-17 -
  2. 17-09-21 17-09-21 -
Houder van rechten

University Hospital Essen

Geüploaded op

17 september 2021

DOI

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Licentie

Creative Commons BY-NC 3.0

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Pocket Note MS Outpatient Department Neurology University Hospital Essen

Pocket Note

  1. StudyEvent: ODM
    1. Pocket Note
Administrativ
Beschrijving

Administrativ

Alias
UMLS CUI-1
C1320722
Patientenname
Beschrijving

Patient name

Datatype

text

Alias
UMLS CUI [1]
C1299487
Geburtsdatum
Beschrijving

Date of birth

Datatype

date

Alias
UMLS CUI [1]
C0421451
Alter
Beschrijving

Age

Datatype

integer

Alias
UMLS CUI [1]
C0001779
Aufnahme
Beschrijving

Admission date

Datatype

date

Alias
UMLS CUI [1]
C1302393
Station
Beschrijving

Ward

Datatype

text

Alias
UMLS CUI [1]
C1305702
Zimmer
Beschrijving

Room

Datatype

integer

Alias
UMLS CUI [1]
C1547120
KK- Status
Beschrijving

Insurance status

Datatype

text

Alias
UMLS CUI [1]
C1548070
REA
Beschrijving

REA

Datatype

text

Zuständig
Beschrijving

responsible

Datatype

text

Alias
UMLS CUI [1]
C1273518
Diagnosen
Beschrijving

Diagnosen

Alias
UMLS CUI-1
C0011900
Diagnosen
Beschrijving

Diagnosis

Datatype

text

Alias
UMLS CUI [1]
C0011900
Verlauf/ Aufgaben
Beschrijving

clinical course

Datatype

text

Alias
UMLS CUI [1]
C0449259
Diagnostik
Beschrijving

Diagnostic

Datatype

text

Alias
UMLS CUI [1]
C0086143
Für alle Patienten mit Schlaganfall ausfüllen:
Beschrijving

Für alle Patienten mit Schlaganfall ausfüllen:

Alias
UMLS CUI-1
C0038454
Prämorbider mRS
Beschrijving

Modified Rankin Scale Premorbid

Datatype

text

Alias
UMLS CUI [1,1]
C2984908
UMLS CUI [1,2]
C4036806
NIHSS bei Aufnahme
Beschrijving

NIH stroke scale; admission

Datatype

text

Alias
UMLS CUI [1]
C1697238
UMLS CUI [2]
C0184666
Symptombeginn
Beschrijving

Date and Time Symptom Start

Datatype

datetime

Alias
UMLS CUI [1,1]
C1264639
UMLS CUI [1,2]
C0586401
Differenz bis Aufnahme
Beschrijving

admission

Datatype

text

Alias
UMLS CUI [1]
C0030673
Lysebeginn
Beschrijving

Date and time Lysis Beginning

Datatype

datetime

Alias
UMLS CUI [1,1]
C1264639
UMLS CUI [1,2]
C0024348
UMLS CUI [1,3]
C0439659
Zeitspanne seit Aufnahme
Beschrijving

period Patient Admission

Datatype

text

Alias
UMLS CUI [1,1]
C1948053
UMLS CUI [1,2]
C0030673
Thrombektomiebeginn
Beschrijving

Date and time Thrombectomy Beginning

Datatype

datetime

Alias
UMLS CUI [1,1]
C1264639
UMLS CUI [1,2]
C0162578
UMLS CUI [1,3]
C0439659
Zeitspanne seit Aufnahme
Beschrijving

period Patient Admission

Datatype

text

Alias
UMLS CUI [1,1]
C1948053
UMLS CUI [1,2]
C0030673

Similar models

Pocket Note

  1. StudyEvent: ODM
    1. Pocket Note
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrativ
C1320722 (UMLS CUI-1)
Patient name
Item
Patientenname
text
C1299487 (UMLS CUI [1])
Date of birth
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Age
Item
Alter
integer
C0001779 (UMLS CUI [1])
Admission date
Item
Aufnahme
date
C1302393 (UMLS CUI [1])
Ward
Item
Station
text
C1305702 (UMLS CUI [1])
Room
Item
Zimmer
integer
C1547120 (UMLS CUI [1])
Insurance status
Item
KK- Status
text
C1548070 (UMLS CUI [1])
REA
Item
REA
text
responsible
Item
Zuständig
text
C1273518 (UMLS CUI [1])
Item Group
Diagnosen
C0011900 (UMLS CUI-1)
Diagnosis
Item
Diagnosen
text
C0011900 (UMLS CUI [1])
clinical course
Item
Verlauf/ Aufgaben
text
C0449259 (UMLS CUI [1])
Diagnostic
Item
Diagnostik
text
C0086143 (UMLS CUI [1])
Item Group
Für alle Patienten mit Schlaganfall ausfüllen:
C0038454 (UMLS CUI-1)
Modified Rankin Scale Premorbid
Item
Prämorbider mRS
text
C2984908 (UMLS CUI [1,1])
C4036806 (UMLS CUI [1,2])
NIH stroke scale; admission
Item
NIHSS bei Aufnahme
text
C1697238 (UMLS CUI [1])
C0184666 (UMLS CUI [2])
Date and Time Symptom Start
Item
Symptombeginn
datetime
C1264639 (UMLS CUI [1,1])
C0586401 (UMLS CUI [1,2])
admission
Item
Differenz bis Aufnahme
text
C0030673 (UMLS CUI [1])
Date and time Lysis Beginning
Item
Lysebeginn
datetime
C1264639 (UMLS CUI [1,1])
C0024348 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,3])
period Patient Admission
Item
Zeitspanne seit Aufnahme
text
C1948053 (UMLS CUI [1,1])
C0030673 (UMLS CUI [1,2])
Date and time Thrombectomy Beginning
Item
Thrombektomiebeginn
datetime
C1264639 (UMLS CUI [1,1])
C0162578 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,3])
period Patient Admission
Item
Zeitspanne seit Aufnahme
text
C1948053 (UMLS CUI [1,1])
C0030673 (UMLS CUI [1,2])

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