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ID

43652

Description

Routine documentation in German hospitals. Source file name: DG060108_Dokumentationsbogen Lungenfunktionsprüfung/ Spirometrie.061 Examplary forms provided by DMI (http://www.dmi.de/)

Lien

http://www.dmi.de/

Mots-clés

  1. 05/06/2016 05/06/2016 -
  2. 20/09/2021 20/09/2021 -
Téléchargé le

20 septembre 2021

DOI

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Licence

Creative Commons BY-NC 3.0

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    Spirometry Documentation form for lung function test Routine documentation in German hospitals DMI

    Spirometry Documentation form for lung function test

    Patienteninformation
    Description

    Patienteninformation

    Alias
    UMLS CUI-1
    C1955348 (Patient Information)
    Name
    Description

    Patient last name

    Type de données

    text

    Alias
    UMLS CUI [1]
    C1301584 (Last Name)
    SNOMED
    397678008
    Vorname
    Description

    Patient first name

    Type de données

    text

    Alias
    UMLS CUI [1]
    C1443235 (First Name)
    SNOMED
    408677003
    LOINC
    MTHU048693
    Geburtsdatum
    Description

    date of birth

    Type de données

    date

    Alias
    UMLS CUI [1]
    C0421451 (Patient date of birth)
    SNOMED
    184099003
    LOINC
    LP57552-9
    Geschlecht
    Description

    Gender

    Type de données

    text

    Alias
    UMLS CUI [1]
    C0079399 (Gender)
    SNOMED
    263495000
    LOINC
    LP61312-2
    Größe
    Description

    Body height

    Type de données

    integer

    Unités de mesure
    • cm
    Alias
    UMLS CUI [1]
    C0005890 (Body Height)
    SNOMED
    50373000
    cm
    Gewicht
    Description

    weight

    Type de données

    float

    Unités de mesure
    • kg
    Alias
    UMLS CUI [1]
    C0005910 (Body Weight)
    SNOMED
    27113001
    kg
    BMI
    Description

    BMI

    Type de données

    float

    Unités de mesure
    • kg/ m^2
    Alias
    UMLS CUI [1]
    C1305855 (Body mass index)
    SNOMED
    60621009
    LOINC
    LP35925-4
    kg/ m^2
    Ethnik
    Description

    Ethnicity

    Type de données

    text

    Alias
    UMLS CUI [1]
    C0015031 (Ethnic group)
    SNOMED
    398089004
    LOINC
    LP36231-6
    Raucher
    Description

    Smoking

    Type de données

    boolean

    Alias
    UMLS CUI [1]
    C0037369 (Smoking)
    LOINC
    LA8928-9
    Asthma
    Description

    Asthma

    Type de données

    boolean

    Alias
    UMLS CUI [1]
    C0004096 (Asthma)
    SNOMED
    195967001
    LOINC
    MTHU020815
    Aufnahmeinformation
    Description

    Aufnahmeinformation

    Alias
    UMLS CUI-1
    C2599639 (Admission Information)
    LOINC
    MTHU031555
    Typ
    Description

    Medical examination

    Type de données

    text

    Alias
    UMLS CUI [1]
    C0582103 (Medical Examination)
    SNOMED
    225886003
    Datum/ Zeit
    Description

    Date and time

    Type de données

    datetime

    Alias
    UMLS CUI [1]
    C1264639 (Date/Time)
    SNOMED
    118575009
    Refernzdatum
    Description

    Reference date

    Type de données

    date

    Alias
    UMLS CUI [1]
    C1719096 (Assessment reference date)
    LOINC
    MTHU029615
    Werteauswahl
    Description

    values selection

    Type de données

    text

    Umgebung
    Description

    Temperature; Pressure

    Type de données

    text

    Alias
    UMLS CUI [1]
    C0039476 (Temperature)
    SNOMED
    703421000
    LOINC
    MTHU009008
    UMLS CUI [2]
    C0033095 (Pressure- physical agent)
    SNOMED
    279046003
    LOINC
    LP73147-8
    Position
    Description

    Position

    Type de données

    text

    Alias
    UMLS CUI [1]
    C0733755 (Positioning Attribute)
    SNOMED
    246268007
    LOINC
    LP73131-2
    Assistent
    Description

    Assistent

    Type de données

    text

    Alias
    UMLS CUI [1]
    C0402245 (Medical Laboratory Technicians)
    SNOMED
    159285000
    Patientenmitarbeit
    Description

    Patientenmitarbeit

    Alias
    UMLS CUI-1
    C1321605 (Compliance behavior)
    SNOMED
    405078008
    Ruhe (Akzeptiert)
    Description

    Relax

    Type de données

    integer

    Alias
    UMLS CUI [1]
    C0542193 (Relaxed)
    SNOMED
    15166001
    Ruhe (Reproduzierbar)
    Description

    Relax

    Type de données

    integer

    Alias
    UMLS CUI [1]
    C0542193 (Relaxed)
    SNOMED
    15166001
    Ruhe (ERS/ ATS)
    Description

    Relax

    Type de données

    integer

    Alias
    UMLS CUI [1]
    C0542193 (Relaxed)
    SNOMED
    15166001
    Bestwerte
    Description

    Bestwerte

    Alias
    UMLS CUI-1
    C1299381 (Best value - numeric estimation technique)
    SNOMED
    371912002
    TV
    Description

    total volume

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0842272 (Measurement of total lung volume)
    L
    FVC (ex)
    Description

    Forced vital capacity

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0802683 (Forced vital capacity:Vol:Pt:Respiratory system:Qn:Spirometry)
    LOINC
    19868-9
    L
    FVC (ex) (REF)
    Description

    Forced vital capacity

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0802683 (Forced vital capacity:Vol:Pt:Respiratory system:Qn:Spirometry)
    LOINC
    19868-9
    L
    FVC (ex) (Pre%)
    Description

    Forced vital capacity

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0802683 (Forced vital capacity:Vol:Pt:Respiratory system:Qn:Spirometry)
    LOINC
    19868-9
    L
    FVC (ex) (Referenz)
    Description

    Forced vital capacity

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0802683 (Forced vital capacity:Vol:Pt:Respiratory system:Qn:Spirometry)
    LOINC
    19868-9
    L
    FEV1
    Description

    FEV1

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0748133 (PULMONARY FUNCTION TEST FEV1)
    L
    FEV1 (REF)
    Description

    FEV1

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0748133 (PULMONARY FUNCTION TEST FEV1)
    L
    FEV1 (Pre%)
    Description

    FEV1

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0748133 (PULMONARY FUNCTION TEST FEV1)
    L
    FEV1 (Referenz)
    Description

    FEV1

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0748133 (PULMONARY FUNCTION TEST FEV1)
    L
    FEV1/ FVC
    Description

    FEV1/ FVC

    Type de données

    float

    Alias
    UMLS CUI [1]
    C3815113 (Forced Expiratory Volume in 1 Second to Forced Vital Capacity Ratio Measurement)
    FEV1/ FVC (REF)
    Description

    FEV1/ FVC

    Type de données

    float

    Alias
    UMLS CUI [1]
    C3815113 (Forced Expiratory Volume in 1 Second to Forced Vital Capacity Ratio Measurement)
    FEV1/ FVC (Pre%)
    Description

    FEV1/ FVC

    Type de données

    float

    Alias
    UMLS CUI [1]
    C3815113 (Forced Expiratory Volume in 1 Second to Forced Vital Capacity Ratio Measurement)
    FEV1/ FVC (Referenz)
    Description

    FEV1/ FVC

    Type de données

    float

    Alias
    UMLS CUI [1]
    C3815113 (Forced Expiratory Volume in 1 Second to Forced Vital Capacity Ratio Measurement)
    FEF 25_27
    Description

    FEF 25_27

    Type de données

    float

    Unités de mesure
    • L/s
    Alias
    UMLS CUI [1]
    C4027621 (FEF25-75%)
    L/s
    FEF 25_27 (REF)
    Description

    FEF 25_27

    Type de données

    float

    Unités de mesure
    • L/s
    Alias
    UMLS CUI [1]
    C4027621 (FEF25-75%)
    L/s
    FEF 25_27 (Pre%)
    Description

    FEF 25_27

    Type de données

    float

    Unités de mesure
    • L/s
    Alias
    UMLS CUI [1]
    C4027621 (FEF25-75%)
    L/s
    FEF 25_27 (Referenz)
    Description

    FEF 25_27

    Type de données

    float

    Unités de mesure
    • L/s
    Alias
    UMLS CUI [1]
    C4027621 (FEF25-75%)
    L/s
    PEF
    Description

    Peak expiratory flow rate

    Type de données

    float

    Unités de mesure
    • L/s
    Alias
    UMLS CUI [1]
    C0030735 (Peak expiratory flow rate measurement)
    L/s
    FVC (in)
    Description

    Forced vital capacity

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0802683 (Forced vital capacity:Vol:Pt:Respiratory system:Qn:Spirometry)
    LOINC
    19868-9
    L
    FVC (in) (REF)
    Description

    Forced vital capacity

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0802683 (Forced vital capacity:Vol:Pt:Respiratory system:Qn:Spirometry)
    LOINC
    19868-9
    L
    FVC (in) (Pre%)
    Description

    Forced vital capacity

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0802683 (Forced vital capacity:Vol:Pt:Respiratory system:Qn:Spirometry)
    LOINC
    19868-9
    L
    FVC (in) (Referenz)
    Description

    Forced vital capacity

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C0802683 (Forced vital capacity:Vol:Pt:Respiratory system:Qn:Spirometry)
    LOINC
    19868-9
    L
    FIV1
    Description

    FIV1

    Type de données

    float

    Unités de mesure
    • L
    Alias
    UMLS CUI [1]
    C3827005 (Forced Inspiratory Volume in 1 Second)
    L
    FIV1/ FVC (in)
    Description

    FIV1/ FVC

    Type de données

    float

    Bericht
    Description

    Bericht

    Alias
    UMLS CUI-1
    C0684224 (Report (document))
    SNOMED
    229059009
    LOINC
    LP183761-8
    Bericht
    Description

    Report

    Type de données

    text

    Alias
    UMLS CUI [1]
    C0684224 (Report (document))
    SNOMED
    229059009
    LOINC
    LP183761-8

    Similar models

    Spirometry Documentation form for lung function test

    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    Patienteninformation
    C1955348 (UMLS CUI-1)
    Patient last name
    Item
    Name
    text
    C1301584 (UMLS CUI [1])
    Patient first name
    Item
    Vorname
    text
    C1443235 (UMLS CUI [1])
    date of birth
    Item
    Geburtsdatum
    date
    C0421451 (UMLS CUI [1])
    Gender
    Item
    Geschlecht
    text
    C0079399 (UMLS CUI [1])
    Body height
    Item
    Größe
    integer
    C0005890 (UMLS CUI [1])
    weight
    Item
    Gewicht
    float
    C0005910 (UMLS CUI [1])
    BMI
    Item
    BMI
    float
    C1305855 (UMLS CUI [1])
    Ethnicity
    Item
    Ethnik
    text
    C0015031 (UMLS CUI [1])
    Smoking
    Item
    Raucher
    boolean
    C0037369 (UMLS CUI [1])
    Asthma
    Item
    Asthma
    boolean
    C0004096 (UMLS CUI [1])
    Item Group
    Aufnahmeinformation
    C2599639 (UMLS CUI-1)
    Medical examination
    Item
    Typ
    text
    C0582103 (UMLS CUI [1])
    Date and time
    Item
    Datum/ Zeit
    datetime
    C1264639 (UMLS CUI [1])
    Reference date
    Item
    Refernzdatum
    date
    C1719096 (UMLS CUI [1])
    values selection
    Item
    Werteauswahl
    text
    Temperature; Pressure
    Item
    Umgebung
    text
    C0039476 (UMLS CUI [1])
    C0033095 (UMLS CUI [2])
    Position
    Item
    Position
    text
    C0733755 (UMLS CUI [1])
    Assistent
    Item
    Assistent
    text
    C0402245 (UMLS CUI [1])
    Item Group
    Patientenmitarbeit
    C1321605 (UMLS CUI-1)
    Relax
    Item
    Ruhe (Akzeptiert)
    integer
    C0542193 (UMLS CUI [1])
    Relax
    Item
    Ruhe (Reproduzierbar)
    integer
    C0542193 (UMLS CUI [1])
    Relax
    Item
    Ruhe (ERS/ ATS)
    integer
    C0542193 (UMLS CUI [1])
    Item Group
    Bestwerte
    C1299381 (UMLS CUI-1)
    total volume
    Item
    TV
    float
    C0842272 (UMLS CUI [1])
    Forced vital capacity
    Item
    FVC (ex)
    float
    C0802683 (UMLS CUI [1])
    Forced vital capacity
    Item
    FVC (ex) (REF)
    float
    C0802683 (UMLS CUI [1])
    Forced vital capacity
    Item
    FVC (ex) (Pre%)
    float
    C0802683 (UMLS CUI [1])
    Forced vital capacity
    Item
    FVC (ex) (Referenz)
    float
    C0802683 (UMLS CUI [1])
    FEV1
    Item
    FEV1
    float
    C0748133 (UMLS CUI [1])
    FEV1
    Item
    FEV1 (REF)
    float
    C0748133 (UMLS CUI [1])
    FEV1
    Item
    FEV1 (Pre%)
    float
    C0748133 (UMLS CUI [1])
    FEV1
    Item
    FEV1 (Referenz)
    float
    C0748133 (UMLS CUI [1])
    FEV1/ FVC
    Item
    FEV1/ FVC
    float
    C3815113 (UMLS CUI [1])
    FEV1/ FVC
    Item
    FEV1/ FVC (REF)
    float
    C3815113 (UMLS CUI [1])
    FEV1/ FVC
    Item
    FEV1/ FVC (Pre%)
    float
    C3815113 (UMLS CUI [1])
    FEV1/ FVC
    Item
    FEV1/ FVC (Referenz)
    float
    C3815113 (UMLS CUI [1])
    FEF 25_27
    Item
    FEF 25_27
    float
    C4027621 (UMLS CUI [1])
    FEF 25_27
    Item
    FEF 25_27 (REF)
    float
    C4027621 (UMLS CUI [1])
    FEF 25_27
    Item
    FEF 25_27 (Pre%)
    float
    C4027621 (UMLS CUI [1])
    FEF 25_27
    Item
    FEF 25_27 (Referenz)
    float
    C4027621 (UMLS CUI [1])
    Peak expiratory flow rate
    Item
    PEF
    float
    C0030735 (UMLS CUI [1])
    Forced vital capacity
    Item
    FVC (in)
    float
    C0802683 (UMLS CUI [1])
    Forced vital capacity
    Item
    FVC (in) (REF)
    float
    C0802683 (UMLS CUI [1])
    Forced vital capacity
    Item
    FVC (in) (Pre%)
    float
    C0802683 (UMLS CUI [1])
    Forced vital capacity
    Item
    FVC (in) (Referenz)
    float
    C0802683 (UMLS CUI [1])
    FIV1
    Item
    FIV1
    float
    C3827005 (UMLS CUI [1])
    FIV1/ FVC
    Item
    FIV1/ FVC (in)
    float
    Item Group
    Bericht
    C0684224 (UMLS CUI-1)
    Report
    Item
    Bericht
    text
    C0684224 (UMLS CUI [1])

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