Engelsk

Follow-Up Visit und Unscheduled Visit Form

1 Formulär  
Administrative Data
Beskrivning

Administrative Data

Alias
UMLS CUI-1
C1320722
Visit Date
Beskrivning

Visit Date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Subject Identifier
Beskrivning

Subject Identifier

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Visit Type
Beskrivning

Visit Type

Datatyp

integer

Alias
UMLS CUI [1]
C3641100
Vital Signs
Beskrivning

Vital Signs

Alias
UMLS CUI-1
C0518766
Blood pressure (Systolic)
Beskrivning

Sitting

Datatyp

integer

Måttenheter
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Blood pressure (Diastolic)
Beskrivning

Sitting

Datatyp

integer

Måttenheter
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Heart rate
Beskrivning

Sitting

Datatyp

integer

Måttenheter
  • beats/minute
Alias
UMLS CUI [1]
C0018810
beats/minute
Physical Examination
Beskrivning

Physical Examination

Alias
UMLS CUI-1
C0031809
Hair and skin
Beskrivning

Hair and skin

Datatyp

integer

Alias
UMLS CUI [1,1]
C0018494
UMLS CUI [1,2]
C0558035
Hair and Skin: If Abnormal, please specify
Beskrivning

Hair and Skin

Datatyp

text

Alias
UMLS CUI [1,1]
C0018494
UMLS CUI [1,2]
C0558035
Lymph nodes
Beskrivning

Lymph nodes

Datatyp

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0024204
Lymph nodes: If Abnormal, please specify
Beskrivning

Lymph nodes

Datatyp

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0024204
Eyes
Beskrivning

Eyes

Datatyp

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0200149
Eyes: If Abnormal, please specify
Beskrivning

Eyes

Datatyp

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0200149
Ears, Nose and Throat
Beskrivning

Ears, Nose and Throat

Datatyp

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0278350
Ears, Nose and Throat: If Abnormal, please specify
Beskrivning

Ears, Nose and Throat

Datatyp

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0278350
Breasts
Beskrivning

Breasts

Datatyp

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0199850
Breasts: If Abnormal or not done, please specify
Beskrivning

Breasts

Datatyp

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0199850
Respiratory
Beskrivning

Respiratory

Datatyp

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0436121
Respiratory: If Abnormal, please specify
Beskrivning

Respiratory

Datatyp

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0436121
Cardiovascular
Beskrivning

Cardiovascular

Datatyp

integer

Alias
UMLS CUI [1]
C3854344
Cardiovascular: If Abnormal, please specify
Beskrivning

Cardiovascular

Datatyp

text

Alias
UMLS CUI [1]
C3854344
Abdomen
Beskrivning

Abdomen

Datatyp

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0000726
Abdomen: If Abnormal, please specify
Beskrivning

Abdomen

Datatyp

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0000726
Urogenital
Beskrivning

Urogenital

Datatyp

integer

Alias
UMLS CUI [1]
C1828035
Urogenital: If abnormal or not done, please specify
Beskrivning

Urogenital

Datatyp

text

Alias
UMLS CUI [1]
C1828035
Pelvic
Beskrivning

Pelvic

Datatyp

integer

Alias
UMLS CUI [1]
C0200045
Pelvic: If Abnormal or not done, please specify
Beskrivning

Pelvic

Datatyp

text

Alias
UMLS CUI [1]
C0200045
Rectal
Beskrivning

Rectal

Datatyp

integer

Alias
UMLS CUI [1]
C0199900
Rectal: If abnormal or not done, please specify
Beskrivning

Rectal

Datatyp

text

Alias
UMLS CUI [1]
C0199900
Musculoskeletal
Beskrivning

Musculoskeletal

Datatyp

integer

Alias
UMLS CUI [1]
C0475091
Musculoskeletal: If Abnormal, please specify
Beskrivning

Musculoskeletal

Datatyp

text

Alias
UMLS CUI [1]
C0475091
Neurological
Beskrivning

Neurological

Datatyp

integer

Alias
UMLS CUI [1]
C0027853
Neurological: If Abnormal, please specify
Beskrivning

Neurological

Datatyp

text

Alias
UMLS CUI [1]
C0027853
Mental status
Beskrivning

Mental status

Datatyp

integer

Alias
UMLS CUI [1]
C3260990
Mental Status: If Abnormal, please specify
Beskrivning

Mental Status

Datatyp

text

Alias
UMLS CUI [1]
C3260990
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Similar models

Follow-Up Visit und Unscheduled Visit Form

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Subject Identifier
Item
Subject Identifier
text
C2348585 (UMLS CUI [1])
Item
Visit Type
integer
C3641100 (UMLS CUI [1])
Visit Type
Code List
Visit Type
CL Item
Follow-Up Visit (1)
CL Item
Unscheduled Visit (2)
Item Group
Vital Signs
C0518766 (UMLS CUI-1)
Systolic blood pressure
Item
Blood pressure (Systolic)
integer
C0871470 (UMLS CUI [1])
Diastolic blood pressure
Item
Blood pressure (Diastolic)
integer
C0428883 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Item Group
Physical Examination
C0031809 (UMLS CUI-1)
Item
Hair and skin
integer
C0018494 (UMLS CUI [1,1])
C0558035 (UMLS CUI [1,2])
Hair and skin
Code List
Hair and skin
CL Item
Normal (1)
CL Item
Abnormal (2)
Hair and Skin
Item
Hair and Skin: If Abnormal, please specify
text
C0018494 (UMLS CUI [1,1])
C0558035 (UMLS CUI [1,2])
Item
Lymph nodes
integer
C0031809 (UMLS CUI [1,1])
C0024204 (UMLS CUI [1,2])
Lymph nodes
Code List
Lymph nodes
CL Item
Normal (1)
CL Item
Abnormal (2)
Lymph nodes
Item
Lymph nodes: If Abnormal, please specify
text
C0031809 (UMLS CUI [1,1])
C0024204 (UMLS CUI [1,2])
Item
Eyes
integer
C0031809 (UMLS CUI [1,1])
C0200149 (UMLS CUI [1,2])
Eyes
Code List
Eyes
CL Item
Normal (1)
CL Item
Abnormal (2)
Eyes
Item
Eyes: If Abnormal, please specify
text
C0031809 (UMLS CUI [1,1])
C0200149 (UMLS CUI [1,2])
Item
Ears, Nose and Throat
integer
C0031809 (UMLS CUI [1,1])
C0278350 (UMLS CUI [1,2])
Ears, Nose and Throat
Code List
Ears, Nose and Throat
CL Item
Normal (1)
CL Item
Abnormal (2)
Ears, Nose and Throat
Item
Ears, Nose and Throat: If Abnormal, please specify
text
C0031809 (UMLS CUI [1,1])
C0278350 (UMLS CUI [1,2])
Item
Breasts
integer
C0031809 (UMLS CUI [1,1])
C0199850 (UMLS CUI [1,2])
Breasts
Code List
Breasts
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Breasts
Item
Breasts: If Abnormal or not done, please specify
text
C0031809 (UMLS CUI [1,1])
C0199850 (UMLS CUI [1,2])
Item
Respiratory
integer
C0031809 (UMLS CUI [1,1])
C0436121 (UMLS CUI [1,2])
Respiratory
Code List
Respiratory
CL Item
Normal (1)
CL Item
Abnormal (2)
Respiratory
Item
Respiratory: If Abnormal, please specify
text
C0031809 (UMLS CUI [1,1])
C0436121 (UMLS CUI [1,2])
Item
Cardiovascular
integer
C3854344 (UMLS CUI [1])
Cardiovascular
Code List
Cardiovascular
CL Item
Normal (1)
CL Item
Abnormal (2)
Cardiovascular
Item
Cardiovascular: If Abnormal, please specify
text
C3854344 (UMLS CUI [1])
Item
Abdomen
integer
C0031809 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
Abdomen
Code List
Abdomen
CL Item
normal (1)
CL Item
abnormal (2)
Abdomen
Item
Abdomen: If Abnormal, please specify
text
C0031809 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
Item
Urogenital
integer
C1828035 (UMLS CUI [1])
Urogenital
Code List
Urogenital
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Urogenital
Item
Urogenital: If abnormal or not done, please specify
text
C1828035 (UMLS CUI [1])
Item
Pelvic
integer
C0200045 (UMLS CUI [1])
Pelvic
Code List
Pelvic
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Pelvic
Item
Pelvic: If Abnormal or not done, please specify
text
C0200045 (UMLS CUI [1])
Item
Rectal
integer
C0199900 (UMLS CUI [1])
Rectal
Code List
Rectal
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not Done (3)
Rectal
Item
Rectal: If abnormal or not done, please specify
text
C0199900 (UMLS CUI [1])
Item
Musculoskeletal
integer
C0475091 (UMLS CUI [1])
Musculoskeletal
Code List
Musculoskeletal
CL Item
Normal (1)
CL Item
Abnormal (2)
Musculoskeletal
Item
Musculoskeletal: If Abnormal, please specify
text
C0475091 (UMLS CUI [1])
Item
Neurological
integer
C0027853 (UMLS CUI [1])
Neurological
Code List
Neurological
CL Item
Normal (1)
CL Item
Abnormal (2)
Neurological
Item
Neurological: If Abnormal, please specify
text
C0027853 (UMLS CUI [1])
Item
Mental status
integer
C3260990 (UMLS CUI [1])
Mental status
Code List
Mental status
CL Item
Normal (1)
CL Item
Abnormal (2)
Mental Status
Item
Mental Status: If Abnormal, please specify
text
C3260990 (UMLS CUI [1])
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