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AHB Diagnosis Report MS

1 Formulär  
  1. StudyEvent: ODM-Test
    1. AHB Diagnosis Report MS
General Info
Beskrivning

General Info

Alias
UMLS CUI-1
C1508263
insurance number
Beskrivning

insurance number

Datatyp

text

tag
Datatyp

text

address of rehabilitation clinic
Datatyp

text

hospital address
Datatyp

text

Contact person
Datatyp

text

Alias
UMLS CUI-1
C0337611
Administrative procedure
Datatyp

integer

Proposed rehabilitation method
Datatyp

text

Patient data
Beskrivning

Patient data

Name
Datatyp

text

Alias
UMLS CUI-1
C0421448
First name
Datatyp

text

Alias
UMLS CUI-1
C1443235
Date of Birth
Datatyp

date

Alias
UMLS CUI-1
C0421451
Patient address
Datatyp

text

Hospital
Beskrivning

Hospital

Admission date
Datatyp

date

Alias
UMLS CUI-1
C1302393
Reason for rehabilitation
Datatyp

integer

Date of event
Datatyp

date

Accident while engaged in work-related activity
Datatyp

boolean

Alias
UMLS CUI-1
C0586557
ASR-Revisionseingriff
Datatyp

boolean

mögliche Schädigung durch Dritte
Datatyp

text

Discharge date (Planned)
Datatyp

date

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

date

Diagnosis
Beskrivning

Diagnosis

Alias
UMLS CUI-1
C0011900
Diagnosis
Datatyp

text

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

text

DRG group
Datatyp

text

Clinical course
Beskrivning

Clinical course

Alias
UMLS CUI-1
C0449259
Clinical course
Datatyp

text

Alias
UMLS CUI-1
C0449259
Current status
Datatyp

text

Further steps
Datatyp

text

Further diseases or disabilities
Beskrivning

Further diseases or disabilities

Further relevant diseases or disabilities
Datatyp

text

Clinical and medical-technical findings
Beskrivning

Clinical and medical-technical findings

Clinical and medical-technical findings
Datatyp

text

Patient characteristics
Beskrivning

Patient characteristics

Alias
UMLS CUI-1
C0815172
eat without assistance
Datatyp

boolean

wash and dress without assistance
Datatyp

boolean

walk without assistance
Datatyp

boolean

Closed wound
Datatyp

boolean

Alias
UMLS CUI-1
C0679319
Multiresistant germs
Datatyp

text

Urinary Incontinence
Datatyp

boolean

Alias
UMLS CUI-1
C0042024
Drainage procedure
Datatyp

text

Alias
UMLS CUI-1
C0013103
Fecal Incontinence
Datatyp

boolean

Alias
UMLS CUI-1
C0015732
Wheelchair user
Datatyp

boolean

Alias
UMLS CUI-1
C0853966
Cognitive Orientation
Datatyp

text

Alias
UMLS CUI-1
C0517217
Transfer options
Datatyp

integer

person accompanying patient
Datatyp

boolean

Alias
UMLS CUI-1
C2079578
Taxi
Datatyp

boolean

Alias
UMLS CUI-1
C0336814
Ambulance
Datatyp

boolean

Alias
UMLS CUI-1
C0002422
Comments
Datatyp

text

Alias
UMLS CUI-1
C0947611
active participation in rehabilitation
Datatyp

boolean

Signature
Beskrivning

Signature

Alias
UMLS CUI-1
C1519316
Date of signature
Datatyp

date

Physician signature
Datatyp

text

Alias
UMLS CUI-1
C1519316
Physician stamp
Datatyp

text

Telephone
Datatyp

text

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Similar models

AHB Diagnosis Report MS

1 Formulär
  1. StudyEvent: ODM-Test
    1. AHB Diagnosis Report MS
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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
C0517217 (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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