Information:
Error:
HIS
- StudyEvent: HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
CHIEF COMPLAINT
Item
Hauptbeschwerden
string
HISTORY OF PRESENT ILLNESS
Item
Anamnese der aktuellen Erkrankung
string
Past Medical History
Item
Anamnese
string
PRIOR SURGERIES
Item
Frühere Operationen
string
C0455610 (UMLS CUI 2011AA)
161615003 (SNOMED CT 2011_0131)
161615003 (SNOMED CT 2011_0131)
ALLERGY
Item
Allergie
string
C0020517 (UMLS CUI 2011AA)
257550005 (SNOMED CT 2011_0131)
T78.40 (ICD-10-CM Version 2010)
257550005 (SNOMED CT 2011_0131)
T78.40 (ICD-10-CM Version 2010)
CURRENT MEDICATIONS
Item
aktuelle Medikation
string
C1553892 (UMLS CUI 2011AA)
CURMEDLIST (HL7 V3 2006_05)
CURMEDLIST (HL7 V3 2006_05)
REVIEW OF SYSTEMS
Item
Anamnese der Organsysteme
string
Family History
Item
Familienanamnese
string
C0241889 (UMLS CUI 2011AA)
57177007 (SNOMED CT 2011_0131)
57177007 (SNOMED CT 2011_0131)
SOCIAL HISTORY (SH)
Item
Sozialanamnese
string
IMMUNIZATIONS
Item
Impfung
string
C0020971 (UMLS CUI 2011AA)
127785005 (SNOMED CT 2011_0131)
10021431 (MedDRA 14.1)
127785005 (SNOMED CT 2011_0131)
10021431 (MedDRA 14.1)
GENERAL APPEARANCE
Item
Allgemeinzustand
string
HEENT
Item
Head, Ears, Eyes, Nose and Throat (HEENT)
string
C1512338 (UMLS CUI 2011AA)
NECK
Item
Hals
string
CHEST
Item
Thorax
string
C0817096 (UMLS CUI 2011AA)
51185008 (SNOMED CT 2011_0131)
51185008 (SNOMED CT 2011_0131)
BREAST
Item
Brust
string
HEART
Item
Herz
string
ABDOMEN
Item
Abdomen
string
LYMPH NODES
Item
Lymphknoten
string
GENITALIA/RECTAL
Item
Genitalia/Rectal (default: deferred)
text
255582007 (SNOMED CT 2011_0131)
MTHU002681 (LOINC Version 232)
C0017420 (UMLS CUI [1,1])
C0205052 (UMLS CUI [1,2])
MTHU002681 (LOINC Version 232)
C0017420 (UMLS CUI [1,1])
C0205052 (UMLS CUI [1,2])
EXTREMITIES
Item
Extremitäten
string
SKIN
Item
Haut
string
Neurological examination normal
Item
NEUROLOGICAL: intact
boolean
C0027853 (UMLS CUI [1,1])
C0205307 (UMLS CUI [1,2])
C0205307 (UMLS CUI [1,2])
Neurological assessment
Item
Neurologische Untersuchung
text
225398001 (SNOMED CT 2011_0131)
10050318 (MedDRA 14.1)
89.13 (ICD-9-CM Version 2011)
C0027853 (UMLS CUI [1])
10050318 (MedDRA 14.1)
89.13 (ICD-9-CM Version 2011)
C0027853 (UMLS CUI [1])
ADMITTING DIAGNOSIS
Item
Aufnahmediagnose
string
C0332133 (UMLS CUI 2011AA)
52870002 (SNOMED CT 2011_0131)
52870002 (SNOMED CT 2011_0131)
PLAN: Surgery
Item
Planung
string
C1301732 (UMLS CUI 2011AA)
397943006 (SNOMED CT 2011_0131)
397943006 (SNOMED CT 2011_0131)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
(4)