Body - Anamnese (medical history)

4 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Wound assessment
C0558033 (UMLS CUI-1)
Wound size
Item
Wound size
float
C3853328 (UMLS CUI [1])
Item
Tissue surrounding wound
integer
C2116843 (UMLS CUI [1])
Tissue surrounding wound
Code List
Tissue surrounding wound
CL Item
dry-cracked (1)
C0205222 (UMLS CUI-1)
C0221245 (UMLS CUI-2)
CL Item
moist (2)
C0241126 (UMLS CUI-1)
CL Item
macerated (3)
C0333526 (UMLS CUI-1)
CL Item
atrophic (4)
C0333641 (UMLS CUI-1)
CL Item
livid (5)
C0332579 (UMLS CUI-1)
CL Item
flushed (6)
C0016382 (UMLS CUI-1)
CL Item
swollen (7)
C0038999 (UMLS CUI-1)
CL Item
blistering (8)
C0005758 (UMLS CUI-1)
CL Item
itchy (9)
C0033774 (UMLS CUI-1)
CL Item
painful (10)
C0030193 (UMLS CUI-1)
Item
Wound area
integer
C3534343 (UMLS CUI [1])
Wound area
Code List
Wound area
CL Item
Muscle (1)
C0026845 (UMLS CUI-1)
CL Item
Bone (2)
C0005931 (UMLS CUI-1)
CL Item
Tendon (3)
C0039508 (UMLS CUI-1)
CL Item
Granulation (4)
C0018180 (UMLS CUI-1)
CL Item
Fibrin (5)
C0015982 (UMLS CUI-1)
CL Item
Necrotic tissue (wet or dry) (6)
C2321738 (UMLS CUI-1)
Item
Wound edge
integer
C1545981 (UMLS CUI [1])
Wound edge
Code List
Wound edge
CL Item
flat (1)
C0205324 (UMLS CUI-1)
CL Item
thick (2)
C1280412 (UMLS CUI-1)
CL Item
undermined (3)
CL Item
vital (4)
C0442732 (UMLS CUI-1)
CL Item
livid (5)
C0332579 (UMLS CUI-1)
CL Item
macerated (6)
C0333526 (UMLS CUI-1)
CL Item
hyperkeratotic (7)
C0334012 (UMLS CUI-1)
CL Item
dried out (8)
C1512080 (UMLS CUI-1)
Item
Wound exudate
integer
C1550682 (UMLS CUI [1])
Wound exudate
Code List
Wound exudate
CL Item
serous (1)
C0440743 (UMLS CUI-1)
CL Item
serous-purulent (2)
C0440743 (UMLS CUI-1)
C0439665 (UMLS CUI-2)
CL Item
fibrinous (3)
C0443215 (UMLS CUI-1)
CL Item
hemorrhagic (4)
C0333275 (UMLS CUI-1)
CL Item
ichorous (5)
Wound pain
Item
Wound pain
text
C0241745 (UMLS CUI [1])
Item
Wound odor
integer
C2721577 (UMLS CUI [1])
Wound odor
Code List
Wound odor
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
CL Item
impaired (3)
C0221099 (UMLS CUI-1)
Location of wound
Item
Location of wound
text
C3266792 (UMLS CUI [1])
Item
Evidence of infection-related disease
integer
C3714514 (UMLS CUI [1,1])
C0332120 (UMLS CUI [1,2])
Evidence of infection-related disease
Code List
Evidence of infection-related disease
CL Item
PEDIS grade 1 (1)
CL Item
PEDIS grade 2 (2)
CL Item
PEDIS grade 3 (3)
CL Item
PEDIS grade 4 (4)
Susceptibility for infection
Item
Susceptibility for infection
text
C1269665 (UMLS CUI [1])
Edema
Item
Edema
text
C0013604 (UMLS CUI [1])
Wound duration
Item
Wound duration
durationDatetime
C0043250 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Further description
Item
Further description
text
C0678257 (UMLS CUI [1])
Item Group
Patient status
C0449437 (UMLS CUI-1)
Underlying diseases
Item
Primary disorders
text
C0277554 (UMLS CUI [1])
Nutritional status
Item
Nutritional status
text
C0392209 (UMLS CUI [1])
Immune status
Item
Immune status
text
C1287407 (UMLS CUI [1])
Item Group
Psychosocial factors
C0033963 (UMLS CUI-1)
Level of awareness
Item
Level of awareness
text
C1563011 (UMLS CUI [1])
Social factors
Item
Social factors
text
C0337460 (UMLS CUI [1])
Item Group
Risk factors
C0035648 (UMLS CUI-1)
Item
Individual Risk factors
integer
C0035648 (UMLS CUI [1])
Risk factors
Code List
Individual Risk factors
CL Item
Type-1-Diabetes (1)
C0011854 (UMLS CUI-1)
CL Item
male gender (2)
C0086582 (UMLS CUI-1)
CL Item
chronic nicotine abuse (3)
C2363943 (UMLS CUI-1)
Item Group
Risk Assessment
C0086930 (UMLS CUI-1)
Risk assessment scale
Item
Risk assessment scale
text
C0086930 (UMLS CUI [1])
Risk score
Item
Risk score
float
C0086930 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
Interpretation
Item
Interpretation
text
C0459471 (UMLS CUI [1])
Item Group
Hygiene assessment
C2009150 (UMLS CUI-1)
Personal hygiene
Item
Personal hygiene
text
C0564673 (UMLS CUI [1])
Item Group
Skin assessment
C0419929 (UMLS CUI-1)
Item
Skin status
integer
C1123023 (UMLS CUI [1])
Skin status
Code List
Skin status
CL Item
Discoloration of skin (1)
C0151907 (UMLS CUI-1)
CL Item
Trophic disorders (2)
CL Item
Flushing (3)
C0016382 (UMLS CUI-1)
CL Item
Swelling (4)
C0038999 (UMLS CUI-1)
CL Item
Bulla (5)
C0005758 (UMLS CUI-1)
CL Item
Pruritus (6)
C0033774 (UMLS CUI-1)
CL Item
Pain (7)
C0030193 (UMLS CUI-1)
CL Item
Dermatologic disorders (8)
C0037274 (UMLS CUI-1)
CL Item
dry-cracked (9)
C0205222 (UMLS CUI-1)
C0221245 (UMLS CUI-2)
CL Item
moist (10)
C0241126 (UMLS CUI-1)
CL Item
macerated (11)
C0333526 (UMLS CUI-1)
CL Item
atrophic (12)
C0333641 (UMLS CUI-1)
CL Item
livid (13)
C0332579 (UMLS CUI-1)
Skin barrier function
Item
Skin barrier function
text
C2246986 (UMLS CUI [1])
Item Group
Healed wounds
C0436680 (UMLS CUI-1)
Healing duration
Item
Healing duration
durationDatetime
C0043240 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Past treatments
Item
Past treatments
text
C2945691 (UMLS CUI [1])
Products/Procedures
Item
Products/Procedures
text
C1514468 (UMLS CUI [1,1])
C2700391 (UMLS CUI [1,2])
Item Group
Adherence
C1321605 (UMLS CUI-1)
Adherence
Item
Therapy adherence
text
C1321605 (UMLS CUI [1])
Life style
Item
Life style
text
C0023676 (UMLS CUI [1])
Item Group
Physical impairment
C0231171 (UMLS CUI-1)
Reduced mobility
Item
Reduced mobility
text
C0700572 (UMLS CUI [1])
Pain
Item
Pain
text
C0030193 (UMLS CUI [1])
Somatosensory Disorders
Item
Somatosensory Disorders
text
C0752262 (UMLS CUI [1])
Item
Wound odor: subjective impairment
integer
C2721577 (UMLS CUI [1,1])
C3842836 (UMLS CUI [1,2])
Wound odor: subjective impairment
Code List
Wound odor: subjective impairment
CL Item
normal (1)
C0205307 (UMLS CUI-1)
CL Item
abnormal (2)
C0205161 (UMLS CUI-1)
CL Item
impaired (3)
C0221099 (UMLS CUI-1)
Item Group
Psychosocial impairment
C0748071 (UMLS CUI-1)
Impaired quality of life
Item
Impaired quality of life
text
C0221099 (UMLS CUI [1,1])
C0451401 (UMLS CUI [1,2])
Suffering from symptoms
Item
Suffering from symptoms
text
C0518881 (UMLS CUI [1])
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