Search results - Portal of Medical Data Models (MDM-Portal)

DIVI Kerndatensatz Intensivmedizin 2010 - Entlassung von der Intensivtherapiestation

- 3/19/20 - 5 forms, 2 itemgroups, 16 items, 1 language

Itemgroups: DNR (do not resuscitate) / AND (allowed natural death), Procedures and complications

Kerndatensatz Intensivmedizin 2010 der DIVI und DGAI (nur patientenbezogene Daten, ohne Strukturdaten der Intensivtherapiestation und der Klinik ). Deutsche interdisziplinaere Vereinigung fuer Intensiv und Notfallmedizin DIVI (German interdisciplinary association for intensive and emergeny medical care), http://www.divi.de/images/Dokumente/Empfehlungen/Strukturempfehlungen/2010_KerndatensatzIntensivmedizin.pdf

Entlassung aus dem Krankenhaus

1 itemgroup 2 items

Device Accountability Log: CRF Wisconsin Madison

- 11/17/21 - 1 form, 4 itemgroups, 17 items, 1 language

Itemgroups: Header, Device Accountability Log: Device Receipt, Device Accountability Log: Device Use, Device Accountability Log: Device Return/Repair/Destruction

ODM Form derived from: https://ictr.wisc.edu/CaseReptTempt. Template Name: Device Accountability Log. Case Report Form (CRF)/Source Document templates were created for University of Wisconsin-Madison researchers. These templates are consistent with the FDA's CDASH (Clinical Data Acquisition Standards Harmonization) standards. The CDASH standards identify those elements that should be captured on a Case Report Form (CRF). The forms serve only as templates, and must be edited to meet the study data collection needs as described in the protocol.

German Maternity Records G-BA - Ultrasound Examinations

- 9/20/21 - 6 forms, 9 itemgroups, 100 items, 2 languages

Itemgroups: Ultrasonography screening, Ultrasonography screening, Ultrasonography screening, check up Ultrasonography, Ultrasound examination, Doppler sonography, Ultrasound scan for fetal growth graph, Ultrasound scan for fetal growth graph, Ultrasound scan for fetal growth graph

The Federal Joint Committee (G-BA) Maternity Directive serves to ensure adequate, expedient and economical medical care for insured persons during pregnancy and after birth, in accordance with the medical state of the art and the current standard of care. Comprehensive care aims to avert possible risks to the life and health of the mother and child, and to recognize and treat health disorders promptly. Nearly all screening examinations can be performed by midwives or physicians and entered in the maternity record. These do not include ultrasound examinations (see below), which can be performed only in a gynaecology practice. A woman who suffers symptoms during pregnancy should seek gynaecological care. A maternity record is issued at the first screening examination. Only the examinations listed there are considered regular screening examinations as offered by the Maternity Directive. Information on the woman's general state of health is logged in the maternity record, along with information on the course of the pregnancy and any complications. Source: Gemeinsamer Bundesausschuss (G-BA), juristische Person des öffentlichen Rechts, Wegelystr. 8, 10623 Berlin, https://www.g-ba.de/institution/themenschwerpunkte/familienplanung/mutterschaft/, Publication granted by Dr. Beate Axmann.

Medical history and findings

6 itemgroups 83 items

Final examination/discharge summary

4 itemgroups 72 items

Laboratory tests and rubella protection

1 itemgroup 45 items

Pregnancy chart

3 itemgroups 32 items

Administrative

2 itemgroups 8 items

Peripheral Atherosclerotic Vascular Disease EHR key data elements - Peripheral Atherosclerotic Disease (PAD) - General data elements

- 9/20/21 - 1 form, 5 itemgroups, 103 items, 2 languages

Itemgroups: Demographics, Patient history, Physical evaluation, Laboratory Procedures, Current pharmacologic therapy

2012 ACCF / AHA Data Standard Peripheral Atherosclerotic Disease (PAD) General data elements see http://www.ncbi.nlm.nih.gov/pubmed/22144570

Paragraph 21 Datensatz 2018 - Datei Gesamtübersicht

- 9/17/21 - 14 forms, 14 itemgroups, 129 items, 2 languages

Itemgroups: Case, Medical Department data, Diagnosis details, Procedure Details, PIA-Documentation of services, Modell project, Info Data, Hospital Data, Nursing staff, Mergers, Apprenticeships, Accounting, ICD, Remuneration

Version 2019 für das Datenjahr 2018 Gemäß § 21 KHEntgG müssen die dem Anwendungsbereich des KHEntgG unterliegenden Krankenhäuser ihre Leistungsdaten jeweils zum 31. März für das jeweils vorangegangene Kalenderjahr an die Datenstelle übermitteln. Das Nähere zum Übermittlungsverfahren und zur Datensatzstruktur regeln die Vertragsparteien auf Bundesebene in einer Vereinbarung. https://www.g-drg.de/Datenlieferung_gem._21_KHEntgG

Datei Krankenhaus

1 itemgroup 8 items

Datei ICD

1 itemgroup 12 items

Datei Pflegepersonal

1 itemgroup 8 items

Datei Ausbildung

1 itemgroup 28 items

Datei LEI

1 itemgroup 6 items

Datei Abrechnung

1 itemgroup 6 items

Extracranial Carotid and Vertebral Artery Disease data elements

- 4/13/21 - 1 form, 9 itemgroups, 52 items, 2 languages

Itemgroups: Patient history, Anatomic High-Risk Conditions, Comorbitiy, cardiopulmonary, Patient assessment, Diagnostic Procedures, Therapeutic Procedures, invasive, Outcomes, Patient education, Outcomes

2012 ACCF / AHA Data Standard Extracranial Carotid and Vertebral Artery Disease data elements see http://www.ncbi.nlm.nih.gov/pubmed/22144570

Peripheral Atherosclerotic Disease (PAD) - Lower Extremity data elements

- 4/13/21 - 1 form, 10 itemgroups, 57 items, 2 languages

Itemgroups: Signs and Symptoms, Physical evaluation, Diagnostics, noninvasive, Diagnostics, invasive, Pharmacological Therapy Claudication, Exercise Program, Therapeutic Procedures, Procedure Outcomes, Clinical Outcomes, Cardiovascular Outcomes

2012 ACCF / AHA Data Standard Peripheral Atherosclerotic Disease (PAD) Lower Extremity data elements see http://www.ncbi.nlm.nih.gov/pubmed/22144570

Abdominal Aortic Aneurysm (AAA) data elements

- 4/13/21 - 1 form, 8 itemgroups, 46 items, 2 languages

Itemgroups: Patient history (AAA), Physical Assessment, Diagnostics, noninvasive, Diagnostics, invasive, Therapeutic Procedures, Patient counseling education, Follow-Up, Outcomes of Open AAA and Endovascular Repair

2012 ACCF / AHA Data Standard Abdominal Aortic Aneurysm (AAA) data elements see http://www.ncbi.nlm.nih.gov/pubmed/22144570

dataset CPCTR CDE Prostata Cancer prostate cancer - dataset

- 3/15/21 - 1 form, 24 itemgroups, 94 items, 2 languages

Itemgroups: Demographics, Clinical History, Prostatic specific Antigen (PSA), Diagnostic PSA, PSA Matrix, Histological Characteristics of Prostatectomy, Prostatectomy: Primary Gleason Grade, Prostatectomy: Secondary Gleason Grade, Prostatectomy: Gleason Sum Score, Histological Characteristics of Prostatectomy II, Regional Lymph node status at the time of Prostatectomy, Recurrence/Metastasis Status, Clinical verified tissue recurrence/metastasis, Staging, Pathological staging, Clinical Staging, Vital Status/Follow Up Date, Therapy Matrix, Type of Therapy, Overall Needle Biopsy Attributes, Biopsy: Primary Gleason Grade, Biopsy: Secondary Gleason Grade, Biopsy: Gleason Sum Score, Overall Needle Biopsy Attributes II

with friendly permission, ODM derived from PDFs attached to the paper: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1236914/

SOFA Score

- 12/21/17 - 1 form, 6 itemgroups, 6 items, 2 languages

Itemgroups: Respiration, Coagulation, Liver Function, Cardiovascular Function, Central nervous system function, Renal

The SOFA (Sequential Organ Failure Assessment) score to describe organ dysfunction/failure. Reference: Vincent, J.-., Moreno, R., Takala, J. et al. Intensive Care Med (1996) 22: 707. doi:10.1007/BF01709751

Subject Deviation/Violation Form: CRF Wisconsin Madison

- 11/20/16 - 1 form, 2 itemgroups, 17 items, 1 language

Itemgroups: Header, Subject Deviation/Unanticipated Event/Violation

ODM Form derived from: https://ictr.wisc.edu/CaseReptTempt. Template Name: Subject Deviation/Violation Form. Case Report Form (CRF)/Source Document templates were created for University of Wisconsin-Madison researchers. These templates are consistent with the FDA's CDASH (Clinical Data Acquisition Standards Harmonization) standards. The CDASH standards identify those elements that should be captured on a Case Report Form (CRF). The forms serve only as templates, and must be edited to meet the study data collection needs as described in the protocol.

Serious Adverse Event Part II: CRF Wisconsin Madison

- 11/20/16 - 1 form, 2 itemgroups, 22 items, 1 language

Itemgroups: Header, Serious Adverse Event

ODM Form derived from: https://ictr.wisc.edu/CaseReptTempt. Template Name: Serious Adverse Event Part II. Case Report Form (CRF)/Source Document templates were created for University of Wisconsin-Madison researchers. These templates are consistent with the FDA's CDASH (Clinical Data Acquisition Standards Harmonization) standards. The CDASH standards identify those elements that should be captured on a Case Report Form (CRF). The forms serve only as templates, and must be edited to meet the study data collection needs as described in the protocol.

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Selected data models