ID
11972
Beschrijving
Form from HIS OpenVistA
Trefwoorden
Versies (6)
- 16-02-12 16-02-12 -
- 07-08-14 07-08-14 - Martin Dugas
- 07-08-14 07-08-14 - Martin Dugas
- 08-08-14 08-08-14 - Martin Dugas
- 09-08-14 09-08-14 - Martin Dugas
- 28-08-15 28-08-15 - Martin Dugas
Geüploaded op
28 augustus 2015
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0 Legacy
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
ENDOSCOPY PRE PROCEDURE ID RECORD
HIS
- StudyEvent: HIS
Beschrijving
PRE-OP DIAGNOSIS
Beschrijving
Abnormal GI Xray
Datatype
boolean
Beschrijving
Abdominal Pain
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0000737
- SNOMED CT 2011_0131
- 21522001
- MedDRA 14.1
- 10000081
- LOINC Version 232
- MTHU013636
- ICD-10-CM Version 2010
- R10.9
- ICD-9-CM Version 2011
- 789.0
- CTCAE 1105E
- E10460
Beschrijving
Abnormal Weight Loss
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0936227
- SNOMED CT 2011_0131
- 267024001
- MedDRA 14.1
- 10000159
- ICD-10-CM Version 2010
- R63.4
Beschrijving
Achalasia
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C1321756
- SNOMED CT 2011_0131
- 48531003
- MedDRA 14.1
- 10000420
- ICD-10-CM Version 2010
- K22.0
Beschrijving
Anemia
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0002871
- SNOMED CT 2011_0131
- 271737000
- MedDRA 14.1
- 10002034
- LOINC Version 232
- MTHU020823
- ICD-10-CM Version 2010
- D64.9
- ICD-9-CM Version 2011
- 285.9
- CTCAE 1105E
- E10010
Beschrijving
Ascites
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0003962
- SNOMED CT 2011_0131
- 389026000
- MedDRA 14.1
- 10003445
- ICD-10-CM Version 2010
- R18
- ICD-9-CM Version 2011
- 789.5
- CTCAE 1105E
- E10502
Beschrijving
Change in Bowel Habits
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C2919545
- SNOMED CT 2011_0131
- 444702007
Beschrijving
Hepatic Cirrhosis
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0023890
- SNOMED CT 2011_0131
- 19943007
- MedDRA 14.1
- 10019641
- ICD-10-CM Version 2010
- K74.60
Beschrijving
Colorectal Cancer Screening
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0281185
Beschrijving
Common Bile Duct Leak
Datatype
boolean
Beschrijving
Common Bile Duct Stone
Datatype
boolean
Beschrijving
Constipation
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0009806
- SNOMED CT 2011_0131
- 14760008
- MedDRA 14.1
- 10010774
- LOINC Version 232
- MTHU020768
- ICD-10-CM Version 2010
- K59.0
- ICD-9-CM Version 2011
- 564.0
- CTCAE 1105E
- E10562
Beschrijving
Diarrhea
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0011991
- SNOMED CT 2011_0131
- 62315008
- MedDRA 14.1
- 10012735
- LOINC Version 232
- MTHU013347
- ICD-10-CM Version 2010
- R19.7
- ICD-9-CM Version 2011
- 787.91
- CTCAE 1105E
- E10572
Beschrijving
Dyspepsia
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0013395
- SNOMED CT 2011_0131
- 162031009
- MedDRA 14.1
- 10013946
- ICD-10-CM Version 2010
- R10.13, K30
- CTCAE 1105E
- E10617
Beschrijving
Dysphagia
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0011168
- SNOMED CT 2011_0131
- 40739000
- MedDRA 14.1
- 10013950
- LOINC Version 232
- MTHU029874
- ICD-10-CM Version 2010
- R13
- ICD-9-CM Version 2011
- 787.2
- CTCAE 1105E
- E10621
Beschrijving
Elevated Liver Function Tests
Datatype
boolean
Beschrijving
Esophageal Varices
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0014867
- SNOMED CT 2011_0131
- 28670008
- MedDRA 14.1
- 10030209
- ICD-10-CM Version 2010
- I85
Beschrijving
Family History of Colon Cancer
Datatype
boolean
Alias
- UMLS CUI [1]
- C0730200
Beschrijving
Family History of Polyps
Datatype
boolean
Beschrijving
Family History of Polyposis
Datatype
boolean
Beschrijving
Foreign Body in Colon
Datatype
boolean
Beschrijving
Foreign Body in Esophagus
Datatype
boolean
Beschrijving
Foreign Body in Stomach
Datatype
boolean
Beschrijving
Gastric Ulcer
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0030920
- SNOMED CT 2011_0131
- 13200003
- MedDRA 14.1
- 10034341
- ICD-10-CM Version 2010
- K27
Beschrijving
GERD
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0017168
- SNOMED CT 2011_0131
- 235595009
- MedDRA 14.1
- 10017885
- ICD-10-CM Version 2010
- K21
- ICD-9-CM Version 2011
- 530.81
- CTCAE 1105E
- E10739
Beschrijving
GI Bleeding
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0017181
- SNOMED CT 2011_0131
- 74474003
- MedDRA 14.1
- 10017955
- ICD-10-CM Version 2010
- K92.2
- ICD-9-CM Version 2011
- 578
Beschrijving
Hematemesis
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0018926
- SNOMED CT 2011_0131
- 8765009
- MedDRA 14.1
- 10018830
- ICD-10-CM Version 2010
- K92.0
- ICD-9-CM Version 2011
- 578.0
Beschrijving
History of Barrett's
Datatype
boolean
Beschrijving
History of Cholangiocarcinoma
Datatype
boolean
Beschrijving
History of Colon Cancer
Datatype
boolean
Beschrijving
History of Crohn's Disease
Datatype
boolean
Beschrijving
History of Diverticulosis
Datatype
boolean
Beschrijving
History of Esophageal Cancer
Datatype
boolean
Beschrijving
History of Esophageal/ Gastric Varicies
Datatype
boolean
Beschrijving
History of Gastric Cancer
Datatype
boolean
Beschrijving
History of Pancreatic Cancer
Datatype
boolean
Beschrijving
History of Peptic Ulcer Disease
Datatype
boolean
Beschrijving
History of Polyps
Datatype
boolean
Beschrijving
History of Ulcerative Colitis
Datatype
boolean
Beschrijving
Hematochezia
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0018932
- SNOMED CT 2011_0131
- 405729008
- MedDRA 14.1
- 10018836
- ICD-9-CM Version 2011
- 578.1
Beschrijving
Iron Deficiency Anemia
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0162316
- SNOMED CT 2011_0131
- 87522002
- MedDRA 14.1
- 10022972
- ICD-10-CM Version 2010
- D50.0
- ICD-9-CM Version 2011
- 280
Beschrijving
Jaundice
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0022346
- SNOMED CT 2011_0131
- 18165001
- MedDRA 14.1
- 10023126
- ICD-10-CM Version 2010
- R17
Beschrijving
Melena
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0025222
- SNOMED CT 2011_0131
- 2901004
- MedDRA 14.1
- 10027141
- ICD-10-CM Version 2010
- K92.1
Beschrijving
Nausea
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0027497
- SNOMED CT 2011_0131
- 422587007
- MedDRA 14.1
- 10028813
- LOINC Version 232
- MTHU013524
- ICD-10-CM Version 2010
- R11.0
- CTCAE 1105E
- E10878
Beschrijving
Vomiting
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0042963
- SNOMED CT 2011_0131
- 249497008
- MedDRA 14.1
- 10047700
- LOINC Version 232
- MTHU013530
- ICD-10-CM Version 2010
- R11.1
- CTCAE 1105E
- E11068
Beschrijving
Occult/Guaiac Positive Stool
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0201811
- SNOMED CT 2011_0131
- 104435004
- MedDRA 14.1
- 10016297
Beschrijving
Pancreatitis
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0030305
- SNOMED CT 2011_0131
- 75694006
- MedDRA 14.1
- 10033645
- ICD-10-CM Version 2010
- K85.9
- ICD-9-CM Version 2011
- 577.0
- CTCAE 1105E
- E10930
Beschrijving
Portal Hypertension
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0020541
- SNOMED CT 2011_0131
- 34742003
- MedDRA 14.1
- 10036200
- ICD-10-CM Version 2010
- K76.6
- ICD-9-CM Version 2011
- 572.3
- CTCAE 1105E
- E11238
Beschrijving
Gastroesophageal Reflux
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0558176
- SNOMED CT 2011_0131
- 225587003
Beschrijving
Weight Loss
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0936227
- SNOMED CT 2011_0131
- 267024001
- MedDRA 14.1
- 10000159
- ICD-10-CM Version 2010
- R63.4
Beschrijving
Other
Datatype
text
Beschrijving
PRE-PROCEDURE ALDRETE SCORE
Beschrijving
ACTIVITY
Datatype
integer
Alias
- UMLS CUI [1]
- C0026606
Beschrijving
RESPIRATORY
Datatype
integer
Alias
- UMLS CUI [1]
- C0035237
Beschrijving
Blood pressure
Datatype
integer
Alias
- SNOMED CT 2011_0131
- 386534000
- UMLS CUI [1]
- C0005823
Beschrijving
LEVEL OF CONSCIOUSNESS
Datatype
integer
Alias
- SNOMED CT 2011_0131
- 106167005
- UMLS CUI [1]
- C0234421
Beschrijving
EVALUATION OF SKIN CONDITION AND COLOR
Datatype
integer
Alias
- SNOMED CT 2011_0131
- 422000003
- LOINC Version 232
- MTHU034830
- UMLS CUI [1]
- C1719933
Beschrijving
ALDRETE TOTAL SCORE
Datatype
integer
Alias
- UMLS CUI [1]
- C1821424
Similar models
HIS
- StudyEvent: HIS
257550005 (SNOMED CT 2011_0131)
T78.40 (ICD-10-CM Version 2010)
C0234425 (UMLS CUI [1])
32572006 (SNOMED CT 2011_0131)
10048624 (MedDRA 14.1)
C0205090 (UMLS CUI-2)
C0205091 (UMLS CUI-2)
10033316 (MedDRA 14.1)
C0034108 (UMLS CUI [1])
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
C0005910 (UMLS CUI [1])
21522001 (SNOMED CT 2011_0131)
10000081 (MedDRA 14.1)
MTHU013636 (LOINC Version 232)
R10.9 (ICD-10-CM Version 2010)
789.0 (ICD-9-CM Version 2011)
E10460 (CTCAE 1105E)
267024001 (SNOMED CT 2011_0131)
10000159 (MedDRA 14.1)
R63.4 (ICD-10-CM Version 2010)
48531003 (SNOMED CT 2011_0131)
10000420 (MedDRA 14.1)
K22.0 (ICD-10-CM Version 2010)
271737000 (SNOMED CT 2011_0131)
10002034 (MedDRA 14.1)
MTHU020823 (LOINC Version 232)
D64.9 (ICD-10-CM Version 2010)
285.9 (ICD-9-CM Version 2011)
E10010 (CTCAE 1105E)
389026000 (SNOMED CT 2011_0131)
10003445 (MedDRA 14.1)
R18 (ICD-10-CM Version 2010)
789.5 (ICD-9-CM Version 2011)
E10502 (CTCAE 1105E)
444702007 (SNOMED CT 2011_0131)
19943007 (SNOMED CT 2011_0131)
10019641 (MedDRA 14.1)
K74.60 (ICD-10-CM Version 2010)
14760008 (SNOMED CT 2011_0131)
10010774 (MedDRA 14.1)
MTHU020768 (LOINC Version 232)
K59.0 (ICD-10-CM Version 2010)
564.0 (ICD-9-CM Version 2011)
E10562 (CTCAE 1105E)
62315008 (SNOMED CT 2011_0131)
10012735 (MedDRA 14.1)
MTHU013347 (LOINC Version 232)
R19.7 (ICD-10-CM Version 2010)
787.91 (ICD-9-CM Version 2011)
E10572 (CTCAE 1105E)
162031009 (SNOMED CT 2011_0131)
10013946 (MedDRA 14.1)
R10.13, K30 (ICD-10-CM Version 2010)
E10617 (CTCAE 1105E)
40739000 (SNOMED CT 2011_0131)
10013950 (MedDRA 14.1)
MTHU029874 (LOINC Version 232)
R13 (ICD-10-CM Version 2010)
787.2 (ICD-9-CM Version 2011)
E10621 (CTCAE 1105E)
28670008 (SNOMED CT 2011_0131)
10030209 (MedDRA 14.1)
I85 (ICD-10-CM Version 2010)
13200003 (SNOMED CT 2011_0131)
10034341 (MedDRA 14.1)
K27 (ICD-10-CM Version 2010)
235595009 (SNOMED CT 2011_0131)
10017885 (MedDRA 14.1)
K21 (ICD-10-CM Version 2010)
530.81 (ICD-9-CM Version 2011)
E10739 (CTCAE 1105E)
74474003 (SNOMED CT 2011_0131)
10017955 (MedDRA 14.1)
K92.2 (ICD-10-CM Version 2010)
578 (ICD-9-CM Version 2011)
8765009 (SNOMED CT 2011_0131)
10018830 (MedDRA 14.1)
K92.0 (ICD-10-CM Version 2010)
578.0 (ICD-9-CM Version 2011)
405729008 (SNOMED CT 2011_0131)
10018836 (MedDRA 14.1)
578.1 (ICD-9-CM Version 2011)
87522002 (SNOMED CT 2011_0131)
10022972 (MedDRA 14.1)
D50.0 (ICD-10-CM Version 2010)
280 (ICD-9-CM Version 2011)
18165001 (SNOMED CT 2011_0131)
10023126 (MedDRA 14.1)
R17 (ICD-10-CM Version 2010)
2901004 (SNOMED CT 2011_0131)
10027141 (MedDRA 14.1)
K92.1 (ICD-10-CM Version 2010)
422587007 (SNOMED CT 2011_0131)
10028813 (MedDRA 14.1)
MTHU013524 (LOINC Version 232)
R11.0 (ICD-10-CM Version 2010)
E10878 (CTCAE 1105E)
249497008 (SNOMED CT 2011_0131)
10047700 (MedDRA 14.1)
MTHU013530 (LOINC Version 232)
R11.1 (ICD-10-CM Version 2010)
E11068 (CTCAE 1105E)
104435004 (SNOMED CT 2011_0131)
10016297 (MedDRA 14.1)
75694006 (SNOMED CT 2011_0131)
10033645 (MedDRA 14.1)
K85.9 (ICD-10-CM Version 2010)
577.0 (ICD-9-CM Version 2011)
E10930 (CTCAE 1105E)
34742003 (SNOMED CT 2011_0131)
10036200 (MedDRA 14.1)
K76.6 (ICD-10-CM Version 2010)
572.3 (ICD-9-CM Version 2011)
E11238 (CTCAE 1105E)
225587003 (SNOMED CT 2011_0131)
267024001 (SNOMED CT 2011_0131)
10000159 (MedDRA 14.1)
R63.4 (ICD-10-CM Version 2010)
C0234421 (UMLS CUI [1])