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ID
19162
Descrizione
Freigabe zur Verarbeitung durch Frau Prof. Rössig, Quellenangabe: "Pädiatrische Hämatologie und Onkologie, UKM" Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Münster Released for adaption by Frau Prof. Rössig Source:Pediatric Hematology und Oncology, University hospital Münster
Keywords
versioni (8)
- 03/12/16 03/12/16 -
- 03/12/16 03/12/16 -
- 04/12/16 04/12/16 -
- 09/12/16 09/12/16 -
- 09/12/16 09/12/16 -
- 09/12/16 09/12/16 -
- 13/04/21 13/04/21 - Dr. rer. medic Philipp Neuhaus
- 20/09/21 20/09/21 -
Caricato su
9 dicembre 2016
DOI
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Licenza
Creative Commons BY-NC 3.0 Legacy
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Patient Admision Pediatric Hematology and Oncology UK Muenster
Patient Admision Pediatric Hematology and Oncology UK Muenster
- StudyEvent: ODM
Similar models
Patient Admision Pediatric Hematology and Oncology UK Muenster
- StudyEvent: ODM
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
last name
Item
Name
text
C1301584 (UMLS CUI [1])
first name
Item
Vorname
text
C1443235 (UMLS CUI [1])
CL Item
female (1)
CL Item
male (2)
religion
Item
Religion
text
C0035039 (UMLS CUI [1])
Patient adress
Item
Patient adress
text
C0421449 (UMLS CUI [1])
characteristics
Item
Characteristics
text
C1521970 (UMLS CUI [1])
school/occupations
Item
School/Occupations
text
C0036375 (UMLS CUI [1])
C0028811 (UMLS CUI [2])
C0028811 (UMLS CUI [2])
body weight
Item
Body Weight
integer
C0005910 (UMLS CUI [1])
Body Height
Item
Body Height
integer
C0005890 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Nationality
Item
Nationality
text
C0027473 (UMLS CUI [1])
Health insurance
Item
Health insurance
text
C0021682 (UMLS CUI [1])
insurance id
Item
Insurance ID
text
C1547687 (UMLS CUI [1])
Patients insurance ID
Item
Patients insurance ID
text
C1269815 (UMLS CUI [1,1])
C0021672 (UMLS CUI [1,2])
C0021672 (UMLS CUI [1,2])
CL Item
self-insured (1)
CL Item
Father (2)
CL Item
Mother (3)
CL Item
both parents (1)
CL Item
Father (2)
CL Item
Mother (3)
CL Item
other person (4)
specify person entitled to custody
Item
specify person entitled to custody
text
C0680610 (UMLS CUI [1])
last name
Item
Last name
text
C1301584 (UMLS CUI [1])
first name
Item
First name
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
confession
Item
Confession
text
C0681202 (UMLS CUI [1])
address
Item
Address
text
C1442065 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
C0015671 (UMLS CUI [1,2])
telephone number
Item
Telephone number
text
C1515258 (UMLS CUI [1])
mobile phone number
Item
Mobile phone number
text
C3273868 (UMLS CUI [1])
email address/fax
Item
Email address/Fax
text
C1705961 (UMLS CUI [1])
C1549619 (UMLS CUI [2])
C1549619 (UMLS CUI [2])
occupation
Item
Occupation
text
C0028811 (UMLS CUI [1])
CL Item
full-time job (1)
CL Item
part time job (2)
CL Item
unemployed (3)
CL Item
german (1)
CL Item
other (2)
if other nationality, please specify
Item
if other nationality, please specify
text
C0027473 (UMLS CUI [1])
last name
Item
Last name
text
C1301584 (UMLS CUI [1])
first name
Item
First name
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
confession
Item
Confession
text
C0681202 (UMLS CUI [1])
address
Item
Address
text
C1442065 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
C0015671 (UMLS CUI [1,2])
telephone number
Item
Telephone number
text
C1515258 (UMLS CUI [1])
mobile phone number
Item
Mobile phone number
text
C3273868 (UMLS CUI [1])
email address/fax
Item
Email address/Fax
text
C1705961 (UMLS CUI [1])
C1549619 (UMLS CUI [2])
C1549619 (UMLS CUI [2])
occupation
Item
Occupation
text
C0028811 (UMLS CUI [1])
CL Item
full-time job (1)
CL Item
part time job (2)
CL Item
unemployed (3)
CL Item
german (1)
CL Item
other (2)
if other nationality, please specify
Item
if other nationality, please specify
text
C0027473 (UMLS CUI [1])
Item
Language spoken at home
integer
C0442519 (UMLS CUI [1,1])
C0023008 (UMLS CUI [1,2])
C0023008 (UMLS CUI [1,2])
CL Item
German (1)
CL Item
other languages (2)
Item
specify language spoken at home
text
C0442519 (UMLS CUI [1,1])
C0023008 (UMLS CUI [1,2])
C0023008 (UMLS CUI [1,2])
Translator
Item
Translator needed
boolean
C0402036 (UMLS CUI [1])
CL Item
living together (1)
CL Item
living apart/divorced since: (2)
CL Item
widowed since: (3)
CL Item
never lived together (4)
divorced, widowed since
Item
divorced, widowed since
date
C0012828 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0206275 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
C0011008 (UMLS CUI [1,2])
C0206275 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
Item
childs living at
integer
C0023913 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0008059 (UMLS CUI [1,2])
CL Item
biological parents (1)
CL Item
biological mother (2)
CL Item
biological father (3)
CL Item
biological mother and her partner (4)
CL Item
biological father and his partner (5)
CL Item
adoptive parents (6)
CL Item
foster parents (7)
CL Item
grandparents or other relatives (8)
CL Item
foster home (9)
sibling name
Item
Last name
text
C1301584 (UMLS CUI [1])
sibling first name
Item
First name
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Characteristics
Item
Characteristics
text
C1521970 (UMLS CUI [1])
any characterics of pregnancy, birth or child development connected to present illness
Item
any characterics of pregnancy, birth or child development connected to present illness
text
C1521970 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
|C1521970 (UMLS CUI [1,3])
C0005615 (UMLS CUI [1,4])
C1521970 (UMLS CUI [2,1])
C0008071 (UMLS CUI [2,2])
C0032961 (UMLS CUI [1,2])
|C1521970 (UMLS CUI [1,3])
C0005615 (UMLS CUI [1,4])
C1521970 (UMLS CUI [2,1])
C0008071 (UMLS CUI [2,2])
Primary disease
Item
Primary disease
text
C0277554 (UMLS CUI [1])
Date of first diagnosis
Item
Date of first diagnosis
date
C2316983 (UMLS CUI [1])
other illness
Item
Further Illnesses
text
C3843746 (UMLS CUI [1])
progressive disease
Item
Progressive disease
boolean
C1335499 (UMLS CUI [1])
Complications or surgery
Item
Complications or surgery
text
C0009566 (UMLS CUI [1])
C0543467 (UMLS CUI [2])
C0543467 (UMLS CUI [2])
Hypersensitivities
Item
Hypersensitivities
text
C0020517 (UMLS CUI [1])
CL Item
pediatric clinic (1)
CL Item
outpatient care service (2)
CL Item
pediatric doctor (3)
CL Item
family doctor (4)
CL Item
self-admittance (5)
CL Item
hospice (6)
Date of consent discussion
Item
When?
date
C0515995 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
consent discussion investigator
Item
Who did the interview?
text
C0515995 (UMLS CUI [1,1])
C0021821 (UMLS CUI [1,2])
C0021821 (UMLS CUI [1,2])
consent discussion topic
Item
What was the interview's topic?
text
C0515995 (UMLS CUI [1,1])
C1706203 (UMLS CUI [1,2])
C1706203 (UMLS CUI [1,2])
childrens symptoms
Item
Which symptoms of the child should be eased?
text
C3824891 (UMLS CUI [1])
support for parents
Item
Whereby do you as parents need help by the palliative team?
text
C0150232 (UMLS CUI [1])
CL Item
none (1)
CL Item
Level of care 1, applied (2)
CL Item
Level of care 1, granted (3)
CL Item
Level of care 2, applied (4)
CL Item
Level of care 2, granted (5)
CL Item
Level of care 3, applied (6)
CL Item
Level of care 3, granted (7)
CL Item
hardship case (8)
severe disability identity card
Item
Severe disability identity card
boolean
C0424990 (UMLS CUI [1])
Disability evaluation
Item
Disability evaluation
integer
C0012605 (UMLS CUI [1])
Outpatient children care
Item
Outpatient children care
boolean
C3826748 (UMLS CUI [1])
Outpatient children care hours per week
Item
hours per week
integer
C3826748 (UMLS CUI [1,1])
C0556976 (UMLS CUI [1,2])
C0556976 (UMLS CUI [1,2])
treatment care
Item
treatment care
boolean
C0011017 (UMLS CUI [1])
basic care
Item
basic care
boolean
C0509072 (UMLS CUI [1])
integration support
Item
integration support
boolean
C0344211 (UMLS CUI [1,1])
C0597478 (UMLS CUI [1,2])
C0597478 (UMLS CUI [1,2])
family support
Item
family support
boolean
C0150232 (UMLS CUI [1])
outpatient children hospice
Item
outpatient children hospice
boolean
C3826577 (UMLS CUI [1,1])
C0557533 (UMLS CUI [1,2])
C0557533 (UMLS CUI [1,2])
outpatient children hospice hours per week
Item
hours per week
integer
C3826577 (UMLS CUI [1,1])
C0557533 (UMLS CUI [1,2])
C0556976 (UMLS CUI [1,3])
C0557533 (UMLS CUI [1,2])
C0556976 (UMLS CUI [1,3])
other support
Item
other support
boolean
C0150232 (UMLS CUI [1])
C0557464 (UMLS CUI [2])
C0557464 (UMLS CUI [2])
other support hours per week
Item
hours per week
integer
C0150232 (UMLS CUI [1,1])
C0556976 (UMLS CUI [1,2])
C0557464 (UMLS CUI [2,1])
C0556976 (UMLS CUI [2,2])
C0556976 (UMLS CUI [1,2])
C0557464 (UMLS CUI [2,1])
C0556976 (UMLS CUI [2,2])
nursing bed
Item
nursing bed
boolean
C0336603 (UMLS CUI [1])
CL Item
ownership (1)
CL Item
loan (2)
nursing bed loan
Item
loan from
text
C0336603 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
wheelchair
Item
wheelchair
boolean
C0043143 (UMLS CUI [1])
CL Item
ownership (1)
CL Item
loan (2)
CL Item
ownership (1)
CL Item
loan (2)
walker
Item
walker
boolean
C0043016 (UMLS CUI [1])
CL Item
ownership (1)
CL Item
loan (2)
walker loan
Item
loan
text
C0043016 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
positioning aids
Item
Positioning aids
boolean
C0182347 (UMLS CUI [1])
Item
ownership
integer
C0182347 (UMLS CUI [1,1])
C0029981 (UMLS CUI [1,2])
C0029981 (UMLS CUI [1,2])
CL Item
ownership (1)
CL Item
loan (2)
positioning aids loan
Item
loan
text
C0182347 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
Feeding pump
Item
Feeding pump
boolean
C2317149 (UMLS CUI [1])
CL Item
ownership (1)
CL Item
loan (2)
Feeding pump loan
Item
loan
text
C2317149 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
pca
Item
PCA pump
boolean
C0078944 (UMLS CUI [1])
CL Item
ownership (1)
CL Item
loan (2)
pca loan
Item
loan
text
C0078944 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
infusion pump
Item
C0021436
boolean
C0021436 (UMLS CUI [1])
CL Item
ownership (1)
CL Item
loan (2)
infusion pump loan
Item
loan
text
C0021436 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
suction device
Item
suction device
boolean
C0038638 (UMLS CUI [1])
CL Item
ownership (1)
CL Item
loan (2)
suction device loan
Item
loan
text
C0038638 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
Pulse oximeter
Item
Pulse oximeter
boolean
C0182109 (UMLS CUI [1])
CL Item
ownership (1)
CL Item
loan (2)
Pulse oximeter loan
Item
loan
text
C0182109 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
oxygen cylinder
Item
oxygen cylinder
boolean
C0182124 (UMLS CUI [1])
Item
ownership
integer
C0182124 (UMLS CUI [1,1])
C0029981 (UMLS CUI [1,2])
C0029981 (UMLS CUI [1,2])
CL Item
ownership (1)
CL Item
loan (2)
oxygen cylinder loan
Item
loan
text
C0182124 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
oxygen concentrator
Item
oxygen concentrator
boolean
C0182123 (UMLS CUI [1])
Item
ownership
integer
C0182123 (UMLS CUI [1,1])
C0029981 (UMLS CUI [1,2])
C0029981 (UMLS CUI [1,2])
CL Item
ownership (1)
CL Item
loan (2)
oxygen concentrator loan
Item
loan
text
C0182123 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
Ventilation assist device
Item
Ventilation assist device
boolean
C0554804 (UMLS CUI [1])
Item
ownership
integer
C0554804 (UMLS CUI [1,1])
C0029981 (UMLS CUI [1,2])
C0029981 (UMLS CUI [1,2])
CL Item
ownership (1)
CL Item
loan (2)
Ventilation assist device loan
Item
loan
text
C0554804 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
commode
Item
commode
boolean
C1140607 (UMLS CUI [1])
CL Item
ownership (1)
CL Item
loan (2)
commode loan
Item
loan
text
C1140607 (UMLS CUI [1,1])
C1555585 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,2])
bathtub lifter
Item
bathtub lifter
boolean
C3877143 (UMLS CUI [1,1])
C0336751 (UMLS CUI [1,2])
C0336751 (UMLS CUI [1,2])
Item
ownership
integer
C3877143 (UMLS CUI [1,1])
C0336751 (UMLS CUI [1,2])
C0029981 (UMLS CUI [1,3])
C0336751 (UMLS CUI [1,2])
C0029981 (UMLS CUI [1,3])
CL Item
ownership (1)
CL Item
loan (2)
bathtub lifter loan
Item
loan
text
C3877143 (UMLS CUI [1,1])
C0336751 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,3])
C0336751 (UMLS CUI [1,2])
C1555585 (UMLS CUI [1,3])
glasses
Item
glasses
boolean
C0015421 (UMLS CUI [1])
braces, lose
Item
braces, lose
boolean
C0743050 (UMLS CUI [1])
dental splint
Item
dental splint
boolean
C0441335 (UMLS CUI [1])
palatal plate
Item
palatal plate
boolean
C1139930 (UMLS CUI [1,1])
C0700374 (UMLS CUI [1,2])
C0700374 (UMLS CUI [1,2])
contact lenses
Item
contact lenses
boolean
C0009836 (UMLS CUI [1])
prosthesis
Item
prosthesis
boolean
C0175649 (UMLS CUI [1])
walking aids
Item
walking aids
boolean
C0557834 (UMLS CUI [1])
hearing aids
Item
hearing aids
boolean
C0018768 (UMLS CUI [1])
braces, fixed
Item
braces, fixed
boolean
C0743050 (UMLS CUI [1])