ID

20895

Description

Documentation form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by: Univ.-Prof. Dr. Dr.med. Gereon Heuft Klinik für Psychosomatik und Psychotherapie Universitätsklinikum Münster Domagkstr. 22 48149 Münster

Keywords

  1. 3/25/17 3/25/17 -
Uploaded on

March 25, 2017

DOI

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License

Creative Commons BY-NC 3.0

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Documentation Psychosomatic medicine UKM

Documentation Form

  1. StudyEvent: ODM
    1. Documentation Form
Patient demographics
Description

Patient demographics

Patient name
Description

Patient name

Data type

integer

Alias
UMLS CUI [1]
C1299487
Contact
Description

Contact

Data type

integer

Alias
UMLS CUI [1]
C3812666
Consultation
Description

Consultation

Data type

integer

Alias
UMLS CUI [1]
C0009818
Examination
Description

Examination

Appearance
Description

Appearance

Data type

integer

Alias
UMLS CUI [1]
C0233426
Symptoms
Description

Symptoms

Data type

text

Alias
UMLS CUI [1]
C1457887
Diagnostics
Description

Diagnostics

Data type

text

Alias
UMLS CUI [1]
C0430022
History of psychiatric disorder
Description

History of psychiatric disorder

Data type

text

Alias
UMLS CUI [1]
C0455498
Medical history
Description

Medical history

Data type

integer

Alias
UMLS CUI [1]
C0262926
Substance abuse
Description

Substance abuse

Data type

integer

Alias
UMLS CUI [1]
C0038586
social history
Description

social history

Data type

text

Alias
UMLS CUI [1]
C0424945
Self perception
Description

Self perception

Data type

integer

Alias
UMLS CUI [1]
C0242498
Biography
Description

Biography

Data type

text

Alias
UMLS CUI [1]
C0005504
Operationalised Psychodynamic Diagnostics (OPD)
Description

Operationalised Psychodynamic Diagnostics (OPD)

Axes: I = experience of illness and prerequisites for treatment
Description

Axes: I = experience of illness and prerequisites for treatment

Data type

integer

Alias
UMLS CUI [1]
C3483507
Axis II: Interpersonal Relations
Description

Axis II: Interpersonal Relations

Data type

integer

Alias
UMLS CUI [1]
C0021797
Axis III: Conflicts
Description

Axis III: Conflicts

Data type

integer

Alias
UMLS CUI [1]
C0009671
Axis IV: Structure
Description

Axis IV: Structure

Data type

integer

Alias
UMLS CUI [1]
C0678594
Axis V: Syndromal (according to Chapter V (F) of ICD 10)
Description

Axis V: Syndromal (according to Chapter V (F) of ICD 10)

Data type

text

Alias
UMLS CUI [1]
C2371452
Pretreatment
Description

Pretreatment

Pretreatment outpatient
Description

Pretreatment outpatient

Data type

integer

Alias
UMLS CUI [1,1]
C3539076
UMLS CUI [1,2]
C0029921
Pretreatment inpatient
Description

Pretreatment inpatient

Data type

integer

Alias
UMLS CUI [1,1]
C3539076
UMLS CUI [1,2]
C0029921
Psychotherapy
Description

Psychotherapy

Data type

integer

Alias
UMLS CUI [1]
C0033968
mental disorder diagnosis
Description

mental disorder diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0596905
Treatment
Description

Treatment

Somatic treatment
Description

Somatic treatment

Data type

integer

Alias
UMLS CUI [1]
C0037646
Treatment for mental disorder
Description

Treatment for mental disorder

Data type

integer

Alias
UMLS CUI [1]
C2069138
Psychodynamic Assessment
Description

Psychodynamic Assessment

Data type

integer

Alias
UMLS CUI [1]
C4042773

Similar models

Documentation Form

  1. StudyEvent: ODM
    1. Documentation Form
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient demographics
Patient name
Item
Patient name
integer
C1299487 (UMLS CUI [1])
Contact
Item
Contact
integer
C3812666 (UMLS CUI [1])
Item
Consultation
integer
C0009818 (UMLS CUI [1])
Code List
Consultation
CL Item
inpatient  (1)
C0021562 (UMLS CUI-1)
CL Item
outpatient (2)
C0029921 (UMLS CUI-1)
CL Item
external (3)
C0199298 (UMLS CUI-1)
Item Group
Examination
Appearance
Item
Appearance
integer
C0233426 (UMLS CUI [1])
Symptoms
Item
Symptoms
text
C1457887 (UMLS CUI [1])
Diagnostics
Item
Diagnostics
text
C0430022 (UMLS CUI [1])
History of psychiatric disorder
Item
History of psychiatric disorder
text
C0455498 (UMLS CUI [1])
Medical history
Item
Medical history
integer
C0262926 (UMLS CUI [1])
Item
Substance abuse
integer
C0038586 (UMLS CUI [1])
Code List
Substance abuse
CL Item
Nicotin (1)
C0694534 (UMLS CUI-1)
CL Item
Alcohol (2)
C0694534 (UMLS CUI-1)
CL Item
Drugs (3)
C0013146 (UMLS CUI-1)
CL Item
Medication abuse (4)
C0260268 (UMLS CUI-1)
CL Item
self-harming (5)
C3280486 (UMLS CUI-1)
CL Item
suicidal tendency (6)
C0235196 (UMLS CUI-1)
social history
Item
social history
text
C0424945 (UMLS CUI [1])
Self perception
Item
Self perception
integer
C0242498 (UMLS CUI [1])
Item
Biography
text
C0005504 (UMLS CUI [1])
Code List
Biography
CL Item
 (Biographische Daten)
CL Item
 (Psychodynamik)
Item Group
Operationalised Psychodynamic Diagnostics (OPD)
Axes: I = experience of illness and prerequisites for treatment
Item
Axes: I = experience of illness and prerequisites for treatment
integer
C3483507 (UMLS CUI [1])
Axis II: Interpersonal Relations
Item
Axis II: Interpersonal Relations
integer
C0021797 (UMLS CUI [1])
Axis III: Conflicts
Item
Axis III: Conflicts
integer
C0009671 (UMLS CUI [1])
Axis IV: Structure
Item
Axis IV: Structure
integer
C0678594 (UMLS CUI [1])
Axis V: Syndromal (according to Chapter V (F) of ICD 10)
Item
Axis V: Syndromal (according to Chapter V (F) of ICD 10)
text
C2371452 (UMLS CUI [1])
Item Group
Pretreatment
Pretreatment outpatient
Item
Pretreatment outpatient
integer
C3539076 (UMLS CUI [1,1])
C0029921 (UMLS CUI [1,2])
Pretreatment inpatient
Item
Pretreatment inpatient
integer
C3539076 (UMLS CUI [1,1])
C0029921 (UMLS CUI [1,2])
Psychotherapy
Item
Psychotherapy
integer
C0033968 (UMLS CUI [1])
mental disorder diagnosis
Item
mental disorder diagnosis
integer
C0596905 (UMLS CUI [1])
Item Group
Treatment
Item
Somatic treatment
integer
C0037646 (UMLS CUI [1])
Code List
Somatic treatment
CL Item
inpatient (1)
C0021562 (UMLS CUI-1)
CL Item
outpatient (2)
C0029921 (UMLS CUI-1)
Item
Treatment for mental disorder
integer
C2069138 (UMLS CUI [1])
Code List
Treatment for mental disorder
CL Item
inpatient (1)
C0021562 (UMLS CUI-1)
CL Item
outpatient (2)
C0029921 (UMLS CUI-1)
Item
Psychodynamic Assessment
integer
C4042773 (UMLS CUI [1])
Code List
Psychodynamic Assessment
CL Item
consultation (1)
C0009818 (UMLS CUI-1)
CL Item
inpatient (2)
C0021562 (UMLS CUI-1)
CL Item
outpatient (3)
C0029921 (UMLS CUI-1)
CL Item
Depth psychology (4)
C0870405 (UMLS CUI-1)
CL Item
Cognitive behavioral therapy (5)
C0009244 (UMLS CUI-1)

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