ID

31903

Description

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Stoma-Dokumentationsbogen.

Keywords

  1. 10/7/16 10/7/16 -
  2. 10/8/18 10/8/18 - Sarah Riepenhausen
  3. 10/8/18 10/8/18 - Sarah Riepenhausen
Copyright Holder

University Hospital Münster (UKM)

Uploaded on

October 8, 2018

DOI

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License

Creative Commons BY-NC-ND 3.0

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Stoma Dokumentationsbogen MS University Hospital Muenster (UKM)

Stoma Dokumentationsbogen MS University Hospital Muenster (UKM)

Krankenhausaufenthalt
Description

Krankenhausaufenthalt

Alias
UMLS CUI-1
C3489408
Klinik
Description

Clinic

Data type

text

Alias
UMLS CUI [1]
C0442592
Station
Description

Ward

Data type

text

Alias
UMLS CUI [1]
C1305702
OP-Datum:
Description

Date of surgery

Data type

date

Alias
UMLS CUI [1]
C1628561
Entlassdatum:
Description

Discharge Date

Data type

date

Alias
UMLS CUI [1]
C2361123
Stoma
Description

Stoma

Alias
UMLS CUI-1
C1955856
Stomaart
Description

Stoma

Data type

integer

Alias
UMLS CUI [1]
C1955856
Stomaanlage
Description

Stoma construction

Data type

text

Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C0441513
Stomaanlage: Komplikationen
Description

Stoma construction complication

Data type

text

Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C0441513
UMLS CUI [1,3]
C0009566
Fixierung und Form Reiter?
Description

Stoma fixation

Data type

boolean

Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C0185023
Fixierung und Form Reiter? Wenn ja, entfernt am?
Description

Stoma fixation

Data type

date

Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C0185023
UMLS CUI [2,1]
C0015252
UMLS CUI [2,2]
C0011008
Stomanähte
Description

Stoma sutures

Data type

text

Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C0038969
Erstversorgung am:
Description

Primary Care Date

Data type

date

Alias
UMLS CUI [1,1]
C0033137
UMLS CUI [1,2]
C0011008
Stomagröße bei Erstversorung:
Description

Primary Care: Stoma size

Data type

float

Measurement units
  • mm x mm
Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C0456389
UMLS CUI [2]
C0033137
mm x mm
Stomaform bei Erstversorgung:
Description

Primary Care: Stoma Form

Data type

text

Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C1522492
UMLS CUI [2]
C0033137
Entlassung am:
Description

Discharge Date

Data type

date

Alias
UMLS CUI [1]
C2361123
Stomagröße bei Entlassung:
Description

Discharge: Stoma size

Data type

float

Measurement units
  • mm x mm
Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C0456389
UMLS CUI [2]
C0030685
mm x mm
Stomaform bei Entlassung:
Description

Discharge: Stoma Form

Data type

text

Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C1522492
UMLS CUI [2]
C0030685
Versorgungssystem Firma:
Description

Stoma Care Company

Data type

text

Alias
UMLS CUI [1,1]
C0150786
UMLS CUI [1,2]
C0683757
Systemwechsel jeden xx. Tag
Description

Change of Stoma

Data type

float

Measurement units
  • Tag
Alias
UMLS CUI [1]
C2919682
Tag
Basisplatte (Nr.)
Description

Stoma flange

Data type

float

Alias
UMLS CUI [1]
C0465803
Basisplatte:
Description

Stoma flange specification

Data type

text

Alias
UMLS CUI [1,1]
C0465803
UMLS CUI [1,2]
C2348235
Beutel (Nr.)
Description

Stoma pouch

Data type

float

Alias
UMLS CUI [1]
C0464661
Beutel:
Description

Stoma pouch specification

Data type

text

Alias
UMLS CUI [1,1]
C0464661
UMLS CUI [1,2]
C2348235
Spezielle Materialien
Description

Stoma special material

Data type

text

Alias
UMLS CUI [1,1]
C1955856
UMLS CUI [1,2]
C0520510
Patientenedukation Stomatherapeut: Präoperativ
Description

Patient education - preoperative

Data type

text

Alias
UMLS CUI [1,1]
C0030688
UMLS CUI [1,2]
C0445204
Stomamarkierung am:
Description

Stoma Marking Date

Data type

date

Alias
UMLS CUI [1,1]
C0455083
UMLS CUI [1,2]
C0011008
Patientenedukation Stomatherapeut: Postoperativ
Description

Patient education - postoperative

Data type

text

Alias
UMLS CUI [1,1]
C0030688
UMLS CUI [1,2]
C0032786
Stoma: Anleitung zur Selbstversorgung
Description

Stoma: Anleitung zur Selbstversorgung

Alias
UMLS CUI-1
C1955856
UMLS CUI-2
C0680212
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Haut
Description

Skin

Data type

integer

Alias
UMLS CUI [1]
C1123023
Schleimhaut
Description

Mucosa

Data type

integer

Alias
UMLS CUI [1]
C0026724
Ausscheidung
Description

Excretion

Data type

integer

Alias
UMLS CUI [1]
C0221102
Ausscheidung Wenn sonstiges, weitere Angaben:
Description

Excretion specification

Data type

text

Alias
UMLS CUI [1,1]
C0221102
UMLS CUI [1,2]
C2348235
Beutel leeren
Description

Emptying Pouch

Data type

integer

Alias
UMLS CUI [1]
C1821024
Beutel leeren Wenn sonstiges, weitere Angaben:
Description

Emptying Pouch specification

Data type

text

Alias
UMLS CUI [1,1]
C1821024
UMLS CUI [1,2]
C2348235
Beutelwechsel
Description

Pouch change

Data type

integer

Alias
UMLS CUI [1]
C0455124
Beutelwechsel Wenn sonstiges, weitere Angaben:
Description

Pouch change specification

Data type

text

Alias
UMLS CUI [1,1]
C0455124
UMLS CUI [1,2]
C2348235
Plattenwechsel
Description

Change of stoma flange

Data type

integer

Alias
UMLS CUI [1]
C2919682
Plattenwechsel Wenn sonstiges, weitere Angaben:
Description

Change of stoma flange specification

Data type

text

Alias
UMLS CUI [1,1]
C2919682
UMLS CUI [1,2]
C2348235
Bemerkungen
Description

Comments

Data type

text

Alias
UMLS CUI [1]
C0947611
Patientenedukation/ Förderung der Patienten Compliance
Description

Patientenedukation/ Förderung der Patienten Compliance

Alias
UMLS CUI-1
C0030688
UMLS CUI-3
C1321605
Patientenedukation/ Förderung der Patienten Compliance
Description

Patient Education and Compliance

Data type

text

Alias
UMLS CUI [1]
C0030688
UMLS CUI [2]
C1321605

Similar models

Stoma Dokumentationsbogen MS University Hospital Muenster (UKM)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Krankenhausaufenthalt
C3489408 (UMLS CUI-1)
Clinic
Item
Klinik
text
C0442592 (UMLS CUI [1])
Ward
Item
Station
text
C1305702 (UMLS CUI [1])
Date of surgery
Item
OP-Datum:
date
C1628561 (UMLS CUI [1])
Discharge Date
Item
Entlassdatum:
date
C2361123 (UMLS CUI [1])
Item Group
Stoma
C1955856 (UMLS CUI-1)
Item
Stomaart
integer
C1955856 (UMLS CUI [1])
Code List
Stomaart
CL Item
Ileostoma (1)
CL Item
Jejunostoma (2)
CL Item
Ascendostoma (3)
CL Item
Transverostoma rechts (4)
CL Item
Transverstoma links (5)
CL Item
Descendostoma (6)
CL Item
Sigmoistoma (7)
CL Item
Sonstiges: Fistel (8)
CL Item
Sonstiges: Urostoma (9)
CL Item
Sonstiges: Harnleiterfistel (10)
Item
Stomaanlage
text
C1955856 (UMLS CUI [1,1])
C0441513 (UMLS CUI [1,2])
Code List
Stomaanlage
CL Item
Komplikationen (Komplikationen)
(Comment:de)
CL Item
prominent  (prominent)
(Comment:de)
CL Item
plan  (plan)
(Comment:de)
CL Item
retrahiert  (retrahiert)
(Comment:de)
Stoma construction complication
Item
Stomaanlage: Komplikationen
text
C1955856 (UMLS CUI [1,1])
C0441513 (UMLS CUI [1,2])
C0009566 (UMLS CUI [1,3])
Stoma fixation
Item
Fixierung und Form Reiter?
boolean
C1955856 (UMLS CUI [1,1])
C0185023 (UMLS CUI [1,2])
Stoma fixation
Item
Fixierung und Form Reiter? Wenn ja, entfernt am?
date
C1955856 (UMLS CUI [1,1])
C0185023 (UMLS CUI [1,2])
C0015252 (UMLS CUI [2,1])
C0011008 (UMLS CUI [2,2])
Stoma sutures
Item
Stomanähte
text
C1955856 (UMLS CUI [1,1])
C0038969 (UMLS CUI [1,2])
Primary Care Date
Item
Erstversorgung am:
date
C0033137 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Primary Care: Stoma size
Item
Stomagröße bei Erstversorung:
float
C1955856 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0033137 (UMLS CUI [2])
Item
Stomaform bei Erstversorgung:
text
C1955856 (UMLS CUI [1,1])
C1522492 (UMLS CUI [1,2])
C0033137 (UMLS CUI [2])
Code List
Stomaform bei Erstversorgung:
CL Item
rund (rund)
CL Item
oval (oval)
Discharge Date
Item
Entlassung am:
date
C2361123 (UMLS CUI [1])
Discharge: Stoma size
Item
Stomagröße bei Entlassung:
float
C1955856 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0030685 (UMLS CUI [2])
Item
Stomaform bei Entlassung:
text
C1955856 (UMLS CUI [1,1])
C1522492 (UMLS CUI [1,2])
C0030685 (UMLS CUI [2])
Code List
Stomaform bei Entlassung:
CL Item
rund (rund)
CL Item
oval (oval)
Stoma Care Company
Item
Versorgungssystem Firma:
text
C0150786 (UMLS CUI [1,1])
C0683757 (UMLS CUI [1,2])
Change of Stoma
Item
Systemwechsel jeden xx. Tag
float
C2919682 (UMLS CUI [1])
Stoma flange
Item
Basisplatte (Nr.)
float
C0465803 (UMLS CUI [1])
Item
Basisplatte:
text
C0465803 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Code List
Basisplatte:
CL Item
plan (plan)
CL Item
konvex (konvex)
Stoma pouch
Item
Beutel (Nr.)
float
C0464661 (UMLS CUI [1])
Item
Beutel:
text
C0464661 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Code List
Beutel:
CL Item
geschlossener Beutel (geschlossener Beutel)
(Comment:de)
CL Item
Ausstreifbeutel  (Ausstreifbeutel)
(Comment:de)
Stoma special material
Item
Spezielle Materialien
text
C1955856 (UMLS CUI [1,1])
C0520510 (UMLS CUI [1,2])
Item
Patientenedukation Stomatherapeut: Präoperativ
text
C0030688 (UMLS CUI [1,1])
C0445204 (UMLS CUI [1,2])
Code List
Patientenedukation Stomatherapeut: Präoperativ
CL Item
Stomamarkierung am (Stomamarkierung am)
CL Item
Gespräch mit Stomatherapie (Gespräch mit Stomatherapie)
CL Item
Informationsbroschüre erhalten (Informationsbroschüre erhalten)
CL Item
Erstkontakt mit Materialien (Erstkontakt mit Materialien)
CL Item
"Trockenübungen" ("Trockenübungen")
Stoma Marking Date
Item
Stomamarkierung am:
date
C0455083 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Patientenedukation Stomatherapeut: Postoperativ
text
C0030688 (UMLS CUI [1,1])
C0032786 (UMLS CUI [1,2])
Code List
Patientenedukation Stomatherapeut: Postoperativ
CL Item
Stoma und Versorgungsschritte erklärt (Stoma und Versorgungsschritte erklärt)
CL Item
Gespräch mit Stomatherapeut (Gespräch mit Stomatherapeut)
CL Item
Informationsmaterial erhalten (Informationsmaterial erhalten)
CL Item
Pat. versorgt sein Stoma selbstständig (Pat. versorgt sein Stoma selbstständig)
CL Item
Entlassungsausstattung erhalten (Entlassungsausstattung erhalten)
CL Item
Angehörigenschulung (Angehörigenschulung)
Item Group
Stoma: Anleitung zur Selbstversorgung
C1955856 (UMLS CUI-1)
C0680212 (UMLS CUI-2)
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Item
Haut
integer
C1123023 (UMLS CUI [1])
Code List
Haut
CL Item
intakt (1)
CL Item
gerötet (2)
CL Item
offen (3)
CL Item
mazeriert (4)
Item
Schleimhaut
integer
C0026724 (UMLS CUI [1])
Code List
Schleimhaut
CL Item
intakt (1)
CL Item
ödematös (2)
CL Item
blutig (3)
CL Item
nekrotisch (4)
Item
Ausscheidung
integer
C0221102 (UMLS CUI [1])
Code List
Ausscheidung
CL Item
flüssig (1)
CL Item
breiig (2)
CL Item
fest (3)
CL Item
geformt (4)
CL Item
sonstiges (5)
Excretion specification
Item
Ausscheidung Wenn sonstiges, weitere Angaben:
text
C0221102 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Item
Beutel leeren
integer
C1821024 (UMLS CUI [1])
Code List
Beutel leeren
CL Item
Pflegeexp. (1)
CL Item
angeleitet (2)
CL Item
selbst (3)
CL Item
PFK (4)
CL Item
sonstige (5)
Emptying Pouch specification
Item
Beutel leeren Wenn sonstiges, weitere Angaben:
text
C1821024 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Item
Beutelwechsel
integer
C0455124 (UMLS CUI [1])
Code List
Beutelwechsel
CL Item
Pflegeexp. (1)
CL Item
angeleitet (2)
CL Item
selbst (3)
CL Item
PFK (4)
CL Item
sonstige (5)
Pouch change specification
Item
Beutelwechsel Wenn sonstiges, weitere Angaben:
text
C0455124 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Item
Plattenwechsel
integer
C2919682 (UMLS CUI [1])
Code List
Plattenwechsel
CL Item
Pflegeexp. (1)
CL Item
angeleitet (2)
CL Item
selbst (3)
CL Item
PFK (4)
CL Item
sonstige (5)
Change of stoma flange specification
Item
Plattenwechsel Wenn sonstiges, weitere Angaben:
text
C2919682 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Comments
Item
Bemerkungen
text
C0947611 (UMLS CUI [1])
Item Group
Patientenedukation/ Förderung der Patienten Compliance
C0030688 (UMLS CUI-1)
C1321605 (UMLS CUI-3)
Patient Education and Compliance
Item
Patientenedukation/ Förderung der Patienten Compliance
text
C0030688 (UMLS CUI [1])
C1321605 (UMLS CUI [2])

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