ID

42636

Description

Hospital Routine Documentation Subform at the University Hospital Cologne. Original Form name: HO-Ausarbeitungsbogen

Keywords

Versions (2)
  1. 3/5/17 3/5/17 -
  2. 9/17/21 9/17/21 -
Uploaded on

September 17, 2021

DOI

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License

Creative Commons BY-NC 3.0
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Hematology/ Oncology request elaboration form University Hospital Cologne

German ( localization.languageCode.DE )

Hematology/ Oncology request elaboration form University Hospital Cologne

1 forms  
Patienteninformation
Description

Patienteninformation

Alias
UMLS CUI-1
C1955348
Patient:
Description

patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
geb.:
Description

patient birth date

Data type

date

Alias
UMLS CUI [1]
C0421451
Fallnr.:
Description

case number

Data type

integer

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
Datum:
Description

hematology/ oncology request date

Data type

date

Alias
UMLS CUI [1,1]
C0018941
UMLS CUI [1,2]
C0586146
UMLS CUI [1,3]
C0011008
Diagnose
Description

diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Freitext
Description

free text

Data type

text

Alias
UMLS CUI [1]
C2348713
für den:
Description

requested for

Data type

date

Alias
UMLS CUI [1]
C0686900
bei:
Description

treating physician name

Data type

text

Alias
UMLS CUI [1,1]
C1710470
UMLS CUI [1,2]
C0027365
Labor:
Description

Labor:

Alias
UMLS CUI-1
C0022877
UMLS CUI-2
C0586146
BB CITO
Description

blood cell count

Data type

boolean

Alias
UMLS CUI [1]
C0005771
IMMU STD.
Description

immunology

Data type

boolean

Alias
UMLS CUI [1,1]
C0021052
UMLS CUI [1,2]
C0022885
UMLS CUI [1,3]
C1442989
KMT STD.
Description

bone marrow transplantation standard

Data type

boolean

Alias
UMLS CUI [1,1]
C0005961
UMLS CUI [1,2]
C0022885
UMLS CUI [1,3]
C1442989
cYA/Mg
Description

cyclosporine measurement

Data type

boolean

Alias
UMLS CUI [1]
C0337448
Tacro/Mg
Description

tacrolimus measurement

Data type

boolean

Alias
UMLS CUI [1]
C0519826
ONKO NOTFALL STD.
Description

oncology emergency standard

Data type

boolean

Alias
UMLS CUI [1,1]
C0278627
UMLS CUI [1,2]
C0022885
UMLS CUI [1,3]
C1442989
UMLS CUI [1,4]
C0013956
ONKO AUFNAHME STD.
Description

oncology admission standard

Data type

boolean

Alias
UMLS CUI [1,1]
C0278627
UMLS CUI [1,2]
C0022885
UMLS CUI [1,3]
C1442989
UMLS CUI [1,4]
C0030673
ONKO STD./DERMA STD.
Description

oncology standard/ dermatology standard

Data type

boolean

Alias
UMLS CUI [1,1]
C0278627
UMLS CUI [1,2]
C0022885
UMLS CUI [1,3]
C1442989
UMLS CUI [2,1]
C0011627
UMLS CUI [2,2]
C0022885
UMLS CUI [2,3]
C1442989
GASTRO STD.
Description

gastroenterology standard

Data type

boolean

Alias
UMLS CUI [1,1]
C0017163
UMLS CUI [1,2]
C0022885
UMLS CUI [1,3]
C1442989
GASTRO NOTFALL STD.
Description

gastroenterology emergency standard

Data type

boolean

Alias
UMLS CUI [1,1]
C0017163
UMLS CUI [1,2]
C0022885
UMLS CUI [1,3]
C1442989
UMLS CUI [1,4]
C0013956
IMMUNOLOGIE
Description

immunology

Data type

boolean

Alias
UMLS CUI [1,1]
C0021052
UMLS CUI [1,2]
C0022885
VIROLOGIE
Description

virology

Data type

boolean

Alias
UMLS CUI [1,1]
C1516653
UMLS CUI [1,2]
C0022885
HYGIENE
Description

hygiene

Data type

boolean

Alias
UMLS CUI [1,1]
C0020405
UMLS CUI [1,2]
C0022885
SD-Werte
Description

thyroid gland laboratory

Data type

boolean

Alias
UMLS CUI [1,1]
C0040132
UMLS CUI [1,2]
C0022885
BLUTGRUPPE
Description

blood type

Data type

boolean

Alias
UMLS CUI [1,1]
C0005810
UMLS CUI [1,2]
C0022885
EVTL. EK's TT's
Description

erythrocyte concentrate

Data type

boolean

Alias
UMLS CUI [1]
C0086252
LMHO AUSSTRICHE PB
Description

molecular hematology/ oncology blood smear

Data type

boolean

Alias
UMLS CUI [1,1]
C1441600
UMLS CUI [1,2]
C1167856
LMHO EDTA-BLUT (9 ml)
Description

molecular hematology/ oncology EDTA-blood

Data type

boolean

Alias
UMLS CUI [1,1]
C1441600
UMLS CUI [1,2]
C2919842
LMHO Indikation
Description

molecular hematology/ oncology indication

Data type

text

Alias
UMLS CUI [1,1]
C1441600
UMLS CUI [1,2]
C3146298
KMP-Zytologie
Description

bone marrow puncture cytology

Data type

boolean

Alias
UMLS CUI [1,1]
C0005953
UMLS CUI [1,2]
C0010819
KMP-Histologie
Description

bone marrow puncture histology

Data type

boolean

Alias
UMLS CUI [1,1]
C0005953
UMLS CUI [1,2]
C0019638
Radiologie:
Description

Radiologie:

Alias
UMLS CUI-1
C0043299
RÖ.THORAX
Description

thorax x-ray

Data type

boolean

Alias
UMLS CUI [1]
C0039985
CT-MM PROGRAMM
Description

computed tomography

Data type

boolean

Alias
UMLS CUI [1]
C0040405
CT-MM PROGRAMM Datum
Description

computed tomography date

Data type

date

Alias
UMLS CUI [1,1]
C0040405
UMLS CUI [1,2]
C0011008
RÖ.-SONSTIGES
Description

x-ray other

Data type

boolean

Alias
UMLS CUI [1]
C1306645
CT-HALS
Description

ct neck

Data type

boolean

Alias
UMLS CUI [1]
C0412604
CT-HALS Datum/Zeit
Description

ct neck date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C0412604
UMLS CUI [1,2]
C1264639
CT-THORAX
Description

ct thorax

Data type

boolean

Alias
UMLS CUI [1]
C0202823
CT-THORAX Datum/Zeit
Description

ct thorax date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C0202823
UMLS CUI [1,2]
C1264639
CT-ABDOMEN
Description

ct abdomen

Data type

boolean

Alias
UMLS CUI [1]
C0412620
CT-ABDOMEN Datum/Zeit
Description

ct abdomen date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C0412620
UMLS CUI [1,2]
C1264639
NMR
Description

mri

Data type

boolean

Alias
UMLS CUI [1]
C0024485
NMR Datum/Zeit
Description

mri date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C0024485
UMLS CUI [1,2]
C1264639
PET
Description

pet

Data type

boolean

Alias
UMLS CUI [1]
C0032743
PET Datum/Zeit
Description

pet date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C0032743
UMLS CUI [1,2]
C1264639
SZINTI
Description

scintigraphy

Data type

boolean

Alias
UMLS CUI [1]
C0034606
SZINTI Datum
Description

scintigraphy date

Data type

date

Alias
UMLS CUI [1,1]
C0034606
UMLS CUI [1,2]
C0011008
andere Untersuchungen
Description

andere Untersuchungen

Alias
UMLS CUI-1
C0260879
BRONCHOSCOPIE
Description

bronchoscopy

Data type

boolean

Alias
UMLS CUI [1]
C0006290
BRONCHOSCOPIE Datum/Zeit
Description

bronchoscopy date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C0006290
UMLS CUI [1,2]
C1264639
SONO ABDOMEN
Description

sonography abdomen

Data type

boolean

Alias
UMLS CUI [1,1]
C0041618
UMLS CUI [1,2]
C0000726
SONO ABDOMEN Datum/Zeit
Description

sonography abdomen date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C0041618
UMLS CUI [1,2]
C0000726
UMLS CUI [1,3]
C1264639
sonstige Untersuchungen
Description

other examinations

Data type

boolean

Alias
UMLS CUI [1,1]
C0086141
UMLS CUI [1,2]
C0205394
sonstige Untersuchungen Datum/Zeit
Description

other examinations date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C0086141
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C1264639
EKG
Description

ecg

Data type

boolean

Alias
UMLS CUI [1]
C1623258
EKG Datum/Zeit
Description

ecg date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C1623258
UMLS CUI [1,2]
C1264639
HERZECHO
Description

echocardiography

Data type

boolean

Alias
UMLS CUI [1]
C0013516
HERZECHO Datum/Zeit
Description

echocardiography date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C0013516
UMLS CUI [1,2]
C1264639
LUFU
Description

lung function test

Data type

boolean

Alias
UMLS CUI [1]
C0024119
LUFU Datum/Zeit
Description

lung function test date/ time

Data type

datetime

Alias
UMLS CUI [1,1]
C0024119
UMLS CUI [1,2]
C1264639
KONSIL
Description

consil

Data type

boolean

Alias
UMLS CUI [1]
C0009818
KONSIL Datum/Zeit
Description

consil date/time

Data type

datetime

Alias
UMLS CUI [1,1]
C0009818
UMLS CUI [1,2]
C1264639
THERAPIE BESTELLBAR
Description

therapy available

Data type

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0470187
THERAPIE BESTELLBAR Datum
Description

therapy available date

Data type

date

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0470187
UMLS CUI [1,3]
C0011008
THERAPIE < 2h
Description

therapy less than 2h

Data type

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0040223
THERAPIE < 2h Datum
Description

therapy less than 2h date

Data type

date

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0040223
UMLS CUI [1,3]
C0011008
THERAPIE > 2h
Description

therapy more than 2h

Data type

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0040223
THERAPIE > 2h Datum
Description

therapy more than 2h date

Data type

date

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0040223
UMLS CUI [1,3]
C0011008
TAGESKLINIK
Description

day care

Data type

boolean

Alias
UMLS CUI [1]
C0011017
Besprechung
Description

meeting

Data type

boolean

Alias
UMLS CUI [1]
C0556656
Besprechung Datum
Description

meeting date

Data type

date

Alias
UMLS CUI [1,1]
C0556656
UMLS CUI [1,2]
C0011008
NACHSORGE
Description

aftercare

Data type

boolean

Alias
UMLS CUI [1]
C0001758
NACHSORGE Datum
Description

aftercare date

Data type

date

Alias
UMLS CUI [1,1]
C0001758
UMLS CUI [1,2]
C0011008
Bemerkung zur Anforderung:
Description

comment on request

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C1272683
Bemerkung zur Ausarbeitung:
Description

comment on request elaboration

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C1272683
Ausarbeitung angelegt am:
Description

request elaboration date

Data type

date

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C0011008
Ausarbeitung vidiert am:
Description

request elaboration signed

Data type

date

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C1519316
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Similar models

Hematology/ Oncology request elaboration form University Hospital Cologne

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patienteninformation
C1955348 (UMLS CUI-1)
patient name
Item
Patient:
text
C1299487 (UMLS CUI [1])
patient birth date
Item
geb.:
date
C0421451 (UMLS CUI [1])
case number
Item
Fallnr.:
integer
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
hematology/ oncology request date
Item
Datum:
date
C0018941 (UMLS CUI [1,1])
C0586146 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
diagnosis
Item
Diagnose
text
C0011900 (UMLS CUI [1])
free text
Item
Freitext
text
C2348713 (UMLS CUI [1])
requested for
Item
für den:
date
C0686900 (UMLS CUI [1])
treating physician name
Item
bei:
text
C1710470 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Item Group
Labor:
C0022877 (UMLS CUI-1)
C0586146 (UMLS CUI-2)
blood cell count
Item
BB CITO
boolean
C0005771 (UMLS CUI [1])
immunology
Item
IMMU STD.
boolean
C0021052 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
C1442989 (UMLS CUI [1,3])
bone marrow transplantation standard
Item
KMT STD.
boolean
C0005961 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
C1442989 (UMLS CUI [1,3])
cyclosporine measurement
Item
cYA/Mg
boolean
C0337448 (UMLS CUI [1])
tacrolimus measurement
Item
Tacro/Mg
boolean
C0519826 (UMLS CUI [1])
oncology emergency standard
Item
ONKO NOTFALL STD.
boolean
C0278627 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
C1442989 (UMLS CUI [1,3])
C0013956 (UMLS CUI [1,4])
oncology admission standard
Item
ONKO AUFNAHME STD.
boolean
C0278627 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
C1442989 (UMLS CUI [1,3])
C0030673 (UMLS CUI [1,4])
oncology standard/ dermatology standard
Item
ONKO STD./DERMA STD.
boolean
C0278627 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
C1442989 (UMLS CUI [1,3])
C0011627 (UMLS CUI [2,1])
C0022885 (UMLS CUI [2,2])
C1442989 (UMLS CUI [2,3])
gastroenterology standard
Item
GASTRO STD.
boolean
C0017163 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
C1442989 (UMLS CUI [1,3])
gastroenterology emergency standard
Item
GASTRO NOTFALL STD.
boolean
C0017163 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
C1442989 (UMLS CUI [1,3])
C0013956 (UMLS CUI [1,4])
immunology
Item
IMMUNOLOGIE
boolean
C0021052 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
virology
Item
VIROLOGIE
boolean
C1516653 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
hygiene
Item
HYGIENE
boolean
C0020405 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
thyroid gland laboratory
Item
SD-Werte
boolean
C0040132 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
blood type
Item
BLUTGRUPPE
boolean
C0005810 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
erythrocyte concentrate
Item
EVTL. EK's TT's
boolean
C0086252 (UMLS CUI [1])
molecular hematology/ oncology blood smear
Item
LMHO AUSSTRICHE PB
boolean
C1441600 (UMLS CUI [1,1])
C1167856 (UMLS CUI [1,2])
molecular hematology/ oncology EDTA-blood
Item
LMHO EDTA-BLUT (9 ml)
boolean
C1441600 (UMLS CUI [1,1])
C2919842 (UMLS CUI [1,2])
molecular hematology/ oncology indication
Item
LMHO Indikation
text
C1441600 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
bone marrow puncture cytology
Item
KMP-Zytologie
boolean
C0005953 (UMLS CUI [1,1])
C0010819 (UMLS CUI [1,2])
bone marrow puncture histology
Item
KMP-Histologie
boolean
C0005953 (UMLS CUI [1,1])
C0019638 (UMLS CUI [1,2])
Item Group
Radiologie:
C0043299 (UMLS CUI-1)
thorax x-ray
Item
RÖ.THORAX
boolean
C0039985 (UMLS CUI [1])
computed tomography
Item
CT-MM PROGRAMM
boolean
C0040405 (UMLS CUI [1])
computed tomography date
Item
CT-MM PROGRAMM Datum
date
C0040405 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
x-ray other
Item
RÖ.-SONSTIGES
boolean
C1306645 (UMLS CUI [1])
ct neck
Item
CT-HALS
boolean
C0412604 (UMLS CUI [1])
ct neck date/time
Item
CT-HALS Datum/Zeit
datetime
C0412604 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
ct thorax
Item
CT-THORAX
boolean
C0202823 (UMLS CUI [1])
ct thorax date/time
Item
CT-THORAX Datum/Zeit
datetime
C0202823 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
ct abdomen
Item
CT-ABDOMEN
boolean
C0412620 (UMLS CUI [1])
ct abdomen date/time
Item
CT-ABDOMEN Datum/Zeit
datetime
C0412620 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
mri
Item
NMR
boolean
C0024485 (UMLS CUI [1])
mri date/time
Item
NMR Datum/Zeit
datetime
C0024485 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
pet
Item
PET
boolean
C0032743 (UMLS CUI [1])
pet date/time
Item
PET Datum/Zeit
datetime
C0032743 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
scintigraphy
Item
SZINTI
boolean
C0034606 (UMLS CUI [1])
scintigraphy date
Item
SZINTI Datum
date
C0034606 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
andere Untersuchungen
C0260879 (UMLS CUI-1)
bronchoscopy
Item
BRONCHOSCOPIE
boolean
C0006290 (UMLS CUI [1])
bronchoscopy date/time
Item
BRONCHOSCOPIE Datum/Zeit
datetime
C0006290 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
sonography abdomen
Item
SONO ABDOMEN
boolean
C0041618 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
sonography abdomen date/time
Item
SONO ABDOMEN Datum/Zeit
datetime
C0041618 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
C1264639 (UMLS CUI [1,3])
other examinations
Item
sonstige Untersuchungen
boolean
C0086141 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
other examinations date/time
Item
sonstige Untersuchungen Datum/Zeit
datetime
C0086141 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1264639 (UMLS CUI [1,3])
ecg
Item
EKG
boolean
C1623258 (UMLS CUI [1])
ecg date/time
Item
EKG Datum/Zeit
datetime
C1623258 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
echocardiography
Item
HERZECHO
boolean
C0013516 (UMLS CUI [1])
echocardiography date/time
Item
HERZECHO Datum/Zeit
datetime
C0013516 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
lung function test
Item
LUFU
boolean
C0024119 (UMLS CUI [1])
lung function test date/ time
Item
LUFU Datum/Zeit
datetime
C0024119 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
consil
Item
KONSIL
boolean
C0009818 (UMLS CUI [1])
consil date/time
Item
KONSIL Datum/Zeit
datetime
C0009818 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
therapy available
Item
THERAPIE BESTELLBAR
boolean
C0087111 (UMLS CUI [1,1])
C0470187 (UMLS CUI [1,2])
therapy available date
Item
THERAPIE BESTELLBAR Datum
date
C0087111 (UMLS CUI [1,1])
C0470187 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
therapy less than 2h
Item
THERAPIE < 2h
boolean
C0087111 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
therapy less than 2h date
Item
THERAPIE < 2h Datum
date
C0087111 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
therapy more than 2h
Item
THERAPIE > 2h
boolean
C0087111 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
therapy more than 2h date
Item
THERAPIE > 2h Datum
date
C0087111 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
day care
Item
TAGESKLINIK
boolean
C0011017 (UMLS CUI [1])
meeting
Item
Besprechung
boolean
C0556656 (UMLS CUI [1])
meeting date
Item
Besprechung Datum
date
C0556656 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
aftercare
Item
NACHSORGE
boolean
C0001758 (UMLS CUI [1])
aftercare date
Item
NACHSORGE Datum
date
C0001758 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
comment on request
Item
Bemerkung zur Anforderung:
text
C0947611 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
comment on request elaboration
Item
Bemerkung zur Ausarbeitung:
text
C0947611 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
request elaboration date
Item
Ausarbeitung angelegt am:
date
C1272683 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
request elaboration signed
Item
Ausarbeitung vidiert am:
date
C1272683 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
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