Änderungen

Wechseln zu: Navigation, Suche

ILF:Ärztlicher Befund

89 Bytes entfernt, 09:16, 3. Aug. 2017
Klassifizierung der Dokumente
{| class="wikitable"
! style="font-weight: bold;" | Level-Type! style="font-weight: bold;" | LOINC! style="font-weight: bold;" | LOINC Long Common Name! style="font-weight: bold;" | Deutsche Bezeichnung! style="font-weight: bold;" | Bemerkung
|-
|style="background:lightgreen"| 0-S
| 51845-6
| Outpatient Consult note
| Facharztbefund / Fachambulanzbefund
| Klassifiktion "Outpatient" überdenken
|-
| 1-L
| 34764-1
| General medicine Consult note
| Allgemeinmedizinischer Befund |
|-
| 1-L
|style="background:lightblue"|24131-3
| Outpatient Progress note
| „Statusbericht“ '''( *** neu ***)'''Statusbericht|style="background:lightblue"| Neu
|-
| 1-L
|style="background:lightblue"|77403-4
| Anesthesiology Consult note
| Anästhesiologischer Befund '''( *** neu ***)'''|style="background:lightblue"| Neu
|-
| 1-L
| Occupational medicine Consult note
| Arbeitsmedizinischer Befund
|
|-
| 1-L
| Ophthalmology Consult note
| Augenbefund
|
|-
| 1-L
| Blood bank consult
| Immunhämatologischer Befund
|
|-
| 1-L
| Surgery Consult note
| Chirurgischer Befund
|
|-
| 1-L
| Dermatology Consult note
| Dermatologiebefund
|
|-
| 1-L
| Diabetology Consult note
| Diabetologischer Befund
|
|-
| 1-L
| Endocrinology Consult note
| Endokrinologiebefund
|
|-
| 1-L
| Gastroenterology Consult note
| Gastroenterologiebefund
|
|-
| 1-L
| Vascular surgery Consult note
| Gefäßchirurgischer Befund
|
|-
| 1-L
| Geriatric medicine Consult note
| Geriatriebefund
|
|-
| 1-L
| Obstetrics and Gynecology Consult note
| Gynäkologie-Befund
|
|-
| 1-L
| Hematology+Medical Oncology Consult note
| Hämatologie-Befund
|
|-
| 1-L
| Otolaryngology Consult note
| HNO-Befund
|
|-
| 1-L
| Infectious disease Consult note
| Infektiologiebefund
|
|-
| 1-L
| Cardiology Consult note
| Kardiologiebefund
|
|-
| 1-L
| Pediatric surgery Note
| Kinder- und Jugendchirurgischer Befund
|
|-
| 1-L
| Oral and Maxillofacial Surgery Consult note
| Mund-, Kiefer- und Gesichtschirurgischer Befund
|
|-
| 1-L
| Nephrology Consult note
| Nephrologischer Befund
|
|-
| 1-L
| Neurological surgery Consult note
| Neurochirurgischer Befund
|
|-
| 1-L
| Neurology Consult note
| Neurologischer Befund
|
|-
| 1-L
|style="background:lightblue"|34878-9
| Emergency medicine Note
| Notfallmedizinischer Befund '''( *** neu ***)'''|style="background:lightblue"| Neu
|-
| 1-L
| Oncology Consult note
| Onkologiebefund
|
|-
| 1-L
| Orthopaedic surgery Consult note
| Orthopädischer/Orthopädisch-Chirurgischer Befund
|
|-
| 1-L
|style="background:lightblue"|78568-3
| Palliative care Consult Note
| Palliativmedizinischer Befund '''( *** neu ***)'''|style="background:lightblue"| Neu
|-
| 1-L
|style="background:lightblue"|78726-7
| Pediatrics Consult Note
| Pädiatrischer Befund '''( *** neu ***)'''|style="background:lightblue"| Neu
|-
| 1-D
|style="background:blue"|68818-4
| Pediatrics Note
| XXXX Pädiatrischer Befund '''( *** |style="background:blue"| Entfernen ***)'''
|-
| 1-L
| Physical medicine and rehabilitation Consult note
| Physikalisch-Medizinischer Befund
|
|-
| 1-L
| Plastic surgery Consult note
| Plastisch-Chirurgischer Befund
|
|-
| 1-L
|style="background:lightblue"|67862-3
| Preoperative evaluation and management Note
| Präoperativer Befund '''( *** neu ***)'''|style="background:lightblue"| Neu - Definition notwendig
|-
| 1-L
| Psychiatry Consult note
| Psychiatrischer Befund
|
|-
| 1-L
| Pulmonary Consult note
| Pulmologischer Befund
|
|-
| 1-L
| Rheumatology Consult note
| Rheumatologischer Befund
|
|-
| 1-L
|style="background:lightblue"|85866-2
| Sleep medicine Consult note
| Schlafmedizinischer Befund '''( *** neu ***)'''|style="background:lightblue"| Neu
|-
| 1-L
|style="background:lightblue"|78738-2
| Sports medicine Consult note
| Sportmedizinischer Befund '''( *** neu ***)'''|style="background:lightblue"| Neu
|-
| 1-L
|style="background:lightblue"|82359-1
| Reproductive endocrinology and infertility Consult note
| Reproduktionsmedizinischer Befund '''( *** neu ***)'''|style="background:lightblue"| Neu
|-
| 1-L
| Radiation oncology Consult note
| Strahlentherapeutisch-Radioonkologischer Befund
|
|-
| 1-L
| Thoracic surgery Consult note
| Thoraxchirurgischer Befund
|
|-
| 1-L
|style="background:lightblue"|78732-5
| Trauma Consult note
| Unfallchirurgischer Befund '''( *** neu ***)'''|style="background:lightblue"| Neu
|-
| 1-L
| 34851-6
| Urology Consult note
| Urologischer Befund|-| 1-L|style="background:green"|34100-8| Intensive care unit note| Intensivmedizinischer Befund '''( *** neu ***)'''
|}
 
Weitere Vorschläge
* 83873-0 Primary care Consult note
* 83909-2 Public health Consult note
* 85871-2 Womens health Consult note
==Datenelemente==
2.168
Bearbeitungen

Navigationsmenü