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Tilt table test, Clinic for Cardiology Routine documentation in German hospitals DMI

1 forms  
Patient data
Description

Patient data

Hospital stay: ID
Description

Hospital stay, ID

Data type

text

Admission
Description

Admission

Data type

text

Date of birth
Description

Date of birth

Data type

date

Name
Description

Name

Data type

text

First name
Description

First name

Data type

text

Address
Description

Address

Data type

text

Health insurance
Description

Health insurance

Data type

text

Tilt table test
Description

Tilt table test

Indication
Description

Indication

Data type

text

Lying position (first phase), duration in minutes
Description

Technique: Non-invasive RR-measurement, continuous ECG recording. Lying position __ min. Standing position (70 degrees) __ min. Then 1 puff of Nitro, another __ min. in a standing position, __ min. in a lying position. Resting phase in a lying position.

Data type

integer

Measurement units
  • min
min
Standing position (first phase), duration in minutes
Description

Technique: Non-invasive RR-measurement, continuous ECG recording. Lying position __ min. Standing position (70 degrees) __ min. Then 1 puff of Nitro, another __ min. in a standing position, __ min. in a lying position. Resting phase in a lying position.

Data type

integer

Measurement units
  • min
min
Standing position (second phase), duration in minutes
Description

Technique: Non-invasive RR-measurement, continuous ECG recording. Lying position __ min. Standing position (70 degrees) __ min. Then 1 puff of Nitro, another __ min. in a standing position, __ min. in a lying position. Resting phase in a lying position.

Data type

integer

Measurement units
  • min
min
Lying down (second phase), duration in minutes
Description

Technique: Non-invasive RR-measurement, continuous ECG recording. Lying position __ min. Standing position (70 degrees) __ min. Then 1 puff of Nitro, another __ min. in a standing position, __ min. in a lying position. Resting phase in a lying position.

Data type

integer

Measurement units
  • min
min
Findings
Description

Findings

Data type

text

Insert diagram here
Description

Diagram

Data type

text

Date
Description

Date

Data type

date

Procedure
Description

Procedure

Data type

text

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Tilt table test, Clinic for Cardiology Routine documentation in German hospitals DMI

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient data
Hospital stay, ID
Item
Hospital stay: ID
text
Admission
Item
Admission
text
Date of birth
Item
Date of birth
date
Name
Item
Name
text
First name
Item
First name
text
Address
Item
Address
text
Health insurance
Item
Health insurance
text
Item Group
Tilt table test
Indication
Item
Indication
text
Lying down, first phase, duration
Item
Lying position (first phase), duration in minutes
integer
First phase of standing, duration
Item
Standing position (first phase), duration in minutes
integer
Second phase of standing, duration
Item
Standing position (second phase), duration in minutes
integer
Lying down, second phase, duration
Item
Lying down (second phase), duration in minutes
integer
Findings
Item
Findings
text
Diagram
Item
Insert diagram here
text
Date
Item
Date
date
Procedure
Item
Procedure
text
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