ID
11248
Description
Form from HIS OpenVistA
Keywords
Versions (5)
- 2/24/12 2/24/12 -
- 2/29/12 2/29/12 -
- 8/7/14 8/7/14 - Martin Dugas
- 8/9/14 8/9/14 - Martin Dugas
- 6/26/15 6/26/15 - Martin Dugas
Uploaded on
June 26, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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INTERVENTIONAL RADIOLOGY
HIS
- StudyEvent: HIS
Description
Prior Health History
Alias
- UMLS CUI-1
- C0262926
Description
Medical Illness
Data type
string
Alias
- UMLS CUI 2011AA
- C0262926
- SNOMED CT 2011_0131
- 417662000
- LOINC Version 232
- MTHU027722
Description
Surgery
Data type
string
Alias
- UMLS CUI 2011AA
- C0455610
- SNOMED CT 2011_0131
- 161615003
Description
DETAILED ACTIVE MEDS
Data type
string
Alias
- UMLS CUI 2011AA
- C1553892
Description
Allergies
Data type
string
Alias
- UMLS CUI 2011AA
- C0020517
- SNOMED CT 2011_0131
- 257550005
- ICD-10-CM Version 2010
- T78.40
Description
REVIEW OF SYSTEMS(Positive findings)
Data type
string
Alias
- UMLS CUI 2011AA
- C0489633
- SNOMED CT 2011_0131
- 415300000
- LOINC Version 232
- MTHU001422
Description
FAMILY HISTORY
Data type
string
Alias
- UMLS CUI 2011AA
- C0241889
- SNOMED CT 2011_0131
- 57177007
Description
SOCIAL HISTORY
Data type
string
Alias
- UMLS CUI 2011AA
- C0424945
- SNOMED CT 2011_0131
- 160476009
- LOINC Version 232
- MTHU014081
Description
IMMUNIZATIONS
Data type
string
Alias
- UMLS CUI 2011AA
- C0020971
- SNOMED CT 2011_0131
- 127785005
- MedDRA 14.1
- 10021431
Description
Physical Exam
Alias
- UMLS CUI-1
- C0031809
Description
Temperature
Data type
float
Measurement units
- °C
Alias
- SNOMED CT 2011_0131
- 246508008
- LOINC Version 232
- MTHU009008
- UMLS CUI-1
- C0039476
Description
Pulse
Data type
integer
Measurement units
- beats/min
Alias
- SNOMED CT 2011_0131
- 78564009
- MedDRA 14.1
- 10037485
- UMLS CUI-1
- C0232117
Description
Respiration rate, Breathing rate (BR)
Data type
integer
Measurement units
- /min
Alias
- SNOMED CT 2011_0131
- 86290005
- MedDRA 14.1
- 10038709
- LOINC Version 232
- MTHU008344
- UMLS CUI-1
- C0231832
Description
Blood pressure (BP)
Data type
integer
Measurement units
- mmHg
Alias
- SNOMED CT 2011_0131
- 75367002
- LOINC Version 232
- MTHU008342
- UMLS CUI-1
- C0005823
Description
Pain
Data type
string
Alias
- UMLS CUI 2011AA
- C0030193
- SNOMED CT 2011_0131
- 22253000
- MedDRA 14.1
- 10033371
- LOINC Version 232
- MTHU029813
- ICD-10-CM Version 2010
- R52
- ICD-9-CM Version 2011
- 338-338.9
- CTCAE 1105E
- E11167
Description
GENERAL APPEARANCE
Data type
string
Alias
- UMLS CUI 2011AA
- C1148438
- LOINC Version 232
- MTHU015040
Description
HEENT
Data type
text
Alias
- UMLS CUI 2011AA
- C1512338
Description
NECK
Data type
string
Alias
- UMLS CUI 2011AA
- C0027530
- SNOMED CT 2011_0131
- 45048000
- LOINC Version 232
- MTHU002688
Description
CHEST
Data type
string
Alias
- UMLS CUI 2011AA
- C0817096
- SNOMED CT 2011_0131
- 51185008
Description
BREAST
Data type
string
Alias
- UMLS CUI 2011AA
- C0006141
- SNOMED CT 2011_0131
- 76752008
- LOINC Version 232
- MTHU011382
Description
HEART
Data type
string
Alias
- UMLS CUI 2011AA
- C0018787
- SNOMED CT 2011_0131
- 80891009
- LOINC Version 232
- MTHU001067
Description
ABDOMEN
Data type
string
Alias
- UMLS CUI 2011AA
- C0000726
- SNOMED CT 2011_0131
- 113345001
- LOINC Version 232
- MTHU001425
Description
LYMPH NODES
Data type
string
Alias
- UMLS CUI 2011AA
- C0024204
- SNOMED CT 2011_0131
- 59441001
- LOINC Version 232
- MTHU015050
Description
Genital Organs/Rectal
Data type
text
Alias
- SNOMED CT 2011_0131
- 255582007
- LOINC Version 232
- MTHU002681
- UMLS CUI-1
- C0017420
- UMLS CUI-2
- C0205052
Description
EXTREMITIES
Data type
string
Alias
- UMLS CUI 2011AA
- C0015385
- SNOMED CT 2011_0131
- 66019005
- LOINC Version 232
- MTHU001429
Description
SKIN
Data type
string
Alias
- UMLS CUI 2011AA
- C1123023
- SNOMED CT 2011_0131
- 39937001
- LOINC Version 232
- MTHU001414
Description
NEUROLOGICAL
Data type
string
Alias
- UMLS CUI 2011AA
- C0027763
- SNOMED CT 2011_0131
- 25087005
- LOINC Version 232
- MTHU001437
Description
IMPRESSION
Data type
string
Alias
- UMLS CUI 2011AA
- CL386604
Description
PLAN
Data type
string
Alias
- UMLS CUI 2011AA
- C1301732
- SNOMED CT 2011_0131
- 397943006
Description
ASA SCORE
Data type
string
Alias
- UMLS CUI 2011AA
- C1531480
- SNOMED CT 2011_0131
- 413347006
Description
AIRWAY ASSESSMENT FOR PATIENTS RECEIVING MODERATE SEDATION
Data type
text
Description
Teeth
Data type
string
Alias
- UMLS CUI 2011AA
- C0040426
- SNOMED CT 2011_0131
- 245543004
- LOINC Version 232
- MTHU021292
Description
MALLAMPATI AIRWAY SCORE
Data type
string
Alias
- UMLS CUI 2011AA
- C0451276
- SNOMED CT 2011_0131
- 273585005
Description
Neck Extension (normal/RESTRICTED/NO MOBILITY)
Data type
text
Alias
- SNOMED CT 2011_0131
- 45048000, 255536004
- LOINC Version 232
- MTHU002688, MTHU010348
- UMLS CUI-1
- C0027530
- UMLS CUI-2
- C0231448
Description
Physician
Data type
string
Alias
- UMLS CUI 2011AA
- C1710470
Description
Procedure
Alias
- UMLS CUI-1
- C0184661
Description
DATE OF PROCEDURE
Data type
string
Alias
- UMLS CUI 2011AA
- C2584899
- SNOMED CT 2011_0131
- 439272007
Description
PRE-OP DIAGNOSIS
Data type
string
Alias
- UMLS CUI 2011AA
- C1318968
- SNOMED CT 2011_0131
- 406520001
Description
POST-OP DIAGNOSIS
Data type
string
Alias
- UMLS CUI 2011AA
- C1318969
- SNOMED CT 2011_0131
- 406521002
Description
PRIMARY SURGEON
Data type
string
Alias
- UMLS CUI 2011AA
- C0808118
- LOINC Version 232
- MTHU010488
- HL7 V3 2006_05
- PRISURG
Description
ASSISTANT
Data type
string
Alias
- UMLS CUI 2011AA
- C1550491
- HL7 V3 2006_05
- FASST
Description
ANESTHESIA PROVIDER
Data type
string
Alias
- UMLS CUI 2011AA
- C1550495
- HL7 V3 2006_05
- ANEST
Description
ANESTHESIA/SEDATION
Data type
text
Alias
- SNOMED CT 2011_0131
- 399097000, 72641008
- MedDRA 14.1
- 10002091, 10059283
- LOINC Version 232
- MTHU035920
- UMLS CUI-1
- C0002903
- UMLS CUI-2
- C0344106
Description
Medication
Alias
- UMLS CUI-1
- C0013227
Description
ANTIBIOTIC: Ancef
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0003232
- SNOMED CT 2011_0131
- 255631004
Description
ANTIBIOTIC: Rocephin
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0003232
- SNOMED CT 2011_0131
- 255631004
Description
ANTIBIOTIC: Levaquin
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0003232
- SNOMED CT 2011_0131
- 255631004
Description
ANTIBIOTIC: Other
Data type
string
Alias
- UMLS CUI 2011AA
- C0003232
- SNOMED CT 2011_0131
- 255631004
Description
OTHER MEDS GIVEN
Data type
string
Alias
- UMLS CUI 2011AA
- C0013227
Description
TECHNICAL PROCEDURE
Alias
- UMLS CUI-1
- C0946440
Description
Abscess drainage
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0344096
- SNOMED CT 2011_0131
- 118442004
- MedDRA 14.1
- 10000279
Description
Aortogram
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0003515
- SNOMED CT 2011_0131
- 54640009
- MedDRA 14.1
- 10057775
- ICD-9-CM Version 2011
- 88.42
Description
Aortogram and Runoff
Data type
boolean
Description
AV Fistulagram
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0412315
- SNOMED CT 2011_0131
- 241275007
Description
Biliary Drain
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0489793
- LOINC Version 232
- MTHU001297
Description
Carotid Angiogram
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0202896
- SNOMED CT 2011_0131
- 420171008
- MedDRA 14.1
- 10003194
- ICD-9-CM Version 2011
- 88.41
Description
Cerebral Angiogram
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0948923
- SNOMED CT 2011_0131
- 419364000
- MedDRA 14.1
- 10052905
Description
Chest tube
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0008034
- SNOMED CT 2011_0131
- 258643002
- LOINC Version 232
- MTHU001287
Description
Chest tube/Empyema
Data type
boolean
Alias
- SNOMED CT 2011_0131
- 258643002, 66696
- MedDRA 14.1
- 10014568
- LOINC Version 232
- MTHU001287
- ICD-9-CM Version 2011
- 510
- UMLS CUI-1
- C0008034
- UMLS CUI-2
- C0014009
Description
CVC
Data type
boolean
Alias
- UMLS CUI 2011AA
- C1145640
- SNOMED CT 2011_0131
- 52124006
Description
CVC/Port
Data type
boolean
Alias
- SNOMED CT 2011_0131
- 52124006
- UMLS CUI-1
- C1145640
- UMLS CUI-2
- C1275732
Description
CVC Temporary
Data type
boolean
Description
CVC Tunneled
Data type
boolean
Description
Dialysis Access Declot
Data type
boolean
Description
EVLT
Data type
boolean
Alias
- UMLS CUI 2011AA
- C1998394
Description
Extremity Angiogram
Data type
boolean
Alias
- SNOMED CT 2011_0131
- 77343006, 66019005
- MedDRA 14.1
- 10050062
- LOINC Version 232
- MTHU001429
- UMLS CUI-1
- C0002978
- UMLS CUI-2
- C0015385
Description
Kyphoplasty
Data type
boolean
Alias
- UMLS CUI 2011AA
- C1455863
- MedDRA 14.1
- 10064702
- ICD-9-CM Version 2011
- 81.66
Description
Percutaneous Nephrostomy
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0564457
- SNOMED CT 2011_0131
- 313270001
Description
PICC
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0179740
- SNOMED CT 2011_0131
- 398176008
Description
Pulmonary Angiogram
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0202910
- SNOMED CT 2011_0131
- 84200003
- MedDRA 14.1
- 10002440
- ICD-9-CM Version 2011
- 88.43
Description
radiofrequency ablation (RFA) procedure
Data type
boolean
Alias
- UMLS CUI-1
- C1292442
Description
transarterial chemoembolization
Data type
boolean
Alias
- UMLS CUI-1
- C3539919
Description
Thrombolysis
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0520997
- SNOMED CT 2011_0131
- 51308000
- MedDRA 14.1
- 10043568
Description
Uterine Artery Embolization
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0729536
- SNOMED CT 2011_0131
- 312138002
Description
Other procedure
Data type
string
Description
FINDINGS
Data type
integer
Alias
- UMLS CUI-1
- C0243095
Description
Findings text
Data type
string
Description
BLOOD LOSS
Data type
string
Alias
- UMLS CUI 2011AA
- C0019080
- SNOMED CT 2011_0131
- 50960005
- MedDRA 14.1
- 10055798
- ICD-10-CM Version 2010
- R58
- ICD-9-CM Version 2011
- 459.0
Description
CONTRAST
Data type
string
Alias
- UMLS CUI 2011AA
- C0009924
- SNOMED CT 2011_0131
- 385420005
Description
FLUORO TIME
Data type
string
Alias
- UMLS CUI 2011AA
- C0016356
- SNOMED CT 2011_0131
- 44491008
- MedDRA 14.1
- 10064426
Description
SPECIMEN(s) REMOVED
Data type
boolean
Description
SPECIMEN(s)
Data type
string
Alias
- UMLS CUI 2011AA
- C0370003
- SNOMED CT 2011_0131
- 123038009
- LOINC Version 232
- MTHU010726
Description
COMPLICATIONS: No immediate
Data type
boolean
Description
Complications text
Data type
string
Alias
- UMLS CUI 2011AA
- C0009566
- SNOMED CT 2011_0131
- 116223007
- LOINC Version 232
- MTHU008883
Similar models
HIS
- StudyEvent: HIS
C0001779 (UMLS CUI-1)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
C0005910 (UMLS CUI-1)
161615003 (SNOMED CT 2011_0131)
257550005 (SNOMED CT 2011_0131)
T78.40 (ICD-10-CM Version 2010)
57177007 (SNOMED CT 2011_0131)
127785005 (SNOMED CT 2011_0131)
10021431 (MedDRA 14.1)
10037485 (MedDRA 14.1)
C0232117 (UMLS CUI-1)
10038709 (MedDRA 14.1)
MTHU008344 (LOINC Version 232)
C0231832 (UMLS CUI-1)
22253000 (SNOMED CT 2011_0131)
10033371 (MedDRA 14.1)
MTHU029813 (LOINC Version 232)
R52 (ICD-10-CM Version 2010)
338-338.9 (ICD-9-CM Version 2011)
E11167 (CTCAE 1105E)
51185008 (SNOMED CT 2011_0131)
MTHU002681 (LOINC Version 232)
C0017420 (UMLS CUI-1)
C0205052 (UMLS CUI-2)
397943006 (SNOMED CT 2011_0131)
413347006 (SNOMED CT 2011_0131)
273585005 (SNOMED CT 2011_0131)
MTHU002688, MTHU010348 (LOINC Version 232)
C0027530 (UMLS CUI-1)
C0231448 (UMLS CUI-2)
439272007 (SNOMED CT 2011_0131)
406520001 (SNOMED CT 2011_0131)
406521002 (SNOMED CT 2011_0131)
FASST (HL7 V3 2006_05)
ANEST (HL7 V3 2006_05)
10002091, 10059283 (MedDRA 14.1)
MTHU035920 (LOINC Version 232)
C0002903 (UMLS CUI-1)
C0344106 (UMLS CUI-2)
255631004 (SNOMED CT 2011_0131)
255631004 (SNOMED CT 2011_0131)
255631004 (SNOMED CT 2011_0131)
255631004 (SNOMED CT 2011_0131)
118442004 (SNOMED CT 2011_0131)
10000279 (MedDRA 14.1)
54640009 (SNOMED CT 2011_0131)
10057775 (MedDRA 14.1)
88.42 (ICD-9-CM Version 2011)
241275007 (SNOMED CT 2011_0131)
420171008 (SNOMED CT 2011_0131)
10003194 (MedDRA 14.1)
88.41 (ICD-9-CM Version 2011)
419364000 (SNOMED CT 2011_0131)
10052905 (MedDRA 14.1)
10014568 (MedDRA 14.1)
MTHU001287 (LOINC Version 232)
510 (ICD-9-CM Version 2011)
C0008034 (UMLS CUI-1)
C0014009 (UMLS CUI-2)
52124006 (SNOMED CT 2011_0131)
C1145640 (UMLS CUI-1)
C1275732 (UMLS CUI-2)
10050062 (MedDRA 14.1)
MTHU001429 (LOINC Version 232)
C0002978 (UMLS CUI-1)
C0015385 (UMLS CUI-2)
10064702 (MedDRA 14.1)
81.66 (ICD-9-CM Version 2011)
313270001 (SNOMED CT 2011_0131)
398176008 (SNOMED CT 2011_0131)
84200003 (SNOMED CT 2011_0131)
10002440 (MedDRA 14.1)
88.43 (ICD-9-CM Version 2011)
51308000 (SNOMED CT 2011_0131)
10043568 (MedDRA 14.1)
312138002 (SNOMED CT 2011_0131)
50960005 (SNOMED CT 2011_0131)
10055798 (MedDRA 14.1)
R58 (ICD-10-CM Version 2010)
459.0 (ICD-9-CM Version 2011)
385420005 (SNOMED CT 2011_0131)
44491008 (SNOMED CT 2011_0131)
10064426 (MedDRA 14.1)