ID
216
Beschreibung
Form from HIS OpenVistA
Stichworte
Versionen (2)
- 26.02.12 26.02.12 -
- 26.06.15 26.06.15 - Martin Dugas
Hochgeladen am
26. Februar 2012
DOI
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Creative Commons BY-NC 3.0 Legacy
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HIS TRANSFER ASSESSMENT INTERDISCIPLINARY NOTE
HIS
- StudyEvent: HIS
Beschreibung
IV Therapy
Beschreibung
IV THERAPY
Datentyp
string
Alias
- UMLS CUI 2011AA
- C1411942
Beschreibung
Catheter Size
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0449963
- SNOMED CT 2011_0131
- 260967009
Beschreibung
LOCATION
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0450429
- SNOMED CT 2011_0131
- 246267002
Beschreibung
IV Fluid
Datentyp
string
Alias
- UMLS CUI 2011AA
- C1289919
- SNOMED CT 2011_0131
- 118431008
- MedDRA 14.1
- 10067708
Beschreibung
LEFT TO COUNT [ml]
Datentyp
integer
Beschreibung
Rate: @ ml/hr
Datentyp
integer
Beschreibung
IV Site APPEARANCE
Datentyp
string
Beschreibung
CENTRAL LINE PORT
Datentyp
string
Alias
- UMLS CUI 2011AA
- C1145640
- SNOMED CT 2011_0131
- 52124006
Beschreibung
IV Fluid
Datentyp
string
Alias
- UMLS CUI 2011AA
- C1289919
- SNOMED CT 2011_0131
- 118431008
- MedDRA 14.1
- 10067708
Beschreibung
TPN/LIPIDS: TPN @ ml/hr and Lipids @ ml/hr
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0030548, C0023779
- SNOMED CT 2011_0131
- 225372007, 70106000
- MedDRA 14.1
- 10044107
- LOINC Version 232
- MTHU014331, MTHU003688
- ICD-9-CM Version 2011
- 99.15
Beschreibung
IV Site APPEARANCE
Datentyp
string
Beschreibung
SITE CHANGE DUE
Datentyp
date
Beschreibung
IV REASSESSMENT
Datentyp
string
Beschreibung
IV Site APPEARANCE
Datentyp
string
Beschreibung
NARRATIVE
Datentyp
string
Beschreibung
Wound
Beschreibung
ELIMINATION
Beschreibung
Date of last bowel movement
Datentyp
date
Alias
- UMLS CUI 2011AA
- C0011135
- SNOMED CT 2011_0131
- 39211005
Beschreibung
Is the patient incontinent of stool?
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0015732
- SNOMED CT 2011_0131
- 72042002
- MedDRA 14.1
- 10016092
- LOINC Version 232
- MTHU013375
- ICD-10-CM Version 2010
- R15
- ICD-9-CM Version 2011
- 787.6
- CTCAE 1105E
- E10693
Beschreibung
Is the patient incontinent of urine?
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0042024
- SNOMED CT 2011_0131
- 165232002
- MedDRA 14.1
- 10046543
- ICD-10-CM Version 2010
- R32
- ICD-9-CM Version 2011
- 788.3
- CTCAE 1105E
- E13042
Beschreibung
OTHER CARE
Beschreibung
OXYGEN
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0030054
- SNOMED CT 2011_0131
- 24099007
- LOINC Version 232
- MTHU002757
Beschreibung
DRAINS
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0180499
- SNOMED CT 2011_0131
- 32712000
- LOINC Version 232
- MTHU022515
Beschreibung
PAIN MANAGEMENT
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0002766
- SNOMED CT 2011_0131
- 278414003
- MedDRA 14.1
- 10056350
- LOINC Version 232
- MTHU031888
Beschreibung
MED RT
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0035239
- SNOMED CT 2011_0131
- 53950000
- MedDRA 14.1
- 10059828
- LOINC Version 232
- MTHU015440
- ICD-9-CM Version 2011
- 93.9
Beschreibung
LAST TIME PATIENT WAS MEDICATED
Datentyp
time
Beschreibung
ISOLATION
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0205409
- SNOMED CT 2011_0131
- 46651001
Beschreibung
TYPE OF ISOLATION
Datentyp
string
Beschreibung
DAILY WEIGHTS
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C1305866
- SNOMED CT 2011_0131
- 107647005
- MedDRA 14.1
- 10047890
- LOINC Version 232
- LP18015-5
Beschreibung
AT RISK FOR FALLS
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C1268740
- SNOMED CT 2011_0131
- 129839007
- ICD-10-CM Version 2010
- Z91.81
- ICD-9-CM Version 2011
- V15.88
Beschreibung
AT RISK FOR SKIN BREAKDOWN
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0150077
- SNOMED CT 2011_0131
- 247442005
- MedDRA 14.1
- 10050204
- LOINC Version 232
- MTHU013438
Beschreibung
RESTRAINTS
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0337184
- SNOMED CT 2011_0131
- 57395004
- LOINC Version 232
- MTHU032305
Beschreibung
Date/Time of Restraints order:
Datentyp
date
Beschreibung
SPECIAL PRECAUTIONS
Datentyp
string
Alias
- UMLS CUI 2011AA
- C1882442
Ähnliche Modelle
HIS
- StudyEvent: HIS
52870002 (SNOMED CT 2011_0131)
78564009 (SNOMED CT 2011_0131)
10037485 (MedDRA 14.1)
86290005 (SNOMED CT 2011_0131)
10038709 (MedDRA 14.1)
MTHU008344 (LOINC Version 232)
36456004 (SNOMED CT 2011_0131)
MTHU001424 (LOINC Version 232)
MTHU117157 (CTCAE 1105E)
273688003 (SNOMED CT 2011_0131)
129025006 (SNOMED CT 2011_0131)
41829006 (SNOMED CT 2011_0131)
61420007 (SNOMED CT 2011_0131)
10053095 (MedDRA 14.1)
260967009 (SNOMED CT 2011_0131)
246267002 (SNOMED CT 2011_0131)
118431008 (SNOMED CT 2011_0131)
10067708 (MedDRA 14.1)
52124006 (SNOMED CT 2011_0131)
118431008 (SNOMED CT 2011_0131)
10067708 (MedDRA 14.1)
225372007, 70106000 (SNOMED CT 2011_0131)
10044107 (MedDRA 14.1)
MTHU014331, MTHU003688 (LOINC Version 232)
99.15 (ICD-9-CM Version 2011)
13924000 (SNOMED CT 2011_0131)
10052428 (MedDRA 14.1)
MTHU001326 (LOINC Version 232)
39211005 (SNOMED CT 2011_0131)
72042002 (SNOMED CT 2011_0131)
10016092 (MedDRA 14.1)
MTHU013375 (LOINC Version 232)
R15 (ICD-10-CM Version 2010)
787.6 (ICD-9-CM Version 2011)
E10693 (CTCAE 1105E)
165232002 (SNOMED CT 2011_0131)
10046543 (MedDRA 14.1)
R32 (ICD-10-CM Version 2010)
788.3 (ICD-9-CM Version 2011)
E13042 (CTCAE 1105E)
278414003 (SNOMED CT 2011_0131)
10056350 (MedDRA 14.1)
MTHU031888 (LOINC Version 232)
53950000 (SNOMED CT 2011_0131)
10059828 (MedDRA 14.1)
MTHU015440 (LOINC Version 232)
93.9 (ICD-9-CM Version 2011)
46651001 (SNOMED CT 2011_0131)
107647005 (SNOMED CT 2011_0131)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
129839007 (SNOMED CT 2011_0131)
Z91.81 (ICD-10-CM Version 2010)
V15.88 (ICD-9-CM Version 2011)
247442005 (SNOMED CT 2011_0131)
10050204 (MedDRA 14.1)
MTHU013438 (LOINC Version 232)