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ID
22494
Descripción
Form from HIS OpenVistA
Palabras clave
Versiones (2)
- 15/2/12 15/2/12 -
- 5/6/17 5/6/17 - Martin Dugas
Subido en
5 de junio de 2017
DOI
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Licencia
Creative Commons BY-NC 3.0
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DISCHARGE SUMMARY
Similar models
HIS
- StudyEvent: HIS
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Final Diagnosis
Item
Final Diagnosis
string
ACTIVE PROBLEM LIST
Item
ACTIVE PROBLEM LIST
string
HOSPITALIZATION SUMMARY
Item
HOSPITALIZATION SUMMARY
string
OPERATIONS / PROCEDURES
Item
OPERATIONS / PROCEDURES
string
C0087111 (UMLS CUI 2011AA)
LABS: Prior 24 hour labs
Item
Lab Findings
string
C0587081 (UMLS CUI 2011AA)
118246004 (SNOMED CT 2011_0131)
118246004 (SNOMED CT 2011_0131)
NARRATIVE
Item
NARRATIVE
text
C1135957 (UMLS CUI [1])
Transfusions or tissue transplants
Item
Transfusions/tissue transplants
text
C1879316 (UMLS CUI [1,1])
C0348047 (UMLS CUI [1,2])
C0348047 (UMLS CUI [1,2])
Item
CONDITION AT DISCHARGE (stable, improved, unchanged)
integer
C0586514 (UMLS CUI [1])
CL Item
(1)
C0205360 (UMLS CUI-1)
CL Item
(2)
C0184511 (UMLS CUI-1)
CL Item
(3)
C0442739 (UMLS CUI-1)
Condition at discharge comment
Item
Condition at discharge comment
text
C0586514 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,2])
DISCHARGE INSTRUCTIONS
Item
DISCHARGE INSTRUCTIONS
text
Inpatient Medications
Item
Inpatient Medications
text
C0013227 (UMLS CUI [1,1])
C0021562 (UMLS CUI [1,2])
C0021562 (UMLS CUI [1,2])
Home Medications
Item
Home Medications
text
C0013227 (UMLS CUI [1,1])
C0442519 (UMLS CUI [1,2])
C0442519 (UMLS CUI [1,2])
Discharge Medications
Item
Discharge Medications
string
HOME CARE
Item
HOME CARE
string
C0204977 (UMLS CUI 2011AA)
RETURN TO SEE NURSE
Item
RETURN TO SEE NURSE
boolean
C1319415 (UMLS CUI [1])
Physician follow-up
Item
RETURN TO SEE MD
boolean
C0807395 (UMLS CUI [1])
Next appointment
Item
Next appointment
date
C1272171 (UMLS CUI 2011AA)
389837003 (SNOMED CT 2011_0131)
389837003 (SNOMED CT 2011_0131)