ID

224

Beschreibung

Form from HIS OpenVistA

Stichworte

Versionen (5)
  1. 24.02.12 24.02.12 -
  2. 29.02.12 29.02.12 -
  3. 07.08.14 07.08.14 - Martin Dugas
  4. 09.08.14 09.08.14 - Martin Dugas
  5. 26.06.15 26.06.15 - Martin Dugas
Hochgeladen am

29. Februar 2012

DOI

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HIS INTERVENTIONAL RADIOLOGY

Deutsch Englisch

HIS

1 Formulare  
  1. StudyEvent: HIS
    1. HIS
General Info
Beschreibung

General Info

Age
Beschreibung

Age

Datentyp

integer

Alias
UMLS CUI 2011AA
C0001779
SNOMED CT 2011_0131
397669002
Sex
Beschreibung

Gender

Datentyp

integer

Alias
UMLS CUI 2011AA
C0079399
SNOMED CT 2011_0131
263495000
LOINC Version 232
MTHU002975
Racial group
Beschreibung

Race

Datentyp

string

Alias
UMLS CUI 2011AA
C0034510
SNOMED CT 2011_0131
103579009
LOINC Version 232
MTHU009923
Height
Beschreibung

Height

Datentyp

integer

Alias
UMLS CUI 2011AA
C0489786
LOINC Version 232
MTHU005354
Weight
Beschreibung

Weight

Datentyp

integer

Alias
UMLS CUI 2011AA
C1305866
SNOMED CT 2011_0131
107647005
MedDRA 14.1
10047890
LOINC Version 232
LP18015-5
Chief complaint (CC)
Beschreibung

CHIEF COMPLAINT

Datentyp

string

Alias
UMLS CUI 2011AA
C0277786
SNOMED CT 2011_0131
33962009
LOINC Version 232
MTHU001077
History of present illness
Beschreibung

PRESENT ILLNESS

Datentyp

string

Alias
UMLS CUI 2011AA
C0262512
LOINC Version 232
MTHU001399
Prior Health History
Beschreibung

Prior Health History

Past medical history
Beschreibung

Medical Illness

Datentyp

string

Alias
UMLS CUI 2011AA
C0262926
SNOMED CT 2011_0131
417662000
LOINC Version 232
MTHU027722
Prior Surgery, History of (H/O) surgery, Past surgical history
Beschreibung

Surgery

Datentyp

string

Alias
UMLS CUI 2011AA
C0455610
SNOMED CT 2011_0131
161615003
current medication list, active medication
Beschreibung

DETAILED ACTIVE MEDS

Datentyp

string

Alias
UMLS CUI 2011AA
C1553892
Allergies
Beschreibung

Allergies

Datentyp

string

Alias
UMLS CUI 2011AA
C0020517
SNOMED CT 2011_0131
257550005
ICD-10-CM Version 2010
T78.40
Review of systems
Beschreibung

REVIEW OF SYSTEMS(Positive findings)

Datentyp

string

Alias
UMLS CUI 2011AA
C0489633
SNOMED CT 2011_0131
415300000
LOINC Version 232
MTHU001422
Family history (FH) of
Beschreibung

FAMILY HISTORY

Datentyp

string

Alias
UMLS CUI 2011AA
C0241889
SNOMED CT 2011_0131
57177007
Social and personal history, Social and personal circumstances
Beschreibung

SOCIAL HISTORY

Datentyp

string

Alias
UMLS CUI 2011AA
C0424945
SNOMED CT 2011_0131
160476009
LOINC Version 232
MTHU014081
Immunisation
Beschreibung

IMMUNIZATIONS

Datentyp

string

Alias
UMLS CUI 2011AA
C0020971
SNOMED CT 2011_0131
127785005
MedDRA 14.1
10021431
Physical Exam
Beschreibung

Physical Exam

Temperature
Beschreibung

Temperature

Datentyp

string

Alias
UMLS CUI 2011AA
C0039476
SNOMED CT 2011_0131
246508008
LOINC Version 232
MTHU009008
Pulse Rate
Beschreibung

Pulse

Datentyp

integer

Alias
UMLS CUI 2011AA
C0232117
SNOMED CT 2011_0131
78564009
MedDRA 14.1
10037485
Respiration rate, Breathing rate (BR)
Beschreibung

Respiration rate

Datentyp

integer

Alias
UMLS CUI 2011AA
C0231832
SNOMED CT 2011_0131
86290005
MedDRA 14.1
10038709
LOINC Version 232
MTHU008344
Blood pressure (BP)
Beschreibung

Blood pressure

Datentyp

string

Alias
UMLS CUI 2011AA
C0005823
SNOMED CT 2011_0131
75367002
LOINC Version 232
MTHU008342
Pain
Beschreibung

Pain

Datentyp

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
general appearance
Beschreibung

GENERAL APPEARANCE

Datentyp

string

Alias
UMLS CUI 2011AA
C1148438
LOINC Version 232
MTHU015040
Head, Ears, Eyes, Nose and Throat
Beschreibung

HEENT

Datentyp

text

Alias
UMLS CUI 2011AA
C1512338
Neck, Collum, Cervical
Beschreibung

NECK

Datentyp

string

Alias
UMLS CUI 2011AA
C0027530
SNOMED CT 2011_0131
45048000
LOINC Version 232
MTHU002688
Chest, Thorax
Beschreibung

CHEST

Datentyp

string

Alias
UMLS CUI 2011AA
C0817096
SNOMED CT 2011_0131
51185008
Mammary region
Beschreibung

BREAST

Datentyp

string

Alias
UMLS CUI 2011AA
C0006141
SNOMED CT 2011_0131
76752008
LOINC Version 232
MTHU011382
Heart
Beschreibung

HEART

Datentyp

string

Alias
UMLS CUI 2011AA
C0018787
SNOMED CT 2011_0131
80891009
LOINC Version 232
MTHU001067
Abdomen
Beschreibung

ABDOMEN

Datentyp

string

Alias
UMLS CUI 2011AA
C0000726
SNOMED CT 2011_0131
113345001
LOINC Version 232
MTHU001425
lymph nodes
Beschreibung

LYMPH NODES

Datentyp

string

Alias
UMLS CUI 2011AA
C0024204
SNOMED CT 2011_0131
59441001
LOINC Version 232
MTHU015050
Genital Organs/Rectal
Beschreibung

GENITALIA/RECTAL

Datentyp

string

Alias
UMLS CUI 2011AA
C0017420, C0205052
SNOMED CT 2011_0131
255582007
LOINC Version 232
MTHU002681
Extremities, Limb structure
Beschreibung

EXTREMITIES

Datentyp

string

Alias
UMLS CUI 2011AA
C0015385
SNOMED CT 2011_0131
66019005
LOINC Version 232
MTHU001429
Integument
Beschreibung

SKIN

Datentyp

string

Alias
UMLS CUI 2011AA
C1123023
SNOMED CT 2011_0131
39937001
LOINC Version 232
MTHU001414
Neurologic system, Nervous system, Nervous system structure
Beschreibung

NEUROLOGICAL

Datentyp

string

Alias
UMLS CUI 2011AA
C0027763
SNOMED CT 2011_0131
25087005
LOINC Version 232
MTHU001437
summary, conclusion
Beschreibung

IMPRESSION

Datentyp

string

Alias
UMLS CUI 2011AA
CL386604
Plan
Beschreibung

PLAN

Datentyp

string

Alias
UMLS CUI 2011AA
C1301732
SNOMED CT 2011_0131
397943006
Finding of American Society of Anesthesiologists physical status classification
Beschreibung

ASA SCORE

Datentyp

string

Alias
UMLS CUI 2011AA
C1531480
SNOMED CT 2011_0131
413347006
AIRWAY ASSESSMENT FOR PATIENTS RECEIVING MODERATE SEDATION
Beschreibung

AIRWAY ASSESSMENT FOR PATIENTS RECEIVING MODERATE SEDATION

Datentyp

text

Teeth
Beschreibung

Teeth

Datentyp

string

Alias
UMLS CUI 2011AA
C0040426
SNOMED CT 2011_0131
245543004
LOINC Version 232
MTHU021292
Mallampati score
Beschreibung

MALLAMPATI AIRWAY SCORE

Datentyp

string

Alias
UMLS CUI 2011AA
C0451276
SNOMED CT 2011_0131
273585005
Neck Extension (normal/RESTRICTED/NO MOBILITY)
Beschreibung

Neck Extension

Datentyp

text

Alias
UMLS CUI 2011AA
C0027530, C0231448
SNOMED CT 2011_0131
45048000, 255536004
LOINC Version 232
MTHU002688, MTHU010348
Treating Physician
Beschreibung

Physician

Datentyp

string

Alias
UMLS CUI 2011AA
C1710470
Procedure
Beschreibung

Procedure

Date of procedure
Beschreibung

DATE OF PROCEDURE

Datentyp

string

Alias
UMLS CUI 2011AA
C2584899
SNOMED CT 2011_0131
439272007
Preoperative diagnosis
Beschreibung

PRE-OP DIAGNOSIS

Datentyp

string

Alias
UMLS CUI 2011AA
C1318968
SNOMED CT 2011_0131
406520001
Post-operative diagnosis
Beschreibung

POST-OP DIAGNOSIS

Datentyp

string

Alias
UMLS CUI 2011AA
C1318969
SNOMED CT 2011_0131
406521002
Primary Surgeon
Beschreibung

PRIMARY SURGEON

Datentyp

string

Alias
UMLS CUI 2011AA
C0808118
LOINC Version 232
MTHU010488
HL7 V3 2006_05
PRISURG
first assistant surgeon
Beschreibung

ASSISTANT

Datentyp

string

Alias
UMLS CUI 2011AA
C1550491
HL7 V3 2006_05
FASST
anesthesist
Beschreibung

ANESTHESIA PROVIDER

Datentyp

string

Alias
UMLS CUI 2011AA
C1550495
HL7 V3 2006_05
ANEST
ANESTHESIA/SEDATION
Beschreibung

ANESTHESIA/SEDATION

Datentyp

string

Alias
UMLS CUI 2011AA
C0002903, C0344106
SNOMED CT 2011_0131
399097000, 72641008
MedDRA 14.1
10002091, 10059283
LOINC Version 232
MTHU035920
Medication
Beschreibung

Medication

ANTIBIOTIC: Ancef
Beschreibung

ANTIBIOTIC: Ancef

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0003232
SNOMED CT 2011_0131
255631004
ANTIBIOTIC: Rocephin
Beschreibung

ANTIBIOTIC: Rocephin

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0003232
SNOMED CT 2011_0131
255631004
ANTIBIOTIC: Levaquin
Beschreibung

ANTIBIOTIC: Levaquin

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0003232
SNOMED CT 2011_0131
255631004
ANTIBIOTIC: Other
Beschreibung

ANTIBIOTIC: Other

Datentyp

string

Alias
UMLS CUI 2011AA
C0003232
SNOMED CT 2011_0131
255631004
OTHER MEDS GIVEN
Beschreibung

OTHER MEDS GIVEN

Datentyp

string

Alias
UMLS CUI 2011AA
C0013227
TECHNICAL PROCEDURE
Beschreibung

TECHNICAL PROCEDURE

Drainage of abscess
Beschreibung

Abscess drainage

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0344096
SNOMED CT 2011_0131
118442004
MedDRA 14.1
10000279
Aortography, Contrast aortogram
Beschreibung

Aortogram

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0003515
SNOMED CT 2011_0131
54640009
MedDRA 14.1
10057775
ICD-9-CM Version 2011
88.42
Aortogram and Runoff
Beschreibung

Aortogram and Runoff

Datentyp

boolean

AV Fistulagram
Beschreibung

AV Fistulagram

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0412315
SNOMED CT 2011_0131
241275007
Biliary Drain
Beschreibung

Biliary Drain

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0489793
LOINC Version 232
MTHU001297
Angiogram carotid, Carotid angiography
Beschreibung

Carotid Angiogram

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0202896
SNOMED CT 2011_0131
420171008
MedDRA 14.1
10003194
ICD-9-CM Version 2011
88.41
Cerebral angiogram, Angiogram cerebral, Fluoroscopic angiography of cerebral artery
Beschreibung

Cerebral Angiogram

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0948923
SNOMED CT 2011_0131
419364000
MedDRA 14.1
10052905
Chest drain, chest tube, thoracic tube
Beschreibung

Chest tube

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0008034
SNOMED CT 2011_0131
258643002
LOINC Version 232
MTHU001287
Chest tube/Empyema
Beschreibung

Chest tube/Empyema

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0008034,C0014009
SNOMED CT 2011_0131
258643002, 66696
MedDRA 14.1
10014568
LOINC Version 232
MTHU001287
ICD-9-CM Version 2011
510
Central venous catheter (CVC), Central venous line
Beschreibung

CVC

Datentyp

boolean

Alias
UMLS CUI 2011AA
C1145640
SNOMED CT 2011_0131
52124006
CVC/Port
Beschreibung

CVC/Port

Datentyp

boolean

Alias
UMLS CUI 2011AA
C1145640, C0179694
SNOMED CT 2011_0131
52124006
CVC Temporary
Beschreibung

CVC Temporary

Datentyp

boolean

CVC Tunneled
Beschreibung

CVC Tunneled

Datentyp

boolean

Dialysis Access Declot
Beschreibung

Dialysis Access Declot

Datentyp

boolean

Endovenous laser treatment (ELT)
Beschreibung

EVLT

Datentyp

boolean

Alias
UMLS CUI 2011AA
C1998394
Extremity Angiogram
Beschreibung

Extremity Angiogram

Datentyp

boolean

Alias
UMLS CUI 2011AA
CL378222, C0015385
SNOMED CT 2011_0131
77343006, 66019005
MedDRA 14.1
10050062
LOINC Version 232
MTHU001429
Balloon Vertebroplasty
Beschreibung

Kyphoplasty

Datentyp

boolean

Alias
UMLS CUI 2011AA
C1455863
MedDRA 14.1
10064702
ICD-9-CM Version 2011
81.66
Percutaneous insertion of nephrostomy tube
Beschreibung

Percutaneous Nephrostomy

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0564457
SNOMED CT 2011_0131
313270001
Peripherally-Inserted Central Catheter (PICC), PICC line
Beschreibung

PICC

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0179740
SNOMED CT 2011_0131
398176008
Pulmonary arteriogram, Pulmonary artery angiography
Beschreibung

Pulmonary Angiogram

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0202910
SNOMED CT 2011_0131
84200003
MedDRA 14.1
10002440
ICD-9-CM Version 2011
88.43
radiofrequency ablation procedure
Beschreibung

RFA (RF-Ablation)

Datentyp

boolean

Alias
UMLS CUI 2011AA
CL382653
transarterial chemoembolization
Beschreibung

TACE

Datentyp

boolean

Alias
UMLS CUI 2011AA
CL388501
Thrombolysis
Beschreibung

Thrombolysis

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0520997
SNOMED CT 2011_0131
51308000
MedDRA 14.1
10043568
Embolisation of uterine artery
Beschreibung

Uterine Artery Embolization

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0729536
SNOMED CT 2011_0131
312138002
Other procedure
Beschreibung

Other procedure

Datentyp

string

FINDINGS (None|Same|N/A|Successful|Unsuccessful)
Beschreibung

FINDINGS

Datentyp

integer

Findings text
Beschreibung

Findings text

Datentyp

string

bleeding, blood loss, hemorrhage
Beschreibung

BLOOD LOSS

Datentyp

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
Contrast medium, Contrast agent
Beschreibung

CONTRAST

Datentyp

string

Alias
UMLS CUI 2011AA
C0009924
SNOMED CT 2011_0131
385420005
FLUORO TIME
Beschreibung

FLUORO TIME

Datentyp

string

Alias
UMLS CUI 2011AA
C0016356
SNOMED CT 2011_0131
44491008
MedDRA 14.1
10064426
SPECIMEN(s)REMOVED (yes|no)
Beschreibung

SPECIMEN(s) REMOVED

Datentyp

boolean

Specimen
Beschreibung

SPECIMEN(s)

Datentyp

string

Alias
UMLS CUI 2011AA
C0370003
SNOMED CT 2011_0131
123038009
LOINC Version 232
MTHU010726
COMPLICATIONS: No immediate
Beschreibung

COMPLICATIONS: No immediate

Datentyp

boolean

Complications
Beschreibung

Complications text

Datentyp

string

Alias
UMLS CUI 2011AA
C0009566
SNOMED CT 2011_0131
116223007
LOINC Version 232
MTHU008883
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Ähnliche Modelle

HIS

1 Formulare
  1. StudyEvent: HIS
    1. HIS
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
General Info
Age
Item
Age
integer
C0001779 (UMLS CUI 2011AA)
397669002 (SNOMED CT 2011_0131)
Gender
Item
Sex
integer
C0079399 (UMLS CUI 2011AA)
263495000 (SNOMED CT 2011_0131)
MTHU002975 (LOINC Version 232)
Race
Item
Racial group
string
C0034510 (UMLS CUI 2011AA)
103579009 (SNOMED CT 2011_0131)
MTHU009923 (LOINC Version 232)
Height
Item
Height
integer
C0489786 (UMLS CUI 2011AA)
MTHU005354 (LOINC Version 232)
Weight
Item
Weight
integer
C1305866 (UMLS CUI 2011AA)
107647005 (SNOMED CT 2011_0131)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
CHIEF COMPLAINT
Item
Chief complaint (CC)
string
C0277786 (UMLS CUI 2011AA)
33962009 (SNOMED CT 2011_0131)
MTHU001077 (LOINC Version 232)
PRESENT ILLNESS
Item
History of present illness
string
C0262512 (UMLS CUI 2011AA)
MTHU001399 (LOINC Version 232)
Item Group
Prior Health History
Medical Illness
Item
Past medical history
string
C0262926 (UMLS CUI 2011AA)
417662000 (SNOMED CT 2011_0131)
MTHU027722 (LOINC Version 232)
Surgery
Item
Prior Surgery, History of (H/O) surgery, Past surgical history
string
C0455610 (UMLS CUI 2011AA)
161615003 (SNOMED CT 2011_0131)
DETAILED ACTIVE MEDS
Item
current medication list, active medication
string
C1553892 (UMLS CUI 2011AA)
Allergies
Item
Allergies
string
C0020517 (UMLS CUI 2011AA)
257550005 (SNOMED CT 2011_0131)
T78.40 (ICD-10-CM Version 2010)
REVIEW OF SYSTEMS(Positive findings)
Item
Review of systems
string
C0489633 (UMLS CUI 2011AA)
415300000 (SNOMED CT 2011_0131)
MTHU001422 (LOINC Version 232)
FAMILY HISTORY
Item
Family history (FH) of
string
C0241889 (UMLS CUI 2011AA)
57177007 (SNOMED CT 2011_0131)
SOCIAL HISTORY
Item
Social and personal history, Social and personal circumstances
string
C0424945 (UMLS CUI 2011AA)
160476009 (SNOMED CT 2011_0131)
MTHU014081 (LOINC Version 232)
IMMUNIZATIONS
Item
Immunisation
string
C0020971 (UMLS CUI 2011AA)
127785005 (SNOMED CT 2011_0131)
10021431 (MedDRA 14.1)
Item Group
Physical Exam
Temperature
Item
Temperature
string
C0039476 (UMLS CUI 2011AA)
246508008 (SNOMED CT 2011_0131)
MTHU009008 (LOINC Version 232)
Pulse
Item
Pulse Rate
integer
C0232117 (UMLS CUI 2011AA)
78564009 (SNOMED CT 2011_0131)
10037485 (MedDRA 14.1)
Respiration rate
Item
Respiration rate, Breathing rate (BR)
integer
C0231832 (UMLS CUI 2011AA)
86290005 (SNOMED CT 2011_0131)
10038709 (MedDRA 14.1)
MTHU008344 (LOINC Version 232)
Blood pressure
Item
Blood pressure (BP)
string
C0005823 (UMLS CUI 2011AA)
75367002 (SNOMED CT 2011_0131)
MTHU008342 (LOINC Version 232)
Pain
Item
Pain
string
C0030193 (UMLS CUI 2011AA)
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)
GENERAL APPEARANCE
Item
general appearance
string
C1148438 (UMLS CUI 2011AA)
MTHU015040 (LOINC Version 232)
HEENT
Item
Head, Ears, Eyes, Nose and Throat
text
C1512338 (UMLS CUI 2011AA)
NECK
Item
Neck, Collum, Cervical
string
C0027530 (UMLS CUI 2011AA)
45048000 (SNOMED CT 2011_0131)
MTHU002688 (LOINC Version 232)
CHEST
Item
Chest, Thorax
string
C0817096 (UMLS CUI 2011AA)
51185008 (SNOMED CT 2011_0131)
BREAST
Item
Mammary region
string
C0006141 (UMLS CUI 2011AA)
76752008 (SNOMED CT 2011_0131)
MTHU011382 (LOINC Version 232)
HEART
Item
Heart
string
C0018787 (UMLS CUI 2011AA)
80891009 (SNOMED CT 2011_0131)
MTHU001067 (LOINC Version 232)
ABDOMEN
Item
Abdomen
string
C0000726 (UMLS CUI 2011AA)
113345001 (SNOMED CT 2011_0131)
MTHU001425 (LOINC Version 232)
LYMPH NODES
Item
lymph nodes
string
C0024204 (UMLS CUI 2011AA)
59441001 (SNOMED CT 2011_0131)
MTHU015050 (LOINC Version 232)
GENITALIA/RECTAL
Item
Genital Organs/Rectal
string
C0017420, C0205052 (UMLS CUI 2011AA)
255582007 (SNOMED CT 2011_0131)
MTHU002681 (LOINC Version 232)
EXTREMITIES
Item
Extremities, Limb structure
string
C0015385 (UMLS CUI 2011AA)
66019005 (SNOMED CT 2011_0131)
MTHU001429 (LOINC Version 232)
SKIN
Item
Integument
string
C1123023 (UMLS CUI 2011AA)
39937001 (SNOMED CT 2011_0131)
MTHU001414 (LOINC Version 232)
NEUROLOGICAL
Item
Neurologic system, Nervous system, Nervous system structure
string
C0027763 (UMLS CUI 2011AA)
25087005 (SNOMED CT 2011_0131)
MTHU001437 (LOINC Version 232)
IMPRESSION
Item
summary, conclusion
string
CL386604 (UMLS CUI 2011AA)
PLAN
Item
Plan
string
C1301732 (UMLS CUI 2011AA)
397943006 (SNOMED CT 2011_0131)
ASA SCORE
Item
Finding of American Society of Anesthesiologists physical status classification
string
C1531480 (UMLS CUI 2011AA)
413347006 (SNOMED CT 2011_0131)
AIRWAY ASSESSMENT FOR PATIENTS RECEIVING MODERATE SEDATION
Item
AIRWAY ASSESSMENT FOR PATIENTS RECEIVING MODERATE SEDATION
text
Teeth
Item
Teeth
string
C0040426 (UMLS CUI 2011AA)
245543004 (SNOMED CT 2011_0131)
MTHU021292 (LOINC Version 232)
MALLAMPATI AIRWAY SCORE
Item
Mallampati score
string
C0451276 (UMLS CUI 2011AA)
273585005 (SNOMED CT 2011_0131)
Neck Extension
Item
Neck Extension (normal/RESTRICTED/NO MOBILITY)
text
C0027530, C0231448 (UMLS CUI 2011AA)
45048000, 255536004 (SNOMED CT 2011_0131)
MTHU002688, MTHU010348 (LOINC Version 232)
Physician
Item
Treating Physician
string
C1710470 (UMLS CUI 2011AA)
Item Group
Procedure
DATE OF PROCEDURE
Item
Date of procedure
string
C2584899 (UMLS CUI 2011AA)
439272007 (SNOMED CT 2011_0131)
PRE-OP DIAGNOSIS
Item
Preoperative diagnosis
string
C1318968 (UMLS CUI 2011AA)
406520001 (SNOMED CT 2011_0131)
POST-OP DIAGNOSIS
Item
Post-operative diagnosis
string
C1318969 (UMLS CUI 2011AA)
406521002 (SNOMED CT 2011_0131)
PRIMARY SURGEON
Item
Primary Surgeon
string
C0808118 (UMLS CUI 2011AA)
MTHU010488 (LOINC Version 232)
PRISURG (HL7 V3 2006_05)
ASSISTANT
Item
first assistant surgeon
string
C1550491 (UMLS CUI 2011AA)
FASST (HL7 V3 2006_05)
ANESTHESIA PROVIDER
Item
anesthesist
string
C1550495 (UMLS CUI 2011AA)
ANEST (HL7 V3 2006_05)
ANESTHESIA/SEDATION
Item
ANESTHESIA/SEDATION
string
C0002903, C0344106 (UMLS CUI 2011AA)
399097000, 72641008 (SNOMED CT 2011_0131)
10002091, 10059283 (MedDRA 14.1)
MTHU035920 (LOINC Version 232)
Item Group
Medication
ANTIBIOTIC: Ancef
Item
ANTIBIOTIC: Ancef
boolean
C0003232 (UMLS CUI 2011AA)
255631004 (SNOMED CT 2011_0131)
ANTIBIOTIC: Rocephin
Item
ANTIBIOTIC: Rocephin
boolean
C0003232 (UMLS CUI 2011AA)
255631004 (SNOMED CT 2011_0131)
ANTIBIOTIC: Levaquin
Item
ANTIBIOTIC: Levaquin
boolean
C0003232 (UMLS CUI 2011AA)
255631004 (SNOMED CT 2011_0131)
ANTIBIOTIC: Other
Item
ANTIBIOTIC: Other
string
C0003232 (UMLS CUI 2011AA)
255631004 (SNOMED CT 2011_0131)
OTHER MEDS GIVEN
Item
OTHER MEDS GIVEN
string
C0013227 (UMLS CUI 2011AA)
Item Group
TECHNICAL PROCEDURE
Abscess drainage
Item
Drainage of abscess
boolean
C0344096 (UMLS CUI 2011AA)
118442004 (SNOMED CT 2011_0131)
10000279 (MedDRA 14.1)
Aortogram
Item
Aortography, Contrast aortogram
boolean
C0003515 (UMLS CUI 2011AA)
54640009 (SNOMED CT 2011_0131)
10057775 (MedDRA 14.1)
88.42 (ICD-9-CM Version 2011)
Aortogram and Runoff
Item
Aortogram and Runoff
boolean
AV Fistulagram
Item
AV Fistulagram
boolean
C0412315 (UMLS CUI 2011AA)
241275007 (SNOMED CT 2011_0131)
Biliary Drain
Item
Biliary Drain
boolean
C0489793 (UMLS CUI 2011AA)
MTHU001297 (LOINC Version 232)
Carotid Angiogram
Item
Angiogram carotid, Carotid angiography
boolean
C0202896 (UMLS CUI 2011AA)
420171008 (SNOMED CT 2011_0131)
10003194 (MedDRA 14.1)
88.41 (ICD-9-CM Version 2011)
Cerebral Angiogram
Item
Cerebral angiogram, Angiogram cerebral, Fluoroscopic angiography of cerebral artery
boolean
C0948923 (UMLS CUI 2011AA)
419364000 (SNOMED CT 2011_0131)
10052905 (MedDRA 14.1)
Chest tube
Item
Chest drain, chest tube, thoracic tube
boolean
C0008034 (UMLS CUI 2011AA)
258643002 (SNOMED CT 2011_0131)
MTHU001287 (LOINC Version 232)
Chest tube/Empyema
Item
Chest tube/Empyema
boolean
C0008034,C0014009 (UMLS CUI 2011AA)
258643002, 66696 (SNOMED CT 2011_0131)
10014568 (MedDRA 14.1)
MTHU001287 (LOINC Version 232)
510 (ICD-9-CM Version 2011)
CVC
Item
Central venous catheter (CVC), Central venous line
boolean
C1145640 (UMLS CUI 2011AA)
52124006 (SNOMED CT 2011_0131)
CVC/Port
Item
CVC/Port
boolean
C1145640, C0179694 (UMLS CUI 2011AA)
52124006 (SNOMED CT 2011_0131)
CVC Temporary
Item
CVC Temporary
boolean
CVC Tunneled
Item
CVC Tunneled
boolean
Dialysis Access Declot
Item
Dialysis Access Declot
boolean
EVLT
Item
Endovenous laser treatment (ELT)
boolean
C1998394 (UMLS CUI 2011AA)
Extremity Angiogram
Item
Extremity Angiogram
boolean
CL378222, C0015385 (UMLS CUI 2011AA)
77343006, 66019005 (SNOMED CT 2011_0131)
10050062 (MedDRA 14.1)
MTHU001429 (LOINC Version 232)
Kyphoplasty
Item
Balloon Vertebroplasty
boolean
C1455863 (UMLS CUI 2011AA)
10064702 (MedDRA 14.1)
81.66 (ICD-9-CM Version 2011)
Percutaneous Nephrostomy
Item
Percutaneous insertion of nephrostomy tube
boolean
C0564457 (UMLS CUI 2011AA)
313270001 (SNOMED CT 2011_0131)
PICC
Item
Peripherally-Inserted Central Catheter (PICC), PICC line
boolean
C0179740 (UMLS CUI 2011AA)
398176008 (SNOMED CT 2011_0131)
Pulmonary Angiogram
Item
Pulmonary arteriogram, Pulmonary artery angiography
boolean
C0202910 (UMLS CUI 2011AA)
84200003 (SNOMED CT 2011_0131)
10002440 (MedDRA 14.1)
88.43 (ICD-9-CM Version 2011)
RFA (RF-Ablation)
Item
radiofrequency ablation procedure
boolean
CL382653 (UMLS CUI 2011AA)
TACE
Item
transarterial chemoembolization
boolean
CL388501 (UMLS CUI 2011AA)
Thrombolysis
Item
Thrombolysis
boolean
C0520997 (UMLS CUI 2011AA)
51308000 (SNOMED CT 2011_0131)
10043568 (MedDRA 14.1)
Uterine Artery Embolization
Item
Embolisation of uterine artery
boolean
C0729536 (UMLS CUI 2011AA)
312138002 (SNOMED CT 2011_0131)
Other procedure
Item
Other procedure
string
FINDINGS
Item
FINDINGS (None|Same|N/A|Successful|Unsuccessful)
integer
Findings text
Item
Findings text
string
BLOOD LOSS
Item
bleeding, blood loss, hemorrhage
string
C0019080 (UMLS CUI 2011AA)
50960005 (SNOMED CT 2011_0131)
10055798 (MedDRA 14.1)
R58 (ICD-10-CM Version 2010)
459.0 (ICD-9-CM Version 2011)
CONTRAST
Item
Contrast medium, Contrast agent
string
C0009924 (UMLS CUI 2011AA)
385420005 (SNOMED CT 2011_0131)
FLUORO TIME
Item
FLUORO TIME
string
C0016356 (UMLS CUI 2011AA)
44491008 (SNOMED CT 2011_0131)
10064426 (MedDRA 14.1)
SPECIMEN(s) REMOVED
Item
SPECIMEN(s)REMOVED (yes|no)
boolean
SPECIMEN(s)
Item
Specimen
string
C0370003 (UMLS CUI 2011AA)
123038009 (SNOMED CT 2011_0131)
MTHU010726 (LOINC Version 232)
COMPLICATIONS: No immediate
Item
COMPLICATIONS: No immediate
boolean
Complications text
Item
Complications
string
C0009566 (UMLS CUI 2011AA)
116223007 (SNOMED CT 2011_0131)
MTHU008883 (LOINC Version 232)
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