ID

22551

Beschreibung

Form from HIS OpenVista

Stichworte

  1. 04.03.12 04.03.12 -
  2. 07.06.17 07.06.17 - Martin Dugas
Hochgeladen am

7. Juni 2017

DOI

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Lizenz

Creative Commons BY-NC 3.0

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SPEECH THERAPY PROGRESS NOTE

  1. StudyEvent: HIS
    1. HIS
subjektiv
Beschreibung

subjektiv

Alias
UMLS CUI-1
C2266644
Patient tolerated treatment well with no complaints of pain.
Beschreibung

treatment well tolerated

Datentyp

boolean

Alias
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
UMLS CUI [1,1]
C0039798
UMLS CUI [1,2]
C0030193
Behandlung nicht gut toleriert
Beschreibung

treatment not well tolerated

Datentyp

boolean

Alias
SNOMED CT 2011_0131
407563006
UMLS CUI [1]
C1319899
Other
Beschreibung

Other

Datentyp

text

Alias
UMLS CUI [1]
C0205394
objektiv
Beschreibung

objektiv

Alias
UMLS CUI-1
C1571702
Bericht
Beschreibung

Narrative

Datentyp

string

Alias
UMLS CUI 2011AA
C1135957
Untersuchung
Beschreibung

Untersuchung

Alias
UMLS CUI-1
C0220825
Beschreibung
Beschreibung

Description

Datentyp

string

Alias
UMLS CUI 2011AA
C0678257
HL7 V3 2006_05
DESC
Planung
Beschreibung

Planung

Alias
UMLS CUI-1
C1301732
Continue Plan Of Care
Beschreibung

Continue Plan Of Care

Datentyp

boolean

Alias
UMLS CUI [1]
C0028683
Modify Goals
Beschreibung

Modify Goals

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0392747
SNOMED CT 2011_0131
243326001
UMLS CUI 2011AA
C0018017
SNOMED CT 2011_0131
410518001
LOINC Version 232
MTHU036445
Received D/C ST Order
Beschreibung

Received D/C ST Order

Datentyp

boolean

Alias
UMLS CUI [1]
C3846158
Other
Beschreibung

Other

Datentyp

text

Alias
UMLS CUI [1]
C0205394
Charge Time [minutes]
Beschreibung

Charge Time

Datentyp

integer

Maßeinheiten
  • minutes
Alias
SNOMED CT 2011_0131
410670007
LOINC Version 232
MTHU009151
UMLS CUI [1,1]
C0007961
UMLS CUI [1,2]
C0040223
minutes
Reassessment
Beschreibung

Reassessment

Datentyp

date

Alias
UMLS CUI 2011AA
C1516048
Oral Motor Exercise
Beschreibung

Oral motor exercises

Datentyp

boolean

Alias
UMLS CUI [1]
C0589304
Slow Speech Training
Beschreibung

Slow Speech Training

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1859270
UMLS CUI [1,2]
C0220931
Follow One-Step Directions
Beschreibung

Follow One-Step Directions

Datentyp

boolean

Alias
UMLS CUI [1]
C0512555
Vocal Intensity Training
Beschreibung

Vocal Intensity Training

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0234795
UMLS CUI [1,2]
C0220931
Respiratory Support Exercise
Beschreibung

Ability to use respiratory support for speech

Datentyp

boolean

Alias
UMLS CUI [1]
C0564067
Gedächtnistraining
Beschreibung

Memory Training

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0729377
SNOMED CT 2011_0131
302262007
Entspannung
Beschreibung

Relaxation

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0035028
MedDRA 14.1
10038308
Bericht
Beschreibung

Narrative

Datentyp

string

Alias
UMLS CUI 2011AA
C1135957
ID Function of Objects
Beschreibung

ID Function of Objects

Datentyp

boolean

Alias
UMLS CUI [1]
C3846158
Word Retrieval
Beschreibung

Able to find words

Datentyp

boolean

Alias
UMLS CUI [1]
C0564223
Improve Sentence Complexity
Beschreibung

Sentence Structure

Datentyp

boolean

Alias
UMLS CUI [1]
C0871341
Speaking Valve
Beschreibung

Speaking Valve

Datentyp

boolean

Alias
UMLS CUI [1]
C0500184
Orientation Training
Beschreibung

Orientation Training

Datentyp

boolean

Alias
UMLS CUI [1]
C0556507
Confrontational Naming
Beschreibung

confrontational anomia

Datentyp

boolean

Alias
UMLS CUI [1]
C2018035
Yes/No Questions
Beschreibung

Yes/No Questions

Datentyp

boolean

Alias
UMLS CUI [1]
C1739588
Assistive Communication
Beschreibung

Assistive Communication

Datentyp

boolean

Alias
UMLS CUI [1]
C2371637
Patient/Family Education
Beschreibung

Patient/Family Education

Datentyp

boolean

Alias
UMLS CUI 2011AA
C0030688
SNOMED CT 2011_0131
311401005
UMLS CUI 2011AA
C0150577
SNOMED CT 2011_0131
311403008
Bericht
Beschreibung

Narrative

Datentyp

string

Alias
UMLS CUI 2011AA
C1135957

Ähnliche Modelle

  1. StudyEvent: HIS
    1. HIS
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
subjektiv
C2266644 (UMLS CUI-1)
treatment well tolerated
Item
Patient tolerated treatment well with no complaints of pain.
boolean
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)
C0039798 (UMLS CUI [1,1])
C0030193 (UMLS CUI [1,2])
treatment not well tolerated
Item
Behandlung nicht gut toleriert
boolean
407563006 (SNOMED CT 2011_0131)
C1319899 (UMLS CUI [1])
Other
Item
Other
text
C0205394 (UMLS CUI [1])
Item Group
objektiv
C1571702 (UMLS CUI-1)
Narrative
Item
Bericht
string
C1135957 (UMLS CUI 2011AA)
Item Group
Untersuchung
C0220825 (UMLS CUI-1)
Description
Item
Beschreibung
string
C0678257 (UMLS CUI 2011AA)
DESC (HL7 V3 2006_05)
Item Group
Planung
C1301732 (UMLS CUI-1)
Continue Plan Of Care
Item
Continue Plan Of Care
boolean
C0028683 (UMLS CUI [1])
Modify Goals
Item
Modify Goals
boolean
C0392747 (UMLS CUI 2011AA)
243326001 (SNOMED CT 2011_0131)
C0018017 (UMLS CUI 2011AA)
410518001 (SNOMED CT 2011_0131)
MTHU036445 (LOINC Version 232)
Received D/C ST Order
Item
Received D/C ST Order
boolean
C3846158 (UMLS CUI [1])
Other
Item
Other
text
C0205394 (UMLS CUI [1])
Charge Time
Item
Charge Time [minutes]
integer
410670007 (SNOMED CT 2011_0131)
MTHU009151 (LOINC Version 232)
C0007961 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Reassessment
Item
Reassessment
date
C1516048 (UMLS CUI 2011AA)
Oral motor exercises
Item
Oral Motor Exercise
boolean
C0589304 (UMLS CUI [1])
Slow Speech Training
Item
Slow Speech Training
boolean
C1859270 (UMLS CUI [1,1])
C0220931 (UMLS CUI [1,2])
Follow One-Step Directions
Item
Follow One-Step Directions
boolean
C0512555 (UMLS CUI [1])
Vocal Intensity Training
Item
Vocal Intensity Training
boolean
C0234795 (UMLS CUI [1,1])
C0220931 (UMLS CUI [1,2])
Ability to use respiratory support for speech
Item
Respiratory Support Exercise
boolean
C0564067 (UMLS CUI [1])
Memory Training
Item
Gedächtnistraining
boolean
C0729377 (UMLS CUI 2011AA)
302262007 (SNOMED CT 2011_0131)
Relaxation
Item
Entspannung
boolean
C0035028 (UMLS CUI 2011AA)
10038308 (MedDRA 14.1)
Narrative
Item
Bericht
string
C1135957 (UMLS CUI 2011AA)
ID Function of Objects
Item
ID Function of Objects
boolean
C3846158 (UMLS CUI [1])
Able to find words
Item
Word Retrieval
boolean
C0564223 (UMLS CUI [1])
Sentence Structure
Item
Improve Sentence Complexity
boolean
C0871341 (UMLS CUI [1])
Speaking Valve
Item
Speaking Valve
boolean
C0500184 (UMLS CUI [1])
Orientation Training
Item
Orientation Training
boolean
C0556507 (UMLS CUI [1])
confrontational anomia
Item
Confrontational Naming
boolean
C2018035 (UMLS CUI [1])
Yes/No Questions
Item
Yes/No Questions
boolean
C1739588 (UMLS CUI [1])
Assistive Communication
Item
Assistive Communication
boolean
C2371637 (UMLS CUI [1])
Patient/Family Education
Item
Patient/Family Education
boolean
C0030688 (UMLS CUI 2011AA)
311401005 (SNOMED CT 2011_0131)
C0150577 (UMLS CUI 2011AA)
311403008 (SNOMED CT 2011_0131)
Narrative
Item
Bericht
string
C1135957 (UMLS CUI 2011AA)

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