ID
22628
Description
Form from HIS OpenVista
Keywords
Versions (2)
- 3/9/12 3/9/12 -
- 6/8/17 6/8/17 - Martin Dugas
Uploaded on
June 8, 2017
DOI
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License
Creative Commons BY-NC 3.0
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SOCIAL SERVICES PSYCHOSOCIAL ASSESSMENT NOTE
HIS
- StudyEvent: HIS
Description
Treatments
Alias
- UMLS CUI-1
- C0087111
Description
Hyperbaric oxygenation therapy
Data type
boolean
Alias
- UMLS CUI [1]
- C0020431
Description
Occupational Therapy
Data type
boolean
Alias
- UMLS CUI [1]
- C1318464
Description
Physical Therapy
Data type
boolean
Alias
- UMLS CUI [1]
- C0949766
Description
Phototherapy
Data type
boolean
Alias
- UMLS CUI [1]
- C0031765
Description
Radiation / Chemotherapy
Data type
boolean
Alias
- UMLS CUI 2011AA
- C1522449
- SNOMED CT 2011_0131
- 302505005
- UMLS CUI 2011AA
- C0392920
- SNOMED CT 2011_0131
- 150415003
Description
Respiratory Therapy
Data type
boolean
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
Description
Speech Therapy
Data type
boolean
Alias
- UMLS CUI [1]
- C0037831
Description
Wound Care
Data type
boolean
Alias
- UMLS CUI [1]
- C0886052
Description
None
Data type
boolean
Alias
- UMLS CUI [1]
- C0549184
Description
Time of Patient's condition
Alias
- UMLS CUI-1
- C0040223
Description
Patient Status
Alias
- UMLS CUI-1
- C0449437
Description
Alert
Data type
boolean
Alias
- UMLS CUI [1]
- C0239110
Description
Disoriented
Data type
boolean
Alias
- UMLS CUI [1]
- C0233407
Description
Comatose
Data type
boolean
Alias
- UMLS CUI [1]
- C0009421
Description
Speech impairment
Data type
boolean
Alias
- UMLS CUI [1]
- C0233715
Description
Vision impairment
Data type
boolean
Alias
- UMLS CUI [1]
- C1456582
Description
Hearing impairment
Data type
boolean
Alias
- UMLS CUI [1]
- C1384666
Description
Notes
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
Living Situation
Alias
- UMLS CUI-1
- C2184149
Description
Lives with family
Data type
boolean
Alias
- UMLS CUI [1]
- C0557130
Description
Lives with spouse
Data type
boolean
Alias
- UMLS CUI [1]
- C2184147
Description
Nursing home
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0028688
- SNOMED CT 2011_0131
- 42665001
- LOINC Version 232
- MTHU015917
- HL7 V3 2006_05
- N
Description
Foster home
Data type
boolean
Alias
- UMLS CUI [1]
- C0599761
Description
Home alone
Data type
boolean
Alias
- UMLS CUI [1]
- C0439044
Description
Notes
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
FINANCIAL INFORMATION
Alias
- UMLS CUI-1
- C3242467
Description
employed
Data type
boolean
Alias
- UMLS CUI [1]
- C0557351
Description
unemployed
Data type
boolean
Alias
- UMLS CUI [1]
- C0041674
Description
commercial insurance
Data type
boolean
Alias
- UMLS CUI [1]
- C3530230
Description
MEDICAID
Data type
boolean
Alias
- UMLS CUI [1]
- C0596896
Description
MEDICARE
Data type
boolean
Alias
- UMLS CUI [1]
- C0018717
Description
SS
Data type
boolean
Alias
- UMLS CUI [1]
- C3846158
Description
SSD
Data type
boolean
Alias
- UMLS CUI [1]
- C0585391
Description
SSI
Data type
boolean
Alias
- UMLS CUI [1]
- C3846158
Description
AFDC
Data type
boolean
Alias
- UMLS CUI [1]
- C0001843
Description
CSHCN
Data type
boolean
Alias
- UMLS CUI [1]
- C3846158
Description
CHIP
Data type
boolean
Alias
- UMLS CUI [1]
- C3846158
Description
MCHD
Data type
boolean
Alias
- UMLS CUI [1]
- C3846158
Description
VA
Data type
boolean
Alias
- UMLS CUI [1]
- C3846158
Description
No Income
Data type
boolean
Alias
- UMLS CUI [1]
- C1827386
Description
Notes
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
SUPPORT SYSTEM
Alias
- UMLS CUI-1
- C0748877
Description
Spouse
Data type
boolean
Alias
- UMLS CUI [1]
- C0162409
Description
Church
Data type
boolean
Alias
- UMLS CUI [1]
- C3810853
Description
Agency
Data type
boolean
Alias
- UMLS CUI [1]
- C0237463
Description
None
Data type
boolean
Alias
- UMLS CUI [1]
- C0549184
Description
Notes
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
CAREGIVER
Alias
- UMLS CUI-1
- C0085537
Description
Self
Data type
boolean
Alias
- UMLS CUI [1]
- C0036588
Description
Spouse
Data type
boolean
Alias
- UMLS CUI [1]
- C0162409
Description
Friend
Data type
boolean
Alias
- UMLS CUI [1]
- C0079382
Description
Agency personnel
Data type
boolean
Alias
- UMLS CUI [1]
- C4035527
Description
Community Clinic
Data type
boolean
Alias
- UMLS CUI [1]
- C0587907
Description
Notes
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
SKILLED NEEDS
Alias
- UMLS CUI-1
- C0871403
Description
IV Therapy
Data type
boolean
Alias
- UMLS CUI 2011AA
- C1411942
Description
Foley Catheter Care
Data type
boolean
Alias
- UMLS CUI [1]
- C3649076
Description
Ostomy Care
Data type
boolean
Alias
- UMLS CUI [1]
- C1955856
Description
Wound Care
Data type
boolean
Alias
- UMLS CUI [1]
- C0886052
Description
Feeding Tube Care
Data type
boolean
Alias
- UMLS CUI [1]
- C2094398
Description
Dialysis
Data type
boolean
Alias
- UMLS CUI [1]
- C0011946
Description
Drain Care
Data type
boolean
Alias
- UMLS CUI [1]
- C2224139
Description
Ventilator
Data type
boolean
Alias
- UMLS CUI [1]
- C0087153
Description
None
Data type
boolean
Alias
- UMLS CUI [1]
- C0549184
Description
Notes
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
CURRENT ASSISTIVE DEVICES EQUIPMENT NEEDS
Description
Wheelchair
Data type
boolean
Description
Crutches
Data type
boolean
Description
Walker
Data type
boolean
Description
Cane
Data type
boolean
Description
Hospital Bed/Rails
Data type
boolean
Description
Hoyer lift/Trapeze
Data type
boolean
Description
Oxygen
Data type
boolean
Description
Apnea Monitor
Data type
boolean
Description
Carseat
Data type
boolean
Description
Crib
Data type
boolean
Description
None
Data type
boolean
Description
Notes
Data type
string
Description
DAILY LIVING ACTIVITY
Description
Wheelchair
Data type
boolean
Description
Bedbound
Data type
boolean
Description
Incontinence
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0021167
- SNOMED CT 2011_0131
- 48340000
- MedDRA 14.1
- 10021639
Description
Hygiene preparation
Data type
boolean
Description
Meal preparation
Data type
boolean
Description
Feeding tube
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0041281
- SNOMED CT 2011_0131
- 61420007
- MedDRA 14.1
- 10053095
Description
Grooming / Dressing
Data type
boolean
Description
Shopping
Data type
boolean
Alias
- UMLS CUI [1]
- C0150768
Description
Laundry
Data type
boolean
Alias
- UMLS CUI [1]
- C1830412
Description
Cleaning
Data type
boolean
Description
Total independence
Data type
boolean
Description
Mobility impaired
Data type
boolean
Alias
- UMLS CUI [1]
- C0518456
Description
No assistance needed
Data type
boolean
Alias
- UMLS CUI [1]
- C2599886
Description
Notes
Data type
string
Description
PSYCHOSOCIAL ASSESSMENT
Description
PATIENT'S/FAMILY'S PERCEPTION OF ILLNESS/ADMISSION
Data type
string
Description
COPING STRENGTHS
Data type
string
Description
Coping WEAKNESSES
Data type
string
Description
NOTED COGNITIVE/BEHAVIORAL/BONDING/FUNCTIONAL PROBLEMS
Data type
string
Description
EXPLANATION OF FAMILY DYNAMICS/PATIENT INVOLVEMENT/PEDI/SPOUSE/BOYFRIEND INVOLVEMENT
Data type
string
Description
RELIGIOUS/CULTURAL PREFERENCE
Description
POSSIBLE NEEDS
Description
No Needs evident
Data type
boolean
Description
Adoption
Data type
boolean
Alias
- UMLS CUI [1]
- C0237459
Description
Adult protective Services
Data type
boolean
Description
Assistance ADL's
Data type
boolean
Description
Child protective Services
Data type
boolean
Description
Counseling / Therapy
Data type
boolean
Description
Education
Data type
boolean
Alias
- UMLS CUI [1]
- C0013631
Description
Equipment
Data type
boolean
Alias
- UMLS CUI [1]
- C0014672
Description
Financial Resources
Data type
boolean
Alias
- UMLS CUI [1]
- C0516918
Description
Food / Clothing
Data type
boolean
Description
Home health
Data type
boolean
Alias
- UMLS CUI [1]
- C0019855
Description
Hospice
Data type
boolean
Alias
- UMLS CUI [1]
- C0085555
Description
Housing
Data type
boolean
Description
Lifeline / ERS
Data type
boolean
Description
LTAC
Data type
boolean
Description
Medication / Supplies
Data type
boolean
Description
PBCCMHMR
Data type
boolean
Description
Meals on Wheels
Data type
boolean
Description
Nursing facility placement
Data type
boolean
Description
Other hospital
Data type
boolean
Alias
- UMLS CUI [1]
- C4035586
Description
Rehabilitation
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0034991
- SNOMED CT 2011_0131
- 52052004
- MedDRA 14.1
- 10057374
Description
Safe Place
Data type
boolean
Description
Skilled Nursing Facility
Data type
boolean
Description
Substance abuse treatment
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0740858
- SNOMED CT 2011_0131
- 66214007
- MedDRA 14.1
- 10066169
- LOINC Version 232
- MTHU019364
- UMLS CUI 2011AA
- C0039798
Description
Support Group
Data type
boolean
Description
Transportation
Data type
boolean
Alias
- UMLS CUI [1]
- C0040757
Description
WIC
Data type
boolean
Description
Other
Data type
boolean
Description
INITIAL ASSESSMENT NOTE
Data type
string
Description
CONTINUE Therapy
Data type
text
Alias
- UMLS CUI [1]
- C0584669
Description
PLANNED DISPOSITION
Data type
string
Alias
- UMLS CUI 2011AA
- C1301732
- SNOMED CT 2011_0131
- 397943006
- UMLS CUI 2011AA
- C1550390
- LOINC Version 232
- MTHU021441
Description
PLANNED DISCHARGE DATE
Data type
date
Alias
- UMLS CUI [1]
- C3841770
Similar models
HIS
- StudyEvent: HIS
161139007 (SNOMED CT 2011_0131)
C2362543 (UMLS CUI [1,2])
C1317574 (UMLS CUI [1,2])
302505005 (SNOMED CT 2011_0131)
C0392920 (UMLS CUI 2011AA)
150415003 (SNOMED CT 2011_0131)
53950000 (SNOMED CT 2011_0131)
10059828 (MedDRA 14.1)
MTHU015440 (LOINC Version 232)
93.9 (ICD-9-CM Version 2011)
C0332152 (UMLS CUI-2)
42665001 (SNOMED CT 2011_0131)
MTHU015917 (LOINC Version 232)
N (HL7 V3 2006_05)
48340000 (SNOMED CT 2011_0131)
10021639 (MedDRA 14.1)
61420007 (SNOMED CT 2011_0131)
10053095 (MedDRA 14.1)
52052004 (SNOMED CT 2011_0131)
10057374 (MedDRA 14.1)
66214007 (SNOMED CT 2011_0131)
10066169 (MedDRA 14.1)
MTHU019364 (LOINC Version 232)
C0039798 (UMLS CUI 2011AA)
397943006 (SNOMED CT 2011_0131)
C1550390 (UMLS CUI 2011AA)
MTHU021441 (LOINC Version 232)