ID
5581
Description
Form from HIS OpenVistA
Keywords
Versions (3)
- 2/25/12 2/25/12 -
- 8/9/14 8/9/14 - Martin Dugas
- 6/25/15 6/25/15 - Martin Dugas
Uploaded on
August 9, 2014
DOI
To request one please log in.
License
Creative Commons BY-NC 3.0 Legacy
Model comments :
You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.
Itemgroup comments for :
Item comments for :
In order to download data models you must be logged in. Please log in or register for free.
HIS NUTRITION SCREENING CONSULT RESULTS MAIN
HIS
- StudyEvent: HIS
Description
COMMENTS
Description
Patient triggered for problem swallowing difficulty
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0392678
- SNOMED CT 2011_0131
- 399122003
- MedDRA 14.1
- 10042647
- LOINC Version 232
- MTHU020878
Description
Patient states no problems with swallowing difficulty
Data type
boolean
Description
Swallow difficulty due to sore throat. Nursing Notified.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0242429
- SNOMED CT 2011_0131
- 267102003
- MedDRA 14.1
- 10041367
- ICD-10-CM Version 2010
- R07.0
- ICD-9-CM Version 2011
- 784.1
- CTCAE 1105E
- E13575
Description
Patient needs diet consistency change to diet.
Data type
boolean
Description
Patient needs special foods of appropriate consistency.
Data type
boolean
Description
other
Data type
string
Description
Patient triggered for poor po intake > 5 days.
Data type
boolean
Description
Patient requests oral supplements of
Data type
string
Description
Patient states no problems with po intake.
Data type
boolean
Description
Patient states po intake improved>50% at all meals.
Data type
boolean
Description
Patient states no appetite.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0232462
- SNOMED CT 2011_0131
- 64379006
- MedDRA 14.1
- 10061428
Description
Patient states unable to eat certain foods:
Data type
string
Description
Patient started on nutrition support
Data type
boolean
Description
other
Data type
string
Description
Patient triggered for unintentional weight loss of 10 pounds or more in 3 months.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0936227
- SNOMED CT 2011_0131
- 267024001
- MedDRA 14.1
- 10000159
- ICD-10-CM Version 2010
- R63.4
Description
Patient states no weight loss.
Data type
boolean
Description
Patient was on a diet, weight loss was intentional.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Description
Patient states weight loss due to increased activity.
Data type
boolean
Description
other
Data type
string
Description
Patient triggered for food allergies
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0016470
- SNOMED CT 2011_0131
- 414285001
- MedDRA 14.1
- 10016946
Description
Patient states they have no food allergies/intolerances.
Data type
boolean
Description
Patient has no food intolerances to
Data type
string
Description
All food allergies/intolerances were identified.
Data type
boolean
Description
other
Data type
string
Description
Patient triggered for being pregnant and less than 16 years old of age.
Data type
boolean
Description
Patient is greater than 16 years old of age.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0001779
- SNOMED CT 2011_0131
- 397669002
Description
Patient is not pregnant.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0232973
- SNOMED CT 2011_0131
- 60001007
Description
other
Data type
string
Description
Patient triggered for being pregnant and on special diet.
Data type
boolean
Description
Patient is not pregnant.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0232973
- SNOMED CT 2011_0131
- 60001007
Description
Patient is not on a special diet.
Data type
boolean
Description
Patient is on diet for
Data type
string
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Description
Patient understands special diet, does not need additional information.
Data type
boolean
Description
Patient does not understand special diet.
Data type
boolean
Description
Patient triggered for being below 10th percentile of Pediatric Growth Charts.
Data type
boolean
Description
Patient is at 50th percentile or greater on growth charts.
Data type
boolean
Description
Patient is between 25th and 50th percentile on growth charts.
Data type
boolean
Description
Patient seen due to extended length of stay in hospital.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0023303
Description
other
Data type
string
Description
GOALS
Description
Patient to resume po intake (if currently NPO).
Data type
boolean
Alias
- UMLS CUI 2011AA
- C1512806
Description
Patient to transition to solid foods (if on CL or FL diet).
Data type
boolean
Description
Patient to be provided foods of appropriate consistency to decrease swallowing difficulty.
Data type
boolean
Description
Patient to continue po intake>75% at meals/snacks.
Data type
boolean
Description
PO intake to be greater than 50% at all meals/snacks.
Data type
boolean
Description
Weight gain of 1-2 lbs per week.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0043094
- SNOMED CT 2011_0131
- 262286000
- MedDRA 14.1
- 10047899
- LOINC Version 232
- MTHU020882
- CTCAE 1105E
- E12224
Description
Patient will not receive foods that they have indicated as being allergic or intolerate to.
Data type
boolean
Description
Patient to understand diet currently ordered by physician.
Data type
boolean
Description
Patient to be seen by dietician due to:
Data type
string
Description
other
Data type
string
Description
LEVEL OF CARE
Description
PLAN
Description
Continue with diet as currently ordered.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Description
Advance diet as tolerated.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Description
Explain menu process. Encourage continued good intake > 50%.
Data type
boolean
Description
Encourage patient to mark menu selections.
Data type
boolean
Description
Obtain food preferences. Place in computer and notify kitchen.
Data type
boolean
Description
Discuss adding oral supplement with nursing or dietician.
Data type
boolean
Description
Provide snacks to increase po intake.
Data type
boolean
Description
Notify diet office of food allergens or intolerances via computer.
Data type
boolean
Description
Provided educational handout on diet. Give RD contact information for further questions.
Data type
boolean
Description
Inform dietician of need for extensive diet education on diet.
Data type
boolean
Description
Follow patient per protocol.
Data type
boolean
Description
Refer to dietician.
Data type
boolean
Alias
- UMLS CUI 2011AA
- C0237083
- SNOMED CT 2011_0131
- 159033005
Description
other
Data type
string
Similar models
HIS
- StudyEvent: HIS
397669002 (SNOMED CT 2011_0131)
107647005 (SNOMED CT 2011_0131)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
41829006 (SNOMED CT 2011_0131)
399122003 (SNOMED CT 2011_0131)
10042647 (MedDRA 14.1)
MTHU020878 (LOINC Version 232)
267102003 (SNOMED CT 2011_0131)
10041367 (MedDRA 14.1)
R07.0 (ICD-10-CM Version 2010)
784.1 (ICD-9-CM Version 2011)
E13575 (CTCAE 1105E)
64379006 (SNOMED CT 2011_0131)
10061428 (MedDRA 14.1)
267024001 (SNOMED CT 2011_0131)
10000159 (MedDRA 14.1)
R63.4 (ICD-10-CM Version 2010)
41829006 (SNOMED CT 2011_0131)
414285001 (SNOMED CT 2011_0131)
10016946 (MedDRA 14.1)
397669002 (SNOMED CT 2011_0131)
60001007 (SNOMED CT 2011_0131)
60001007 (SNOMED CT 2011_0131)
41829006 (SNOMED CT 2011_0131)
262286000 (SNOMED CT 2011_0131)
10047899 (MedDRA 14.1)
MTHU020882 (LOINC Version 232)
E12224 (CTCAE 1105E)
41829006 (SNOMED CT 2011_0131)
41829006 (SNOMED CT 2011_0131)
159033005 (SNOMED CT 2011_0131)