ID
5581
Beschrijving
Form from HIS OpenVistA
Trefwoorden
Versies (3)
- 25-02-12 25-02-12 -
- 09-08-14 09-08-14 - Martin Dugas
- 25-06-15 25-06-15 - Martin Dugas
Geüploaded op
9 augustus 2014
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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HIS NUTRITION SCREENING CONSULT RESULTS MAIN
HIS
- StudyEvent: HIS
Beschrijving
COMMENTS
Beschrijving
Patient triggered for problem swallowing difficulty
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0392678
- SNOMED CT 2011_0131
- 399122003
- MedDRA 14.1
- 10042647
- LOINC Version 232
- MTHU020878
Beschrijving
Patient states no problems with swallowing difficulty
Datatype
boolean
Beschrijving
Swallow difficulty due to sore throat. Nursing Notified.
Datatype
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
Beschrijving
Patient needs diet consistency change to diet.
Datatype
boolean
Beschrijving
Patient needs special foods of appropriate consistency.
Datatype
boolean
Beschrijving
other
Datatype
string
Beschrijving
Patient triggered for poor po intake > 5 days.
Datatype
boolean
Beschrijving
Patient requests oral supplements of
Datatype
string
Beschrijving
Patient states no problems with po intake.
Datatype
boolean
Beschrijving
Patient states po intake improved>50% at all meals.
Datatype
boolean
Beschrijving
Patient states no appetite.
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0232462
- SNOMED CT 2011_0131
- 64379006
- MedDRA 14.1
- 10061428
Beschrijving
Patient states unable to eat certain foods:
Datatype
string
Beschrijving
Patient started on nutrition support
Datatype
boolean
Beschrijving
other
Datatype
string
Beschrijving
Patient triggered for unintentional weight loss of 10 pounds or more in 3 months.
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0936227
- SNOMED CT 2011_0131
- 267024001
- MedDRA 14.1
- 10000159
- ICD-10-CM Version 2010
- R63.4
Beschrijving
Patient states no weight loss.
Datatype
boolean
Beschrijving
Patient was on a diet, weight loss was intentional.
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Beschrijving
Patient states weight loss due to increased activity.
Datatype
boolean
Beschrijving
other
Datatype
string
Beschrijving
Patient triggered for food allergies
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0016470
- SNOMED CT 2011_0131
- 414285001
- MedDRA 14.1
- 10016946
Beschrijving
Patient states they have no food allergies/intolerances.
Datatype
boolean
Beschrijving
Patient has no food intolerances to
Datatype
string
Beschrijving
All food allergies/intolerances were identified.
Datatype
boolean
Beschrijving
other
Datatype
string
Beschrijving
Patient triggered for being pregnant and less than 16 years old of age.
Datatype
boolean
Beschrijving
Patient is greater than 16 years old of age.
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0001779
- SNOMED CT 2011_0131
- 397669002
Beschrijving
Patient is not pregnant.
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0232973
- SNOMED CT 2011_0131
- 60001007
Beschrijving
other
Datatype
string
Beschrijving
Patient triggered for being pregnant and on special diet.
Datatype
boolean
Beschrijving
Patient is not pregnant.
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0232973
- SNOMED CT 2011_0131
- 60001007
Beschrijving
Patient is not on a special diet.
Datatype
boolean
Beschrijving
Patient is on diet for
Datatype
string
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Beschrijving
Patient understands special diet, does not need additional information.
Datatype
boolean
Beschrijving
Patient does not understand special diet.
Datatype
boolean
Beschrijving
Patient triggered for being below 10th percentile of Pediatric Growth Charts.
Datatype
boolean
Beschrijving
Patient is at 50th percentile or greater on growth charts.
Datatype
boolean
Beschrijving
Patient is between 25th and 50th percentile on growth charts.
Datatype
boolean
Beschrijving
Patient seen due to extended length of stay in hospital.
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0023303
Beschrijving
other
Datatype
string
Beschrijving
GOALS
Beschrijving
Patient to resume po intake (if currently NPO).
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C1512806
Beschrijving
Patient to transition to solid foods (if on CL or FL diet).
Datatype
boolean
Beschrijving
Patient to be provided foods of appropriate consistency to decrease swallowing difficulty.
Datatype
boolean
Beschrijving
Patient to continue po intake>75% at meals/snacks.
Datatype
boolean
Beschrijving
PO intake to be greater than 50% at all meals/snacks.
Datatype
boolean
Beschrijving
Weight gain of 1-2 lbs per week.
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0043094
- SNOMED CT 2011_0131
- 262286000
- MedDRA 14.1
- 10047899
- LOINC Version 232
- MTHU020882
- CTCAE 1105E
- E12224
Beschrijving
Patient will not receive foods that they have indicated as being allergic or intolerate to.
Datatype
boolean
Beschrijving
Patient to understand diet currently ordered by physician.
Datatype
boolean
Beschrijving
Patient to be seen by dietician due to:
Datatype
string
Beschrijving
other
Datatype
string
Beschrijving
LEVEL OF CARE
Beschrijving
PLAN
Beschrijving
Continue with diet as currently ordered.
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Beschrijving
Advance diet as tolerated.
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0012155
- SNOMED CT 2011_0131
- 41829006
Beschrijving
Explain menu process. Encourage continued good intake > 50%.
Datatype
boolean
Beschrijving
Encourage patient to mark menu selections.
Datatype
boolean
Beschrijving
Obtain food preferences. Place in computer and notify kitchen.
Datatype
boolean
Beschrijving
Discuss adding oral supplement with nursing or dietician.
Datatype
boolean
Beschrijving
Provide snacks to increase po intake.
Datatype
boolean
Beschrijving
Notify diet office of food allergens or intolerances via computer.
Datatype
boolean
Beschrijving
Provided educational handout on diet. Give RD contact information for further questions.
Datatype
boolean
Beschrijving
Inform dietician of need for extensive diet education on diet.
Datatype
boolean
Beschrijving
Follow patient per protocol.
Datatype
boolean
Beschrijving
Refer to dietician.
Datatype
boolean
Alias
- UMLS CUI 2011AA
- C0237083
- SNOMED CT 2011_0131
- 159033005
Beschrijving
other
Datatype
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)