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ID
12501
Beschreibung
DIVI-Protocol for documentation purposes of emergency medical response by emergency physicians (Version 5.1 2015) Deutsche interdisziplinaere Vereinigung fuer Intensiv und Notfallmedizin DIVI (German interdisciplinary association for intensive and emergeny medical care)
Stichworte
Versionen (1)
- 24.11.15 24.11.15 -
Hochgeladen am
24. November 2015
DOI
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Lizenz
Creative Commons BY-NC 3.0
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Emergency background: Emergency Physicians protocol DIVI
Emergency background and medical history
- StudyEvent: ODM
Ähnliche Modelle
Emergency background and medical history
- StudyEvent: ODM
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item
General condition before emergency
text
C0424449 (UMLS CUI [1])
CL Item
healthy (1)
CL Item
ill, not impaired (2)
CL Item
slightly impaired (3)
CL Item
severely impaired (4)
CL Item
life threatening illness (5)
CL Item
unknown (6)
CL Item
sufficient (1)
CL Item
insufficient (2)
CL Item
none (3)
Emergency responder at the site
Item
Emergency responder at the site
boolean
C3178988 (UMLS CUI [1])
Time of arrival of emergency responder
Item
Time of arrival of emergency responder (if applicable)
time
C1320531 (UMLS CUI [1])
Please describe emergency situation
Item
Please describe emergency situation
text
C0013956 (UMLS CUI [1])
Medical history
Item
Medical history
text
C0262926 (UMLS CUI [1])
Prior medication
Item
Prior medication
text
C0013227 (UMLS CUI [1])
Prior treatment
Item
Prior treatment
text
C1514463 (UMLS CUI [1])
emergency preliminary evaluation
Item
emergency preliminary evaluation
text
C0199206 (UMLS CUI [1])
CL Item
yes (yes)
CL Item
no (no)
CL Item
open (1)
CL Item
covered (2)
Time of neurological assessment
Item
Time of neurological assessment
time
C0040223 (UMLS CUI [1,1])
C0027853 (UMLS CUI [1,2])
C0027853 (UMLS CUI [1,2])
normal assessment finding
Item
Normal assessment finding
boolean
C1873497 (UMLS CUI [1])
CL Item
spontaneously (4)
CL Item
on request (3)
CL Item
on pain stimulus (2)
CL Item
no reaction (1)
CL Item
conversational oriented (5)
CL Item
conversational confused (4)
CL Item
inadequate utterance (3)
CL Item
incomprehensible sounds (2)
CL Item
no verbal response (1)
CL Item
Obeys command (6)
CL Item
Localize to pain (5)
CL Item
Withdraws (4)
CL Item
Flexion to pain (3)
CL Item
Extension to pain (2)
CL Item
None (1)
best motor response left arm
Item
best motor response left arm
integer
C3648958 (UMLS CUI [1])
best motor response left leg
Item
best motor response left leg
integer
C3648958 (UMLS CUI [1])
best motor response right arm
Item
best motor response right arm
integer
C3648958 (UMLS CUI [1])
best motor response right leg
Item
best motor response right leg
integer
C3648958 (UMLS CUI [1])
Glasgow coma score total
Item
Glasgow coma score total
integer
C0806223 (UMLS CUI [1])
CL Item
normal (1)
CL Item
slightly reduced movements (2)
CL Item
severely reduced movement (3)
CL Item
normal (1)
CL Item
slightly reduced movement (2)
CL Item
severely reduced movement (3)
CL Item
normal (1)
CL Item
slightly reduced movement (2)
CL Item
severely reduced movement (3)
CL Item
normal (1)
CL Item
slightly reduced movement (2)
CL Item
severely reduced movement (3)
CL Item
alert (1)
CL Item
sleepy (2)
CL Item
unconscious (3)
CL Item
response to verbal stimulus (4)
CL Item
response to pain stimulus (5)
CL Item
anesthetized (6)
CL Item
can not be assessed (7)
Item
Neurological examination findings
text
C0027853 (UMLS CUI [1])
CL Item
normal (0)
CL Item
can not be assessed (1)
CL Item
hemiplegic symptoms (2)
CL Item
no smiling (3)
CL Item
blurred vision (4)
CL Item
paraplegia (5)
CL Item
babinski sign positive (6)
CL Item
disturbance of speech (7)
CL Item
dementia (8)
CL Item
meningism (9)
CL Item
prior known neurological deficit (10)
CL Item
other (11)
Item
Size of right Pupil
text
C0517965 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,2])
CL Item
small (1)
CL Item
medium (2)
CL Item
large (3)
CL Item
irregular (4)
CL Item
small (1)
CL Item
medium (2)
CL Item
large (3)
CL Item
irregular (4)
Item
Pupil reaction to light (left)
text
C1287558 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
C0205091 (UMLS CUI [1,2])
CL Item
prompt (1)
CL Item
indolent (2)
CL Item
none (3)
Item
Pupil reaction to light (right)
text
C1287558 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
C0205090 (UMLS CUI [1,2])
CL Item
prompt (1)
CL Item
indolent (2)
CL Item
none (3)
Vital signs
Item
Have vital signs been taken?
boolean
C0518766 (UMLS CUI [1])
CL Item
0 no pain at all (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
CL Item
10 unbearable pain (10)
Blood Pressure
Item
Blood pressure (BP)
integer
C0005823 (UMLS CUI [1])
Heart Rate
Item
Heart rate (in bpm):
integer
C0018810 (UMLS CUI [1])
CL Item
rhythmical (1)
CL Item
arrhythmical (2)
Blood Glucose
Item
Blood Glucose
float
C0202042 (UMLS CUI [1])
Item
Unit used for measuring blood glucose
text
C0202042 (UMLS CUI [1])
CL Item
mg/dl (1)
CL Item
mmol/l (2)
Respiratory rate
Item
Respiratory Rate
integer
C0231832 (UMLS CUI [1])
OxygenSaturation
Item
Oxygen saturation
float
C0237753 (UMLS CUI [1])
CL Item
at room air (1)
CL Item
with oxygen insufflation (2)
Body Temperature
Item
Body Temperature
float
C0005903 (UMLS CUI [1])
etCO2
Item
etCO2
float
C0428658 (UMLS CUI [1])
ECG
Item
ECG
boolean
C1623258 (UMLS CUI [1])
CL Item
sinus rhthm (1)
CL Item
arrhythmia absoluta (2)
CL Item
AV-block II° (3)
CL Item
AV-block III° (4)
CL Item
pacemaker (5)
CL Item
artrial fibrillation (6)
CL Item
electro-mechanical dissociation (7)
CL Item
asystole (8)
CL Item
STEMI (9)
CL Item
small complex tachycardia (10)
CL Item
wide complex tachycardia (11)
CL Item
SVES/VES monomorph (12)
CL Item
VES polymorph (13)
CL Item
not examined (0)
CL Item
without pathological finding (1)
CL Item
Dyspnea (2)
CL Item
gasping (3)
CL Item
Apnea (4)
CL Item
artificial ventilation (5)
CL Item
other pathological breathing pattern (6)
CL Item
stridor (7)
CL Item
cyanosis (8)
CL Item
spasticity (9)
CL Item
hyperventilation (10)
CL Item
choking (11)
CL Item
rattling sound (12)
CL Item
not examined (0)
CL Item
normal (1)
CL Item
abnormal (2)
CL Item
dehydrated (standing skin fold) (3)
CL Item
bedsore (4)
CL Item
exanthema (5)
CL Item
edema (6)
CL Item
cold and clammy (7)
CL Item
not examined (0)
CL Item
without pathological finding (1)
CL Item
can not be assessed (2)
CL Item
delusional (3)
CL Item
agitated (4)
CL Item
depressed (5)
CL Item
confused (6)
CL Item
aggressiv (7)
CL Item
anxious (8)
CL Item
suicidal (9)
CL Item
retarded/stuporous (10)
CL Item
euphorical (11)
CL Item
motorical restless (12)