ID

15812

Description

Report/Protocol collecting patient and treatment information like the circumstances of the accident and initial ER treatment. http://klinikum.uni-muenster.de/

Lien

http://klinikum.uni-muenster.de/

Mots-clés

  1. 14/06/2016 14/06/2016 -
  2. 17/06/2016 17/06/2016 -
  3. 03/07/2016 03/07/2016 -
Téléchargé le

14 juin 2016

DOI

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Licence

Creative Commons BY-NC 3.0 Legacy

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Emergency Room Point B in Time: Emergency Room Report UKM

Emergency Room Point B in Time: Emergency Room Report UKM

Patient information
Description

Patient information

Alias
UMLS CUI-1
C1955348
Nachname
Description

Last name

Type de données

text

Alias
UMLS CUI [1]
C0421448
Vorname
Description

First name

Type de données

text

Alias
UMLS CUI [1]
C1443235
Geburtsdatum
Description

Date of birth

Type de données

date

Alias
UMLS CUI [1]
C0421451
Index
Description

Index

Type de données

text

Alias
UMLS CUI [1]
C1300638
Eintreffen
Description

Time of arrival

Type de données

datetime

Alias
UMLS CUI [1]
C3263562
Angehörige benachrichtigt
Description

Relatives informed

Type de données

boolean

Alias
UMLS CUI [1,1]
C0080103
UMLS CUI [1,2]
C1522154
Emergency Room Team
Description

Emergency Room Team

Alias
UMLS CUI-1
C0562508
UMLS CUI-2
C0086390
UCH
Description

casualty surgeon

Type de données

boolean

Alias
UMLS CUI [1]
C0586908
ACH
Description

general surgeon

Type de données

boolean

Alias
UMLS CUI [1]
C0334885
Anästh.
Description

anesthesist

Type de données

boolean

Alias
UMLS CUI [1]
C1550495
NCH
Description

neurosurgeon

Type de données

boolean

Alias
UMLS CUI [1]
C0237427
Radio
Description

radiologist

Type de données

boolean

Alias
UMLS CUI [1]
C0260194
Sr./Pfl.
Description

Nurses

Type de données

boolean

Alias
UMLS CUI [1]
C0028661
MKG
Description

OMS

Type de données

boolean

Alias
UMLS CUI [1]
C0260272
HNO
Description

ENT surgeon

Type de données

boolean

Alias
UMLS CUI [1]
C0586894
Augen
Description

Eye surgeon

Type de données

boolean

Alias
UMLS CUI [1]
C1517083
sonst.
Description

other medical specialist

Type de données

boolean

Alias
UMLS CUI [1,1]
C0920580
UMLS CUI [1,2]
C0205394
Medical history
Description

Medical history

Alias
UMLS CUI-1
C0262926
Vorerkrankungen/-medikation
Description

Pre-existing illness/Premedication

Type de données

integer

Alias
UMLS CUI [1]
C0521987
UMLS CUI [2]
C0033045
bitte näher beschreiben
Description

please specify

Type de données

text

Alias
UMLS CUI [1]
C0521987
UMLS CUI [2]
C0033045
Tetanusschutz
Description

tetanus vaccination

Type de données

integer

Alias
UMLS CUI [1]
C0199807
Vitalparameter am Unfallort
Description

Vitalparameter am Unfallort

Alias
UMLS CUI-1
C0518766
RRsys
Description

Blood pressure systolic

Type de données

integer

Unités de mesure
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Herzfrequenz
Description

Heart rate

Type de données

integer

Unités de mesure
  • bpm
Alias
UMLS CUI [1]
C0018810
bpm
Atemfrequenz
Description

respiratory rate

Type de données

integer

Unités de mesure
  • /minute
Alias
UMLS CUI [1]
C0231832
/minute
SpO2
Description

SpO2

Type de données

integer

Unités de mesure
  • %
Alias
UMLS CUI [1]
C0428179
%
Bereits bei Ankunft intubiert?
Description

intubated at arrival

Type de données

boolean

Alias
UMLS CUI [1]
C3844652
FiO2
Description

FiO2

Type de données

float

Alias
UMLS CUI [1]
C2370852
PaO2
Description

Partial pressure of Oxygen

Type de données

float

Unités de mesure
  • mmHg
Alias
UMLS CUI [1]
C0391840
mmHg
ETC O2
Description

end tidal co2

Type de données

integer

Unités de mesure
  • mmHg
Alias
UMLS CUI [1]
C0428658
mmHg
Tubuslage korrekt?
Description

oral airway right position

Type de données

boolean

Alias
UMLS CUI [1]
C0457430
Operative Notfalleingriffe bis Aufnahme ICU
Description

Operative Notfalleingriffe bis Aufnahme ICU

Alias
UMLS CUI-1
C2216322
Hirndrucksonde
Description

intracranial pressure measurement

Type de données

boolean

Alias
UMLS CUI [1]
C0394279
Kraniektomy
Description

Cranioectomy

Type de données

boolean

Alias
UMLS CUI [1]
C0195897
Thorakotomie (ohne Thoraxdrainage/mini-Thorakotomie)
Description

Thoracotomy

Type de données

boolean

Alias
UMLS CUI [1]
C0039991
Laparotomie
Description

laparotomy

Type de données

boolean

Alias
UMLS CUI [1]
C0023038
Revaskularisation
Description

revascularization

Type de données

boolean

Alias
UMLS CUI [1]
C0581603
Embolisation
Description

embolization

Type de données

boolean

Alias
UMLS CUI [1]
C0013931
Stabilisierung Becken
Description

stabilization pelvis

Type de données

boolean

Alias
UMLS CUI [1,1]
C1293130
UMLS CUI [1,2]
C0030797
Stabilisierung Extremität
Description

stabilization of limb

Type de données

boolean

Alias
UMLS CUI [1,1]
C1293130
UMLS CUI [1,2]
C0015385
Beginn der OP-Schnitt:
Description

Beginning of surgical procedure

Type de données

time

Alias
UMLS CUI [1,1]
C0439659
UMLS CUI [1,2]
C0543467
Diagnostik bis zur Aufnahme auf die (Intensiv-) Station
Description

Diagnostik bis zur Aufnahme auf die (Intensiv-) Station

Alias
UMLS CUI-1
C0430022
Sono Abdomen
Description

Sono abdomen

Type de données

boolean

Alias
UMLS CUI [1,1]
C0041618
UMLS CUI [1,2]
C0000726
Zeitpunkt Sono Abdomen
Description

time of procedure

Type de données

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
Röntgen Thorax
Description

x-ray thorax

Type de données

boolean

Alias
UMLS CUI [1]
C0039985
Zeitpunkt Röntgen Thorax
Description

time of procedure

Type de données

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
Röntgen Becken
Description

x-ray pelvis

Type de données

boolean

Alias
UMLS CUI [1]
C0554740
Zeitpunkt Röntgen Becken
Description

Time of procedure

Type de données

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
Röntgen Wirbelsäule
Description

x-ray spine

Type de données

boolean

Alias
UMLS CUI [1]
C0203139
Zeitpunkt Wirbelsäulen Röntgen
Description

Time of procedure

Type de données

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
Rö.-HWS
Description

x ray upper spine

Type de données

boolean

Alias
UMLS CUI [1]
C0203145
Rö.-HWS Zeitpunkt
Description

x ray upper spine time

Type de données

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C0203145
Rö.-Extremitäten
Description

x-ray limb

Type de données

boolean

Alias
UMLS CUI [1]
C0853222
Rö.-Extremitäten Zeitpunkt
Description

x-ray limb time

Type de données

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C0853222
CT
Description

ct

Type de données

boolean

Alias
UMLS CUI [1]
C0040405
Zeitpunkt CT
Description

Time of procedure

Type de données

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
Ganzkörper-CT
Description

whole-body computed tomography

Type de données

boolean

Alias
UMLS CUI [1]
C0412583
Zeitpunkt Ganzkörper-CT
Description

Time of procedure

Type de données

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
MRT
Description

MRI

Type de données

boolean

Alias
UMLS CUI [1]
C0024485
MRT: Time
Description

Time of MRI

Type de données

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C0024485
Rotem/Rotec
Description

Rotem/Rotec

Type de données

boolean

Alias
UMLS CUI [1,1]
C0032173
UMLS CUI [1,2]
C0039593
Zeitpunkt Rotem/Rotec
Description

Time of procedure

Type de données

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
Neurologische Untersuchung
Description

Neurologische Untersuchung

Alias
UMLS CUI-1
C0027853
Augenöffnen
Description

eye opening response

Type de données

integer

Alias
UMLS CUI [1]
C0559289
Verbale Antwort
Description

best verbal response

Type de données

integer

Alias
UMLS CUI [1]
C3648957
Motorische Antwort
Description

best motor response

Type de données

integer

Alias
UMLS CUI [1]
C3648958
Summe (Score)
Description

total score

Type de données

integer

Alias
UMLS CUI [1]
C0578785
Pupillengröße links
Description

Size of left pupil

Type de données

integer

Alias
UMLS CUI [1,1]
C0517965
UMLS CUI [1,2]
C0443246
Pupillengröße rechts
Description

Size of right pupil

Type de données

integer

Alias
UMLS CUI [1,1]
C0517965
UMLS CUI [1,2]
C0444532
Lichtreaktion links
Description

Pupil reaction to light left

Type de données

integer

Alias
UMLS CUI [1,1]
C1287558
UMLS CUI [1,2]
C0205091
Lichtreaktion rechts
Description

Pupil reaction to light right

Type de données

integer

Alias
UMLS CUI [1,1]
C1287558
UMLS CUI [1,2]
C0205090
Labor
Description

Labor

Alias
UMLS CUI-1
C0018941
Hb-Wert
Description

Hb

Type de données

float

Unités de mesure
  • g/dl
Alias
UMLS CUI [1]
C0518015
g/dl
Thrombozyten
Description

Platelet

Type de données

float

Unités de mesure
  • /uL
Alias
UMLS CUI [1]
C0032181
/uL
Quick
Description

Quick

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1]
C0483455
%
PTT
Description

PTT

Type de données

float

Unités de mesure
  • seconds
Alias
UMLS CUI [1]
C0030605
seconds
Alkohol
Description

Alcohol concentration

Type de données

float

Unités de mesure
  • g/l ‰
Alias
UMLS CUI [1]
C0542492
g/l ‰
pH
Description

pH

Type de données

float

Alias
UMLS CUI [1]
C0202165
Base Excess
Description

Base Excess

Type de données

float

Unités de mesure
  • mmol/l
Alias
UMLS CUI [1]
C0201985
mmol/l
Ca++
Description

Calcium measurement

Type de données

float

Unités de mesure
  • mmol
Alias
UMLS CUI [1]
C0201925
mmol
Temperatur
Description

Temperature

Type de données

float

Unités de mesure
  • °C
Alias
UMLS CUI [1]
C0005903
°C
INR
Description

INR

Type de données

float

Alias
UMLS CUI [1]
C0525032
Fibrinogen:
Description

Fibrinogen

Type de données

float

Unités de mesure
  • mmol
Alias
UMLS CUI [1]
C0016006
mmol

Similar models

Emergency Room Point B in Time: Emergency Room Report UKM

Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
C1955348 (UMLS CUI-1)
Last name
Item
Nachname
text
C0421448 (UMLS CUI [1])
First name
Item
Vorname
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Index
Item
Index
text
C1300638 (UMLS CUI [1])
Time of arrival
Item
Eintreffen
datetime
C3263562 (UMLS CUI [1])
Relatives informed
Item
Angehörige benachrichtigt
boolean
C0080103 (UMLS CUI [1,1])
C1522154 (UMLS CUI [1,2])
Item Group
Emergency Room Team
C0562508 (UMLS CUI-1)
C0086390 (UMLS CUI-2)
casualty surgeon
Item
UCH
boolean
C0586908 (UMLS CUI [1])
general surgeon
Item
ACH
boolean
C0334885 (UMLS CUI [1])
anesthesist
Item
Anästh.
boolean
C1550495 (UMLS CUI [1])
neurosurgeon
Item
NCH
boolean
C0237427 (UMLS CUI [1])
radiologist
Item
Radio
boolean
C0260194 (UMLS CUI [1])
Nurses
Item
Sr./Pfl.
boolean
C0028661 (UMLS CUI [1])
OMS
Item
MKG
boolean
C0260272 (UMLS CUI [1])
ENT surgeon
Item
HNO
boolean
C0586894 (UMLS CUI [1])
Eye surgeon
Item
Augen
boolean
C1517083 (UMLS CUI [1])
other medical specialist
Item
sonst.
boolean
C0920580 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Medical history
C0262926 (UMLS CUI-1)
Item
Vorerkrankungen/-medikation
integer
C0521987 (UMLS CUI [1])
C0033045 (UMLS CUI [2])
Code List
Vorerkrankungen/-medikation
CL Item
nicht eruierbar (1)
CL Item
: (2)
please specify
Item
bitte näher beschreiben
text
C0521987 (UMLS CUI [1])
C0033045 (UMLS CUI [2])
Item
Tetanusschutz
integer
C0199807 (UMLS CUI [1])
Code List
Tetanusschutz
CL Item
besteht (1)
CL Item
T&T im SR (2)
Item Group
Vitalparameter am Unfallort
C0518766 (UMLS CUI-1)
Blood pressure systolic
Item
RRsys
integer
C0871470 (UMLS CUI [1])
Heart rate
Item
Herzfrequenz
integer
C0018810 (UMLS CUI [1])
respiratory rate
Item
Atemfrequenz
integer
C0231832 (UMLS CUI [1])
SpO2
Item
SpO2
integer
C0428179 (UMLS CUI [1])
intubated at arrival
Item
Bereits bei Ankunft intubiert?
boolean
C3844652 (UMLS CUI [1])
FiO2
Item
FiO2
float
C2370852 (UMLS CUI [1])
Partial pressure of Oxygen
Item
PaO2
float
C0391840 (UMLS CUI [1])
end tidal co2
Item
ETC O2
integer
C0428658 (UMLS CUI [1])
oral airway right position
Item
Tubuslage korrekt?
boolean
C0457430 (UMLS CUI [1])
Item Group
Operative Notfalleingriffe bis Aufnahme ICU
C2216322 (UMLS CUI-1)
intracranial pressure measurement
Item
Hirndrucksonde
boolean
C0394279 (UMLS CUI [1])
Cranioectomy
Item
Kraniektomy
boolean
C0195897 (UMLS CUI [1])
Thoracotomy
Item
Thorakotomie (ohne Thoraxdrainage/mini-Thorakotomie)
boolean
C0039991 (UMLS CUI [1])
laparotomy
Item
Laparotomie
boolean
C0023038 (UMLS CUI [1])
revascularization
Item
Revaskularisation
boolean
C0581603 (UMLS CUI [1])
embolization
Item
Embolisation
boolean
C0013931 (UMLS CUI [1])
stabilization pelvis
Item
Stabilisierung Becken
boolean
C1293130 (UMLS CUI [1,1])
C0030797 (UMLS CUI [1,2])
stabilization of limb
Item
Stabilisierung Extremität
boolean
C1293130 (UMLS CUI [1,1])
C0015385 (UMLS CUI [1,2])
Beginning of surgical procedure
Item
Beginn der OP-Schnitt:
time
C0439659 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Item Group
Diagnostik bis zur Aufnahme auf die (Intensiv-) Station
C0430022 (UMLS CUI-1)
Sono abdomen
Item
Sono Abdomen
boolean
C0041618 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
time of procedure
Item
Zeitpunkt Sono Abdomen
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
x-ray thorax
Item
Röntgen Thorax
boolean
C0039985 (UMLS CUI [1])
time of procedure
Item
Zeitpunkt Röntgen Thorax
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
x-ray pelvis
Item
Röntgen Becken
boolean
C0554740 (UMLS CUI [1])
Time of procedure
Item
Zeitpunkt Röntgen Becken
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
x-ray spine
Item
Röntgen Wirbelsäule
boolean
C0203139 (UMLS CUI [1])
Time of procedure
Item
Zeitpunkt Wirbelsäulen Röntgen
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
x ray upper spine
Item
Rö.-HWS
boolean
C0203145 (UMLS CUI [1])
x ray upper spine time
Item
Rö.-HWS Zeitpunkt
time
C0040223 (UMLS CUI [1,1])
C0203145 (UMLS CUI [1,2])
x-ray limb
Item
Rö.-Extremitäten
boolean
C0853222 (UMLS CUI [1])
x-ray limb time
Item
Rö.-Extremitäten Zeitpunkt
time
C0040223 (UMLS CUI [1,1])
C0853222 (UMLS CUI [1,2])
ct
Item
CT
boolean
C0040405 (UMLS CUI [1])
Time of procedure
Item
Zeitpunkt CT
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
whole-body computed tomography
Item
Ganzkörper-CT
boolean
C0412583 (UMLS CUI [1])
Time of procedure
Item
Zeitpunkt Ganzkörper-CT
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
MRI
Item
MRT
boolean
C0024485 (UMLS CUI [1])
Time of MRI
Item
MRT: Time
time
C0040223 (UMLS CUI [1,1])
C0024485 (UMLS CUI [1,2])
Rotem/Rotec
Item
Rotem/Rotec
boolean
C0032173 (UMLS CUI [1,1])
C0039593 (UMLS CUI [1,2])
Time of procedure
Item
Zeitpunkt Rotem/Rotec
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
Item Group
Neurologische Untersuchung
C0027853 (UMLS CUI-1)
Item
Augenöffnen
integer
C0559289 (UMLS CUI [1])
Code List
Augenöffnen
CL Item
keine (1)
CL Item
Schmerz (2)
CL Item
Aufforderung (3)
CL Item
spontan (4)
Item
Verbale Antwort
integer
C3648957 (UMLS CUI [1])
Code List
Verbale Antwort
CL Item
keine (1)
CL Item
unverständlich (2)
CL Item
inadäquat (3)
CL Item
verwirrt (4)
CL Item
orientiert (5)
Item
Motorische Antwort
integer
C3648958 (UMLS CUI [1])
Code List
Motorische Antwort
CL Item
keine (1)
CL Item
Streckkrämpfe (2)
CL Item
Beugekrämpfe (3)
CL Item
ungezielt (Schmerz) (4)
CL Item
gezielt (Schmerz) (5)
CL Item
Aufforderung (6)
total score
Item
Summe (Score)
integer
C0578785 (UMLS CUI [1])
Item
Pupillengröße links
integer
C0517965 (UMLS CUI [1,1])
C0443246 (UMLS CUI [1,2])
Code List
Pupillengröße links
CL Item
eng (1)
CL Item
mittel (2)
CL Item
weit (3)
CL Item
nicht feststellbar (4)
Item
Pupillengröße rechts
integer
C0517965 (UMLS CUI [1,1])
C0444532 (UMLS CUI [1,2])
Code List
Pupillengröße rechts
CL Item
eng (1)
CL Item
mittel (2)
CL Item
weit (3)
CL Item
nicht feststellbar (4)
Item
Lichtreaktion links
integer
C1287558 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
Code List
Lichtreaktion links
CL Item
prompt (1)
CL Item
träge (2)
CL Item
keine (3)
CL Item
nicht feststellbar (4)
Item
Lichtreaktion rechts
integer
C1287558 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
Code List
Lichtreaktion rechts
CL Item
prompt (1)
CL Item
träge (2)
CL Item
keine (3)
CL Item
nicht feststellbar (4)
Item Group
Labor
C0018941 (UMLS CUI-1)
Hb
Item
Hb-Wert
float
C0518015 (UMLS CUI [1])
Platelet
Item
Thrombozyten
float
C0032181 (UMLS CUI [1])
Quick
Item
Quick
float
C0483455 (UMLS CUI [1])
PTT
Item
PTT
float
C0030605 (UMLS CUI [1])
Alcohol concentration
Item
Alkohol
float
C0542492 (UMLS CUI [1])
pH
Item
pH
float
C0202165 (UMLS CUI [1])
Base Excess
Item
Base Excess
float
C0201985 (UMLS CUI [1])
Calcium measurement
Item
Ca++
float
C0201925 (UMLS CUI [1])
Temperature
Item
Temperatur
float
C0005903 (UMLS CUI [1])
INR
Item
INR
float
C0525032 (UMLS CUI [1])
Fibrinogen
Item
Fibrinogen:
float
C0016006 (UMLS CUI [1])

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