ID

19546

Descripción

Admission report converted to ODM format. Routine documentation of University Hospital of Münster.

Palabras clave

  1. 8/1/17 8/1/17 -
  2. 10/1/17 10/1/17 -
  3. 8/2/17 8/2/17 -
Subido en

8 de enero de 2017

DOI

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Licencia

Creative Commons BY-NC 3.0

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Psychiatry UKM

Admission report

  1. StudyEvent: ODM
    1. Admission report
Rest / Sleep
Descripción

Rest / Sleep

Siesta
Descripción

Siesta

Tipo de datos

integer

Alias
UMLS CUI [1]
C0037313
Sleep disturbances
Descripción

Sleep disturbances

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0037317
Sleep medication
Descripción

Sleep medication

Tipo de datos

boolean

Alias
UMLS CUI [1]
C2054158
Therapeutic Intervention
Descripción

Therapeutic Intervention

Tipo de datos

integer

Alias
UMLS CUI [1]
C0808232
Mobilization
Descripción

Mobilization

Alias
UMLS CUI-1
C0185112
Permission
Descripción

Permission to go out

Tipo de datos

integer

Alias
UMLS CUI [1]
C0521104
Endurance test
Descripción

Endurance test

Tipo de datos

integer

Alias
UMLS CUI [1]
C0871179
Motor function
Descripción

Motor function

Tipo de datos

integer

Alias
UMLS CUI [1]
C0234130
Personal hygiene
Descripción

Personal hygiene

Alias
UMLS CUI-1
C0564673
Degree of personal cleanliness
Descripción

Degree of personal cleanliness

Tipo de datos

integer

Alias
UMLS CUI [1]
C0424465
Personal appearance
Descripción

Personal appearance

Tipo de datos

integer

Alias
UMLS CUI [1]
C0233426
Skin
Descripción

Skin

Tipo de datos

integer

Alias
UMLS CUI [1]
C0437750
Hypersensitivity care products
Descripción

Hypersensitivity care products

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C3897599
Get Dressed With Help
Descripción

Get Dressed With Help

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3639741
Patient's ability to dress self
Descripción

Patient's ability to dress self

Tipo de datos

integer

Alias
UMLS CUI [1]
C0513617
Clothing
Descripción

Clothing

Tipo de datos

integer

Alias
UMLS CUI [1]
C0009072
Eating / Drinking
Descripción

Eating / Drinking

Nutritional status
Descripción

Nutritional status

Tipo de datos

integer

Alias
UMLS CUI [1]
C0392209
Height
Descripción

Height

Tipo de datos

float

Alias
UMLS CUI [1]
C0005890
Weight
Descripción

Weight

Tipo de datos

integer

Alias
UMLS CUI [1]
C0005910
Diet
Descripción

Diet

Tipo de datos

text

Alias
UMLS CUI [1]
C0012155
Food intake
Descripción

Food intake

Tipo de datos

integer

Alias
UMLS CUI [1]
C0086311
Excretion
Descripción

Excretion

Ability to use toilet
Descripción

Ability to use toilet

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0562816
Defecation
Descripción

Defecation

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0011135
Encopresis
Descripción

Encopresis

Tipo de datos

integer

Alias
UMLS CUI [1]
C2945606
Menstruation
Descripción

Menstruation

Tipo de datos

integer

Alias
UMLS CUI [1]
C0025344
Enuresis
Descripción

Enuresis

Tipo de datos

integer

Alias
UMLS CUI [1]
C0014394
Respiration
Descripción

Respiration

Alias
UMLS CUI-1
C0035203
Respiration
Descripción

Respiration

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0035203
Smoker
Descripción

Smoker

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0543414
Cigarettes per day
Descripción

Cigarettes per day

Tipo de datos

integer

Alias
UMLS CUI [1]
C3694146
Alcohol
Descripción

Alcohol

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0001948
Substance abuse
Descripción

Substance abuse

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0038586
Occupation
Descripción

Occupation

Alias
UMLS CUI-1
C0028811
Daily structure
Descripción

Daily structure

Tipo de datos

integer

Alias
UMLS CUI [1]
C4274625
Child and adolescent psychiatry department
Descripción

Child and adolescent psychiatry department

Tipo de datos

date

Alias
UMLS CUI [1]
C0587495
School
Descripción

School

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0036375
Group therapy
Descripción

Group therapy

Tipo de datos

integer

Alias
UMLS CUI [1]
C0033971
Communication
Descripción

Communication

Alias
UMLS CUI-1
C0009452
Language
Descripción

Language

Tipo de datos

integer

Alias
UMLS CUI [1]
C1145677
Ability to read
Descripción

Ability to read

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0586740
Ability to read
Descripción

Ability to write

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0584992
Gestures
Descripción

Gestures

Tipo de datos

integer

Alias
UMLS CUI [1]
C0017510
Learning ability
Descripción

Learning ability

Tipo de datos

integer

Alias
UMLS CUI [1]
C0233832
Introversion
Descripción

Introversion

Tipo de datos

integer

Alias
UMLS CUI [1]
C0021924
Mental Processes
Descripción

Mental Processes

Tipo de datos

integer

Alias
UMLS CUI [1]
C0025361
Perception
Descripción

Perception

Tipo de datos

integer

Alias
UMLS CUI [1]
C0030971
Contact
Descripción

Contact

Tipo de datos

integer

Alias
UMLS CUI [1]
C3812666
Ability to take criticism
Descripción

Ability to take criticism

Tipo de datos

integer

Alias
UMLS CUI [1]
C0870379
Physiologic tolerance
Descripción

Physiologic tolerance

Tipo de datos

integer

Alias
UMLS CUI [1]
C0231197
Social Distance
Descripción

Social Distance

Tipo de datos

integer

Alias
UMLS CUI [1]
C0037412
Relegion / Belief
Descripción

Relegion / Belief

Insight into illness
Descripción

Insight into illness

Tipo de datos

boolean

Alias
UMLS CUI [1]
C3176579
Mood
Descripción

Mood

Tipo de datos

integer

Alias
UMLS CUI [1]
C0026516
Beleifs
Descripción

Beliefs

Tipo de datos

integer

Alias
UMLS CUI [1]
C0004951
Anxiety
Descripción

Anxiety

Tipo de datos

integer

Alias
UMLS CUI [1]
C0003467
Mood swings
Descripción

Mood swings

Tipo de datos

integer

Alias
UMLS CUI [1]
C0085633
Sexuality
Descripción

Sexuality

Contraception
Descripción

Contraception

Tipo de datos

integer

Alias
UMLS CUI [1]
C0700589
Shame
Descripción

Shame

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0036938
UMLS CUI [1,2]
C0237676
Treatment of own children
Descripción

Treatment of own children

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1522326
UMLS CUI [1,2]
C0557115
Security
Descripción

Security

Alias
UMLS CUI-1
C0036547
Orientation
Descripción

Orientation

Tipo de datos

integer

Alias
UMLS CUI [1]
C0029266
Pressure ulcer
Descripción

Pressure ulcer

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0558030
Pain
Descripción

Pain

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0030193
At risk for falls
Descripción

See reverse side for more info if yes

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1268740
Rrisk for falls assessment
Descripción

Rrisk for falls assessment

Similar models

Admission report

  1. StudyEvent: ODM
    1. Admission report
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Rest / Sleep
Item
Siesta
integer
C0037313 (UMLS CUI [1])
Code List
Siesta
CL Item
yes (1)
C1705108 (UMLS CUI-1)
CL Item
no (2)
C1298908 (UMLS CUI-1)
CL Item
Time, if yes: (3)
C0040223 (UMLS CUI-1)
Sleep disturbances
Item
Sleep disturbances
boolean
C0037317 (UMLS CUI [1])
Sleep medication
Item
Sleep medication
boolean
C2054158 (UMLS CUI [1])
Therapeutic Intervention
Item
Therapeutic Intervention
integer
C0808232 (UMLS CUI [1])
Item Group
Mobilization
C0185112 (UMLS CUI-1)
Item
Permission
integer
C0521104 (UMLS CUI [1])
Code List
Permission
CL Item
no permission (1)
C3242263 (UMLS CUI-1)
CL Item
alone (2)
C0679994 (UMLS CUI-1)
CL Item
person accompanying patient (3)
C2079578 (UMLS CUI-1)
Item
Endurance test
integer
C0871179 (UMLS CUI [1])
Code List
Endurance test
CL Item
Time of arrival (1)
C3263562 (UMLS CUI-1)
CL Item
Time of departure  (2)
C4067737 (UMLS CUI-1)
CL Item
Pick-up (3)
Item
Motor function
integer
C0234130 (UMLS CUI [1])
Code List
Motor function
CL Item
Swimmer (1)
C0450068 (UMLS CUI-1)
CL Item
Non swimmer (2)
C0450068 (UMLS CUI-1)
CL Item
Sports (3)
C0038039 (UMLS CUI-1)
CL Item
Hobby (4)
C0019826 (UMLS CUI-1)
Item Group
Personal hygiene
C0564673 (UMLS CUI-1)
Item
Degree of personal cleanliness
integer
C0424465 (UMLS CUI [1])
Code List
Degree of personal cleanliness
CL Item
requires assistance  (1)
C2732873 (UMLS CUI-1)
CL Item
requires request (2)
C1272683 (UMLS CUI-1)
Personal appearance
Item
Personal appearance
integer
C0233426 (UMLS CUI [1])
Skin
Item
Skin
integer
C0437750 (UMLS CUI [1])
Hypersensitivity care products
Item
Hypersensitivity care products
boolean
C0020517 (UMLS CUI [1,1])
C3897599 (UMLS CUI [1,2])
Get Dressed With Help
Item
Get Dressed With Help
boolean
C3639741 (UMLS CUI [1])
Item
Patient's ability to dress self
integer
C0513617 (UMLS CUI [1])
Code List
Patient's ability to dress self
CL Item
requires assistance (1)
C2732873 (UMLS CUI-1)
CL Item
requires request (2)
C1272683 (UMLS CUI-1)
Clothing
Item
Clothing
integer
C0009072 (UMLS CUI [1])
Item Group
Eating / Drinking
Nutritional status
Item
Nutritional status
integer
C0392209 (UMLS CUI [1])
Height
Item
Height
float
C0005890 (UMLS CUI [1])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Diet
Item
Diet
text
C0012155 (UMLS CUI [1])
Food intake
Item
Food intake
integer
C0086311 (UMLS CUI [1])
Item Group
Excretion
Ability to use toilet
Item
Ability to use toilet
boolean
C0562816 (UMLS CUI [1])
Defecation
Item
Defecation
boolean
C0011135 (UMLS CUI [1])
Encopresis
Item
Encopresis
integer
C2945606 (UMLS CUI [1])
Menstruation
Item
Menstruation
integer
C0025344 (UMLS CUI [1])
Enuresis
Item
Enuresis
integer
C0014394 (UMLS CUI [1])
Item Group
Respiration
C0035203 (UMLS CUI-1)
Respiration
Item
Respiration
boolean
C0035203 (UMLS CUI [1])
Smoker
Item
Smoker
boolean
C0543414 (UMLS CUI [1])
Cigarettes per day
Item
Cigarettes per day
integer
C3694146 (UMLS CUI [1])
Alcohol
Item
Alcohol
boolean
C0001948 (UMLS CUI [1])
Substance abuse
Item
Substance abuse
boolean
C0038586 (UMLS CUI [1])
Item Group
Occupation
C0028811 (UMLS CUI-1)
Daily structure
Item
Daily structure
integer
C4274625 (UMLS CUI [1])
Child and adolescent psychiatry department
Item
Child and adolescent psychiatry department
date
C0587495 (UMLS CUI [1])
School
Item
School
boolean
C0036375 (UMLS CUI [1])
Group therapy
Item
Group therapy
integer
C0033971 (UMLS CUI [1])
Item Group
Communication
C0009452 (UMLS CUI-1)
Language
Item
Language
integer
C1145677 (UMLS CUI [1])
Ability to read
Item
Ability to read
boolean
C0586740 (UMLS CUI [1])
Ability to write
Item
Ability to read
boolean
C0584992 (UMLS CUI [1])
Gestures
Item
Gestures
integer
C0017510 (UMLS CUI [1])
Learning ability
Item
Learning ability
integer
C0233832 (UMLS CUI [1])
Introversion
Item
Introversion
integer
C0021924 (UMLS CUI [1])
Mental Processes
Item
Mental Processes
integer
C0025361 (UMLS CUI [1])
Perception
Item
Perception
integer
C0030971 (UMLS CUI [1])
Contact
Item
Contact
integer
C3812666 (UMLS CUI [1])
Ability to take criticism
Item
Ability to take criticism
integer
C0870379 (UMLS CUI [1])
Physiologic tolerance
Item
Physiologic tolerance
integer
C0231197 (UMLS CUI [1])
Social Distance
Item
Social Distance
integer
C0037412 (UMLS CUI [1])
Item Group
Relegion / Belief
Insight into illness
Item
Insight into illness
boolean
C3176579 (UMLS CUI [1])
Mood
Item
Mood
integer
C0026516 (UMLS CUI [1])
Beliefs
Item
Beleifs
integer
C0004951 (UMLS CUI [1])
Anxiety
Item
Anxiety
integer
C0003467 (UMLS CUI [1])
Mood swings
Item
Mood swings
integer
C0085633 (UMLS CUI [1])
Item Group
Sexuality
Contraception
Item
Contraception
integer
C0700589 (UMLS CUI [1])
Shame
Item
Shame
integer
C0036938 (UMLS CUI [1,1])
C0237676 (UMLS CUI [1,2])
Treatment of own children
Item
Treatment of own children
integer
C1522326 (UMLS CUI [1,1])
C0557115 (UMLS CUI [1,2])
Item Group
Security
C0036547 (UMLS CUI-1)
Item
Orientation
integer
C0029266 (UMLS CUI [1])
Code List
Orientation
CL Item
complete (1)
CL Item
partly (2)
CL Item
no (3)
Pressure ulcer
Item
Pressure ulcer
boolean
C0558030 (UMLS CUI [1])
Pain
Item
Pain
boolean
C0030193 (UMLS CUI [1])
At risk for falls
Item
At risk for falls
boolean
C1268740 (UMLS CUI [1])
Item Group
Rrisk for falls assessment

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