Information:
Error:
ID
20917
Description
Nursing documentation form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by: Prof. Dr. Berdel
Keywords
Versions (1)
- 3/27/17 3/27/17 -
Uploaded on
March 27, 2017
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Nursing documentation Hematology UKM
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Nursing documentation
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Patient name
Item
Name
text
C1299487 (UMLS CUI [1])
Clinic
Item
Klinik
integer
C0442592 (UMLS CUI [1])
Attending physician
Item
Visiteur
text
C1320929 (UMLS CUI [1])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Informed consent
Item
Pat. wurde informiert und ist mit Übernahme ärztl. Tätigkeiten durch Pflegepersonal einverstande
boolean
C0021430 (UMLS CUI [1])
CL Item
GYN (1)
C0018417 (UMLS CUI-1)
CL Item
MED A (2)
C0474523 (UMLS CUI-1)
CL Item
Uro (3)
C0042077 (UMLS CUI-1)
Telephone relatives
Item
Telefon - Angehörige:
integer
C1515258 (UMLS CUI [1,1])
C0080103 (UMLS CUI [1,2])
C0080103 (UMLS CUI [1,2])
Hypersensitivities
Item
Allergien
integer
C0020517 (UMLS CUI [1])
Fluid balance
Item
Bilanz
integer
C0016284 (UMLS CUI [1])
Temperature
Item
Temp.
integer
C0039476 (UMLS CUI [1])
Diuresis
Item
Diurese
integer
C0012797 (UMLS CUI [1])
Medication
Item
Medikation
integer
C0013227 (UMLS CUI [1])
Catheter
Item
Katheter
integer
C0179802 (UMLS CUI [1])
Blood sugar
Item
Ernährung/ BZ
integer
C0392201 (UMLS CUI [1])
Chemotherapy
Item
Chemotherapien
integer
C0392920 (UMLS CUI [1])
Oxygen
Item
O2 - Gabe
boolean
C0030054 (UMLS CUI [1])
Vital signs
Item
Vitalwerte
integer
C0518766 (UMLS CUI [1])
Blood product
Item
Blutprodukte
integer
C0456388 (UMLS CUI [1])
PRN medication
Item
Bedarfsmed.
integer
C3166225 (UMLS CUI [1])
Nursing Assessment
Item
Besonderheiten Pflege
integer
C0028680 (UMLS CUI [1])
Medical order
Item
Ärztliche Anordnung
text
C1563825 (UMLS CUI [1])
Nursing care: documentation
Item
Pflegedokumentation
text
C2094204 (UMLS CUI [1])