ID

22700

Beschrijving

Physical therapy documentation form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Dirk Robrecht

Trefwoorden

  1. 09-06-17 09-06-17 -
  2. 20-09-21 20-09-21 -
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UKM

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9 juni 2017

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Creative Commons BY-NC 3.0

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Physical therapy documentation physical therapy UKM

Physical therapy documentation

Patiendaten
Beschrijving

Patiendaten

Name
Beschrijving

Name

Datatype

integer

Alias
UMLS CUI [1]
C0027365
Datum
Beschrijving

Date

Datatype

date

Alias
UMLS CUI [1]
C0011008
Geburtsdatum
Beschrijving

Date of birth

Datatype

date

Alias
UMLS CUI [1]
C0421451
Diagnose
Beschrijving

Diagnosis

Datatype

integer

Alias
UMLS CUI [1]
C0011900
Physiotherapeut
Beschrijving

Physiotherapist

Datatype

text

Alias
UMLS CUI [1]
C2362565
Befunddatum
Beschrijving

Diagnosis date

Datatype

date

Alias
UMLS CUI [1]
C2316983
Physiotherapie
Beschrijving

Physical therapy

Datatype

boolean

Alias
UMLS CUI [1]
C0949766
Ergotherapie
Beschrijving

Occupational therapy

Datatype

boolean

Alias
UMLS CUI [1]
C1318464
Massage
Beschrijving

Massage

Datatype

boolean

Alias
UMLS CUI [1]
C0024875
Physiotherapie
Beschrijving

Physiotherapie

Alias
UMLS CUI-1
C0949766
Befund
Beschrijving

Findings

Datatype

integer

Alias
UMLS CUI [1]
C0243095
Gelenkmobilisation
Beschrijving

Mobilization of joint procedure

Datatype

integer

Alias
UMLS CUI [1]
C0231588
Kontrakturprophylaxe
Beschrijving

Contracture prophylaxis

Datatype

integer

Alias
UMLS CUI [1,1]
C0009917
UMLS CUI [1,2]
C0033107
Pneumonieprophylaxe
Beschrijving

Pneumonia prophylaxis

Datatype

integer

Alias
UMLS CUI [1,1]
C0033107
UMLS CUI [1,2]
C0032285
Atemtherapie
Beschrijving

Respiratory Therapy

Datatype

integer

Alias
UMLS CUI [1]
C0035239
Gelenkmobilisation
Beschrijving

Joint mobilization

Datatype

integer

Alias
UMLS CUI [1]
C0542330
Kräftigung
Beschrijving

Strengthening

Datatype

integer

Alias
UMLS CUI [1]
C0022206
Dehnung
Beschrijving

Stretching

Datatype

integer

Alias
UMLS CUI [1]
C1720868
Koordination
Beschrijving

Joints Coordination

Datatype

integer

Alias
UMLS CUI [1,1]
C0242414
UMLS CUI [1,2]
C0392905
Gleichgewicht
Beschrijving

Sense of balance

Datatype

integer

Alias
UMLS CUI [1]
C1821699
ADL Training
Beschrijving

ADL Training

Datatype

integer

Alias
UMLS CUI [1]
C2145182
Gehtraining
Beschrijving

Walking exercise test

Datatype

integer

Alias
UMLS CUI [1]
C0430506
Gehwagen
Beschrijving

Walker

Datatype

integer

Alias
UMLS CUI [1]
C0043016
Rollator
Beschrijving

Walking frame

Datatype

integer

Alias
UMLS CUI [1]
C0438860
UAGST
Beschrijving

orthotic

Datatype

integer

Alias
UMLS CUI [1]
C0029365
Treppe
Beschrijving

Static Stair

Datatype

integer

Alias
UMLS CUI [1]
C0180774
Konzepte
Beschrijving

Physical therapy concepts

Datatype

integer

Alias
UMLS CUI [1,1]
C0949766
UMLS CUI [1,2]
C2080729
Haltungsschule
Beschrijving

Back exercises

Datatype

integer

Alias
UMLS CUI [1]
C0454348
Gerätetraining
Beschrijving

physical therapy at gym

Datatype

integer

Alias
UMLS CUI [1]
C3693727
Extension
Beschrijving

Extension

Datatype

integer

Alias
UMLS CUI [1]
C0522009
Gruppenbehandlung
Beschrijving

Group therapy

Datatype

integer

Alias
UMLS CUI [1]
C1527374
Anleitung
Beschrijving

Instruction

Datatype

integer

Alias
UMLS CUI [1]
C1442085
Kompression
Beschrijving

Compression

Datatype

integer

Alias
UMLS CUI [1]
C0565514
Lymphdrainage
Beschrijving

lymphatic drainage

Datatype

integer

Alias
UMLS CUI [1]
C0398480
Wärme
Beschrijving

Type of thermal therapy

Datatype

integer

Alias
UMLS CUI [1]
C0940908
Cryotherapie
Beschrijving

Cryotherapy

Datatype

integer

Alias
UMLS CUI [1]
C0010412
Elektrotherapie
Beschrijving

Electrotherapy

Datatype

integer

Alias
UMLS CUI [1]
C0013787
Behandlungseinheiten
Beschrijving

treatment unit

Datatype

integer

Alias
UMLS CUI [1]
C0179857
Therapeut
Beschrijving

Therapist

Datatype

integer

Alias
UMLS CUI [1]
C0871525
Gesamtbehandlungsdauer
Beschrijving

Duration of therapy

Datatype

integer

Alias
UMLS CUI [1]
C0444917
Diagnose
Beschrijving

Diagnose

Alias
UMLS CUI-1
C0024875
Lymphdrainage
Beschrijving

lymphatic drainage

Datatype

integer

Alias
UMLS CUI [1]
C0398480
Wärme
Beschrijving

Type of thermal therapy

Datatype

integer

Alias
UMLS CUI [1]
C0940908
Cryotherapie
Beschrijving

Cryotherapy

Datatype

integer

Alias
UMLS CUI [1]
C0010412
Elektrotherapie
Beschrijving

Electrotherapy

Datatype

integer

Alias
UMLS CUI [1]
C0013787
Behandlungseinheiten
Beschrijving

treatment unit

Datatype

integer

Alias
UMLS CUI [1]
C0179857
Therapeut
Beschrijving

Therapist

Datatype

integer

Alias
UMLS CUI [1]
C0871525
Gesamtbehandlungsdauer
Beschrijving

Duration of therapy

Datatype

integer

Alias
UMLS CUI [1]
C0444917
Zusammenfassung
Beschrijving

Zusammenfassung

Alias
UMLS CUI-1
C1318464
Prothesentraining
Beschrijving

Leg prosthesis use training

Datatype

integer

Alias
UMLS CUI [1]
C0419114
Einhändertraining
Beschrijving

Handedness

Datatype

integer

Alias
UMLS CUI [1]
C0023114
Mobilisation
Beschrijving

Mobilisation

Datatype

integer

Alias
UMLS CUI [1]
C0300926
Gelenkmobilisation
Beschrijving

Mobilization of joint procedure

Datatype

integer

Alias
UMLS CUI [1]
C0231588
Feinmotorik
Beschrijving

fine motor skills

Datatype

integer

Alias
UMLS CUI [1]
C0678857
Rückenschule
Beschrijving

Back exercise

Datatype

integer

Alias
UMLS CUI [1]
C0454348
Gelenkschutzmaßnahmen
Beschrijving

Joint protection training

Datatype

integer

Alias
UMLS CUI [1]
C0556553
Stehtraining
Beschrijving

Standing exercise

Datatype

integer

Alias
UMLS CUI [1,1]
C0015259
UMLS CUI [1,2]
C0231472
Rollstuhltraining
Beschrijving

wheelchair training

Datatype

integer

Alias
UMLS CUI [1,1]
C0220931
UMLS CUI [1,2]
C0043143
ADL
Beschrijving

ADL

Datatype

integer

Alias
UMLS CUI [1]
C0001288
Arbeitsplatzanalyse und -beratung
Beschrijving

workplace health

Datatype

integer

Alias
UMLS CUI [1]
C0679894
Beratung
Beschrijving

Counseling

Datatype

integer

Alias
UMLS CUI [1]
C0010210
Hilfsmittelberatung
Beschrijving

Self-Help Devices

Datatype

integer

Alias
UMLS CUI [1]
C0036605
Handschienenversorgung
Beschrijving

hand splint

Datatype

integer

Alias
UMLS CUI [1]
C0409162
Handwerksgruppe
Beschrijving

craft group class

Datatype

integer

Alias
UMLS CUI [1]
C0420925
Rollstuhlgruppe
Beschrijving

Wheel chair group

Datatype

integer

Alias
UMLS CUI [1,1]
C0043143
UMLS CUI [1,2]
C0687744
Behandlungseinheiten
Beschrijving

treatment unit

Datatype

integer

Alias
UMLS CUI [1]
C0179857
Therapeut
Beschrijving

Therapist

Datatype

integer

Alias
UMLS CUI [1]
C0871525
Gesamtbehandlungsdauer
Beschrijving

Duration of therapy

Datatype

integer

Alias
UMLS CUI [1]
C0444917
Besonderheiten
Beschrijving

Besonderheiten

Alias
UMLS CUI-1
C0947611

Similar models

Physical therapy documentation

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Patiendaten
Name
Item
Name
integer
C0027365 (UMLS CUI [1])
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Date of birth
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Diagnosis
Item
Diagnose
integer
C0011900 (UMLS CUI [1])
Physiotherapist
Item
Physiotherapeut
text
C2362565 (UMLS CUI [1])
Diagnosis date
Item
Befunddatum
date
C2316983 (UMLS CUI [1])
Physical therapy
Item
Physiotherapie
boolean
C0949766 (UMLS CUI [1])
Occupational therapy
Item
Ergotherapie
boolean
C1318464 (UMLS CUI [1])
Massage
Item
Massage
boolean
C0024875 (UMLS CUI [1])
Item Group
Physiotherapie
C0949766 (UMLS CUI-1)
Item
Befund
integer
C0243095 (UMLS CUI [1])
Code List
Befund
CL Item
Monat (1)
C0439231 (UMLS CUI-1)
CL Item
Jahr (2)
C0439234 (UMLS CUI-1)
Item
Gelenkmobilisation
integer
C0231588 (UMLS CUI [1])
Code List
Gelenkmobilisation
CL Item
passiv (1)
C0439231 (UMLS CUI-1)
CL Item
assistiv (2)
C0439234 (UMLS CUI-1)
CL Item
aktiv (3)
Item
Kontrakturprophylaxe
integer
C0009917 (UMLS CUI [1,1])
C0033107 (UMLS CUI [1,2])
Code List
Kontrakturprophylaxe
CL Item
Monat (1)
C0439231 (UMLS CUI-1)
CL Item
Jahr (2)
C0439234 (UMLS CUI-1)
Item
Pneumonieprophylaxe
integer
C0033107 (UMLS CUI [1,1])
C0032285 (UMLS CUI [1,2])
Code List
Pneumonieprophylaxe
CL Item
Monat (1)
C0439231 (UMLS CUI-1)
CL Item
Jahr (2)
C0439234 (UMLS CUI-1)
Respiratory Therapy
Item
Atemtherapie
integer
C0035239 (UMLS CUI [1])
Joint mobilization
Item
Gelenkmobilisation
integer
C0542330 (UMLS CUI [1])
Strengthening
Item
Kräftigung
integer
C0022206 (UMLS CUI [1])
Stretching
Item
Dehnung
integer
C1720868 (UMLS CUI [1])
Joints Coordination
Item
Koordination
integer
C0242414 (UMLS CUI [1,1])
C0392905 (UMLS CUI [1,2])
Sense of balance
Item
Gleichgewicht
integer
C1821699 (UMLS CUI [1])
ADL Training
Item
ADL Training
integer
C2145182 (UMLS CUI [1])
Walking exercise test
Item
Gehtraining
integer
C0430506 (UMLS CUI [1])
Walker
Item
Gehwagen
integer
C0043016 (UMLS CUI [1])
Walking frame
Item
Rollator
integer
C0438860 (UMLS CUI [1])
orthotic
Item
UAGST
integer
C0029365 (UMLS CUI [1])
Static Stair
Item
Treppe
integer
C0180774 (UMLS CUI [1])
Item
Konzepte
integer
C0949766 (UMLS CUI [1,1])
C2080729 (UMLS CUI [1,2])
Code List
Konzepte
CL Item
PNF (1)
C1720868 (UMLS CUI-1)
CL Item
Bobath (2)
C4049332 (UMLS CUI-1)
Back exercises
Item
Haltungsschule
integer
C0454348 (UMLS CUI [1])
physical therapy at gym
Item
Gerätetraining
integer
C3693727 (UMLS CUI [1])
Extension
Item
Extension
integer
C0522009 (UMLS CUI [1])
Group therapy
Item
Gruppenbehandlung
integer
C1527374 (UMLS CUI [1])
Instruction
Item
Anleitung
integer
C1442085 (UMLS CUI [1])
Compression
Item
Kompression
integer
C0565514 (UMLS CUI [1])
lymphatic drainage
Item
Lymphdrainage
integer
C0398480 (UMLS CUI [1])
Type of thermal therapy
Item
Wärme
integer
C0940908 (UMLS CUI [1])
Cryotherapy
Item
Cryotherapie
integer
C0010412 (UMLS CUI [1])
Electrotherapy
Item
Elektrotherapie
integer
C0013787 (UMLS CUI [1])
treatment unit
Item
Behandlungseinheiten
integer
C0179857 (UMLS CUI [1])
Therapist
Item
Therapeut
integer
C0871525 (UMLS CUI [1])
Duration of therapy
Item
Gesamtbehandlungsdauer
integer
C0444917 (UMLS CUI [1])
Item Group
Diagnose
C0024875 (UMLS CUI-1)
lymphatic drainage
Item
Lymphdrainage
integer
C0398480 (UMLS CUI [1])
Type of thermal therapy
Item
Wärme
integer
C0940908 (UMLS CUI [1])
Cryotherapy
Item
Cryotherapie
integer
C0010412 (UMLS CUI [1])
Electrotherapy
Item
Elektrotherapie
integer
C0013787 (UMLS CUI [1])
treatment unit
Item
Behandlungseinheiten
integer
C0179857 (UMLS CUI [1])
Therapist
Item
Therapeut
integer
C0871525 (UMLS CUI [1])
Duration of therapy
Item
Gesamtbehandlungsdauer
integer
C0444917 (UMLS CUI [1])
Item Group
Zusammenfassung
C1318464 (UMLS CUI-1)
Leg prosthesis use training
Item
Prothesentraining
integer
C0419114 (UMLS CUI [1])
Handedness
Item
Einhändertraining
integer
C0023114 (UMLS CUI [1])
Mobilisation
Item
Mobilisation
integer
C0300926 (UMLS CUI [1])
Mobilization of joint procedure
Item
Gelenkmobilisation
integer
C0231588 (UMLS CUI [1])
fine motor skills
Item
Feinmotorik
integer
C0678857 (UMLS CUI [1])
Back exercise
Item
Rückenschule
integer
C0454348 (UMLS CUI [1])
Joint protection training
Item
Gelenkschutzmaßnahmen
integer
C0556553 (UMLS CUI [1])
Standing exercise
Item
Stehtraining
integer
C0015259 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
wheelchair training
Item
Rollstuhltraining
integer
C0220931 (UMLS CUI [1,1])
C0043143 (UMLS CUI [1,2])
ADL
Item
ADL
integer
C0001288 (UMLS CUI [1])
workplace health
Item
Arbeitsplatzanalyse und -beratung
integer
C0679894 (UMLS CUI [1])
Counseling
Item
Beratung
integer
C0010210 (UMLS CUI [1])
Self-Help Devices
Item
Hilfsmittelberatung
integer
C0036605 (UMLS CUI [1])
hand splint
Item
Handschienenversorgung
integer
C0409162 (UMLS CUI [1])
craft group class
Item
Handwerksgruppe
integer
C0420925 (UMLS CUI [1])
Wheel chair group
Item
Rollstuhlgruppe
integer
C0043143 (UMLS CUI [1,1])
C0687744 (UMLS CUI [1,2])
treatment unit
Item
Behandlungseinheiten
integer
C0179857 (UMLS CUI [1])
Therapist
Item
Therapeut
integer
C0871525 (UMLS CUI [1])
Duration of therapy
Item
Gesamtbehandlungsdauer
integer
C0444917 (UMLS CUI [1])
Item Group
Besonderheiten
C0947611 (UMLS CUI-1)

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