ID
24429
Beschreibung
Routine documentation in German hospitals. Source file name: TH130110_Prämedikationsprotokoll Examplary forms provided by DMI (http://www.dmi.de/)
Link
Stichworte
Versionen (5)
- 08.07.17 08.07.17 -
- 08.07.17 08.07.17 -
- 08.07.17 08.07.17 -
- 20.07.17 20.07.17 -
- 31.07.17 31.07.17 -
Hochgeladen am
31. Juli 2017
DOI
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Premedication Anesthesiology Intensive care Catholic Clinic Koblenz Montabaur Routine documentation in German hospitals DMI
Premedication Anesthesiology Intensive care Catholic Clinic Koblenz Montabaur Routine documentation in German hospitals DMI
Beschreibung
Medical procedure
Alias
- UMLS CUI-1
- C0199171
Beschreibung
Preoperative diagnosis
Datentyp
text
Alias
- UMLS CUI [1]
- C1318968
Beschreibung
Planned procedure
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C1301732
Beschreibung
anesthesia
Datentyp
text
Alias
- UMLS CUI [1]
- C0002903
Beschreibung
Specifics
Datentyp
text
Alias
- UMLS CUI [1]
- C2348235
Beschreibung
Rapid sequence induction
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0412767
Beschreibung
Preoperative assessment
Alias
- UMLS CUI-1
- C1516048
- UMLS CUI-2
- C0445204
Beschreibung
comorbity; surgery
Datentyp
text
Alias
- UMLS CUI [1]
- C0009488
- UMLS CUI [2]
- C0543467
Beschreibung
narcosis
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0234447
Beschreibung
Acute care
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0679878
Beschreibung
Postoperative nausea and vomiting
Datentyp
integer
Alias
- UMLS CUI [1]
- C0520909
Beschreibung
ASA score
Datentyp
integer
Alias
- UMLS CUI [1]
- C1531480
Beschreibung
Intubation
Datentyp
text
Alias
- UMLS CUI [1]
- C0021925
Beschreibung
Mallampati score
Datentyp
integer
Alias
- UMLS CUI [1]
- C0451276
Beschreibung
Blood Pressure
Datentyp
text
Alias
- UMLS CUI [1]
- C0005823
Beschreibung
Heart rate
Datentyp
integer
Alias
- UMLS CUI [1]
- C0018810
Beschreibung
Peripheral oxygen saturation
Datentyp
text
Alias
- UMLS CUI [1]
- C2317096
Beschreibung
Blood type
Datentyp
text
Alias
- UMLS CUI [1]
- C0005810
Beschreibung
Insurance number
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0021672
- UMLS CUI [1,2]
- C1300638
Beschreibung
antibodies
Datentyp
text
Alias
- UMLS CUI [1]
- C0003241
Beschreibung
health condition teeth
Datentyp
text
Alias
- UMLS CUI [1,1]
- C4019131
- UMLS CUI [1,2]
- C0040426
Beschreibung
duration fasting
Datentyp
text
Alias
- UMLS CUI [1,1]
- C0449238
- UMLS CUI [1,2]
- C0015663
Beschreibung
Long-term medication
Datentyp
text
Alias
- UMLS CUI [1]
- C0420257
Beschreibung
Allergies
Datentyp
text
Alias
- UMLS CUI [1]
- C0020517
Beschreibung
Comorbidities
Alias
- UMLS CUI-1
- C0009488
Beschreibung
Blood pressure
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0005823
Beschreibung
Myocardium
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0027061
Beschreibung
Coronary function
Datentyp
boolean
Alias
- UMLS CUI [1,1]
- C1522318
- UMLS CUI [1,2]
- C0542341
Beschreibung
ECG
Datentyp
boolean
Alias
- UMLS CUI [1]
- C1623258
Beschreibung
Vascular system
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0489903
Beschreibung
respiratory tract
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0035237
Beschreibung
Chest X-ray
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0039985
Beschreibung
Consciousness
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0234421
Beschreibung
Neurology
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0027765
Beschreibung
Muscles
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0026845
Beschreibung
Endocrine system
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0014136
Beschreibung
Liver
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0023884
Beschreibung
Kidney
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0022646
Beschreibung
Diabetes mellitus
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0011849
Beschreibung
Hematology
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0474523
Beschreibung
Coagulation
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0005778
Beschreibung
Nutritional status
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0392209
Beschreibung
free text
Datentyp
text
Alias
- UMLS CUI [1]
- C2348713
Beschreibung
Risks
Alias
- UMLS CUI-1
- C0086930
Beschreibung
Aspiration
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0349707
Beschreibung
Polytrauma
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0026771
Beschreibung
Intensive care patient
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0010337
Beschreibung
MI
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0027051
Beschreibung
Acute coronary syndrome
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0948089
Beschreibung
Catecholamines
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0007412
Beschreibung
Respiratory tract infection
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0035243
Beschreibung
Chronic obstructive pulmonary disease
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0024117
Beschreibung
Asthma
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0004096
Beschreibung
Sepsis
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0243026
Beschreibung
Pregnancy
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0032961
Beschreibung
Preterm birth
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0151526
Beschreibung
HIV
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0019682
Beschreibung
Viral hepatitis
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0042721
Beschreibung
malignant hyperpyrexia
Datentyp
boolean
Alias
- UMLS CUI [1]
- C1276019
Beschreibung
Alcohol
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0001948
Beschreibung
Nicotine
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0028040
Beschreibung
Drugs
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0013227
Beschreibung
Laboratory values
Alias
- UMLS CUI-1
- C1254595
Beschreibung
Hematocrit
Datentyp
text
Alias
- UMLS CUI [1]
- C0518014
Beschreibung
Leukocytes
Datentyp
integer
Alias
- UMLS CUI [1]
- C0023508
Beschreibung
Sodium
Datentyp
float
Alias
- UMLS CUI [1]
- C0337443
Beschreibung
Potassium
Datentyp
float
Alias
- UMLS CUI [1]
- C0202194
Beschreibung
Calcium
Datentyp
float
Alias
- UMLS CUI [1]
- C0201925
Beschreibung
Creatinine
Datentyp
float
Alias
- UMLS CUI [1]
- C0201976
Beschreibung
Blood sugar
Datentyp
float
Alias
- UMLS CUI [1]
- C0392201
Beschreibung
Glutamic oxaloacetic transaminase
Datentyp
float
Alias
- UMLS CUI [1]
- C0201899
Beschreibung
Glutamate-pyruvate transaminase
Datentyp
float
Alias
- UMLS CUI [1]
- C0201836
Beschreibung
Gamma-glutamyltransferase
Datentyp
float
Alias
- UMLS CUI [1]
- C0202035
Beschreibung
Platelets
Datentyp
integer
Alias
- UMLS CUI [1]
- C0032181
Beschreibung
Prothrombin time
Datentyp
integer
Alias
- UMLS CUI [1]
- C0033707
Beschreibung
Partial thromboplastin time
Datentyp
integer
Alias
- UMLS CUI [1]
- C3525810
Beschreibung
Thrombin time
Datentyp
float
Alias
- UMLS CUI [1]
- C0427596
Beschreibung
Blood order
Alias
- UMLS CUI-1
- C1549263
Beschreibung
Medication in the evening before surgery
Alias
- UMLS CUI-1
- C0033045
Beschreibung
Medication
Datentyp
text
Alias
- UMLS CUI [1]
- C0013227
Beschreibung
Dosage
Datentyp
text
Alias
- UMLS CUI [1]
- C0178602
Beschreibung
Administration
Datentyp
text
Alias
- UMLS CUI [1]
- C1533734
Beschreibung
Time
Datentyp
time
Alias
- UMLS CUI [1]
- C0040223
Beschreibung
Signature
Datentyp
text
Alias
- UMLS CUI [1]
- C1519316
Beschreibung
Medication on day of surgery
Alias
- UMLS CUI-1
- C0013227
Beschreibung
Medication
Datentyp
text
Alias
- UMLS CUI [1]
- C0013227
Beschreibung
Dosage
Datentyp
text
Alias
- UMLS CUI [1]
- C0178602
Beschreibung
Administration
Datentyp
text
Alias
- UMLS CUI [1]
- C1533734
Beschreibung
Time
Datentyp
text
Alias
- UMLS CUI [1]
- C0040223
Beschreibung
Signature
Datentyp
text
Alias
- UMLS CUI [1]
- C1519316
Beschreibung
Medical orders
Alias
- UMLS CUI-1
- C1171201
Beschreibung
Laboratory
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0022877
Beschreibung
Coagulation
Datentyp
text
Alias
- UMLS CUI [1]
- C0005778
Beschreibung
ECG
Datentyp
boolean
Alias
- UMLS CUI [1]
- C1623258
Beschreibung
Chest X-ray
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0039985
Beschreibung
Pulmonary function
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0024119
Beschreibung
Consultation
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0009818
Beschreibung
Specifications
Datentyp
text
Alias
- UMLS CUI [1]
- C2348235
Beschreibung
Premedication
Alias
- UMLS CUI-1
- C0033045
Beschreibung
Duration
Datentyp
integer
Alias
- UMLS CUI [1]
- C0449238
Beschreibung
job
Datentyp
text
Alias
- UMLS CUI [1]
- C0028811
Beschreibung
Date
Datentyp
date
Alias
- UMLS CUI [1]
- C0011008
Beschreibung
Time
Datentyp
time
Alias
- UMLS CUI [1]
- C0040223
Beschreibung
Name
Datentyp
text
Alias
- UMLS CUI [1]
- C0027365
Beschreibung
Signature
Datentyp
text
Alias
- UMLS CUI [1]
- C1519316
Beschreibung
Second premedication
Alias
- UMLS CUI-1
- C0033045
Beschreibung
Duration
Datentyp
integer
Alias
- UMLS CUI [1]
- C0449238
Beschreibung
job
Datentyp
text
Alias
- UMLS CUI [1]
- C0028811
Beschreibung
Date
Datentyp
date
Alias
- UMLS CUI [1]
- C0011008
Beschreibung
Time
Datentyp
time
Alias
- UMLS CUI [1]
- C0040223
Beschreibung
Name
Datentyp
text
Alias
- UMLS CUI [1]
- C0027365
Beschreibung
Signature
Datentyp
text
Alias
- UMLS CUI [1]
- C1519316
Beschreibung
premedication; surgery
Datentyp
boolean
Alias
- UMLS CUI [1]
- C0033045
- UMLS CUI [2]
- C0543467
Ähnliche Modelle
Premedication Anesthesiology Intensive care Catholic Clinic Koblenz Montabaur Routine documentation in German hospitals DMI
C0600091 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
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C1301732 (UMLS CUI [1,2])
C0445204 (UMLS CUI-2)
C0543467 (UMLS CUI [2])
C1300638 (UMLS CUI [1,2])
C0542341 (UMLS CUI [1,2])
C0543467 (UMLS CUI [2])