ID

24429

Descripción

Routine documentation in German hospitals. Source file name: TH130110_Prämedikationsprotokoll Examplary forms provided by DMI (http://www.dmi.de/)

Link

http://www.dmi.de/

Palabras clave

Versiones (5)
  1. 8/7/17 8/7/17 -
  2. 8/7/17 8/7/17 -
  3. 8/7/17 8/7/17 -
  4. 20/7/17 20/7/17 -
  5. 31/7/17 31/7/17 -
Subido en

31 de julio de 2017

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0
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Premedication Anesthesiology Intensive care Catholic Clinic Koblenz Montabaur Routine documentation in German hospitals DMI

Alemán Inglés

Premedication Anesthesiology Intensive care Catholic Clinic Koblenz Montabaur Routine documentation in German hospitals DMI

1 formularios  
Patient data
Descripción

Patient data

Alias
UMLS CUI-1
C2707520
Case ID
Descripción

Case ID

Tipo de datos

text

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
Date of anesthesia
Descripción

Date of anesthesia

Tipo de datos

date

Alias
UMLS CUI [1,1]
C0002903
UMLS CUI [1,2]
C0011008
Date of birth
Descripción

Date of birth

Tipo de datos

date

Alias
UMLS CUI [1]
C0421451
Height
Descripción

Height

Tipo de datos

integer

Alias
UMLS CUI [1]
C0005890
Weight
Descripción

Weight

Tipo de datos

integer

Alias
UMLS CUI [1]
C0005910
Department
Descripción

Department

Tipo de datos

text

Alias
UMLS CUI [1]
C0019961
Establishment
Descripción

Establishment

Tipo de datos

text

Alias
UMLS CUI [1]
C1522486
Sex
Descripción

Sex

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
Elective service
Descripción

Elective service

Tipo de datos

text

Alias
UMLS CUI [1]
C0206058
Status
Descripción

Status

Tipo de datos

text

Alias
UMLS CUI [1]
C0449438
Urgency
Descripción

Urgency

Tipo de datos

text

Alias
UMLS CUI [1]
C4049774
Medical procedure
Descripción

Medical procedure

Alias
UMLS CUI-1
C0199171
Preoperative diagnosis
Descripción

Preoperative diagnosis

Tipo de datos

text

Alias
UMLS CUI [1]
C1318968
Planned procedure
Descripción

Planned procedure

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1301732
Planned anesthetic technique
Descripción

anesthesia

Tipo de datos

text

Alias
UMLS CUI [1]
C0002903
Specifics
Descripción

Specifics

Tipo de datos

text

Alias
UMLS CUI [1]
C2348235
Rapid sequence induction (RSI)
Descripción

Rapid sequence induction

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0412767
Preoperative assessment
Descripción

Preoperative assessment

Alias
UMLS CUI-1
C1516048
UMLS CUI-2
C0445204
Pre-existing conditions, previous surgeries, complications during previos narcoses
Descripción

comorbity; surgery

Tipo de datos

text

Alias
UMLS CUI [1]
C0009488
UMLS CUI [2]
C0543467
Re-narcosis
Descripción

narcosis

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0234447
Acute care
Descripción

Acute care

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0679878
PONV
Descripción

Postoperative nausea and vomiting

Tipo de datos

integer

Alias
UMLS CUI [1]
C0520909
ASA
Descripción

ASA score

Tipo de datos

integer

Alias
UMLS CUI [1]
C1531480
Intubation problems
Descripción

Intubation

Tipo de datos

text

Alias
UMLS CUI [1]
C0021925
Mallampati
Descripción

Mallampati score

Tipo de datos

integer

Alias
UMLS CUI [1]
C0451276
Blood Pressure
Descripción

Blood Pressure

Tipo de datos

text

Alias
UMLS CUI [1]
C0005823
Heart rate
Descripción

Heart rate

Tipo de datos

integer

Alias
UMLS CUI [1]
C0018810
psO2
Descripción

Peripheral oxygen saturation

Tipo de datos

text

Alias
UMLS CUI [1]
C2317096
Blood type
Descripción

Blood type

Tipo de datos

text

Alias
UMLS CUI [1]
C0005810
Employer's Liability Insurance Association number
Descripción

Insurance number

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0021672
UMLS CUI [1,2]
C1300638
Irregular antibodies
Descripción

antibodies

Tipo de datos

text

Alias
UMLS CUI [1]
C0003241
State of teeth
Descripción

health condition teeth

Tipo de datos

text

Alias
UMLS CUI [1,1]
C4019131
UMLS CUI [1,2]
C0040426
Duration of fasting
Descripción

duration fasting

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0015663
Long-term medication
Descripción

Long-term medication

Tipo de datos

text

Alias
UMLS CUI [1]
C0420257
Allergies
Descripción

Allergies

Tipo de datos

text

Alias
UMLS CUI [1]
C0020517
Comorbidities
Descripción

Comorbidities

Alias
UMLS CUI-1
C0009488
Blood pressure
Descripción

Blood pressure

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0005823
Myocardium
Descripción

Myocardium

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0027061
Coronary function
Descripción

Coronary function

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1522318
UMLS CUI [1,2]
C0542341
ECG
Descripción

ECG

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1623258
Vascular system
Descripción

Vascular system

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0489903
Lungs/respiratory tract
Descripción

respiratory tract

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0035237
Chest X-ray
Descripción

Chest X-ray

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0039985
Consciousness
Descripción

Consciousness

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0234421
Neurology
Descripción

Neurology

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0027765
Muscles
Descripción

Muscles

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0026845
Endocrine system
Descripción

Endocrine system

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0014136
Liver
Descripción

Liver

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0023884
Kidney
Descripción

Kidney

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0022646
Diabetes mellitus
Descripción

Diabetes mellitus

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0011849
Hematology
Descripción

Hematology

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0474523
Coagulation
Descripción

Coagulation

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0005778
Nutritional status
Descripción

Nutritional status

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0392209
Free text
Descripción

free text

Tipo de datos

text

Alias
UMLS CUI [1]
C2348713
Risks
Descripción

Risks

Alias
UMLS CUI-1
C0086930
Aspiration
Descripción

Aspiration

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0349707
Polytrauma
Descripción

Polytrauma

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0026771
Intensive care patient
Descripción

Intensive care patient

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0010337
MI < 6 Wochen
Descripción

MI

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0027051
Acute coronary syndrome
Descripción

Acute coronary syndrome

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0948089
Intake of catecholamines required
Descripción

Catecholamines

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0007412
Respiratory tract infection
Descripción

Respiratory tract infection

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0035243
COPD
Descripción

Chronic obstructive pulmonary disease

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0024117
Asthma
Descripción

Asthma

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0004096
Sepsis
Descripción

Sepsis

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0243026
Pregnancy
Descripción

Pregnancy

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0032961
Preterm birth
Descripción

Preterm birth

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0151526
HIV
Descripción

HIV

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0019682
Viral hepatitis
Descripción

Viral hepatitis

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0042721
Disposition for malignant hyperpyrexia
Descripción

malignant hyperpyrexia

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1276019
Alcohol
Descripción

Alcohol

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0001948
Nicotine
Descripción

Nicotine

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0028040
Drugs
Descripción

Drugs

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0013227
Laboratory values
Descripción

Laboratory values

Alias
UMLS CUI-1
C1254595
Hb/Ht
Descripción

Hematocrit

Tipo de datos

text

Alias
UMLS CUI [1]
C0518014
Leukocytes
Descripción

Leukocytes

Tipo de datos

integer

Alias
UMLS CUI [1]
C0023508
Na
Descripción

Sodium

Tipo de datos

float

Alias
UMLS CUI [1]
C0337443
K
Descripción

Potassium

Tipo de datos

float

Alias
UMLS CUI [1]
C0202194
Ca
Descripción

Calcium

Tipo de datos

float

Alias
UMLS CUI [1]
C0201925
Creatinine
Descripción

Creatinine

Tipo de datos

float

Alias
UMLS CUI [1]
C0201976
Glucose
Descripción

Blood sugar

Tipo de datos

float

Alias
UMLS CUI [1]
C0392201
GOT
Descripción

Glutamic oxaloacetic transaminase

Tipo de datos

float

Alias
UMLS CUI [1]
C0201899
GPT
Descripción

Glutamate-pyruvate transaminase

Tipo de datos

float

Alias
UMLS CUI [1]
C0201836
GGT
Descripción

Gamma-glutamyltransferase

Tipo de datos

float

Alias
UMLS CUI [1]
C0202035
Platelets
Descripción

Platelets

Tipo de datos

integer

Alias
UMLS CUI [1]
C0032181
PT
Descripción

Prothrombin time

Tipo de datos

integer

Alias
UMLS CUI [1]
C0033707
PTT
Descripción

Partial thromboplastin time

Tipo de datos

integer

Alias
UMLS CUI [1]
C3525810
TT
Descripción

Thrombin time

Tipo de datos

float

Alias
UMLS CUI [1]
C0427596
Blood order
Descripción

Blood order

Alias
UMLS CUI-1
C1549263
Red cell concentrate (number)
Descripción

Crossmatched blood only

Tipo de datos

integer

Alias
UMLS CUI [1]
C0443095
FFP (number)
Descripción

Crossmatched blood only

Tipo de datos

integer

Alias
UMLS CUI [1]
C0016709
Other
Descripción

Crossmatched blood only

Tipo de datos

text

Alias
UMLS CUI [1]
C0205394
Medication in the evening before surgery
Descripción

Medication in the evening before surgery

Alias
UMLS CUI-1
C0033045
Medication
Descripción

Medication

Tipo de datos

text

Alias
UMLS CUI [1]
C0013227
Dosage
Descripción

Dosage

Tipo de datos

text

Alias
UMLS CUI [1]
C0178602
Administration
Descripción

Administration

Tipo de datos

text

Alias
UMLS CUI [1]
C1533734
Time
Descripción

Time

Tipo de datos

time

Alias
UMLS CUI [1]
C0040223
Signature
Descripción

Signature

Tipo de datos

text

Alias
UMLS CUI [1]
C1519316
Medication on day of surgery
Descripción

Medication on day of surgery

Alias
UMLS CUI-1
C0013227
Medication
Descripción

Medication

Tipo de datos

text

Alias
UMLS CUI [1]
C0013227
Dosage
Descripción

Dosage

Tipo de datos

text

Alias
UMLS CUI [1]
C0178602
Administration
Descripción

Administration

Tipo de datos

text

Alias
UMLS CUI [1]
C1533734
Time
Descripción

Time

Tipo de datos

text

Alias
UMLS CUI [1]
C0040223
Signature
Descripción

Signature

Tipo de datos

text

Alias
UMLS CUI [1]
C1519316
Medical orders
Descripción

Medical orders

Alias
UMLS CUI-1
C1171201
Laboratory
Descripción

Laboratory

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0022877
Coagulation status
Descripción

Coagulation

Tipo de datos

text

Alias
UMLS CUI [1]
C0005778
ECG
Descripción

ECG

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1623258
Chest X-ray
Descripción

Chest X-ray

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0039985
Pulmonary function
Descripción

Pulmonary function

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0024119
Consultation
Descripción

Consultation

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0009818
Specifications
Descripción

Specifications

Tipo de datos

text

Alias
UMLS CUI [1]
C2348235
Premedication
Descripción

Premedication

Alias
UMLS CUI-1
C0033045
Duration
Descripción

Duration

Tipo de datos

integer

Alias
UMLS CUI [1]
C0449238
Type of duty
Descripción

job

Tipo de datos

text

Alias
UMLS CUI [1]
C0028811
Date
Descripción

Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0011008
Time
Descripción

Time

Tipo de datos

time

Alias
UMLS CUI [1]
C0040223
Name
Descripción

Name

Tipo de datos

text

Alias
UMLS CUI [1]
C0027365
Signature
Descripción

Signature

Tipo de datos

text

Alias
UMLS CUI [1]
C1519316
Second premedication
Descripción

Second premedication

Alias
UMLS CUI-1
C0033045
Duration
Descripción

Duration

Tipo de datos

integer

Alias
UMLS CUI [1]
C0449238
Type of duty
Descripción

job

Tipo de datos

text

Alias
UMLS CUI [1]
C0028811
Date
Descripción

Date

Tipo de datos

date

Alias
UMLS CUI [1]
C0011008
Time
Descripción

Time

Tipo de datos

time

Alias
UMLS CUI [1]
C0040223
Name
Descripción

Name

Tipo de datos

text

Alias
UMLS CUI [1]
C0027365
Signature
Descripción

Signature

Tipo de datos

text

Alias
UMLS CUI [1]
C1519316
No surgey after premedication
Descripción

premedication; surgery

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0033045
UMLS CUI [2]
C0543467
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Similar models

Premedication Anesthesiology Intensive care Catholic Clinic Koblenz Montabaur Routine documentation in German hospitals DMI

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Patient data
C2707520 (UMLS CUI-1)
Case ID
Item
Case ID
text
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date of anesthesia
Item
Date of anesthesia
date
C0002903 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Item
Department
text
C0019961 (UMLS CUI [1])
Department
Code List
Department
CL Item
Anesthesiology/Intensive care medicine (Anesthesiology/Intensive care medicine)
C0002930 (UMLS CUI-1)
(Comment:en)
CL Item
General and visceral surgery (General and visceral surgery)
C1274039 (UMLS CUI-1)
(Comment:en)
CL Item
Gynecology (Gynecology)
C0018417 (UMLS CUI-1)
(Comment:en)
CL Item
Urology (Urology)
C0042077 (UMLS CUI-1)
(Comment:en)
CL Item
Thoracic surgery (Thoracic surgery)
C0587506 (UMLS CUI-1)
(Comment:en)
CL Item
Oral and maxillofacial surgery (Oral and maxillofacial surgery)
C0812928 (UMLS CUI-1)
(Comment:en)
CL Item
Otolaryngology (Otolaryngology)
C0029892 (UMLS CUI-1)
(Comment:en)
CL Item
Neurology (Neurology)
C0027855 (UMLS CUI-1)
(Comment:en)
CL Item
Radiology (Radiology)
C0034599 (UMLS CUI-1)
(Comment:en)
CL Item
Other (Other)
C0205394 (UMLS CUI-1)
(Comment:en)
CL Item
Cardiology (Cardiology)
CL Item
Pneumology (Pneumology)
CL Item
Pain therapy (Pain therapy)
CL Item
Trauma surgery (Trauma surgery)
CL Item
Spinal surgery (Spinal surgery)
CL Item
Endoprosthetics (Endoprosthetics)
CL Item
Arthroscopic surgery (Arthroscopic surgery)
Item
Establishment
text
C1522486 (UMLS CUI [1])
Establishment
Code List
Establishment
CL Item
MH Koblenz (MH Koblenz)
CL Item
BH Koblenz (BH Koblenz)
CL Item
BKH Montabaur (BKH Montabaur)
Item
Sex
text
C0079399 (UMLS CUI [1])
Sex
Code List
Sex
CL Item
intersex (intersex)
CL Item
männlich (male)
CL Item
weiblich (female)
Item
Elective service
text
C0206058 (UMLS CUI [1])
Elective service
Code List
Elective service
CL Item
yes (yes)
CL Item
no (no)
CL Item
unknown (unknown)
Item
Status
text
C0449438 (UMLS CUI [1])
Status
Code List
Status
CL Item
outpatient (outpatient)
C0029921 (UMLS CUI-1)
(Comment:en)
CL Item
in-patient (in-patient)
C0021562 (UMLS CUI-1)
(Comment:en)
CL Item
private (private)
(Comment:en)
Item
Urgency
text
C4049774 (UMLS CUI [1])
Urgency
Code List
Urgency
CL Item
urgent (urgent)
C3272275 (UMLS CUI-1)
(Comment:en)
CL Item
emergency (emergency)
C4264510 (UMLS CUI-1)
(Comment:en)
CL Item
elektiv (elective)
C0206058 (UMLS CUI-1)
(Comment:en)
Item Group
Medical procedure
C0199171 (UMLS CUI-1)
Preoperative diagnosis
Item
Preoperative diagnosis
text
C1318968 (UMLS CUI [1])
Planned procedure
Item
Planned procedure
text
C0087111 (UMLS CUI [1,1])
C1301732 (UMLS CUI [1,2])
anesthesia
Item
Planned anesthetic technique
text
C0002903 (UMLS CUI [1])
Specifics
Item
Specifics
text
C2348235 (UMLS CUI [1])
Rapid sequence induction
Item
Rapid sequence induction (RSI)
boolean
C0412767 (UMLS CUI [1])
Item Group
Preoperative assessment
C1516048 (UMLS CUI-1)
C0445204 (UMLS CUI-2)
comorbity; surgery
Item
Pre-existing conditions, previous surgeries, complications during previos narcoses
text
C0009488 (UMLS CUI [1])
C0543467 (UMLS CUI [2])
narcosis
Item
Re-narcosis
boolean
C0234447 (UMLS CUI [1])
Acute care
Item
Acute care
boolean
C0679878 (UMLS CUI [1])
Item
PONV
integer
C0520909 (UMLS CUI [1])
Postoperative nausea and vomiting
Code List
PONV
CL Item
0 (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
4+ (5)
Item
ASA
integer
C1531480 (UMLS CUI [1])
ASA score
Code List
ASA
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
Item
Intubation problems
text
C0021925 (UMLS CUI [1])
Intubation problems
Code List
Intubation problems
CL Item
to be expected (to be expected)
CL Item
known (known)
CL Item
restricted reclination (restricted reclination)
CL Item
Mallampati (Mallampati)
Mallampati score
Item
Mallampati
integer
C0451276 (UMLS CUI [1])
Blood Pressure
Item
Blood Pressure
text
C0005823 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Peripheral oxygen saturation
Item
psO2
text
C2317096 (UMLS CUI [1])
Blood type
Item
Blood type
text
C0005810 (UMLS CUI [1])
Insurance number
Item
Employer's Liability Insurance Association number
text
C0021672 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
antibodies
Item
Irregular antibodies
text
C0003241 (UMLS CUI [1])
Item
State of teeth
text
C4019131 (UMLS CUI [1,1])
C0040426 (UMLS CUI [1,2])
State of teeth
Code List
State of teeth
CL Item
prosthesis (prosthesis)
CL Item
in need of treatment (in need of treatment)
CL Item
at risk (at risk)
CL Item
restored/normal (restored/normal)
Item
Duration of fasting
text
C0449238 (UMLS CUI [1,1])
C0015663 (UMLS CUI [1,2])
Duration of fasting
Code List
Duration of fasting
CL Item
>6 (>6)
CL Item
<6 (<6)
Long-term medication
Item
Long-term medication
text
C0420257 (UMLS CUI [1])
Allergies
Item
Allergies
text
C0020517 (UMLS CUI [1])
Item Group
Comorbidities
C0009488 (UMLS CUI-1)
Blood pressure
Item
Blood pressure
boolean
C0005823 (UMLS CUI [1])
Myocardium
Item
Myocardium
boolean
C0027061 (UMLS CUI [1])
Coronary function
Item
Coronary function
boolean
C1522318 (UMLS CUI [1,1])
C0542341 (UMLS CUI [1,2])
ECG
Item
ECG
boolean
C1623258 (UMLS CUI [1])
Vascular system
Item
Vascular system
boolean
C0489903 (UMLS CUI [1])
respiratory tract
Item
Lungs/respiratory tract
boolean
C0035237 (UMLS CUI [1])
Chest X-ray
Item
Chest X-ray
boolean
C0039985 (UMLS CUI [1])
Consciousness
Item
Consciousness
boolean
C0234421 (UMLS CUI [1])
Neurology
Item
Neurology
boolean
C0027765 (UMLS CUI [1])
Muscles
Item
Muscles
boolean
C0026845 (UMLS CUI [1])
Endocrine system
Item
Endocrine system
boolean
C0014136 (UMLS CUI [1])
Liver
Item
Liver
boolean
C0023884 (UMLS CUI [1])
Kidney
Item
Kidney
boolean
C0022646 (UMLS CUI [1])
Diabetes mellitus
Item
Diabetes mellitus
boolean
C0011849 (UMLS CUI [1])
Hematology
Item
Hematology
boolean
C0474523 (UMLS CUI [1])
Coagulation
Item
Coagulation
boolean
C0005778 (UMLS CUI [1])
Nutritional status
Item
Nutritional status
boolean
C0392209 (UMLS CUI [1])
free text
Item
Free text
text
C2348713 (UMLS CUI [1])
Item Group
Risks
C0086930 (UMLS CUI-1)
Aspiration
Item
Aspiration
boolean
C0349707 (UMLS CUI [1])
Polytrauma
Item
Polytrauma
boolean
C0026771 (UMLS CUI [1])
Intensive care patient
Item
Intensive care patient
boolean
C0010337 (UMLS CUI [1])
MI
Item
MI < 6 Wochen
boolean
C0027051 (UMLS CUI [1])
Acute coronary syndrome
Item
Acute coronary syndrome
boolean
C0948089 (UMLS CUI [1])
Catecholamines
Item
Intake of catecholamines required
boolean
C0007412 (UMLS CUI [1])
Respiratory tract infection
Item
Respiratory tract infection
boolean
C0035243 (UMLS CUI [1])
Chronic obstructive pulmonary disease
Item
COPD
boolean
C0024117 (UMLS CUI [1])
Asthma
Item
Asthma
boolean
C0004096 (UMLS CUI [1])
Sepsis
Item
Sepsis
boolean
C0243026 (UMLS CUI [1])
Pregnancy
Item
Pregnancy
boolean
C0032961 (UMLS CUI [1])
Preterm birth
Item
Preterm birth
boolean
C0151526 (UMLS CUI [1])
HIV
Item
HIV
boolean
C0019682 (UMLS CUI [1])
Viral hepatitis
Item
Viral hepatitis
boolean
C0042721 (UMLS CUI [1])
malignant hyperpyrexia
Item
Disposition for malignant hyperpyrexia
boolean
C1276019 (UMLS CUI [1])
Alcohol
Item
Alcohol
boolean
C0001948 (UMLS CUI [1])
Nicotine
Item
Nicotine
boolean
C0028040 (UMLS CUI [1])
Drugs
Item
Drugs
boolean
C0013227 (UMLS CUI [1])
Item Group
Laboratory values
C1254595 (UMLS CUI-1)
Hematocrit
Item
Hb/Ht
text
C0518014 (UMLS CUI [1])
Leukocytes
Item
Leukocytes
integer
C0023508 (UMLS CUI [1])
Sodium
Item
Na
float
C0337443 (UMLS CUI [1])
Potassium
Item
K
float
C0202194 (UMLS CUI [1])
Calcium
Item
Ca
float
C0201925 (UMLS CUI [1])
Creatinine
Item
Creatinine
float
C0201976 (UMLS CUI [1])
Blood sugar
Item
Glucose
float
C0392201 (UMLS CUI [1])
Glutamic oxaloacetic transaminase
Item
GOT
float
C0201899 (UMLS CUI [1])
Glutamate-pyruvate transaminase
Item
GPT
float
C0201836 (UMLS CUI [1])
Gamma-glutamyltransferase
Item
GGT
float
C0202035 (UMLS CUI [1])
Platelets
Item
Platelets
integer
C0032181 (UMLS CUI [1])
Prothrombin time
Item
PT
integer
C0033707 (UMLS CUI [1])
Partial thromboplastin time
Item
PTT
integer
C3525810 (UMLS CUI [1])
Thrombin time
Item
TT
float
C0427596 (UMLS CUI [1])
Item Group
Blood order
C1549263 (UMLS CUI-1)
Red cell concentrate
Item
Red cell concentrate (number)
integer
C0443095 (UMLS CUI [1])
Fresh frozen plasma
Item
FFP (number)
integer
C0016709 (UMLS CUI [1])
Other
Item
Other
text
C0205394 (UMLS CUI [1])
Item Group
Medication in the evening before surgery
C0033045 (UMLS CUI-1)
Medication
Item
Medication
text
C0013227 (UMLS CUI [1])
Dosage
Item
Dosage
text
C0178602 (UMLS CUI [1])
Administration
Item
Administration
text
C1533734 (UMLS CUI [1])
Time
Item
Time
time
C0040223 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
Item Group
Medication on day of surgery
C0013227 (UMLS CUI-1)
Medication
Item
Medication
text
C0013227 (UMLS CUI [1])
Dosage
Item
Dosage
text
C0178602 (UMLS CUI [1])
Administration
Item
Administration
text
C1533734 (UMLS CUI [1])
Time
Item
Time
text
C0040223 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
Item Group
Medical orders
C1171201 (UMLS CUI-1)
Laboratory
Item
Laboratory
boolean
C0022877 (UMLS CUI [1])
Coagulation
Item
Coagulation status
text
C0005778 (UMLS CUI [1])
ECG
Item
ECG
boolean
C1623258 (UMLS CUI [1])
Chest X-ray
Item
Chest X-ray
boolean
C0039985 (UMLS CUI [1])
Pulmonary function
Item
Pulmonary function
boolean
C0024119 (UMLS CUI [1])
Consultation
Item
Consultation
boolean
C0009818 (UMLS CUI [1])
Specifications
Item
Specifications
text
C2348235 (UMLS CUI [1])
Item Group
Premedication
C0033045 (UMLS CUI-1)
Item
Duration
integer
C0449238 (UMLS CUI [1])
Duration
Code List
Duration
CL Item
5 (5)
CL Item
10 (10)
CL Item
20 (20)
CL Item
30 (30)
CL Item
40 (40)
CL Item
50 (50)
CL Item
60 (60)
Item
Type of duty
text
C0028811 (UMLS CUI [1])
Type of duty
Code List
Type of duty
CL Item
regular (regular)
CL Item
overtime (overtime)
CL Item
on-call (on-call)
CL Item
day (day)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Time
Item
Time
time
C0040223 (UMLS CUI [1])
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
Item Group
Second premedication
C0033045 (UMLS CUI-1)
Item
Duration
integer
C0449238 (UMLS CUI [1])
Duration
Code List
Duration
CL Item
5 (5)
CL Item
10 (10)
CL Item
20 (20)
CL Item
30 (30)
CL Item
40 (40)
CL Item
50 (50)
CL Item
60 (60)
Item
Type of duty
text
C0028811 (UMLS CUI [1])
Type of duty
Code List
Type of duty
CL Item
overtime (overtime)
CL Item
on-call (on-call)
CL Item
regular (regular)
CL Item
day (day)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Time
Item
Time
time
C0040223 (UMLS CUI [1])
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
premedication; surgery
Item
No surgey after premedication
boolean
C0033045 (UMLS CUI [1])
C0543467 (UMLS CUI [2])
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