ID

24490

Beschreibung

Routine documentation in German hospitals. Source file name: VL040310_Infektionsdokumentationsbogen Examplary forms provided by DMI (http://www.dmi.de/)

Link

http://www.dmi.de/

Stichworte

Versionen (3)
  1. 08.06.17 08.06.17 -
  2. 16.06.17 16.06.17 -
  3. 02.08.17 02.08.17 -
Hochgeladen am

2. August 2017

DOI

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Creative Commons BY-NC 3.0
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Infection documentation, nosocomial Routine documentation in German hospitals DMI

Deutsch Englisch

Infection documentation, nosocomial Routine documentation in German hospitals DMI

1 Formulare  
General information
Beschreibung

General information

Alias
UMLS CUI-1
C1508263
Patient data
Beschreibung

This sheet is enclosed to every patient's chart. If nosocomial infection (NI) does not emerge during the hospital stay, plaease fill in the patient's data only and check "no". In the event of NI, please fill in the entire questionnaire and return it to the patient admission.

Datentyp

text

Alias
UMLS CUI [1]
C2707520
Nosocomial infection
Beschreibung

Nosocomial infection

Alias
UMLS CUI-1
C0205721
Nosocomial infection (NI)
Beschreibung

Nosocomial infection

Datentyp

boolean

Alias
UMLS CUI [1]
C0205721
Type of infection
Beschreibung

infection type

Datentyp

text

Alias
UMLS CUI [1,1]
C0009450
UMLS CUI [1,2]
C0332307
Microbiological diagnostics
Beschreibung

Microbiological diagnostics

Alias
UMLS CUI-1
C0025951
Pathogen detection conducted
Beschreibung

Pathogen detection

Datentyp

boolean

Alias
UMLS CUI [1]
C1740302
Type of pathogen
Beschreibung

pathogen

Datentyp

text

Alias
UMLS CUI [1]
C0450254
Diagnoses and medical procedures
Beschreibung

Diagnoses and medical procedures

Alias
UMLS CUI-1
C0011900
UMLS CUI-3
C0199171
Diagnoses
Beschreibung

Fill in only in case of NI

Datentyp

text

Alias
UMLS CUI [1]
C0011900
Medical procedure
Beschreibung

Medical procedure

Datentyp

text

Alias
UMLS CUI [1]
C0199171
ICU stay
Beschreibung

ICU stay

Alias
UMLS CUI-1
C0085559
UMLS CUI-2
C0023303
ICU
Beschreibung

ICU stay

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0085559
UMLS CUI [1,2]
C0023303
Before surgery
Beschreibung

before surgery

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0332152
UMLS CUI [1,2]
C0543467
After surgery
Beschreibung

after surgery

Datentyp

boolean

Alias
UMLS CUI [1]
C0332387
Antibiotics
Beschreibung

Antibiotics

Alias
UMLS CUI-1
C0003232
Preoperative antibiotic prophylaxis
Beschreibung

antibiotic prophylaxis preoperative

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0282638
UMLS CUI [1,2]
C0445204
Antibiotic therapy
Beschreibung

Antibiotic therapy

Datentyp

boolean

Alias
UMLS CUI [1]
C0338237
Risk factors
Beschreibung

Risk factors

Alias
UMLS CUI-1
C0035648
Diabetes
Beschreibung

Diabetes

Datentyp

boolean

Alias
UMLS CUI [1]
C0011849
Obesity
Beschreibung

Obesity

Datentyp

boolean

Alias
UMLS CUI [1]
C0028754
Cachexia
Beschreibung

Cachexia

Datentyp

boolean

Alias
UMLS CUI [1]
C0006625
Carcinoma
Beschreibung

Carcinoma

Datentyp

boolean

Alias
UMLS CUI [1]
C0007097
Abuse
Beschreibung

Abuse

Datentyp

boolean

Alias
UMLS CUI [1]
C1546935
Immunodeficiency
Beschreibung

Immunodeficiency

Datentyp

boolean

Alias
UMLS CUI [1]
C0021051
Cytostatic therapy
Beschreibung

Cytostatic therapy

Datentyp

boolean

Alias
UMLS CUI [1]
C2609342
Other
Beschreibung

Other

Datentyp

boolean

Alias
UMLS CUI [1]
C0205394
Signature
Beschreibung

Signature

Alias
UMLS CUI-1
C1519316
Date
Beschreibung

Date

Datentyp

date

Alias
UMLS CUI [1]
C0011008
Signature physician
Beschreibung

Signature physician

Datentyp

text

Alias
UMLS CUI [1]
C0807938
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Ähnliche Modelle

Infection documentation, nosocomial Routine documentation in German hospitals DMI

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
General information
C1508263 (UMLS CUI-1)
Patient data
Item
Patient data
text
C2707520 (UMLS CUI [1])
Item Group
Nosocomial infection
C0205721 (UMLS CUI-1)
Nosocomial infection
Item
Nosocomial infection (NI)
boolean
C0205721 (UMLS CUI [1])
Item
Type of infection
text
C0009450 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Type of infection
Code List
Type of infection
CL Item
Wound infection (Wound infection)
CL Item
Urinary tract infection (Urinary tract infection)
CL Item
Respiratory tract infection (Respiratory tract infection)
CL Item
Septicemia (Septicemia)
CL Item
Peripheral venous catheter infection (Peripheral venous catheter infection)
CL Item
Central venous catheter infection (Central venous catheter infection)
CL Item
Other infection (Other infection)
Item Group
Microbiological diagnostics
C0025951 (UMLS CUI-1)
Pathogen detection
Item
Pathogen detection conducted
boolean
C1740302 (UMLS CUI [1])
pathogen
Item
Type of pathogen
text
C0450254 (UMLS CUI [1])
Item Group
Diagnoses and medical procedures
C0011900 (UMLS CUI-1)
C0199171 (UMLS CUI-3)
Diagnoses
Item
Diagnoses
text
C0011900 (UMLS CUI [1])
Item
Medical procedure
text
C0199171 (UMLS CUI [1])
Medical procedure
Code List
Medical procedure
CL Item
aseptic (aseptic)
C0232920 (UMLS CUI-1)
(Comment:en)
CL Item
colonization/contamination (colonization/contamination)
C4289767 (UMLS CUI-1)
(Comment:en)
CL Item
infection (infection)
C0009450 (UMLS CUI-1)
(Comment:en)
Item Group
ICU stay
C0085559 (UMLS CUI-1)
C0023303 (UMLS CUI-2)
ICU stay
Item
ICU
boolean
C0085559 (UMLS CUI [1,1])
C0023303 (UMLS CUI [1,2])
before surgery
Item
Before surgery
boolean
C0332152 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
after surgery
Item
After surgery
boolean
C0332387 (UMLS CUI [1])
Item Group
Antibiotics
C0003232 (UMLS CUI-1)
antibiotic prophylaxis preoperative
Item
Preoperative antibiotic prophylaxis
boolean
C0282638 (UMLS CUI [1,1])
C0445204 (UMLS CUI [1,2])
Antibiotic therapy
Item
Antibiotic therapy
boolean
C0338237 (UMLS CUI [1])
Item Group
Risk factors
C0035648 (UMLS CUI-1)
Diabetes
Item
Diabetes
boolean
C0011849 (UMLS CUI [1])
Obesity
Item
Obesity
boolean
C0028754 (UMLS CUI [1])
Cachexia
Item
Cachexia
boolean
C0006625 (UMLS CUI [1])
Carcinoma
Item
Carcinoma
boolean
C0007097 (UMLS CUI [1])
Abuse
Item
Abuse
boolean
C1546935 (UMLS CUI [1])
Immunodeficiency
Item
Immunodeficiency
boolean
C0021051 (UMLS CUI [1])
Cytostatic therapy
Item
Cytostatic therapy
boolean
C2609342 (UMLS CUI [1])
Other
Item
Other
boolean
C0205394 (UMLS CUI [1])
Item Group
Signature
C1519316 (UMLS CUI-1)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Signature physician
Item
Signature physician
text
C0807938 (UMLS CUI [1])
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