ID

15812

Description

Report/Protocol collecting patient and treatment information like the circumstances of the accident and initial ER treatment. http://klinikum.uni-muenster.de/

Link

http://klinikum.uni-muenster.de/

Keywords

Versions (3)
  1. 6/14/16 6/14/16 -
  2. 6/17/16 6/17/16 -
  3. 7/3/16 7/3/16 -
Uploaded on

June 14, 2016

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0 Legacy
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Emergency Room Point B in Time: Emergency Room Report UKM

German English

Emergency Room Point B in Time: Emergency Room Report UKM

1 forms  
Patient information
Description

Patient information

Alias
UMLS CUI-1
C1955348
Last name
Description

Last name

Data type

text

Alias
UMLS CUI [1]
C0421448
First name
Description

First name

Data type

text

Alias
UMLS CUI [1]
C1443235
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Index
Description

Index

Data type

text

Alias
UMLS CUI [1]
C1300638
Time of arrival
Description

Time of arrival

Data type

datetime

Alias
UMLS CUI [1]
C3263562
Relatives informed
Description

Relatives informed

Data type

boolean

Alias
UMLS CUI [1,1]
C0080103
UMLS CUI [1,2]
C1522154
Emergency Room Team
Description

Emergency Room Team

Alias
UMLS CUI-1
C0562508
UMLS CUI-2
C0086390
casualty surgeon
Description

casualty surgeon

Data type

boolean

Alias
UMLS CUI [1]
C0586908
general surgeon
Description

general surgeon

Data type

boolean

Alias
UMLS CUI [1]
C0334885
anesthesist
Description

anesthesist

Data type

boolean

Alias
UMLS CUI [1]
C1550495
neurosurgeon
Description

neurosurgeon

Data type

boolean

Alias
UMLS CUI [1]
C0237427
radiologist
Description

radiologist

Data type

boolean

Alias
UMLS CUI [1]
C0260194
Nurses
Description

Nurses

Data type

boolean

Alias
UMLS CUI [1]
C0028661
OMS
Description

OMS

Data type

boolean

Alias
UMLS CUI [1]
C0260272
ENT surgeon
Description

ENT surgeon

Data type

boolean

Alias
UMLS CUI [1]
C0586894
Eye surgeon
Description

Eye surgeon

Data type

boolean

Alias
UMLS CUI [1]
C1517083
other medical specialist
Description

other medical specialist

Data type

boolean

Alias
UMLS CUI [1,1]
C0920580
UMLS CUI [1,2]
C0205394
Medical history
Description

Medical history

Alias
UMLS CUI-1
C0262926
Pre-existing illness/Premedication
Description

Pre-existing illness/Premedication

Data type

integer

Alias
UMLS CUI [1]
C0521987
UMLS CUI [2]
C0033045
please specify
Description

please specify

Data type

text

Alias
UMLS CUI [1]
C0521987
UMLS CUI [2]
C0033045
tetanus vaccination
Description

tetanus vaccination

Data type

integer

Alias
UMLS CUI [1]
C0199807
Vital signs
Description

Vital signs

Alias
UMLS CUI-1
C0518766
Blood pressure systolic
Description

Blood pressure systolic

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Heart rate
Description

Heart rate

Data type

integer

Measurement units
  • bpm
Alias
UMLS CUI [1]
C0018810
bpm
respiratory rate
Description

respiratory rate

Data type

integer

Measurement units
  • /minute
Alias
UMLS CUI [1]
C0231832
/minute
SpO2
Description

SpO2

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C0428179
%
intubated at arrival
Description

intubated at arrival

Data type

boolean

Alias
UMLS CUI [1]
C3844652
FiO2
Description

FiO2

Data type

float

Alias
UMLS CUI [1]
C2370852
Partial pressure of Oxygen
Description

Partial pressure of Oxygen

Data type

float

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0391840
mmHg
end tidal co2
Description

end tidal co2

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0428658
mmHg
oral airway right position
Description

oral airway right position

Data type

boolean

Alias
UMLS CUI [1]
C0457430
First surgical intervention
Description

First surgical intervention

Alias
UMLS CUI-1
C2216322
intracranial pressure measurement
Description

intracranial pressure measurement

Data type

boolean

Alias
UMLS CUI [1]
C0394279
Craniotomy
Description

Cranioectomy

Data type

boolean

Alias
UMLS CUI [1]
C0195897
Thoracotomy
Description

Thoracotomy

Data type

boolean

Alias
UMLS CUI [1]
C0039991
laparotomy
Description

laparotomy

Data type

boolean

Alias
UMLS CUI [1]
C0023038
revascularization
Description

revascularization

Data type

boolean

Alias
UMLS CUI [1]
C0581603
embolization
Description

embolization

Data type

boolean

Alias
UMLS CUI [1]
C0013931
stabilization pelvis
Description

stabilization pelvis

Data type

boolean

Alias
UMLS CUI [1,1]
C1293130
UMLS CUI [1,2]
C0030797
stabilization of limb
Description

stabilization of limb

Data type

boolean

Alias
UMLS CUI [1,1]
C1293130
UMLS CUI [1,2]
C0015385
Beginning of surgical procedure
Description

Beginning of surgical procedure

Data type

time

Alias
UMLS CUI [1,1]
C0439659
UMLS CUI [1,2]
C0543467
Diagnostics
Description

Diagnostics

Alias
UMLS CUI-1
C0430022
Abdominal sonography
Description

Sono abdomen

Data type

boolean

Alias
UMLS CUI [1,1]
C0041618
UMLS CUI [1,2]
C0000726
Time of abdominal sonography
Description

time of procedure

Data type

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
X-Ray of chest
Description

x-ray thorax

Data type

boolean

Alias
UMLS CUI [1]
C0039985
Time of chest X-Ray
Description

time of procedure

Data type

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
X-Ray of pelvis
Description

x-ray pelvis

Data type

boolean

Alias
UMLS CUI [1]
C0554740
Time of pelvis X-ray
Description

Time of procedure

Data type

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
X-ray of spine
Description

x-ray spine

Data type

boolean

Alias
UMLS CUI [1]
C0203139
Time of X-Ray of spine
Description

Time of procedure

Data type

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
x ray upper spine
Description

x ray upper spine

Data type

boolean

Alias
UMLS CUI [1]
C0203145
x ray upper spine time
Description

x ray upper spine time

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C0203145
x-ray limb
Description

x-ray limb

Data type

boolean

Alias
UMLS CUI [1]
C0853222
x-ray limb time
Description

x-ray limb time

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C0853222
CCT
Description

ct

Data type

boolean

Alias
UMLS CUI [1]
C0040405
Time of CCT
Description

Time of procedure

Data type

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
Whole-body CT
Description

whole-body computed tomography

Data type

boolean

Alias
UMLS CUI [1]
C0412583
Time of whole-body CT
Description

Time of procedure

Data type

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
MRI
Description

MRI

Data type

boolean

Alias
UMLS CUI [1]
C0024485
Time of MRI
Description

Time of MRI

Data type

time

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C0024485
Rotem/Rotec
Description

Rotem/Rotec

Data type

boolean

Alias
UMLS CUI [1,1]
C0032173
UMLS CUI [1,2]
C0039593
Time of Rotem/Rotec
Description

Time of procedure

Data type

time

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1547403
Glasgow Coma Scale
Description

Glasgow Coma Scale

Alias
UMLS CUI-1
C0027853
eye opening response
Description

eye opening response

Data type

integer

Alias
UMLS CUI [1]
C0559289
best verbal response
Description

best verbal response

Data type

integer

Alias
UMLS CUI [1]
C3648957
best motor response
Description

best motor response

Data type

integer

Alias
UMLS CUI [1]
C3648958
total score
Description

total score

Data type

integer

Alias
UMLS CUI [1]
C0578785
Size of left pupil
Description

Size of left pupil

Data type

integer

Alias
UMLS CUI [1,1]
C0517965
UMLS CUI [1,2]
C0443246
Size of right pupil
Description

Size of right pupil

Data type

integer

Alias
UMLS CUI [1,1]
C0517965
UMLS CUI [1,2]
C0444532
Pupil reaction to light left
Description

Pupil reaction to light left

Data type

integer

Alias
UMLS CUI [1,1]
C1287558
UMLS CUI [1,2]
C0205091
Pupil reaction to light right
Description

Pupil reaction to light right

Data type

integer

Alias
UMLS CUI [1,1]
C1287558
UMLS CUI [1,2]
C0205090
Blood test
Description

Blood test

Alias
UMLS CUI-1
C0018941
Hb-Value
Description

Hb

Data type

float

Measurement units
  • g/dl
Alias
UMLS CUI [1]
C0518015
g/dl
Platelet count
Description

Platelet

Data type

float

Measurement units
  • /uL
Alias
UMLS CUI [1]
C0032181
/uL
Quick
Description

Quick

Data type

float

Measurement units
  • %
Alias
UMLS CUI [1]
C0483455
%
PTT
Description

PTT

Data type

float

Measurement units
  • seconds
Alias
UMLS CUI [1]
C0030605
seconds
Alcohol concentration
Description

Alcohol concentration

Data type

float

Measurement units
  • g/l ‰
Alias
UMLS CUI [1]
C0542492
g/l ‰
pH
Description

pH

Data type

float

Alias
UMLS CUI [1]
C0202165
Base Excess
Description

Base Excess

Data type

float

Measurement units
  • mmol/l
Alias
UMLS CUI [1]
C0201985
mmol/l
Calcium measurement
Description

Calcium measurement

Data type

float

Measurement units
  • mmol
Alias
UMLS CUI [1]
C0201925
mmol
Temperature
Description

Temperature

Data type

float

Measurement units
  • °C
Alias
UMLS CUI [1]
C0005903
°C
INR
Description

INR

Data type

float

Alias
UMLS CUI [1]
C0525032
Fibrinogen
Description

Fibrinogen

Data type

float

Measurement units
  • mmol
Alias
UMLS CUI [1]
C0016006
mmol
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Similar models

Emergency Room Point B in Time: Emergency Room Report UKM

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient information
C1955348 (UMLS CUI-1)
Last name
Item
Last name
text
C0421448 (UMLS CUI [1])
First name
Item
First name
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Index
Item
text
C1300638 (UMLS CUI [1])
Time of arrival
Item
datetime
C3263562 (UMLS CUI [1])
Relatives informed
Item
boolean
C0080103 (UMLS CUI [1,1])
C1522154 (UMLS CUI [1,2])
Item Group
C0562508 (UMLS CUI-1)
C0086390 (UMLS CUI-2)
casualty surgeon
Item
boolean
C0586908 (UMLS CUI [1])
general surgeon
Item
boolean
C0334885 (UMLS CUI [1])
anesthesist
Item
boolean
C1550495 (UMLS CUI [1])
neurosurgeon
Item
boolean
C0237427 (UMLS CUI [1])
radiologist
Item
boolean
C0260194 (UMLS CUI [1])
Nurses
Item
boolean
C0028661 (UMLS CUI [1])
OMS
Item
boolean
C0260272 (UMLS CUI [1])
ENT surgeon
Item
boolean
C0586894 (UMLS CUI [1])
Eye surgeon
Item
boolean
C1517083 (UMLS CUI [1])
other medical specialist
Item
boolean
C0920580 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
C0262926 (UMLS CUI-1)
Item
integer
C0521987 (UMLS CUI [1])
C0033045 (UMLS CUI [2])
Pre-existing illness/Premedication
Code List
Pre-existing illness/Premedication
CL Item
 (1)
CL Item
 (2)
please specify
Item
text
C0521987 (UMLS CUI [1])
C0033045 (UMLS CUI [2])
Item
integer
C0199807 (UMLS CUI [1])
tetanus vaccination
Code List
tetanus vaccination
CL Item
 (1)
CL Item
 (2)
Item Group
C0518766 (UMLS CUI-1)
Blood pressure systolic
Item
integer
C0871470 (UMLS CUI [1])
Heart rate
Item
integer
C0018810 (UMLS CUI [1])
respiratory rate
Item
integer
C0231832 (UMLS CUI [1])
SpO2
Item
integer
C0428179 (UMLS CUI [1])
intubated at arrival
Item
boolean
C3844652 (UMLS CUI [1])
FiO2
Item
float
C2370852 (UMLS CUI [1])
Partial pressure of Oxygen
Item
float
C0391840 (UMLS CUI [1])
end tidal co2
Item
integer
C0428658 (UMLS CUI [1])
oral airway right position
Item
boolean
C0457430 (UMLS CUI [1])
Item Group
First surgical intervention
C2216322 (UMLS CUI-1)
intracranial pressure measurement
Item
boolean
C0394279 (UMLS CUI [1])
Cranioectomy
Item
Craniotomy
boolean
C0195897 (UMLS CUI [1])
Thoracotomy
Item
Thoracotomy
boolean
C0039991 (UMLS CUI [1])
laparotomy
Item
laparotomy
boolean
C0023038 (UMLS CUI [1])
revascularization
Item
revascularization
boolean
C0581603 (UMLS CUI [1])
embolization
Item
embolization
boolean
C0013931 (UMLS CUI [1])
stabilization pelvis
Item
stabilization pelvis
boolean
C1293130 (UMLS CUI [1,1])
C0030797 (UMLS CUI [1,2])
stabilization of limb
Item
stabilization of limb
boolean
C1293130 (UMLS CUI [1,1])
C0015385 (UMLS CUI [1,2])
Beginning of surgical procedure
Item
Beginning of surgical procedure
time
C0439659 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Item Group
Diagnostics
C0430022 (UMLS CUI-1)
Sono abdomen
Item
Abdominal sonography
boolean
C0041618 (UMLS CUI [1,1])
C0000726 (UMLS CUI [1,2])
time of procedure
Item
Time of abdominal sonography
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
x-ray thorax
Item
X-Ray of chest
boolean
C0039985 (UMLS CUI [1])
time of procedure
Item
Time of chest X-Ray
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
x-ray pelvis
Item
X-Ray of pelvis
boolean
C0554740 (UMLS CUI [1])
Time of procedure
Item
Time of pelvis X-ray
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
x-ray spine
Item
X-ray of spine
boolean
C0203139 (UMLS CUI [1])
Time of procedure
Item
Time of X-Ray of spine
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
x ray upper spine
Item
boolean
C0203145 (UMLS CUI [1])
x ray upper spine time
Item
time
C0040223 (UMLS CUI [1,1])
C0203145 (UMLS CUI [1,2])
x-ray limb
Item
boolean
C0853222 (UMLS CUI [1])
x-ray limb time
Item
time
C0040223 (UMLS CUI [1,1])
C0853222 (UMLS CUI [1,2])
ct
Item
CCT
boolean
C0040405 (UMLS CUI [1])
Time of procedure
Item
Time of CCT
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
whole-body computed tomography
Item
Whole-body CT
boolean
C0412583 (UMLS CUI [1])
Time of procedure
Item
Time of whole-body CT
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
MRI
Item
boolean
C0024485 (UMLS CUI [1])
Time of MRI
Item
time
C0040223 (UMLS CUI [1,1])
C0024485 (UMLS CUI [1,2])
Rotem/Rotec
Item
Rotem/Rotec
boolean
C0032173 (UMLS CUI [1,1])
C0039593 (UMLS CUI [1,2])
Time of procedure
Item
Time of Rotem/Rotec
time
C0087111 (UMLS CUI [1,1])
C1547403 (UMLS CUI [1,2])
Item Group
Glasgow Coma Scale
C0027853 (UMLS CUI-1)
Item
eye opening response
integer
C0559289 (UMLS CUI [1])
eye opening response
Code List
eye opening response
CL Item
None (1)
CL Item
Opens to pain, not applied to face (2)
CL Item
Opens to verbal command, speech, or shout (3)
CL Item
Spontaneous (4)
Item
best verbal response
integer
C3648957 (UMLS CUI [1])
best verbal response
Code List
best verbal response
CL Item
None (1)
CL Item
Incomprehensible speech (2)
CL Item
Inappropriate Responses, words discernible (3)
CL Item
Confused conversation, but able to answer questions (4)
CL Item
Oriented (5)
Item
best motor response
integer
C3648958 (UMLS CUI [1])
best motor response
Code List
best motor response
CL Item
None (1)
CL Item
Extensor (rigid) Response, decerebrate posture (2)
CL Item
Abnormal (spastic) flexion, decorticate posture (3)
CL Item
With draws from pain (4)
CL Item
Purposeful movement to painful Stimulus (5)
CL Item
Obeys commands for movement (6)
total score
Item
total score
integer
C0578785 (UMLS CUI [1])
Item
integer
C0517965 (UMLS CUI [1,1])
C0443246 (UMLS CUI [1,2])
Size of left pupil
Code List
Size of left pupil
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
Item
integer
C0517965 (UMLS CUI [1,1])
C0444532 (UMLS CUI [1,2])
Size of right pupil
Code List
Size of right pupil
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
Item
integer
C1287558 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
Pupil reaction to light left
Code List
Pupil reaction to light left
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
Item
integer
C1287558 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
Pupil reaction to light right
Code List
Pupil reaction to light right
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
Item Group
Blood test
C0018941 (UMLS CUI-1)
Hb
Item
Hb-Value
float
C0518015 (UMLS CUI [1])
Platelet
Item
Platelet count
float
C0032181 (UMLS CUI [1])
Quick
Item
Quick
float
C0483455 (UMLS CUI [1])
PTT
Item
PTT
float
C0030605 (UMLS CUI [1])
Alcohol concentration
Item
float
C0542492 (UMLS CUI [1])
pH
Item
float
C0202165 (UMLS CUI [1])
Base Excess
Item
Base Excess
float
C0201985 (UMLS CUI [1])
Calcium measurement
Item
float
C0201925 (UMLS CUI [1])
Temperature
Item
Temperature
float
C0005903 (UMLS CUI [1])
INR
Item
INR
float
C0525032 (UMLS CUI [1])
Fibrinogen
Item
float
C0016006 (UMLS CUI [1])
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