ID

19373

Description

Chart pediatric surgery form converted to ODM format. Routine documentation of University Hospital of Münster.

Keywords

  1. 12/22/16 12/22/16 -
  2. 6/1/17 6/1/17 -
Copyright Holder

UKM

Uploaded on

December 22, 2016

DOI

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License

Creative Commons BY-NC 3.0

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Pediatric surgery UKM

Chart pediatric surgery

Patient demographics
Description

Patient demographics

Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Height
Description

Height

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Body surface
Description

Body surface

Data type

integer

Alias
UMLS CUI [1]
C0005902
Head circumference
Description

Head circumference

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0262499
cm
Diagnosis
Description

Diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011900
Allergies
Description

Allergies

Data type

integer

Alias
UMLS CUI [1]
C0020517
Peripheral Venous Catheter
Description

Peripheral Venous Catheter

Data type

boolean

Alias
UMLS CUI [1]
C2985513
Body temperature
Description

Body temperature

Data type

integer

Alias
UMLS CUI [1]
C0005903
Nursing
Description

Nursing

Urine
Description

Urine

Data type

text

Alias
UMLS CUI [1]
C0042036
Stool
Description

Stool

Data type

integer

Alias
UMLS CUI [1]
C0015733
Vomiting
Description

Vomiting

Data type

integer

Alias
UMLS CUI [1]
C0042963
Intake
Description

Intake

Data type

integer

Alias
UMLS CUI [1]
C1512806
Intubation of stomach
Description

Intubation of stomach

Data type

integer

Alias
UMLS CUI [1]
C0021928
Feeding
Description

Feeding

Data type

integer

Alias
UMLS CUI [1]
C0600072
Body Excretions
Description

Body Excretions

Data type

integer

Alias
UMLS CUI [1]
C0504085
Oxygen saturation measurement
Description

Oxygen saturation measurement

Data type

integer

Measurement units
  • %
Alias
UMLS CUI [1]
C0523807
%
Oxygen therapy
Description

Oxygen therapy

Data type

integer

Alias
UMLS CUI [1]
C1611653
Drainage procedure
Description

Drainage procedure

Data type

integer

Alias
UMLS CUI [1]
C0013103
RR
Description

RR

Data type

integer

Alias
UMLS CUI [1]
C0005823
Arterial blood gas
Description

Arterial blood gas

Data type

integer

Alias
UMLS CUI [1]
C2598151
Physical Restraint
Description

Physical Restraint

Data type

integer

Alias
UMLS CUI [1]
C0035260
Physical therapy
Description

Physical therapy

Data type

integer

Alias
UMLS CUI [1]
C0949766
Catheter
Description

Catheter

Data type

integer

Alias
UMLS CUI [1]
C0179802
Shift
Description

Shift

Data type

integer

Alias
UMLS CUI [1]
C1658633
Prescription
Description

Prescription

Enteral administration
Description

Enteral administration

Data type

integer

Alias
UMLS CUI [1]
C0678814
Parenteral
Description

Parenteral

Data type

integer

Alias
UMLS CUI [1]
C0259961
INFUSION
Description

INFUSION

Data type

integer

Alias
UMLS CUI [1]
C0574032
Fluid intake
Description

Fluid intake

Data type

integer

Measurement units
  • kcal / kg
Alias
UMLS CUI [1]
C0429791
kcal / kg
Lab results
Description

Lab results

Leucocytes
Description

Leucocytes

Data type

integer

Alias
UMLS CUI [1]
C0023508
Hb
Description

Hb

Data type

integer

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

Platelets

Data type

integer

Alias
UMLS CUI [1]
C0005821
CRP
Description

CRP

Data type

integer

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C0201657
mg/dl
Bilirubin
Description

Bilirubin

Data type

integer

Measurement units
  • mg/dl
Alias
UMLS CUI [1]
C1278039
mg/dl
Nausea
Description

Nausea

Data type

integer

Mucositis
Description

Mucositis

Data type

integer

Alias
UMLS CUI [1]
C0038362
Patient data
Description

Patient data

RR
Description

RR

Data type

integer

Alias
UMLS CUI [1]
C0005823
Body temperature
Description

Body temperature

Data type

integer

Alias
UMLS CUI [1]
C0005903
Pain score
Description

Pain score

Data type

integer

Alias
UMLS CUI [1]
C0582148

Similar models

Chart pediatric surgery

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient demographics
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Height
Item
Height
integer
C0005890 (UMLS CUI [1])
Body surface
Item
Body surface
integer
C0005902 (UMLS CUI [1])
Head circumference
Item
Head circumference
integer
C0262499 (UMLS CUI [1])
Diagnosis
Item
Diagnosis
integer
C0011900 (UMLS CUI [1])
Allergies
Item
Allergies
integer
C0020517 (UMLS CUI [1])
Peripheral Venous Catheter
Item
Peripheral Venous Catheter
boolean
C2985513 (UMLS CUI [1])
Body temperature
Item
Body temperature
integer
C0005903 (UMLS CUI [1])
Item Group
Nursing
Urine
Item
Urine
text
C0042036 (UMLS CUI [1])
Stool
Item
Stool
integer
C0015733 (UMLS CUI [1])
Vomiting
Item
Vomiting
integer
C0042963 (UMLS CUI [1])
Intake
Item
Intake
integer
C1512806 (UMLS CUI [1])
Intubation of stomach
Item
Intubation of stomach
integer
C0021928 (UMLS CUI [1])
Feeding
Item
Feeding
integer
C0600072 (UMLS CUI [1])
Body Excretions
Item
Body Excretions
integer
C0504085 (UMLS CUI [1])
Oxygen saturation measurement
Item
Oxygen saturation measurement
integer
C0523807 (UMLS CUI [1])
Oxygen therapy
Item
Oxygen therapy
integer
C1611653 (UMLS CUI [1])
Drainage procedure
Item
Drainage procedure
integer
C0013103 (UMLS CUI [1])
RR
Item
RR
integer
C0005823 (UMLS CUI [1])
Arterial blood gas
Item
Arterial blood gas
integer
C2598151 (UMLS CUI [1])
Physical Restraint
Item
Physical Restraint
integer
C0035260 (UMLS CUI [1])
Physical therapy
Item
Physical therapy
integer
C0949766 (UMLS CUI [1])
Catheter
Item
Catheter
integer
C0179802 (UMLS CUI [1])
Item
Shift
integer
C1658633 (UMLS CUI [1])
Code List
Shift
CL Item
early shift (1)
CL Item
late shift (2)
Item Group
Prescription
Enteral administration
Item
Enteral administration
integer
C0678814 (UMLS CUI [1])
Parenteral
Item
Parenteral
integer
C0259961 (UMLS CUI [1])
INFUSION
Item
INFUSION
integer
C0574032 (UMLS CUI [1])
Fluid intake
Item
Fluid intake
integer
C0429791 (UMLS CUI [1])
Item Group
Lab results
Leucocytes
Item
Leucocytes
integer
C0023508 (UMLS CUI [1])
Hb
Item
Hb
integer
C0518015 (UMLS CUI [1])
Platelets
Item
Platelets
integer
C0005821 (UMLS CUI [1])
CRP
Item
CRP
integer
C0201657 (UMLS CUI [1])
Bilirubin
Item
Bilirubin
integer
C1278039 (UMLS CUI [1])
Nausea
Item
Nausea
integer
Mucositis
Item
Mucositis
integer
C0038362 (UMLS CUI [1])
Item Group
Patient data
RR
Item
RR
integer
C0005823 (UMLS CUI [1])
Body temperature
Item
Body temperature
integer
C0005903 (UMLS CUI [1])
Item
Pain score
integer
C0582148 (UMLS CUI [1])
Code List
Pain score
CL Item
0-1 (1)
CL Item
2 (2)
CL Item
3-4 (3)
CL Item
4-6 (4)
CL Item
5-8 (5)
CL Item
6-10 (6)

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