ID

20917

Description

Nursing documentation form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by: Prof. Dr. Berdel

Keywords

  1. 3/27/17 3/27/17 -
Uploaded on

March 27, 2017

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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Nursing documentation Hematology UKM

Nursing documentation

  1. StudyEvent: ODM
    1. Nursing documentation
Patient demographics
Description

Patient demographics

Patient name
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Clinic
Description

Clinic

Data type

integer

Alias
UMLS CUI [1]
C0442592
Name of attending physician
Description

Attending physician

Data type

text

Alias
UMLS CUI [1]
C1320929
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Informed consent
Description

Informed consent

Data type

boolean

Alias
UMLS CUI [1]
C0021430
Clinic
Description

Clinic

Data type

integer

Alias
UMLS CUI [1]
C0442592
Telephone relatives
Description

Telephone relatives

Data type

integer

Alias
UMLS CUI [1,1]
C1515258
UMLS CUI [1,2]
C0080103
Hypersensitivities
Description

Hypersensitivities

Data type

integer

Alias
UMLS CUI [1]
C0020517
Nursing documentation
Description

Nursing documentation

Fluid balance
Description

Fluid balance

Data type

integer

Alias
UMLS CUI [1]
C0016284
Temperature
Description

Temperature

Data type

integer

Alias
UMLS CUI [1]
C0039476
Diuresis
Description

Diuresis

Data type

integer

Alias
UMLS CUI [1]
C0012797
Medication
Description

Medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
Catheter
Description

Catheter

Data type

integer

Alias
UMLS CUI [1]
C0179802
Blood sugar
Description

Blood sugar

Data type

integer

Alias
UMLS CUI [1]
C0392201
Chemotherapy
Description

Chemotherapy

Data type

integer

Alias
UMLS CUI [1]
C0392920
Oxygen
Description

Oxygen

Data type

boolean

Alias
UMLS CUI [1]
C0030054
Vital signs
Description

Vital signs

Data type

integer

Alias
UMLS CUI [1]
C0518766
Blood product
Description

Blood product

Data type

integer

Alias
UMLS CUI [1]
C0456388
PRN medication
Description

PRN medication

Data type

integer

Alias
UMLS CUI [1]
C3166225
Nursing Assessment
Description

Nursing Assessment

Data type

integer

Alias
UMLS CUI [1]
C0028680
Medical order
Description

Medical order

Data type

text

Alias
UMLS CUI [1]
C1563825
Nursing care: documentation
Description

Nursing care: documentation

Data type

text

Alias
UMLS CUI [1]
C2094204

Similar models

Nursing documentation

  1. StudyEvent: ODM
    1. Nursing documentation
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient demographics
Patient name
Item
Patient name
text
C1299487 (UMLS CUI [1])
Clinic
Item
Clinic
integer
C0442592 (UMLS CUI [1])
Attending physician
Item
Name of attending physician
text
C1320929 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Informed consent
Item
Informed consent
boolean
C0021430 (UMLS CUI [1])
Item
Clinic
integer
C0442592 (UMLS CUI [1])
Code List
Clinic
CL Item
gynecology (1)
C0018417 (UMLS CUI-1)
CL Item
hematology (2)
C0474523 (UMLS CUI-1)
CL Item
urology (3)
C0042077 (UMLS CUI-1)
Telephone relatives
Item
Telephone relatives
integer
C1515258 (UMLS CUI [1,1])
C0080103 (UMLS CUI [1,2])
Hypersensitivities
Item
Hypersensitivities
integer
C0020517 (UMLS CUI [1])
Item Group
Nursing documentation
Fluid balance
Item
Fluid balance
integer
C0016284 (UMLS CUI [1])
Temperature
Item
Temperature
integer
C0039476 (UMLS CUI [1])
Diuresis
Item
Diuresis
integer
C0012797 (UMLS CUI [1])
Medication
Item
Medication
integer
C0013227 (UMLS CUI [1])
Catheter
Item
Catheter
integer
C0179802 (UMLS CUI [1])
Blood sugar
Item
Blood sugar
integer
C0392201 (UMLS CUI [1])
Chemotherapy
Item
Chemotherapy
integer
C0392920 (UMLS CUI [1])
Oxygen
Item
Oxygen
boolean
C0030054 (UMLS CUI [1])
Vital signs
Item
Vital signs
integer
C0518766 (UMLS CUI [1])
Blood product
Item
Blood product
integer
C0456388 (UMLS CUI [1])
PRN medication
Item
PRN medication
integer
C3166225 (UMLS CUI [1])
Nursing Assessment
Item
Nursing Assessment
integer
C0028680 (UMLS CUI [1])
Medical order
Item
Medical order
text
C1563825 (UMLS CUI [1])
Nursing care: documentation
Item
Nursing care: documentation
text
C2094204 (UMLS CUI [1])

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