ID

22700

Description

Physical therapy documentation form converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by Dirk Robrecht

Keywords

  1. 6/9/17 6/9/17 -
  2. 9/20/21 9/20/21 -
Copyright Holder

UKM

Uploaded on

June 9, 2017

DOI

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License

Creative Commons BY-NC 3.0

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Physical therapy documentation physical therapy UKM

Physical therapy documentation

Patient demographics
Description

Patient demographics

Name
Description

Name

Data type

integer

Alias
UMLS CUI [1]
C0027365
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Diagnosis
Description

Diagnosis

Data type

integer

Alias
UMLS CUI [1]
C0011900
Physiotherapist
Description

Physiotherapist

Data type

text

Alias
UMLS CUI [1]
C2362565
Diagnosis date
Description

Diagnosis date

Data type

date

Alias
UMLS CUI [1]
C2316983
Physical therapy
Description

Physical therapy

Data type

boolean

Alias
UMLS CUI [1]
C0949766
Occupational therapy
Description

Occupational therapy

Data type

boolean

Alias
UMLS CUI [1]
C1318464
Massage
Description

Massage

Data type

boolean

Alias
UMLS CUI [1]
C0024875
Physical therapy
Description

Physical therapy

Alias
UMLS CUI-1
C0949766
Findings
Description

Findings

Data type

integer

Alias
UMLS CUI [1]
C0243095
Mobilization of joint procedure
Description

Mobilization of joint procedure

Data type

integer

Alias
UMLS CUI [1]
C0231588
Contracture prophylaxis
Description

Contracture prophylaxis

Data type

integer

Alias
UMLS CUI [1,1]
C0009917
UMLS CUI [1,2]
C0033107
Pneumonia prophylaxis
Description

Pneumonia prophylaxis

Data type

integer

Alias
UMLS CUI [1,1]
C0033107
UMLS CUI [1,2]
C0032285
Respiratory Therapy
Description

Respiratory Therapy

Data type

integer

Alias
UMLS CUI [1]
C0035239
Joint mobilization
Description

Joint mobilization

Data type

integer

Alias
UMLS CUI [1]
C0542330
Strengthening
Description

Strengthening

Data type

integer

Alias
UMLS CUI [1]
C0022206
Stretching
Description

Stretching

Data type

integer

Alias
UMLS CUI [1]
C1720868
Joint coordination
Description

Joints Coordination

Data type

integer

Alias
UMLS CUI [1,1]
C0242414
UMLS CUI [1,2]
C0392905
Sense of balance
Description

Sense of balance

Data type

integer

Alias
UMLS CUI [1]
C1821699
ADL Training
Description

ADL Training

Data type

integer

Alias
UMLS CUI [1]
C2145182
Walking exercise test
Description

Walking exercise test

Data type

integer

Alias
UMLS CUI [1]
C0430506
Walker
Description

Walker

Data type

integer

Alias
UMLS CUI [1]
C0043016
Walking frame
Description

Walking frame

Data type

integer

Alias
UMLS CUI [1]
C0438860
orthotic
Description

orthotic

Data type

integer

Alias
UMLS CUI [1]
C0029365
Static Stair
Description

Static Stair

Data type

integer

Alias
UMLS CUI [1]
C0180774
Physical therapy concepts
Description

Physical therapy concepts

Data type

integer

Alias
UMLS CUI [1,1]
C0949766
UMLS CUI [1,2]
C2080729
Back exercises
Description

Back exercises

Data type

integer

Alias
UMLS CUI [1]
C0454348
physical therapy at gym
Description

physical therapy at gym

Data type

integer

Alias
UMLS CUI [1]
C3693727
Extension
Description

Extension

Data type

integer

Alias
UMLS CUI [1]
C0522009
Group therapy
Description

Group therapy

Data type

integer

Alias
UMLS CUI [1]
C1527374
Instruction
Description

Instruction

Data type

integer

Alias
UMLS CUI [1]
C1442085
Compression
Description

Compression

Data type

integer

Alias
UMLS CUI [1]
C0565514
lymphatic drainage
Description

lymphatic drainage

Data type

integer

Alias
UMLS CUI [1]
C0398480
Type of thermal therapy
Description

Type of thermal therapy

Data type

integer

Alias
UMLS CUI [1]
C0940908
Cryotherapy
Description

Cryotherapy

Data type

integer

Alias
UMLS CUI [1]
C0010412
Electrotherapy
Description

Electrotherapy

Data type

integer

Alias
UMLS CUI [1]
C0013787
treatment unit
Description

treatment unit

Data type

integer

Alias
UMLS CUI [1]
C0179857
Therapist
Description

Therapist

Data type

integer

Alias
UMLS CUI [1]
C0871525
Duration of therapy
Description

Duration of therapy

Data type

integer

Alias
UMLS CUI [1]
C0444917
Massage
Description

Massage

Alias
UMLS CUI-1
C0024875
lymphatic drainage
Description

lymphatic drainage

Data type

integer

Alias
UMLS CUI [1]
C0398480
Type of thermal therapy
Description

Type of thermal therapy

Data type

integer

Alias
UMLS CUI [1]
C0940908
Cryotherapy
Description

Cryotherapy

Data type

integer

Alias
UMLS CUI [1]
C0010412
Electrotherapy
Description

Electrotherapy

Data type

integer

Alias
UMLS CUI [1]
C0013787
treatment unit
Description

treatment unit

Data type

integer

Alias
UMLS CUI [1]
C0179857
Therapist
Description

Therapist

Data type

integer

Alias
UMLS CUI [1]
C0871525
Duration of therapy
Description

Duration of therapy

Data type

integer

Alias
UMLS CUI [1]
C0444917
Occupational therapy
Description

Occupational therapy

Alias
UMLS CUI-1
C1318464
Leg prosthesis use training
Description

Leg prosthesis use training

Data type

integer

Alias
UMLS CUI [1]
C0419114
Handedness
Description

Handedness

Data type

integer

Alias
UMLS CUI [1]
C0023114
Mobilisation
Description

Mobilisation

Data type

integer

Alias
UMLS CUI [1]
C0300926
Mobilization of joint procedure
Description

Mobilization of joint procedure

Data type

integer

Alias
UMLS CUI [1]
C0231588
fine motor skills
Description

fine motor skills

Data type

integer

Alias
UMLS CUI [1]
C0678857
Back exercise
Description

Back exercise

Data type

integer

Alias
UMLS CUI [1]
C0454348
Joint protection training
Description

Joint protection training

Data type

integer

Alias
UMLS CUI [1]
C0556553
Standing exercise
Description

Standing exercise

Data type

integer

Alias
UMLS CUI [1,1]
C0015259
UMLS CUI [1,2]
C0231472
wheelchair training
Description

wheelchair training

Data type

integer

Alias
UMLS CUI [1,1]
C0220931
UMLS CUI [1,2]
C0043143
ADL
Description

ADL

Data type

integer

Alias
UMLS CUI [1]
C0001288
workplace health
Description

workplace health

Data type

integer

Alias
UMLS CUI [1]
C0679894
Counseling
Description

Counseling

Data type

integer

Alias
UMLS CUI [1]
C0010210
Self-Help Devices
Description

Self-Help Devices

Data type

integer

Alias
UMLS CUI [1]
C0036605
hand splint
Description

hand splint

Data type

integer

Alias
UMLS CUI [1]
C0409162
craft group class
Description

craft group class

Data type

integer

Alias
UMLS CUI [1]
C0420925
Wheel chair group
Description

Wheel chair group

Data type

integer

Alias
UMLS CUI [1,1]
C0043143
UMLS CUI [1,2]
C0687744
treatment unit
Description

treatment unit

Data type

integer

Alias
UMLS CUI [1]
C0179857
Therapist
Description

Therapist

Data type

integer

Alias
UMLS CUI [1]
C0871525
Duration of therapy
Description

Duration of therapy

Data type

integer

Alias
UMLS CUI [1]
C0444917
Comment
Description

Comment

Alias
UMLS CUI-1
C0947611

Similar models

Physical therapy documentation

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient demographics
Name
Item
Name
integer
C0027365 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Diagnosis
Item
Diagnosis
integer
C0011900 (UMLS CUI [1])
Physiotherapist
Item
Physiotherapist
text
C2362565 (UMLS CUI [1])
Diagnosis date
Item
Diagnosis date
date
C2316983 (UMLS CUI [1])
Physical therapy
Item
Physical therapy
boolean
C0949766 (UMLS CUI [1])
Occupational therapy
Item
Occupational therapy
boolean
C1318464 (UMLS CUI [1])
Massage
Item
Massage
boolean
C0024875 (UMLS CUI [1])
Item Group
Physical therapy
C0949766 (UMLS CUI-1)
Item
Findings
integer
C0243095 (UMLS CUI [1])
Code List
Findings
CL Item
month (1)
C0439231 (UMLS CUI-1)
CL Item
year (2)
C0439234 (UMLS CUI-1)
Item
Mobilization of joint procedure
integer
C0231588 (UMLS CUI [1])
Code List
Mobilization of joint procedure
CL Item
passive (1)
C0439231 (UMLS CUI-1)
CL Item
assistance (2)
C0439234 (UMLS CUI-1)
CL Item
active (3)
Item
Contracture prophylaxis
integer
C0009917 (UMLS CUI [1,1])
C0033107 (UMLS CUI [1,2])
Code List
Contracture prophylaxis
CL Item
month (1)
C0439231 (UMLS CUI-1)
CL Item
year (2)
C0439234 (UMLS CUI-1)
Item
Pneumonia prophylaxis
integer
C0033107 (UMLS CUI [1,1])
C0032285 (UMLS CUI [1,2])
Code List
Pneumonia prophylaxis
CL Item
month (1)
C0439231 (UMLS CUI-1)
CL Item
year (2)
C0439234 (UMLS CUI-1)
Respiratory Therapy
Item
Respiratory Therapy
integer
C0035239 (UMLS CUI [1])
Joint mobilization
Item
Joint mobilization
integer
C0542330 (UMLS CUI [1])
Strengthening
Item
Strengthening
integer
C0022206 (UMLS CUI [1])
Stretching
Item
Stretching
integer
C1720868 (UMLS CUI [1])
Joints Coordination
Item
Joint coordination
integer
C0242414 (UMLS CUI [1,1])
C0392905 (UMLS CUI [1,2])
Sense of balance
Item
Sense of balance
integer
C1821699 (UMLS CUI [1])
ADL Training
Item
ADL Training
integer
C2145182 (UMLS CUI [1])
Walking exercise test
Item
Walking exercise test
integer
C0430506 (UMLS CUI [1])
Walker
Item
Walker
integer
C0043016 (UMLS CUI [1])
Walking frame
Item
Walking frame
integer
C0438860 (UMLS CUI [1])
orthotic
Item
orthotic
integer
C0029365 (UMLS CUI [1])
Static Stair
Item
Static Stair
integer
C0180774 (UMLS CUI [1])
Item
Physical therapy concepts
integer
C0949766 (UMLS CUI [1,1])
C2080729 (UMLS CUI [1,2])
Code List
Physical therapy concepts
CL Item
Stretching (1)
C1720868 (UMLS CUI-1)
CL Item
Bobath (2)
C4049332 (UMLS CUI-1)
Back exercises
Item
Back exercises
integer
C0454348 (UMLS CUI [1])
physical therapy at gym
Item
physical therapy at gym
integer
C3693727 (UMLS CUI [1])
Extension
Item
Extension
integer
C0522009 (UMLS CUI [1])
Group therapy
Item
Group therapy
integer
C1527374 (UMLS CUI [1])
Instruction
Item
Instruction
integer
C1442085 (UMLS CUI [1])
Compression
Item
Compression
integer
C0565514 (UMLS CUI [1])
lymphatic drainage
Item
lymphatic drainage
integer
C0398480 (UMLS CUI [1])
Type of thermal therapy
Item
Type of thermal therapy
integer
C0940908 (UMLS CUI [1])
Cryotherapy
Item
Cryotherapy
integer
C0010412 (UMLS CUI [1])
Electrotherapy
Item
Electrotherapy
integer
C0013787 (UMLS CUI [1])
treatment unit
Item
treatment unit
integer
C0179857 (UMLS CUI [1])
Therapist
Item
Therapist
integer
C0871525 (UMLS CUI [1])
Duration of therapy
Item
Duration of therapy
integer
C0444917 (UMLS CUI [1])
Item Group
Massage
C0024875 (UMLS CUI-1)
lymphatic drainage
Item
lymphatic drainage
integer
C0398480 (UMLS CUI [1])
Type of thermal therapy
Item
Type of thermal therapy
integer
C0940908 (UMLS CUI [1])
Cryotherapy
Item
Cryotherapy
integer
C0010412 (UMLS CUI [1])
Electrotherapy
Item
Electrotherapy
integer
C0013787 (UMLS CUI [1])
treatment unit
Item
treatment unit
integer
C0179857 (UMLS CUI [1])
Therapist
Item
Therapist
integer
C0871525 (UMLS CUI [1])
Duration of therapy
Item
Duration of therapy
integer
C0444917 (UMLS CUI [1])
Item Group
Occupational therapy
C1318464 (UMLS CUI-1)
Leg prosthesis use training
Item
Leg prosthesis use training
integer
C0419114 (UMLS CUI [1])
Handedness
Item
Handedness
integer
C0023114 (UMLS CUI [1])
Mobilisation
Item
Mobilisation
integer
C0300926 (UMLS CUI [1])
Mobilization of joint procedure
Item
Mobilization of joint procedure
integer
C0231588 (UMLS CUI [1])
fine motor skills
Item
fine motor skills
integer
C0678857 (UMLS CUI [1])
Back exercise
Item
Back exercise
integer
C0454348 (UMLS CUI [1])
Joint protection training
Item
Joint protection training
integer
C0556553 (UMLS CUI [1])
Standing exercise
Item
Standing exercise
integer
C0015259 (UMLS CUI [1,1])
C0231472 (UMLS CUI [1,2])
wheelchair training
Item
wheelchair training
integer
C0220931 (UMLS CUI [1,1])
C0043143 (UMLS CUI [1,2])
ADL
Item
ADL
integer
C0001288 (UMLS CUI [1])
workplace health
Item
workplace health
integer
C0679894 (UMLS CUI [1])
Counseling
Item
Counseling
integer
C0010210 (UMLS CUI [1])
Self-Help Devices
Item
Self-Help Devices
integer
C0036605 (UMLS CUI [1])
hand splint
Item
hand splint
integer
C0409162 (UMLS CUI [1])
craft group class
Item
craft group class
integer
C0420925 (UMLS CUI [1])
Wheel chair group
Item
Wheel chair group
integer
C0043143 (UMLS CUI [1,1])
C0687744 (UMLS CUI [1,2])
treatment unit
Item
treatment unit
integer
C0179857 (UMLS CUI [1])
Therapist
Item
Therapist
integer
C0871525 (UMLS CUI [1])
Duration of therapy
Item
Duration of therapy
integer
C0444917 (UMLS CUI [1])
Item Group
Comment
C0947611 (UMLS CUI-1)

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