Informatie:
Fout:
ID
10682
Beschrijving
Routine documentation of university hospital muenster. This form serves the purpose of documenting and ordering medications and syringe pumps in a specific pediatric ICU.
Trefwoorden
Versies (1)
- 08-06-15 08-06-15 - Julian Varghese
Geüploaded op
8 juni 2015
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC 3.0 Legacy
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
Order form pediatric intensive care unit UKM
Order form pediatric intensive care unit UKM- Physician's order
- StudyEvent: ODM
Similar models
Order form pediatric intensive care unit UKM- Physician's order
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Patient's name
Item
Name of the Patient:
text
C1299487 (UMLS CUI-1)
Date of birth
Item
Date of birth:
date
C0421451 (UMLS CUI-1)
Weight
Item
Please enter the weight of the patient:
float
C0005910 (UMLS CUI-1)
Height
Item
Please enter the height of the patient:
float
C0005890 (UMLS CUI-1)
Body surface area
Item
Please enter the body surface area of the patient:
float
C0005902 (UMLS CUI-1)
Date
Item
Date of entry:
date
C0807937 (UMLS CUI-1)
Item Group
Parameters to be monitored, please include the measuring intervals and threshholds for the respective parameters
C0449381 (UMLS CUI-1)
Blood pressure
Item
Blood pressure (RR)/ Mean arterial pressure (MAP):
text
C0005823 (UMLS CUI-1)
Central venous pressure
Item
Central venous pressure (CVP):
text
C0428640 (UMLS CUI-1)
Pulmonary arterial pressure
Item
Pulmonary arterial pressure (PAP)/ Left atrial pressure (LAP):
text
C1168098 (UMLS CUI-1)
Transcutaneous carbon dioxide
Item
Transcutaneous carbon dioxide (TcPCO2):
text
Oxygen saturation
Item
Oxygen saturation (SaO2):
text
C0237753 (UMLS CUI-1)
Weight
Item
Weight
float
C0005910 (UMLS CUI-1)
Electrolyte Balance
Item
Electrolyte Balance
text
C0013831 (UMLS CUI-1)
Neurological monitoring
Item
Neurological monitoring:
text
C0150281 (UMLS CUI-1)
Special positioning
Item
Special positioning of the patient:
text
C1561964 (UMLS CUI-1)
Physiotherapy
Item
Physiotherapy:
text
C0949766 (UMLS CUI-1)
Aspiration
Item
Aspiration:
text
C0349707 (UMLS CUI-1)
Special needs or comments
Item
Special needs or comments::
text
C0947611 (UMLS CUI-1)
Total body liquid volume
Item
Patient's total body liquid volume (ml/ 24h):
float
Previous day liquid measurement
Item
Please input the patient's liquid record from the previous day as follow- Intake, Excretion, Perspiration, balance and diuresis (all in ml/ kg/ h):
text
C0025102 (UMLS CUI-1)
Enteral nutrition
Item
Enteral nutrition (kcal/ 100 ml):
float
C0014327 (UMLS CUI-1)
Nutrition
Item
Please mention the nutrition record as follow when applicable- Total amount, Enteral, Parenteral (all in kcal/ kg)
text
C2596652 (UMLS CUI-1)
Liquid measurement
Item
Please enter the liquid measurement as follow when applicable- Total, Enteral, Parenteral (all in ml/ kg):
text
Medication name
Item
Name of the medication:
text
C2360065 (UMLS CUI-1)
Dose
Item
Dose:
text
C3174092 (UMLS CUI-1)
Drug administration route
Item
Drug administration route:
text
C0013153 (UMLS CUI-1)
Time
Item
Time of drug administration:
time
C0040223 (UMLS CUI-1)
CL Item
Yes (1)
CL Item
No (2)
Physician's name
Item
Name of the physician:
text
Drug name
Item
Name of the drug:
text
C2360065 (UMLS CUI-1)
Dose
Item
Dose:
text
C3174092 (UMLS CUI-1)
Dilution
Item
Dilution:
text
C1504362 (UMLS CUI-1)
Related informations
Item
Other related informations:
text
Therapy type
Item
Type of therapy:
text
C1514463 (UMLS CUI-1)
C1516607 (UMLS CUI-2)
C0805701 (UMLS CUI-3)
C1527021 (UMLS CUI-4)
C1516607 (UMLS CUI-2)
C0805701 (UMLS CUI-3)
C1527021 (UMLS CUI-4)
Time
Item
Time:
time
C0040223 (UMLS CUI-1)
Physician's name
Item
Name of the physician:
text
Nurse's name
Item
Name of the nurse:
text
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI-1)
Time
Item
Time:
time
C0040223 (UMLS CUI-1)
Physician's name
Item
Name of the physician:
text
Nurse's name
Item
Name of the nurse:
text
Item Group
Laboratory tests and examination
C0022885 (UMLS CUI-1)
C0260877 (UMLS CUI-2)
C0260877 (UMLS CUI-2)
Laboratory tests
Item
Laboratory tests:
text
C0022885 (UMLS CUI-1)
Examination:
Item
Examination:
text
C0260877 (UMLS CUI-1)