ID

10833

Description

"Apothekenanforderung für Infusionslösungen-MS Anordnungsbogen Päd Int 3" converted to ODM format. Routine documentation of university hospital muenster. This form simultaneously also serves the purpose of creating order forms for the making of mixed infusion bags for children.

Keywords

  1. 6/4/15 6/4/15 -
  2. 6/8/15 6/8/15 - Julian Varghese
  3. 6/8/15 6/8/15 - Julian Varghese
Uploaded on

June 8, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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Order Form Pediatric Intensive Care Unit UKM - Pharmacy Order

Order Form Pediatric Intensive Care Unit UKM - Pharmacy Order

Patient Information
Description

Patient Information

Alias
UMLS CUI-1
C1955348
Name of the patient:
Description

Patient's name

Data type

text

Alias
UMLS CUI-1
C1299487
Date of birth:
Description

Date of birth

Data type

date

Alias
UMLS CUI-1
C0421451
Medication
Description

Medication

Alias
UMLS CUI-1
C0013227
Partition note:
Description

Partition note

Data type

integer

Name of the Infusion's solution and its composition:
Description

Solution name and composition

Data type

text

Alias
UMLS CUI-1
C1272893
UMLS CUI-2
C0574032
In ml/24 h:
Description

Amount

Data type

float

Alias
UMLS CUI-1
C2348070
Dose g/ kg or mmol/ kg:
Description

Amount

Data type

float

Alias
UMLS CUI-1
C0560740
Dose kcal/ kg:
Description

Amount

Data type

float

Alias
UMLS CUI-1
C0560602
Infusion Special Arterial or Venous Administration Routes
Description

Infusion Special Arterial or Venous Administration Routes

Name and dose of Infusion:
Description

Infusion

Data type

text

Alias
UMLS CUI-1
C1289919
Application in/ by:
Description

Application

Data type

text

Alias
UMLS CUI-1
C0185125

Similar models

Order Form Pediatric Intensive Care Unit UKM - Pharmacy Order

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient Information
C1955348 (UMLS CUI-1)
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)
Item Group
Medication
C0013227 (UMLS CUI-1)
Partition note
Item
Partition note:
integer
Solution name and composition
Item
Name of the Infusion's solution and its composition:
text
C1272893 (UMLS CUI-1)
C0574032 (UMLS CUI-2)
Amount
Item
In ml/24 h:
float
C2348070 (UMLS CUI-1)
Dose g/ kg or mmol/ kg:
Item
Dose g/ kg or mmol/ kg:
float
C0560740 (UMLS CUI-1)
Dose kcal/ kg
Item
Dose kcal/ kg:
float
C0560602 (UMLS CUI-1)
Item Group
Infusion Special Arterial or Venous Administration Routes
Infusion
Item
Name and dose of Infusion:
text
C1289919 (UMLS CUI-1)
Item
Application in/ by:
text
C0185125 (UMLS CUI-1)
Code List
Application in/ by:
CL Item
Artery (1)
CL Item
Umbilical artery catheter (2)
CL Item
Left artery pressure  (3)
CL Item
Pulmonary artery pressure (4)
CL Item
Central venous pressure (5)
CL Item
KCL-Bypass (6)

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