ID
11250
Beschreibung
Form from HIS OpenVistA
Stichworte
Versionen (2)
- 26.02.12 26.02.12 -
- 26.06.15 26.06.15 - Martin Dugas
Hochgeladen am
26. Juni 2015
DOI
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Lizenz
Creative Commons BY-NC 3.0 Legacy
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TRANSFER ASSESSMENT INTERDISCIPLINARY NOTE
HIS
- StudyEvent: HIS
Beschreibung
IV Therapy
Alias
- UMLS CUI-1
- C1411942
Beschreibung
IV THERAPY
Datentyp
string
Alias
- UMLS CUI 2011AA
- C1411942
Beschreibung
Catheter Size
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0449963
- SNOMED CT 2011_0131
- 260967009
Beschreibung
LOCATION
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0450429
- SNOMED CT 2011_0131
- 246267002
Beschreibung
IV Fluid
Datentyp
string
Alias
- UMLS CUI 2011AA
- C1289919
- SNOMED CT 2011_0131
- 118431008
- MedDRA 14.1
- 10067708
Beschreibung
LEFT TO COUNT [ml]
Datentyp
integer
Beschreibung
Rate: @ ml/hr
Datentyp
integer
Beschreibung
IV Site APPEARANCE
Datentyp
string
Beschreibung
CENTRAL LINE PORT
Datentyp
string
Alias
- UMLS CUI 2011AA
- C1145640
- SNOMED CT 2011_0131
- 52124006
Beschreibung
IV Fluid
Datentyp
string
Alias
- UMLS CUI 2011AA
- C1289919
- SNOMED CT 2011_0131
- 118431008
- MedDRA 14.1
- 10067708
Beschreibung
TPN/LIPIDS: TPN @ ml/hr and Lipids @ ml/hr
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0030548, C0023779
- SNOMED CT 2011_0131
- 225372007, 70106000
- MedDRA 14.1
- 10044107
- LOINC Version 232
- MTHU014331, MTHU003688
- ICD-9-CM Version 2011
- 99.15
Beschreibung
IV Site APPEARANCE
Datentyp
string
Beschreibung
SITE CHANGE DUE
Datentyp
date
Beschreibung
IV REASSESSMENT
Datentyp
string
Beschreibung
IV Site APPEARANCE
Datentyp
string
Beschreibung
NARRATIVE
Datentyp
string
Beschreibung
Wound
Alias
- UMLS CUI-1
- C0043250
Beschreibung
ELIMINATION
Alias
- UMLS CUI-1
- C0221102
Beschreibung
Date of last bowel movement
Datentyp
date
Alias
- UMLS CUI 2011AA
- C0011135
- SNOMED CT 2011_0131
- 39211005
Beschreibung
Is the patient incontinent of stool?
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0015732
- SNOMED CT 2011_0131
- 72042002
- MedDRA 14.1
- 10016092
- LOINC Version 232
- MTHU013375
- ICD-10-CM Version 2010
- R15
- ICD-9-CM Version 2011
- 787.6
- CTCAE 1105E
- E10693
Beschreibung
Is the patient incontinent of urine?
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0042024
- SNOMED CT 2011_0131
- 165232002
- MedDRA 14.1
- 10046543
- ICD-10-CM Version 2010
- R32
- ICD-9-CM Version 2011
- 788.3
- CTCAE 1105E
- E13042
Beschreibung
OTHER CARE
Beschreibung
OXYGEN
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0030054
- SNOMED CT 2011_0131
- 24099007
- LOINC Version 232
- MTHU002757
Beschreibung
DRAINS
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0180499
- SNOMED CT 2011_0131
- 32712000
- LOINC Version 232
- MTHU022515
Beschreibung
PAIN MANAGEMENT
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0002766
- SNOMED CT 2011_0131
- 278414003
- MedDRA 14.1
- 10056350
- LOINC Version 232
- MTHU031888
Beschreibung
MED RT
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0035239
- SNOMED CT 2011_0131
- 53950000
- MedDRA 14.1
- 10059828
- LOINC Version 232
- MTHU015440
- ICD-9-CM Version 2011
- 93.9
Beschreibung
LAST TIME PATIENT WAS MEDICATED
Datentyp
time
Beschreibung
ISOLATION
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0205409
- SNOMED CT 2011_0131
- 46651001
Beschreibung
TYPE OF ISOLATION
Datentyp
string
Beschreibung
DAILY WEIGHTS
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C1305866
- SNOMED CT 2011_0131
- 107647005
- MedDRA 14.1
- 10047890
- LOINC Version 232
- LP18015-5
Beschreibung
AT RISK FOR FALLS
Datentyp
boolean
Alias
- UMLS CUI 2011AA
- C1268740
- SNOMED CT 2011_0131
- 129839007
- ICD-10-CM Version 2010
- Z91.81
- ICD-9-CM Version 2011
- V15.88
Beschreibung
AT RISK FOR SKIN BREAKDOWN
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0150077
- SNOMED CT 2011_0131
- 247442005
- MedDRA 14.1
- 10050204
- LOINC Version 232
- MTHU013438
Beschreibung
RESTRAINTS
Datentyp
string
Alias
- UMLS CUI 2011AA
- C0337184
- SNOMED CT 2011_0131
- 57395004
- LOINC Version 232
- MTHU032305
Beschreibung
Date/Time of Restraints order:
Datentyp
date
Beschreibung
SPECIAL PRECAUTIONS
Datentyp
string
Alias
- UMLS CUI 2011AA
- C1882442
Ähnliche Modelle
HIS
- StudyEvent: HIS
52870002 (SNOMED CT 2011_0131)
10037485 (MedDRA 14.1)
C0232117 (UMLS CUI-1)
10038709 (MedDRA 14.1)
MTHU008344 (LOINC Version 232)
C0231832 (UMLS CUI-1)
36456004 (SNOMED CT 2011_0131)
MTHU001424 (LOINC Version 232)
MTHU117157 (CTCAE 1105E)
273688003 (SNOMED CT 2011_0131)
129025006 (SNOMED CT 2011_0131)
41829006 (SNOMED CT 2011_0131)
61420007 (SNOMED CT 2011_0131)
10053095 (MedDRA 14.1)
260967009 (SNOMED CT 2011_0131)
246267002 (SNOMED CT 2011_0131)
118431008 (SNOMED CT 2011_0131)
10067708 (MedDRA 14.1)
52124006 (SNOMED CT 2011_0131)
118431008 (SNOMED CT 2011_0131)
10067708 (MedDRA 14.1)
225372007, 70106000 (SNOMED CT 2011_0131)
10044107 (MedDRA 14.1)
MTHU014331, MTHU003688 (LOINC Version 232)
99.15 (ICD-9-CM Version 2011)
13924000 (SNOMED CT 2011_0131)
10052428 (MedDRA 14.1)
MTHU001326 (LOINC Version 232)
39211005 (SNOMED CT 2011_0131)
72042002 (SNOMED CT 2011_0131)
10016092 (MedDRA 14.1)
MTHU013375 (LOINC Version 232)
R15 (ICD-10-CM Version 2010)
787.6 (ICD-9-CM Version 2011)
E10693 (CTCAE 1105E)
165232002 (SNOMED CT 2011_0131)
10046543 (MedDRA 14.1)
R32 (ICD-10-CM Version 2010)
788.3 (ICD-9-CM Version 2011)
E13042 (CTCAE 1105E)
278414003 (SNOMED CT 2011_0131)
10056350 (MedDRA 14.1)
MTHU031888 (LOINC Version 232)
53950000 (SNOMED CT 2011_0131)
10059828 (MedDRA 14.1)
MTHU015440 (LOINC Version 232)
93.9 (ICD-9-CM Version 2011)
46651001 (SNOMED CT 2011_0131)
107647005 (SNOMED CT 2011_0131)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
129839007 (SNOMED CT 2011_0131)
Z91.81 (ICD-10-CM Version 2010)
V15.88 (ICD-9-CM Version 2011)
247442005 (SNOMED CT 2011_0131)
10050204 (MedDRA 14.1)
MTHU013438 (LOINC Version 232)