ID

11252

Description

Form from HIS OpenVista

Keywords

  1. 3/9/12 3/9/12 -
  2. 8/7/14 8/7/14 - Martin Dugas
  3. 8/9/14 8/9/14 - Martin Dugas
  4. 8/11/14 8/11/14 - Martin Dugas
  5. 6/26/15 6/26/15 - Martin Dugas
Uploaded on

June 26, 2015

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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PHYSICAL THERAPY INITIAL EVALUATION

  1. StudyEvent: HIS
    1. HIS
General Info
Description

General Info

Alias
UMLS CUI-1
C1508263
PHYSICAL THERAPY ORDER
Description

PHYSICAL THERAPY ORDER

Data type

text

Alias
UMLS CUI-1
C0949766
operative procedures
Description

SURGERY

Data type

string

Alias
UMLS CUI 2011AA
C0038895
HISTORY OF PRESENT ILLNESS WITH ONSET DATE
Description

HISTORY OF PRESENT ILLNESS WITH ONSET DATE

Data type

string

Alias
UMLS CUI 2011AA
C0262512
LOINC Version 232
MTHU001399
UMLS CUI 2011AA
C0332162
SNOMED CT 2011_0131
77374008
SOCIAL/HEALTH HABITS(PAST & CURRENT)
Description

SOCIAL/HEALTH HABITS(PAST & CURRENT)

Alcohol abuse
Description

Alcohol

Data type

boolean

Alias
UMLS CUI 2011AA
C0085762
SNOMED CT 2011_0131
15167005
MedDRA 14.1
10001584
LOINC Version 232
LP36309-0
ICD-10-CM Version 2010
F10.1
ICD-9-CM Version 2011
305.0
Smoker
Description

Smoker

Data type

boolean

Alias
UMLS CUI-1
C1519386
Living Situation, Dwelling
Description

Living Situation, Dwelling

Assisted Living, Residential Care
Description

Assisted Living

Data type

boolean

Alias
UMLS CUI 2011AA
C1456630
Home (Lives Alone)
Description

Home (Lives Alone)

Data type

boolean

Home with parent(s)
Description

Home with parent(s)

Data type

boolean

Home w/Significant Other
Description

Home w/Significant Other

Data type

boolean

Home w/Spouse
Description

Home w/Spouse

Data type

boolean

Home w/Family (Children)
Description

Home w/Family (Children)

Data type

boolean

Home w/Friend (Caretaker)
Description

Home w/Friend (Caretaker)

Data type

boolean

Dependent in ADLs
Description

Dependent in ADLs

Data type

boolean

Independent in ADLs
Description

Independent in ADLs

Data type

boolean

Nursing Home (NH)
Description

Nursing Home

Data type

boolean

Alias
UMLS CUI 2011AA
C0028688
SNOMED CT 2011_0131
42665001
LOINC Version 232
MTHU015917
HL7 V3 2006_05
N
Assisted Living Facility, Retirement Center
Description

Retirement Center/ Assisted Living Facility

Data type

boolean

Alias
UMLS CUI 2011AA
C0872103
HL7 V3 2006_05
310400000X
Requires Assistance with ADLs
Description

Requires Assistance with ADLs

Data type

boolean

Other
Description

Other

Data type

boolean

Stairs to enter
Description

Stairs to enter

Data type

boolean

Stairs indoors
Description

Stairs indoors

Data type

boolean

REMAIN ON FIRST FLOOR
Description

REMAIN ON FIRST FLOOR

Data type

boolean

OTHER OBSTACLES OF CONCERN
Description

OTHER OBSTACLES OF CONCERN

Data type

string

Medical history
Description

Medical history

Alias
UMLS CUI-1
C0262926
PREMORBID FUNCTIONAL STATUS
Description

PREMORBID FUNCTIONAL STATUS

Data type

string

Family history (FH)
Description

Family history

Data type

text

Alias
SNOMED CT 2011_0131
57177007
UMLS CUI-1
C0241889
Medical/surgical history
Description

Medical/surgical history

Data type

text

Alias
SNOMED CT 2011_0131
417662000
LOINC Version 232
MTHU027722
SNOMED CT 2011_0131
161615003
UMLS CUI-1
C0262926
UMLS CUI-2
C0455610
MEDICATIONS REVIEWED
Description

MEDICATIONS REVIEWED

Data type

boolean

PERTINENT MEDICATIONS AFFECTING THERAPY
Description

PERTINENT MEDICATIONS AFFECTING THERAPY

Data type

string

CLINICAL TESTS
Description

CLINICAL TESTS

Data type

string

I.D. VERIFIED BY
Description

I.D. VERIFIED BY

Data type

string

I.D. VERIFICATION
Description

I.D. VERIFICATION

Data type

string

Review of systems
Description

Review of systems

Alias
UMLS CUI-1
C0489633
Height
Description

Height

Data type

float

Measurement units
  • cm
Alias
LOINC Version 232
MTHU005354
UMLS CUI-1
C0005890
cm
Body weight
Description

Body weight

Data type

float

Measurement units
  • kg
Alias
SNOMED CT 2011_0131
107647005
MedDRA 14.1
10047890
LOINC Version 232
LP18015-5
UMLS CUI-1
C0005910
kg
Pulse
Description

Pulse

Data type

integer

Measurement units
  • beats/min
Alias
SNOMED CT 2011_0131
78564009
MedDRA 14.1
10037485
UMLS CUI-1
C0232117
beats/min
Respiration rate, Breathing rate (BR)
Description

Respiration rate, Breathing rate (BR)

Data type

integer

Measurement units
  • /min
Alias
SNOMED CT 2011_0131
86290005
MedDRA 14.1
10038709
LOINC Version 232
MTHU008344
UMLS CUI-1
C0231832
/min
Blood pressure (BP)
Description

Blood pressure (BP)

Data type

integer

Measurement units
  • mmHg
Alias
SNOMED CT 2011_0131
75367002
LOINC Version 232
MTHU008342
UMLS CUI-1
C0005823
mmHg
Edema
Description

Edema

Data type

boolean

Alias
UMLS CUI 2011AA
C0013604
SNOMED CT 2011_0131
423666004
MedDRA 14.1
10030095
LOINC Version 232
MTHU019803
ICD-10-CM Version 2010
R60.9
ICD-9-CM Version 2011
782.3
Ankle Edema
Description

Ankle Edema (L/R)

Data type

text

Alias
SNOMED CT 2011_0131
344001
SNOMED CT 2011_0131
423666004
MedDRA 14.1
10030095
LOINC Version 232
MTHU019803
ICD-10-CM Version 2010
R60.9
ICD-9-CM Version 2011
782.3
UMLS CUI-1
C0235439
Foot Edema
Description

Foot Edema

Data type

text

Alias
SNOMED CT 2011_0131
56459004
LOINC Version 232
MTHU002679
SNOMED CT 2011_0131
423666004
MedDRA 14.1
10030095
LOINC Version 232
MTHU019803
ICD-10-CM Version 2010
R60.9
ICD-9-CM Version 2011
782.3
UMLS CUI-1
C0574002
Hand Edema
Description

Hand Edema

Data type

text

Alias
UMLS CUI-1
C0239819
Knee Edema
Description

Knee Edema

Data type

text

Alias
UMLS CUI-1
C0522045
Leg oedema, Edema of leg
Description

Leg oedema, Edema of leg

Data type

text

Alias
SNOMED CT 2011_0131
102574007
MedDRA 14.1
10024127
UMLS CUI-1
C0235886
INTEGUMENTARY within normal limits
Description

INTEGUMENTARY within normal limits

Data type

boolean

Alias
UMLS CUI-1
C0558145
Integument
Description

Integument

Data type

string

Alias
UMLS CUI 2011AA
C1123023
SNOMED CT 2011_0131
39937001
LOINC Version 232
MTHU001414
MUSCULOSKELETAL WNL
Description

MUSCULOSKELETAL WNL

Data type

boolean

Alias
UMLS CUI-1
C0430745
Musculoskeletal System, Musculo-skeletal system
Description

Musculoskeletal System, Musculo-skeletal system

Data type

text

Alias
SNOMED CT 2011_0131
26107004
LOINC Version 232
MTHU001411
UMLS CUI-1
C0026860
ROM/STRENGTH
Description

ROM/STRENGTH

Data type

string

NEUROMUSCULAR WNL
Description

NEUROMUSCULAR WNL

Data type

boolean

Neuromuscular
Description

Neuromuscular

Data type

text

Alias
UMLS CUI-1
C1979768
Gait, Manner of walking
Description

Gait, Manner of walking

Data type

text

Alias
SNOMED CT 2011_0131
63448001
LOINC Version 232
MTHU015039
UMLS CUI-1
C0016928
BALANCE
Description

BALANCE

Data type

text

Alias
UMLS CUI-1
C0560184
MOTOR CONTROL
Description

MOTOR CONTROL

Data type

text

Alias
UMLS CUI-1
C0517961
COMMUNICATION WNL
Description

COMMUNICATION WNL

Data type

boolean

COMMUNICATION
Description

COMMUNICATION

Data type

text

Alias
UMLS CUI-1
C0009452
language ability, verbal ability
Description

LANGUAGE

Data type

string

Alias
UMLS CUI 2011AA
C1145677
Orientation as to time, place and people
Description

ORIENTATION

Data type

string

Alias
UMLS CUI 2011AA
C0029266
SNOMED CT 2011_0131
43173001
Memory loss, Loss of memory
Description

Memory loss

Data type

string

Alias
UMLS CUI 2011AA
C0751295
MedDRA 14.1
10027176
LOINC Version 232
MTHU013522
ICD-9-CM Version 2011
780.93
EMOTIONAL/BEHAVIORAL RESPONSES WNL
Description

EMOTIONAL/BEHAVIORAL RESPONSES WNL

Data type

boolean

Emotional / Behavioral responses
Description

Emotional / Behavioral responses

Data type

string

LEARNING BARRIERS
Description

LEARNING BARRIERS

Data type

boolean

Hearing impaired
Description

Hearing impaired

Data type

boolean

Alias
UMLS CUI-1
C1384666
Language/Needs interpreter
Description

Language/Needs interpreter

Data type

boolean

unable to read
Description

unable to read

Data type

boolean

Alias
UMLS CUI-1
C0586741
Vision impaired
Description

Vision impaired

Data type

boolean

Alias
UMLS CUI-1
C3665347
EDUCATION NEEDS
Description

EDUCATION NEEDS

Data type

boolean

Education ADLs
Description

Education ADLs

Data type

boolean

Alias
SNOMED CT 2011_0131
129025006
UMLS CUI-1
C0013622
UMLS CUI-2
C0001288
Education Disease
Description

Education Disease

Data type

boolean

Alias
SNOMED CT 2011_0131
64572001
UMLS CUI-1
C0013622
UMLS CUI-2
C0012634
Education Equipment
Description

Education Equipment

Data type

boolean

Education Exercise Program
Description

Education Exercise Program

Data type

boolean

Education Safety
Description

Education Safety

Data type

boolean

Education Transfers
Description

Education Transfers

Data type

boolean

other Education needs
Description

other Education needs

Data type

string

KEYS TO TEST AND MEASURES
Description

KEYS TO TEST AND MEASURES

AEROBIC CAPACITY/ENDURANCE
Description

AEROBIC CAPACITY/ENDURANCE

Data type

string

AROUSAL, ATTENTION, AND COGNITION
Description

AROUSAL, ATTENTION, AND COGNITION

Data type

string

ASSISTIVE AND ADAPTIVE EQUIPMENT
Description

ASSISTIVE AND ADAPTIVE EQUIPMENT

Data type

string

CIRCULATION
Description

CIRCULATION

Data type

string

GAIT, LOCOMOTION, AND BALANCE
Description

GAIT, LOCOMOTION, AND BALANCE

Data type

string

INTEGUMENTARY INTEGRITY
Description

INTEGUMENTARY INTEGRITY

Data type

string

MOTOR FUNCTION (MOTOR CONTROL AND MOTOR LEARNING)
Description

MOTOR FUNCTION (MOTOR CONTROL AND MOTOR LEARNING)

Data type

string

MUSCLE PERFORMANCE (STRENGTH,POWER,AND ENDURANCE)
Description

MUSCLE PERFORMANCE (STRENGTH,POWER,AND ENDURANCE)

Data type

string

NEUROMOTOR DEVELOPMENT AND SENSORY INTEGRATION
Description

NEUROMOTOR DEVELOPMENT AND SENSORY INTEGRATION

Data type

string

ORTHOTIC, PROTECTIVE, AND SUPPORTIVE DEVICES
Description

ORTHOTIC, PROTECTIVE, AND SUPPORTIVE DEVICES

Data type

string

Pain
Description

PAIN

Data type

string

Alias
UMLS CUI 2011AA
C0030193
SNOMED CT 2011_0131
22253000
MedDRA 14.1
10033371
LOINC Version 232
MTHU029813
ICD-10-CM Version 2010
R52
ICD-9-CM Version 2011
338-338.9
CTCAE 1105E
E11167
POSTURE
Description

POSTURE

Data type

text

Alias
UMLS CUI-1
C1262869
RANGE OF MOTION (INCLUDING MUSCLE LENGTH)
Description

RANGE OF MOTION (INCLUDING MUSCLE LENGTH)

Data type

string

REFLEX INTEGRITY
Description

REFLEX INTEGRITY

Data type

text

Alias
UMLS CUI-1
C0596002
SENSORY INTEGRITY
Description

SENSORY INTEGRITY

Data type

text

Alias
UMLS CUI-1
C2735300
SELF CARE AND HOME MANAGEMENT
Description

SELF CARE AND HOME MANAGEMENT

Data type

string

WORK REINTEGRATION
Description

WORK REINTEGRATION

Data type

string

EVALUATION
Description

EVALUATION

Data type

string

Diagnosis
Description

Diagnosis

Alias
UMLS CUI-1
C0011900
Cardiovascular Pattern(s)
Description

Cardiovascular Pattern(s)

Data type

boolean

Integumentary Pattern(s)
Description

Integumentary Pattern(s)

Data type

boolean

Musculoskeletal Pattern(s)
Description

Musculoskeletal Pattern(s)

Data type

boolean

Neuromuscular Pattern(s)
Description

Neuromuscular Pattern(s)

Data type

boolean

Diagnosis
Description

Diagnosis text

Data type

string

Alias
UMLS CUI 2011AA
C0011900
SNOMED CT 2011_0131
439401001
LOINC Version 232
MTHU008876
PROGNOSIS, Goals, Interventions, Plan
Description

PROGNOSIS, Goals, Interventions, Plan

Prognosis, prediction of outcome
Description

Prognosis

Data type

string

Alias
UMLS CUI 2011AA
C0033325
SNOMED CT 2011_0131
20481000
Goals, Objectives
Description

Goals

Data type

string

Alias
UMLS CUI 2011AA
C0018017
SNOMED CT 2011_0131
410518001
LOINC Version 232
MTHU036445
Interventions
Description

Interventions

Data type

text

Alias
UMLS CUI-1
C0184661
TODAYS
Description

TODAYS

Data type

string

Educated - family
Description

Educated - family

Data type

boolean

Educated - patient
Description

Educated - patient

Data type

boolean

Educated - significant other
Description

Educated - significant other

Data type

boolean

Educated - returns Demonstration
Description

Educated - returns Demonstration

Data type

boolean

Educated - Verbalizes understanding
Description

Educated - Verbalizes understanding

Data type

boolean

DISCHARGE PLANS
Description

DISCHARGE PLANS

Data type

text

Alias
UMLS CUI-1
C2735970
Discharge status
Description

DISCHARGE STATUS

Data type

string

Alias
UMLS CUI 2011AA
C0586514
SNOMED CT 2011_0131
309039003
LOINC Version 232
MTHU031549
FREQUENCY OF VISITS/DURATION OF EPISODE OF CARE
Description

FREQUENCY OF VISITS/DURATION OF EPISODE OF CARE

Data type

string

Similar models

  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Info
C1508263 (UMLS CUI-1)
PHYSICAL THERAPY ORDER
Item
PHYSICAL THERAPY ORDER
text
C0949766 (UMLS CUI-1)
SURGERY
Item
operative procedures
string
C0038895 (UMLS CUI 2011AA)
HISTORY OF PRESENT ILLNESS WITH ONSET DATE
Item
HISTORY OF PRESENT ILLNESS WITH ONSET DATE
string
C0262512 (UMLS CUI 2011AA)
MTHU001399 (LOINC Version 232)
C0332162 (UMLS CUI 2011AA)
77374008 (SNOMED CT 2011_0131)
Item Group
SOCIAL/HEALTH HABITS(PAST & CURRENT)
Alcohol
Item
Alcohol abuse
boolean
C0085762 (UMLS CUI 2011AA)
15167005 (SNOMED CT 2011_0131)
10001584 (MedDRA 14.1)
LP36309-0 (LOINC Version 232)
F10.1 (ICD-10-CM Version 2010)
305.0 (ICD-9-CM Version 2011)
Smoking
Item
Smoker
boolean
C1519386 (UMLS CUI-1)
Item Group
Living Situation, Dwelling
Assisted Living
Item
Assisted Living, Residential Care
boolean
C1456630 (UMLS CUI 2011AA)
Home (Lives Alone)
Item
Home (Lives Alone)
boolean
Home with parent(s)
Item
Home with parent(s)
boolean
Home w/Significant Other
Item
Home w/Significant Other
boolean
Home w/Spouse
Item
Home w/Spouse
boolean
Home w/Family (Children)
Item
Home w/Family (Children)
boolean
Home w/Friend (Caretaker)
Item
Home w/Friend (Caretaker)
boolean
Dependent in ADLs
Item
Dependent in ADLs
boolean
Independent in ADLs
Item
Independent in ADLs
boolean
Nursing Home
Item
Nursing Home (NH)
boolean
C0028688 (UMLS CUI 2011AA)
42665001 (SNOMED CT 2011_0131)
MTHU015917 (LOINC Version 232)
N (HL7 V3 2006_05)
Retirement Center/ Assisted Living Facility
Item
Assisted Living Facility, Retirement Center
boolean
C0872103 (UMLS CUI 2011AA)
310400000X (HL7 V3 2006_05)
Requires Assistance with ADLs
Item
Requires Assistance with ADLs
boolean
Other
Item
Other
boolean
Stairs to enter
Item
Stairs to enter
boolean
Stairs indoors
Item
Stairs indoors
boolean
REMAIN ON FIRST FLOOR
Item
REMAIN ON FIRST FLOOR
boolean
OTHER OBSTACLES OF CONCERN
Item
OTHER OBSTACLES OF CONCERN
string
Item Group
Medical history
C0262926 (UMLS CUI-1)
PREMORBID FUNCTIONAL STATUS
Item
PREMORBID FUNCTIONAL STATUS
string
Family history
Item
Family history (FH)
text
57177007 (SNOMED CT 2011_0131)
C0241889 (UMLS CUI-1)
Medical/surgical history
Item
Medical/surgical history
text
417662000 (SNOMED CT 2011_0131)
MTHU027722 (LOINC Version 232)
161615003 (SNOMED CT 2011_0131)
C0262926 (UMLS CUI-1)
C0455610 (UMLS CUI-2)
MEDICATIONS REVIEWED
Item
MEDICATIONS REVIEWED
boolean
PERTINENT MEDICATIONS AFFECTING THERAPY
Item
PERTINENT MEDICATIONS AFFECTING THERAPY
string
CLINICAL TESTS
Item
CLINICAL TESTS
string
I.D. VERIFIED BY
Item
I.D. VERIFIED BY
string
I.D. VERIFICATION
Item
I.D. VERIFICATION
string
Item Group
Review of systems
C0489633 (UMLS CUI-1)
Height
Item
Height
float
MTHU005354 (LOINC Version 232)
C0005890 (UMLS CUI-1)
Weight
Item
Body weight
float
107647005 (SNOMED CT 2011_0131)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
C0005910 (UMLS CUI-1)
Pulse Rate
Item
Pulse
integer
78564009 (SNOMED CT 2011_0131)
10037485 (MedDRA 14.1)
C0232117 (UMLS CUI-1)
Respiration Rate
Item
Respiration rate, Breathing rate (BR)
integer
86290005 (SNOMED CT 2011_0131)
10038709 (MedDRA 14.1)
MTHU008344 (LOINC Version 232)
C0231832 (UMLS CUI-1)
Blood Pressure
Item
Blood pressure (BP)
integer
75367002 (SNOMED CT 2011_0131)
MTHU008342 (LOINC Version 232)
C0005823 (UMLS CUI-1)
Edema
Item
Edema
boolean
C0013604 (UMLS CUI 2011AA)
423666004 (SNOMED CT 2011_0131)
10030095 (MedDRA 14.1)
MTHU019803 (LOINC Version 232)
R60.9 (ICD-10-CM Version 2010)
782.3 (ICD-9-CM Version 2011)
Item
Ankle Edema
text
344001 (SNOMED CT 2011_0131)
423666004 (SNOMED CT 2011_0131)
10030095 (MedDRA 14.1)
MTHU019803 (LOINC Version 232)
R60.9 (ICD-10-CM Version 2010)
782.3 (ICD-9-CM Version 2011)
C0235439 (UMLS CUI-1)
Code List
Ankle Edema
CL Item
left (L)
C0205091 (UMLS CUI-1)
CL Item
right (R)
C0205090 (UMLS CUI-1)
Item
Foot Edema
text
56459004 (SNOMED CT 2011_0131)
MTHU002679 (LOINC Version 232)
423666004 (SNOMED CT 2011_0131)
10030095 (MedDRA 14.1)
MTHU019803 (LOINC Version 232)
R60.9 (ICD-10-CM Version 2010)
782.3 (ICD-9-CM Version 2011)
C0574002 (UMLS CUI-1)
Code List
Foot Edema
CL Item
left (L)
C0205091 (UMLS CUI-1)
CL Item
right (R)
C0205090 (UMLS CUI-1)
Item
Hand Edema
text
C0239819 (UMLS CUI-1)
Code List
Hand Edema
CL Item
left (L)
C0205091 (UMLS CUI-1)
CL Item
right (R)
C0205090 (UMLS CUI-1)
Item
Knee Edema
text
C0522045 (UMLS CUI-1)
Code List
Knee Edema
CL Item
left (L)
C0205091 (UMLS CUI-1)
CL Item
right (R)
C0205090 (UMLS CUI-1)
Item
Leg oedema, Edema of leg
text
102574007 (SNOMED CT 2011_0131)
10024127 (MedDRA 14.1)
C0235886 (UMLS CUI-1)
Code List
Leg oedema, Edema of leg
CL Item
left (L)
C0205091 (UMLS CUI-1)
CL Item
right (R)
C0205090 (UMLS CUI-1)
INTEGUMENTARY WNL
Item
INTEGUMENTARY within normal limits
boolean
C0558145 (UMLS CUI-1)
Integument
Item
Integument
string
C1123023 (UMLS CUI 2011AA)
39937001 (SNOMED CT 2011_0131)
MTHU001414 (LOINC Version 232)
MUSCULOSKELETAL WNL
Item
MUSCULOSKELETAL WNL
boolean
C0430745 (UMLS CUI-1)
Musculoskeletal
Item
Musculoskeletal System, Musculo-skeletal system
text
26107004 (SNOMED CT 2011_0131)
MTHU001411 (LOINC Version 232)
C0026860 (UMLS CUI-1)
ROM/STRENGTH
Item
ROM/STRENGTH
string
NEUROMUSCULAR WNL
Item
NEUROMUSCULAR WNL
boolean
Neuromuscular
Item
Neuromuscular
text
C1979768 (UMLS CUI-1)
GAIT
Item
Gait, Manner of walking
text
63448001 (SNOMED CT 2011_0131)
MTHU015039 (LOINC Version 232)
C0016928 (UMLS CUI-1)
BALANCE
Item
BALANCE
text
C0560184 (UMLS CUI-1)
MOTOR CONTROL
Item
MOTOR CONTROL
text
C0517961 (UMLS CUI-1)
COMMUNICATION WNL
Item
COMMUNICATION WNL
boolean
COMMUNICATION
Item
COMMUNICATION
text
C0009452 (UMLS CUI-1)
LANGUAGE
Item
language ability, verbal ability
string
C1145677 (UMLS CUI 2011AA)
Item
Orientation as to time, place and people
string
C0029266 (UMLS CUI 2011AA)
43173001 (SNOMED CT 2011_0131)
Code List
Orientation as to time, place and people
CL Item
Oriented (1)
CL Item
Disoriented (2)
Item
Memory loss, Loss of memory
string
C0751295 (UMLS CUI 2011AA)
10027176 (MedDRA 14.1)
MTHU013522 (LOINC Version 232)
780.93 (ICD-9-CM Version 2011)
Code List
Memory loss, Loss of memory
CL Item
no memory loss (1)
CL Item
Long term memory loss (2)
CL Item
Recent memory loss (3)
EMOTIONAL/BEHAVIORAL RESPONSES WNL
Item
EMOTIONAL/BEHAVIORAL RESPONSES WNL
boolean
Emotional / Behavioral responses
Item
Emotional / Behavioral responses
string
LEARNING BARRIERS
Item
LEARNING BARRIERS
boolean
Hearing impaired
Item
Hearing impaired
boolean
C1384666 (UMLS CUI-1)
Language/Needs interpreter
Item
Language/Needs interpreter
boolean
unable to read
Item
unable to read
boolean
C0586741 (UMLS CUI-1)
Vision impaired
Item
Vision impaired
boolean
C3665347 (UMLS CUI-1)
EDUCATION NEEDS
Item
EDUCATION NEEDS
boolean
Education ADLs
Item
Education ADLs
boolean
129025006 (SNOMED CT 2011_0131)
C0013622 (UMLS CUI-1)
C0001288 (UMLS CUI-2)
Education Disease
Item
Education Disease
boolean
64572001 (SNOMED CT 2011_0131)
C0013622 (UMLS CUI-1)
C0012634 (UMLS CUI-2)
Education Equipment
Item
Education Equipment
boolean
Education Exercise Program
Item
Education Exercise Program
boolean
Education Safety
Item
Education Safety
boolean
Education Transfers
Item
Education Transfers
boolean
other Education needs
Item
other Education needs
string
Item Group
KEYS TO TEST AND MEASURES
AEROBIC CAPACITY/ENDURANCE
Item
AEROBIC CAPACITY/ENDURANCE
string
AROUSAL, ATTENTION, AND COGNITION
Item
AROUSAL, ATTENTION, AND COGNITION
string
ASSISTIVE AND ADAPTIVE EQUIPMENT
Item
ASSISTIVE AND ADAPTIVE EQUIPMENT
string
CIRCULATION
Item
CIRCULATION
string
GAIT, LOCOMOTION, AND BALANCE
Item
GAIT, LOCOMOTION, AND BALANCE
string
INTEGUMENTARY INTEGRITY
Item
INTEGUMENTARY INTEGRITY
string
MOTOR FUNCTION (MOTOR CONTROL AND MOTOR LEARNING)
Item
MOTOR FUNCTION (MOTOR CONTROL AND MOTOR LEARNING)
string
MUSCLE PERFORMANCE (STRENGTH,POWER,AND ENDURANCE)
Item
MUSCLE PERFORMANCE (STRENGTH,POWER,AND ENDURANCE)
string
NEUROMOTOR DEVELOPMENT AND SENSORY INTEGRATION
Item
NEUROMOTOR DEVELOPMENT AND SENSORY INTEGRATION
string
ORTHOTIC, PROTECTIVE, AND SUPPORTIVE DEVICES
Item
ORTHOTIC, PROTECTIVE, AND SUPPORTIVE DEVICES
string
PAIN
Item
Pain
string
C0030193 (UMLS CUI 2011AA)
22253000 (SNOMED CT 2011_0131)
10033371 (MedDRA 14.1)
MTHU029813 (LOINC Version 232)
R52 (ICD-10-CM Version 2010)
338-338.9 (ICD-9-CM Version 2011)
E11167 (CTCAE 1105E)
POSTURE
Item
POSTURE
text
C1262869 (UMLS CUI-1)
RANGE OF MOTION (INCLUDING MUSCLE LENGTH)
Item
RANGE OF MOTION (INCLUDING MUSCLE LENGTH)
string
REFLEX INTEGRITY
Item
REFLEX INTEGRITY
text
C0596002 (UMLS CUI-1)
SENSORY INTEGRITY
Item
SENSORY INTEGRITY
text
C2735300 (UMLS CUI-1)
SELF CARE AND HOME MANAGEMENT
Item
SELF CARE AND HOME MANAGEMENT
string
WORK REINTEGRATION
Item
WORK REINTEGRATION
string
EVALUATION
Item
EVALUATION
string
Item Group
Diagnosis
C0011900 (UMLS CUI-1)
Cardiovascular Pattern(s)
Item
Cardiovascular Pattern(s)
boolean
Integumentary Pattern(s)
Item
Integumentary Pattern(s)
boolean
Musculoskeletal Pattern(s)
Item
Musculoskeletal Pattern(s)
boolean
Neuromuscular Pattern(s)
Item
Neuromuscular Pattern(s)
boolean
Diagnosis text
Item
Diagnosis
string
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
Item Group
PROGNOSIS, Goals, Interventions, Plan
Prognosis
Item
Prognosis, prediction of outcome
string
C0033325 (UMLS CUI 2011AA)
20481000 (SNOMED CT 2011_0131)
Goals
Item
Goals, Objectives
string
C0018017 (UMLS CUI 2011AA)
410518001 (SNOMED CT 2011_0131)
MTHU036445 (LOINC Version 232)
Interventions
Item
Interventions
text
C0184661 (UMLS CUI-1)
TODAYS
Item
TODAYS
string
Educated - family
Item
Educated - family
boolean
Educated - patient
Item
Educated - patient
boolean
Educated - significant other
Item
Educated - significant other
boolean
Educated - returns Demonstration
Item
Educated - returns Demonstration
boolean
Educated - Verbalizes understanding
Item
Educated - Verbalizes understanding
boolean
DISCHARGE PLANS
Item
DISCHARGE PLANS
text
C2735970 (UMLS CUI-1)
DISCHARGE STATUS
Item
Discharge status
string
C0586514 (UMLS CUI 2011AA)
309039003 (SNOMED CT 2011_0131)
MTHU031549 (LOINC Version 232)
FREQUENCY OF VISITS/DURATION OF EPISODE OF CARE
Item
FREQUENCY OF VISITS/DURATION OF EPISODE OF CARE
string

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