ID

11252

Descripción

Form from HIS OpenVista

Palabras clave

Versiones (5)
  1. 9/3/12 9/3/12 -
  2. 7/8/14 7/8/14 - Martin Dugas
  3. 9/8/14 9/8/14 - Martin Dugas
  4. 11/8/14 11/8/14 - Martin Dugas
  5. 26/6/15 26/6/15 - Martin Dugas
Subido en

26 de junio de 2015

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0 Legacy
Comentarios del modelo :

Puede comentar sobre el modelo de datos aquí. A través de las burbujas de diálogo en los grupos de elementos y elementos, puede agregar comentarios específicos.

Volver a los comentarios del modelo
Comentarios de grupo de elementos para :

Comentarios del elemento para :

Para descargar modelos de datos, debe haber iniciado sesión. Por favor iniciar sesión o Registrate gratis.

PHYSICAL THERAPY INITIAL EVALUATION

Alemán Inglés

HIS

1 formularios  
  1. StudyEvent: HIS
    1. HIS
General Info
Descripción

General Info

Alias
UMLS CUI-1
C1508263
PHYSICAL THERAPY ORDER
Descripción

PHYSICAL THERAPY ORDER

Tipo de datos

text

Alias
UMLS CUI-1
C0949766
operative procedures
Descripción

SURGERY

Tipo de datos

string

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

HISTORY OF PRESENT ILLNESS WITH ONSET DATE

Tipo de datos

string

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

SOCIAL/HEALTH HABITS(PAST & CURRENT)

Alkohol-Abusus
Descripción

Alcohol

Tipo de datos

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
Raucher
Descripción

Smoking

Tipo de datos

boolean

Alias
UMLS CUI-1
C1519386
Living Situation, Dwelling
Descripción

Living Situation, Dwelling

Assisted Living, Residential Care
Descripción

Assisted Living

Tipo de datos

boolean

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

Home (Lives Alone)

Tipo de datos

boolean

Home with parent(s)
Descripción

Home with parent(s)

Tipo de datos

boolean

Home w/Significant Other
Descripción

Home w/Significant Other

Tipo de datos

boolean

Home w/Spouse
Descripción

Home w/Spouse

Tipo de datos

boolean

Home w/Family (Children)
Descripción

Home w/Family (Children)

Tipo de datos

boolean

Home w/Friend (Caretaker)
Descripción

Home w/Friend (Caretaker)

Tipo de datos

boolean

Dependent in ADLs
Descripción

Dependent in ADLs

Tipo de datos

boolean

Independent in ADLs
Descripción

Independent in ADLs

Tipo de datos

boolean

Pflegeheim
Descripción

Nursing Home

Tipo de datos

boolean

Alias
UMLS CUI 2011AA
C0028688
SNOMED CT 2011_0131
42665001
LOINC Version 232
MTHU015917
HL7 V3 2006_05
N
Altersheim
Descripción

Retirement Center/ Assisted Living Facility

Tipo de datos

boolean

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

Requires Assistance with ADLs

Tipo de datos

boolean

Other
Descripción

Other

Tipo de datos

boolean

Stairs to enter
Descripción

Stairs to enter

Tipo de datos

boolean

Stairs indoors
Descripción

Stairs indoors

Tipo de datos

boolean

REMAIN ON FIRST FLOOR
Descripción

REMAIN ON FIRST FLOOR

Tipo de datos

boolean

OTHER OBSTACLES OF CONCERN
Descripción

OTHER OBSTACLES OF CONCERN

Tipo de datos

string

Anamnese
Descripción

Anamnese

Alias
UMLS CUI-1
C0262926
PREMORBID FUNCTIONAL STATUS
Descripción

PREMORBID FUNCTIONAL STATUS

Tipo de datos

string

Familienanamnese
Descripción

Family history

Tipo de datos

text

Alias
SNOMED CT 2011_0131
57177007
UMLS CUI-1
C0241889
MEDICAL/SURGICAL HISTORY
Descripción

Medical/surgical history

Tipo de datos

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
Descripción

MEDICATIONS REVIEWED

Tipo de datos

boolean

PERTINENT MEDICATIONS AFFECTING THERAPY
Descripción

PERTINENT MEDICATIONS AFFECTING THERAPY

Tipo de datos

string

CLINICAL TESTS
Descripción

CLINICAL TESTS

Tipo de datos

string

I.D. VERIFIED BY
Descripción

I.D. VERIFIED BY

Tipo de datos

string

I.D. VERIFICATION
Descripción

I.D. VERIFICATION

Tipo de datos

string

Anamnese der Organsysteme
Descripción

Anamnese der Organsysteme

Alias
UMLS CUI-1
C0489633
Größe
Descripción

Height

Tipo de datos

float

Unidades de medida
  • cm
Alias
LOINC Version 232
MTHU005354
UMLS CUI-1
C0005890
cm
Gewicht
Descripción

Weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
SNOMED CT 2011_0131
107647005
MedDRA 14.1
10047890
LOINC Version 232
LP18015-5
UMLS CUI-1
C0005910
kg
Pulsfrequenz
Descripción

Pulse Rate

Tipo de datos

integer

Unidades de medida
  • beats/min
Alias
SNOMED CT 2011_0131
78564009
MedDRA 14.1
10037485
UMLS CUI-1
C0232117
beats/min
Atemfrequenz
Descripción

Respiration Rate

Tipo de datos

integer

Unidades de medida
  • /min
Alias
SNOMED CT 2011_0131
86290005
MedDRA 14.1
10038709
LOINC Version 232
MTHU008344
UMLS CUI-1
C0231832
/min
Blutdruck
Descripción

Blood Pressure

Tipo de datos

integer

Unidades de medida
  • mmHg
Alias
SNOMED CT 2011_0131
75367002
LOINC Version 232
MTHU008342
UMLS CUI-1
C0005823
mmHg
Ödem
Descripción

Edema

Tipo de datos

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 (L/R)
Descripción

Ankle Edema

Tipo de datos

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 (L/R)
Descripción

Foot Edema

Tipo de datos

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 (L/R)
Descripción

Hand Edema

Tipo de datos

text

Alias
UMLS CUI-1
C0239819
Knee Edema (L/R)
Descripción

Knee Edema

Tipo de datos

text

Alias
UMLS CUI-1
C0522045
Beinödeme
Descripción

Leg Edema

Tipo de datos

text

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

INTEGUMENTARY WNL

Tipo de datos

boolean

Alias
UMLS CUI-1
C0558145
Haut
Descripción

Integument

Tipo de datos

string

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

MUSCULOSKELETAL WNL

Tipo de datos

boolean

Alias
UMLS CUI-1
C0430745
Muskuloskeletales System
Descripción

Musculoskeletal

Tipo de datos

text

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

ROM/STRENGTH

Tipo de datos

string

NEUROMUSCULAR WNL
Descripción

NEUROMUSCULAR WNL

Tipo de datos

boolean

Neuromuscular
Descripción

Neuromuscular

Tipo de datos

text

Alias
UMLS CUI-1
C1979768
Gang
Descripción

GAIT

Tipo de datos

text

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

BALANCE

Tipo de datos

text

Alias
UMLS CUI-1
C0560184
MOTOR CONTROL
Descripción

MOTOR CONTROL

Tipo de datos

text

Alias
UMLS CUI-1
C0517961
COMMUNICATION WNL
Descripción

COMMUNICATION WNL

Tipo de datos

boolean

COMMUNICATION
Descripción

COMMUNICATION

Tipo de datos

text

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

LANGUAGE

Tipo de datos

string

Alias
UMLS CUI 2011AA
C1145677
Orientierung
Descripción

ORIENTATION

Tipo de datos

string

Alias
UMLS CUI 2011AA
C0029266
SNOMED CT 2011_0131
43173001
Gedächtnisverlust
Descripción

Memory loss

Tipo de datos

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
Descripción

EMOTIONAL/BEHAVIORAL RESPONSES WNL

Tipo de datos

boolean

Emotional / Behavioral responses
Descripción

Emotional / Behavioral responses

Tipo de datos

string

LEARNING BARRIERS
Descripción

LEARNING BARRIERS

Tipo de datos

boolean

Hearing impaired
Descripción

Hearing impaired

Tipo de datos

boolean

Alias
UMLS CUI-1
C1384666
Language/Needs interpreter
Descripción

Language/Needs interpreter

Tipo de datos

boolean

unable to read
Descripción

unable to read

Tipo de datos

boolean

Alias
UMLS CUI-1
C0586741
Vision impaired
Descripción

Vision impaired

Tipo de datos

boolean

Alias
UMLS CUI-1
C3665347
EDUCATION NEEDS
Descripción

EDUCATION NEEDS

Tipo de datos

boolean

Education ADLs
Descripción

Education ADLs

Tipo de datos

boolean

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

Education Disease

Tipo de datos

boolean

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

Education Equipment

Tipo de datos

boolean

Education Exercise Program
Descripción

Education Exercise Program

Tipo de datos

boolean

Education Safety
Descripción

Education Safety

Tipo de datos

boolean

Education Transfers
Descripción

Education Transfers

Tipo de datos

boolean

other Education needs
Descripción

other Education needs

Tipo de datos

string

KEYS TO TEST AND MEASURES
Descripción

KEYS TO TEST AND MEASURES

AEROBIC CAPACITY/ENDURANCE
Descripción

AEROBIC CAPACITY/ENDURANCE

Tipo de datos

string

AROUSAL, ATTENTION, AND COGNITION
Descripción

AROUSAL, ATTENTION, AND COGNITION

Tipo de datos

string

ASSISTIVE AND ADAPTIVE EQUIPMENT
Descripción

ASSISTIVE AND ADAPTIVE EQUIPMENT

Tipo de datos

string

CIRCULATION
Descripción

CIRCULATION

Tipo de datos

string

GAIT, LOCOMOTION, AND BALANCE
Descripción

GAIT, LOCOMOTION, AND BALANCE

Tipo de datos

string

INTEGUMENTARY INTEGRITY
Descripción

INTEGUMENTARY INTEGRITY

Tipo de datos

string

MOTOR FUNCTION (MOTOR CONTROL AND MOTOR LEARNING)
Descripción

MOTOR FUNCTION (MOTOR CONTROL AND MOTOR LEARNING)

Tipo de datos

string

MUSCLE PERFORMANCE (STRENGTH,POWER,AND ENDURANCE)
Descripción

MUSCLE PERFORMANCE (STRENGTH,POWER,AND ENDURANCE)

Tipo de datos

string

NEUROMOTOR DEVELOPMENT AND SENSORY INTEGRATION
Descripción

NEUROMOTOR DEVELOPMENT AND SENSORY INTEGRATION

Tipo de datos

string

ORTHOTIC, PROTECTIVE, AND SUPPORTIVE DEVICES
Descripción

ORTHOTIC, PROTECTIVE, AND SUPPORTIVE DEVICES

Tipo de datos

string

Schmerz
Descripción

PAIN

Tipo de datos

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
Descripción

POSTURE

Tipo de datos

text

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

RANGE OF MOTION (INCLUDING MUSCLE LENGTH)

Tipo de datos

string

REFLEX INTEGRITY
Descripción

REFLEX INTEGRITY

Tipo de datos

text

Alias
UMLS CUI-1
C0596002
SENSORY INTEGRITY
Descripción

SENSORY INTEGRITY

Tipo de datos

text

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

SELF CARE AND HOME MANAGEMENT

Tipo de datos

string

WORK REINTEGRATION
Descripción

WORK REINTEGRATION

Tipo de datos

string

EVALUATION
Descripción

EVALUATION

Tipo de datos

string

Diagnose
Descripción

Diagnose

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

Cardiovascular Pattern(s)

Tipo de datos

boolean

Integumentary Pattern(s)
Descripción

Integumentary Pattern(s)

Tipo de datos

boolean

Musculoskeletal Pattern(s)
Descripción

Musculoskeletal Pattern(s)

Tipo de datos

boolean

Neuromuscular Pattern(s)
Descripción

Neuromuscular Pattern(s)

Tipo de datos

boolean

Diagnose
Descripción

Diagnosis text

Tipo de datos

string

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

PROGNOSIS, Goals, Interventions, Plan

Prognose
Descripción

Prognosis

Tipo de datos

string

Alias
UMLS CUI 2011AA
C0033325
SNOMED CT 2011_0131
20481000
Ziele
Descripción

Goals

Tipo de datos

string

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

Interventions

Tipo de datos

text

Alias
UMLS CUI-1
C0184661
TODAYS
Descripción

TODAYS

Tipo de datos

string

Educated - family
Descripción

Educated - family

Tipo de datos

boolean

Educated - patient
Descripción

Educated - patient

Tipo de datos

boolean

Educated - significant other
Descripción

Educated - significant other

Tipo de datos

boolean

Educated - returns Demonstration
Descripción

Educated - returns Demonstration

Tipo de datos

boolean

Educated - Verbalizes understanding
Descripción

Educated - Verbalizes understanding

Tipo de datos

boolean

DISCHARGE PLANS
Descripción

DISCHARGE PLANS

Tipo de datos

text

Alias
UMLS CUI-1
C2735970
Discharge status
Descripción

DISCHARGE STATUS

Tipo de datos

string

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

FREQUENCY OF VISITS/DURATION OF EPISODE OF CARE

Tipo de datos

string

Volver a la parte superior de la página

Similar models

HIS

1 formularios
  1. StudyEvent: HIS
    1. HIS
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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
Alkohol-Abusus
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
Raucher
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
Pflegeheim
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
Altersheim
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
Anamnese
C0262926 (UMLS CUI-1)
PREMORBID FUNCTIONAL STATUS
Item
PREMORBID FUNCTIONAL STATUS
string
Family history
Item
Familienanamnese
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
Anamnese der Organsysteme
C0489633 (UMLS CUI-1)
Height
Item
Größe
float
MTHU005354 (LOINC Version 232)
C0005890 (UMLS CUI-1)
Weight
Item
Gewicht
float
107647005 (SNOMED CT 2011_0131)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
C0005910 (UMLS CUI-1)
Pulse Rate
Item
Pulsfrequenz
integer
78564009 (SNOMED CT 2011_0131)
10037485 (MedDRA 14.1)
C0232117 (UMLS CUI-1)
Respiration Rate
Item
Atemfrequenz
integer
86290005 (SNOMED CT 2011_0131)
10038709 (MedDRA 14.1)
MTHU008344 (LOINC Version 232)
C0231832 (UMLS CUI-1)
Blood Pressure
Item
Blutdruck
integer
75367002 (SNOMED CT 2011_0131)
MTHU008342 (LOINC Version 232)
C0005823 (UMLS CUI-1)
Edema
Item
Ödem
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 (L/R)
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)
Ankle Edema
Code List
Ankle Edema (L/R)
CL Item
 (L)
C0205091 (UMLS CUI-1)
CL Item
 (R)
C0205090 (UMLS CUI-1)
Item
Foot Edema (L/R)
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)
Ankle Edema
Code List
Foot Edema (L/R)
CL Item
 (L)
C0205091 (UMLS CUI-1)
CL Item
 (R)
C0205090 (UMLS CUI-1)
Item
Hand Edema (L/R)
text
C0239819 (UMLS CUI-1)
Ankle Edema
Code List
Hand Edema (L/R)
CL Item
 (L)
C0205091 (UMLS CUI-1)
CL Item
 (R)
C0205090 (UMLS CUI-1)
Item
Knee Edema (L/R)
text
C0522045 (UMLS CUI-1)
Ankle Edema
Code List
Knee Edema (L/R)
CL Item
 (L)
C0205091 (UMLS CUI-1)
CL Item
 (R)
C0205090 (UMLS CUI-1)
Item
Beinödeme
text
102574007 (SNOMED CT 2011_0131)
10024127 (MedDRA 14.1)
C0235886 (UMLS CUI-1)
Ankle Edema
Code List
Beinödeme
CL Item
 (L)
C0205091 (UMLS CUI-1)
CL Item
 (R)
C0205090 (UMLS CUI-1)
INTEGUMENTARY WNL
Item
INTEGUMENTARY within normal limits
boolean
C0558145 (UMLS CUI-1)
Integument
Item
Haut
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
Muskuloskeletales 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
Gang
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
Orientierung
string
C0029266 (UMLS CUI 2011AA)
43173001 (SNOMED CT 2011_0131)
ORIENTATION
Code List
Orientierung
CL Item
Oriented (1)
CL Item
Disoriented (2)
Item
Gedächtnisverlust
string
C0751295 (UMLS CUI 2011AA)
10027176 (MedDRA 14.1)
MTHU013522 (LOINC Version 232)
780.93 (ICD-9-CM Version 2011)
Memory loss
Code List
Gedächtnisverlust
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
Schmerz
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
Diagnose
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
Diagnose
string
C0011900 (UMLS CUI 2011AA)
439401001 (SNOMED CT 2011_0131)
MTHU008876 (LOINC Version 232)
Item Group
PROGNOSIS, Goals, Interventions, Plan
Prognosis
Item
Prognose
string
C0033325 (UMLS CUI 2011AA)
20481000 (SNOMED CT 2011_0131)
Goals
Item
Ziele
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
Volver a la parte superior de la página 

Contacto

Utilice este formulario para comentarios, preguntas y sugerencias.

Los campos marcados con * son obligatorios.

Ayuda

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial