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11765
Beschrijving
ODM derived from: http://www.rwjf.org/en/library/research/2008/06/cardiology-admission-orders-physician-s-order-sheet.html Mount Sinai Hospital Medical Center California Avenue at 15th Street Chicago, IL 60608
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Versies (2)
- 30-07-15 30-07-15 - Julian Varghese
- 30-07-15 30-07-15 - Julian Varghese
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30 juli 2015
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Creative Commons BY-NC 3.0 Legacy
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CARDIOLOGY ADMISSION ORDERS - Mount Sinai Hospital Medical Center
CARDIOLOGY ADMISSION ORDERS, PHYSICIAN’S ORDER SHEET
- StudyEvent: ODM
Similar models
CARDIOLOGY ADMISSION ORDERS, PHYSICIAN’S ORDER SHEET
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
CL Item
CCU (CCU)
CL Item
Telemetry (Telemetry)
CL Item
Non-Telemetry (Non-Telemetry)
Attending Physician Name
Item
Attending Physician
text
C2361125 (UMLS CUI-1)
Primary Physician Name
Item
Primary Physician Name
text
C1508823 (UMLS CUI-1)
C0027365 (UMLS CUI-2)
C0027365 (UMLS CUI-2)
Other Service
Item
Other Service
text
Resident Physician Name
Item
Resident Physician Name
text
C1320928 (UMLS CUI-1)
C0027365 (UMLS CUI-2)
C0027365 (UMLS CUI-2)
Heart Failure
Item
Heart Failure
boolean
C0018801 (UMLS CUI-1)
NSTEMI
Item
NSTEMI
boolean
C3537184 (UMLS CUI-1)
Unstable Angina
Item
Unstable Angina
boolean
C0002965 (UMLS CUI-1)
CAD
Item
CAD
boolean
C1956346 (UMLS CUI-1)
Chest Pain
Item
Chest Pain
boolean
C0008031 (UMLS CUI-1)
Other cardiac diagnosis
Item
Other cardiac diagnosis
text
Allergies
Item
Allergies
text
C0020517 (UMLS CUI-1)
CL Item
Per unit protocol (Per unit protocol )
CL Item
Daily I&O Daily weights (Daily I&O Daily weights )
CL Item
Daily pulse oximetry (Daily pulse oximetry )
CL Item
O2 at 2-4L nasal cannula (maintain O2 saturation >92%) ( O2 at 2-4L nasal cannula (maintain O2 saturation >92%))
CL Item
Low fat/low cholesterol (Low fat/low cholesterol )
CL Item
Low Sodium (salt substitute) (Low Sodium (salt substitute) )
CL Item
Cardiac (no salt, no caffeine) (Cardiac (no salt, no caffeine) )
CL Item
Renal (Renal )
CL Item
NPO (NPO)
Intravenous Fluids
Item
Intravenous Fluids
text
C0522792 (UMLS CUI-1)
Fluid Restriction (ml/day)
Item
integer
CL Item
Complete Bed rest (Complete Bed rest )
CL Item
Bed rest with BR privileges (Bed rest with BR privileges )
CL Item
Progress as tolerated (Progress as tolerated )
CL Item
Other (Other)
CL Item
CBC/diff (CBC/diff )
C0545131 (UMLS CUI-1)
CL Item
BMP (BMP )
C2237045 (UMLS CUI-1)
CL Item
CPK (CPK)
C0201973 (UMLS CUI-1)
CL Item
CK-MB (CK-MB)
C0523584 (UMLS CUI-1)
CL Item
Troponin-1 q 6hrs x 3 (Troponin-1 q 6hrs x 3 )
CL Item
BNP (BNP )
CL Item
PT (PT )
CL Item
INR (INR)
CL Item
PTT (PTT )
CL Item
Fasting Lipid Profile in AM (NPO after midnight) (Fasting Lipid Profile in AM (NPO after midnight) )
CL Item
CMP and Magnesium (CMP and Magnesium )
CL Item
TFT (thyroid function) (TFT (thyroid function) )
CL Item
HgA1C (HgA1C )
CL Item
Urinalysis (Urinalysis )
CL Item
Urine drug screen (Urine drug screen )
CL Item
Digoxin level (Digoxin level)
ECG times
Item
ECG times
text
C0420796 (UMLS CUI-1)
CXR (PA & Lat) times
Item
CXR (PA & Lat) times
text
C2041426 (UMLS CUI-1)
Echocardiogram (if LVEF not known)
Item
Echocardiogram (if LVEF not known)
boolean
C0013516 (UMLS CUI-1)
LVEF (if known)
Item
LVEF (if known)
integer
CL Item
Cardiology (Cardiology )
CL Item
Nutrition for education/weight management (Nutrition for education/weight management )
CL Item
PT evaluation (PT evaluation )
CL Item
Pharmacy for education (Pharmacy for education )
CL Item
Social Services (Social Services )
CL Item
Home Health screening (Home Health screening )
CL Item
Smoking Cessation (Smoking Cessation)
Aspirin 325 mg now
Item
Aspirin 325 mg now (unless documented as previously given or contraindicated)
boolean
C0004057 (UMLS CUI-1)
CL Item
Allergy (Allergy)
CL Item
Bleeding (Bleeding)
CL Item
Other (Other)
Aspirin daily dose (mg)
Item
Aspirin daily dose
text
Aspirin daily dose (frequency)
Item
Aspirin daily dose (frequency)
text
Metoprolol now (mg)
Item
Metoprolol now (mg) (unless documented as given in ED or contraindicated)
text
C0025859 (UMLS CUI-1)
CL Item
COPD/Asthma (COPD/Asthma )
CL Item
Decompensated (Decompensated )
CL Item
CHF (CHF )
CL Item
Cocaine use (Cocaine use )
CL Item
AV block >1st degree (AV block >1st degree )
CL Item
Other (Other)
Metoprolol dose (mg)
Item
Metoprolol dose (mg)
text
Metroprolol (daily frequency)
Item
Metroprolol (daily frequency)
text
Carvedilol (Lopressor) dose (mg)
Item
Carvedilol (Lopressor) dose (mg)
text
C0054836 (UMLS CUI-1)
Carvedilol (Lopressor) daily frequency
Item
Carvedilol (Lopressor) (daily frequency)
text
Metoprolol Extended Release (Toprol XL) dose (mg)
Item
Metoprolol Extended Release (Toprol XL) dose (mg)
text
C1253003 (UMLS CUI-1)
Metoprolol Extended Release (Toprol XL) (daily frequency)
Item
Metoprolol Extended Release (Toprol XL) (daily frequency)
text
Other Medication
Item
Other Medication
text
Item
Contraindications
text
C0003015 (UMLS CUI-1)
C0522473 (UMLS CUI-2)
C0522473 (UMLS CUI-2)
CL Item
Renal insufficiency (Renal insufficiency )
CL Item
Allergy (Allergy )
CL Item
Other: (Other:)
Captopril (Capoten) daily dose (mg) and daily frequency
Item
Captopril (Capoten) daily dose (mg) and daily frequency
text
C0006938 (UMLS CUI-1)
Enalapril (Vasotec) daily dose (mg) and daily frequency
Item
Enalapril (Vasotec) daily dose (mg) and daily frequency
text
C0014025 (UMLS CUI-1)
Lisinopril (Vasotec) daily dose (mg) and daily frequency
Item
Lisinopril (Vasotec) daily dose (mg) and daily frequency
text
C0065374 (UMLS CUI-1)
Ramipril (Altace) daily dose (mg) and daily frequency
Item
Ramipril (Altace) daily dose (mg) and daily frequency
text
C0072973 (UMLS CUI-1)
Other ACE Inhibitor, daily dose (mg) and daily frequency
Item
text
Item
Contraindications
text
C0521942 (UMLS CUI-1)
C0522473 (UMLS CUI-2)
C0522473 (UMLS CUI-2)
CL Item
Renal insufficiency (Renal insufficiency )
CL Item
Allergy (Allergy )
CL Item
Other: (Other:)
Irbesartan (Avapro) daily frequency dose
Item
Irbesartan (Avapro) daily frequency dose in mg
text
C0288171 (UMLS CUI-1)
Valsartan (Diovan) daily frequency dose in mg
Item
Valsartan (Diovan) daily frequency dose in mg
text
C0216784 (UMLS CUI-1)
Hydralazine (Apresoline) daily frequency dose in mg
Item
Hydralazine (Apresoline) daily frequency dose in mg
text
C0699178 (UMLS CUI-1)
Isosorbide Dinitrate (Isordil, Dilatrate-SR, Isochron) daily frequency dose in mg
Item
Isosorbide Dinitrate (Isordil, Dilatrate-SR, Isochron) daily frequency dose in mg
text
C0022252 (UMLS CUI-1)
Isosorbide Mononitrate (Imdur, Ismo, Monoket) daily frequency dose in mg
Item
Isosorbide Mononitrate (Imdur, Ismo, Monoket) daily frequency dose in mg
text
C0064079 (UMLS CUI-1)
Nitroglycerin Patch (Minitran, Nitrek, Nitro-Dur) daily frequency dose in mg/hr
Item
Nitroglycerin Patch (Minitran, Nitrek, Nitro-Dur) daily frequency dose in mg/hr
text
C0699222 (UMLS CUI-1)
Nitroglycerin (NitroQuick, Nitrostat, Nitro-Tab) sublingual daily frequency dose in mg
Item
Nitroglycerin (NitroQuick, Nitrostat, Nitro-Tab) sublingual daily frequency dose in mg
text
C1247168 (UMLS CUI-1)
Furosemide (Lasix) daily frequency dose in mg
Item
Furosemide (Lasix) daily frequency dose in mg
text
C0016860 (UMLS CUI-1)
Bumetanide (Bumex) daily frequency dose in mg
Item
Bumetanide (Bumex) daily frequency dose in mg
text
C0006376 (UMLS CUI-1)
Torsemide (Demadex) daily frequency dose in mg
Item
Torsemide (Demadex) daily frequency dose in mg
text
C0360704 (UMLS CUI-1)
Other Diuretics (Dose and Frequency)
Item
text
Spironolactone (Aldactone) daily frequency dose in mg
Item
Spironolactone (Aldactone) daily frequency dose in mg
text
C0037982 (UMLS CUI-1)
Digoxin (Lanoxin) daily frequency dose in mg
Item
Digoxin (Lanoxin) daily frequency dose in mg
text
C0012265 (UMLS CUI-1)
Warfarin (Coumadin, Jantoven) daily dose in mg
Item
Warfarin (Coumadin, Jantoven) daily dose in mg, to be given at 21:00
text
C0043031 (UMLS CUI-1)
Simvastatin (Zocor) daily frequency dose in mg
Item
Simvastatin (Zocor) daily frequency dose in mg
text
C0074554 (UMLS CUI-1)
Rosuvastatin (Crestor) daily frequency dose in mg
Item
Rosuvastatin (Crestor) daily frequency dose in mg
text
C0965129 (UMLS CUI-1)
Atorvastatin (Lipitor) daily frequency dose in mg
Item
Atorvastatin (Lipitor) daily frequency dose in mg
text
C0286651 (UMLS CUI-1)
Eptifibatide (Integrilin)180 mcg/kg IV bolus, then 2mcg/kg/min IVinfusion for 72 hr
Item
Eptifibatide (Integrilin)180 mcg/kg IV bolus, then 2mcg/kg/min IVinfusion for 72 hr
boolean
C0253563 (UMLS CUI-1)
CL Item
10 mEq (10 mEq )
CL Item
20 mEq (20 mEq )
CL Item
40 mEq (40 mEq )
CL Item
60 mEq (60 mEq)
Oral Potassium Daily Frequency
Item
Oral Potassium Daily Frequency
text
C0357141 (UMLS CUI-1)
C3476109 (UMLS CUI-2)
C3476109 (UMLS CUI-2)
CL Item
400 mg (400 mg )
CL Item
800 mg (800 mg )
CL Item
other (other)
Oral Magnesium Daily Frequency
Item
Oral Magnesium Daily Frequency
text
C3540792 (UMLS CUI-1)
C3476109 (UMLS CUI-2)
C3476109 (UMLS CUI-2)
Enoxaparin (Lovenox) 1mg/kg SQ every 12 hours
Item
Enoxaparin (Lovenox) 1mg/kg SQ every 12 hours.
boolean
C0206460 (UMLS CUI-1)
DVT prophylaxis
Item
DVT prophylaxis (use Inpatient Anticoagulation Orders)
boolean
C0853245 (UMLS CUI-1)
other medication
Item
other medication
text
CL Item
Give Smoking Cessation Instructions to all patients who smoke ( Give Smoking Cessation Instructions to all patients who smoke )
CL Item
Give Myocardial Infarction Patient-Education Pamphlet (Give Myocardial Infarction Patient-Education Pamphlet )
CL Item
Given Heart Failure Pamphlet (Given Heart Failure Pamphlet )
CL Item
Give Post Cardiac Cathetherization Instruction Sheet (Give Post Cardiac Cathetherization Instruction Sheet )
CL Item
Give Post Pacemaker / AICD Instruction Sheet (Give Post Pacemaker / AICD Instruction Sheet )
CL Item
Other (Other)