ID

11810

Description

Form from HIS OpenVistA

Keywords

Versions (3)
  1. 2/19/12 2/19/12 -
  2. 7/25/15 7/25/15 - Martin Dugas
  3. 8/4/15 8/4/15 - Martin Dugas
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August 4, 2015

DOI

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Creative Commons BY-NC 3.0 Legacy
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PHARMACY CONSULT RESULTS HIS

German English

PHARMACY CONSULT RESULTS HIS

1 forms  
ADULT IMMUNIZATION PROTOCOL
Description

ADULT IMMUNIZATION PROTOCOL

Immunization ordered and available on Unit per protocol
Description

Immunization ordered and available on Unit per protocol

Data type

boolean

Influenza immunisation, Flu vaccination
Description

Influenza vaccine to be administered

Data type

boolean

Alias
UMLS CUI 2011AA
C0042200
SNOMED CT 2011_0131
86198006
MedDRA 14.1
10059429
ICD-9-CM Version 2011
99.52
Pneumococcal vaccination
Description

Pneumococcal vaccine to be administered

Data type

boolean

Alias
UMLS CUI 2011AA
C0419707
SNOMED CT 2011_0131
12866006
GENTAMICIN
Description

GENTAMICIN

Age
Description

Age

Data type

integer

Measurement units
  • years
Alias
SNOMED CT 2011_0131
397669002
UMLS CUI [1]
C0001779
years
Gender
Description

Gender

Data type

text

Alias
SNOMED CT 2011_0131
263495000
LOINC Version 232
MTHU002975
UMLS CUI [1]
C0079399
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
Serum creatinine
Description

Serum creatinine

Data type

float

Measurement units
  • mg/dL
Alias
SNOMED CT 2011_0131
113075003
MedDRA 14.1
10040230
UMLS CUI [1]
C0201976
mg/dL
BUN
Description

BUN

Data type

float

Measurement units
  • mg/dL
Alias
SNOMED CT 2011_0131
250623007
MedDRA 14.1
10005845
UMLS CUI [1]
C0005845
mg/dL
AMINOGLYCOSIDE EXCLUSIONS (14years and younger, burns over greater than 20% Body surface area (BSA), Endocarditis, CrCl <= 40ml/hr, Pregnancy, Cystic Fibrosis, Severe liver disease or ascites)
Description

AMINOGLYCOSIDE EXCLUSIONS

Data type

integer

Alias
UMLS CUI 2011AA
C0005902, C0014118, C0373595, C0549206, C0010674, C0860197
SNOMED CT 2011_0131
128178001, 56819008, 167181009, 190905008
MedDRA 14.1
10050311, 10014665, 10011371, 10036586, 10011762, 10001422
TOBRAMYCIN
Description

TOBRAMYCIN

Age
Description

Age

Data type

integer

Measurement units
  • years
Alias
SNOMED CT 2011_0131
397669002
UMLS CUI [1]
C0001779
years
Gender
Description

Gender

Data type

text

Alias
SNOMED CT 2011_0131
263495000
LOINC Version 232
MTHU002975
UMLS CUI [1]
C0079399
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
Serum creatinine
Description

Serum creatinine

Data type

float

Measurement units
  • mg/dL
Alias
SNOMED CT 2011_0131
113075003
MedDRA 14.1
10040230
UMLS CUI [1]
C0201976
mg/dL
BUN
Description

BUN

Data type

float

Measurement units
  • mg/dL
Alias
SNOMED CT 2011_0131
250623007
MedDRA 14.1
10005845
UMLS CUI [1]
C0005845
mg/dL
AMINOGLYCOSIDE EXCLUSIONS (14years and younger, burns over greater than 20% BSA, Endocarditis, CrCl <= 40ml/hr, Pregnancy, Cystic Fibrosis, Severe liver disease or ascites)
Description

AMINOGLYCOSIDE EXCLUSIONS

Data type

integer

Alias
UMLS CUI 2011AA
C0005902, C0014118, C0373595, C0549206, C0010674, C0860197
SNOMED CT 2011_0131
128178001, 56819008, 167181009, 190905008
MedDRA 14.1
10050311, 10014665, 10011371, 10036586, 10011762, 10001422
VANCOMYCIN
Description

VANCOMYCIN

VANCOMYCIN ORDER APPROVED (GUIDELINES FOR RECULTURE: VANCOMYCIN AFTER 7 DAYS MUST BE REEVALUATED AND IV THERAPY DISCONTINUED, IF INDICATED. RECULTURE IF NECESSARY 72 HOURS AFTER ANTIBIOTIC IS STOPPED)
Description

VANCOMYCIN ORDER APPROVED

Data type

boolean

Alias
UMLS CUI 2011AA
C0042313
SNOMED CT 2011_0131
42082003
LOINC Version 232
MTHU004271
UNAPPROVED VANCO ORDER, VANCOMYCIN IS NOT APPROVED FOR THE FOLLOWING USE:
Description

UNAPPROVED VANCO ORDER, VANCOMYCIN IS NOT APPROVED FOR THE FOLLOWING USE:

Data type

string

Routine surgical prophylaxis other than in a patient who has a life-threatening condition
Description

Routine surgical prophylaxis other than in a patient who has a life-threatening condition

Data type

boolean

Alias
SNOMED CT 2011_0131
360271000, 442452003
MedDRA 14.1
10036898
UMLS CUI [1,1]
C0199176
UMLS CUI [1,2]
C2711184
Treatment in response to a single blood culture positive for coagulase-negative staphylococcus, if other blood cultures drawn in the same time frame are negative,and if contamination of the blood culture is likely.
Description

Treatment in response to a single blood culture positive for coagulase-negative staphylococcus, if other blood cultures drawn in the same time frame are negative,and if contamination of the blood culture is likely.

Data type

boolean

Alias
SNOMED CT 2011_0131
30088009, 56038003
MedDRA 14.1
10005485, 10041925
ICD-10-CM Version 2010
A49.0
ICD-9-CM Version 2011
90.52
UMLS CUI [1,1]
C0200949
UMLS CUI [1,2]
C0038160
Continued empiric use for presumed infections in patients whose cultures are negative for beta-lactam-resistant gram-positive microorganisms.
Description

Continued empiric use for presumed infections in patients whose cultures are negative for beta-lactam-resistant gram-positive microorganisms.

Data type

boolean

Systemic or local prophylaxis for infection or colonization of indwelling central or peripheral intravascular catheters.
Description

Systemic or local prophylaxis for infection or colonization of indwelling central or peripheral intravascular catheters.

Data type

boolean

Alias
SNOMED CT 2011_0131
360271000, 52124006, 82449006
MedDRA 14.1
10036898
UMLS CUI [1,1]
C0199176
UMLS CUI [1,2]
C1145640
UMLS CUI [1,3]
C0179768
Selective decontamination of the digestive tract.
Description

Selective decontamination of the digestive tract.

Data type

boolean

Eradication of MRSA colonization (mupiracin should be applied topically).
Description

Eradication of MRSA colonization (mupiracin should be applied topically).

Data type

boolean

Alias
UMLS CUI 2011AA
C0343401
SNOMED CT 2011_0131
266096002
MedDRA 14.1
10021839
ICD-9-CM Version 2011
041.12
Primary treatment of antibiotic-associated colitis.
Description

Primary treatment of antibiotic-associated colitis.

Data type

boolean

Alias
UMLS CUI 2011AA
C0085819
SNOMED CT 2011_0131
397696004
MedDRA 14.1
10052815
Routine prophylaxis for very low-birth weight infants.
Description

Routine prophylaxis for very low-birth weight infants.

Data type

boolean

Routine prophylaxis for patients on continuous ambulatory peritoneal dialysis or hemodialysis.
Description

Routine prophylaxis for patients on continuous ambulatory peritoneal dialysis or hemodialysis.

Data type

boolean

Alias
UMLS CUI 2011AA
C0019004, C0031139
SNOMED CT 2011_0131
302497006, 71192002
MedDRA 14.1
10018875, 10034660
ICD-10-CM Version 2010
E71.43
ICD-9-CM Version 2011
39.95, 54.98
Treatment chosen for dosing convenience of infections due to beta-lactam sensitive gram-positive microorganisms in patients with renal failure.
Description

Treatment chosen for dosing convenience of infections due to beta-lactam sensitive gram-positive microorganisms in patients with renal failure.

Data type

boolean

Alias
UMLS CUI 2011AA
C1565489
MedDRA 14.1
10038474
Use of vancomycin solution for topical application or irrigation.
Description

Use of vancomycin solution for topical application or irrigation.

Data type

boolean

Alias
UMLS CUI 2011AA
C0042313, C0150349
SNOMED CT 2011_0131
42082003, 386439008
LOINC Version 232
MTHU004271
Other
Description

Other

Total Parenteral Nutrition
Description

TPN

Data type

string

Alias
UMLS CUI 2011AA
C0030548
SNOMED CT 2011_0131
225372007
MedDRA 14.1
10044107
LOINC Version 232
MTHU014331
ICD-9-CM Version 2011
99.15
Home medications reviewed and printout sent to floor.
Description

PHARMACY SCREENING

Data type

string

NURSERY MEDICATION ORDERS PLACED
Description

NURSERY MEDICATION ORDERS PLACED

Data type

string

PHYTONADIONE NEONATAL INJ 1MG/0.5ML IM ONCE (Comments: Administer Vit K in the anterior thigh)
Description

Intramuscular vitamin K prophylaxis given in hospital

Data type

boolean

Alias
UMLS CUI 2011AA
C1533032
ERYTHROMYCIN OINT, OPHTHALMIC ONCE (Apply to both eyes within 1 hour of birth in L&D)
Description

ERYTHROMYCIN OINT, OPHTHALMIC ONCE

Data type

boolean

Alias
UMLS CUI 2011AA
C0014806
SNOMED CT 2011_0131
30427009
LOINC Version 232
MTHU003043
TRIPLE DYE PIN POINT APPLICATOR, TOPICAL ONCE (Apply to cord after first bath)
Description

TRIPLE DYE PIN POINT APPLICATOR, TOPICAL ONCE

Data type

boolean

HEPATITIS B VACCINE PEDI INJ 5MCG/0.5ML IM ONCE (Give after consent is signed)
Description

HEPATITIS B VACCINE PEDI INJ 5MCG/0.5ML IM ONCE (Give after consent is signed)

Data type

boolean

Alias
SNOMED CT 2011_0131
66071002, 127785005
MedDRA 14.1
10019731, 10021431
UMLS CUI [1,1]
C0019163
UMLS CUI [1,2]
C0020971
A&D (VITAMIN A/VITAMIN D) OINT, TOP 60GM APPLY THIN LAYER PRN (May be used on perineum as needed)
Description

A&D (VITAMIN A/VITAMIN D) OINT, TOP 60GM APPLY THIN LAYER PRN (May be used on perineum as needed)

Data type

boolean

Alias
SNOMED CT 2011_0131
82622003, 30178006
LOINC Version 232
MTHU005041
UMLS CUI [1,1]
C0042839
UMLS CUI [1,2]
C0042866
OTHER
Description

OTHER

Data type

string

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Similar models

PHARMACY CONSULT RESULTS HIS

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
ADULT IMMUNIZATION PROTOCOL
Immunization ordered and available on Unit per protocol
Item
Immunization ordered and available on Unit per protocol
boolean
Influenza vaccine to be administered
Item
Influenza immunisation, Flu vaccination
boolean
C0042200 (UMLS CUI 2011AA)
86198006 (SNOMED CT 2011_0131)
10059429 (MedDRA 14.1)
99.52 (ICD-9-CM Version 2011)
Pneumococcal vaccine to be administered
Item
Pneumococcal vaccination
boolean
C0419707 (UMLS CUI 2011AA)
12866006 (SNOMED CT 2011_0131)
Item Group
GENTAMICIN
Age
Item
Age
integer
397669002 (SNOMED CT 2011_0131)
C0001779 (UMLS CUI [1])
Item
Gender
text
263495000 (SNOMED CT 2011_0131)
MTHU002975 (LOINC Version 232)
C0079399 (UMLS CUI [1])
Gender
Code List
Gender
CL Item
Male (M)
CL Item
Female (F)
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)
Creatinine, Serum
Item
Serum creatinine
float
113075003 (SNOMED CT 2011_0131)
10040230 (MedDRA 14.1)
C0201976 (UMLS CUI [1])
BUN
Item
BUN
float
250623007 (SNOMED CT 2011_0131)
10005845 (MedDRA 14.1)
C0005845 (UMLS CUI [1])
AMINOGLYCOSIDE EXCLUSIONS
Item
AMINOGLYCOSIDE EXCLUSIONS (14years and younger, burns over greater than 20% Body surface area (BSA), Endocarditis, CrCl <= 40ml/hr, Pregnancy, Cystic Fibrosis, Severe liver disease or ascites)
integer
C0005902, C0014118, C0373595, C0549206, C0010674, C0860197 (UMLS CUI 2011AA)
128178001, 56819008, 167181009, 190905008 (SNOMED CT 2011_0131)
10050311, 10014665, 10011371, 10036586, 10011762, 10001422 (MedDRA 14.1)
Item Group
TOBRAMYCIN
Age
Item
Age
integer
397669002 (SNOMED CT 2011_0131)
C0001779 (UMLS CUI [1])
Item
Gender
text
263495000 (SNOMED CT 2011_0131)
MTHU002975 (LOINC Version 232)
C0079399 (UMLS CUI [1])
Gender
Code List
Gender
CL Item
Male (M)
CL Item
Female (F)
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)
Creatinine, Serum
Item
Serum creatinine
float
113075003 (SNOMED CT 2011_0131)
10040230 (MedDRA 14.1)
C0201976 (UMLS CUI [1])
BUN
Item
BUN
float
250623007 (SNOMED CT 2011_0131)
10005845 (MedDRA 14.1)
C0005845 (UMLS CUI [1])
AMINOGLYCOSIDE EXCLUSIONS
Item
AMINOGLYCOSIDE EXCLUSIONS (14years and younger, burns over greater than 20% BSA, Endocarditis, CrCl <= 40ml/hr, Pregnancy, Cystic Fibrosis, Severe liver disease or ascites)
integer
C0005902, C0014118, C0373595, C0549206, C0010674, C0860197 (UMLS CUI 2011AA)
128178001, 56819008, 167181009, 190905008 (SNOMED CT 2011_0131)
10050311, 10014665, 10011371, 10036586, 10011762, 10001422 (MedDRA 14.1)
Item Group
VANCOMYCIN
VANCOMYCIN ORDER APPROVED
Item
VANCOMYCIN ORDER APPROVED (GUIDELINES FOR RECULTURE: VANCOMYCIN AFTER 7 DAYS MUST BE REEVALUATED AND IV THERAPY DISCONTINUED, IF INDICATED. RECULTURE IF NECESSARY 72 HOURS AFTER ANTIBIOTIC IS STOPPED)
boolean
C0042313 (UMLS CUI 2011AA)
42082003 (SNOMED CT 2011_0131)
MTHU004271 (LOINC Version 232)
UNAPPROVED VANCO ORDER, VANCOMYCIN IS NOT APPROVED FOR THE FOLLOWING USE:
Item
UNAPPROVED VANCO ORDER, VANCOMYCIN IS NOT APPROVED FOR THE FOLLOWING USE:
string
Routine surgical prophylaxis other than in a patient who has a life-threatening condition
Item
Routine surgical prophylaxis other than in a patient who has a life-threatening condition
boolean
360271000, 442452003 (SNOMED CT 2011_0131)
10036898 (MedDRA 14.1)
C0199176 (UMLS CUI [1,1])
C2711184 (UMLS CUI [1,2])
Treatment in response to a single blood culture positive for coagulase-negative staphylococcus, if other blood cultures drawn in the same time frame are negative,and if contamination of the blood culture is likely.
Item
Treatment in response to a single blood culture positive for coagulase-negative staphylococcus, if other blood cultures drawn in the same time frame are negative,and if contamination of the blood culture is likely.
boolean
30088009, 56038003 (SNOMED CT 2011_0131)
10005485, 10041925 (MedDRA 14.1)
A49.0 (ICD-10-CM Version 2010)
90.52 (ICD-9-CM Version 2011)
C0200949 (UMLS CUI [1,1])
C0038160 (UMLS CUI [1,2])
Continued empiric use for presumed infections in patients whose cultures are negative for beta-lactam-resistant gram-positive microorganisms.
Item
Continued empiric use for presumed infections in patients whose cultures are negative for beta-lactam-resistant gram-positive microorganisms.
boolean
Systemic or local prophylaxis for infection or colonization of indwelling central or peripheral intravascular catheters.
Item
Systemic or local prophylaxis for infection or colonization of indwelling central or peripheral intravascular catheters.
boolean
360271000, 52124006, 82449006 (SNOMED CT 2011_0131)
10036898 (MedDRA 14.1)
C0199176 (UMLS CUI [1,1])
C1145640 (UMLS CUI [1,2])
C0179768 (UMLS CUI [1,3])
Selective decontamination of the digestive tract.
Item
Selective decontamination of the digestive tract.
boolean
Eradication of MRSA colonization (mupiracin should be applied topically).
Item
Eradication of MRSA colonization (mupiracin should be applied topically).
boolean
C0343401 (UMLS CUI 2011AA)
266096002 (SNOMED CT 2011_0131)
10021839 (MedDRA 14.1)
041.12 (ICD-9-CM Version 2011)
Primary treatment of antibiotic-associated colitis.
Item
Primary treatment of antibiotic-associated colitis.
boolean
C0085819 (UMLS CUI 2011AA)
397696004 (SNOMED CT 2011_0131)
10052815 (MedDRA 14.1)
Routine prophylaxis for very low-birth weight infants.
Item
Routine prophylaxis for very low-birth weight infants.
boolean
Routine prophylaxis for patients on continuous ambulatory peritoneal dialysis or hemodialysis.
Item
Routine prophylaxis for patients on continuous ambulatory peritoneal dialysis or hemodialysis.
boolean
C0019004, C0031139 (UMLS CUI 2011AA)
302497006, 71192002 (SNOMED CT 2011_0131)
10018875, 10034660 (MedDRA 14.1)
E71.43 (ICD-10-CM Version 2010)
39.95, 54.98 (ICD-9-CM Version 2011)
Treatment chosen for dosing convenience of infections due to beta-lactam sensitive gram-positive microorganisms in patients with renal failure.
Item
Treatment chosen for dosing convenience of infections due to beta-lactam sensitive gram-positive microorganisms in patients with renal failure.
boolean
C1565489 (UMLS CUI 2011AA)
10038474 (MedDRA 14.1)
Use of vancomycin solution for topical application or irrigation.
Item
Use of vancomycin solution for topical application or irrigation.
boolean
C0042313, C0150349 (UMLS CUI 2011AA)
42082003, 386439008 (SNOMED CT 2011_0131)
MTHU004271 (LOINC Version 232)
Item Group
Other
TPN
Item
Total Parenteral Nutrition
string
C0030548 (UMLS CUI 2011AA)
225372007 (SNOMED CT 2011_0131)
10044107 (MedDRA 14.1)
MTHU014331 (LOINC Version 232)
99.15 (ICD-9-CM Version 2011)
PHARMACY SCREENING
Item
Home medications reviewed and printout sent to floor.
string
NURSERY MEDICATION ORDERS PLACED
Item
NURSERY MEDICATION ORDERS PLACED
string
Intramuscular vitamin K prophylaxis given in hospital
Item
PHYTONADIONE NEONATAL INJ 1MG/0.5ML IM ONCE (Comments: Administer Vit K in the anterior thigh)
boolean
C1533032 (UMLS CUI 2011AA)
ERYTHROMYCIN OINT, OPHTHALMIC ONCE
Item
ERYTHROMYCIN OINT, OPHTHALMIC ONCE (Apply to both eyes within 1 hour of birth in L&D)
boolean
C0014806 (UMLS CUI 2011AA)
30427009 (SNOMED CT 2011_0131)
MTHU003043 (LOINC Version 232)
TRIPLE DYE PIN POINT APPLICATOR, TOPICAL ONCE
Item
TRIPLE DYE PIN POINT APPLICATOR, TOPICAL ONCE (Apply to cord after first bath)
boolean
HEPATITIS B VACCINE PEDI INJ 5MCG/0.5ML IM ONCE
Item
HEPATITIS B VACCINE PEDI INJ 5MCG/0.5ML IM ONCE (Give after consent is signed)
boolean
66071002, 127785005 (SNOMED CT 2011_0131)
10019731, 10021431 (MedDRA 14.1)
C0019163 (UMLS CUI [1,1])
C0020971 (UMLS CUI [1,2])
A&D (VITAMIN A/VITAMIN D) OINT, TOP 60GM APPLY THIN LAYER PRN
Item
A&D (VITAMIN A/VITAMIN D) OINT, TOP 60GM APPLY THIN LAYER PRN (May be used on perineum as needed)
boolean
82622003, 30178006 (SNOMED CT 2011_0131)
MTHU005041 (LOINC Version 232)
C0042839 (UMLS CUI [1,1])
C0042866 (UMLS CUI [1,2])
OTHER
Item
OTHER
string
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