ID

12531

Description

DIVI-Protocol for documentation purposes of emergency medical response by emergency physicians (Version 5.1 2015) Deutsche interdisziplinaere Vereinigung fuer Intensiv und Notfallmedizin DIVI (German interdisciplinary association for intensive and emergeny medical care)

Keywords

Versions (1)
  1. 11/26/15 11/26/15 -
Uploaded on

November 26, 2015

DOI

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License

Creative Commons BY-NC 3.0
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Patient referral Emergency Physician protocol DIVI

English

Patient referral Emergency Physician protocol DIVI

1 forms  
Vital signs at patient referral
Description

Vital signs at patient referral

Time of transfer
Description

Time of transfer

Data type

time

Alias
UMLS CUI [1,1]
C3846725
UMLS CUI [1,2]
C0040223
GCS at transfer time
Description

GCS at transfer time

Data type

integer

Alias
UMLS CUI [1]
C1271007
Blood pressure
Description

Blood Pressure

Data type

integer

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Heart rate
Description

Heart rate

Data type

integer

Measurement units
  • bpm
Alias
UMLS CUI [1]
C0018810
bpm
Heart Rate
Description

Heart Rate

Data type

integer

Alias
UMLS CUI [1]
C0018810
Blood Glucose
Description

Blood Glucose

Data type

float

Alias
UMLS CUI [1]
C0202042
Unit used for measuring blood glucose
Description

Unit used for measuring blood glucose

Data type

text

Alias
UMLS CUI [1]
C0202042
Blood Glucose low
Description

Blood Glucose low

Data type

boolean

Alias
UMLS CUI [1]
C0202042
Blood glucose high
Description

Blood glucose high

Data type

boolean

Alias
UMLS CUI [1]
C0202042
Respiratory rate
Description

respiratory rate

Data type

integer

Measurement units
  • /min
Alias
UMLS CUI [1]
C0231832
/min
SaO2
Description

SaO2

Data type

integer

Alias
UMLS CUI [1]
C0523807
Body Temperature
Description

Body Temperature

Data type

float

Measurement units
  • °C
Alias
UMLS CUI [1]
C0005903
°C
etCO2
Description

etCO2

Data type

float

Measurement units
  • mmHg
Alias
UMLS CUI [1]
C0428658
mmHg
Pain scale
Description

Pain scale

Data type

text

Alias
UMLS CUI [1]
C1504479
ECG findings
Description

ECG findings

Data type

text

Alias
UMLS CUI [1]
C0438154
Respiratory pattern
Description

Respiratory pattern

Data type

text

Alias
UMLS CUI [1]
C0517967
state of consciousness
Description

state of consciousness

Data type

text

Alias
UMLS CUI [1]
C0517960
Mission development particularities
Description

Mission development particularities

Referral from emergency vehicle with emergency physician
Description

Referral from emergency vehicle with emergency physician

Data type

boolean

Alias
UMLS CUI [1,1]
C0583804
UMLS CUI [1,2]
C0180717
Referral to emergency vehicle with emergency physician
Description

Referral to emergency vehicle with emergency physician

Data type

boolean

Alias
UMLS CUI [1,1]
C0420374
UMLS CUI [1,2]
C0180717
Transport mode to hospital
Description

Transport mode to hospital

Data type

text

Alias
UMLS CUI [1]
C3699693
examination and treatment without transport
Description

examination and treatment without transport

Data type

text

Alias
UMLS CUI [1]
C2711581
Increased cleaning effort
Description

Increased cleaning effort

Data type

boolean

difficult patient access
Description

difficult patient access

Data type

boolean

Alias
UMLS CUI [1,1]
C3841939
UMLS CUI [1,2]
C0332218
Technical rescue required
Description

Technical rescue required

Data type

boolean

Heavy transport required
Description

Heavy transport required

Data type

boolean

Alias
UMLS CUI [1]
C0336807
Mass casualties
Description

Mass casualties

Data type

boolean

Alias
UMLS CUI [1]
C1955958
Coordinating emergency physician on site
Description

Coordinating emergency physician on site

Data type

boolean

Alias
UMLS CUI [1,1]
C0586803
UMLS CUI [1,2]
C1710100
Treatment of more than one patient
Description

Treatment of more than one patient

Data type

boolean

Alias
UMLS CUI [1]
C0087111
Patient referral
Description

Patient referral

Patient remitted to
Description

Patient remitted to

Data type

text

Alias
UMLS CUI [1]
C0019982
receiving caregiver name
Description

receiving caregiver name

Data type

text

Alias
UMLS CUI [1,1]
C0085537
UMLS CUI [1,2]
C0027365
Comments
Description

Comments

Further comments
Description

i.e family practitioner, phone number of relatives

Data type

text

Alias
UMLS CUI [1]
C1830770
Signature
Description

Signature

Signature of emergency physician
Description

Signature of emergency physician

Data type

text

Alias
UMLS CUI [1]
C1550483
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Similar models

Patient referral Emergency Physician protocol DIVI

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Vital signs at patient referral
Time of transfer
Item
Time of transfer
time
C3846725 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
GCS at transfer time
Item
GCS at transfer time
integer
C1271007 (UMLS CUI [1])
Blood Pressure
Item
Blood pressure
integer
C0005823 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Item
Heart Rate
integer
C0018810 (UMLS CUI [1])
Heart Rate
Code List
Heart Rate
CL Item
rhythmical (1)
CL Item
arrhythmical (2)
Blood Glucose
Item
Blood Glucose
float
C0202042 (UMLS CUI [1])
Item
Unit used for measuring blood glucose
text
C0202042 (UMLS CUI [1])
Unit used for measuring blood glucose
Code List
Unit used for measuring blood glucose
CL Item
mg/dl (1)
CL Item
mmol/l (2)
Blood Glucose low
Item
Blood Glucose low
boolean
C0202042 (UMLS CUI [1])
Blood glucose high
Item
Blood glucose high
boolean
C0202042 (UMLS CUI [1])
respiratory rate
Item
Respiratory rate
integer
C0231832 (UMLS CUI [1])
SaO2
Item
SaO2
integer
C0523807 (UMLS CUI [1])
Body Temperature
Item
Body Temperature
float
C0005903 (UMLS CUI [1])
etCO2
Item
etCO2
float
C0428658 (UMLS CUI [1])
Item
Pain scale
text
C1504479 (UMLS CUI [1])
Pain scale
Code List
Pain scale
CL Item
0 no pain at all (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
CL Item
10 unbearable pain (10)
Item
ECG findings
text
C0438154 (UMLS CUI [1])
ECG findings
Code List
ECG findings
CL Item
sinus rhthm (1)
CL Item
arrhythmia absoluta (2)
CL Item
AV-block II° (3)
CL Item
AV-block III° (4)
CL Item
pacemaker (5)
CL Item
artrial fibrillation (6)
CL Item
electro-mechanical dissociation (7)
CL Item
asystole (8)
CL Item
STEMI (9)
CL Item
small complex tachycardia (10)
CL Item
wide complex tachycardia (11)
CL Item
SVES/VES monomorph (12)
CL Item
VES polymorph (13)
CL Item
not done (0)
Item
Respiratory pattern
text
C0517967 (UMLS CUI [1])
Respiratory pattern
Code List
Respiratory pattern
CL Item
not examined (0)
CL Item
without pathological finding (1)
CL Item
Dyspnea (2)
CL Item
gasping (3)
CL Item
Apnea (4)
CL Item
artificial ventilation (5)
CL Item
other pathological breathing pattern (6)
CL Item
stridor (7)
CL Item
cyanosis (8)
CL Item
spasticity (9)
CL Item
hyperventilation (10)
CL Item
choking (11)
CL Item
rattling sound (12)
Item
state of consciousness
text
C0517960 (UMLS CUI [1])
state of consciousness
Code List
state of consciousness
CL Item
not examined (0)
CL Item
alert (1)
CL Item
sleepy (2)
CL Item
unconscious (3)
CL Item
response to verbal stimulus (4)
CL Item
response to pain stimulus (5)
CL Item
anesthetized (6)
CL Item
can not be assessed (7)
Item Group
Mission development particularities
Referral from emergency vehicle with emergency physician
Item
Referral from emergency vehicle with emergency physician
boolean
C0583804 (UMLS CUI [1,1])
C0180717 (UMLS CUI [1,2])
Referral to emergency vehicle with emergency physician
Item
Referral to emergency vehicle with emergency physician
boolean
C0420374 (UMLS CUI [1,1])
C0180717 (UMLS CUI [1,2])
Item
Transport mode to hospital
text
C3699693 (UMLS CUI [1])
Transport mode to hospital
Code List
Transport mode to hospital
CL Item
with physician attendance (1)
CL Item
by helicopter (2)
CL Item
at least one hospital declines patient (3)
CL Item
forced referral to hospital (4)
CL Item
compulsory care (5)
Item
examination and treatment without transport
text
C2711581 (UMLS CUI [1])
examination and treatment without transport
Code List
examination and treatment without transport
CL Item
patient declines transport (1)
CL Item
patient not fit for transport (2)
CL Item
treatment abandoned/limited (deliberate) (3)
Increased cleaning effort
Item
Increased cleaning effort
boolean
difficult patient access
Item
difficult patient access
boolean
C3841939 (UMLS CUI [1,1])
C0332218 (UMLS CUI [1,2])
Technical rescue required
Item
Technical rescue required
boolean
Heavy transport required
Item
Heavy transport required
boolean
C0336807 (UMLS CUI [1])
Mass casualties
Item
Mass casualties
boolean
C1955958 (UMLS CUI [1])
Coordinating emergency physician on site
Item
Coordinating emergency physician on site
boolean
C0586803 (UMLS CUI [1,1])
C1710100 (UMLS CUI [1,2])
Treatment of more than one patient
Item
Treatment of more than one patient
boolean
C0087111 (UMLS CUI [1])
Item Group
Patient referral
Item
Patient remitted to
text
C0019982 (UMLS CUI [1])
Patient remitted to
Code List
Patient remitted to
CL Item
none (0)
CL Item
at site (1)
CL Item
emergency room (2)
CL Item
stroke unit (3)
CL Item
intensive care (4)
CL Item
surgical theater (5)
CL Item
doctors office (6)
CL Item
general practitioner (7)
CL Item
special outpatient service (8)
CL Item
resuscitation room (9)
CL Item
cardiac catheter lab (10)
CL Item
chest pain unit (11)
CL Item
general ward (12)
CL Item
other (13)
receiving caregiver name
Item
receiving caregiver name
text
C0085537 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Item Group
Comments
Further comments
Item
Further comments
text
C1830770 (UMLS CUI [1])
Item Group
Signature
Signature of emergency physician
Item
Signature of emergency physician
text
C1550483 (UMLS CUI [1])
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