ID
15686
Description
Routine documentation in German hospitals. Source file name: VL160105_Pflegebericht/ Pflegebericht.107 and Pflegebericht.108 Examplary forms provided by DMI (http://www.dmi.de/)
Link
Keywords
Versions (1)
- 6/8/16 6/8/16 -
Uploaded on
June 8, 2016
DOI
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License
Creative Commons BY-NC 3.0
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Proof of execution Nursing report Routine documentation in German hospitals DMI
Proof of execution Nursing report
- StudyEvent: ODM
Description
Körperpflege
Alias
- UMLS CUI-1
- C0036592
Description
Date and time
Data type
datetime
Alias
- UMLS CUI [1]
- C1264639
Description
Independent for personal grooming
Data type
boolean
Alias
- UMLS CUI [1]
- C0429950
Description
Independent for personal grooming
Data type
boolean
Alias
- UMLS CUI [1]
- C0429950
Description
washing
Data type
boolean
Description
wash oneself
Data type
text
Alias
- UMLS CUI [1]
- C0441648
Description
bathing
Data type
text
Alias
- UMLS CUI [1]
- C0150141
Description
Body care
Data type
text
Alias
- UMLS CUI [1]
- C0036592
Description
oral hygiene
Data type
boolean
Alias
- UMLS CUI [1]
- C0029164
Description
Body care
Data type
boolean
Alias
- UMLS CUI [1]
- C0036592
Description
Bathing
Data type
text
Alias
- UMLS CUI [1]
- C0150141
Description
Body care
Data type
text
Alias
- UMLS CUI [1]
- C0036592
Description
oral hygiene
Data type
text
Alias
- UMLS CUI [1]
- C0029164
Description
shaving face
Data type
boolean
Alias
- UMLS CUI [1]
- C2136539
Description
eye care
Data type
text
Alias
- UMLS CUI [1]
- C0885957
Description
Ernährung
Alias
- UMLS CUI-1
- C0600072
Description
Date and time
Data type
datetime
Alias
- UMLS CUI [1]
- C1264639
Description
Independent feeding
Data type
boolean
Alias
- UMLS CUI [1]
- C0429947
Description
Food preparation
Data type
boolean
Alias
- UMLS CUI [1]
- C0920297
Description
Tube feeding of patient
Data type
boolean
Alias
- UMLS CUI [1]
- C0041281
Description
Tube feeding of patient
Data type
boolean
Alias
- UMLS CUI [1]
- C0041281
Description
food intake
Data type
boolean
Alias
- UMLS CUI [1]
- C0086311
Description
Ausscheidung
Alias
- UMLS CUI-1
- C0504085
Description
Date and time
Data type
datetime
Alias
- UMLS CUI [1]
- C1264639
Description
Independent in toilet
Data type
boolean
Alias
- UMLS CUI [1]
- C0429975
Description
urination
Data type
boolean
Alias
- UMLS CUI [1]
- C0042034
Description
Toilet dependency
Data type
boolean
Alias
- UMLS CUI [1]
- C0429972
Description
defecation
Data type
boolean
Alias
- UMLS CUI [1]
- C0011135
Description
Emptying catheter bag
Data type
boolean
Alias
- UMLS CUI [1]
- C0455031
Description
Colostomy bag changed
Data type
boolean
Alias
- UMLS CUI [1]
- C0438289
Description
Vomiting
Data type
boolean
Alias
- UMLS CUI [1]
- C0042963
Description
urination
Data type
boolean
Alias
- UMLS CUI [1]
- C0042034
Description
defecation
Data type
boolean
Alias
- UMLS CUI [1]
- C0011135
Description
Bewegung und Lagerung
Alias
- UMLS CUI-1
- C0026649
- UMLS CUI-2
- C1561964
Description
Date and time
Data type
datetime
Alias
- UMLS CUI [1]
- C1264639
Description
Independent walking
Data type
boolean
Alias
- UMLS CUI [1]
- C0429979
Description
Standing up
Data type
boolean
Alias
- UMLS CUI [1]
- C0444796
Description
walking
Data type
boolean
Alias
- UMLS CUI [1]
- C0080331
Description
Positioning
Data type
boolean
Alias
- UMLS CUI [1]
- C1561964
Description
mobilise
Data type
boolean
Alias
- UMLS CUI [1]
- C0578131
Description
prophylaxis pneumonia
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0199176
- UMLS CUI [1,2]
- C0032285
Description
prophylaxis Thrombosis
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0199176
- UMLS CUI [1,2]
- C0040053
Description
antithrombosis stockings
Data type
text
Description
prophylaxis decubitus
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0199176
- UMLS CUI [1,2]
- C0011127
Description
positioning
Data type
boolean
Alias
- UMLS CUI [1]
- C1561964
Description
mobilise
Data type
boolean
Alias
- UMLS CUI [1]
- C0578131
Description
Lagerung in Zusammenhang mit: OP, Invasiven Maßnahmen, akuten Krankheitsphasen
Alias
- UMLS CUI-1
- C0150305
Description
Clinical Services Surgery Disease phases
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1704289
- UMLS CUI [1,2]
- C0543467
- UMLS CUI [1,3]
- C0457338
Description
Blood pressure; pulse; Body Temperature
Data type
boolean
Alias
- UMLS CUI [1]
- C0005823
- UMLS CUI [2]
- C0034107
- UMLS CUI [3]
- C0005903
Description
vital signs
Data type
boolean
Alias
- UMLS CUI [1]
- C0518766
Description
urine
Data type
boolean
Alias
- UMLS CUI [1]
- C0042036
Description
After bleeding
Data type
boolean
Alias
- UMLS CUI [1]
- C3552928
Description
drainage system
Data type
boolean
Description
urinary catheter
Data type
text
Alias
- UMLS CUI [1]
- C0042019
Description
Date urinary catheter
Data type
date
Alias
- UMLS CUI [1,1]
- C0011008
- UMLS CUI [1,2]
- C0042019
Description
vital signs
Data type
boolean
Alias
- UMLS CUI [1]
- C0518766
Description
Medikation
Alias
- UMLS CUI-1
- C0013227
Description
premedication
Data type
boolean
Alias
- UMLS CUI [1]
- C0033045
Description
Intramuscular injection
Data type
boolean
Alias
- UMLS CUI [1]
- C0021492
Description
subcutaneous injections
Data type
boolean
Alias
- UMLS CUI [1]
- C0021499
Description
Inhalation Drug Administration
Data type
boolean
Alias
- UMLS CUI [1]
- C0001559
Description
Infusion
Data type
boolean
Alias
- UMLS CUI [1]
- C0574032
Description
Transfusion
Data type
boolean
Alias
- UMLS CUI [1]
- C1879316
Description
intravenous drug administration cytostatic drugs
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1522726
- UMLS CUI [1,2]
- C0010858
Description
Adverse effects
Data type
boolean
Alias
- UMLS CUI [1]
- C0879626
Description
Blood sugar monitoring
Data type
boolean
Alias
- UMLS CUI [1]
- C3825243
Description
Wund- / Hautbehandlung
Alias
- UMLS CUI-1
- C0886052
Description
wound care
Data type
boolean
Alias
- UMLS CUI [1]
- C0886052
Description
skin care
Data type
boolean
Alias
- UMLS CUI [1]
- C2094232
Description
skin care Umbilicus
Data type
boolean
Alias
- UMLS CUI [1,1]
- C2094232
- UMLS CUI [1,2]
- C0041638
Description
dressing change
Data type
boolean
Alias
- UMLS CUI [1]
- C0085671
Description
wound care
Data type
boolean
Alias
- UMLS CUI [1]
- C0886052
Description
wound care
Data type
boolean
Alias
- UMLS CUI [1]
- C0886052
Description
skin care
Data type
boolean
Alias
- UMLS CUI [1]
- C2094232
Description
dressing change
Data type
boolean
Alias
- UMLS CUI [1]
- C0085671
Description
wound care
Data type
boolean
Alias
- UMLS CUI [1]
- C0886052
Description
wound care
Data type
boolean
Alias
- UMLS CUI [1]
- C0886052
Description
skin care
Data type
boolean
Alias
- UMLS CUI [1]
- C2094232
Description
nursing care level
Data type
integer
Alias
- UMLS CUI [1,1]
- C0338042
- UMLS CUI [1,2]
- C0338043
- UMLS CUI [1,3]
- C0338044
- UMLS CUI [1,4]
- C0338045
Description
Berichte
Alias
- UMLS CUI-1
- C0684224
Similar models
Proof of execution Nursing report
- StudyEvent: ODM
C1561964 (UMLS CUI-2)
C0032285 (UMLS CUI [1,2])
C0040053 (UMLS CUI [1,2])
C0011127 (UMLS CUI [1,2])
C0543467 (UMLS CUI [1,2])
C0457338 (UMLS CUI [1,3])
C0034107 (UMLS CUI [2])
C0005903 (UMLS CUI [3])
C0042019 (UMLS CUI [1,2])
C0010858 (UMLS CUI [1,2])
C0041638 (UMLS CUI [1,2])
C0338043 (UMLS CUI [1,2])
C0338044 (UMLS CUI [1,3])
C0338045 (UMLS CUI [1,4])
C0684224 (UMLS CUI [1,2])