English

AAFP: Pyelonephritis Admission Order

1 forms  
Default Itemgroup
Description

Default Itemgroup

Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Age
Description

Age

Data type

integer

Alias
UMLS CUI [1]
C0001779
Date of Birth
Description

Date of Birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Medical record number
Description

Medical record number

Data type

integer

Alias
UMLS CUI [1]
C1301894
Status
Description

Status

Status
Description

Status

Data type

text

Alias
UMLS CUI [1]
C0449438
If Other, please specify
Description

Status

Data type

text

Alias
UMLS CUI [1,1]
C0449438
UMLS CUI [1,2]
C0205394
Attending
Description

Attending

Name of attending physician
Description

attending physician

Data type

text

Alias
UMLS CUI [1]
C2361125
Phone number of attending physician
Description

Phone number of attending physician

Data type

integer

Alias
UMLS CUI [1]
C3262226
Admitting Diagnosis
Description

Admitting Diagnosis

Pyelonephritis Associated Diagnoses
Description

Admitting Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0332133
Condition
Description

Condition

Condition
Description

Condition

Data type

text

Alias
UMLS CUI [1]
C3714565
Code Status
Description

Code Status

Data type

text

Alias
UMLS CUI [1]
C0742531
Allergies
Description

Allergies

Allergies
Description

Allergies

Data type

text

Alias
UMLS CUI [1]
C0020517
Diet
Description

Diet

NPO
Description

Diet

Data type

boolean

Alias
UMLS CUI [1,1]
C0419179
UMLS CUI [1,2]
C0012155
Clear liquid
Description

Diet

Data type

boolean

Alias
UMLS CUI [1]
C2184084
AHA step 2
Description

Diet

Data type

boolean

Alias
UMLS CUI [1]
C2191775
ADA___calories
Description

Diet

Data type

boolean

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C1556156
If Diet according to ADA, please specify amount of calories
Description

Diet

Data type

integer

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C1556156
Other
Description

Diet

Data type

boolean

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0205394
If Other, please specify
Description

Diet

Data type

text

Alias
UMLS CUI [1,1]
C0012155
UMLS CUI [1,2]
C0205394
Activity
Description

Activity

Bed rest with bedside commode
Description

Activity

Data type

boolean

Alias
UMLS CUI [1,1]
C0026606
UMLS CUI [1,2]
C0004910
bathroom privileges
Description

Activity

Data type

boolean

Alias
UMLS CUI [1]
C1827269
Up ad lib
Description

Activity

Data type

boolean

Alias
UMLS CUI [1]
C0510756
Nursing
Description

Nursing

Vital signs every 4 hrs for 24 hrs then every shift
Description

Nursing

Data type

boolean

Alias
UMLS CUI [1]
C0518766
Notify MD for: T > 101.5, P > 120, BP < 90/60 or > 180/110
Description

Nursing

Data type

boolean

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C0028678
Daily weight
Description

Daily weight

Data type

boolean

Alias
UMLS CUI [1]
C1305866
I&O
Description

I&O

Data type

boolean

Alias
UMLS CUI [1]
C0204708
Medications
Description

Medications

Levaquin 500 mg IV every 24 hrs
Description

Medications

Data type

boolean

Alias
UMLS CUI [1]
C0721336
Tylenol 650 mg PO every 4 hrs prn temp > 100/pain
Description

Medications

Data type

boolean

Alias
UMLS CUI [1]
C0699142
Phenergan 25 mg IV/IM every 4 hrs prn nausea
Description

Medications

Data type

boolean

Alias
UMLS CUI [1]
C0591971
Demerol 50 mg IM every 4 hrs prn pain
Description

Medications

Data type

boolean

Alias
UMLS CUI [1]
C0935966
If toxic: consider adding Gentamycin (7mg/kg/day) IVP; adjust for renal dose if indicated
Description

Medications

Data type

boolean

Alias
UMLS CUI [1]
C3854019
IV
Description

IV

Dextrose 5% in 1/2 normal saline @ 100 mL/hr
Description

IV

Data type

boolean

Alias
UMLS CUI [1]
C0308813
Other
Description

IV

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205394
If Other, please specify
Description

IV

Data type

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205394
Lab
Description

Lab

Admission: blood cultures x2 prior to antibiotics, CBC, UA, urine culture, basal metabolic profile
Description

Lab

Data type

boolean

Alias
UMLS CUI [1]
C0200949
UMLS CUI [2]
C0009555
UMLS CUI [3]
C0042014
UMLS CUI [4]
C0848716
UMLS CUI [5]
C3853758
Daily: CBC
Description

Lab

Data type

boolean

Alias
UMLS CUI [1]
C0009555
Other
Description

Other

If history of stones or recurrent pyelo consider IVP or renal ultrasound
Description

Other

Data type

boolean

Alias
UMLS CUI [1]
C0022650
UMLS CUI [2]
C0748199
UMLS CUI [3]
C0203408
DVT prophylaxis with Lovenox 40 mg sc daily
Description

Other

Data type

boolean

Alias
UMLS CUI [1,1]
C0853245
UMLS CUI [1,2]
C0728963
Signature
Description

Signature

Data type

text

Alias
UMLS CUI [1]
C1519316
Print Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Date and Time
Description

Date and Time

Data type

datetime

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0040223
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Similar models

AAFP: Pyelonephritis Admission Order

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Medical record number
Item
Medical record number
integer
C1301894 (UMLS CUI [1])
Item Group
Status
Item
Status
text
C0449438 (UMLS CUI [1])
Status
Code List
Status
CL Item
Observation (1)
CL Item
Admission (2)
CL Item
Medical floor (3)
CL Item
Monitored bed (4)
CL Item
Other (5)
Status
Item
If Other, please specify
text
C0449438 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Attending
attending physician
Item
Name of attending physician
text
C2361125 (UMLS CUI [1])
Phone number of attending physician
Item
Phone number of attending physician
integer
C3262226 (UMLS CUI [1])
Item Group
Admitting Diagnosis
Admitting Diagnosis
Item
Pyelonephritis Associated Diagnoses
text
C0332133 (UMLS CUI [1])
Item Group
Condition
Item
Condition
text
C3714565 (UMLS CUI [1])
Condition
Code List
Condition
CL Item
Stable (1)
CL Item
Fair (2)
CL Item
Serious (3)
CL Item
Critical (4)
Item
Code Status
text
C0742531 (UMLS CUI [1])
Condition
Code List
Code Status
CL Item
Full Code (1)
CL Item
DNR (2)
Item Group
Allergies
Allergies
Item
Allergies
text
C0020517 (UMLS CUI [1])
Item Group
Diet
Diet
Item
NPO
boolean
C0419179 (UMLS CUI [1,1])
C0012155 (UMLS CUI [1,2])
Diet
Item
Clear liquid
boolean
C2184084 (UMLS CUI [1])
Diet
Item
AHA step 2
boolean
C2191775 (UMLS CUI [1])
Diet
Item
ADA___calories
boolean
C0012155 (UMLS CUI [1,1])
C1556156 (UMLS CUI [1,2])
Diet
Item
If Diet according to ADA, please specify amount of calories
integer
C0012155 (UMLS CUI [1,1])
C1556156 (UMLS CUI [1,2])
Diet
Item
Other
boolean
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Diet
Item
If Other, please specify
text
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Activity
Activity
Item
Bed rest with bedside commode
boolean
C0026606 (UMLS CUI [1,1])
C0004910 (UMLS CUI [1,2])
Activity
Item
bathroom privileges
boolean
C1827269 (UMLS CUI [1])
Activity
Item
Up ad lib
boolean
C0510756 (UMLS CUI [1])
Item Group
Nursing
Nursing
Item
Vital signs every 4 hrs for 24 hrs then every shift
boolean
C0518766 (UMLS CUI [1])
Nursing
Item
Notify MD for: T > 101.5, P > 120, BP < 90/60 or > 180/110
boolean
C0518766 (UMLS CUI [1,1])
C0028678 (UMLS CUI [1,2])
Daily weight
Item
Daily weight
boolean
C1305866 (UMLS CUI [1])
I&O
Item
I&O
boolean
C0204708 (UMLS CUI [1])
Item Group
Medications
Medications
Item
Levaquin 500 mg IV every 24 hrs
boolean
C0721336 (UMLS CUI [1])
Medications
Item
Tylenol 650 mg PO every 4 hrs prn temp > 100/pain
boolean
C0699142 (UMLS CUI [1])
Medications
Item
Phenergan 25 mg IV/IM every 4 hrs prn nausea
boolean
C0591971 (UMLS CUI [1])
Medications
Item
Demerol 50 mg IM every 4 hrs prn pain
boolean
C0935966 (UMLS CUI [1])
Medications
Item
If toxic: consider adding Gentamycin (7mg/kg/day) IVP; adjust for renal dose if indicated
boolean
C3854019 (UMLS CUI [1])
Item Group
IV
IV
Item
Dextrose 5% in 1/2 normal saline @ 100 mL/hr
boolean
C0308813 (UMLS CUI [1])
IV
Item
Other
boolean
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
IV
Item
If Other, please specify
text
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Lab
Lab
Item
Admission: blood cultures x2 prior to antibiotics, CBC, UA, urine culture, basal metabolic profile
boolean
C0200949 (UMLS CUI [1])
C0009555 (UMLS CUI [2])
C0042014 (UMLS CUI [3])
C0848716 (UMLS CUI [4])
C3853758 (UMLS CUI [5])
Lab
Item
Daily: CBC
boolean
C0009555 (UMLS CUI [1])
Item Group
Other
Other
Item
If history of stones or recurrent pyelo consider IVP or renal ultrasound
boolean
C0022650 (UMLS CUI [1])
C0748199 (UMLS CUI [2])
C0203408 (UMLS CUI [3])
Other
Item
DVT prophylaxis with Lovenox 40 mg sc daily
boolean
C0853245 (UMLS CUI [1,1])
C0728963 (UMLS CUI [1,2])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
Name
Item
Print Name
text
C0027365 (UMLS CUI [1])
Date and Time
Item
Date and Time
datetime
C0011008 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
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