ID

16580

Beschreibung

AAFP: Acute Pancreatitis Admission Order , Standardizes Admission Orders, Author: Robert M. Wiprud, MD The primary purpose of these Ordersets is to decrease unnecessary variability and to improve quality through standardized Admission Orders. Developed by the Scott & White Clinic at College Station, Texas. Copyright © 2006 American Academy of Family Physicians. Physicians may photocopy or adapt for use in their own practices; all other rights reserved. Wiprud RM. Providing consistent care with standardized admission orders. Fam Pract Manag. September 2006: 49-52 See http://www.aafp.org/fpm/2006/0900/p49.html This ODM Form includes the twenty-third section ("AAFP: Acute Pancreatitis Admission Order ")

Link

http://www.aafp.org/fpm/2006/0900/p49.html

Stichworte

Versionen (2)
  1. 04.07.16 04.07.16 -
  2. 25.07.16 25.07.16 -
Hochgeladen am

25. Juli 2016

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AAFP: Acute Pancreatitis Admission Order

Englisch

AAFP: Acute Pancreatitis Admission Order

1 Formulare  
Default Itemgroup
Beschreibung

Default Itemgroup

Name
Beschreibung

Name

Datentyp

text

Alias
UMLS CUI [1]
C0027365
Age
Beschreibung

Age

Datentyp

integer

Alias
UMLS CUI [1]
C0001779
Date of Birth
Beschreibung

Date of Birth

Datentyp

date

Alias
UMLS CUI [1]
C0421451
Medical record number
Beschreibung

Medical record number

Datentyp

integer

Alias
UMLS CUI [1]
C1301894
Status
Beschreibung

Status

Status
Beschreibung

Status

Datentyp

text

Alias
UMLS CUI [1]
C0449438
Attending
Beschreibung

Attending

Name of attending physician
Beschreibung

Name of attending physician

Datentyp

text

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

Phone number of attending physician

Datentyp

integer

Alias
UMLS CUI [1]
C3262226
Admitting Diagnosis
Beschreibung

Admitting Diagnosis

Acute Pancreatitis Associated Diagnoses
Beschreibung

Admitting Diagnosis

Datentyp

text

Alias
UMLS CUI [1]
C0332133
Condition
Beschreibung

Condition

Condition
Beschreibung

Physical Condition

Datentyp

text

Alias
UMLS CUI [1]
C1142435
Allergies
Beschreibung

Allergies

Allergies
Beschreibung

Allergies

Datentyp

text

Alias
UMLS CUI [1]
C0020517
Diet
Beschreibung

Diet

NPO
Beschreibung

NPO

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0419179
UMLS CUI [1,2]
C0012155
NG tube to low suction; irrigate prn
Beschreibung

Nasogastric feeding

Datentyp

boolean

Alias
UMLS CUI [1]
C0192456
Activity
Beschreibung

Activity

Bed rest
Beschreibung

Bed rest

Datentyp

boolean

Alias
UMLS CUI [1]
C0004910
Bed rest with bathroom privileges with assistance
Beschreibung

Bed rest with bathroom privileges

Datentyp

boolean

Alias
UMLS CUI [1]
C0026606
Up ad lib
Beschreibung

Up ad lib

Datentyp

boolean

Alias
UMLS CUI [1]
C0510756
Nursing
Beschreibung

Nursing

Vital signs and temperature every 4 hrs
Beschreibung

Vital signs

Datentyp

boolean

Alias
UMLS CUI [1]
C0518766
Notify MD if: systolic BP < 90 or > 180; temperature > 101.5 PO; pulse < 55 bpm or > 120 bpm
Beschreibung

Vital signs

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C1639221
I&O
Beschreibung

I&O

Datentyp

boolean

Alias
UMLS CUI [1]
C0204708
Daily weights
Beschreibung

Daily weights

Datentyp

boolean

Alias
UMLS CUI [1]
C1305866
IV
Beschreibung

IV

Normal saline @250 mL/hr x 2L, then D5
Beschreibung

Normal saline

Datentyp

boolean

Alias
UMLS CUI [1]
C0445115
Normal saline with 20 mEq KCl/L
Beschreibung

Normal saline with 20 mEq KCl/L

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0445115
UMLS CUI [1,2]
C1445714
Other
Beschreibung

Other medication

Datentyp

boolean

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

If Other, please specify

Datentyp

boolean

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

Lab

Admission: CBC, comp met profile, amylase, lipase, UA, PT/INR
Beschreibung

CBC, comp met profile, amylase, lipase, UA, PT/INR

Datentyp

boolean

Alias
UMLS CUI [1]
C0009555
UMLS CUI [2]
C3853758
UMLS CUI [3]
C0201883
UMLS CUI [4]
C0373670
UMLS CUI [5]
C0042014
UMLS CUI [6]
C0005790
In a.m.: Lipid profile, amylase, CBC, basal metabolic profile
Beschreibung

In a.m.: Lipid profile, amylase, CBC, basal metabolic profile

Datentyp

boolean

Alias
UMLS CUI [1]
C0850354
UMLS CUI [2]
C0009555
UMLS CUI [3]
C3853758
UMLS CUI [4]
C0201883
Daily: CBC, basal metabolic profile, amylase every a.m.
Beschreibung

Daily: CBC, basal metabolic profile, amylase every a.m.

Datentyp

boolean

Alias
UMLS CUI [1]
C0009555
UMLS CUI [2]
C3853758
UMLS CUI [3]
C0201883
Medications
Beschreibung

Medications

Meperidine 25-100 mg slow IVP every 2-4 hrs prn for pain
Beschreibung

Meperidine

Datentyp

boolean

Alias
UMLS CUI [1]
C0025376
Protonix 40 mg IV daily
Beschreibung

Protonix

Datentyp

boolean

Alias
UMLS CUI [1]
C0876139
Other
Beschreibung

Other Medication

Datentyp

boolean

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

If Other, please specify

Datentyp

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205394
Radiology
Beschreibung

Radiology

Acute abdominal series
Beschreibung

Acute abdominal series

Datentyp

boolean

CXR-PA and Lat
Beschreibung

CXR-PA and Lat if not done

Datentyp

boolean

Ultrasound RUQ-Pancreatitis
Beschreibung

Ultrasound RUQ-Pancreatitis

Datentyp

boolean

Alias
UMLS CUI [1]
C1980572
CT abdomen with and without contrast
Beschreibung

Radiology

Datentyp

boolean

Alias
UMLS CUI [1]
C0412620
Consider
Beschreibung

Consider

Gl consult
Beschreibung

Gl consult

Datentyp

boolean

Alias
UMLS CUI [1]
C0850503
Lovenox ___mg subcutaneously daily for DVT prophylaxis
Beschreibung

Lovenox for DVT prophylaxis

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0728963
UMLS CUI [1,2]
C0853245
If Lovenox, please specify amount
Beschreibung

Amount of Lovenox

Datentyp

integer

Maßeinheiten
  • mg
Alias
UMLS CUI [1,1]
C0728963
UMLS CUI [1,2]
C0678766
mg
Blood cultures X2 if febrile
Beschreibung

Blood culture

Datentyp

boolean

Alias
UMLS CUI [1]
C0200949
Other Orders
Beschreibung

Other Orders

Other Orders
Beschreibung

Other Order

Datentyp

text

Alias
UMLS CUI [1,1]
C1705178
UMLS CUI [1,2]
C0205394
Signature
Beschreibung

Signature

Datentyp

text

Alias
UMLS CUI [1]
C1519316
Print Name
Beschreibung

Print Name

Datentyp

text

Alias
UMLS CUI [1]
C0027365
Date and Time
Beschreibung

Date and Time

Datentyp

datetime

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0040223
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Ähnliche Modelle

AAFP: Acute Pancreatitis Admission Order

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
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
Admission (1)
CL Item
Medical floor (2)
CL Item
Monitored bed (3)
CL Item
ICU (4)
Item Group
Attending
Name of 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
Acute Pancreatitis Associated Diagnoses
text
C0332133 (UMLS CUI [1])
Item Group
Condition
Item
Condition
text
C1142435 (UMLS CUI [1])
Condition
Code List
Condition
CL Item
Stable (1)
CL Item
Fair (2)
CL Item
Serious (3)
CL Item
Critical (4)
Item Group
Allergies
Allergies
Item
Allergies
text
C0020517 (UMLS CUI [1])
Item Group
Diet
NPO
Item
NPO
boolean
C0419179 (UMLS CUI [1,1])
C0012155 (UMLS CUI [1,2])
Nasogastric feeding
Item
NG tube to low suction; irrigate prn
boolean
C0192456 (UMLS CUI [1])
Item Group
Activity
Bed rest
Item
Bed rest
boolean
C0004910 (UMLS CUI [1])
Bed rest with bathroom privileges
Item
Bed rest with bathroom privileges with assistance
boolean
C0026606 (UMLS CUI [1])
Up ad lib
Item
boolean
C0510756 (UMLS CUI [1])
Item Group
Nursing
Vital signs
Item
Vital signs and temperature every 4 hrs
boolean
C0518766 (UMLS CUI [1])
Vital signs
Item
Notify MD if: systolic BP < 90 or > 180; temperature > 101.5 PO; pulse < 55 bpm or > 120 bpm
boolean
C0518766 (UMLS CUI [1,1])
C1639221 (UMLS CUI [1,2])
I&O
Item
I&O
boolean
C0204708 (UMLS CUI [1])
Daily weights
Item
Daily weights
boolean
C1305866 (UMLS CUI [1])
Item Group
IV
Normal saline
Item
Normal saline @250 mL/hr x 2L, then D5
boolean
C0445115 (UMLS CUI [1])
Normal saline with 20 mEq KCl/L
Item
Normal saline with 20 mEq KCl/L
boolean
C0445115 (UMLS CUI [1,1])
C1445714 (UMLS CUI [1,2])
Other medication
Item
Other
boolean
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
If Other, please specify
Item
If Other, please specify
boolean
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Lab
CBC, comp met profile, amylase, lipase, UA, PT/INR
Item
Admission: CBC, comp met profile, amylase, lipase, UA, PT/INR
boolean
C0009555 (UMLS CUI [1])
C3853758 (UMLS CUI [2])
C0201883 (UMLS CUI [3])
C0373670 (UMLS CUI [4])
C0042014 (UMLS CUI [5])
C0005790 (UMLS CUI [6])
In a.m.: Lipid profile, amylase, CBC, basal metabolic profile
Item
In a.m.: Lipid profile, amylase, CBC, basal metabolic profile
boolean
C0850354 (UMLS CUI [1])
C0009555 (UMLS CUI [2])
C3853758 (UMLS CUI [3])
C0201883 (UMLS CUI [4])
Daily: CBC, basal metabolic profile, amylase every a.m.
Item
Daily: CBC, basal metabolic profile, amylase every a.m.
boolean
C0009555 (UMLS CUI [1])
C3853758 (UMLS CUI [2])
C0201883 (UMLS CUI [3])
Item Group
Medications
Meperidine
Item
Meperidine 25-100 mg slow IVP every 2-4 hrs prn for pain
boolean
C0025376 (UMLS CUI [1])
Protonix
Item
Protonix 40 mg IV daily
boolean
C0876139 (UMLS CUI [1])
Other Medication
Item
Other
boolean
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
If Other, please specify
Item
If Other, please specify
text
C0013227 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Radiology
Acute abdominal series
Item
Acute abdominal series
boolean
CXR-PA and Lat
Item
boolean
Ultrasound RUQ-Pancreatitis
Item
Ultrasound RUQ-Pancreatitis
boolean
C1980572 (UMLS CUI [1])
Radiology
Item
CT abdomen with and without contrast
boolean
C0412620 (UMLS CUI [1])
Item Group
Consider
Gl consult
Item
Gl consult
boolean
C0850503 (UMLS CUI [1])
Lovenox for DVT prophylaxis
Item
Lovenox ___mg subcutaneously daily for DVT prophylaxis
boolean
C0728963 (UMLS CUI [1,1])
C0853245 (UMLS CUI [1,2])
Amount of Lovenox
Item
If Lovenox, please specify amount
integer
C0728963 (UMLS CUI [1,1])
C0678766 (UMLS CUI [1,2])
Blood culture
Item
Blood cultures X2 if febrile
boolean
C0200949 (UMLS CUI [1])
Item Group
Other Orders
Other Order
Item
Other Orders
text
C1705178 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
Print 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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