ID

165

Descripción

Form from HIS OpenVistA

Palabras clave

  1. 10/2/12 10/2/12 -
  2. 9/7/15 9/7/15 - Martin Dugas
  3. 28/8/15 28/8/15 - Martin Dugas
Subido en

10 de febrero de 2012

DOI

Para solicitar uno, por favor iniciar sesión.

Licencia

Creative Commons BY-NC 3.0 Legacy

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HIS CARDIAC REHAB CONSULT

  1. StudyEvent: HIS
    1. HIS
Date, Diagnosis, BMI
Descripción

Date, Diagnosis, BMI

DATE REFERRAL RECEIVED
Descripción

DATE REFERRAL RECEIVED

Tipo de datos

date

ADMISSION DATE TO CARDIAC REHABILITATION
Descripción

ADMISSION DATE TO CARDIAC REHABILITATION

Tipo de datos

date

Diagnose
Descripción

Diagnosis

Tipo de datos

string

Alias
UMLS CUI
C0011900
SNOMED CT 2010_0731
439401001
LOINC Version 232
MTHU008876
Gewicht
Descripción

Current Weight

Tipo de datos

string

Alias
UMLS CUI
C1305866
SNOMED CT 2010_0731
107647005
MedDRA 13.1
10047890
LOINC Version 232
LP18015-5
Größe
Descripción

Current Height

Tipo de datos

string

Alias
UMLS CUI
C0489786
LOINC Version 232
MTHU005354
BMI
Descripción

BMI

Tipo de datos

string

Alias
UMLS CUI
C1305855
SNOMED CT 2010_0731
140075008
MedDRA 13.1
10005894
LOINC Version 232
LP35925-4
SYMPTOM(S) ON ADMISSION
Descripción

SYMPTOM(S) ON ADMISSION

SYMPTOM(S) ON ADMISSION (Arm/Shoulder discomfort, Chest discomfort, Diaphoresis and sweating, Dizziness, Dyspnea/SOB, Fatigue, Indigestion, Nausea/Vomiting, Neck/Jaw discomfort, Other)
Descripción

SYMPTOM(S) ON ADMISSION

Tipo de datos

string

PAST CARDIAC HISTORY
Descripción

PAST CARDIAC HISTORY

PAST CARDIAC HISTORY
Descripción

PAST CARDIAC HISTORY

Tipo de datos

string

PAST Medical HISTORY
Descripción

PAST Medical HISTORY

Akutes Nierenversagen/Dialyse
Descripción

ARF/Dialysis

Tipo de datos

string

Arthritis
Descripción

Arthritis

Tipo de datos

string

Alias
UMLS CUI
C0003864
SNOMED CT 2010_0731
3723001
MedDRA 13.1
10003246
LOINC Version 232
MTHU020793
ICD-10-CM Version 2010
M19.90
ICD-9-CM Version 2011
716.9
CTCAE Version 4.03
E12378
Asthma
Descripción

Asthma

Tipo de datos

string

Alias
UMLS CUI
C0004096
SNOMED CT 2010_0731
195967001
MedDRA 13.1
10003553
LOINC Version 232
MTHU020815
ICD-10-CM Version 2010
J45
ICD-9-CM Version 2011
493
Krebs
Descripción

Cancer

Tipo de datos

string

Alias
UMLS CUI
C0006826
SNOMED CT 2010_0731
363346000
MedDRA 13.1
10028997
LOINC Version 232
MTHU010328
ICD-10-CM Version 2010
C00-C96
COPD
Descripción

COPD

Tipo de datos

string

Alias
UMLS CUI
C0024117
SNOMED CT 2010_0731
13645005
MedDRA 13.1
10009033
ICD-10-CM Version 2010
J44.9
ICD-9-CM Version 2011
496
Depression
Descripción

Depression

Tipo de datos

string

Alias
UMLS CUI
C0011581
SNOMED CT 2010_0731
35489007
MedDRA 13.1
10012401
ICD-10-CM Version 2010
F32.9
Orthopedic Limitation
Descripción

Orthopedic Limitation

Tipo de datos

string

Schilddrüsenerkrankung
Descripción

Thyroid Disorder

Tipo de datos

string

Alias
UMLS CUI
C0040128
SNOMED CT 2010_0731
14304000
MedDRA 13.1
10043709
ICD-10-CM Version 2010
E00-E07
ICD-9-CM Version 2011
240-246.99
Other
Descripción

Other

Tipo de datos

string

History of Hypertension
Descripción

History of Hypertension

Tipo de datos

string

History of Diabetes
Descripción

History of Diabetes

Tipo de datos

string

Cholesterol History
Descripción

Cholesterol History

Tipo de datos

string

LIPID VALUES THIS ADMISSION
Descripción

LIPID VALUES THIS ADMISSION

Tipo de datos

string

Körperliche Aktivität
Descripción

Physical Activity

Tipo de datos

string

Alias
UMLS CUI
C0026606
SNOMED CT 2010_0731
68130003
LOINC Version 232
MTHU017278
PERTINENT SOCIAL HISTORY
Descripción

PERTINENT SOCIAL HISTORY

Family Status
Descripción

Family Status

Tipo de datos

string

PATIENT LIVES
Descripción

PATIENT LIVES

Tipo de datos

string

Beschäftigungsstatus
Descripción

Employment Status

Tipo de datos

string

Alias
UMLS CUI
C0242271
SNOMED CT 2010_0731
224362002
Familienanamnese
Descripción

Family History

Tipo de datos

string

Alias
UMLS CUI
C0241889
SNOMED CT 2010_0731
57177007
Stress
Descripción

Stress/ Psychological Concerns

Tipo de datos

string

Alias
UMLS CUI
C0038435
SNOMED CT 2010_0731
262188008
MedDRA 13.1
10042209
PATIENT APPEARS (Behavior)
Descripción

PATIENT APPEARS (Behavior)

Tipo de datos

string

Smoking History
Descripción

Smoking History

Raucher
Descripción

Uses tobacco products

Tipo de datos

string

Alias
UMLS CUI
CL025861
HOW MUCH Smoking
Descripción

HOW MUCH Smoking

Tipo de datos

string

Quit at time of hospitalization
Descripción

Quit at time of hospitalization

Tipo de datos

string

Former smoker(not smoked more than 6 months)
Descripción

Former smoker(not smoked more than 6 months)

Tipo de datos

string

Quit smoking in
Descripción

Quit smoking in

Tipo de datos

date

Never Smoked
Descripción

Never Smoked

Tipo de datos

string

NARRATIVE
Descripción

NARRATIVE

Tipo de datos

string

Procedure Date and Results
Descripción

Procedure Date and Results

Herzkatheter
Descripción

CARDIAC CATHETERIZATION

Tipo de datos

string

Alias
UMLS CUI
C0018795
SNOMED CT 2010_0731
41976001
MedDRA 13.1
10007815
ICD-9-CM Version 2011
37.21
CARDIAC CATHETERIZATION DATE
Descripción

CARDIAC CATHETERIZATION DATE

Tipo de datos

string

Ejektionsfraktion (EF)
Descripción

Ejection Fraction

Tipo de datos

string

Alias
UMLS CUI
C0232174
SNOMED CT 2010_0731
70822001
LV FUNCTION
Descripción

LV FUNCTION

Tipo de datos

string

MARK WITH % OCCLUSIONS
Descripción

MARK WITH % OCCLUSIONS

Tipo de datos

string

LM
Descripción

LM

Tipo de datos

string

LAD
Descripción

LAD

Tipo de datos

string

DIAGONAL
Descripción

DIAGONAL

Tipo de datos

string

CX
Descripción

CX

Tipo de datos

string

ADDITIONAL COMMENTS
Descripción

ADDITIONAL COMMENTS

Tipo de datos

string

PTCI / STENT
Descripción

PTCI / STENT

Tipo de datos

string

PTCI DATE
Descripción

PTCI DATE

Tipo de datos

string

PTCA
Descripción

PTCA

Tipo de datos

string

STENT
Descripción

STENT

Tipo de datos

string

ATHERECTOMY
Descripción

ATHERECTOMY

Tipo de datos

string

IIB/IIA INHIBITOR
Descripción

IIB/IIA INHIBITOR

Tipo de datos

string

MARK WITH APPROPRIATE LETTER: PTCA-(P), STENT-(S), ATHERECTOMY-(A)
Descripción

MARK WITH APPROPRIATE LETTER: PTCA-(P), STENT-(S), ATHERECTOMY-(A)

Tipo de datos

string

LM
Descripción

LM

Tipo de datos

string

LAD
Descripción

LAD

Tipo de datos

string

DIAGONAL
Descripción

DIAGONAL

Tipo de datos

string

CX
Descripción

CX

Tipo de datos

string

ADDITIONAL COMMENTS
Descripción

ADDITIONAL COMMENTS

Tipo de datos

string

SURGERY
Descripción

SURGERY

Tipo de datos

string

Koronare Bypassoperation
Descripción

CABG

Tipo de datos

string

Alias
UMLS CUI
C0010055
SNOMED CT 2010_0731
232717009
MedDRA 13.1
10011077
ICD-9-CM Version 2011
36.10
DATE CABG
Descripción

DATE CABG

Tipo de datos

date

MIDCAB
Descripción

MIDCAB

Tipo de datos

string

AVR
Descripción

AVR

Tipo de datos

string

MVR
Descripción

MVR

Tipo de datos

string

OTHER PROCEDURES
Descripción

OTHER PROCEDURES

Tipo de datos

string

CARDIOVASCULAR RISK FACTOR
Descripción

CARDIOVASCULAR RISK FACTOR

Tipo de datos

string

CORRELATE A NUMBER WITH GRAFT ORIGIN SITE
Descripción

CORRELATE A NUMBER WITH GRAFT ORIGIN SITE

Tipo de datos

string

DONOR AREA TO
Descripción

DONOR AREA TO

Tipo de datos

string

LIMA
Descripción

LIMA

Tipo de datos

string

RIMA
Descripción

RIMA

Tipo de datos

string

RADIAL
Descripción

RADIAL

Tipo de datos

string

SVG
Descripción

SVG

Tipo de datos

string

RPD
Descripción

RPD

Tipo de datos

string

PATIENT/FAMILY EDUCATION
Descripción

PATIENT/FAMILY EDUCATION

BOOKLET(S) GIVEN
Descripción

BOOKLET(S) GIVEN

Tipo de datos

string

DATE BOOKLET(S) given
Descripción

DATE BOOKLET(S) given

Tipo de datos

date

BOOKLET VERSIONS
Descripción

BOOKLET VERSIONS

Tipo de datos

string

VIDEO(S) SHOWN
Descripción

VIDEO(S) SHOWN

Tipo de datos

string

DATE VIDEO(S) shown
Descripción

DATE VIDEO(S) shown

Tipo de datos

string

VIDEO VERSION
Descripción

VIDEO VERSION

Tipo de datos

string

LEARNER
Descripción

LEARNER

Tipo de datos

string

PATIENT'S PHYSICAL READINESS TO LEARN
Descripción

PATIENT'S PHYSICAL READINESS TO LEARN

Tipo de datos

string

PSYCHOLOGICALLY WILLING TO LEARN
Descripción

PSYCHOLOGICALLY WILLING TO LEARN

Tipo de datos

string

EDUCATIONAL TOPICS: 1.Description of Cardiac Catheterization and site care, 2.Heart structure and function, 3.Myocardial Infarction symptoms and interventions, 4.Unstable Angina symptoms and interventons, 5.Congestive Heart Failure and importance of daily weights, 6.PTCI (Angioplasty,Stent), 7.Open Heart Surgery
Descripción

EDUCATIONAL TOPICS Heart Disease

Tipo de datos

string

EDUCATIONAL TOPICS CORONARY RISK AND MODIFICATION: 1.Tobacco Cessation, 2.Exercise guidelines, aerobic exercise for minimum of 30 minutes, 3.Dietary Modifications, 4.Stress Management, 5.Cholesterol and Triglycerides, 6.Diabetes Management, 7.Obesity, 8.Medication, 9.Hypertension
Descripción

EDUCATIONAL TOPICS CORONARY RISK AND MODIFICATION

Tipo de datos

string

DISCHARGE SPECIFIC INSTRUCTIONS: 1.Activity, 2.Site / Incision care, 3.Daily Weight, 4.Returning to work, 5.Driving, 6.Recurrent Chest Pain, 7.Psychosocial, 8.Coumadin, 9.Sex
Descripción

DISCHARGE SPECIFIC INSTRUCTIONS

Tipo de datos

string

CARDIAC REHAB NARRATIVE
Descripción

CARDIAC REHAB NARRATIVE

Tipo de datos

string

Similar models

  1. StudyEvent: HIS
    1. HIS
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
DATE REFERRAL RECEIVED
Item
DATE REFERRAL RECEIVED
date
ADMISSION DATE TO CARDIAC REHABILITATION
Item
ADMISSION DATE TO CARDIAC REHABILITATION
date
Diagnosis
Item
Diagnose
string
C0011900 (UMLS CUI)
439401001 (SNOMED CT 2010_0731)
MTHU008876 (LOINC Version 232)
Current Weight
Item
Gewicht
string
C1305866 (UMLS CUI)
107647005 (SNOMED CT 2010_0731)
10047890 (MedDRA 13.1)
LP18015-5 (LOINC Version 232)
Current Height
Item
Größe
string
C0489786 (UMLS CUI)
MTHU005354 (LOINC Version 232)
BMI
Item
BMI
string
C1305855 (UMLS CUI)
140075008 (SNOMED CT 2010_0731)
10005894 (MedDRA 13.1)
LP35925-4 (LOINC Version 232)
SYMPTOM(S) ON ADMISSION
Item
SYMPTOM(S) ON ADMISSION (Arm/Shoulder discomfort, Chest discomfort, Diaphoresis and sweating, Dizziness, Dyspnea/SOB, Fatigue, Indigestion, Nausea/Vomiting, Neck/Jaw discomfort, Other)
string
PAST CARDIAC HISTORY
Item
PAST CARDIAC HISTORY
string
ARF/Dialysis
Item
Akutes Nierenversagen/Dialyse
string
Arthritis
Item
Arthritis
string
C0003864 (UMLS CUI)
3723001 (SNOMED CT 2010_0731)
10003246 (MedDRA 13.1)
MTHU020793 (LOINC Version 232)
M19.90 (ICD-10-CM Version 2010)
716.9 (ICD-9-CM Version 2011)
E12378 (CTCAE Version 4.03)
Asthma
Item
Asthma
string
C0004096 (UMLS CUI)
195967001 (SNOMED CT 2010_0731)
10003553 (MedDRA 13.1)
MTHU020815 (LOINC Version 232)
J45 (ICD-10-CM Version 2010)
493 (ICD-9-CM Version 2011)
Cancer
Item
Krebs
string
C0006826 (UMLS CUI)
363346000 (SNOMED CT 2010_0731)
10028997 (MedDRA 13.1)
MTHU010328 (LOINC Version 232)
C00-C96 (ICD-10-CM Version 2010)
COPD
Item
COPD
string
C0024117 (UMLS CUI)
13645005 (SNOMED CT 2010_0731)
10009033 (MedDRA 13.1)
J44.9 (ICD-10-CM Version 2010)
496 (ICD-9-CM Version 2011)
Depression
Item
Depression
string
C0011581 (UMLS CUI)
35489007 (SNOMED CT 2010_0731)
10012401 (MedDRA 13.1)
F32.9 (ICD-10-CM Version 2010)
Orthopedic Limitation
Item
Orthopedic Limitation
string
Thyroid Disorder
Item
Schilddrüsenerkrankung
string
C0040128 (UMLS CUI)
14304000 (SNOMED CT 2010_0731)
10043709 (MedDRA 13.1)
E00-E07 (ICD-10-CM Version 2010)
240-246.99 (ICD-9-CM Version 2011)
Other
Item
Other
string
History of Hypertension
Item
History of Hypertension
string
History of Diabetes
Item
History of Diabetes
string
Cholesterol History
Item
Cholesterol History
string
LIPID VALUES THIS ADMISSION
Item
LIPID VALUES THIS ADMISSION
string
Physical Activity
Item
Körperliche Aktivität
string
C0026606 (UMLS CUI)
68130003 (SNOMED CT 2010_0731)
MTHU017278 (LOINC Version 232)
Family Status
Item
Family Status
string
PATIENT LIVES
Item
PATIENT LIVES
string
Employment Status
Item
Beschäftigungsstatus
string
C0242271 (UMLS CUI)
224362002 (SNOMED CT 2010_0731)
Family History
Item
Familienanamnese
string
C0241889 (UMLS CUI)
57177007 (SNOMED CT 2010_0731)
Stress/ Psychological Concerns
Item
Stress
string
C0038435 (UMLS CUI)
262188008 (SNOMED CT 2010_0731)
10042209 (MedDRA 13.1)
PATIENT APPEARS (Behavior)
Item
PATIENT APPEARS (Behavior)
string
Uses tobacco products
Item
Raucher
string
CL025861 (UMLS CUI)
HOW MUCH Smoking
Item
HOW MUCH Smoking
string
Quit at time of hospitalization
Item
Quit at time of hospitalization
string
Former smoker(not smoked more than 6 months)
Item
Former smoker(not smoked more than 6 months)
string
Quit smoking in
Item
Quit smoking in
date
Never Smoked
Item
Never Smoked
string
NARRATIVE
Item
NARRATIVE
string
CARDIAC CATHETERIZATION
Item
Herzkatheter
string
C0018795 (UMLS CUI)
41976001 (SNOMED CT 2010_0731)
10007815 (MedDRA 13.1)
37.21 (ICD-9-CM Version 2011)
CARDIAC CATHETERIZATION DATE
Item
CARDIAC CATHETERIZATION DATE
string
Ejection Fraction
Item
Ejektionsfraktion (EF)
string
C0232174 (UMLS CUI)
70822001 (SNOMED CT 2010_0731)
LV FUNCTION
Item
LV FUNCTION
string
MARK WITH % OCCLUSIONS
Item
MARK WITH % OCCLUSIONS
string
LM
Item
LM
string
LAD
Item
LAD
string
DIAGONAL
Item
DIAGONAL
string
CX
Item
CX
string
ADDITIONAL COMMENTS
Item
ADDITIONAL COMMENTS
string
PTCI / STENT
Item
PTCI / STENT
string
PTCI DATE
Item
PTCI DATE
string
PTCA
Item
PTCA
string
STENT
Item
STENT
string
ATHERECTOMY
Item
ATHERECTOMY
string
IIB/IIA INHIBITOR
Item
IIB/IIA INHIBITOR
string
MARK WITH APPROPRIATE LETTER: PTCA-(P), STENT-(S), ATHERECTOMY-(A)
Item
MARK WITH APPROPRIATE LETTER: PTCA-(P), STENT-(S), ATHERECTOMY-(A)
string
LM
Item
LM
string
LAD
Item
LAD
string
DIAGONAL
Item
DIAGONAL
string
CX
Item
CX
string
ADDITIONAL COMMENTS
Item
ADDITIONAL COMMENTS
string
SURGERY
Item
SURGERY
string
CABG
Item
Koronare Bypassoperation
string
C0010055 (UMLS CUI)
232717009 (SNOMED CT 2010_0731)
10011077 (MedDRA 13.1)
36.10 (ICD-9-CM Version 2011)
DATE CABG
Item
DATE CABG
date
MIDCAB
Item
MIDCAB
string
AVR
Item
AVR
string
MVR
Item
MVR
string
OTHER PROCEDURES
Item
OTHER PROCEDURES
string
CARDIOVASCULAR RISK FACTOR
Item
CARDIOVASCULAR RISK FACTOR
string
CORRELATE A NUMBER WITH GRAFT ORIGIN SITE
Item
CORRELATE A NUMBER WITH GRAFT ORIGIN SITE
string
DONOR AREA TO
Item
DONOR AREA TO
string
LIMA
Item
LIMA
string
RIMA
Item
RIMA
string
RADIAL
Item
RADIAL
string
SVG
Item
SVG
string
RPD
Item
RPD
string
BOOKLET(S) GIVEN
Item
BOOKLET(S) GIVEN
string
DATE BOOKLET(S) given
Item
DATE BOOKLET(S) given
date
BOOKLET VERSIONS
Item
BOOKLET VERSIONS
string
VIDEO(S) SHOWN
Item
VIDEO(S) SHOWN
string
DATE VIDEO(S) shown
Item
DATE VIDEO(S) shown
string
VIDEO VERSION
Item
VIDEO VERSION
string
LEARNER
Item
LEARNER
string
PATIENT'S PHYSICAL READINESS TO LEARN
Item
PATIENT'S PHYSICAL READINESS TO LEARN
string
PSYCHOLOGICALLY WILLING TO LEARN
Item
PSYCHOLOGICALLY WILLING TO LEARN
string
EDUCATIONAL TOPICS Heart Disease
Item
EDUCATIONAL TOPICS: 1.Description of Cardiac Catheterization and site care, 2.Heart structure and function, 3.Myocardial Infarction symptoms and interventions, 4.Unstable Angina symptoms and interventons, 5.Congestive Heart Failure and importance of daily weights, 6.PTCI (Angioplasty,Stent), 7.Open Heart Surgery
string
EDUCATIONAL TOPICS CORONARY RISK AND MODIFICATION
Item
EDUCATIONAL TOPICS CORONARY RISK AND MODIFICATION: 1.Tobacco Cessation, 2.Exercise guidelines, aerobic exercise for minimum of 30 minutes, 3.Dietary Modifications, 4.Stress Management, 5.Cholesterol and Triglycerides, 6.Diabetes Management, 7.Obesity, 8.Medication, 9.Hypertension
string
DISCHARGE SPECIFIC INSTRUCTIONS
Item
DISCHARGE SPECIFIC INSTRUCTIONS: 1.Activity, 2.Site / Incision care, 3.Daily Weight, 4.Returning to work, 5.Driving, 6.Recurrent Chest Pain, 7.Psychosocial, 8.Coumadin, 9.Sex
string
CARDIAC REHAB NARRATIVE
Item
CARDIAC REHAB NARRATIVE
string

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