ID

16709

Beschreibung

AAFP: Lower GI Bleed Admission Order, 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-first section ("AAFP: Lower GI Bleed Admission Order")

Link

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

Stichworte

Versionen (2)
  1. 02.07.16 02.07.16 -
  2. 01.08.16 01.08.16 -
Hochgeladen am

1. August 2016

DOI

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Creative Commons BY-NC 3.0
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AAFP: Lower GI Bleed Admission Order

Englisch

AAFP: Lower GI Bleed 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

Lower Gl Bleed Contributing 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 except meds
Beschreibung

NPO

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0419179
UMLS CUI [1,2]
C0012155
Other
Beschreibung

Diet

Datentyp

boolean

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

If Other, please specify

Datentyp

text

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

Activity

Bed rest with bedside commode
Beschreibung

Bed rest

Datentyp

boolean

Alias
UMLS CUI [1]
C0004910
Bathroom privileges with assistance
Beschreibung

Bathroom privileges

Datentyp

boolean

Alias
UMLS CUI [1]
C1827269
Nursing
Beschreibung

Nursing

ICU: per routine
Beschreibung

ICU

Datentyp

boolean

Alias
UMLS CUI [1]
C0021708
Medical: every 1 hr until stable X4, then every 2 hrs until stable X4, then every 4 hrs
Beschreibung

Nursing

Datentyp

boolean

Notify MD for: BP < 90/60 or > 180/110, P < 60 or > 120, urine output < 30 cc/hr over 4 hrs, all H/H results
Beschreibung

Vital signs

Datentyp

boolean

Alias
UMLS CUI [1]
C0518766
Medications
Beschreibung

Medications

Medications
Beschreibung

Medications

Datentyp

text

Alias
UMLS CUI [1]
C0013227
IV
Beschreibung

IV

Bolus normal saline ____cc over ___
Beschreibung

normal saline

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0445115
UMLS CUI [1,2]
C1511237
If Bolus normal saline, please specify amount
Beschreibung

If Bolus normal saline, please specify amount

Datentyp

integer

Maßeinheiten
  • cc
Alias
UMLS CUI [1,1]
C0445115
UMLS CUI [1,2]
C1511237
UMLS CUI [1,3]
C0678766
cc
If Bolus normal saline, please specify duration
Beschreibung

If Bolus normal saline, please specify duration

Datentyp

integer

Alias
UMLS CUI [1,1]
C0445115
UMLS CUI [1,2]
C1511237
UMLS CUI [1,3]
C0449238
Dextrose 5% normal saline with 20 mEq KCl/L @____mL7hr total
Beschreibung

Dextrose with normal saline

Datentyp

boolean

Alias
UMLS CUI [1]
C0308813
If Dextrose 5% normal saline with 20 mEq KCl, please specify amount
Beschreibung

If Dextrose 5% normal saline with 20 mEq KCl, please specify amount

Datentyp

integer

Maßeinheiten
  • mL/hr
Alias
UMLS CUI [1,1]
C0308813
UMLS CUI [1,2]
C0678766
mL/hr
Lab
Beschreibung

Lab

Hemogram, comp met profile, PT/PTT/INR on admission
Beschreibung

Hemogram, comp met profile, PT/PTT/INR on admission

Datentyp

boolean

Alias
UMLS CUI [1]
C0200631
UMLS CUI [2]
C3853758
UMLS CUI [3]
C0005790
HH every 6 hrs X24 hrs
Beschreibung

Lab

Datentyp

boolean

Type and screen for __ units PRBC
Beschreibung

PRBC

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2316467
UMLS CUI [1,2]
C1265611
If Type and screen, please specify units PRBC
Beschreibung

Units of PRBC

Datentyp

integer

Alias
UMLS CUI [1,1]
C2316467
UMLS CUI [1,2]
C1265611
Other
Beschreibung

Other

Have patient sign informed consent for blood transfusion
Beschreibung

informed consent

Datentyp

boolean

Alias
UMLS CUI [1]
C0021430
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: Lower GI Bleed 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
Medical floor (1)
CL Item
Telemetry (2)
CL Item
ICU (3)
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
Lower Gl Bleed Contributing 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 except meds
boolean
C0419179 (UMLS CUI [1,1])
C0012155 (UMLS CUI [1,2])
Diet
Item
Other
boolean
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
If Other, please specify
Item
If Other, please specify
text
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
Activity
Bed rest
Item
Bed rest with bedside commode
boolean
C0004910 (UMLS CUI [1])
Bathroom privileges
Item
Bathroom privileges with assistance
boolean
C1827269 (UMLS CUI [1])
Item Group
Nursing
ICU
Item
ICU: per routine
boolean
C0021708 (UMLS CUI [1])
Nursing
Item
Medical: every 1 hr until stable X4, then every 2 hrs until stable X4, then every 4 hrs
boolean
Vital signs
Item
Notify MD for: BP < 90/60 or > 180/110, P < 60 or > 120, urine output < 30 cc/hr over 4 hrs, all H/H results
boolean
C0518766 (UMLS CUI [1])
Item Group
Medications
Medications
Item
Medications
text
C0013227 (UMLS CUI [1])
Item Group
IV
normal saline
Item
Bolus normal saline ____cc over ___
boolean
C0445115 (UMLS CUI [1,1])
C1511237 (UMLS CUI [1,2])
If Bolus normal saline, please specify amount
Item
If Bolus normal saline, please specify amount
integer
C0445115 (UMLS CUI [1,1])
C1511237 (UMLS CUI [1,2])
C0678766 (UMLS CUI [1,3])
If Bolus normal saline, please specify duration
Item
If Bolus normal saline, please specify duration
integer
C0445115 (UMLS CUI [1,1])
C1511237 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Dextrose with normal saline
Item
Dextrose 5% normal saline with 20 mEq KCl/L @____mL7hr total
boolean
C0308813 (UMLS CUI [1])
If Dextrose 5% normal saline with 20 mEq KCl, please specify amount
Item
If Dextrose 5% normal saline with 20 mEq KCl, please specify amount
integer
C0308813 (UMLS CUI [1,1])
C0678766 (UMLS CUI [1,2])
Item Group
Lab
Hemogram, comp met profile, PT/PTT/INR on admission
Item
Hemogram, comp met profile, PT/PTT/INR on admission
boolean
C0200631 (UMLS CUI [1])
C3853758 (UMLS CUI [2])
C0005790 (UMLS CUI [3])
Lab
Item
HH every 6 hrs X24 hrs
boolean
PRBC
Item
Type and screen for __ units PRBC
boolean
C2316467 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
Units of PRBC
Item
If Type and screen, please specify units PRBC
integer
C2316467 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
Item Group
Other
informed consent
Item
Have patient sign informed consent for blood transfusion
boolean
C0021430 (UMLS CUI [1])
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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