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ID
172
Description
Form from HIS OpenVistA
Keywords
Versions (2)
- 2/15/12 2/15/12 -
- 6/5/17 6/5/17 - Martin Dugas
Uploaded on
February 15, 2012
DOI
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License
Creative Commons BY-NC 3.0
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HIS Discharge Summary
Similar models
HIS
- StudyEvent: HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Final Diagnosis
Item
Final Diagnosis
string
ACTIVE PROBLEM LIST
Item
ACTIVE PROBLEM LIST
string
HOSPITALIZATION SUMMARY
Item
HOSPITALIZATION SUMMARY
string
OPERATIONS / PROCEDURES
Item
OPERATIONS / PROCEDURES
string
C0087111 (UMLS CUI 2011AA)
LABS: Prior 24 hour labs
Item
Lab Findings
string
C0587081 (UMLS CUI 2011AA)
118246004 (SNOMED CT 2011_0131)
118246004 (SNOMED CT 2011_0131)
NARRATIVE
Item
NARRATIVE
text
Transfusions/tissue transplants
Item
Transfusions/tissue transplants
text
CONDITION AT DISCHARGE
Item
CONDITION AT DISCHARGE (stable, improved, unchanged)
text
C0586514 (UMLS CUI 2011AA)
Condition at discharge comment
Item
Condition at discharge comment
boolean
DISCHARGE INSTRUCTIONS
Item
DISCHARGE INSTRUCTIONS
string
Inpatient Medications
Item
Inpatient Medications
string
C0013227 (UMLS CUI 2011AA)
Home Medications
Item
Home Medications
string
C0013227 (UMLS CUI 2011AA)
Discharge Medications
Item
Discharge Medications
string
NUTRITION STATUS
Item
NUTRITION STATUS
string
HOME CARE
Item
HOME CARE
string
C0204977 (UMLS CUI 2011AA)
RETURN TO SEE NURSE
Item
RETURN TO SEE NURSE
boolean
RETURN TO SEE MD
Item
RETURN TO SEE MD
boolean
Next appointment
Item
Next appointment
date
C1272171 (UMLS CUI 2011AA)
389837003 (SNOMED CT 2011_0131)
389837003 (SNOMED CT 2011_0131)